- 01SCBDSevere breathing difficulty
- 02TeachingPulmonary embolism in pregnancy
- 03CommunicationManaging an aggressive patient
- 04SupervisionChest pain clinical supervision
ACEM Fellowship OSCE practice
Rehearse the whole station for the Fellowship OSCE.
Practise timed ACEM-style stations that respond to your communication, reasoning and decisions.
Severe breathing difficulty
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%
Please describe your immediate assessment and management of this patient.
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.
Please give further detail about the bronchodilators, steroids and magnesium you would use.
Practise aloud, receive structured feedback and return with a clearer next focus.
Choose your examination
Three examinations.
Three purpose-built pathways.
Each pathway has original stations, realistic timing and interactions, and feedback aligned with that examination's expectations.
Inside an ACEM Fellowship OSCE
Manage an evolving examiner-led case.
Move from candidate instructions into a timed SCBD as the examiner responds to your approach and introduces further clinical developments.
“Please give further detail about the bronchodilators, steroids and magnesium you would use.”
Review the candidate instructions, timing and tasks before the station begins.
Describe what you would do in practice and respond as the examiner evolves the case.
See how your performance aligned with the station rubric and full transcript.
One connected product
From first visit to focused improvement.
Choose your pathway, perform a realistic station and turn the result into a specific plan for the next attempt.
Please describe your immediate assessment and management of this patient.
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.
Please give further detail about the bronchodilators, steroids and magnesium you would use.
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.
Why CriticalExam?
Don't just practise answers. Practise the exam.
CriticalExam is built for the part traditional question banks and AI tutors struggle to reproduce: performing in the exam itself.
Rehearse the exam, not an isolated answer.
Work through the full instructions, interaction, pacing and constraints as one timed performance.
Questions respond to what you have already covered.
The examiner probes what remains untested, using the time left and the depth expected in your examination.
Written for the examination you are sitting.
Stations are authored around each college's format, curriculum, terminology and marking expectations.
Feedback reflects the performance as a whole.
Your complete attempt is assessed against the station rubric, with feedback, domain evidence and transcript kept together.
When the knowledge is there