We have taken the difficult decision to postpone the FICM OSCE/SOE, scheduled for 20–22 April. Please see our separate statement on advice for doctors in training on the new joint website.


The objective of the OSCE section is to test knowledge and skills essential to the safe practice of Intensive Care Medicine. The OSCE consists of 13, seven minute stations with a one minute reading time between stations.  All stations must be attempted, there are no 'killer stations' and negative marking is not used. There are 12 'live' stations (marks count towards the final mark) and one station used for validating new questions (the test station). Neither the examiners nor the candidates will be made aware of the test station, therefore all 13 stations must be approached equally.  The examination draws questions from four different areas, Data, Equipment, Professionalism and Resuscitation.  Questions will be selected to ensure a wide area of the curriculum.

Each station is marked out of 20 with the assigned question pass mark (called the Angoff score) for each station being determined by the Examiners before the examination, using the Angoff Referencing method. The Angoff scores for each of the 12 'live stations' are summed to obtain the pass mark for the whole examination.

The next FFICM Final OSCE/SOE examination is 21-22 April 2020.

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

At the first sitting the OSCE and SOE components must be taken together.  If a candidate fails one but passes the other component, then only the failed component needs to be retaken.  If a candidate fails both components then they must be retaken together.



  1. Eligibility: The detailed rules for eligibility can be found in the FFICM Examination Regulations 
  2. 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.
  3. 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.
  4. All FFICM Final OSCE and SOE 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).
  5. 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 and state the reason(s) for withdrawing and include a confirmtion 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’

  2. 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.

  3. Guidance interviews can be requested after your second unsuccessful attempt at the FFICM OSCE and SOE exam. If you would like a guidance interview please contact the Exams department via e-mail at exams@rcoa.ac.uk

Information for candidates sitting the OSCE/SOE exams


Candidates must present photographic identification when registering for the exam. Please read this notice for more information. Hospital ID will NOT be accepted.


Examples of typical FFICM OSCE questions