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The Fellowship of the faculty of Intensive Care Medicine (FFICM)

  • May 25, 2022

The FFICM Final examination is mandatory for doctors undertaking the ICM CCT programme. Those on the previous 'Joint' CCT programme are eligible to take the examination, although it is optional. Affiliate Fellows, Members (MFICM), Associate Members and MTI doctors of the Faculty who meet all of the exam eligibility criteria will also be permitted to sit the FFICM exam.

Operational delivery of the FFICM examinations is overseen by the Royal College of Anaesthetists' Exams Department.

The FFICM Final exams consist of an integrated programme of summative assessments, each of which tests different outcomes and competencies using validated assessment methods to test a broad-spectrum of knowledge, understanding, skills, behaviours and attitudes as defined by the Intensive Care Medicine training curriculum.

Trainees are expected to be ‘at the level of a pre-CCT registrar (within one year of training) who would be able to formulate a plan of care for a critically ill patient with appropriate consultant backup’. Passing the fellowship exams is a requirement of progression to Stage 3 of the Intensive Care Medicine training programme and the standard is set to reflect this.

Why obtain FFICM?

Currently there is an exceptionally high demand for Anaesthetic and ICU Consultants within the NHS. Having NHS experience is usually preferable among Trusts. In order for an IMG without NHS experience to stand out they can achieve FFICM to showcase their standard of practice. This is a fantastic way to help secure your first NHS post sooner.

When and where can you sit the exam?

The examination for the Fellowship of the Faculty of Intensive Care Medicine (FFICM) will normally take place twice in each calendar year. The Board may at any time decide, subject to adequate notice, to alter the number of sittings of the examination. Examinations will normally be held at Churchill House, 35 Red Lion Square, London.

Examination format

The FFICM Final Examination is divided into three sections taken on two separate days:

· a Multiple-Choice Question (MCQ) Examination

· a Structured Oral Examination (SOE)

· an Objective Structured Clinical Examination (OSCE)

Candidates must pass the MCQ before they can apply to sit the OSCE and SOE, Candidates will be allowed six attempts at each section, subject to eligibility.

Reading materials for practice questions:

  • Bellchambers E, Davies K, Ford A, Walton B. Multiple True False Questions for the Final FFICM
  • Davies K, Gough C, King E, Plumb B, Walton B. Single Best Answer Questions for the Final FFICM
  • Lobaz S, Hamilton M, Glossop AJ, Raithatha AH. Critical Care MCQs – A Companion for Intensive Care Exams

Who can sit the exam?

A person is eligible to enter the MCQ paper who:

A) Is eligible for full registration with the General Medical Council (United Kingdom).

B) Has passed any of the following examinations within 10 years before the published start date of the sitting applied for:

· FRCA Final

· FRCA Primary



· MRCEM Primary SBA (or MRCEM Part A between August 2012 – August 2016 or FRCEM Primary after August 2016) AND MRCEM Intermediate SBA (or MRCEM Part B between August 2012 – August 2016 or FRCEM Intermediate SAQ after August 2016) AND MRCEM OSCE after August 2014* (or FRCEM Intermediate SJP after August 2017)

How can we help?

We would like to wish anyone who is sitting their Anaesthetic and ICU examinations a big good luck! And if you are a doctor who has recently obtained your fellowship of the Royal College of Anaesthetists then send your CV to [email protected] and one of our Specialist Advisers will be in touch.

Come and join our Facebook Group IMG Advisor! Here you will have frequent access to our relocation blog posts, the opportunity to ask questions and receive professional answers and to meet other IMGs!


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