ACEM Fellowship (FACEM): question practice and revision.

Choose a topic for focused revision and check your plan against the official specification.

• Adult resuscitation and critical care in EM — sepsis, ACS, arrhythmias, anaphylaxis
• Trauma management — ATLS framework, damage control, massive transfusion, brain injury
• Paediatric emergencies — APLS, fever in under-5s, paediatric trauma, neonatal resuscitation
• Toxicology — paracetamol, opioids, recreational drugs, antidotes, Australasian envenomation
• Environmental emergencies — hypothermia, hyperthermia, drowning, snake bite, marine envenomation
• Cardiology emergencies — ACS pathway, arrhythmias, tamponade, aortic dissection
• Respiratory emergencies — PE, asthma, COPD, tension pneumothorax, ARDS
• Neurological emergencies — stroke, status epilepticus, head injury, headache red flags
• Surgical and abdominal emergencies — appendicitis, AAA, ischaemia, GI bleeding
• Mental health in EM — suicide risk, agitation, capacity, state mental health acts
• Obstetric emergencies — ectopic, PPH, eclampsia, peripartum collapse
• EM procedures and ultrasound — focused FAST, central access, airway management
• Disaster medicine, mass casualty triage, retrieval, prehospital interfaces
• Communication, family meetings, breaking bad news, team leadership
• Aboriginal/Torres Strait Islander/Māori EM presentations, cultural safety

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.

1. Mixing examination stages — Primary basic-science preparation and Fellowship clinical preparation need different resources. This question bank focuses on Fellowship revision.
2. ARC/NZRC vs ILCOR/AHA differences — the Australasian resuscitation guidelines (ARC for Australia, NZRC for New Zealand) differ subtly from international standards. ACEM tests Australasian standards specifically.
3. Australasian envenomation — disproportionately important. Box jellyfish vs irukandji, snake bite antivenom selection (polyvalent vs monovalent based on snake identification), funnel-web vs redback spider. Examined directly.
4. State mental health acts — Australia has 8 state/territory mental health acts (each different); New Zealand has its own framework. Knowing the framework applicable to your jurisdiction (and recognising what differs across states) is examined.
5. Disaster medicine and retrieval — Australasian-specific frameworks (CareFlight, RFDS, state-specific retrieval services). IMGs from non-Australasian contexts often under-prepare.
6. Common Fellowship long-case themes — complex multi-system trauma, paediatric resuscitation, mental health crisis with self-harm, end-of-life conversation in ED, multi-morbidity decompensation. Practise structured presentations.
7. Indigenous health and trauma — recognising disproportionate representation, cultural safety in high-stakes encounters, working with Aboriginal Liaison Officers. Increasing emphasis in recent diets.
8. Time-to-Fellowship — ACEM training is 5 years total. Failed exams delay Fellowship entry. Plan thorough preparation for both Primary and Fellowship.

Organise clinical question review, Australasian guidance and separate written and clinical preparation around your sitting.

1. Foundation review

   Work through clinical emergency medicine topics and record the decisions you find difficult. Pair question review with the ACEM curriculum and current Australasian clinical guidance.

2. Targeted practice

   Revisit missed clinical distinctions in resuscitation, trauma, toxicology, paediatrics and other relevant topics. Use Tutor after an attempted iatroX question to explore your reasoning.

3. Written and clinical preparation

   Use timed question sets for pacing and review. Prepare separately for the official written response tasks and clinical stations using ACEM guidance, practice material and peer rehearsal.

4. Final review

   Review your unresolved topics, relevant jurisdictional guidance and practical examination requirements. Confirm your booking, venue and identification requirements with ACEM.

Dedicated ACEM Fellowship (FACEM) question practice with answer explanations, guided Tutor review and study planning.

• Focused question practice — Choose the relevant bank and use your answers to identify what to study next.
• Guided reasoning — Explore a difficult answer with Tutor, then apply the distinction independently.
• Review and timed practice — Return to important mistakes and choose a timed practice set where available.

Choose the relevant bank and use the official exam guidance to plan your preparation.

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).

20 November 2026, with applications already closed. The following sitting is 21 May 2027; its application window is 22 February–19 March 2027. Primary and Fellowship clinical assessments have separate schedules.

This iatroX bank focuses on ACEM Fellowship clinical question practice. Primary preparation covers basic sciences and requires resources selected for that examination stage. Use the official ACEM Primary curriculum and examination guidance when planning Primary revision.

The written assessment has separate three-hour SAQ and SCQ (MCQ) papers. Clinical stations are a separate assessment. Question practice can support knowledge review; use produced-answer and observed clinical rehearsal for those additional tasks.

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.

Full ACEM Fellowship (FACEM) bank access is included in all-access. Up to 10 new sample questions per day are shared across exams, with no account required. A verified free account includes one guided Tutor session; continued Tutor use is included in all-access.