FRCEM Primary
has now replaced MRCEM Part A exam. The first ever FRCEM Primary exam took
place on 7th December 2016. Most of us were anxious with the new
Single Best Answer (SBA) exam pattern, nobody had complete clue what to expect.
Only 8 sample questions were provided to us on ‘rcem’ website one month prior
to exam 1. I have been asked
plenty of questions by my colleagues and friends regarding this new beast-
FRCEM primary. In the following article, I try to answer the most common
questions pertaining to this new exam and my strategies to successfully pass
it.
Question 1: How is FRCEM Primary different from MRCEM
Part A?
The good thing
about RCEM exams is that they have a well-defined syllabus2. The
syllabus remains the same. The difference
is change from true/false to single best answer question. It has its advantages
and disadvantages. True/False would
give you a 50% chance of getting the answer correct, while single best answer
out of 5 options, reduced the chance to 20%. The questions are application
based with a clinical vignette, so one can apply knowledge to get the right
answer as opposed to true/false, where a candidate either knows or doesn’t know
the answer and still has a 50% probability of getting it right.
Based on the
above statistics, it is expected that the cut-off scoring also reduces.
Question 2: How difficult was FRCEM Primary exam?
I personally
enjoyed solving it. All the questions are clinical cases 2-3 sentences each,
they are pretty straight forward and working in Emergency Department helps
answer most of the questions. But unless one studies thoroughly it is difficult
to pass. Let me give you a perspective, out of 1138 candidates, only 432 passed
this exam.
Question 3: How should I start?
I shall tell how
I started. Firstly I went through the rcem website. I printed out the syllabus,
went through it. Then I immediately started with question banks: frcemexamprep.co.uk & frcemsuccess.com3. I kept a
target of at least 50 questions per day for first month, which went to 120-150
by 4th month. My aim was to learn from questions. It kept me
motivated to read. For anatomy (my weakest subject), I used teachmeanatomy as my primary source4.
For rest of the subjects I heavily relied on the explanation given after
questions.
I used Revision
Notes for MCEM by Mark Harrison, only in last month as a revision book5.
It is very dry. This approach helped me remember the questions I solved while
reading Mark Harrison. I also referred to Snell’s Anatomy and google search for
few topics while solving bank.
Question 4: Should I use question bank? Which ones are
the best?
Since no one
knew how the exam was going to be, me and my friends subscribed to 2 question
banks and took turns solving them. For me question banks were very helpful as
they kept me focused and motivated. I tried to give 3-4 hours out of my daily
schedule to solve them. The biggest problem that I faced was; if I wasn’t able
to solve on a particular day/ days, I would forget everything. It was an
eye-opener for me to be consistent throughout my preparation. I can’t say which
one is best, I liked frcemexamprep
for anatomy as it had pictures and loved frcemsuccess
for rest of topics for their thorough explanation.
Question 5: Are the Bromley courses useful?
In retrospect, I
definitely find it useful. I took advice from Lakshay and did this course.
It is expensive, but worth it. Not mandatory. I went with 2 goals- 1) 2 days
revision of entire syllabus and hope of knowing how the questions will be asked
and 2) to come back and teach/ share knowledge of what I learnt.
Question 6: Tips for exam day?
a)
Time management: the more
questions you do before the exam, easier will be the time management. 3 hours
for 180 questions are sufficient.
b)
Stay calm
c)
You have to cross the box on
the answer-sheet with pencil, so mark all the questions and if in doubt, at the
end you may return to the doubtful answers.
d)
There will be questions
pertaining to emergency procedures and its relevance to anatomy/physiology and
that of trauma and injury to underlying structures. There will be case
scenarios and they may ask mechanism of action of particular drug, drug-drug
interaction, etc. See that you read them well.
e)
Read only the volatile section
of syllabus on the day of exam- for me it was the nerve supply- sensory/motor
and dermatomal distribution (heavily tested).
Summary:
Be consistent.
Do plenty of questions. It is a doable exam. Although this was a basic science
exam, all questions are about emergency medicine. If you love EM, this will be
a fun exam.
If you have any
doubts please feel free to contact me at tambe_nikhil@yahoo.co.in
References:
- http://www.rcem.ac.uk/docs/Exams/FRCEM%20Primary%20Sample%20Questions%20for%20Website.pdf
- http://www.rcem.ac.uk/docs/Training/1.4.4%20Basic%20Sciences%20Curriculum.pdf
- http://frcemexamprep.co.uk/
- http://frcemsuccess.com/
- http://teachmeanatomy.info/
- http://www.amazon.in/Revision-Primary-Oxford-Speciality-Training/dp/0198765878/ref=sr_1_2?s=books&ie=UTF8&qid=1484035767&sr=1-2&keywords=frcem+primary
Nikhil N. Tambe - @nikhil16mar
M.B.B.S., ECFMG (USA)
M.B.B.S., ECFMG (USA)
Emergency Medicine Resident (PGY-2)
Masters in Emergency Medicine (GWU)
Kokilaben Dhirubhai Ambani Hospital, Mumbai
Instructor (American Heart Association)
Lifesupporters Institute of Health Sciences, Mumbai
Lifesupporters Institute of Health Sciences, Mumbai
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ReplyDeleteUsefull information. Thank you.
ReplyDeleteCan we have an updated view on FRCEM Intermediate as well?
ReplyDeleteThanks :)
Do you have any idea about FRCEM All in one notes by Moussa Issac? It has written things which are not mentioned in the RCEM Basic science curriculum. Is Mark Harrison plus MCQS websites are enough? Regards
ReplyDeleteI sat the FRCEM Primary yesterday. Studied from the Moussa Issa book. It did cover all the questions apart from a few. The book is to the point and has Practice MCQs also. It helps to Google about topics also as an added visual aid. The book does require reading in detail. A double read IS REQUIRED. I tried 2 Online MCQ banks. Sadly not helpful at all for me.
ReplyDelete