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Introduction to the FFICM

February 17, 2018

​If you are embarking upon the FFICM then you are most likely an ICM trainee. Although there is wider eligibility for consultant who do some ICM , for those who have done the equivalent of intermediate training or MTI trainees. For full eligibility for the latter categories check the FICM website here. From this point on I will assume you are an ICM trainee.


As things stand, dual and single specialty ICM trainees will need to complete this exam during stage 2 of training before entry into stage 3. You will need to have completed Stage 1 ICM and have been issued a stage 1 certificate. This may be changing so keep an eye on it and if you have a compelling reason to do it before you stage 1 certificate arrives then speak to your Training Programme Director. I have heard rumours of people allegedly doing it early….


If you have completed stage 1 then you must have done a postgraduate exam such as the primary FRCA, MRCP (UK)or MCEM (Full). That means you know how to complete this sort of exam and basically its more of the same. The only difference is that you're a little older, life may have become busier and more complicated and the grey cells may be fading.


The Final FFICM includes three distinct parts.

  1. MCQ

  2. OSCE

  3. SOE

The initial multiple choice exam (MCQ) must be passed before moving onto the Objective Structured Cinical Examination (OSCE) and a Structured Oral Examination (SOE). The OSCE and SOE are taken together down in London at the RCOA. Fortunately if you fail one of these components (the OSCE or SOE) you can just repeat the part you failed which saves you repeating both elements.


The examination currently takes place twice a year, although this may change, and is normally at the RCOA in London. There is a paper or online application system via the Final FFICM web page. You should wear appropriate clothes as you would for work for the MCQ and for the OSCE/SOE I would wear suit and tie or equivalent with a view that you may lose the jacket/tie if its boiling.


There have been ten sittings of the exam up to October 2017. In July 2017 59% of those who took the MCQ passed, the mark required to pass was 70.64%. Of those completing the SOE 73% passed and of those completing the OSCE 78% passed. Overall 67% passed the combined SOE/OSCE components and achieved the FFICM at this sitting.


They have published some new example questions of each component of the FFICM. See here




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