SAEM Tests


Free Online Testing Service for Medical Students

SAEM and CDEM are proud to bring you a new and improved testing service for clerkship directors and students! 

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Test Administration

Clerkship Directors: Download the SAEMTests Institutional Admin Instructions on how to log in, add students, and proctor the exam.

Students: Download the SAEMTests Student Instructions on how to log in and take the exams.

Clerkship Directors

Log in to SAEMTests or click "register" on the login page to request a new account.

It may take up to 48 business hours for new accounts to be created. You will receive an automated email from with your username and password. This account information is separate and different from your login.


To access your test, your clerkship director must first create an account for you and assign you a test to take. Once they have completed this step, you can log in to your account to view and take the exam.

By logging into and using this system, you agree to keep all contents of the exams confidential.


For questions or help using SAEMTests, please contact the SAEM office at 847-257-7236 or

Available Tests

  • M3 National EM Exam v1
  • M4 National EM Exam v1
  • M4 National EM Exam v2

M4 National Emergency Medicine (EM) 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).

M3 National Emergency Medicine (EM) 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.

Test Scores

Test NameAverageMedianStandard Deviation
M3 National EM Exam v181.7486.0016.54
M4 National EM Exam v177.6978.1810.52
M4 National EM Exam v281.2983.6412.43


Additional Tests Coming Soon

Practice tests are still being transitioned to the new platform and will be available soon.

4th Year EM Curriculum Topics

Visit our M4 Curriculum for additional study materials.

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

Additional EM Topic Tests

  • Cardiology Emergencies
  • Orthopedic Emergencies
  • Dermatologic Emergencies
  • Pediatric Emergencies
  • Infectious Emergencies
  • Miscellaneous Emergencies
  • Ophthalmologic Emergencies

3rd Year EM Curriculum Topics

View our M3 Curriculum for additional study materials.

Content Area% Covered on the Exam
The Approach to the Undifferentiated Patient4
Stabilization of the Acutely Ill Patient16
Vital Signs4
Basic and Advanced Life Support Techniques16
Focused Chief Complaint History and Physical Examination8
Chief Complaint Differential Diagnosis8
Diagnostic Testing14
Electrocardiogram/Rhythm Recognition12
Emergency Department Procedures2
Acute Pain Control6
Emergency Medicine within the US Healthcare System2



  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.