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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.

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ExaminationSCBD
05:15
Station 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.

Current findings
  • 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
Your tasks
  • Describe your immediate assessment and management.
  • Respond to further questions as the case evolves.
Domains assessed
  • 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

Please give further detail about the bronchodilators, steroids and magnesium you would use.

100published stations per pathway
1,420+stations completed
160+hours practised

Practise aloud, receive structured feedback and return with a clearer next focus.

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.

01Read

Review the candidate instructions, timing and tasks before the station begins.

02Respond

Describe what you would do in practice and respond as the examiner evolves the case.

03Review

See how your performance aligned with the station rubric and full transcript.

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.

01Choose a stationDASHBOARD
ACEM station libraryChoose what to practise next
  • 01
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  • 02
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  • 03
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  • 04
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02Perform out loudSTATION 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

Please give further detail about the bronchodilators, steroids and magnesium you would use.

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.

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.

01
Whole-station practice

Rehearse the exam, not an isolated answer.

Work through the full instructions, interaction, pacing and constraints as one timed performance.

02
Responsive questioning

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.

03
Exam-specific authorship

Written for the examination you are sitting.

Stations are authored around each college's format, curriculum, terminology and marking expectations.

04
Whole-station assessment

Feedback reflects the performance as a whole.

Your complete attempt is assessed against the station rubric, with feedback, domain evidence and transcript kept together.

Practise turning it into exam performance.