ABPS Emergency Medicine (BCEM)

Board of Certification in Emergency Medicine (BCEM) Certification Examination

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About this exam

The Board of Certification in Emergency Medicine (BCEM) certification is offered through the American Board of Physician Specialties (ABPS), a multi-specialty certifying body that states it has certified physicians since 1960, with Diplomates across all 50 states as well as Canada and Puerto Rico. BCEM certification lets a successful candidate present to the public as a qualified specialist in emergency medicine, and ABPS describes the process as indicating mastery of emergency medicine knowledge and experience plus a commitment to its Medical Code of Ethics. It suits physicians who have completed an ACGME-, AOA-, or RCPSC-recognized emergency medicine residency, or primary care-trained physicians who completed an ACGME-, AOA-, or RCPSC-accredited primary care residency plus at least five years and 7,000 hours of emergency department casework. Candidates must satisfy general ABPS requirements first, including a recognized U.S. or Canadian allopathic or osteopathic medical degree and a valid, unrestricted license in the U.S., its territories, or Canada. Certification requires passing both a computer-based written examination of 325 multiple-choice questions and an oral component; the written exam must be passed before the oral. Certificates are valid for eight years, expiring December 31 of the eighth year, and recertification requires documented CME hours, an application, and a written recertification exam. Preparation should combine a structured review of emergency medicine content with oral-case practice, since the oral component tests applied judgment rather than recall alone. This page is independent study material and is not affiliated with or endorsed by ABPS or BCEM.

What you'll study

Common questions

About ABPS Emergency Medicine (BCEM) preparation

What does the BCEM exam consist of?

ABPS states that candidates must successfully complete both a written and an oral examination. The computer-based written exam consists of 325 multiple-choice questions, and candidates must pass the written exam before taking the oral component. Plan your preparation to cover both formats, since passing one does not substitute for the other.

How long is BCEM certification valid?

Once granted, all ABPS certificates are good for a period of eight years, expiring on December 31st of the eighth year. Build recertification planning into your calendar well before that date, since recertification has its own requirements and written examination.

What is required for recertification in emergency medicine?

ABPS lists three components: documentation of the required number of Continuing Medical Education hours, completion of the recertification application, and successful completion of the written recertification examination. Note that recertification is a written exam only per the source; confirm current details with ABPS before applying.

Am I eligible with a primary care residency rather than an emergency medicine residency?

Yes, through a defined pathway. BCEM eligibility includes completing an ACGME-, AOA-, or RCPSC-accredited primary care residency AND a minimum of five years and 7,000 hours of emergency department casework. The alternative pathway is an ACGME-, AOA-, or RCPSC-accredited residency in emergency medicine.

What general requirements must I meet before applying?

Applicants must first satisfy general ABPS requirements: graduation from a recognized U.S. or Canadian allopathic or osteopathic college of medicine, and a valid and unrestricted license to practice medicine in the United States, its territories, or Canada. BCEM then applies its own additional eligibility requirements on top of these.

How should I sequence my study for the written and oral exams?

Because the written exam must be passed before the oral component, front-load content review: build broad emergency medicine coverage first, then shift to timed 325-question-style practice to build stamina and pacing. Only after the written pass should you drill oral case presentation, structured reasoning, and verbal defense of management decisions.

What are common failure modes on a high-volume multiple-choice exam?

The usual culprits are shallow coverage of low-frequency topics, poor time management across a long item set, and misreading stems that hinge on a single qualifier. For the oral component, candidates most often falter by committing to a diagnosis early and failing to verbalize a systematic differential and reassessment plan.

How much does the exam cost and how long does it take?

The source page for BCEM does not state a fee or a seat-time duration; it directs readers to separate pages for exam dates and fees. Because these figures change, verify the current application and written exam fees and scheduling directly with ABPS rather than relying on secondhand numbers.

What if I fail the written exam?

ABPS states that candidates must pass the written exam in order to take the oral component, so a written failure blocks progression to the oral exam. The source does not publish a detailed retake policy or waiting period; contact ABPS directly to confirm retake eligibility, timing, and any associated fees.

Is this page affiliated with ABPS or BCEM?

No. This is independent study material prepared by an independent platform and is not affiliated with, endorsed by, or sponsored by the American Board of Physician Specialties or the Board of Certification in Emergency Medicine. Always confirm eligibility, dates, and fees against official ABPS sources before applying.