Acute Medicine SCE – a closer look
- May 03, 2022
Acute medicine SCE is the higher postgraduate qualification delivered by the Royal College of Physicians as a specialist qualification for acute medicine doctors.
It is one of 11 SCEs offered by the Royal College and offers physicians a postgraduate qualification which demonstrates to prospective employers the achievement of a standard equivalent to UK specialist doctors.
Here we take a closer look at the MRCP (UK) Acute Medicine Specialty Certificate Examination for doctors who have chosen to specialise in acute medicine. We cover the content of the exam, as well as fees and the eligibility criteria, all summarised below along with a broad look at the following topics:
- What is the acute medicine SCE?
- Where does the SCE fit into my training?
- What is the structure of the acute medicine SCE?
- How do I apply for the exams and what do they cost?
- Where can I sit the exams as an overseas acute medicine doctor?
- How should I prepare for the exams as an IMG?
- I’ve passed, what’s next?
Skip ahead to the relevant section if you know what you're looking for.
MRCP (UK) Acute Medicine SCE
The acute medicine specialty certificate exams are administered as a compulsory component of assessment for Certificate of Completion of Training (CCT) in acute medicine for all UK trainees.
The purpose of an SCE is to:
- ensure that certified specialists have sufficient knowledge of their specialty to practice safely and competently as consultants
- complement workplace-based assessments
- provide a rigorous national assessment to establish public confidence
- offer a challenge similar to sub-specialty certification examination in North America
SCE as Part of Training in Acute Medicine
Since the MRCP(UK) exams are taken during the Internal Medicine Training years (ST1-ST3), the acute medicine SCE allows physicians to demonstrate that they are able to practice independently at a consultant level.
The SCE has no official entry requirements (both for UK and overseas candidates); however, UK trainees would normally take the SCE in their penultimate year of higher specialty training (ST6). UK trainees should have made at least one attempt by the time of their penultimate year assessment.
For in-depth guide to the MRCP exams, see our IMG Resources library here.
Exam Structure
The SCE assesses candidates on a wide range of common and important disorders, as set out in the syllabus of the curriculum. This should be taken as an indication of the likely number of questions – the actual number may vary:
|
Topic |
Number of questions |
|
Cancer and palliative care and haematology |
10 |
|
Cardiovascular medicine |
20 |
|
Clinical pharmacology and poisoning |
10 |
|
Critical care medicine |
10 |
|
Diabetes and endocrine medicine |
14 |
|
Gastroenterology and hepatology |
20 |
|
Infectious diseases |
14 |
|
Medicine in the elderly |
18 |
|
Musculoskeletal system |
12 |
|
Neurology and ophthalmology |
20 |
|
Renal medicine |
10 |
|
Respiratory medicine |
20 |
|
Other* |
22 |
|
Total |
200 |
*Other: Allergy; Clinical genetics; Dermatology; Immunology; Patient safety and risk management; Psychiatry; Public health and health promotion
The questions in each category are distributed across both papers.
All SCEs are computer-based and are administered by Pearson VUE at a test centre in the UK or internationally.
Acute Medicine SCE Applications
SCEs are held once a year and applications are made online through My MRCP(UK) account, within the Upcoming Exams section of the Royal College website.
The application process is as follows:
- Register online through My MRCP(UK) (candidates have the opportunity at this point to register any special arrangements)
- Request a preferred test country and city
- Pay applicable examination fee
- Application is confirmed via an automatically generated email
- Receive test centre confirmation email from Pearson VUE within four weeks of the examination date.
The Royal College of Physicians has created a helpful video guide on SCE applications which you can watch here.
Cost
The cost of the SCE exams are as follows:
- UK centres: £665
- International centres: £833
Exam Centres
UK Centres
Candidates who choose to sit the acute medicine SCE in the UK must contact Pearson VUE to book their test. There are up to 137 test centres throughout the UK for each SCE, and the Royal College of Physicians advise that candidates should book their exam as early as possible to secure their preferred test centre, as bookings operate on a first come first served basis.
International Centres
Candidates are given a choice of regions and are then asked to nominate a particular city in that region as their desired test location. The Royal College of Physicians will pass this request to Pearson VUE once the application period has closed, and Pearson VUE will confirm final test centre details to candidates via email at least three weeks before the date of the examination. If the exam is not available in a requested location, candidates will be offered a choice of the nearest available test centres.
Please note, international candidates should not book their own test centre with Pearson VUE - attempting to do so may delay a candidate's application.
The full list of international SCE test centres can be found here.
Preparation and Resources for the Acute Medicine SCE
It can be difficult for IMGs to know where to start with their preparation and revision. This list should provide a good starting point for any international acute medicine doctors preparing to sit the SCE:
Curriculum - Applicants are tested on a range of common and important disorders in Acute Medicine as set out in the Joint Royal Colleges’ Curriculum for Acute Medicine Specialist Training. We recommend getting to know the curriculum as early as possible and using it as a blueprint for your study.
Guidelines - These tools are helpful for supplementing your knowledge:
- National Institute for Health and Clinical Excellence (NICE)
- Scottish Intercollegiate Guidelines Network (SIGN)
- The Society for Acute Medicine (SAM)
Textbooks
- Oxford Textbook of Medicine (Eds David A. Warrell, Timothy M. Cox, John D. Firth. Published by Oxford University Press)
- Oxford Handbook of Acute Medicine (Eds Punit Ramrakha, Kevin Moore, Amir Sam. Published by Oxford University Press)
Journals
- Acute Medicine (Published by Rila)
- Clinical Medicine (Journal of the Royal College of Physicians of London)
- Journal of the Royal College of Physicians of Edinburgh
Sample questions: It is a good idea to regularly assess your knowledge and progress using example questions from the current exam syllabus. You can find these here.
For an overview of how to prepare for exams, including advice on study groups, online community support, best use of online resources & Royal College materials and courses, check out our blog: IMG Connects Top Tips for exam preparation.
I’ve passed! What’s next?
First of all, congratulations - this is a massive achievement! With your MRCP(UK) and acute medicine SCE in hand, you can apply for a full GMC registration with a license to practice. Once the GMC has approved your application, you can work as a doctor in the UK. Great stuff!
Don’t hesitate to get in touch with an IMG medicine recruitment specialist to discuss GMC registration, acute medicine positions in the NHS, including typical NHS salaries, the most suitable UK locations and hospitals for you, and relocation.
To receive the latest news and updates, including the Royal Colleges, GMC registration and the NHS, follow us on social media and join the conversation.
Relevant Jobs
An excellent NHS job opportunity for an experienced Consultant to join this NHS Trust as a Consultant in Acute Medicine in the UK. This role is perfect for international doctors or UK-based professionals looking to advance their careers in acute care working in a high pace teaching hospital environment.
What is the NHS Trust like?
This NHS Trust provides care for a diverse population of over 1 million people across three main hospital sites. It offers a wide range of medical services, including acute medicine, emergency care, and specialist services. The Trust is known for its dedication to clinical research and innovation, with an active R&D department that regularly participates in groundbreaking studies.
The Trust prides itself on being a progressive employer, supporting staff through a variety of professional development programs. It fosters a collaborative environment where doctors can work alongside highly skilled teams. With a focus on delivering high-quality patient care, the Trust is an ideal place for healthcare professionals to grow and succeed in their careers.
The Acute Medicine Department & Team
The Acute Medicine Department operates a state-of-the-art acute medical short-stay ward, designed to manage high patient volumes while delivering outstanding care. The department is supported by a multidisciplinary team, including consultants, junior doctors, nurses, and advanced nurse practitioners. With a patient intake of approximately 60 per day, the department provides a fast-paced, challenging environment where you will gain extensive experience in treating a variety of acute medical conditions.
This role also involves working closely with the Same Day Emergency Care (SDEC) unit and the Emergency Department (ED), both of which are critical to the acute care service. The department values teamwork and offers a supportive, educational environment for doctors looking to further their careers.
Continued Professional Development
This NHS job offers excellent professional development opportunities, including CESR Portfolio Pathway Support, making it ideal for international doctors aiming to achieve Consultant status. You will have access to a range of specialty training options and the opportunity to develop a sub-specialist interest within acute medicine.
The Trust is committed to supporting your ongoing development through a comprehensive training program, mentorship, and involvement in innovative research projects. This role provides a solid foundation for career progression, whether you\'re new to the UK or looking to advance within the NHS.
Location
The hospital is located in an area with excellent transport links to London’s city center, major cultural sites, and international airports. It offers a mix of urban and suburban living, making it a great choice for families and professionals. The local area has affordable housing, top-rated schools, and a vibrant, diverse community.
With its proximity to major transport hubs, the area offers easy access to the rest of the UK and Europe, making it ideal for international doctors relocating with their families. The local area also offers plenty of recreational and cultural activities, making it an attractive place to live and work.
Am I eligible for this role?
UK based candidates:
- NHS experience in Acute Medicine
- MRCP UK or equivalent
EEA candidates:
- Experience in Acute Medicine
- European Specialist Qualification
Non-EEA candidates:
- MRCP UK
- Experience in Acute Medicine or similar
An excellent NHS job opportunity for an experienced Consultant/Specialist in Acute Medicine to join a leading NHS Trust in the UK. This role offers CESR Portfolio Pathway support and is open to international medical graduates (IMGs).
About the NHS Trust
This NHS Trust is a prominent healthcare provider in the UK, serving a substantial population through its network of hospitals and community services. Known for its commitment to high-quality care, the Trust operates across multiple sites, offering a range of specialties including Acute Medicine, Maternity, Surgery, and Intensive Care. With a dedicated team of healthcare professionals, the Trust emphasizes innovation, best practices, and patient-centered care. The core values of kindness, courage, and respect guide its mission, creating a supportive and dynamic environment for medical professionals to advance their careers.
The Acute Medicine Department & Team
The Acute Medicine Department is a critical component of this NHS Trust, focusing on providing high-quality care for patients admitted through the Emergency Department and General Practice. The department is expanding and includes a team of experienced Acute Care Physicians who manage a high volume of admissions daily. The department features a multidisciplinary team, including consultants, specialty doctors, trainees, and Advanced Clinical Practitioners, all working together to ensure comprehensive and continuous patient care. This role provides an opportunity to be part of a forward-thinking team dedicated to enhancing acute care services and patient outcomes.
Continued Professional Development
This NHS job offers further training & accreditation within Acute Medicine, including CESR Portfolio Pathway Support, access to specialty training, and the opportunity to develop sub-specialist interests. The Trust is committed to supporting your professional growth through structured training programs, mentorship, and exposure to advanced medical practices. Whether you seek to deepen your expertise in acute care or explore sub-specialist areas, this role offers robust support for career advancement and development.
Living in the UK
Relocating to this region of the UK offers international doctors and their families a high quality of life. The area features a low cost of living, excellent educational facilities, and a safe, welcoming environment. With beautiful natural landscapes, including rolling hills and coastal regions, the area is perfect for outdoor enthusiasts. Cultural and recreational activities are plentiful, and the region benefits from strong transport links to major cities, combining the charm of rural living with the conveniences of urban life.
??????Am I eligible for this role?
UK based candidates:
- Experience in Acute Medicine
EEA candidates:
- Experience in Acute Medicine
- European Specialist Qualification
Non-EEA candidates:
- MRCP
- Experience in Acute Medicine
An excellent NHS job opportunity for an experienced General Medicine Consultant to join this NHS Trust as a Consultant working in an established general medicine department in the UK. This NHS job offers CESR Portfolio Pathway support and international applications from IMGs are welcome.
The Service
They are a forward-thinking healthcare organization committed to providing exceptional medical services to the community. With a comprehensive range of acute, primary, and community services, the Trust strives for excellence in patient care, clinical governance, and innovative healthcare delivery. The Medical Services Care Group is equipped with modern facilities including a 25-bedded Acute Assessment Unit (AAU), a 5-bedded Enhanced Care Area (ECA), and a 6-bay Same Day Emergency Care (SDEC).
Additionally, the Trust boasts a well-equipped Clinical Investigations Department, an endoscopy suite, a Diabetes Centre, and a Renal/Dialysis unit. The multidisciplinary team is dedicated to maintaining high standards and ensuring effective patient care from admission to discharge. With a focus on continuous improvement, the Trust actively supports clinical audits, quality assurance processes, and risk management initiatives.
The General Medicine Department & Team
The General Medicine department at this NHS Trust is an enthusiastic and dynamic team comprising consultants, junior doctors, and allied health professionals. The department is committed to providing high-quality general internal medicine services while offering opportunities for special interest in Respiratory, Renal Medicine, Acute Medicine, Frailty, and Stroke. The team works collaboratively within the department and across emergency and acute medical teams to maximize patient care benefits.
The consultants lead inpatient care, develop clinical guidelines, and participate in clinical governance activities such as audits and incident investigations. The department also plays a significant role in teaching and training junior doctors, medical students, and other healthcare professionals, ensuring a comprehensive learning environment. Active participation in major incident planning and departmental administration further highlights the department\'s commitment to delivering safe and efficient patient care.
Continued Professional Development
This NHS job offers further training and accreditation within general medicine, including CESR Portfolio Pathway Support, access to specialty training, and the opportunity to develop sub-specialist interest. The department supports continuous medical education, leadership development, and active participation in clinical audits and quality improvement projects. The Trust encourages professional growth through regular teaching sessions, educational supervision, and research opportunities.
The department is recognized for its commitment to the training of Foundation Doctors and medical students, providing a robust educational environment. The supportive policies for professional leave and external duties ensure that staff can achieve their professional goals while contributing to the wider medical community.
Location
This NHS Trust is located in a region that offers an excellent quality of life with stunning coastal landscapes, a safe and welcoming community, and a high standard of living. The area boasts excellent schools, a vibrant cultural scene, and diverse recreational activities. Beautiful beaches, historical sites, and natural parks provide ample opportunities for outdoor activities and family outings. The region\'s robust transport infrastructure ensures easy access to the UK and mainland Europe, making it an ideal location for international doctors and their families to live and work. The cost of living is competitive, and the community is known for its diversity and inclusivity, offering a warm and supportive environment for newcomers.
Am I eligible for this role?
UK based candidates:
- Experience in General Medicine
EEA candidates:
- Experience in General Medicine
- European Specialist Qualification
Non-EEA candidates:
- MRCP
- Experience in General Medicine
An excellent NHS job opportunity for an experienced Acute Medicine Consultant to join this NHS Trust as a Consultant working in an established acute medicine department in the UK. This NHS job offers CESR Portfolio Pathway support and international applications from IMGs are welcome.
The NHS Trust
This NHS Trust provides integrated acute and community services to around 900,000 people. As one of the top-performing NHS trusts in the UK, it is renowned for its high-quality patient care, research, and innovation. The Trust aims to deliver outstanding care and services, fostering a culture of continuous improvement and professional development. It is dedicated to developing new treatments and technologies that improve patient outcomes and enhance the overall healthcare experience.
The Acute Medicine Department & Team
The Acute Medicine department at this NHS Trust is a dynamic and supportive environment that deals with a high volume of emergency cases. The team consists of experienced consultants, junior doctors, nurses, and allied health professionals who work collaboratively to provide comprehensive care. The department is equipped with state-of-the-art facilities and offers a wide range of diagnostic and therapeutic services, ensuring patients receive timely and effective treatment. The team is dedicated to delivering high standards of care, participating in national clinical audits, and contributing to research initiatives.
Continued Professional Development
This NHS job offers further training and accreditation within acute medicine, including CESR Portfolio Pathway Support, access to specialty training, and the opportunity to develop sub-specialist interests. The department is committed to the professional growth of its staff, offering numerous opportunities for continuous medical education, participation in clinical research, and leadership development programs. The Trust supports a culture of learning and innovation, ensuring that all staff members can achieve their career aspirations while delivering exceptional patient care.
Location
This NHS Trust is located in a region renowned for its stunning natural beauty, including two national parks and a picturesque coastline. The area boasts a high quality of life with affordable living costs, excellent schools, and a safe, welcoming community. The region offers a rich cultural heritage with numerous festivals, museums, and theatres, along with a variety of outdoor activities such as hiking, cycling, and water sports. With excellent transport links, including rail and road networks, it is easy to travel to other parts of the UK.
Am I eligible for this role?
UK based candidates:
- Experience in Acute Medicine
EEA candidates:
- Experience in Stroke Medicine
- European Specialist Qualification
Non-EEA candidates:
- MRCP
- Experience in Stroke Medicine
An exciting opportunity has arisen within the Acute Medicine Department. They are looking to appoint an Acute & General Internal Medicine Consultant, a great opportunity to further your medical career in the UK. This NHS job offers CESR Portfolio Pathway support, and international applications from IMGs are welcome.
The successful candidate will be the clinical lead and will drive the development and transformation of acute medicine, where patient-centered care is at the heart of the services. The role involves working within the Acute Assessment Unit, which consists of a 25-bed inpatient area including a 5-bed enhanced care area and an adjacent 6-space Ambulatory Emergency Care Unit.
Health Service
Working for this health service is professionally rewarding, offering high-quality, patient-centered care. Their clinicians lead in developing and managing services, supported by strong links with UK specialists. With a generous study leave budget, doctors are encouraged to pursue further education. Exciting developments include a new general hospital and a new mental health inpatient unit. They foster strong relationships between mental health, primary, and secondary care, promoting joint learning and teaching in their modern education center.
The health service, separate from the NHS, is an integrated, taxation-funded system, free at the point of delivery, managed by the Health and Community Services Department. This is a unique opportunity to help shape an integrated care system with closer political engagement than in the UK.
Department & Team
Medicine in this health service is fully integrated by age and specialty, with three medical wards: . The EAU has a 5-bedded Enhanced Care Area and a separate intensive care unit led by intensivists. The AEC Unit is supported by a SAS doctor and consultants. The department comprises a 16-bed EAU, staffed by 11 consultants, 8 SAS doctors, 7 FY1 doctors, 2 FY2 doctors, and 6 Clinical Fellows, organized into 8 medical teams and the EAU team.
The specialty of Acute Medicine is based within the Emergency Assessment Unit (EAU). The service includes a 25-bed Acute Assessment Unit (AAU) featuring 5 enhanced care beds and an Ambulatory Emergency Care (AEC) Unit. The post holder will work across both the AAU and the AEC.
Continued Professional Development
The health service offers further training & accreditation within psychiatry, including CESR Portfolio Pathway Support, access to specialty training, and the opportunity to develop sub-specialist interest. The post holder will have ample opportunities to develop knowledge, skills, and experience through attendance at relevant courses, conferences, and locally organized CME events. Health & Community Services supports Continuing Medical Education with time and financial support, offering study leave of 30 days in 3 years, and an annual study leave allowance.
Life in the area
Living in the area presents significant financial benefits. The flat income tax rate is notably advantageous compared to the U.K., and they provide a generous public sector pension scheme that isn\'t constrained by U.K. lifetime or annual contribution limits. The Consultant Contract closely mirrors the U.K. model but offers higher incremental levels. Incremental progression is automatic from points 1 to 17 on the pay scale based on satisfactory performance, while formal applications are necessary for points 18 to 20.
Am I eligible for this role?
UK based candidates:
• Experience in Acute & General Internal Medicine
EEA candidates:
• Experience in Acute & General Internal Medicine
• European Specialist Qualification
Non-EEA candidates:
• MRCP
• Experience in Acute & General Internal Medicine