MRCP PACES

PACES Exam

The MRCP Part 2 Clinical Examination, also known as Practical Assessment of Clinical Examination Skills (PACES), is a test designed to evaluate the clinical knowledge and skills of trainee doctors who wish to enter higher specialist training, i.e. ST3. To be eligible to take PACES, you must have passed the MRCP Part 1 written exam within the last 7 years. The exam is designed to set rigorous standards to ensure that you are competent in a range of skills and capable of providing patients with a high standard of care.

During the exam, you will be assessed on your ability to carry out essential clinical skills. There are five clinical stations where you will encounter either actual patients with a given condition or trained stand-ins (surrogates). At each station, two independent examiners will observe and evaluate your performance.

PACES Exam Application date

Refer below table for Application date for diets of 2024

Dates Applications open Applications close Assessment Period
2024/01 09-Oct-23 16-Oct-23 Jan – Mar
2024/02 19-Feb-24 26-Feb-24 Early Jun –Aug
2024/03 17-Jun-24 24-Jun-24 Sept – early Dec

MRCP PACES Exam Cost

Application Fee for PACES Exam Ranging from £1,202 to £1,278

PACES exam centre in India

There are 9 Centres in India for PACE Exam, highest among all the countries except UK

Bengaluru
- 2024/01 2024/02 2024/03
Application period 9 - 16 Oct 2023 Centre not running in this assessment period 17 - 24 Jun 2024
Exam dates 29 Feb - 2 Mar 2024 24- 26 Oct 2024
Admission doc 26 Jan 2024 28 Sept 2024
Chennai
- 2024/01 2024/02 2024/03
Application period 9 - 16 Oct 2023 Centre not running in this assessment period 17 - 24 Jun 2024
Exam dates 18- 22 Mar 2024 21- 25 Oct 2024
Admission doc 20 Feb 2024 25 Sept 2024
Hyderabad
- 2024/01 2024/02 2024/03
Application period 9 - 16 Oct 2023 19 - 26 Feb2024 TBC
Exam dates 15- 17 Mar 2024 12- 14 Jul2024 -
Admission doc 18 Feb 2024 15-Jun-24 -
Kochi
- 2024/01 2024/02 2024/03
Application period 9 - 16 Oct 2023 Centre not running in this assessment period TBC
Exam dates 22 - 24 Feb 2024 -
Admission doc 20 Feb 2024 -
Kolkata
- 2024/01 2024/02 2024/03
Application period 9 - 16 Oct 2023 Centre not running in this assessment period TBC
Exam dates 5 - 7 Apr 2024 -
Admission doc 8 Mar 2024 -
New Delhi
- 2024/01 2024/02 2024/03
Application period 9 - 16 Oct 2023 Centre not running in this assessment period TBC
Exam dates 28 - 31 Mar 2024 -
Admission doc 29 Feb 2024 -
Pondicherry
- 2024/01 2024/02 2024/03
Application period 9 - 16 Oct 2023 19 - 26 Feb 2024 TBC
Exam dates 8 - 10 Feb 2024 8 - 10 Aug 2024 -
Admission doc 10 Jan 2024 10-Jul-24 -
Pune
- 2024/01 2024/02 2024/03
Application period 9 - 16 Oct 2023 Centre not running in this assessment period TBC
Exam dates 15- 17 Mar 2024 -
Admission doc 18 Mar 2024 -
Thiruvananthapuram
- 2024/01 2024/02 2024/03
Application period Centre not running in this assessment period 19 - 26 Feb 2024 17- 24 Jun 2024
Exam dates 5- 8 Jun 2024 27 - 30 Nov 2023
Admission doc 8 May 2024 30 Oct 2024

PACES Exam Format

PACES Exam Format

The new format of the PACES exam has introduced from the third Diet of 2023.

  • Half-day examination
  • Takes place in a hospital or clinical skills centre
  • You have been Assessed for seven core skills
  • There will be Eight patient interaction
  • Assessed by two independent examiners
  • You will be evaluated at all five clinical stations
  • You can begin with any of the stations and move to the next station every 20 minutes till you have complete all 5 Stations. You can take 5 min break after completing every station. Totaltime is 125 minutes (including 5 minutes between each station)

Carousel of PACES stations

Carousel of PACES stations

Skills Assessed in PACES Exam

Below are 7 Core skills during the PACES Clinical interaction

Clinical Skill Skill Descriptor
A Physical Examination
B Identifying Physical Signs
C Clinical Communication
D Differential Diagnosis
E Clinical Judgement
F Managing Patients' Concerns
G Maintaining Patient Welfare

Different numbers and combinations of skills are assessed at each encounter, as per the table below:

Station Encounter Skills Assessed
1 Communication C:E:F:G
Respiratory examination A:B:D:E:G
2 Consultation All seven
3 Cardiovascular examination A:B:D:E:G
Nervous System examination A:B:D:E:G
4 Communication C:E:F:G
Abdominal examination A:B:D:E:G
5 Consultation All seven

Patient encounters

An encounter is an interaction with a patient or dummy. Stations 2 and 5 involve one encounter, whereas stations 1, 3 and 4 have two encounters. There are therefore a total of eight encounters throughout the exam organised into stations:

Station Encounter Duration of encounter Download sample scenarios Interaction
1 Communication 10 minutes - 2 patient
Respiratory examination 10 minutes -
2 Consultation 20 minutes Example Consultation scenarios 1 patient
3 Cardiovascular examination 10 minutes - 2 patient
Neurological examination 10 minutes -
4 Communication 10 minutes Example communication scenarios 2 patient
Abdominal examination 10 minutes -
5 Consultation 20 minutes Example Consultation scenarios 1 patient
  Total time 100 minutes - -

Marking Scheme

You will be assessed by ten examiners, two at each of the stations. For each of the eight encounters they will complete a mark sheet assessing a combination of skills.

Satisfactory 2 marks
Borderline 1 mark
Unsatisfactory 0 marks

Examiners will review the patients at all 5 stations to establish the criteria for a satisfactory grade. This is known as calibration. You need to pass each clinical station separately.

PACE Results

Candidate can check their detailed results under ' My MRCPUK accounts – usual time for result declaration takes 3 weeks for UK centres whereas for International centres it is between 4 to 6 weeks after the last exam in the respective centre.