Emergency Med (MRCEM OSCE)
Walk into your MRCEM OSCE having already done it — dozens of times
Practise the real MRCEM stations out loud against a simulated patient who responds realistically, any time of day. Get instant, examiner-style feedback after every encounter — no study partner, no booking, no waiting.
What is the MRCEM OSCE, and how do you practise for it?
The MRCEM OSCE is a spoken clinical exam that assesses how you take histories, explain information, and handle patients and colleagues under timed conditions. The most effective way to prepare is to rehearse the real stations out loud — with MedMock you practise them against a realistic AI patient any time of day and get instant, examiner-style feedback after every one.
Last reviewed June 2026
⏳ Count down to the next MRCEM sittingYou can know the medicine and still freeze in the room
The MRCEM does not test what you know — it tests what you can do with a real person sitting across from you, under time pressure. You can read every guideline and still mishandle the opening line, miss the patient's cue, or run out of time.
There is only one way to address this: practise out loud, repeatedly. The difficulty is finding someone to practise with. Study partners cancel, seniors are busy, and courses cost hundreds of pounds and book out months ahead — so most candidates arrive under-rehearsed and rely on adrenaline on the day.
MRCEM OSCE practice, on demand
The Membership of the Royal College of Emergency Medicine OSCE: a multi-station, 8-min-per-station circuit covering history-taking, paediatric history via parent, breaking bad news / consent, resuscitation team leadership, practical procedures, teaching, and psychiatric assessment in the ED.
MedMock gives you a simulated patient who responds realistically, available 24/7. Pick a station, have a genuine spoken conversation, and get instant, examiner-style feedback the moment you finish — scored against what genuinely matters in the MRCEM. No rota conflicts, no study partner, no waiting your turn. Simply practise whenever you have ten minutes.
How it works
Choose a station
Pick from the real MRCEM stations — all 7 of them, or let MedMock surprise you the way exam day will.
Have the conversation
Speak naturally, out loud. The AI patient responds in real time — with emotions, cues and unexpected turns, just like a real encounter.
Get instant feedback
The moment you finish, you get specific, examiner-style feedback and a score — what you did well, what cost you marks, and precisely what to fix before the next attempt.
Why candidates practise with MedMock
Practise out loud, any time
No study partner, no booking, no rota clash. Open MedMock at 6am or midnight and run a full station in minutes.
All 7 stations, endless variations
You will never simply memorise answers. Each run is different, so you build the real skill — adapting in the moment.
Examiner-level feedback in seconds
Know exactly where you lost marks and how to address it, instead of guessing why a mock session went poorly.
Turn nerves into muscle memory
By the time you sit the MRCEM, the format feels familiar — because you have already done it dozens of times.
A fraction of the cost of courses
Avoid the hundreds of pounds you would spend on a one-off exam course, and practise unlimited scenarios instead.
Practise anywhere, from your phone
On a break, during the commute, between jobs on the ward — your preparation goes wherever you do.
Practise every station
MedMock covers the stations you will face in the MRCEM OSCE. Rehearse each one until it feels routine.
History Taking (Adult)
Eight-minute focused adult ED history with red-flag identification and a working differential.
History Taking (Paediatric via Parent)
Eight-minute paediatric history taken from the parent, with NICE traffic-light red-flag screening and parental concerns addressed.
Communication / Breaking Bad News / Consent
Eight-minute communication encounter — breaking bad news, obtaining emergency-procedure consent, or de-escalating an angry relative; SPIKES-shaped.
Resuscitation Team Leader
Eight-minute resus simulation as team leader — ALS / APLS / ATLS narrated aloud with closed-loop instructions and named drugs/doses.
Procedure / Practical Skill
Eight-minute practical-skill viva — verbally walk the examiner through consent, preparation, procedure, aftercare, and documentation.
Teaching
Eight-minute teach-the-junior-colleague encounter on a focused EM topic with Pendleton / BST / Set-Dialogue-Closure structure.
Psychiatric Assessment
Eight-minute ED psychiatric risk assessment — structured suicide-risk pillars and MCA 2005 four-pillar capacity test.
Example scenarios
A sample of the scenarios you will practise — each plays out as a live, spoken conversation, not a script to read.
“Tell a mother that her 19-year-old son has died following a high-speed motorcycle accident despite full resuscitative efforts.”
“You are the on-call EM registrar. A 65-year-old man is in cardiac arrest in resus — talk me through your primary survey, ALS algorithm, reversible causes, and post-arrest care.”
“A 22-year-old woman has taken a paracetamol overdose four hours ago and is refusing NAC. Assess her, including capacity to refuse treatment under the MCA 2005 four-pillar test.”
MRCEM practice — your questions answered
How realistic is MedMock's MRCEM practice?
Every scenario is built around the real MRCEM OSCE format and the domains examiners assess. You speak out loud and the AI patient responds in real time, so it feels far closer to the day than reading notes or rehearsing silently.
How does the feedback work?
As soon as you finish a station, MedMock gives you instant, examiner-style feedback and a score — highlighting what you did well, what cost you marks, and exactly what to work on next.
Can I practise specific MRCEM stations?
Yes. You can pick any of the 7 stations to drill a weak area, or run a mixed set to simulate the real exam.
Do I need a study partner or a fixed time slot?
No. That is the point — MedMock is available 24/7 and you practise alone, out loud, whenever it suits you. No coordinating diaries, no waiting for a course date.
Is MedMock right for me if I am sitting the MRCEM?
If your MRCEM exam involves speaking — histories, explanations, breaking news, dealing with patients and colleagues — then spoken rehearsal is exactly what MedMock is built for.
How much does it cost?
Far less than a one-off exam course, with unlimited practice. Everyone starts with a free trial — no card required — so you can see how it works before paying. See current options on our pricing page.
Disclaimer: National medical recruitment formats and Royal College examination criteria are subject to change annually. While Medmock strives for absolute accuracy based on the latest HEE/NHS England cycles, always consult your official applicant handbook or Royal College website for the definitive, up-to-date station requirements for your specific cohort.
Ready for your MRCEM OSCE?
Rehearse real MRCEM scenarios out loud and get instant, examiner-style feedback.
- Instant, personalised feedback
- Real voice-to-voice conversation
- Unlimited attempts, endless variations
Be ready for your MRCEM OSCE before you walk in
Start rehearsing MRCEM OSCE scenarios out loud today, get instant feedback, and turn exam-day nerves into something you have already done a hundred times.
Practise MRCEM stations