MRCPCH

“MRCPCH is a membership diploma of the Royal Collge of Paediatrics and Child Health

Membership of the Royal College of Paediatrics and the Child Health

Membership of the Royal College of Paediatrics and the Child Health (MRCPCH) allows doctors to register themselves with the GMC to work as a Paediatrics in the UK. This exam allows doctors to complete the basic Paediatrics training. Successful completion of the Paediatrics training after MRCPCH will allow a junior doctor to apply for the FRCPCH.

Screenshot 69 - What is MRCPCH Exam Pattern? | What is MRCPCH?

Once after the completion of the primary medical qualification, many of the fresh graduates undergo 2 years foundation training to gain a broad basis of experience and to make a firm choice regarding their career.

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Fellowship of the Royal Colleges of Surgeons-FRCS

All those wishing to pursue a career as a consultant in Paediatrics, apply to National Specialty Training Scheme. This is an 8 years training program and each year is known as ST1-ST8 etc. all 8 years are divided into 1,2, and 3 Levels of training.

What is the role of RCPCH?

RCPCH designs an assessment strategy for all those candidates who are looking to become recognized consultants in Paediatrics in the UK. RCPCH will assess candidates through theory as well as clinical examinations to check the competencies of the applicants.

There are over 17,500 members, most based in the UK but with an increasing number overseas. The RCPCH will grant either Membership or the Diploma to the candidates as per their choice of training:

MRCPCH DCH
Membership of the Royal College of Paediatrics and Child Health Diploma of the Child Health
Allows specialist training to become a consultant Will allow only the basic training
Will lead to the fellowship of the RCPCH Will make you a doctor trained in basic child health

 

MRCPCH-Paediatrics and the Child Health Care

MRCPCH is a membership examination for all those who wish to practice Paediatrics as a consultant in the UK. There are 3 theory-based and 1-clinical assessment examination. The MRCPCH diploma will only be awarded once you have passed all the individual components. Theory examinations can be taken by any medical graduate but the clinical examination will only be taken once you have passed all 3 theory parts.

It is expected from all the candidates entering ST3 (Specialty training) to have passed at least 2 theory exams. It is also recommended that you should pass all 3 theory examinations and clinical examination before you enter ST4-Level 2 Paediatrics training.

“A fair and rigorous test maintaining high standards in Paediatrics and Child Health”

The overall journey of the MRCPCH examinations compiled is:

Screenshot 70 - What is MRCPCH Exam Pattern? | What is MRCPCH?                                                                                                To enter for the examinations you will have to register yourself with the college. However, it is advised not to attempt examinations without adequate training in acute Paediatrics, the broad spectrum of child health, community Paediatrics, safeguarding children and neonatal medicine.

Why take MRCPCH exam?

MRCPCH is a higher specialty training diploma and allows you:

  • The normal entry requirement for the higher Specialty training in Paediatrics
  • Will grant you the membership of the Royal College after the successful completion
  • MRCPCH is recognized internationally

Aims and Objectives of the MRCPCH

The MRCPCH examination is aimed at testing your basic sciences knowledge, communication skills, and what you have learned during your specialist training (ST1-ST3). The main aims and objectives of the MRCPCH examination, in a nutshell, are compiled below:

  • To test the basic medical sciences knowledge, skills and skills you gained during ST1-ST3 training
  • To assess the communication skills and the professionalism of the candidate
  • To make you work as a general or specialist Pediatric in the UK
  • To make you eligible for the Fellowship Diploma
  • The ultimate objective is to ensure that the doctors recruited are skilled enough to meet the market demand in the UK or Ireland

 

Components of the MRCPCH

As it has already been mentioned above that the MRCPCH examinations consist of 3 theory and one clinical assessment part.

Exam Pattern
Foundation of Practice Theory
Theory and Science Theory
Applied Knowledge in Practice Theory
Clinical Exam OSCE Component

 

Foundation of Practice (Formerly 1A)

What is asked? Basic Knowledge, understanding, and clinical decision-making abilities will ensure that you have reached the standard of Core Specialist Training.

Format: The format of the Foundation of Practice is tabulated below:

Paper What is asked? Question Type
Foundation of Practice Basic Knowledge 70 MCQs (Best of five)

10 MCQs (Extended Matching)

Areas to be competent: Following are the areas in which you should be competent to be frequently tested in Foundation of Practice:

  • General Competencies, Specialty Specific Specialties, Cardiology, Dermatology, Diabetes, Endocrinology, Growth and development, Gastroenterology and Hepatology, Genetics and dysmorphology, Emergencies, Hematology and oncology, infection, immunity and allergy, metabolic medicine, musculoskeletal, neonatology, nephro-urology, neurology and neuro- disabilities, Nutrition, Ophthalmology, Pediatric surgery, Palliative care, primary care, Pharmacology, poisoning and accidents

Time Length: 2 hours 3 minutes, 1-day exam.

When to take it? During ST1-ST3 specialist training.

Eligibility Criteria:

  • Registration with General Medical Council (GMC)
  • A certified Primary Medical qualification degree (MBBS)

Theory and Science (Formerly 1B)

What is asked? Basic Scientific, psychological and pharmacological principles on which clinical practice is based.

Format:

Paper What is asked? Question Type
Theory and Science Basic scientific and clinical knowledge 70 MCQs (Best of five)

10 MCQs (Extended Matching)

Areas to be competent: Following are the areas in which you should be competent to be frequently tested in Theory and Science Tests:

  • Cardiology, Dermatology, Diabetes, Endocrinology, Growth and development, Gastroenterology and Hepatology, Genetics and dysmorphology, Emergencies, Hematology and oncology, infection, immunity and allergy, metabolic medicine, musculoskeletal, neonatology, nephro-urology, neurology and neuro- disabilities, Nutrition, Ophthalmology, Pediatric surgery, Palliative care, primary care, Pharmacology, poisoning and accidents, Respiratory medicine and ENT, The science of Practice,

Time Length: 2 hours 3 minutes, 1-day exam.

When to take it? During ST1-ST3 specialist training.

Eligibility Criteria:

  • Registration with General Medical Council (GMC)
  • A certified Primary Medical qualification degree (MBBS)

Applied Knowledge in Practice (Formerly MRCPCH Part 2)

Before you go for the Applied knowledge in practice, just remember that:

  • It is more clinically based and therefore, more enjoyable
  • It Contains more predictable questions
  • You should focus on weak areas-metabolic, stats, renal, growth, and endocrine questions are all popular areas that are very boring to revise for but crop up disproportionately in the exam!
  • Do as many questions as possible, and then read around the area.
  • Revision diagrams/flowcharts – particularly for things like metabolic medicine, immunology, and heart murmurs can be a really useful way of approaching difficult areas.

What is asked? Basic Knowledge, understanding, and clinical decision-making abilities which will ensure that you have reached the standard of Core Specialist Training.

Format: The format of this part is quite different and complicated. Applied Knowledge is practice is further divided into 2 papers. he questions is typically a combination of the following:

  • best of list/ Single best answer
  • extended matching
  • n from many.
Exam What is asked? Question type
Paper A Clinical Scenarios MCQ’s-Mixture of Grey Cases and Data Interpretation
Paper B Clinical Scenarios A mixture of Grey Cases and Data Interpretation

To clarify the idea regarding the Grey cases and Data interpretation, the below table, clears the idea;

Grey Cases Data Interpretation
·       Long case histories, often lasting several paragraphs with or without blood gases/blood test results. It’s important to highlight key points as you read through and re-read the case several times or you will forget what it says.

·       These include common topics and are very uncommon. You will almost certainly come across a few things in the answers that you have never heard of!

·       Eliminate answers that you know it definitely is not and you will probably be left with 2 or 3 answers, the task is then to pick out the key information that separates the conditions – think about this when revising, look at conditions that present similarly and how they differ. If, after extensive revision, you haven’t heard of one of the answers – don’t pick it – it’s most probably been put in to confuse you!

Questions will include:

o Diagnosis

o Most appropriate investigation

o Management

·       Blood results – often with case histories as above

·       Blood gases – as above

·       ECG Has to be obvious e.g. complete heart block, WPW, SVT, sinus tachycardia.

·       Good paper to look at is Paediatric Electrocardiograph BMJ 2002; 234:1382-5

• Spirometry

• EEG – (Gaon, Paediatric exams, A survival guide gives an excellent description of

EEGs)

o Hypsarrythmia

o 3 Hz spike and wave

o Encephalitis

o Temporal lobe epilepsy

• Audiograms

o Sensor neural versus conductive hearing loss

• Cardiac catheter data – draw it out as a diagram

• Statistics/Critical appraisal/Study design

o Interpretation of p values, confidence intervals

o Odds ratios

o Most appropriate study design to answer questions

Pictures

·       The images must be obvious enough to be able to be photocopied multiple times and shrunk.

·       Tend to be more common diagnoses that appear in the grey case questions.

·       Important to know rashes and common dysmorphic syndromes

·       Get two good question books, one, which focuses on rashes, etc, and one, which focuses on radiology.

·        Good questions to do when you are too tired to focus on anything else

·        Google image all syndromes, rashes as you read about them

Radiology

AXR

HUSS

 

Time Length: Each paper is 2 hours and 3 minutes long, Total time=5 hours, 1-day exam.

When to take it? During ST1-ST3 specialist training.

Eligibility Criteria:

  • Registration with General Medical Council (GMC)
  • A certified Primary Medical qualification degree (MBBS)

Test Centers for the Theory Examinations

The test centers for the theory exams are divided into 2 categories.

Test Centers in the UK and Ireland International Test Centers
·       Aberdeen

·       Cambridge

·       Crewe

·       Manchester

·       Reading

·       Bedford

·       Canterbury

·       Dublin

·       Milton Keynes

·       Rotherham

·       Belfast

·       Cardiff

·       Edinburgh

·       Newcastle

·       Taunton

·       Birmingham

·       Chelmsford

·       Glasgow

·       Northampton

·       Warrington

·       Blackburn

·       Chesterfield

·       Leeds

·       Nottingham

·       Wetherby

·       Bristol Crawley

·       London

·       Preston

Abu Dhabi

Bahrain

Bangalore

Chennai

Egypt

Hong Kong

Hyderabad

Jordan

Kolkata

Kuwait

Malaysia

Malta

Mumbai

Myanmar

New Delhi

Oman

Qatar

Saudi Arabia

Singapore

Sri Lanka

Sudan

Trinidad

 

MRCPCH Clinical Examination

 

Clinical examination is the final part of the MRCPCH series. Once passed, you will be awarded the diploma of Membership from the Royal College of Pediatricians and Child Health.

What is asked? You are expected to be proficient in:

  • Communication
  • History-taking and management planning
  • Establishing rapport with both parents and children
  • Physical examination
  • Child development
  • Clinical judgment
  • Organization of thoughts and actions
  • Recognition of acute illness
  • Knowledge of pediatrics and child health
  • Professional behavior
  • Ethical practice

Format: The Clinical Examination includes:

  • 10 objective assessments of each candidate. The number and length of time of candidate assessment increase the reliability of the exam
  • Explicit and structured testing of communication skills
  • Observed history taking and discussion of management
  • 6 “short case” assessments, emphasizing clinical examination
  • Candidates will normally be assessed by a different examiner at each clinical station, so performance at one station does not influence the next station
  • Assessment and management of the child with developmental problems
  • Acute pediatrics
Station What is asked? Time
1 Child Development 9 minutes
2 Communication skills ‘A’ 9 minutes
3 (Red and Blue) History Taking and Management Planning 22 Minutes
4 (red and blue) Clinical Scenario Video 22 minutes
5 Communication Skills ‘B’ 9 minutes
6 CardioVascular clinical exam 9 minutes
7 Respiratory and other Clinical Exam 9 minutes
8 Abdominal and other clinical exams 9 minutes
9 Musculoskeletal and other clinical exams 9 minutes
10 Neurological/neurodisbality clinical exam 9 minutes

 

  • 1 Examiner per station, none for clinical video scenario stations.
  • 10 Examiners for the circuit, 1 additional examiner for backup/quality assurance.
  • Candidates join at each station of the circuit making 12 totals per circuit.
  • 2 candidates at the History Taking and Management Planning station & 2 at the
  • Clinical Video Scenario station at any one time.
  • In total there are 10 objective assessments per candidate.
  • The History-taking & Management Planning Stations and the Clinical Video Scenario Stations are 22 minutes in length, with the other 8 stations being of 9 minutes duration.
  • There are 4-minute breaks between each Station with the entire circuit taking 152 minutes to complete.
  • The sequence in which a candidate takes the stations in the circuit may vary.

Time Length: Total of 152 minutes

When to take it? During ST3 training

Eligibility Criteria:

  • Passing all 3 theory exams

Scoring Criteria for Clinical Exam:

The minimum passing score for the clinical examinations is 100-120.

Scores Remarks
0-70 Fail and defer the application for 2 diets
71-80 Fail and defer the application for 1 diet
81-99 Fail
100-120 Pass

 

International Test Centers:

There are only a few international centers which conduct MRCPCH clinical exams:

  • Hong Kong
  • Singapore
  • Malaysia
  • Myanmar
  • Egypt
  • Sudan
  • Oman
  • UAE (Dubai, Sharjah, Abu-Dhabi)
  • Saudi Arabia (Riyadh, Jeddah)
  • India (Ahmedabad, Chennai, Hyderabad, Delhi, Kolkata, Mumbai)

Study Material for the MRCPCH theory exams

Study Material for Foundation of Practice/Theory and Science Study Material for Applied Knowledge in Practice
Books:

·       Lissauer and Claydon, Illustrated Guide to Paediatrics

·       Beattie, Essential Revision Notes in Paediatrics for MRCPCH

·       Easter book, Basic Medical Sciences for MRCP part 1

·       Sheldon, From Birth to Five Years

·       Leavene, MRCPCH Mastercourse

Questions books/Online Courses

·       Pastestonline.co.uk

·       Onexamiantion.com

·       Practice papers on the RCPCH website

Books

·       Nick and Julian, Questions for MRCPCH part 2 written examinations

·       Kate Crease, MRCPCH Part 2 Questions, and answers for the new format

·       J.Robertson, 250 questions for the MRCPCH Part 2

·       Christopher Schelvan, Paediatric Radiology for MRCPCH and FRCR

·       Nagi Barakat, Get Through MRCPCH Pat 2: 125 questions on Clinical Photographs

·       Fiona Finaly, Data interpretation questions in Paediatrics

Online Sources

·       Onexamiantion.com

·       Pastestonline.co.ok

·       Exam papers on the RCPCH website

 

 Is IELTS a Requirement of the MRCPCH examinations?

IELTS is not required to pass your examination. ILETS is required when you apply for registration with GMC.

IELTS Component Scores Needed
Speaking 7  bands
Listening 7  bands
Writing 7  bands
Reading 7 bands
Overall 7.5 Bands

 

Fee Structure

Exam Fee in the UK International Fee
Foundation of Practice £310 £383
Theory and Science £310 £383
Applied Knowledge in Practice £525 £735
MRCPCH Clinical Exam  £750  £1123-£1450 (depending on center)

 

Registration Procedure:

For the Registration procedure, follow the below link:

Royal College of Paediatrics and Child Health (RCPCH)

This is all about the MRCPCH Examinations. If there is anything missing you can mention it below in the comment box. Feel free to ask any questions.

For a complete guide to the USMLE please follow the link below:

USMLE

For a Complete Guide to the AMC Australia kindly follow the link below:

AMC AUSTRALIA

 

 

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