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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

    I

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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

    IV

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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.

    8

    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

    13

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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.

    36

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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.

    46

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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