ACEM Primary study plan
ACEM Primary · Give each week a clear focus.
8 weeks · About 6 hours per week
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
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
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
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
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
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
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
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