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 NHS hospital in Wales is looking for a Consultant in Acute General Medicine with an interest in Same Day Emergency Care. The Acute Medicine department comprises a team of consultants and is supported by a large team of middle grade doctors. This Acute Medicine job is open to both international applications and UK-based doctors, though those with European Specialist or MRCP (UK) qualifications are most encouraged to apply.
Anyone requiring portfolio support (formally known as CESR) can have their required support discussed on a case by case basis.
JOB REQUIREMENTS AND DETAILS
Full GMC registration, MRCP (UK) or equivalent, and experience in acute/general medicine are required for this role, and anyone with an interest in Same Day Emergency Care should apply. The salary will be between £91,732 and £119,079 dependent on experience or grade.
CORE DUTIES OF THIS ROLE
-
Deliver acute assessment and treatment to patients at the hospital\'s \"front door\" including the Emergency Department, Clinical Decision Unit, and Same Day Emergency Care.
-
Develop and deliver a comprehensive 7-day acute medicine service.
-
Provide “hot” clinics and take an active role in reducing hospital admissions.
-
Offer effective leadership to multidisciplinary staff and support the development of teaching, training, and research.
LIFE IN WALES
This role is based in a scenic area of Wales, where candidates can enjoy both rural charm and easy access to urban amenities. While some prefer the peaceful villages in the countryside, others choose to live in nearby towns or cities for a livelier pace of life.
The region offers strong school options, convenient transport links across South Wales, and plenty of leisure activities such as hiking, sports, and visiting historic coastal areas—ideal for individuals and families alike.
Known for its rich cultural heritage, the area is steeped in Welsh history and folklore, with deep roots in medieval tradition and legend.
HOW WILL IMG CONNECT SUPPORT YOU?
When applying with IMG Connect you’ll have the full support of an expert recruitment team who will be your recruitment and relocation partners throughout the process. We\'ll support you with:
- CV Preparation with a bespoke session with one of our specialists
- Application support with expert knowledge of NHS specialisms & recruitment practice
- At least two video calling interview preparation sessions
- Contract and offer negotiations for salary, relocation packages, tenure and more
Once you have accepted your new role, you’ll then be supported and led throughout by one of our dedicated relocation executives who will guide you through all the way to starting to your new role including:
- Document gathering and checking COS and Visa Application support if applicable
- Support sourcing short- and long-term accommodation
- Travel Arrangements
- Family support for finding schools and any other aspects of pastoral care
An public hospital in the Channel Islands are looking for a Chief of Service for Secondary Care with an interest in medicine. The department comprises a team of senior clinical leaders and is supported by a large team of dedicated middle-grade doctors. This role is open to both international applications and UK-based doctors, though those with a relevant Specialist or GMC registration are most encouraged to apply.
Anyone requiring portfolio support (formally known as CESR) can have their required support discussed on a case-by-case basis.
JOB REQUIREMENTS AND DETAILS
Experience as a senior clinician and a medical leadership background with a proven record at building teams and leading strategic management are required for this role, and anyone with an interest in developing clinical services should apply. The salary will be between £114,667 to £206,059, dependent on experience and grade. Specialist registration in a medicine specialty as well as NHS experience at consultant level is essential.
CORE DUTIES OF THIS ROLE
- Supervise and lead medical staff, managing the day-to-day operations of the Care Group
- Ensure effective and efficient patient services that meet the highest quality standards
- Develop, lead, and manage a team of Clinical Leads for various services within secondary care
- Implement the Educational, Learning, and Research Strategy across secondary care.
LIFE IN THE REGION
This region offers a beautiful mix of both coastal and rural living. Popular towns include the regional capital and more rural areas. Whether you enjoy urban amenities or rural tranquility, this area offers options for all. The region offers excellent schools, easy access to transport links including ferry and flights to mainland UK, and a variety of leisure activities for both adults and families, from hiking in nature reserves to enjoying coastal leisure activities. The area has a rich history and is known for its strategic importance in British history, notably its role during World War II and as a financial hub in modern times.
HOW WILL IMG CONNECT SUPPORT YOU?
When applying with IMG Connect you’ll have the full support of an expert recruitment team who will be your recruitment and relocation partners throughout the process. We\'ll support you with:
- CV Preparation with a bespoke session with one of our specialists
- Application support with expert knowledge of NHS specialisms & recruitment practice
- At least two video calling interview preparation sessions
- Contract and offer negotiations for salary, relocation packages, tenure and more
Once you have accepted your new role, you’ll then be supported and led throughout by one of our dedicated relocation executives who will guide you through all the way to starting your new role including:
- Document gathering and checking COS and Visa Application support if applicable
- Support sourcing short- and long-term accommodation
- Travel Arrangements Family support for finding schools and any other aspects of pastoral care
A Scotland-based NHS trust is looking for a specialty doctors in general internal medicine to join their medical team at a district general hospital. The hospital offers comprehensive care, including general medicine, stroke, and acute medicine, with support from various specialties. This role is open to both international applications and UK-based doctors, though those with MRCP (UK) or equivalent qualifications are most encouraged to apply.
Anyone requiring portfolio support (formally known as CESR) can have their required support discussed on a case-by-case basis.
JOB REQUIREMENTS AND DETAILS
Candidates must have experience in general medicine, sub-specialty interests are welcome, and MRCP (UK) or equivalent qualifications are required. The salary will be competitive and dependent on experience or grade but with a range of £61,690 to £96,129 per annum for specialty doctors, and up to £107,154 as specialists.
CORE DUTIES OF THIS ROLE
- Lead and manage care for patients with acute medical conditions in a district general hospital setting.
- Participate in a 1:8 on-call rota and provide consultant support during on-call shifts.
- Manage inpatient care, conducting rounds and assessments for general medical patients.
- Supervise and teach junior staff and contribute to medical education programs.
- Engage in clinical research and audits to improve service delivery.
LIFE IN THE REGION
This region offers a balance of rural living and modern amenities, with excellent schools, reliable public transport, and a welcoming community. The area is known for its natural beauty, offering outdoor activities like hiking and fishing. It is a tranquil location that provides a high standard of living and a strong sense of community, making it an ideal place to live and work.
A UK-based NHS hospital is looking for a Specialty Doctor in Acute Medicine with an interest in general medicine. The department comprises a team of consultants and middle-grade doctors, all working together to provide high-quality care to patients. This Acute Medicine role is open to both international applications and UK-based doctors, though those with MRCP or equivalent qualifications and those within 6 months of CCT are most encouraged to apply.
Anyone requiring portfolio support (formally known as CESR) can have their required support discussed on a case-by-case basis.
JOB REQUIREMENTS AND DETAILS
Candidates must be fully registered with the GMC and possess MRCP or equivalent qualifications. Entry on the Specialist Register or within six months of CCT at the time of interview is essential. Expertise in a broad range of medical conditions and the ability to lead a multi-professional team is required. Sub-specialty interests will be supported. The salary will be competitive and dependent on experience or grade.
CORE DUTIES OF THIS ROLE
- Lead and manage patients in the Acute Medical Unit and related wards.
- Supervise and mentor junior medical staff.
- Provide consultant support as part of the general medicine on-call rota.
- Contribute to clinical governance, audit, and quality improvement initiatives.
LIFE IN THE REGION
This hospital is located in a well-connected town offering both city and rural living. With excellent schools, public transport options, and numerous leisure activities, it\'s ideal for both individuals and families. The area is known for its rich history and easy access to outdoor activities, making it a wonderful place to live and work.
A leading NHS Trust in the East Midlands is offering an exciting opportunity for a Consultant in Acute and General Internal Medicine. This role is ideal for doctors passionate about delivering high-quality care within a supportive and dynamic environment. The position is based at a CQC-rated \"Outstanding\" hospital, part of a trust recognized for its exceptional staff engagement and commitment to innovation. The role combines acute and sub-acute care responsibilities with opportunities to develop sub-specialist interests.
The Trust also provides CESR Portfolio Pathway support for international medical graduates (IMGs), facilitating the journey to consultant accreditation in the UK.
What is the NHS Trust like?
This NHS Trust serves a diverse population of over 500,000, providing acute and community care through a network of hospitals and clinics. Known for its collaborative approach, the Trust works closely with local health and social care providers to deliver integrated, patient-centered services.
The Trust is committed to fostering a culture of excellence, with a focus on diversity, inclusion, and staff wellbeing.
What is the department like?
The GIM department combines acute care expertise with specialty clinics, ensuring comprehensive and patient-focused services. Consultants lead a multidisciplinary team, supported by advanced diagnostic tools and robust training programs.
The team includes specialists in nephrology, geriatrics, and rheumatology, providing a collaborative environment where consultants can develop their expertise while delivering exceptional care. Supported by registrars, SHOs, and F1 doctors, consultants oversee a high volume of admissions—approximately 14,000 unselected medical emergencies annually—ensuring efficient and effective patient management.
Continued Professional Development
The role offers extensive CPD opportunities, including CESR support, specialty training, and leadership development programs. Consultants are encouraged to engage in research, audits, and teaching.
Location
Located in a vibrant region of the East Midlands, this area offers affordable living, excellent schools, and diverse cultural and recreational activities. With strong transport links, it is an ideal base for professionals and families.
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