SAEMTests
Free Online Testing Service for Medical Students
Updated in December 2025, SAEMTests features a redesigned interface, improved workflows, and enhanced performance to make the testing experience easier for students and administrators.
If you have any questions or need assistance navigating the platform, please contact the Help Desk at saemtests@saem.org or 847-257-7236.
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SAEMTests by the Numbers
SAEMTests supports emergency medicine education through nationally developed assessments aligned with the M3 and M4 emergency medicine curricula.
Across the three core National EM Exams, SAEMTests has recorded more than 42,000 exam attempts. These exams help clerkship directors assess medical student knowledge and support consistent evaluation of emergency medicine curriculum objectives.
| National EM Exam | Historical Exam Attempts |
| M3 National EM Exam v1 | 6,349 |
| M4 National EM Exam v1 | 25,711 |
| M4 National EM Exam v2 | 10,932 |
| TOTAL | 42,992 |
For Clerkship Directors
- Request an account. Log in to SAEMTests or click "register" on the login page to request a new account.
- Check your email. New accounts may take up to 48 business hours to process. You will receive an automated email with your login information.
- Add students. Create student accounts individually or use the bulk-import feature.
- Schedule an exam. Create a testing session and assign the appropriate exam to your students.
- Review results. Access available reports to review student performance.
Please note: Your SAEMTests account is separate from your SAEM website login.
Clerkship Director Resources- Below are resources on how to log in, manage users, and administer exams:
- Institution Admin Video Walkthrough
- How to Manage Users and Testing Sessions as Institutional Admin
- How to Access and Use Predefined Reports
- How to Bulk Import Users with an Excel Template
- How to Create a Testing Session
- Video Library
It may take up to 48 business hours for new accounts to be created. You will receive an automated email from ytm.system@gmail.com with your username and password. This account information is separate and different from your SAEM login.
For Medical Students
- Receive your account information. Your clerkship director must create your account and assign an exam before you can access the platform.
- Log in. Visit the SAEMTests login page using your assigned credentials.
- Find your exam. Once logged in, locate the exam assigned by your clerkship director.
- Complete your exam. Follow the instructions provided within the testing platform.
Student Resources- Below are resources on how to log in and take an exam:
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 into 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.
Available National Emergency Medicine Exams
M3 National Emergency Medicine Exam v1
Explore the M3 Curriculum
- M4 National EM Exam v1
- M4 National EM Exam v2
- M4 Practice Test
National EM Exam Performance Statistics
The following statistics provide an overview of historical student performance on the three core National EM Exams.
| Test Name | Average | Median | Standard Deviation |
| M3 National EM Exam v1 | 82.90% | 84.00% | 10.36 |
| M4 National EM Exam v1 | 77.63% | 78.18% | 9.14 |
| M4 National EM Exam v2 | 80.62% | 81.82% | 9.60 |
- Average Score: The mean score across recorded exam attempts.
- Median Score: The middle score when results are arranged from lowest to highest.
- Standard Deviation: A measure of how much scores vary around the average. Lower values indicate that scores are more closely grouped.
EM Curriculum Resources
- M4 Curriculum - Learning objectives and educational resources for fourth-year emergency medicine clerkships.
- M3 Curriculum - Core emergency medicine topics for third-year medical students.
- Peds EM Curriculum - Educational resources focused on pediatric emergency medicine.
Get Involved with CDEM
To learn more about contributing questions or participating in the CDEM Curriculum and Assessment Committee, contact CDEM@saem.org.
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References
- 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.
- Manthey DE, Ander DS, Gordon DC, et al. Emergency medicine clerkship curriculum: an update and revision. Acad Emerg Med 2010.
- 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.
- Heitz C, Miller ES, and Beeson MS. Update on the National EM M4 Exams. Acad Emerg Med 2014;21:S5-327.
- 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.
- 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.