The FFICM Final examination can be taken at any point during Stage 2 of the new training programme.  Eligibility to sit the FFICM Final examination is currently a pass in the primary examination of one of the complementary specialty colleges. The examination comprises of three sections: Multiple Choice Question examination (MCQ), Objective Structured Oral Examination (OSCE) and the Structured Oral Examination (SOE).  You must pass the MCQ examination before you can take the OSCE/SOE examinations.  The OSCE/SOE examination must be taken together at the first attempt.

Please click on the boxes below for more information on each section.

We are now able to accept online bookings for FFICM exams; to do so, simply click here, register, and follow the instructions.

Please be aware that your eligibility is based on information that you must provide to the college in advance of an application and so, if we have not received copies of certain documents you will be unable to complete an online application.  These documents include: ICM Stage 1 certificates, MTI supervisor’s reports, or NHS appraisals as required.  The documents that should be submitted in advance as outlined in the exam regulations.

If you need to submit your certificates, or have any other query, then please don’t hesitate to contact the Online Services Exams Team at

For further information about online exam applications please visit the RCoA FAQs page.

Paper Applications will continue to be accepted throughout 2019.

If you have not received your membership certificate, your confirmation letter will be sufficient to apply for the MCQ Exam

Information for candidates sitting the Final MCQ Exam


Information for candidates sitting the Final OSCE Exam


Information for candidates sitting the Final SOE Exam


Example questions from the FFICM Examination question bank