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 next FFICM Final MCQ examination is 12 January 2021.

The deadline for applications is 5pm on Thursday 19 November 2020. 

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.


APPLICATIONS ARE NOW OPEN - click here to go to the booking page 




All FICM membership applications (Affilate, Associate Member, Member (MFICM), Affilate Fellowship) submitted with the intent of  being approved for eligiblity to sit the FFICM MCQ exam must be submitted by 12pm Monday 16 November 2020. There is no guarantee that any applications received after this date will be processed in time for you to register for the exam.

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 (Affilate status with the Faculty does not gurantee eligiblity 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 General Data Protection Regulation (EU) 2016/679, 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 General Data Protection Regulation (EU) 2016/679 and the RCoA/GMC Confidentiality and Data Sharing Agreement.
  4. Adequately prepared for this exam: 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 FICM dept 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

  1. Admission notice: You should receive an email from the RCoA’s Exams Department, confirming you are booked onto the exam and your Admission Notice, around 5 working days after the closing date of the exam. This will state your ‘candidate number’ a three figure number that is unique to you for this exam only, the timing of your exam, and the address of your exam venue. Please bring your Admission Notice with you when you attend the exam. You will be directed to your exam desk by your ‘candidate number’.
  1. Results: You will be given a date and time on which a pass/fail list will be published on the FICM website. A few days after the pass/fail list is published, the RCoA Exams Department will send you your results letter that will confirm your result and provide you with a more detailed breakdown of your scores. No further breakdown is available.
  1. Guidance: Guidance interviews are not provided on failure of the FFICM Final MCQ.


Examples of FRCA Intensive Care SBAs of a similar standard to those that will be part of the FICM MCQ. These are typical of the question style but are not actual questions and have now been archived as not appropriate for further use.