MRCEM Primary Passing Criteria How to Score Effectively

The MRCEM Primary is the first step in earning the MRCEM postnominal. It is a theory-based examination consisting of 180 single best answer multiple-choice questions. You will have 3 hours to complete the exam. Each correct answer earns one mark, and there is no negative marking.
This article explains the passing criteria for the MRCEM Primary exam and offers tips to help you succeed.
Setting the Pass Mark Angoff Method Explained
The MRCEM Primary uses the Angoff method to determine the pass mark. This method is approved by the General Medical Council and the Academy of Royal Colleges.
A panel of experienced emergency medicine consultants reviews each exam question. They estimate how many minimally competent candidates would answer the question correctly. Based on their judgment, they assign a score to each question.
Differences in ratings are discussed to ensure consistency. Once finalized, the average Angoff scores of all questions are summed to calculate the overall pass mark. This means the pass mark may vary slightly for each exam sitting, depending on the difficulty of the questions.
How to Improve Your Chances of Success
Understand the exam format thoroughly
Familiarize yourself with the RCEM Basic Sciences Curriculum to understand the core topics covered.
Engage in continuous learning
Join study groups, attend structured courses, and use reliable learning resources to build your knowledge base.
Practice with sample questions and previous years questions
Regularly attempt practice papers and review past exam questions to identify and improve on weak areas.
Master time management
During the MRCEM exam, you must answer 180 questions in 180 minutes. Practice pacing yourself to maintain speed and accuracy.
Need Support in Preparation
If you need additional guidance, consider enrolling in StudyMRCEM’s flexible MRCEM Primary courses. We offer
- Live interactive classes with expert mentors
- High-quality study materials
- Regular mock exams
- Daily learning activities
Join us today to give yourself the best chance of passing the MRCEM Primary on your first attempt. Connect with our team to learn more.
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