How to Prepare for MRCEM OSCE: A Complete Guide for IMGs
The MRCEM OSCE (Objective Structured Clinical Examination) is the final step in obtaining membership in the Royal College of Emergency Medicine (RCEM). It evaluates your clinical skills, communication abilities, and decision-making under pressure — all essential traits for working in emergency departments. If you’re an International Medical Graduate (IMG), this guide will help you prepare effectively.
MRCEM OSCE Eligibility Criteria
Before applying, make sure you meet the following requirements:
A medical qualification approved by the GMC
Full GMC registration with a license to practise
Completion of the UK Foundation Programme or equivalent
A pass in MRCEM Primary and MRCEM Intermediate SBA
At least 24 months of post-qualification experience, including 6 months in full-time Emergency Medicine
MRCEM OSCE Exam Format
Total Stations: 16 (with two rest stations)
Duration: 2 hours 42 minutes
Time per Station: 8 minutes + 1-minute reading time
Structure: Simulated clinical scenarios with patient actors and assessors
Each station tests practical application, communication, and clinical reasoning in real-time emergency settings.
How to Prepare for the MRCEM OSCE Exam
1. Gain Real-World, Hands-On Experience
Nothing beats real experience. Try to work in a busy emergency department, where you can apply and refine your clinical and interpersonal skills daily.
2. Practice Simulated Scenarios
Simulate cases that resemble MRCEM OSCE stations. Focus on trauma, cardiac arrest, sepsis, and acute paediatrics — common emergency medicine scenarios.
3. Learn from Experienced Mentors
Seek guidance from senior colleagues, OSCE examiners, or doctors who have recently cleared the exam. Ask for feedback on your history-taking, exam techniques, and decision-making.
4. Master Communication and Diagnosis
Clear communication is essential — not just with patients but also with nurses, paramedics, and fellow doctors. Simulate how you would explain procedures, diagnoses, and safety-netting.
5. Daily Practice is Key
Start early. Aim to practise 3–4 mock patients per shift. Regular, consistent practice helps improve your confidence and clinical speed.
6. Stay Calm and Read Instructions
Before entering a station, take a deep breath and read the instructions carefully. Knowing exactly what’s expected will help you stay focused and structured.
7. Use YouTube and Online Resources
Explore mock OSCE videos on YouTube. Watching how others approach scenarios gives you new perspectives on time management and communication style.
8. Understand Marking Criteria
Each station includes a pie chart showing the marks distribution. Learn how to interpret it — this helps you prioritize actions and focus on high-weightage areas.
Preparing for MRCEM OSCE requires strategic preparation, clinical awareness, and communication finesse. Whether you’re just starting or looking for structured coaching, StudyMRCEM offers comprehensive MRCEM OSCE preparation courses tailored to suit every learning style.
Our MRCEM short- and long-term courses cover everything from clinical stations to mock exams and examiner feedback.
Want to know more? Connect with our team today.