ACEM Primary study materials
ACEM Primary study resources

ACEM Primary study plan

ACEM Primary · Give each week a clear focus.

8 weeks · About 6 hours per week

Week 1

Anatomy & Physiology

  • Map the major anatomical regions and their contents from memory, then verify against a reference

  • Draw and label the brachial plexus and lumbosacral plexus without notes

  • Explain the physiology of the cardiac cycle and correlate each phase with a Wiggers diagram you construct yourself

  • Define the determinants of cardiac output and calculate worked examples of stroke volume and ejection fraction

Your checkpoint

A hand-drawn, fully labelled set of anatomy maps plus a self-built cardiac cycle diagram, photographed and dated

Week 2

Anatomy & Physiology

  • Trace the course of the major arteries and nerves of the upper and lower limbs and state two clinical consequences of injury to each

  • Describe the physiology of respiratory gas exchange and derive the alveolar gas equation from first principles

  • Compare and contrast the physiology of the nephron segment by segment in a table you write yourself

  • Explain acid-base regulation and work through four mixed acid-base cases using a stepwise method

Your checkpoint

A one-page nephron summary table plus four completed acid-base worked cases with your reasoning shown

Week 3

Pathology & Pharmacology

  • Classify cell injury and cell death mechanisms and give one worked example of each

  • Explain the pathogenesis of acute and chronic inflammation and list the mediators involved

  • Describe the pharmacology of the major classes acting on the autonomic nervous system, including receptor selectivity and key adverse effects

  • Build a table of pharmacokinetic parameters (volume of distribution, clearance, half-life) and calculate loading and maintenance doses from them

Your checkpoint

A completed autonomic pharmacology comparison table and a set of five dose-calculation problems with worked solutions

Week 4

Pathology & Pharmacology

  • Compare the pathological features of benign versus malignant neoplasia and explain the steps of metastasis

  • Describe the mechanisms of thrombosis, embolism, infarction and shock and link each to a clinical scenario you construct

  • Explain the pharmacology of antimicrobial classes with their mechanisms and resistance mechanisms

  • Describe the principles of analgesic and anaesthetic pharmacology, including dose-response relationships

Your checkpoint

A written half-length mock paper across Pathology and Pharmacology, self-marked with a list of weak areas

Week 5

Emergency Medicine & Pathology

  • Apply a structured primary survey approach to undifferentiated presentations and justify each step

  • Explain the pathophysiology and initial management priorities of shock, sepsis and anaphylaxis

  • Describe the pathology and clinical consequences of ischaemic heart disease and cerebrovascular disease

  • Outline the approach to the poisoned or overdosed patient, including toxidrome recognition

Your checkpoint

Four written clinical vignettes answered in structured long-answer format, each with a self-marked model answer

Week 6

Emergency Medicine & Physiology

  • Explain the physiology of haemorrhage, fluid compartments and the body's compensatory responses

  • Describe respiratory failure types and interpret arterial blood gases in six constructed cases

  • Outline the assessment and immediate management of the patient with altered conscious state

  • Explain the physiology of thermoregulation and the pathophysiology of heat illness and hypothermia

Your checkpoint

Six ABG interpretations written out with stepwise reasoning and a final diagnosis for each

Week 7

Emergency Medicine & Anatomy & Pathology & Physiology & Pharmacology

  • Integrate anatomy, physiology and pathology into the explanation of three common emergency presentations

  • Recall high-yield pharmacology facts under timed conditions

  • Identify and close your three weakest areas from the week 4 mock

  • Practise structured written answers to short-answer questions across all five domains

Your checkpoint

A completed full-length timed mock examination with a scored breakdown by domain

Week 8

Emergency Medicine & Anatomy & Pathology & Physiology & Pharmacology

  • Review every error from the week 7 mock and rewrite the correct reasoning for each

  • Rehearse high-yield anatomy and physiology facts using spaced retrieval at 1, 3 and 7 days

  • Complete two further timed half-papers focusing on your weakest domains

  • Consolidate a one-page summary sheet per domain for final revision

Your checkpoint

Five final one-page domain summary sheets plus a log of all mock errors with corrected reasoning

Milestones

Week 2: Can reproduce the brachial plexus and cardiac cycle diagram from memory with no reference, and score at least 70% on a self-written anatomy and physiology recall quiz

Week 4: Complete a half-length Pathology and Pharmacology mock and score at least 60%, with every incorrect item logged and explained

Week 6: Correctly interpret at least five of six constructed ABG cases and articulate a structured primary survey approach without notes

Week 7: Complete a full-length timed mock across all five domains, achieving at least 65% overall and identifying the three weakest areas

Week 8: All five domain summary sheets complete, all mock errors corrected and re-tested, and readiness self-assessment documented