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Royal College of Physicians of Edinburgh
Royal College of Physicians & Surgeons of Glasgow
Royal College of Physicians of London
MRCPUK
Regulations andInformation forCandidates
2003 Edition
Compiled and
published for the
Federation of
Royal Colleges of
hysicians of the UK
by the MRCP(UK)
Central Office
6
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MRCPUK
Regulations andInformation for
Candidates
MRCP(UK) Central Office
Royal Colleges of Physicians of the United Kingdom
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2003 ROYAL COLLEGES OF PHYSICIANS
Royal College of Physicians of Edinburgh
9 Queen Street
Edinburgh EH2 1JQ
Royal College of Physicians & Surgeons of Glasgow
234/242 St Vincent Street
Glasgow G2 5RJ
Royal College of Physicians of London
11 St Andrews Place
London NW1 4LE
All rights reserved. No part of this publication may bereproduced, stored in a retrieval system, or transmitted, inany form or by any means, electronic, mechanical,photocopying, recording or otherwise without the priorpermission of the copyright owners.
First Published 2003
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FOREWORD
The MRCP(UK) Examination Regulations 2003 have been revised since the
last Regulations were published in 2002.
These Regulations apply from 1 January 2003 to the MRCP(UK) Examination
(General Medicine) and cover the two paper Examinations for the MRCP(UK)Part 1 Examination and the MRCP(UK) Part 2 Written Examination, as well as
the MRCP(UK) Part 2 Clinical Examination (PACES).
There are separate Regulations governing the joint MRCP(UK) Part 2
Examination (Paediatrics)/MRCPCH Part 2 Examination.
Notice of future amendments to the Regulations
The MRCP(UK) Examination will continue to change to reflect developmentsin medicine. While every attempt has been made to ensure that the
MRCP(UK) Examination Regulations 2003 are accurate, further changes to
the MRCP(UK) Examination and the Regulations may be implemented within
the next year. In such circumstances, notices will be issued indicating the
nature of these changes and will be available with the relevant Examination
Application Forms. In order that candidates are fully briefed about the status
of any proposed changes, they are advised to read these notices along with
this publication.
All changes will also be notified on the MRCP(UK) web site
http://www.mrcpuk.org.
MRCP(UK) Central Office
11 St Andrews Place
London NW1 4LE
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CONTENTS
REGULATIONS
1. Introduction 1
2. Constitutional framework: Powers and responsibilities of theRoyal Colleges of Physicians 3
3. Academic framework: Aims and objectives of theMRCP(UK) Examination 4
4. Award of the MRCP(UK) Diploma 7
5. Admission to the MRCP(UK) Examination 85.1 Entry requirements 85.2 Exemptions 9
5.3 Testimonials 105.4 MRCP(UK) Part 2 Clinical Examination (PACES) - Period
of Eligibility 1 1
6. Methods of assessment and Examination Regulations 1 36.1 MRCP(UK) Part 1 Examination-Method of assessment
for January 2003 136.2 MRCP(UK) Part 1 Examination-Regulations for
January 2003 146.3 MRCP(UK) Part 1 Examination-Method of Assessment
for May 2003 and September 2003 166.4 MRCP(UK) Part 1 Examination-Regulations for May 2003
and September 2003 166.5 Review of the MRCP(UK) Part 1 Examination by the
MRCP(UK) Part 1 Examining Board 186.6 MRCP(UK) Part 2 Written Examination-Method
of assessment 186.7 MRCP(UK) Part 2 Written Examination-Regulations 206.8 Review of the MRCP(UK) Part 2 Written Examination by
the MRCP(UK) Part 2 Examining Board 226.9 MRCP(UK) Part 2 Clinical Examination (PACES) -Method of assessment 22
6.10 MRCP(UK) Part 2 Clinical Examination (PACES) -Regulations 23
6.11 Poor performance in the MRCP(UK) Part 2 ClinicalExamination (PACES) 24
6.12 Review of the MRCP(UK) Part 2 Clinical Examination(PACES) by the MRCP(UK) Clinical Examining Board 25
6.13 Confidentiality and Copyright Statement 26
7. Examination Procedures 27
8. Glossary of terms 28
9. MRCP(UK) Examination: Conduct of candidates 3 1
III
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CONTENTS
INFORMATION FOR CANDIDATES
10. Information for Paediatric candidates 37
10.1 Transfer of the MRCP(UK) Part 1 Examination(Paediatric option) to the Royal College of Paediatrics
and Child Health (RCPCH) 37
10.2 Joint MRCP(UK) Part 2 Examination (Paediatrics)/
MRCPCH Part 2 Examination 37
11. MRCP(UK) Part 1 Examination & MRCP(UK) Part 2 Written
Examination How to complete the answer sheets 40
12. Advice on Answers - Multiple Choice Questions (MCQs) 4213. MRCP(UK) Part 2 Clinical Examination (PACES) 44
14. Progress through the MRCP(UK) Examination 48
15. MRCP(UK) : Progress to Membership Diploma 50
16. Admission to the MRCP(UK) Examination 5 1
16.1 Admission to the MRCP(UK) Examination 5 1
16.2 How to enter the MRCP(UK) Part 1 Examination 5 1
16.3 Application check lists for the MRCP(UK) Part 1Examination 53
16.4 How to enter the MRCP(UK) Part 2 Written Examination 54
16.5 Application check lists for the MRCP(UK) Part 2 Written
Examination 55
16.6 How to enter the MRCP(UK) Part 2 Clinical
Examination (PACES) 56
16.7 Application check lists for the MRCP(UK) Part 2
Clinical Examinations 57
17. MRCP(UK) Examination and MRCP(UK) Diploma fees 59
18. Attending the MRCP(UK) Part 1 Examination & Part 2 Written
Examination 60
19. Withdrawal from the MRCP(UK) Examination 6 1
20. How to claim exemption from part of the MRCP(UK)
Examination 6221. Discounting of attempts 63
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22. Issuing of results 64
23. Assessment queries and requests for remarking an MRCP(UK)
Examination 65
24. Award of the MRCP(UK) Diploma 66
25. Training of a physician in the UK 67
26. Preparation for the MRCP(UK) Examination 69
27. Where to go for advice 70
28. MRCP(UK) Examination publications 7 1
29. Special advice for doctors working outside the UK 73
30. MRCP(UK) Part 1 Examination: Centres in the UK 75
31. MRCP(UK) Part 1 Examination: Centres outside the UK 76
32. MRCP(UK) Part 2 Examination: Centres outside the UK 77
33. Addresses of MRCP(UK) Centres outside the UK 78
34. Examples of MRCP(UK) Part 2 Clinical Examination (PACES)
Marksheets 83
35. Location of the Royal Colleges of Physicians 85
36. Order form for MRCP(UK) Examination publications 87
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1. INTRODUCTION
There are three Royal Colleges of Physicians in the United Kingdom:
Royal College of Physicians of Edinburgh
9 Queen Street
Edinburgh EH2 1JQ
Tel: +44 131 225 7324
Fax: +44 131 225 2053
http://www.rcpe.ac.uk
Royal College of Physicians and Surgeons of Glasgow
234-242 St. Vincent StreetGlasgow G2 5RJ
Tel: +44 141 221 6072
Fax: +44 141 248 3414
http://www.rcpsglasg.ac.uk
Royal College of Physicians of London
11 St. Andrews Place
London NWI 4LETel: +44 207 935 1174
Fax: +44 207 486 4514
http://www.rcplondon.ac.uk
The Royal College of Physicians of Edinburgh, the Royal College of Physicians
and Surgeons of Glasgow and the Royal College of Physicians of London
share a common Examination, the MRCP(UK). The Federation of the Royal
Colleges of Physicians of the UK has devolved responsibility for theorganisation of the Examination to the MRCP(UK) Central Office:
MRCP(UK) Central Office
11 St. Andrews Place
London NWI 4LE
Tel: +44 207 935 1174
Fax: +44 207 487 2628
http://www.mrcpuk.org
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The following Regulations apply to all candidates entering the MRCP(UK)
Examination. Any decision on the interpretation of these Regulations made
by any one Royal College of Physicians is binding on all three Royal Colleges
of Physicians.
The MRCP(UK) Examination is usually taken during the period of general
professional training in medicine which follows registration in the United
Kingdom. Success in the MRCP(UK) Examination leads to the award of the
Diploma of Membership of the Royal Colleges of Physicians of the United
Kingdom. The MRCP(UK) does not confer specialist status; in the UK it is an
entry qualification for higher specialist training.
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The Royal Colleges of Physicians of the United Kingdom have the power to:
(i) Determine the terms and conditions of entry to the MRCP(UK)
Examination. The Royal Colleges of Physicians reserve the right to refuse
admission to any part of the MRCP(UK) Examination;
(ii) Recognise appropriate periods of training, in fulfilment of the entry
requirements of the MRCP(UK) Examination, and determine when this
training has been completed successfully by candidates;
(iii) Confer the MRCP(UK) Diploma on persons who have passed the
MRCP(UK) Examination. No religious, racial or political test will be
imposed on any person as a condition of receiving the MRCP(UK) Diploma.
In exercising their powers, and to maintain the academic quality of the
Examination, the Royal Colleges of Physicians have the responsibility of:
(i) Appointing examiners with appropriate qualifications and experience;
(ii) Producing syllabuses for appropriate parts of the Examination;
(iii) Monitoring candidate performance;
(iv) Arranging suitable examination facilities.
In the exercise of these powers and responsibilities, the Royal Colleges of
Physicians will comply, and ensure compliance, with the requirements of
relevant legislation such as:
Race Relations (Amendment) Act 2000
Disability Discrimination Act 1995 and Special Educational Needs and
Disabilities Act 2001
Data Protection Acts 1984 and 1998.
2. CONSTITUTIONAL FRAMEWORK: POWERS ANDRESPONSIBILITIES OF THE ROYAL COLLEGES OFPHYSICIANS
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3. ACADEMIC FRAMEWORK: AIMS AND OBJECTIVESOF THE MRCP(UK) EXAMINATION
Overall aims
The MRCP(UK) Examination plays an essential role in the overall educationalexperience and continuing professional development of physicians in the
United Kingdom. It is a prerequisite for physicians wishing to undergo
training in a medically related specialty in the United Kingdom. The aim of
the MRCP(UK) Examination is to identify those physicians who, having
undertaken a period of general training, have acquired the necessary
professional knowledge, skills and attitudes to enable them to benefit from
a programme of higher specialist training with confidence and enthusiasm.
The MRCP(UK) Examination also plays an increasingly important role in the
international arena of postgraduate medical education. It provides a
professional standard against which physicians working outside the United
Kingdom may measure their level of attainment. It is also being used by
medical educationalists in other countries in respect of local postgraduate
assessments.
Overall objectivesThe MRCP(UK) Examination evaluates competence of medical graduates at
the end of a specified minimum period of general professional training with
regard to:
(i) Core medical knowledge, including applied science, epidemiology and
statistics;
(ii) Skills Taking and interpreting a clinical history; Clinical examination; Communication skills; Practical skills; Management of common medical emergencies; Problem-solving skills in diagnosis and management; Dealing with ethical problems;
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(iii) Attitudes to patients.
The demands of the various parts of the Examination will reflect the
improvement in knowledge, skills and attitudes which can be expected
during the period of General Professional Training, and are in keepingwith the principle of life-long learning.
MRCP(UK) Part 1 Examination
Purpose
The purpose of the MRCP(UK) Part 1 Examination is to identify those
physicians in training who,having satisfied the entry criteria (see Section 5.1),
possess a broad knowledge and understanding of clinical science as well ascommon and important disorders.
Aims
To test the acquisition by a candidate of a representative sample of medical
knowledge as specified in the published Syllabus for the MRCP(UK) Part 1
Examination.
To measure a candidates ability to apply their medical knowledge of thecommon and important topics outlined in the Syllabus and make
appropriate clinical judgements.
MRCP(UK) Part 2 Written Examination
Purpose
The MRCP(UK) Part 2 Written Examination is taken by physicians in training
who have passed the MRCP(UK) Part 1 Examination or who have exemption
from the MRCP(UK) Part 1 Examination (see Section 5.2). Success in this
Examination demonstrates the attainment of a level of knowledge expected
at the completion of General Professional Training and an ability to apply this
knowledge to clinical problem solving and clinical practice.
Aims
The MRCP(UK) Part 2 Written Examination will test the ability to apply
knowledge, make clinical judgements and take responsibility for:
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Prioritising diagnostic or problem lists; Planning investigation;
Selecting a plan for immediate management; Selecting a plan for long-term management; Assessing prognosis.
Areas covered by the MRCP(UK) Part 2 Written Examination will also include:
Social and cultural aspects of disease; Audit;
Evidence-based practice; Literature reviews; Working with colleagues.
MRCP(UK) Part 2 Clinical Examination (PACES)
Purpose
To demonstrate in the clinical setting the knowledge, skills and attitudes
appropriate for a physician who is eligible to take the MRCP(UK) Part 2
Clinical Examination (PACES) and is completing general professional training.
Aims
The MRCP(UK) Part 2 Clinical Examination (PACES) will test the ability to:
Demonstrate the clinical skills of history taking; Examine a patient appropriately to detect the presence or absence of
physical signs;
Interpret physical signs; Make appropriate diagnoses; Develop and discuss, immediate and long-term management plans; Communicate clinical information to colleagues, patients or their
relatives;
Discuss ethical issues.
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4.1 Unless exemption is granted under Regulation 5.2, every candidate must
pass all parts of the MRCP(UK) Examination.
4.2 Candidates who pass the MRCP(UK) Examination will be eligible to applyfor the award of the MRCP(UK) Diploma.
4.3 Members of the Royal Colleges of Physicians of the United Kingdom are
elected subject to the Laws, Bye-Laws, Statutes and Regulations of the
Royal Colleges of Physicians of the United Kingdom. Copies of the Laws,
Bye-Laws, Individual Statutes and Regulations relating to Members can
be inspected on application to the respective Colleges.
4.4 Before the MRCP(UK) Diploma can be awarded,candidates are required to:
(a) Pay a Diploma fee;
(b) Sign a Form of Faith.
The Form of Faith states,l hereby faithfully promise to abide by the Laws,
Bye-Laws, Statutes and Regulations of the Royal Colleges of Physicians ofthe United Kingdom as they apply to Members of the Royal Colleges of
Physicians of the United Kingdom, as from time to time modified,
amended or re-enacted and to keep myself informed of advances in
medicine.
4.5 Candidates should refer to Section 24 on the Award of the MRCP(UK)
Diploma before they apply to sit the MRCP(UK) Part 2 Clinical
Examination (PACES).
4. AWARD OF THE MRCP(UK) DIPLOMA
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5.1 Entry requirements
5.1.1 Every candidate for the Examination must hold a medical
qualification recognised by the Royal Colleges of Physicians.
5.1.2 Candidates will not be admitted to the MRCP(UK) Part 1 Examination
before the expiry of18 months from the date of graduation given on
their diploma of medical qualification.
5.1.3 Candidates for the MRCP(UK) Part 2 Written Examination must have
passed the MRCP(UK) Part 1 Examination within seven years.
5.1.4 Before candidates can enter the MRCP(UK) Part 2 Clinical Examination
(PACES), they must have passed the MRCP(UK) Part 2 Written
Examination and completed a minimum period of training of two and
a half years from the date of graduation given on their diploma of
medical qualification (see Regulation 5.4.1 concerning the MRCP(UK)
Part 2 Clinical Examination (PACES) Period of Eligibility). Within the
last 18 months of this period, and within the last five years before the
date of taking the MRCP(UK) Part 2 Clinical Examination (PACES), not
less than 12 months should have been spent in posts involving the
care of emergency medical patients,either adults or children. It would
be desirable for candidates to have spent a period of at least six
months in a post in which there is a strong emphasis on responsibility
for unselected emergency admissions.
It is assumed that all candidates in their first year after graduation
will have spent six months as a house physician. In the United
Kingdom this is a pre-requisite to obtaining full registration with the
General Medical Council. If this is not the case then an additional six
months should be spent involving the care of emergency medical
patients, either adults or children.
5.1.5 Overseas graduates who hold a postgraduate diploma which is
recognised by the Royal Colleges of Physicians (see Regulation 5.2)
and which requires a comparable period of training, may be admitted
to the MRCP(UK) Part 2 Written Examination with exemption from
the MRCP(UK) Part 1 Examination without the need for further
training.
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5. ADMISSION TO THE MRCP(UK) EXAMINATION
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5.1.6 Any candidate unsuccessful in passing the MRCP(UK) Part 2 Written
Examination within a period of seven years of passing the MRCP(UK)
Part 1 (the MRCP(UK) Part 2 Examination Registration Period) will be
required to take and pass the MRCP(UK) Part 1 Examination again.
5.1.7 All MRCP(UK) assessments are conducted in English. Candidates do
not need to have passed IELTS, the assessment of the Professional and
Linguistic Assessments Board (PLAB), or any other language
examination to sit the MRCP(UK) Examination. However, the Royal
Colleges of Physicians advise candidates that in order that they are
sufficiently prepared to sit the MRCP(UK) Examination, their English
language ability should be equivalent to IELTS Level 7 in each module.It should be noted further that passing PLAB is necessary for those
intending to work in the UK as doctors with Limited Registration.
5.1.8 Candidates will also be required to pay Examination fees as
determined by the Royal Colleges of Physicians of the United
Kingdom.
For further information on how to enter the MRCP(UK) Examination please
refer to Section 16.
5.2 Exemptions
5.2.1 Holders of the following diplomas may apply to any one of the Royal
Colleges of Physicians for exemption from the MRCP(UK) Part 1
Examination, providing that they have obtained the exempting
qualification within the seven years prior to sitting the MRCP(UK)
Part 2 Written Examination:
(a) Membership of the Royal College of Pathologists;
(b) Membership of the Royal College of Physicians of Ireland;
(c) Fellowship of the College of Medicine of South Africa;
(d) Fellowship of the College of Physicians and Surgeons of Pakistan
-Medicine;
(e) Master of Medicine (Khartoum);
(f) Master of Medicine (Singapore) - Internal Medicine;
(g) Doctor of Medicine (Colombo) - Medicine;(h) Doctor of Medicine (West Indies) - Internal Medicine;
(i) Fellowship of the College of Physicians and Surgeons of
Bangladesh.
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5.2.2 Members and Fellows of the Royal Australasian College of Physicians
and those who have passed the FRACP Examination may apply for
exemption from the MRCP(UK) Part 1 and the MRCP(UK) Part 2
Written Examinations.
5.2.3 Holders of the following diplomas may apply to any one of the Royal
Colleges of Physicians for exemption from the MRCP(UK) Part 1
Examination, providing that they have obtained the exempting
qualification before 1 April 1999 and within the seven years prior to
sitting the MRCP(UK) Part 2 Written Examination:
(a) Fellowship of the College of Physicians and Surgeons of Pakistan-Paediatrics;
(b) Master of Paediatrics and Child Health (Khartoum);
(c) Master of Medicine (Singapore) - Paediatrics;
(d) Doctor of Medicine (Colombo) - Paediatrics;
(e) Doctor of Medicine (West Indies) - Paediatrics.
To claim exemption, candidates should refer to Section 16.5.3.
Exemption qualifications are periodically reviewed.These details are correct at
the time of writing but may be subject to change and removal of recognition.
5.3 Testimonials
5.3.1 Candidates must submit testimonials from two proposers at their
first attempt at the MRCP(UK) Part 2 Clinical Examination (PACES)
and one new or updated testimonial at each successive attempt.
Candidates must have worked (or, for overseas candidates, must havetaken a clinical attachment or an honorary NHS appointment) post-
registration with a proposer, within five years prior to the date of the
attempt at the MRCP(UK) Part 2 Clinical Examination (PACES).
5.3.2 The Royal Colleges of Physicians may require evidence of further
training before candidates who fail badly are permitted to re-enter
the examination.
5.3.3 Testimonials will be accepted only from Fellows of the Royal Colleges
of Physicians of the UK or from Members of the Royal Colleges of
Physicians of at least eight years standing.
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5.4 MRCP(UK) Part 2 Clinical Examination (PACES) - Period ofEligibility
5.4.1 Candidates will be registered eligible for a period of two years to take
the MRCP(UK) Part 2 Clinical Examination (PACES). This period will
commence after candidates have been notified of success in the
MRCP(UK) Part 2 Written Examination (usually on the first day of the
month of the next PACES Main Assessment Point - see Note 1 below.
For an explanation of the Main Assessment Point - see Section 8).
Before taking the MRCP(UK) Part 2 Clinical Examination (PACES)
candidates must have completed a minimum period of training of
two-and-a-half years from the date of graduation given on their
diploma of medical qualification. (See Note 2 below, and also
Regulation 5.4.4).
NOTE 1: Candidates must complete the minimum period of training of
two-and-a-half years before they can sit the MRCP(UK) Part 2 Clinical
Examination (PACES). The Period of Eligibility will commence for each
candidate when they pass the MRCP(UK) Part 2 Written Examination
regardless of whether they have completed the two-and-a-half year
training period. The Royal Colleges of Physicians have stipulated that
a pass in the MRCP(UK) Part 2 Written Examination, allowing progress
to the MRCP(UK) Part 2 Clinical Examination (PACES), should not be
valid for a period of more than two years.
NOTE 2: Within the last 18 months of this period, and within the last
five years before the date of taking the MRCP(UK) Part 2 Clinical
Examination (PACES),not less than 12 months should have been spent
in posts involving the care of emergency medical patients.
5.4.2 Candidates may have up to three attempts at the MRCP(UK) Part 2
Clinical Examination (PACES) during the MRCP(UK) Part 2 Clinical
Examination (PACES) Registration Period of Eligibility before having to
resit and pass the MRCP(UK) Part 2 Written Examination.
5.4.3 Candidates may not normally resit the MRCP(UK) Part 2 Clinical
Examination (PACES) less than three months after their failed
attempt (this means that candidates will normally be required to
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wait until the next Main Assessment Point before reattempting the
MRCP(UK) Part 2 Clinical Examination (PACES)).
5.4.4 Should the seven year MRCP(UK) Part 2 Examination RegistrationPeriod elapse during the MRCP(UK) Part 2 Clinical Examination
(PACES) Period of Eligibility, and the candidate is unsuccessful in three
attempts at the MRCP(UK) Part 2 Clinical Examination (PACES), he/she
will be required to resit and pass the MRCP(UK) Part 1 Examination
before re-attempting the MRCP(UK) Part 2 Written Examination.
5.4.5 Candidates can attempt the MRCP(UK) Part 2 Written Examination at
any time during their seven year MRCP(UK) Part 2 ExaminationRegistration Period. Once the MRCP(UK) Part 2 Written Examination
has been passed, a two year MRCP(UK) Part 2 Clinical Examination
(PACES) Period of Eligibility will be permitted regardless of whether
the MRCP(UK) Part 2 Examination Registration period has expired.
However, the requirements set out in Regulation 5.4.4 will be applied
if the candidate fails the MRCP(UK) Part 2 Clinical Examination
(PACES) on three occasions or the period of two years elapses.
5.4.6 Applications to the MRCP(UK) Part 2 Clinical Examination (PACES) will
be accepted on a first come, first served basis depending on the
number of places available (please see Section 16.6.6).
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6.1 MRCP(UK) Part 1 Examination-Method of assessment forJanuary 2003
6.1.1 The MRCP(UK) Part 1 Examination consists of two papers and is held
simultaneously at all examination centres and may be taken in
General Medicine only.
6.1.2 The MRCP(UK) Part 1 Examination is designed to assess a candidates
knowledge and understanding, both of those aspects of clinical
sciences which are relevant to medical practice and of common or
important disorders, to a level appropriate for entry to specialisttraining.
6.1.3 The MRCP(UK) Part 1 Examination Paper 1 contains 60 multiple true-
false questions including approximately 14 MCQs on all aspects of
clinical science (molecular and membrane biology, anatomy,
physiology, biochemistry, metabolism, immunology, genetics,
elementary statistics, epidemiology, evidence-based medicine,
microbiology, and pharmacology) and some 46 MCQs which will testa candidates knowledge of a wide range of common and important
disorders in General Medicine as set out in the published Syllabus.
The composition of Paper 1 is as follows:
Clinical Science 14
Cardiology 4
Clinical haematology4
Clinical pharmacology, therapeutics and toxicology 6
Dermatology 1
Endocrinology 4
Gastroenterology 4
Infectious diseases and tropical medicine 4
Nephrology 4
Neurology 4
Psychiatry 4
Respiratory medicine 4
Rheumatology 2
Miscellaneous (e.g. ophthalmology, 1
sexually transmitted diseases)
6. METHOD OF ASSESSMENT AND EXAMINATIONREGULATIONS
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6.1.4 The MRCP(UK) Part 1 Examination Paper 2 contains 100 multiple
choice questions in one from five (best of five) format, where a
candidate chooses the best answer from five possible answers.
The composition of Paper 2 is as follows:
Cardiology 8
Clinical haematology and oncology 8
Clinical pharmacology, therapeutics and toxicology 10
Dermatology 6
Endocrinology and metabolic medicine 8
Gastroenterology 8Infectious diseases, tropical medicine and sexually
transmitted diseases 8
Nephrology 8
Neurology 8
Ophthalmology 4
Psychiatry 6
Respiratory medicine 8
Rheumatology 8Statistics 2
6.2 MRCP(UK) Part 1 Examination Regulations for January 2003
6.2.1 The MRCP(UK) Part 1 Examination will be criterion referenced from
2002/2 and will assess a candidates performance in relation to an
external standard of performance (pass mark) set by the examiners.
As Paper 1 and Paper 2 are testing different areas of the Syllabus, usingquestions in different formats, candidates must achieve a pass in
each Paper in order to pass the MRCP(UK) Part 1 Examination overall.
6.2.2 One mark (+1) will be awarded for each correct answer:
A true statement indicated as true in Paper 1; A false statement indicated as false in Paper 1; A correct answer to a one from five question in Paper 2.
6.2.3 No marks will be deducted for any incorrect answers.
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6.2.4 No marks will be awarded or deducted if the question is left
unanswered.
6.2.5 No marks will be awarded if more than the required number ofresponses are recorded in Paper 2.
6.2.6 In Paper 1 a total of five marks are allocated to each question, giving a
total of300 for Paper 1 as a whole. The final score is converted to a
percentage.
6.2.7 In Paper 2 one mark is awarded to each question, giving a total of100
for Paper 2 as a whole. The final score is expressed as a percentage.
6.2.8 No marks will be awarded to any candidate who does not complete
the Answer Sheet in accordance with the MRCP (UK) Part 1
Examination instructions and produces an answer that the OMR
(optical mark reader) queries as:
(a) Insufficiently erased;
(b) Smudged;(c) Identified as a double response to a question.
In these circumstances the Royal Colleges of Physicians do not
consider it is appropriate to interpret a candidates intentions.
6.2.9 Candidates who pass the MRCP(UK) Part 1 Examination can proceed
immediately to sit the MRCP(UK) Part 2 Written Examination in
General Medicine.
6.2.10 There is a charge of 100.00 if a candidate requests that their
Examination is remarked. This charge is refundable if an error is
identified. (Please note that these arrangements are separate from an
appeal against an Examination result and candidates cannot request
that a check be conducted as an outcome of an Appeal). Candidates
should also refer to Section 23.
Note: Candidates are reminded that their Examination scripts are
held for one year only.
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6.2.11 Candidates are asked to note that any allegation of academic or
professional misconduct that is sustained against a candidate is likely
to be reported to employers, sponsors and the relevant professional
bodies such as the UK General Medical Council.
6.3 MRCP(UK) Part 1 Examination Method of Assessment forMay 2003 and September 2003.
6.3.1 The MRCP(UK) Part 1 Examination will consist of two papers both
containing 100 multiple choice questions in one from five (best of five)
format,where a candidate chooses the best answer from five possible
answers.
The composition of each Paper will include questions on the
following specialties:
Clinical Science
Cardiology
Clinical haematology and oncology
Clinical pharmacology, therapeutics and toxicologyDermatology
Endocrinology and metabolic medicine
Gastroenterology
Infectious diseases, tropical medicine and sexually
transmitted diseases
Nephrology
Neurology
Ophthalmology
Psychiatry
Respiratory medicine
Rheumatology
Statistics
6.4 MRCP(UK) Part 1 Examination Regulations for May 2003 andSeptember 2003
6.4.1 The MRCP(UK) Part 1 Examination will be criterion referenced and willassess a candidates performance in relation to an external standard
of performance (pass mark) set by the examiners.
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6.4.2 Both papers carry equal weight and one mark will be given for each
correct answer.
6.4.3 No marks will be deducted for any incorrect answers.
6.4.4 No marks will be awarded or deducted if the question is left
unanswered.
6.4.5 No marks will be awarded if more than the required number of
responses are recorded.
6.4.6 One mark is awarded to each question, giving a total of100 for eachPaper as a whole. The final score is expressed as a percentage.
6.4.7 No marks will be awarded to any candidate who does not complete
the Answer Sheet in accordance with the MRCP (UK) Part 1
Examination instructions and produces an answer that the OMR
(optical mark reader) queries as:
(a) Insufficiently erased;(b) Smudged;
(c) Identified as a double response to a question.
In these circumstances the Royal Colleges of Physicians do not
consider it is appropriate to interpret a candidates intentions.
6.4.8 Candidates who pass the MRCP(UK) Part 1 Examination can proceed
immediately to sit the MRCP(UK) Part 2 Written Examination inGeneral Medicine.
6.4.9 There is a charge of 100.00 if a candidate requests that their
Examination is remarked. This charge is refundable if an error is
identified. Candidates should also refer to Section 23.
Note: Candidates are reminded that their Examination scripts are
held for one year only.
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6.4.10 Candidates are asked to note that any allegation of academic or
professional misconduct that is sustained against a candidate is likely
to be reported to employers, sponsors and the relevant professional
bodies such as the UK General Medical Council.
6.5 Review of the Part 1 Examination by the MRCP(UK) Part 1Examining Board
6.5.1 Results are released when the Chairman and Medical Secretary of the
MRCP(UK) Part 1 Examining Board are satisfied that the Examination
has been conducted appropriately and in accordance with the
procedures of the Royal Colleges of Physicians.
6.5.2 The MRCP(UK) Part 1 Examining Board considers each question prior
to its appearance in the Examination and subsequently reviews the
questions performance. In addition to the final scores obtained by
the candidates, the MRCP(UK) Part 1 Examining Board will also note
the mean score for the Examination and the mean scores for, and the
discriminatory power of, the questions that comprise the paper. A
detailed analysis of the responses to each item (including a separate
index of discrimination for every item), and a coefficient indicating
the internal reliability of the Examination as a whole are also
considered by the Board. In the light of these analyses, the MRCP(UK)
Part 1 Examining Board makes modifications to the questions that it
deems desirable to ensure that the quality of the Examination is
maintained.
6.6 MRCP(UK) Part 2 Written Examination-Method of assessment
6.6.1 The MRCP(UK) Part 2 Written Examination is held simultaneously at
all examination centres and may be taken in General Medicine or
Paediatrics. Paediatric candidates will need to contact the Royal
College of Paediatrics and Child Health for details of the Examination
Regulations for the joint MRCP(UK) Part 2 Examination
(Paediatrics)/MRCPCH Part 2 Examination (see Section 10).
6.6.2 Some material on adolescent medicine will be included in both the
General Medicine and Paediatric Examinations. Questions will be
asked about the diagnosis and management of patients using MCQs
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that are either one from five, where a candidate must choose the best
answer from five possible answers or n from many where two or
three choices are made from a list of10 or 15 options. There will also
be questions addressing the aims of the MRCP(UK) Part 2 WrittenExamination (see Section 3).
6.6.3 The MRCP(UK) Part 2 Written Examination will consist of two papers
each lasting two-and-a-half hours. Both papers will contain up to 100
multiple choice questions. All questions will have a clinical scenario
and may include the results of investigations and may be illustrated.
The composition of each Paper will be approximately as follows:
Number of questions (+/-2)
Adolescent medicine 2
Cardiology 9
Dermatology 4
Endocrinology 9
Gastroenterology 9Haematology 4
Infectious diseases and sexually transmitted diseases 9
Metabolic medicine 2
Nephrology 8
Neurology 9
Oncology 6
Psychiatry 4
Respiratory medicine 9Rheumatology 6
Therapeutics 10
100
6.6.4 Answers should be recorded on the answer sheets provided.
6.6.5 For one from five questions, only the correct answer will attract a
mark.
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6.6.6 For n from many questions, only the correct answers will attract
marks. Thus, it is vital that candidates follow the instructions given
with the question.
6.6.7 Credit will notbe given for answers in excess of the number required;
where additional answers are recorded no marks will be scored. Thus,
if two investigations are asked for and three are given, the candidate
will score no marks for the question.
6.6.8 It should be noted that drugs will almost invariably be referred to by
their International Non-proprietary Name (rINN) rather than by their
trade names.
6.6.9 Biochemical and other measurements will be expressed in SI units
(normal ranges or reference ranges will be provided where these are
likely to be in doubt).
6.7 MRCP(UK) Part 2 Written Examination-Regulations
6.7.1 Both Papers carry equal weight with one mark given for each correct
answer. There are two types of questions used Best of Five
requiring a single response and n from many requiring two
responses.
6.7.2 The MRCP(UK) Part 2 Written Examination will be criterion referenced
and will assess a candidates performance in relation to an external
standard of performance (pass mark) set by the examiners.
6.7.3 Under the current Regulations, the marking system adopted for the
MRCP(UK) Part 2 Written Examination is as follows:-
(i) Each item has an equal value;
(ii) One mark (+1) will be awarded for each correct answer;
(iii) No marks will be deducted for any incorrect answers;
(iv) No marks will be awarded or deducted if a question is left
unanswered;
(v) No marks will be awarded if more than the required number of
responses are recorded;
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(vi) The final mark for each candidate is the sum of the marks given
in the two Papers expressed as a percentage. To pass the
MRCP(UK) Part 2 Written Examination it is not necessary
therefore for candidates to obtain a pass mark in each of thetwo Papers, so long as the total mark achieved by the candidate
reaches the required pass mark for the Examination as a whole;
(vii) No marks will be awarded to any candidate who does not
complete the Answer Sheet in accordance with the MRCP (UK)
Part 2 Written Examination instructions and produces an
answer that the OMR (optical mark reader) queries as:
Insufficiently erased; Smudged; Identified as a double response to a question.
In these circumstances the Royal Colleges of Physicians do not
consider it is appropriate to interpret a candidates intentions;
6.7.4 MRCP(UK) General Medicine candidates who pass the Part 2 Written
Examination enter the MRCP(UK) Part 2 Clinical Examination (PACES)Period of Eligibility and may attempt PACES as soon as the entry
criteria are satisfied (see Section 5.4).
6.7.5 There is a charge of 100.00 if a candidate requests that their
Examination is remarked. This charge is refundable if an error is
identified. (Please note that these arrangements are separate from an
Appeal against an Examination result and candidates cannot request
that a check be conducted as an outcome of an Appeal.) Candidatesmay also wish to refer to Section 23.
Note: Candidates are reminded that their Examination scripts are
held for one year only.
6.7.6 Candidates are asked to note that any allegation of academic or
professional misconduct that is sustained against a candidate is likely
to be reported to employers, sponsors and the relevant professionalbodies, such as the UK General Medical Council.
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6.8 Review of the Part 2 Written Examination by the MRCP(UK)Part 2 Examining Board
6.8.1 Results are released when the Chairman and Medical Secretary of the
MRCP(UK) Part 2 Examining Board are satisfied that the Examination
has been conducted appropriately and in accordance with the
procedures of the Royal Colleges of Physicians.
6.8.2 After every Examination, the MRCP(UK) Part 2 Examining Board
reviews the performance of each question and the Examination as a
whole.
6.9 MRCP(UK) Part 2 Clinical Examination (PACES) - Method ofAssessment
6.9.1 The MRCP(UK) Part 2 Clinical Examination (PACES) [Practical
Assessment of Clinical Examination Skills] is the clinical component
of the MRCP(UK) Examination and is separate from the MRCP(UK)
Part 2 Written Examination. On passing the MRCP(UK) Part 2 Clinical
Examination (PACES), candidates will be eligible to receive the award
of the MRCP(UK) Diploma, subject to meeting the necessary
administrative requirements detailed in Section 4.
6.9.2 An annual timetable is published detailing when the MRCP(UK) Part
2 Clinical Examination (PACES) will be conducted. There are three
points in the year (Main Assessment Points) when the MRCP(UK) Part
2 Clinical Examination (PACES) is scheduled to run (February/March,
June/July and October/November) and it is anticipated that most
candidates will be examined at these times.
6.9.3 The MRCP(UK) Part 2 Clinical Examination (PACES) is composed of fiveStations (three clinical and two talking), each assessed by two
independent examiners. Candidates will start at any one of the five
Stations, and then move round the carousel of Stations, at 20-minute
intervals, until the cycle has been completed. The Stations are:
Station 1 - Respiratory system examination (10 minutes)
- Abdominal system examination (10 minutes)
Station 2 - History taking skills (20 minutes)Station 3 - Cardiovascular system examination (10 minutes)
- Central nervous system examination (10 minutes)
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Station 4 - Communication skills and ethics (20 minutes)
Station 5 - Skin, locomotor, endocrine, eye examination (20 minutes)
The MRCP(UK) Part 2 Clinical Examination (PACES) lasts a total of120minutes (including breaks).
6.9.4 Fourteen marksheets in total will be completed by the examiners:
One by each examiner at Stations 2, 4 and 5 (total 6);
Two by each examiner at Stations 1 and 3 (total 8).
The overall marks awarded on all fourteen marksheets will determine
the candidates total overall MRCP(UK) Part 2 Clinical Examination(PACES) score.
6.9.5 All marks are recorded on a four point grading system and are
detailed on the MRCP(UK) Part 2 Clinical Examination (PACES) mark-
sheets. These are:
Clear fail Fail Pass Clear pass.
These grades are converted to a numeric value of1-4 (clear fail=1, fail=2,
pass=3, clear pass=4). Grade descriptors are provided to both examiners
and candidates in order to make the process of assessment transparent.
6.9.6 The MRCP(UK) Part 2 Clinical Examination (PACES) is marked out of a
total of 56 marks (being the maximum available from the fourteenmark-sheets). The nominal pass mark for the MRCP(UK) Part 2 Clinical
Examination (PACES) is 42. A candidate will automatically fail the
MRCP(UK) Part 2 Clinical Examination (PACES) if they are awarded
three clear failgrades (by three separate examiners) regardless of the
overall total achieved.
6.10 MRCP(UK) Part 2 Clinical Examination (PACES) - Regulations
6.10.1 Success or failure in the MRCP(UK) Clinical Examination (PACES) is
confirmed ultimately by the MRCP(UK) Clinical Examining Board. The
Board will decide whether a candidate should be awarded a Pass;
Fail; or Deferral (see Section 8 Glossary of terms).
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6.10.2 The MRCP(UK) Clinical Examining Board may adjust the pass mark for
all candidates in a particular cohort.The MRCP(UK) Clinical Examining
Board would need to be satisfied that the standards of the MRCP(UK)
would not be compromised by taking such action.
6.10.3 Success in the MRCP(UK) Examination overall is subject to the
candidate passing all components of the MRCP(UK) Examination as
stipulated in the MRCP(UK) Regulations, and completing the
necessary administrative arrangements for conferring the MRCP(UK)
Diploma which grants Membership of the Royal Colleges of
Physicians of the UK.
6.10.4 Aggressive or inconsiderate behaviour, either physical or verbal, to a
patient will result invariably in failure.
6.11 Poor performance in the MRCP(UK) Part 2 ClinicalExamination (PACES)
6.11.1 All doctors practising in the UK, including examiners and the Officers
of the Royal Colleges of Physicians, are governed by the principles
outlined by the UK General Medical Council in the publication Duties
of a Doctor. The Royal Colleges of Physicians acknowledge that some
good doctors may perform badly and aberrantly under examination
conditions. However, where there are genuine concerns that a
doctors fitness to practise is called into question by facts coming to
light during the course of the MRCP(UK) Part 2 Clinical Examination
(PACES), the Royal Colleges of Physicians are duty bound to inform
those to whom the candidate is contractually or professionally
responsible. In exceptional circumstances, where no such person canbe identified, there may have to be direct communication with the UK
General Medical Council or similar professional body.
6.11.2 The candidate concerned will be informed by letter whether their
performance in the MRCP(UK) Part 2 Clinical Examination (PACES)
constitutes poor performance that warrants referral to a sponsor,
employer, or professional body as outlined above. Reporting will
normally take place only for consistently poor performance inrepeated Clinical Examinations but, in exceptional circumstances, it
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may take place as a result of poor performance in a single
Examination.
6.11.3 Before the candidate may re-enter any part of the MRCP(UK)Examination, (or any Examination run under the auspices of any of
the three Royal Colleges of Physicians of the UK) written evidence
must be received from the sponsor, employer or professional body
confirming that remedial action has been taken.
6.11.4 It will be for the Chairman of the MRCP(UK) Clinical Examining Board
to confirm whether the evidence presented is satisfactory to warrant
re-entry to the MRCP(UK) Examination. The Chairman of theMRCP(UK) Clinical Examining Board will also be available to consider
any representations that the candidate may wish to submit.
6.12 Review of the MRCP(UK) Part 2 Clinical Examination (PACES)by the MRCP(UK) Clinical Examining Board
6.12.1 The MRCP(UK) Clinical Examining Board has overall responsibility for
policy and procedures relating to, and the organisation of, the
MRCP(UK) Part 2 Clinical Examination (PACES).
6.12.2 The MRCP(UK) Clinical Examining Board will consider reports from
Senior Examiners (and others as necessary) on the delivery of the
MRCP(UK) Part 2 Clinical Examination (PACES) at centres within and
outside the UK.
6.12.3 The MRCP(UK) Clinical Examining Board is responsible for confirming
the pass mark and success or failure in the Examination. Results arereleased only when the MRCP(UK) Clinical Examining Board is
satisfied that the MRCP(UK) Part 2 Clinical Examination (PACES) has
been conducted appropriately and in accordance with the procedures
of the Royal Colleges of Physicians.
6.12.4 After every Examination, the MRCP(UK) Clinical Examining Board will
review the whole Examination. To do so, it has before it statistical
analyses of each candidates performance, together with thecomments of the examiners. In the light of these analyses and
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opinions, the MRCP(UK) Clinical Examining Board may:
(a) Agree that the pass mark should be changed from 42:
(b) Make modifications to the structure and format of the MRCP(UK)
Part 2 Clinical Examination (PACES) that it deems desirable to
ensure the validity of the Examination.
6.13 Confidentiality and Copyright Statement
Question papers or any part of them or any individual questions must not be
copied or removed from the examination room. All MRCP(UK) Examination
questions are confidential and are copyrighted by the Royal Colleges of
Physicians. A candidate may not communicate any question or part of a
question to any other person. To do so would be a serious breach of
Copyright.
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7.1 MRCP(UK) Examination Procedures have been produced to regulate
specific MRCP(UK) policies and activities. These Procedures form an
integral part of the MRCP(UK) Examination Regulations.
7.2 The following Procedures have been approved:
(i) MRCP(UK) Examination: Conduct of Candidates
(This is set out in full in Section 9);
(ii) MRCP(UK) Examination: Academic and Professional Misconduct;
(iii) MRCP(UK) Examination: MRCP(UK) Appeals Procedure andguidance for candidates submitting an Appeal.
7.3 Full details of the Academic and Professional Misconduct Procedure and
the Appeals Procedure are held by MRCP(UK) Central Office. These will be
issued on request.
7. EXAMINATION PROCEDURES
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This glossary aims to define some of the terms used in the Regulations,
though the glossary does not itself have the status of a Regulation.
AppealsA candidate may appeal against an assessment decision. A candidate may
not appeal until the Examination result has been communicated to them
formally. The grounds for appeal are stated in the MRCP(UK) Appeals
Procedure (Schedule 3). A candidate who is dissatisfied with other aspects of
assessment (for example, with the administrative processes) may make a
general complaint, but this will not meet the criteria for appeal.
Deferral
Deferral is a decision made by the relevant MRCP(UK) Examining Board on
grounds of mitigating circumstances (see below). A candidate allowed
deferral will have their attempt expunged and may repeat the relevant
MRCP(UK) Examination without losing an attempt. An extension to the
MRCP(UK) Part 2 Clinical Examination (PACES) Registration Period of
Eligibility may also be added at the discretion of the MRCP(UK) Clinical
Examining Board.
Fail in the MRCP(UK)
A candidate not achieving the pass mark in the MRCP(UK) Part 1 Examination
or the MRCP(UK) Part 2 Written Examination will be deemed to have failed
the Examination.
The MRCP(UK) Part 2 Clinical Examination (PACES) may be failed in the
following ways:
(i) The candidate may not achieve the pass mark.
Note: The candidate may not achieve the pass mark but is permitted a
further attempt in accordance with the Regulations governing the
MRCP(UK) Part 2 Clinical Examination (PACES);
(ii) A candidate will automatically fail the MRCP(UK) Part 2 Clinical
Examination (PACES) if they are awarded three clear failgrades (by threeseparate examiners) regardless of the overall total achieved.
8. GLOSSARY OF TERMS
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(iii) A candidate who has failed the MRCP(UK) Part 2 Clinical Examination
(PACES) after three attempts during the MRCP(UK) Part 2 Clinical
Examination (PACES) Period of Eligibility, or the period itself has expired,
will be deemed to have failed the MRCP(UK) Part 2 Clinical Examination(PACES) and will be required to sit again either the MRCP(UK) Part 1
Examination or the MRCP(UK) Part 2 Written Examination.
(iv) A candidate may fail the MRCP(UK) Part 2 Clinical Examination (PACES) at
their first or second attempt and be deemed by the MRCP(UK) Clinical
Examining Board to require more clinical experience before
re-attempting the MRCP(UK) Part 2 Clinical Examination (PACES).
Main Assessment Point
The MRCP(UK) Part 2 Clinical Examination (PACES) will normally take place
during three two week periods within any given year. These will be referred
to as the Main Assessment Points.
Misconduct
Academic or professional misconduct is an attempt by a candidate, or anattempt to aid a candidate, to gain an unfair advantage in an assessment or
in application for the MRCP(UK) by deception or by fraudulent means.
Candidates are advised to read Section 9: Conduct of candidates.
Mitigating circumstances
Mitigating circumstances are circumstances outside a candidates control,
where the candidate has provided documentary evidence, and which the
relevant Examining Board has accepted as a valid reason for poorperformance or non-completion of that part of the Examination.
MRCP(UK) Part 2 Examination Registration Period
The MRCP(UK) Part 2 Examination Registration Period means that a
candidate has commenced a seven year period when they are eligible to take
the MRCP(UK) Part 2 Written Examination. The MRCP(UK) Part 2 Registration
Period begins when success in the MRCP(UK) Part 1 Examination has been
confirmed. The maximum period of the MRCP(UK) Part 2 Registration Periodis seven years.
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MRCP(UK) Part 2 Written Examination - Pass
A Pass in The MRCP(UK) Part 2 Written Examination, allowing progress to the
MRCP(UK) Part 2 Clinical Examination (PACES), will be valid for a period of no
more than two years.
MRCP(UK) Part 2 Clinical Examination (PACES) Registration Periodof Eligibility
The MRCP(UK) Part 2 Clinical Examination (PACES) Registration Period of
Eligibility forms part of the MRCP(UK) Part 2 Examination Registration Period
and means that a candidate has commenced the period when they are
eligible to take the MRCP(UK) Part 2 Clinical Examination (PACES). The
MRCP(UK) Part 2 Clinical Examination (PACES) Registration Period of
Eligibility begins when success at the MRCP(UK) Part 2 Written Examination
has been achieved. However, candidates may not proceed to take the
MRCP(UK) Part 2 Clinical Examination (PACES) until a minimum period of
training of two and a half years from the date of graduation given on their
diploma of medical qualification has been completed. The maximum length
of the MRCP(UK) Part 2 Clinical Examination (PACES) Registration Period of
Eligibility is two years.
No-show for the MRCP(UK) Part 2 Clinical Examination (PACES)
The demand for the MRCP(UK) Part 2 Clinical Examination (PACES) is very high
and, as a consequence, some candidates may be unable to take the MRCP(UK)
Part 2 Clinical Examination (PACES) even if they apply before the closing date.
Unless there are mitigating circumstances, the MRCP(UK) Policy Committee
has agreed that candidates who fail to notify the Colleges within three weeks
of the published date (the first day) of the UK PACES will be classed as a No-
show and will use up one of their three attempts (see Sections 19.6 and 19.7).
Pass
A pass is awarded when a candidate has successfully completed a
component of the MRCP(UK) Examination. The three components are:
MRCP(UK) Part 1 Examination
MRCP(UK) Part 2 Written Examination
MRCP(UK) Part 2 Clinical Examination (PACES)
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9.1 Examination Procedure: Preliminary information
9.1.1 Candidates presenting themselves for the MRCP(UK) Examinationmust have complied fully with all admission requirements, including
the payment of fees.
9.1.2 Candidates are warned that any breach of MRCP(UK) Examination
Rules and Regulations will result in severe penalties, including the risk
that the relevant Examining Board may permanently debar the
candidate from taking any further Examinations.
9.1.3 Any infringement of these Regulations may be reported to the Head
of the MRCP(UK) Central Office for consideration in accordance with
the MRCP(UK) Procedures on Academic or Professional Misconduct.
9.1.4 The MRCP(UK) Examination Rules set out below apply to all parts of
the MRCP(UK) Examination.
9.2Before the MRCP(UK) Part
1and Part
2Written Examinations
9.2.1 Candidates should assemble outside the examination hall at least
thirty minutes before the commencement of the Examination and
should not enter until instructed by the invigilator(s).
9.2.2 Candidates will not be admitted unless they produce suitable
identification in addition to the Admission Document. This would
normally be a passport. Where candidates do not possess one, some
other form of identification may be acceptable, providing that itincludes both the photograph and signature of the candidate
concerned. Admission to the Examination will be at the discretion of
the invigilator(s).
9.2.3 Candidates must not bring into the examination hall any papers,
bags, calculators, mobile phones, pagers (or any electronic audio or
communication device), textbooks or documents or items of any kind
other than those specifically allowed for that particular Examinationand previously notified to them. The use of calculators, mobile
phones, pagers, personal stereos or electronic wrist watches or any
9 . MRCP(UK) EXAMINATION: CONDUCT OFCANDIDATES
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other such device that is either audible or can be used for
communication is strictly forbidden.
9.2.4 Where Examination halls do not have secure areas to store personalitems; coats, bags or other item(s) brought into the examination hall
should be deposited as directed by the invigilator(s). Electronic items
must be deactivated and placed away from the candidates desk.
9.2.5 With prior approval, candidates may bring into the examination hall
aids which will enable them to remedy a disability e.g. of sight and/or
hearing.
9.2.6 If a candidate has unwittingly brought any unauthorised paper or
item into the examination hall, this should be handed to the
invigilator(s) before the Examination commences or at the earliest
possible opportunity thereafter.
9.2.7 Candidates who infringe the Examination Rules or who are found
during the Examination in possession of unauthorised devices will be
reported to the Head of the MRCP(UK) Central Office.
9.2.8 Smoking is not permitted in any part of the MRCP(UK) Examination.
9.3 During the MRCP(UK) Part 1 or Part 2 Written Examinations
9.3.1 Candidates will not be admitted to either Paper of the Examination if
they arrive after the Examination has started, other than
exceptionally with the express permission of the invigilator(s).
9.3.2 Candidates must not commence reading or completing the
Examination questions until the start of the Examination is
announced by the invigilator(s).
9.3.3 Candidates may use only the stationery approved by the Royal
Colleges of Physicians. Any rough work must be completed on the
approved stationery and handed in with the completed papers.
9.3.4 Candidates will comply with all instructions given to them by
invigilator(s). Such instructions may include the instruction to leave
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the examination hall and not to return during the period of the
Examination. It is the duty of a candidate to comply with an
invigilators instruction notwithstanding that they may judge the
instruction to be unreasonable (there is the right of appeal if acandidate considers the invigilator has not acted in accordance with
these Regulations). Candidates who fail to follow the invigilators
instructions will be reported to the Head of the MRCP(UK) Central
Office.
9.3.5 Whilst in the examination hall a candidate must not attempt to read
the work of any other candidate or communicate in any way with any
other candidate without the express permission of the invigilator.Candidates who infringe the Examination Rules or who are found
during the Examination in possession of unauthorised material will
be reported to the Head of the MRCP(UK) Central Office. Any
unauthorised material will be confiscated.
9.3.6 Where an invigilator suspects a candidate/candidates of infringing
MRCP(UK) Examination Regulations/examination hall rules he/she
shall:
(a) Confiscate any unauthorised material in the possession of the
candidate;
(b) Endorse the front cover of the candidates script with a note of
the time when the alleged infringement was discovered. In cases
of suspected collusion, invigilators should endorse the script of
each candidate suspected of being involved. Wherever possiblean invigilator should require another invigilator to act as witness
by countersigning the endorsement;
(c) Allow the candidate(s) in question to continue the Examination
(see Note below);
(d) Inform the candidate(s) in question at the end of the Examination
that a written report of the incident will be submitted to theHead of the MRCP(UK) Central Office.
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(e) Prepare within three working days a written report on the alleged
incident and send it with any confiscated materials to the
MRCP(UK) Central Office.
9.3.7 Any invigilator or examiner present is empowered to refuse to allow
a candidate to continue with the Examination on grounds of
misconduct. Ejection from the examination hall should normally take
place only in the event of a candidates conduct causing disruption to
other candidates (see also Section 9.4.2).
9.3.8 Candidates who wish to attract the attention of the invigilator(s)
during the Examination should do so by raising a hand.
9.3.9 Candidates should bring to the attention of the invigilator any factor
(e.g. distracting noise) that is adversely affecting them during the
Examination.Where necessary they should communicate the same in
writing to Head of the MRCP(UK) Central Office immediately
following the Examination concerned.
9.3.10 Once admitted to each part of the Examination, candidates must stayfor the full duration of each Paper. Candidates may not leave the
examination hall as a result of finishing the Examination Paper early.
These who attempt to do so will be deemed to have breached the
Examination Regulations and will be reported to the Head of the
MRCP(UK) Central Office.
9.3.11 Candidates must not leave the examination hall temporarily, for
example to use the toilet, during the Examination, unless given theexpress permission by the invigilator(s) to do so. If such permission is
given, they must not attempt to contact any other person or consult
any material relating to the Examination whilst outside the
examination hall. They should report to the invigilator(s) on returning
to the examination hall. Failure to report on returning will be
reported to the Head of the MRCP(UK) Central Office.
9.3.12 Candidates may not temporarily leave the examination hall duringthe first hour of either Paper or in the ten minutes before the
scheduled end of each Paper. Any candidate attempting to leave the
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examination hall during these periods will be deemed to have
breached the Examination Regulations.The matter will be reported to
the Head of the MRCP(UK) Central Office.
9.3.13 Candidates who leave the examination hall during the period of the
Examination, without the express permission of the invigilator, will
be deemed to have breached the Examination Regulations. The
matter will be reported to the Head of the MRCP(UK) Central Office.
9.4 During the MRCP(UK) Part 2 Clinical Examination (PACES)
9.4.1 Where an examiner considers a candidate is acting in an
unprofessional or inappropriate manner during the MRCP(UK) Part 2
Clinical Examination (PACES) they shall:
(a) Ask the candidate to stop that particular part of the MRCP(UK)
Part 2 Clinical Examination (PACES);
(b) Endorse the candidates clinical mark sheet with a note of the
time when the alleged infringement occurred and request their
co-examiner to act as witness by countersigning theendorsement;
(c) Decide whether the candidate in question may continue with the
MRCP(UK) Part 2 Clinical Examination (PACES) (see 9.4.2 below);
(d) Inform the candidate in question at the end of the MRCP(UK) Part
2 Clinical Examination (PACES), that a written report of the
incident will be submitted to the Head of the MRCP(UK) CentralOffice;
(e) Prepare within three working days a written report on the alleged
incident and send it with any confiscated materials to the
MRCP(UK) Central Office.
9.4.2 A candidate will be prevented from proceeding with the MRCP(UK)
Part 2 Clinical Examination (PACES) if it is the examiners view that
his/her conduct is likely to endanger the safety of patients, cause
distress or disrupt other candidates.
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9.5 After the MRCP(UK) Part 1 or Part 2 Written Examinations
9.5.1 Candidates should stop writing when instructed to do so and remain
in their seats in silence whilst papers, empty answer books,
continuation sheets or other papers are collected. Candidates who fail
to follow the invigilators instructions will be reported to the Head of
the MRCP(UK) Central Office.
9.5.2 Candidates should not remove from the examination hall any papers
or examination materials.
9.5.3 When authorised to do so by the invigilator(s), candidates should
leave the examination hall in an orderly manner.
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10.1 Transfer of the MRCP(UK) Part 1 Examination (Paediatric option) to
the Royal College of Paediatrics and Child Health (RCPCH)
10.1.1 Since May 1999 (the 1999/2 Examination), the Federation of RoyalColleges of Physicians has no longer offered the MRCP(UK) Part 1
Examination (Paediatric option). In its place, the Royal College of
Paediatrics and Child Health now offers the MRCPCH Part 1
Examination. All candidates wishing to pursue this qualification
must address their applications and queries to:
The Examinations Administrator
Royal College of Paediatrics and Child Health50 Hallam Street
London WIW 6DE
Tel: +44 207 307 5600
Fax: +44 207 307 5601
10.2 Joint MRCP(UK) Part 2 Examination (Paediatrics)/MRCPCH
Part 2 Examination
10.2.1 Detailed information for candidates on the joint MRCP(UK) Part 2
Examination (Paediatrics)/MRCPCH Part 2 Examination is published
separately and may be obtained from either:
MRCP(UK) Central Office
11 St Andrews Place
London NW1 4LE
Tel: +44 207 935 1174Fax: +44 207 487 2628
http://www.mrcpuk.org
The Examinations Administrator
Royal College of Paediatrics and Child Health
50 Hallam Street
London WIW 6DE
Tel: +44 207 307 5600Fax: +44 207 307 5601
10. INFORMATION FOR PAEDIATRIC CANDIDATES
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10.2.2 Until the 2003/3 diet a joint MRCP(UK) Part 2 Examination
(Paediatrics)/MRCPCH Part 2 Examination is offered. However, not all
paediatric candidates are eligible for the choice of award. Candidates
who passed the MRCPCH Part1 Examination in May1999 (the 1999/2
Examination) or in subsequent diets cannot enter the MRCP(UK) Part2
Examination.
10.2.3 Table 1 sets out the various award options that candidates are now
eligible to receive.
10.2.4 Candidates are asked to note that the time available to sit the
MRCP(UK) Part 2 Examination (Paediatrics) will reduce progressively,
ceasing to be available after the end of 2003, due to the transfer of
responsibility for the Examination to the Royal College of Paediatrics
and Child Health.
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Table 1: Entry to the MRCP(UK) Part 2 Examination, MRCP(UK) Part 2 Examination
(Paediatrics) and MRCPCH Part 2 Examination
Examination passed Diet Eligibility Entry to Part 2
MRCP(UK) Part 1 1999/1 or earlier MRCP(UK) The MRCP(UK)
Examination (General MRCPCH Part 2 Examination
Medicine or (Paediatrics) can be
Paediatric option) sat until 2003/3
MRCP(UK) Part 1 1999/1 or earlier MRCP(UK) MRCP(UK) Part 2
Examination (General Examination
Medicine or (General Medicine)
Paediatric option)
MRCP(UK) Part 1 1999/2 onwards MRCP(UK) MRCP(UK) Part 2
Examination Examination
(General Medicine)
MRCP(UK) Part 1 1999/2 onwards MRCPCH MRCPCH Part 2
Examination Examination
(RCPCH grants
exemption from
the MRCPCH Part 1
Examination)
MRCPCH Part 1 1999/2 onwards Not eligible No exemption
Examination for MRCP(UK) granted by RCPs
MRCPCH Part 1 1999/2 onwards MRCPCH MRCPCH Part 2
Examination Examination
MRCPI Part 1 1995 onwards MRCPCH MRCPCH Part 2
Examination Examination
MRCPI Part 1 Anytime Not eligible No exemption
Examination for MRCP(UK) granted by RCPs
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11.1 The new format MRCP(UK) Part 1 and Part 2 Written Examinationswere introduced in May 2002 and July 2002 respectively. Both
Examinations are marked by machine-reader.
11.2 Candidates indicate their answers to the questions by completing
answer sheets, which are machine-read by an optical mark reader
(OMR). The output from the OMR is processed by computer and
marks are allocated according to the candidates responses, scores are
calculated and statistical data are derived relating to individualquestions: this information is produced in printed form for the
MRCP(UK) Part 1 and Part 2 Examining Boards.
11.3 As the completed answer sheets are computer marked, candidates
must comply fully with the instructions given on each answer sheet,
otherwise answer sheets may be rejected by the machine or your
intention misinterpreted.
11.4 You should use only the pencil (Grade 2B) supplied in the
Examination. Answers in ink or a different grade of pencil cannot be
read by the optical mark reader.
11.5 First of all identify yourself - write your family name and initials in the
boxes provided. Next, complete your examination number using the
appropriate rectangles.
11.6 The answer sheet for the MRCP(UK) Part 1 Paper One in January
2003 will contain a row of boxes for each question. Each box refers to
a single item and is numbered accordingly (i.e. 1A, 1B, 1C etc.). In each
box there are two rectangles labelled T (= True) and F (= False). You
should indicate whether you think a particular item is True or False
by pencilling in the appropriate rectangle. If you do not know the
answer, you should guess or leave it blank (there is no negative
marking).
11. MRCP(UK) PART 1 EXAMINATION AND PART2 WRITTEN EXAMINATION HOW TO COMPLETETHE ANSWER SHEETS
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11.7 The answer sheet for the MRCP(UK) Part 1 Paper 2 Examination in
January 2003 will contain a row of five rectangles for each question.
You should indicate the single correct answer, in accordance with the
instructions given on the Examination Paper.
11.8 The answer sheets for the MRCP(UK) Part 1 Examination for May and
September 2003 (both Papers) will contain a row of five rectangles for
each question. You should indicate the single correct answer, in
accordance with the instructions given on the Examination Papers.
11.9 The answer sheets for the MRCP(UK) Part 2 Written Examination will
contain a row of rectangles for each question. You should indicate thecorrect answer(s), in accordance with the instructions given on the
Examination Papers.
11.10 You may erase an answer by using the rubber provided. To avoid too
many erasures on the answer sheet, you may if you wish indicate your
choices in the question book in the first instance, before transferring
them to the answer sheet. Remember to allow sufficient time to do
so, as additional time will not be allowed.
11.11 Do not fold or crease your answer sheet.
11.12 It is important that you fully understand how to complete the answer
sheet before you sit the Examination. Full advice is given on the
MRCP(UK) web site.
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12.1 Multiple choice questions are the most reliable, reproducible and
internally consistent method known of testing a knowledge of facts.However, good MCQs will not only test recall of factual knowledge,
but will also test powers of judgement and discrimination, as well as
the ability to reason. Careful thought and the intelligent use of a
sound knowledge of basic principles will often be more rewarding,
therefore, than plain memory work.
12.2 The only certain way you will pass the Examination is for you to know
the answers to all the questions, but it is also important that you are
able to communicate your knowledge accurately through the
medium of the answer sheet. This should pose no problems,provided
that you understand the form of the questions and follow certain
specific and simple instructions. Nevertheless, some candidates
suffer from an inability to obey these instructions precisely, to read
and understand the questions, or to organise their time.
12.3 You must study the question (both stem and items) carefully and be
clear that you understand exactly what is being asked. It should be
remembered that each item is independent of every other item in the
question; each refers to a single quantum of knowledge.
12.4 It has sometimes been suggested that you should begin by going
quickly through the whole paper, marking the answers to the items
about which you are certain. The other alternative is for you to work
steadily through the paper, completing each question before going
on to the next. The former method has the advantage of getting
marks in the bank and avoids the possibility that questions may
remain unattempted at the end of the Examination. This method also
allows more time to think about items left unanswered the first time
round. The main disadvantage is that it requires considerable
concentration and mental agility to consider so many different topics
in rapid succession.
12. ADVICE ON ANSWERING MULTIPLE-CHOICEQUESTIONS (MCQS) IN THE MRCP(UK)
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13.1 The MRCP(UK) Part 2 Clinical Examination (PACES) is now separate
from the MRCP(UK) Part 2 Written Examination.
13.2 An annual timetable is published detailing when the MRCP(UK) Part
2 Clinical Examination (PACES) will be conducted. However, there are
three Main Assessment Points in the year when the MRCP(UK) Part 2
Clinical Examination (PACES) is scheduled to run (February/March,
June/July and October/November) and it is anticipated that most
candidates will be examined at these times.
13.3 The MRCP(UK) Part 2 Clinical Examination (PACES) is composed of five
Stations, each assessed by two independent examiners. Candidates
will start at any one of the five Stations, and then move round the
carousel of Stations, at 20-minute intervals, until the cycle has been
completed. The Stations are:
Station 1 - Respiratory system examination (10 minutes)
- Abdominal system examination (10 minutes)
Station 2 - History taking skills (20 minutes)Station 3 - Cardiovascular system examination (10 minutes)
- Central nervous system examination (10 minutes)
Station 4 - Communication skills and ethics (20 minutes)
Station 5 - Skin, locomotor, endocrine, eye examination (20 minutes)
The MRCP(UK) Part 2 Clinical Examination (PACES) lasts a total of120
minutes (including breaks).
13.4 A candidate will receive 14 structured mark-sheets prior to the start of
the MRCP(UK) Part 2 Clinical Examination (PACES). One sheet is given
to each examiner at Stations 2, 4 and 5 and two sheets are given to
each examiner at Stations 1 and 3. The candidate will have completed
their personal details immediately prior to the examination and will
then hand the appropriate sheets to the examiners at each station.
The examiners are required to record their mark for each candidate on
the marksheet independently and without consultation. No examinerwill have any knowledge of the marks given elsewhere in the
Examination.
13. MRCP(UK) PART 2 CLINICAL EXAMINATION(PACES)
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13.5 At Stations 1 and 3 (each having two sub-stations lasting 10 minutes
each) the timekeeper will sound a bell to announce the
commencement of the assessment at the Station. One examiner will
take the candidate into the Station and give the candidate writteninstructions for the first of the two cases. The candidate will respond
to the written instructions. The response will involve the
examination of the appropriate system and questions from the
examiners that may include management of the clinical problem.
Examiners will inform the candidate when five minutes have passed
at each sub-station and suggest that the candidate complete the
clinical assessment of the case.
13.6 After ten minutes the timekeeper will signal the end of the
substation. The examiners and the candidate must then stop.
13.7 The candidate will then receive written instructions from the second
examiner for the second case and examination at the second
substation will commence and follow the same procedure as the first
sub-station.
13.8 After a second period of ten minutes, a bell will sound to signal the
end of the Examination at the Station. The examiners and candidate
must then stop. The candidate will leave the station and be directed
to the next Station. A period of five minutes has been allowed for this
changeover and for the examiners to complete the mark-sheets.
13.9 At Station 5, which lasts 20 minutes, the timekeeper will sound a bell
to announce the commencement of the Station. One examiner willtake the candidate into the Station and give the candidate written
instructions for the first case. The candidate will respond to the
written instructions. The response will usually involve the
examination of the appropriate system and may include questions
that arise from the examination. The examiners may also ask
questions about the investigation and management of the clinical
problem. The same procedure as outlined above will be adopted for
the other three cases at Station 5. Each of the four cases will lastapproximately five minutes.
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13.10 After twenty minutes a bell will sound to signal the end of the
Examination at Station 5. The examiners and candidate must then
stop. The candidate will leave the Station and be directed to the next
Station. A period of five minutes has been allowed for thischangeover and for the examiners to complete the mark-sheets.
13.11 At Stations 2 and 4, each lasting 20 minutes, the candidate will be
given a GP letter/scenario to read outside the Station in the period
(approximately five minutes) prior to commencement of the Station.
Rough paper will be provided for note-taking (these notes will not
form part of the examination and will be destroyed afterwards). The
timekeeper will sound a bell to announce the commencement of theStation. One examiner will take the candidate into the station.
13.12 The interview will involve interaction between the candidate and the
patient/subject appropriate to the Station.
13.13 The timekeeper will indicate when 14 minutes have elapsed. The
patient/subject will then leave the Station. The candidate will be
given one minute for reflection, or further notes, and will then beinvited to summarise and discuss important features of the history
(Station 2) or interaction with the patient/subject (Station 4).
13.14 If a candidate completes the examination at any Station before the
end of the prescribed period, he/she must remain at the Station; this
could mean a period of silence.
13.15 Fourteen marksheets in total will be completed by the examiners:
One by each examiner at Stations 2, 4 and 5 (total 6);
Two by each examiner at Stations 1 and 3 (total 8).
The marks awarded on all fourteen marksheets will determine the
candidates overall MRCP(UK) Part 2 Clinical Examination (PACES)
score.
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13.16 All marks are recorded on a four point grading system and are
detailed on the MRCP(UK) Part 2 Clinical Examination (PACES) mark-
sheet. These are:
Clear fail Fail Pass Clear pass
These grades will be converted to a numeric value of1-4 (clear fail=1,
fail=2, pass=3, clear pass=4). Grade descriptors will be provided to
both examiners and candidates in order to make the process ofassessment transparent.
13.17 The MRCP(UK) Part 2 Clinical Examination (PACES) is marked out of a
total of56 marks (being the maximum available from the fourteen
mark-sheets). The nominal pass mark for the MRCP(UK) Part 2 Clinical
Examination (PACES) is 42. A candidate will not pass the MRCP(UK)
Part 2 Clinical Examination (PACES) if they are awarded three clear
fail grades (by three separate examiners) regardless of the overalltotal achieved.
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14.6 Candidates are advised to note that the MRCP(UK) Part 2 Written
Examination is valid for a limited period. In order to make full use of
the MRCP(UK) Part 2 Clinical Examination (PACES) Period of Eligibility
candidates may well need to consider taking the MRCP(UK) Part 2Written at a time when they are nearing the completion of the
minimum period of training of two-and-a-half years.
14.7 If a candidate considers they have been unreasonably denied the full
MRCP(UK) Part 2 Clinical Examination (PACES) Period of Eligibility,
they should contact the MRCP(UK) Central Office and provide
documentary evidence to this effect. In exceptional circumstances it
may be agreed to extend the MRCP(UK) Part 2 Clinical Examination(PACES) Period of Eligibility to the next Main Assessment Point if the
candidate has been unable to use the full three attempts permitted
within that particular MRCP(UK) Part 2 Clinical Examination (PACES)
Period of Eligibility.
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15. MRCP(UK): PROGRESS TO THE MRCP(UK)DIPLOMA
18 months after graduation
PASSFail
PASSFail
PASSFail
MRCP(UK) Part 1Examination
MRCP(UK) Diploma
MRCP(UK) Part 2Written Examination
MRCP(UK) Part 2 ClinicalExamination (PACES)
UnlimitedAttempts
Unlimited attemptswithin seven years
Unsuccessful, seven years after passin MRCP(UK) Part1 Examination
After two years or three failures
Exemption fromMRCP(UK)Part 1
Examination(per Regulations)
PACES Period of Eligibility:
21/2 years after graduation Plus required experience Allows three attempts over
two years
Unsuccessfulafter seven years
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16.1 Admission to the MRCP(UK) Examination
16.1.2 Candidates will be admitted to the Examination in their full name as
given on their original medical registration certificates or diplomas of
medical qualification or official translations of their diplomas or as in
the current edition of the Medical Register of the General Medical
Council of the United Kingdom.
16.1.3 Entries will NOT be accepted if there is any discrepancy in the spelling,
order or number of names given, and candidates must retain the
same surname/family name in any further applications.
16.1.4 It is the candidates responsibility to clear up such discrepancies,
including the use of initials, by obtaining a statement from the
issuing authority certifying that the candidate, in his or her full and
correct name, is the same person as that named on the diploma.
16.1.5 Candidates who change their names by marriage or deed poll must
submit the original documentary proof of this if they wish to be
admitted to the Ex