A Product of the Clerkship Directors in Emergency Medicine Academy (CDEM)

Repairs are being attempted. The site is not functional until further notice.

A new student database for 2017-2018 is in place, and only students put into this database will have access to the tests.  All students from the 2016-2017 Academic Year were imported into this year's database because of some students' rotations straddling the academic year. Delete those students you do not wish to have access this year by using your Administrator ID and password. If you (student) or your students note that they no longer have access with their ID, please check your student list with your clerkship administrative ID and password.

To access this site your Clerkship Director must give you an ID and password.  If your clerkship director does not yet have an access ID and password, they can send an email requesting that this be set up- mbeeson@neo.rr.com. There are multiple tests that you can access as a medical student.  Your scores and tests will be sent to your clerkship director.  You can have immediate feedback on a specific question by clicking on "Grade" after you have made your answer response.

Fourth-Year EM Curriculum Topics:

Approach to Abdominal Pain        Approach to Altered Mental Status        Approach to Trauma        Psychiatric Emergencies         Procedures        Approach to Poisoning         Pulmonary Emergencies         Approach to Cardiac Arrest        Environmental and Endocrine         Approach to GI Bleeding         Approach to Chest Pain and ACS        Headache and Neurologic        Shock and Sepsis

Additional EM Topic Tests:

Cardiology Emergencies        Dermatologic Emergencies        Infectious Emergencies        Ophthalmologic Emergencies        Orthopedic Emergencies        Pediatric Emergencies        Miscellaneous Emergencies    32 Question Misc. Test    34 Question Misc. Test

Third-Year EM Curriculum Topics:

Content Area

% Covered on Exam

The Approach to the Undifferentiated Patient


Stabilization of the Acutely Ill Patient


Vital Signs


Basic and Advanced Life Support Techniques


Focused Chief Complaint History and Physical Examination


Chief Complaint Differential Diagnosis


Diagnostic Testing


Electrocardiogram/Rhythm Recognition


Emergency Department Procedures


Acute Pain Control






Emergency Medicine within the US Healthcare System



National EM M4 Exams: These exams assess the EM M4 Curriculum (references 1, 2) and may be used as end-of-rotation exams for 4th-year EM students (references 3, 4). The exams must be proctored, and a Proctor ID and Proctor Password is required to access to the exams. Clerkship Directors, please click on the "Clerkship Directors" link on the left-hand side of the page to log using your Clerkship Director ID and Password to pursue the steps necessary to obtain a Proctor ID/Password. The performance data of these exams is reviewed and updated annually. Clerkship Directors may find the national average scores on these exams once you log into the "Clerkship Directors" link. Please access the exams here:
National EM M4 Exam Version 1
National EM M4 Exam Version 2 
National EM M3 Exam: This new exam assesses the EM M3 curriculum (references 5,6) and may be used as an end-of-rotation exam for 3rd year EM students who follow the “MUST” curricular topics from the curriculum.  The exam is written based on the objectives listed in the curriculum and the topics are outlined below.  Not all objectives are covered as the written exam focuses on the objectives that best cover knowledge-based topics.  The exam should only be taken by students who are in a 3rd year EM clerkship, or equivalent rotation.  The process for taking the exam is the same as for the M4 exam (see “National EM M4 Exams” above).  There are currently no practice questions for the M3 exam. Please access the third year exam here:
National EM M3 Exam Version


1. Manthey DE, Coates WC, Ander DS, et al. Report of the task force on national fourth year medical student emergency medicine curriculum guide. Ann Emerg Med 2006;47:e1–7.

2. Manthey DE, Ander DS, Gordon DC, et al. Emergency medicine clerkship curriculum: an update and revision. Acad Emerg Med 2010;17:638–43. 

3. Senecal EL, Heitz C, and Beeson MS. Creation and implementation of a national emergency medicine fourth-year student examination. J Emerg Med 2013;45(6):924-34.  

4. Heitz C, Miller ES, and Beeson MS. Update on the National EM M4 Exams. Acad Emerg Med 2014;21:S5-327.

5. Tews M. Wyte C, Heizer, Grekin P, Hiller K, Oyama L, Pandit K, Manthey D. Developing a Third Year Emergency Medicine Medical Student Curriculum: A Syllabus of Content.  Academic Emergency Medicine.  Oct;18 Suppl 2:S36-40.

6. Tews M, Wyte C, Coltman M, Hiller K, Jung J, Oyama L, Jubanyik K, Ander D, et al.  Implementing a Third-Year Emergency Medicine Medical Student Curriculum.  J Emerg Med. 2015 Jun;48(6):732-743.