Advanced Specialist Training (ASTEM)


You must pass the FRCEM before being eligible to be included on the Register of Medical Specialists (Division of EM) with the Irish Medical Council.

You are eligible to sit the critical appraisal SAQ and QIP parts of the exam in the first year of ASTEM and the remaining parts of the exam from year three onward.

Please note

  • Although you are encouraged to sit your FRCEM exam while on the ASTEM programme, you may be off the programme after completing your pre-determined SpR training. However, a Certificate of Completion of Training (CCT) cannot be awarded until your training is signed off and the FRCEM has been passed.
  • There is a limit to the number of times you may attempt the FRCEM exam – the Royal College of Emergency Medicine permits candidates to attempt each component of the final FRCEM exam up to four times.

For more details on the exam, visit the Royal College of Emergency Medicine's website.