Getting started
These guides are written for emergency registrars preparing for the ACEM fellowship written exam. They cover exam strategy, format, and high-yield topic areas. Each guide is concise and practical — designed to be useful, not to replace your textbook reading.
Exam strategy
- How to Prepare for the ACEM Fellowship Written Exam — study timeline, resource selection, question practice strategy, and exam-day tips
- ACEM Fellowship Written Exam Format Explained — SCQ and SAQ components, timing, topic matrix, marking, and how to approach each
- ACEM Fellowship Exam Resources — curated list of question banks, textbooks, courses, and study tools
Examiner report analysis
What eleven ACEM written examination reports (2021.1 to 2026.1) say about the exam, with the numbers.
- ACEM Fellowship Written Exam Pass Rates 2021–2026 — every sitting's SCQ, SAQ and overall pass rate, where the pass mark sits, how close the average candidate is to it, and what the borderline review does
- What the ACEM SAQ Paper Actually Tests — all 296 SAQ topics from 11 papers, coded by category with share of marks, frequency, and the hardest and easiest questions
- How Candidates Lose Marks in the ACEM SAQ — the six examiner feedback factors, with examples of each mistake and how to fix your answer technique
Free sample questions
Questions from the bank, shown as subscribers see them, with the full referenced explanation.
- Six ACEM Fellowship Trauma MCQs — non-accidental injury, occult diaphragmatic injury, the tertiary survey, REBOA, DOAC reversal and spinal clearance, with answers
Choosing resources
- ACEM Fellowship Exam Resources Compared — ACEMCQ, ED MCQ, PRIMEX and Ace the ACEM side by side: contents, prices, strengths, and which combination suits which candidate
- Ace the ACEM and a Question Bank — what the coached course includes, what it leaves to you, and a week that uses both
ACEM Primary exam
Analysis of nineteen Primary written examination reports (2017.1 to 2026.1), and the ACEMCQ Primary question bank.
- ACEM Primary Written Exam Pass Rates 2017–2026 — every sitting's pass rate and pass mark, why the pass rate fell after the 2022.2 rule change, and what score to aim for
- ACEM Primary Exam Scores by Subject — anatomy, pathology, physiology and pharmacology results across 19 sittings, the per-subject minimum standard, and how to allocate study time
Topic revision guides
- Admin, Medicolegal & Ethics Revision — consent, capacity, mental health law, coronial reporting, mandatory reporting, open disclosure, and ED administration
- Statistics & Evidence-Based Medicine Revision — study design, diagnostic test performance, hypothesis testing, critical appraisal, and EBM principles
- Toxicology Revision — toxidromes, high-yield poisonings, antidotes, and Australian toxinology
- Trauma Revision — primary survey decisions, haemorrhage management, injury patterns, and imaging
- ECG Interpretation — STEMI equivalents, arrhythmias, toxicological ECGs, and electrolyte changes
- Resuscitation Revision — cardiac arrest, airway management, shock states, and post-ROSC care
About
- About ACEMCQ — how our questions are made, what makes us different, and our approach to quality