FMExaminer · Last verified 19 Oct 2026 · Updated 19 Oct 2026
Medical reviewer: Dr. Ali Ragab, MBBCH, MSc, MCAI
Saudi Board in Family Medicine Examinations
The SCFHS Saudi Board in Family Medicine pathway includes Part One, the final written examination, and the final clinical examination. This guide explains their published formats and blueprints, trainee requirements, and format-specific preparation.
The Saudi Board Family Medicine pathway
The SCFHS Main Specialty in Family Medicine examination pathway has three stages: the Part One Examination during training, followed by the final written and final clinical examinations. This guide covers that Saudi Board examination family—not the separately listed professional-classification Family Medicine Exam or the separately titled Clinical Diploma Family Medicine final clinical examination.
| Examination | Place in the pathway |
|---|---|
| Part One Examination | In-training examination covering health and basic sciences related to the specialty |
| Final written examination | Written final assessment after completion of training and applicable requirements |
| Final clinical examination | Clinical/practical final assessment; SCFHS trainee requirements place it after a pass in the final written examination |
Three assessments, distinct formats
| Examination | Published format | Published passing information |
|---|---|---|
| Part One | One paper with 150 single-best-answer multiple-choice questions (MCQs); up to 10% unscored pretest items may be added | Published passing score: 65%; the blueprint describes an adjustment process with a 60% lower limit |
| Final written | Two papers, each with 100–125 single-best-answer MCQs; up to 10% unscored calibration items may be added | Published passing score: 70%; the blueprint describes an adjustment process with a 65% lower limit |
| Final clinical | Eight graded 10-minute stations, with one or two examiners at each station | The consulted version 2 blueprint does not state a numeric clinical passing score |
The eight clinical stations are four Objective Structured Clinical Exam (OSCE) stations, three Structured Oral Exam (SOE) stations, and one Objective Structured Practical Exam (OSPE). Stations assess integrated clinical or practical encounters; domains may overlap, and a station may include one or more cases. SOE stations use preset questions and ideal answers. OSPE tasks assess practical skills and/or data interpretation using predefined questions and standardized ideal answers.
Written blueprint weights and clinical assessment domains
The 2024–2027 Part One and final written blueprints publish the same 12 sections and percentages.
| Written section | Published percentage |
|---|---|
| Family Medicine | 19% |
| Internal Medicine | 11% |
| Pediatric | 10% |
| Obstetrics and Gynecology | 10% |
| General Surgery | 6% |
| Psychiatry | 9% |
| Emergency Medicine (Adult and Pediatric) | 10% |
| Dermatology | 5% |
| Orthopedic and Musculoskeletal | 5% |
| Ophthalmology | 5% |
| Otolaryngology | 5% |
| Radiology | 5% |
The written blueprints state that distributions may vary by up to ±5% in each category and that content and percentages may change. Research, ethics, professionalism, and patient safety are incorporated across domains rather than given separate percentages.
The final clinical blueprint lists some of these subject areas as possible examination content but does not assign station-level percentages. It describes four performance domains: data gathering; reasoning and analysis; decision-making; and professional attitude.
SCFHS trainee eligibility by stage
These requirements describe the SCFHS postgraduate trainee pathway; they should not be treated as universal eligibility rules for every applicant type.
Part One
- Complete at least nine months of training in a Saudi Board program.
- Hold valid registration in an SCFHS postgraduate program.
- Meet any additional Learning and Training Council conditions and apply electronically when registration opens.
Final written examination
- Complete the program training period and any additional requirements set by the relevant Scientific Council, such as research, publications, case books, or procedure lists.
- Apply electronically during the applicable registration period. If eligibility has elapsed, SCFHS says a trainee may request renewal; the committee may renew eligibility or require further training.
Final clinical examination
- Pass the final written examination before entering the clinical examination.
- Confirm current attempt rules with SCFHS before planning a retake: the consulted English and Arabic trainee pages state different maximum-attempt figures.
Prepare for the assessment formats
Use the written blueprint as your study map. Allocate review across all 12 sections, giving more attention to the larger published categories while retaining planned review for the five-percent sections. The same section distribution appears in the Part One and final written blueprints.
Practice Part One in single-best-answer blocks. Build timed practice around its published 150-item paper. Review errors by cause—for example, a knowledge gap, misreading, or difficulty choosing the best answer among plausible options.
Prepare for the final written examination as two papers. Practice sustained question blocks that reflect the published 100–125-item paper range, then review the reasoning behind both correct and incorrect choices.
Rehearse each clinical station type separately.
- OSCE: Practice a timed encounter, including focused information gathering, synthesis, explaining a plan, and communicating follow-up.
- SOE: Practice concise spoken reasoning in response to structured prompts. Organize answers around the problem, priorities, alternatives, investigations, management, and follow-up.
- OSPE: Rehearse practical tasks and data interpretation separately. Oral-question practice alone does not simulate an OSCE encounter or an OSPE task.
For clinical rehearsals, use the 10-minute station length and seek feedback on data gathering, reasoning and analysis, decision-making, and professional attitude.
Rules, versions, and application logistics
- Check the current blueprint before each sitting. The written blueprints are labeled 2024–2027, version 1; the consulted final clinical blueprint is version 2. The documents state that content may change.
- Do not infer a clinical pass mark from the written exams. The consulted clinical blueprint specifies the station structure and performance domains but no numeric clinical passing score.
- Verify the clinical attempt limit directly with SCFHS. The English trainee page states a maximum of three attempts; the Arabic page states four. Confirm the controlling rule before making a retake plan.
- Follow clinical-exam conduct instructions. The blueprint prohibits electronic devices and communication with other candidates during the evaluation. It also advises candidates to identify a genuine examiner conflict at introduction.
- Use official services for logistics. Apply through the SCFHS Apply to Postgraduate Exam service in Mumaris+. The SCFHS services directory lists View Saudi Board Exam Schedule. Check those live services for the applicable application window, schedule, deadlines, and payment instructions.
- Select the correct assessment. SCFHS lists a Family Medicine professional-classification exam separately, and the postgraduate-program table includes a separately titled Clinical Diploma Family Medicine final clinical examination.
How our curriculum can help
Find your next area of focus. Explore the question bank by subject, then dive into the topics you want to strengthen.
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Acute Care and Diagnosis
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Advanced Clinical Reasoning
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Behavioral Health Care
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Behavioral and Addiction Medicine
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Child and Adolescent Care
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Chronic Care Management
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Clinical Skills and Procedures
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Complex Chronic Disease
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Emergency and Critical Care
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Emergent and Urgent Care
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Foundations of Care
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Geriatric and Palliative Care
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Leadership and Systems
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Life-Course Medicine
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Maternal and Reproductive Care
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Person-Centred Care
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Population Health and Equity
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Preventive Care
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Procedural and Diagnostic Skills
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Structured oral examination (SOE)
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Systems-Based Practice
Common questions
Part One is one paper with 150 single-best-answer MCQs and is available after at least nine months of Saudi Board training, subject to SCFHS conditions. The final written examination has two papers, each with 100–125 single-best-answer MCQs, and follows completion of program training and applicable council requirements.
Eight graded 10-minute stations: four OSCE stations, three SOE stations, and one OSPE station. Each station has one or two examiners.
No. SCFHS trainee requirements state that passing the final written examination is required before entering the final clinical examination.
The consulted English SCFHS trainee page states a maximum of three attempts, while the Arabic page states four. Because the official pages differ, confirm the current controlling rule with SCFHS before planning a retake.
Use the SCFHS Apply to Postgraduate Exam service in Mumaris+ for applications. The SCFHS services directory lists View Saudi Board Exam Schedule; check the live services for current dates, windows, and instructions.
No. SCFHS lists the Family Medicine Exam separately under professional-classification exams. This guide covers the postgraduate Saudi Board pathway: Part One, final written, and final clinical examinations.
No. The SCFHS postgraduate-program table includes a separately titled Clinical Diploma Family Medicine final clinical examination. This guide covers the Saudi Board Main Specialty in Family Medicine examination pathway.
Exam dates and registration
Sitting dates, application windows and fees change between cycles. Check the next sitting and registration deadlines on the official Saudi Commission for Health Specialties website.
Visit the official Saudi Commission for Health Specialties websiteOfficial sources
Use the official board or college website for current application windows, dates, fees, and definitive eligibility requirements.
- Saudi Board Part One Examination; Family Medicine — 2024–2027, version 1
- Saudi Board Final Examination; Family Medicine — 2024–2027, version 1
- Saudi Final Clinical Examination Family Medicine; blueprint 2024–2027, version 2
- SCFHS trainee examination requirements (English)
- SCFHS trainee examination requirements (Arabic)
- Apply to Postgraduate Exam — Service Guide
- SCFHS Services directory
- Classification Exams
- SCFHS postgraduate programs table
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