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- For EEEM 2018
Intermediate Examination on Emergency Medicine | Archive
Last update: 10 Jan, 2018

General Information | Introduction | Scope of examination | Format | Eligibility | Payment Method Instruction |
Application process | Validated proof of eligibility | Withdrawal from Examination | Results | Appeal | Re-sit |
Improper conduct of examination candidants | Equal opportunities |
Infection Control | Application Procedure | Enquiry | Format of the training certification letter |

General Information
Examination Date: Part 1 SAQ:    15 March 2018 (Thu),  Fall back date: 16 March 2018
Part 2 OSCE:  28  April 2018 (Sat),    Fall back date:  05  May 2018
Deadline for Application: 22 January 2018 (Monday) 1700 (HKT)
Examination Venue:

Pamela Youde Nethersole Eastern Hospital

Eligibility of Application:
Examination Fee: re-sit IEEM Part 1 - SAQ *1
re-sit IEEM Part 2 - OSCE *1
IEEM Part 1 and Part 2
*1 Please refer to Section 10 - Re-sit of examination of the Rules and Regulations.
Reference Files:

Application form,
Initial announcemnt in PDF format,
Content of Learning,
Sample SAQ
Sample OSCE
Rules & Regulation,
Glossary of term,


The Hong Kong College of Emergency Medicine (HKCEM) will start to hold stand alone Intermediate Examination in Emergency Medicine (IEEM) for 2013 and onward. The examination is targeted to assess the necessary knowledge, skill and behaviour of a doctor to practice Emergency Medicine up to the standard of a trainee who can safely work under appropriate supervision. Pass in the IEEM is one of the
prerequisites for a HKCEM trainee to enter into higher training in Emergency Medicine. The new regulations are effective from the year 2013 onward.

Prior to entry to the IEEM, candidates are expected to acquire the basic science knowledge related to the practice of Emergency Medicine. They should have passed the Primary Examination in Emergency Medicine (PEEM) or its equivalent before attempting the IEEM.

The IEEM consists of two parts, Part 1 and Part 2. Both parts focus on the clinical knowledge, skills and behaviour which are essential for the practice of Emergency Medicine

Scope of Examination
  1. The examination assesses knowledge, skills and behaviour necessary for safe and successful practice of Emergency Medicine

  2. The examination mainly focuses on the candidate’s clinical competence in the practice of Emergency Medicine. It includes but is not limited to the initial evaluation and management of common clinical conditions seen in patients who present to emergency departments in Hong Kong.

  3. The examination reflects the Content of Learning which can be found on the College website.

  4. The standard of the examination will be set at a level of expertise necessary for entry into higher specialist training in Emergency Medicine.
Format of Examination
The Intermediate Examination in Emergency Medicine (IEEM) consists of two
parts – Part 1 and Part 2

Part 1 of IEEM - Short Answer Questions (SAQ).

  1. This part of examination mainly focuses on data interpretation and clinical problem solving skills. Clinical materials including, but not limited to, electrocardiograms (ECG), radiographs, ultrasound images, CT scans, blood and urine test results, and clinical photos will be presented together with a
    clinical scenario.

  2. Part 1 of IEEM normally will consist of 12 to 16 questions.

  3. Duration for the IEEM Part 1 examination will be 2 hours.

  4. Candidates MUST pass this part of IEEM before they are allowed to proceed to Part 2 of IEEM.

  5. This part of the examination will be conducted in English.

  6. Examples of a SAQ will be found in the HKCEM website for reference.

Part 2 of IEEM - Objective Structured Clinical Examination (OSCE)

  1. Part 2 of IEEM consists of 16 stations.

  2. The duration of the examination will be approximately 2.5 hours.

  3. This part of examination is to assess the clinical knowledge skills, psycho-motor skills, clinical decision making, interpersonal skills including communication and conflict resolution, and professional behaviour.

  4. Candidates MUST pass Part 1 of IEEM before they can sit for Part 2 of IEEM.

  5. The examination will be conducted in English. However, for some OSCE stations which involve patient subjects or moulage patients, use of other language appropriate for the scenario is acceptable but not mandatory.

  6. Example of the OSCE question will be found in the HKCEM website for reference.

  7. Candidates must apply for both Part 1 and Part 2 of IEEM together, except for those who are eligible for re-sit of Part 2 (OSCE) or the conditions stated in paragraph 3: Transition period arrangement below.

  8. Normally, Part 1 and Part 2 will be held 2-4 weeks apart. The exact timing and date will be announced by the Education Committee of the Hong Kong College of Emergency Medicine through its website
Candidates should satisfy ALL the following requirements to sit for the IEEM:

  1. Candidates should be registered Medical Practitioners in active clinical practice;
    - in Hong Kong - this refers to doctors registered with the Hong Kong Medical Council and holding valid annual practising certificates
    - outside Hong Kong - applicants have to provide relevant documentary proof of medical registration and licence to practice in their home countries, and

  2. Candidates must pass the PEEM or its equivalent examination as stipulated by the Hong Kong College of Emergency Medicine; and

  3. Candidates must have completed, counting to the date of examination:
    1. at least 24 months of accredited post-internship training, and
    2. at least 12 months of accredited training in Emergency Department within
    the 24 months of post-internship training, .

  4. Candidates must fill in the application form for the examination correctly with
    accurate information.

  5. Confirmation of experience
    All training experience has to be documented and certified by the appropriate
    training supervisors or consultants. Certified true copies of certificates should be
    submitted as proof of professional qualifications and registrations.

  6. The responsibility and the right to vet the application and allow a candidate for 4
    the IEEM lie on the Education Committee of the HKCEM.

  7. Successful candidates who pass both Part 1 and Part 2 of the IEEM will be
    awarded the Diploma of Intermediate Examination in Emergency Medicine.
Payment Method Instruction
  1. Payment can be made via

  2. Cheque/Bank remittance with full amount of the fee paid by ‘Account Payee Only’ payable to:

         Hong Kong College of Emergency Medicine
         Room 809, Hong Kong Academy of Medicine, 
         99 Wong Chuk Hang Road, Aberdeen, Hong Kong


  3. Paydollar - Please send the mail with the 'Merchant Reference No.' & 'Amount' & 'Name' to
Application process
  1. The details of the coming IEEM will be announced on the College website. The application form can be downloaded directly from the website.

  2. Candidates who intend to sit for the examination are advised to check the website regularly for any update of examination information, or amendment of rules or regulations.

  3. The completed application form together with all the supporting documents and payments must be submitted to the Hong Kong College of Emergency Medicine not later than the specified closing date of the application for the respective examinations. Late application or incomplete application form will not be accepted.

  4. Candidates other than re-sit candidates must apply for Part 1 and Part 2 of the examination at the same diet.

  5. Candidates may only apply for the next available diet – no prospective applications in addition to the current application will be entertained.

  6. Applicants must be eligible for the relevant part of the examination counting to the date of the examination (not the date of application). This allows candidates to apply prospectively, pending completion of the recommended experience. Candidates should review the requirements for experience as stated in paragraph 4 above and the “HKCEM Training Programme for Specialists in Emergency Medicine”.
Validated proof of eligibility
  1. The application form must be signed by the applicant and the Training Supervisors or Deputy.

  2. All training experience must be supported by appropriate certification by training supervisors or consultants.

  3. All previous examination results should be submitted and supported by a certified true copy of the results.

  4. Candidates are required to provide a photographic proof of identity for all parts of the examination. Suitable proof includes Hong Kong identity cards or passports. Candidates will not be permitted to sit for the examination if they cannot provide a photographic identification for registration at the examination.
Withdrawal from examination
  1. Candidates withdrawing from the examination must apply in writing to the Hong Kong College of Emergency Medicine. Candidates may be asked to provide evidence for their reason for withdrawal.

  2. Withdrawal prior to the closing date of the relevant examination application. 10% of the application fee as administrative charge will be levied.

  3. Withdrawal after the closing date of the relevant examination application. 50% of the application fee may be refunded when written notice is received by the Hong Kong College of Emergency Medicine not less than 21 days before the commencement of the examination.

  4. Candidates who withdraw less than 21 days before the commencement of the examination or fail to attend the examination will not be eligible for refund.

  5. Applicants who have submitted an application form but are subsequently found to be not eligible to sit for the examination will have their fee refunded after 10% of the application fee has been levied as administrative charge.

  6. Candidates who cannot pass the IEEM Part 1 may have the application fee of Part 2 refunded.
  1. The passing mark of each examination will be decided by the examination organizing committee of each diet and further adjustment may be made in light of the cohort performance during the examination.

  2. Candidates will be informed of the results by post normally within 2 weeks after the examination
  1. Candidates who wish to appeal about the process of the examination must do so in writing within 30 days of the examination.

  2. The submission must state the details of the case including the nature of the complaint, the time, the place, and if possible the name(s) of the examiner(s) concerned.

  3. Appeals will be considered if they allege misadministration, bias or impropriety whether in the conduct or in the determination of the result of the examination.

  4. Appeals disputing the academic judgment of the examiners will not be considered

  5. An administrative fee of 10% of the application fee would be levied for the appeal request.

  6. Examination candidates who make complaint or appeal in good faith will not be disadvantaged in the current and future examinations.

  7. The Education Committee or an appropriate committee as decided by the Hong Kong College of Emergency Medicine will review the complaint, assemble preliminary evidence, request statements from relevant parties and conduct appropriate investigation on the issue.

  8. Candidates will be notified about the appeal result in writing.
Re-sit of examination
  1. There is no limit on the number of attempts on IEEM as a whole.

  2. Candidates are expected to pass Part 1 (SAQ) of IEEM before they can proceed to Part 2 (OSCE) of IEEM.

  3. Candidates can apply to re-sit only Part 2 (OSCE) of IEEM if they have successfully passed the Part 1 (SAQ) of IEEM; subjecting to the regulations stated in paragraph 4

  4. Candidates can have a maximum of 2 attempts for re-sitting Part 2 (OSCE) within the next 4 consecutive diets. If they cannot successfully pass the IEEM within the allowed time frame and quota for re-sitting Part 2 (OSCE), they need to attempt the whole IEEM from Part 1 (SAQ) again.
Improper conduct of examination candidates
Candidates who are found to have improper conduct during an examination may be refused entry to the current or future examinations.

  1. Improper conducts include:
    1. Dishonestly obtaining or attempting to obtain entry to the examination by making false statements, using falsified documents, false claims about training experience, qualifications or eligibility for the examination.
    2. Obtaining or seeking to obtain unfair advantage during an examination, or inciting other candidate to do the same. Examples include:
      • Having on the person any material that would give advantage in an examination once the examination has commenced by any means including electronic devices.
      • Communicating or attempting to communicate with another person (another candidate or third party) once the examination has commenced, including passing information about the contents of any part of the examination to candidates in the same diet.
      • Refusing to follow the instruction given by the examiners or examination staff concerning the conduct of and procedure for the examination.
    3. Removing or attempting to remove from the examination any confidential material relating to the conduct of the examination.
    4. Obtaining or attempting to obtain confidential information concerning the examination from an examiner or examination official.
    5. Passing confidential information on the content of the examination to a third party.

  2. The list of improper conduct is not exhaustive and the College reserves the right to investigate and judge any potential case of improper conduct or behaviour during examination.

  3. Candidates may not be allowed to proceed further or be disqualified from the examination in case of serious misconduct after investigation by the College
Equal opportunities
  1. Hong Kong College of Emergency Medicine is committed to make every effort to provide an environment to candidates that is free from discrimination.

  2. It is the policy of the College that no candidate receives less favourable treatment than other on the ground of race, sex, age, sexual orientation, marital or family status, ethnic origin, colour, region, political belief, disability or social class.

  3. Candidates who experience any discrimination or unequal treatment may appeal in writing to the College.
Infection Control
  1. Subject to the prevalent global or local infection epidemic/endemic situation, candidates are required to declare their health status prior to the Examination.

  2. Temperature measurement will also be arranged as required.

  3. Candidates who are confirmed of having infectious disease that may induce risk to examiners, other candidates and patient subjects will not be allowed to the Examination and will be deferred to the next diet.

  4. Appropriate infection control measures including hand hygiene, wearing of face masks and gloves will be required as necessary.

  5. The Chief Examiner or his deputy would exercise the authority to implement the essential precautionary actions.

Application Procedure
For Hong Kong candidates
Please complete and submit the IEEM application form with 1 set of all necessary documents.
For candidates outside Hong Kong

Please complete and submit the IEEM application form with 1 set of all necessary documents. They may enquire HKCEM about eligibility and application process by email if needed. All payment should be made in Hong Kong Dollar.

Please send

  1. Completed application form,
  2. 2 Photographs with name written at the back,
  3. Certified true copies of Registration with Medical Council or local medical registration document for candidates outside HK, (for first attempt candidate only)
  4. Certified true copies of Annual Practicing Certificate or local license to practice for candidates outside HK,
  5. Certified true copies of Medical Qualifications including Basic Medical Degree and result of Primary Examination in Emergency Medicine, or equivalent, (for first attempt candidate only)
  6. Training Certification Letters signed by training supervisors or respective consultants covering all the relevant training periods,
  7. Cheque or bank remittance carrying the appropriate amount payable to the ‘Hong Kong College of Emergency Medicine’
    on or before the Deadline by hand / mail to

    Hong Kong College of Emergency Medicine,
    Room 809, Hong Kong Academy of Medicine,
    99 Wong Chuk Hang Road, Aberdeen, Hong Kong

    (Attn: Censor-in-Chief, HKCEM).


  1. All certified true copies of documents must be certified by the respective Training Supervisor or Consultant.
  2. Exemption from submission of certain documents is only applicable to re-sit candidates who have attempted IEEM before, but not to re-sit candidates who have attempted MCEM only.


Telephone: : (852)2871-8876
Fax : (852)2554-2913
Email  :

Format of the training certification letter
  1. Letter head - Institution / Hospital / Dept / Correspondence Address
  2. Date
  3. To whom it may concern
  4. This is to certify that Dr ABC (in full spelling) worked / served (or other appropriate verb) as a Medical Officer / Resident in XXX Dept of YYY Hospital from BBB date to DDD date. This experience included direct supervision, regular appraisal of educational progress and attendance at educational meetings.  


    One may use table to document several periods of training in the same department

    This is to certify that Dr ABC has got the working experience as tabled below:
Hospital Department Post From To

This experience included direct supervision, regular appraisal of educational progress and attendance at educational meetings.

  1. Other info or remarks would be optional.
  2. Signature
  3. Name & Post (Dept Head, Consultant, Hosp Administrator) of signing authority
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Room 809, Hong Kong Academy of Medicine, 99 Wong Chuk Hang Road, Aberdeen, Hong Kong
Tel: +852 2871-8877 Fax: +852 2554-2913 Email:
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