Critical
CriticalEvolving clinical cases
Work through assessment and management as the examiner introduces new findings and challenges your decisions.
ACEM Fellowship OSCE practice
Rehearse the whole station for the Fellowship OSCE.
Practise timed ACEM-style stations with an AI examiner or role-player responding to your communication, reasoning and decisions.
Original exam-specific content On your schedule.
All pathwaysCurrent findings Your tasks Domains assessed
OSCE 04Candidate instructions
Severe breathing difficulty
4 minutes reading · 7 minutes station
It is 02:40. You are the junior FACEM called in overnight to a tertiary emergency department to assist the night team. Amelia Hart is a 34-year-old woman with asthma who has had two days of worsening wheeze and dyspnoea following coryzal symptoms.
- Distressed, using accessory muscles and speaking only two or three words at a time
- Heart rate 132/min; respiratory rate 34/min; SpO2 89% on room air
- Widespread wheeze with markedly reduced air entry
- Unable to perform reliable spirometry or peak expiratory flow measurement
- Describe your immediate assessment and management.
- Respond to further questions as the case evolves.
- Medical Expertise - Assessment & Diagnosis: 20%
- Medical Expertise - Management: 55%
- Prioritisation and Decision Making: 25%
E
Examiner
Please describe your immediate assessment and management of this patient.
You
This is consistent with life-threatening asthma. I would move her to resus, give oxygen, bronchodilators, steroids and IV magnesium, and monitor her response. I would intubate if treatment fails.
E
Examiner
You mentioned bronchodilators, steroids and IV magnesium. Please give further detail about what you would administer.
100+published stations per pathway
1,720+stations completed
195+hours practised
ACEM Fellowship OSCE
Built for your examination.
Communication and teaching
Practise conversations with role-players, explain care and guide a colleague through clinical problems.
Feedback against the rubric
Review your clinical reasoning, priorities and communication against the criteria for each OSCE.
Explore the other exams
Inside an ACEM Fellowship OSCE
Put your knowledge and communication into practice.
Work through clinical cases, explain management, teach a colleague or speak with a patient or family member, depending on the station.
“You mentioned bronchodilators, steroids and IV magnesium. Please give further detail about what you would administer.”
01Read
Review the candidate instructions, timing and tasks before the station begins.
02Respond
Respond to examiner questions or speak with the AI role-player as you work through the station tasks.
03Review
Review your feedback alongside the marking criteria and transcript.
Your practice
From station to feedback.
01Choose a stationDASHBOARD
ACEM station libraryChoose what to practise next
- 01SCBDSevere breathing difficulty
- 02TeachingPulmonary embolism in pregnancy
- 03CommunicationManaging an aggressive patient
- 04SupervisionChest pain clinical supervision
02Give your answerSTATION RUNNER
E
Examiner
Please describe your immediate assessment and management of this patient.
You
This is consistent with life-threatening asthma. I would move her to resus, give oxygen, bronchodilators, steroids and IV magnesium, and monitor her response. I would intubate if treatment fails.
E
Examiner
You mentioned bronchodilators, steroids and IV magnesium. Please give further detail about what you would administer.
Type your response...
03Understand the resultFEEDBACK
Practice ratingAt Standard
Your opening recognised life-threatening asthma and prioritised resuscitation and initial treatment. Next, expand the therapies you introduced into a safe, specific regimen.
Next focus: Elaborate on the treatment regimen you introduced.
AI feedback can help you gauge your readiness, but cannot guarantee exam success.
Support between stations
Build on every attempt.
Your learning journey brings together recurring strengths and difficulties across your attempts.
Work through them with your AI coach using short spoken exercises, saved reminders and suggestions for your next station.
Included coaching minutes and unlock requirements vary by plan.
AI coach
“Your feedback across several stations mentions long answers that lose focus. Do you find it difficult to decide what matters, or do you know what matters but worry about leaving something out?”
You
“I worry that anything I leave out could cost me marks.”
AI coach
“Then working on shorter answers alone won’t address that worry. Let’s look at one of your attempts alongside its marking criteria and separate the detail that supported your answer from the detail that distracted from it.”
Why CriticalExam?
Alongside your usual preparation.
Use CriticalExam for additional spoken rehearsal between practice with colleagues and supervisors, alongside your reading and clinical experience.
Exam-specific stations
Written for your examination.
Original cases follow the relevant format, curriculum and marking criteria.
Feedback you can revisit
See the basis for your feedback.
Keep the station’s marking criteria, your transcript and feedback together for review.
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