The MCQ section of the examination tests breadth of factual knowledge in the areas of science applied to clinical practice including resuscitation and initial management of the acutely ill patient; diagnosis, assessment, investigation, monitoring and data interpretation; disease management; therapeutic interventions and organ support; perioperative care; comfort and recovery; end of life care; paediatric care; transport; patient safety and health systems management.   The MCQ section consists of 50 x SBA and 50 x MTF questions.  Examples of MCQ questions can be found on related downloads below. 

The duration of the FFICM MCQ examination is 3 hours.

The pass mark for the MCQ exam is set using the Angoff reference method and adjustments are made for the borderline candidate using methods approved by the GMC.

You must pass the MCQ before you can apply for the OSCE/SOE. The MCQ is valid for three years.

This exam will be delivered online with TestReach. Please review the written exams online guidance here, including the process for scheduling the exam and technical support during the exam.  You will also be able to access TestReach tutorials here.



Paper applications will not be accepted.

  1. MTI Doctors: You will need to be registered with the Faculty as an 'Affiliate' in order to take the FFICM exam (Affiliate status with the Faculty does not guarantee eligibility to sit the exam. You must meet all the eligibility criteria in the FFICM Exam Regulations). You can apply here. You will fall under the trainee category for booking purposes in the online system and you must have your Certificate of Sponsorship (CoS) and Sponsorship Letter from either your Royal College or Trust hospital ready when booking. 
  2. Eligibility: The detailed rules for eligibility can be found in the FFICM Examination Regulations
  3. Disclosure of information: Under the Data Protection Act 2018 (C.12), the information provided on this form and your examination result may be processed and passed to examiners, your ICM Regional Advisor, ICM Training Programme Director, Postgraduate Dean, employer, etc. for legitimate purposes connected with your training. If you are registered or anticipate being registered with the GMC then your personal data, including data about your exam results, will be passed to the GMC if applicable. This passing of data is for quality assurance and research purposes and to facilitate the awarding of certificates of completion of training (CCTs). The GMC will use the data for its own research and for any research as part of the UK Medical Education Database (www.ukmed.ac.uk). Data held in UKMED will only be disclosed to third parties in accordance with the UKMED Research Process and therefore it will not be possible for researchers to identify your data. All data will be handled in accordance with the provisions of the Data Protection Act 2018 (C.12) and the RCoA/GMC Confidentiality and Data Sharing Agreement.
  4. Adequately prepared for this exam: Online applications received by the College will be accepted as an indication that the applicant is adequately prepared for the examination applied for.
  5. All FFICM Final MCQ examinations are conducted in English: Where a candidate’s first language is not English, the College recommends that an applicant’s communication and written skills in English are at least equivalent to the level at which a doctor could successfully pass the PLAB (Professional Linguistics Assessment Board) tests or at a level where they would expect to gain an average score of approximately 7.5/9 across all bands of the IELTS (International English Language Testing System).
  6. Secure pay link: You will be directed to a secure pay link to pay your exam fees via the online booking system. Should you experience any difficulties with this, please do not hesitate to contact us.  



  1. Before the closing date: You can withdraw before the closing date and receive a refund less a small admin charge. You must advise the Faculty of your intention to withdraw via email to contact@ficm.ac.uk
  2. After the closing date: You can withdraw after the closing date. This will not count as an attempt. Refunds are not normally given after the closing date unless it is a reason beyond your control such as illness or family bereavement. If this is the case, then you must contact the FICM department state the reason(s) for withdrawing and include a confirmation from your ICM Regional Advisor that they support your withdrawal. Refunds are not given for lack of preparation.

Documentation for your exam entry and results

  • Admission notice: You should receive an email from the RCoA’s Exams Department, confirming you are booked onto the exam around 5 working days after the closing date of the exam. The email will confirm the timing of your exam and your email address will be the unique identifier on the online platform.
  • Results: All candidates will be e-mailed directly with their FFICM examination results by the date and time published on the Results page. Feedback will be provided to candidates in the form of a ‘results letter’ which will provide you with a more detailed breakdown of your scores. No further breakdown is available. This will be e-mailed within 21 working days of the release day of results.
  • Guidance: Guidance interviews are not provided on failure of the FFICM Final MCQ.