FACEM Role Players 2026.1 Fellowship Clinical Examination (OSCE)

FACEM Role Players - 2026.1 Fellowship OSCE

Please fill out this form to express your interest.
Name*

First NameLast Name
ACEM ID*
Your Email*
Phone Number*
Are you a Fellow?*

YesNo
To be eligible to particiapte in this event you must be a Fellow.
Please advise in which sitting you passed your OSCE e.g. 2022.2. (FACEM's must have passed OSCE prior to 2025.1 Sitting)*
Do you have any prior experience as a Role Player?*

YesNo
Please specify your prior experience.*

0/200
Which days are you available?*

Tuesday 17 MarchWednesday 18 MarchThursday 19 MarchFriday 20 MarchTuesday 24 MarchWednesday 25 March
What is the maximum number of days you can commit to if allocated?*

1 day2 days3 days4 days
* Please note FACEMS not from the local Melbourne area are asked to commit for two consecutive days.
What state / country do you live in?*
Age (for role allocation purposes)*
Gender (for role allocation purposes)*
Do you have any potential / perceived / actual conflicts of interest to declare?*

YesNo
* Please note that if you a have family member / relative sitting the examination you will not be able to participate.
Please list potential conflict / nature of conflict
Please note, you will have a further opportunity to declare any conflicts of interest when a full list of potential candidates is sent to all allocated FACEM role players for review. This will be sent after candidate applications have closed.

ACEM Examinations Conflict of Interest Policy V3.1 COR233
Do you have any special dietary requirements?*

YesNo
Please advise your dietary requirements.*

0/200
Please note, we anticipate confirming allocations late January. If your availability changes or you have any questions, please contact the Examination Operations Team at fellowship.exam@acem.org.au.
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FACEM Role Players - 2026.1 Fellowship OSCE