Guide To The 2024 Mrcp Paces Exam Format

Mrcp Paces Exam Format

Are you preparing to take the MRCP PACES exam in 2024? If so, it’s essential to understand the exam format and how to best prepare for success. In this guide, we will break down the key components of the exam, provide tips for studying effectively, and offer advice on how to approach each station with confidence.

What is the MRCP PACES exam?

The MRCP PACES exam is a practical assessment of clinical examination skills, communication, and professionalism. It consists of five stations, each focusing on a different aspect of patient care. Candidates are expected to demonstrate their ability to perform a thorough physical examination. Communicate effectively with patients and colleagues, and make appropriate clinical decisions.

Understanding the exam format

The MRCP PACES exam is divided into five stations, each lasting approximately 20 minutes. The stations are:

  1. Station 1: Respiratory
  2. Station 2: Abdominal
  3. Station 3: Cardiovascular
  4. Station 4: History Taking
  5. Station 5: Communication Skills
  1. Station 1 – Respiratory and Abdominal Examination: In this station, you will be asked to perform a focused examination of the respiratory and abdominal systems on a simulated patient.
  2. Station 2 – History Taking: You will be required to take a focused history from a patient, including presenting complaints, past medical history, and social history.
  3. Station 3 – Cardiovascular and Neurological Examination: This station focuses on the examination of the cardiovascular and neurological systems.
  4. Station 4 – Communication Skills and Ethics: In this station, you will be assessed on your ability to communicate effectively with patients, relatives, and colleagues, as well as your knowledge of ethical principles.
  5. Station 5 – Integrated Clinical Assessment: The final station involves the interpretation of clinical data, making a diagnosis, and formulating a management plan.

    Each station is designed to test specific competencies, and candidates will rotate through each station during the exam. It is essential to familiarize yourself with the content and format of each station to ensure you are fully prepared on exam day.

Tips for preparing for the exam

  1. Start early: Give yourself plenty of time to study and practice for each station.
  2. Use practice materials: Utilize practice cases, online resources, and mock exams to familiarize yourself with the exam format.
  3. Focus on communication: Effective communication is key to success in the MRCP PACES exam. Practice talking to patients and colleagues in a clear and empathetic manner.
  4. Work on time management: Each station is timed, so practice pacing yourself to ensure you can complete all tasks within the allocated time.
  5. Seek feedback: Take advantage of feedback from tutors, colleagues, and practice examiners to identify areas for improvement.

How to approach each station

  1. Respiratory and Abdominal Examination: Start by introducing yourself to the patient and explaining your examination. Remember to wash your hands before beginning the examination.
  2. History Taking: Begin by building rapport with the patient and ask open-ended questions to gather information. Listen attentively and clarify any details as needed.
  3. Cardiovascular and Neurological Examination: Follow a systematic approach to the examination, starting with inspection, palpation, percussion, and auscultation.
  4. Communication Skills and Ethics: Demonstrate empathy, active listening, and respect for patient autonomy. Be prepared to discuss ethical dilemmas and demonstrate your understanding of ethical principles.
  5. Integrated Clinical Assessment: Approach this station methodically, considering all relevant clinical information, making a differential diagnosis, and proposing a management plan.


The MRCP PACES exam requires thorough preparation, clinical acumen, and effective communication skills. By understanding the exam format, preparing diligently, and approaching each station with confidence, you can maximize your chances of success in 2024.


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