The MRCEM Intermediate SBA is a theoretical exam assessing understanding of the full range of conditions and presentation that may be encountered in the ED. Candidates should familiarise themselves with the Year 1-3 SLOs in preparation for sitting the examination.
For more details regarding the MRCEM SBA like who can sit the exam, where the exam takes place and how it is marked and when the results are given visit the RCEM Exam pages.
Structure
The MRCEM Intermediate SBA examination consists of 180 SBA questions presented across two papers each lasting two hours. An hour’s break is provided in the middle of the exam.
Click on the hyperlink syllabus areas to access RCEMLearning learning content for that syllabus area.
| Curriculum Category | Syllabus | Questions |
| SLO1 Complex stable patient |
Gastroenterology and hepatology |
60 |
| SLO3 Resuscitate ACCS lo 2 organ failure |
Resuscitation; Palliative and end of life care; Trauma – including other clinical presentations |
40 |
| SLO4 Injured patient | Pain and sedation; Major trauma – including other clinical presentations | 30 |
| SLO5 Peadiatric Emergency Medicine |
All clinical syllabus categories as applicable to PEM, and additional PEM specific categories: |
25 |
| SLO6 Procedural skills (ACCS)ACCS lo7 basic anaesthetic care | Sedation Advanced airway management Wound management Lumbar puncture External pacing POCUS Chest drain Vascular access in emergency- IO, femoral vein Fracture/dislocation manipulation | 10 |
| SLO7 Complex or challenging situations | Medicolegal Legislation Organ/tissue donation Information governance Safeguarding Evidence and guidelines | 15 |
| Total | 180 |
RCEMLearning Exam Support
You can revise for the SBA exam with our SBA modules, we have two types:
SBA Revise – These SBA modules contain 10 SBA questions from across the curriculum and you will be provided feedback on each question as you work your way through the module.
SBA Questions – There are a wide range of different SBA topics that we have on RCEMLearning. Each SBA is focused on a different EM curriculum topic.
SBA Explained – We have a large number of videos from RCEM examiners explaining a wide range of SBA exam topics and components. These are to assist you in understanding aspects of the SBA exam.
Remember, the MRCEM Intermediate SBA exam requires a combination of knowledge, critical thinking and time management skills. By following these steps and staying dedicated to your preparation, you can increase your chances of success.
Best of luck!

Well explained