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The ACEM Fellowship (FACEM) is the qualifying credential for independent emergency medicine practice in Australia and New Zealand — a binational 5-year training program with two examinations: the Primary Examination (basic sciences and EM applied) and the Fellowship Examination (clinical, multi-modality). An AI-adaptive question bank mapped to the ACEM Curriculum, current Australasian emergency medicine practice, and CenMACS/CICM standards where relevant.
Full ACEM Fellowship (FACEM) bank, AI Tutor and timed mocks — $29/month or $99/year. All paid exam banks included.
Tests basic sciences applied to emergency medicine: anatomy, physiology, pathology, pharmacology, and other relevant fundamentals. Multi-paper format combining written components. Typically sat early in EM training (after some clinical EM experience). Must be passed before progressing to Fellowship Examination.
The advanced clinical examination — combines written components (short-answer questions, multi-format questions) and clinical components (OSCE-style stations and structured oral examinations). Tests the breadth of acute and emergency presentations, procedural skills, communication, decision-making under time pressure.
5-year training program in EM. Provisional Training (PT) typically 2 years (varies by candidate background), followed by Advanced Training (AT) in EM. Both Primary and Fellowship must be passed. Other accreditation requirements include workplace-based assessments, supervisor reports, and minimum clinical experience hours.
Successful completion awards FACEM (Fellow of the Australasian College for Emergency Medicine) — the qualifying credential for independent emergency medicine practice in Australia and New Zealand. Fellows may pursue ACEM-recognised subspecialty training (paediatric EM, retrieval medicine, prehospital and disaster medicine, etc.).
IMG specialists may qualify through the ACEM Specialist IMG pathway, with comparability assessment of overseas EM training. Specific requirements vary; consult the ACEM website. The pathway is one of the more accessible EM specialist routes for international candidates.
Both Primary and Fellowship examinations typically held twice yearly (Spring and Autumn). Confirm 2026 specific dates and enrolment deadlines on the ACEM website (acem.org.au).
Approximate distribution across the ACEM Curriculum for emergency medicine practice. iatroX adaptive sequencing covers the Primary (basic sciences) and Fellowship (clinical) examinations.
Source: official Australasian College for Emergency Medicine (ACEM) blueprint
Drawn from the ACEM Curriculum, ARC (Australian Resuscitation Council) and NZRC algorithms, eTG, and item density across the iatroX bank.
ARC/NZRC resuscitation algorithms — Australian and NZ Resuscitation Council 2021 ALS, paediatric ALS (APLS), neonatal life support. The binational Australasian standards differ subtly from ILCOR/AHA in drug doses, sequences, and special circumstances.
Trauma — Major Haemorrhage Protocol activation in Australasian centres, balanced resuscitation (1:1:1), tranexamic acid within 3 hours (CRASH-2), pelvic binders, recognition of tension pneumothorax (decompression at 4th-5th ICS mid-axillary)
Australasian envenomation — snake bite (pressure immobilisation, antivenom selection: polyvalent vs monovalent), marine envenomation (box jellyfish, blue-ringed octopus, irukandji syndrome, stonefish), spider bites (redback, funnel-web)
Paediatric resuscitation — APLS Australia/NZ, paediatric drug dose calculations (adrenaline 10 mcg/kg IV/IO, fluid 10 mL/kg trauma vs 20 mL/kg sepsis), recognising the deteriorating child (PEWS), neonatal life support
Toxicology — paracetamol nomogram (Australasian Rumack-Matthew adapted), opioid overdose (naloxone), benzodiazepine reversal cautions, antidotes (NAC, fomepizole, digoxin-Fab), specific Australasian considerations
Mental health in ED — state mental health acts (each state has its own framework), involuntary admission processes, capacity assessment for refusal of urgent treatment, agitation management (verbal de-escalation, IM medications)
Disaster and retrieval medicine — Australasian-specific contexts. CareFlight, Royal Flying Doctor Service, RTS scoring, mass casualty triage (Australasian Trauma Audit), prehospital interfaces
Indigenous and Māori EM presentations — recognising disproportionate trauma representation, cultural safety in high-stakes encounters, working with Indigenous Liaison Workers, understanding historical and structural factors
Observations from recent FACEM candidates. Verify against the current ACEM Curriculum, ARC/NZRC algorithms, and Australasian EM guidance.
Candidate-reported observations — not official guidance.
A pragmatic phased approach used by recent FACEM candidates.
A live item from the iatroX bank. Try it before launching a full session.
A 30-year-old woman at 28 weeks gestation presents to an Auckland ED, triage category 2, with pleuritic chest pain and dyspnoea. BP 116/70, HR 112, SpO2 95%. CXR is normal, DVT ultrasound is negative and clinical suspicion for pulmonary embolism remains high. What is the most appropriate investigation?
Why iatroX is built differently for ACEM Fellowship (FACEM).
Every iatroX item is tagged to a blueprint topic, so your performance dashboard mirrors the structure of the exam itself.
The engine surfaces your weakest topics first, in real time, instead of marching you through a static syllabus.
Incorrect items return at increasing intervals to interrupt the forgetting curve and lock knowledge into long-term memory.
Timed full-length simulations that mirror the official exam structure under realistic conditions.
One iatroX subscription includes the ACEM Fellowship (FACEM) bank, the Socratic Tutor inside supported sessions, and every other premium iatroX exam bank.
Cancel anytime · 7-day money-back guarantee on annual
The FACEM (Fellow of the Australasian College for Emergency Medicine) is the qualifying credential for independent emergency medicine practice in Australia and New Zealand. Training is 5 years total: Provisional Training (~2 years) + Advanced Training in EM (~3 years). Two examinations: Primary (basic sciences) and Fellowship (clinical).
Both examinations typically held twice yearly (Spring and Autumn). Primary is usually sat earlier in training; Fellowship later. Confirm 2026 specific dates and enrolment deadlines on the ACEM website (acem.org.au).
The Primary tests basic sciences applied to emergency medicine: anatomy, physiology, pathology, pharmacology. Multi-paper format combining written components. Must be passed before progressing to Fellowship.
The Fellowship combines written components (SAQs and MCQs) and clinical components (OSCE-style stations and structured oral examinations). Tests the breadth of acute and emergency presentations, procedural skills, communication under pressure, and team leadership.
Yes. Indigenous and Māori EM presentations are recognised as core competencies in the binational Australasian framework. Recognising disproportionate trauma representation, cultural safety in high-stakes encounters, working with Aboriginal Liaison Officers / Māori health workers. Increasing emphasis in recent diets.
ACEM is the binational Australasian framework (Australia + NZ). It tests ARC/NZRC resuscitation guidelines and Australasian-specific contexts (envenomation, state mental health acts, RFDS/CareFlight retrieval). RCPSC EM (Canada) tests Canadian standards. MRCEM (UK) tests UK standards. They are not interchangeable for licensing but knowledge overlap exists across all three.
Yes. A single iatroX subscription (£29/month or £99/year for UK users; $29/$99 elsewhere) includes the ACEM bank alongside RCPSC EM, MRCEM SBA, FFICM, and every other premium iatroX exam bank. No add-ons or per-exam fees.
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Reviewed by Dr Kola Tytler MBBS CertHE MBA MSt MRCGP · Last reviewed 12 May 2026
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