The MRCPCH is comprised of three theory exams, which may be sat in any order, after which you can sit the MRCPCH Clinicals exam. For the most up-to-date information on the theory exams, please see the RCPCH website. 

The deanery does not endorse any specific courses or resources for exams. Included in this section are a variety of resources which trainees have previously found useful. If you have any suggestions or material to share, please email wessexpaediatrictrainees@gmail.com

Remember, you can claim tax relief on all of these examinations- it adds up to a nice cheque in the post.
Question Banks
PasTest- You can purchase individual bundles for FOP& TAS, AKP and Clinicals. A wide selection of questions as well as video tutorials. Questions are more challenging than Onexamination and many therefore use this resource.

Onexamination- Many questions and FOP and TAS can be purchased individually rather than jointly as in PasTest. The questions are generally easier than the PasTest bank and exam. 


  • The Foundation of Practice exam, formerly known as Part 1A, assesses a candidate's knowledge, understanding and clinical decision making abilities. It aims to ensure you have reached the standard of someone entering core specialist training.
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    The exam lasts 2 hours 30 minutes, The questions are typically a combination of:
    • SBAs - 79 questions
    • EMQs - 6 questions

    Questions cover one aspect of the topic. For example:
    • choose the most likely diagnosis from the following
    • choose the best treatment for each of these children
    • choose the organism which matches most closely each of the following case scenarios.

    ​Candidates can apply to take FOP and TAS on the same day; FOP is always in the morning, and TAS in the afternoon.
     
    Practice Paper
    The RCPCH provide one specimen paper (not a full paper) here. The answers are available here.

    Syllabus
    The Theory exams syllabi is available here. Remember to check the RCPCH website for the most up to date version.

    ​Book Recommendations
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    MRCPCH Mastercourse
    The MRCPCH Mastercourse comprises volumes 1 and 2, a DVD containing video clips of clinical scenarios, and PIN access to a website with self-assessment and further learning materials. It is described as providing 'all the learning materials required for successful completion of the MRCPCH parts 1 and 2 and MRCPCH Clinical' however for TAS and Clinicals in particular additional resources may be more helpful. 




    Clinical Cases for MRCPCH Foundation of Practice
    This book is as described in the title! Available to purchase new through the RCPCH website.
  • The Theory & Science exam, formerly known as Part 1B, tests basic scientific, physiological and pharmacological principles of clinical practice, and of evidence-based practice. It is part of the MRCPCH exams. 

    The exam lasts 2 hours 30 minutes. The questions are typically a combination of:
    • SBAs - 70 questions
    • EMQs - 10 questions

    Questions cover one aspect of the topic. For example:
    • choose the most likely diagnosis from the following
    • choose the best treatment for each of these children
    • choose the organism which matches most closely each of the following case scenarios.

    Candidates can apply to take FOP and TAS on the same day; FOP is always in the morning, and TAS in the afternoon.
    ​
    Practice Paper
    The RCPCH provide one specimen paper (not a full paper) here. The answers are available here.

    Courses
    The RCPCH offer a course for the TAS exam. You can opt to have access to online materials only at a reduced rate, or to have access to these materials and attend a day at the college to discuss the topics and knowledge provided in the online material in small groups, in further depth. Details available here.

    Syllabus
    The Theory exams syllabi is available here. Remember to check the RCPCH website for the most up to date version.

    ​Book Recommendations
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    The Science of Paediatrics MRCPCH Mastercourse.
    This book provides detailed explanations of the theory underlying clinical practice and is recommended for the TAS exam.

    It can be purchased new for £179.99 here, or alternatively the deanery have purchased several copies which can be loaned by contacting Dr Faye Hawkins. 





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    Clinical Cases for MRCPCH Theory and Science
    This book provides clinical scenarios with accompanying questions and answers. The underlying theory for each answer is explained, and the book is useful to test knowledge alongside other resources for developing your theory base.

    It can be purchased new for £10 plus postage here, or you'll like find someone you work with has a copy available to lend.


    Dragon Bytes Podcasts

    ​Follow @Dragon_Bytes for updates on podcasts.

    Podcasts for clinical & theory exams available through most podcast media.
  • The Applied Knowledge in Practice exam, formerly known as Part 2, tests a candidate's knowledge, understanding and clinical decision making abilities based on a standard of someone entering their core specialist training and is part of the MRCPCH exam.

    It comprises two exams, each of which is 2 hours 30 minutes and taken on the same day.

    Each question of the AKP carries its own weighting. You will see how many marks each question is worth in the test. The maximum score per question will be based on the number of correct responses required. Incorrect responses will gain a score of zero.

    Most questions are 'N of many'; this is similar to a SBA, except here two or three answers are required from a longer list. It is only used in the AKP exam. Sometimes you would like to ask for more than one answer to a scenario since there may be two equally important investigations that should be done, or three abnormalities on an x-ray. N from many questions allow for this by asking for 2 or (maximum) 3 answers from a longer list of possible options.

    Practice Paper
    The RCPCH provide two specimen papers (not a full paper).
    ​Paper 1 is available here, and answers are here.
    Paper 2 is available here, and answers are here.
    ​
    Syllabus
    The Theory exams syllabi is available here.  Remember to check the RCPCH website for the most up to date version.


    Book Recommendations
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    Paediatric Exams: A Survival Guide
    The Paul Gaon book has a systems based approach and is recommended for both theory and clinical exam. It has good explanations on approaches to data interpretation questions, and brief outlines for approach to clinical examinations. This book is now out of print but paperback copies may be available from other trainees or the library; please email wessexpaediatrictrainees@gmail.com if you would like a copy. 


    Paediatric Radiology for MRCPCH & FRCR
    This book explains basics concepts of imaging as well as exam-type questions using clinical cases with a variety of radiological images across all systems. 






    Clinical Cases for MRCPCH Applied Knowledge in Practice
    This book is designed to demonstrate how theoretical knowledge can be used to tackle clinical cases in paediatrics, and equip candidates with the tools and knowledge needed to pass this exam. Available through the RCPCH website.






    Great Ormond Street Handbook of Paediatrics
    This book has lots of photographs and images of conditions and syndromes. 






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    ​Dragon Bytes Podcasts

    Follow @Dragon_Bytes for updates on podcasts.

    Podcasts for clinical & theory exams available through most podcast media. 
  • The exam format for Clinicals was changed in October 2019, and has been adapted to be a remote examination due to COVID restrictions. 

    Please visit the MRCPCH COVID Adapted Clinical exam information hub for the most up-to-date information. 

    Wessex Words of Wisdom

    The key to clinicals is practice. Find out who else is doing the exam and work together- talk through systems examinations, practice them on each other, practice them on patients, practice on your teddy bear! Many patients and their families are really willing to help with this, and often don't mind the distraction. On G level there is a list in the doctors office which you can ask people to add to at handover, and at all the DGHs consultants are willing to help with teaching. The most common mantra from consultants helping with revision and on preparation courses, is 'would this be a safe registrar and would I trust what this person is telling me over the phone in the middle of the night?' 

    Below is a selection of resources helpful for preparation- if you find or create any more, please email wessexpaediatrictrainees@gmail.com so that they can be added to the site. Zoom revision sessions have been held, and some of these have been recorded and can be found on the PREP1.2 Resources page, alongside contact details for consultants willing to help with exam preparation.

    Online Resources

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    RCPCH webinar on the new exam format, which was rolled out for the October 2019 sitting. Whilst the format will be changed for coronavirus alterations, it still provides useful information on the different stations and the new marking scheme. ​






    ​Heart Sounds
    - The Easy Auscultation website runs through the basics of heart sounds with audio examples
    - The Auscultation Assistant also provides audio examples of heart sounds.

    Congenital Cardiac Lesions
    The Cincinnati Children's Hospital website has great illustrations of all congenital cardiac lesions including diagrams and video illustrations of corrective surgery, where appropriate.

    Geggel's Congenital Heart Disease Library also provides diagrams and video illustrations of various lesions, as well as echos and ECGs. You will need to register with the OpenPaediatrics website (free) to access the library.

    PECSIG RCPCH Exam Tutorials
    Five tutorials from the UK Society of Paediatricians with Expertise in Cardiology, aimed at giving you a grounding and understanding in Paediatric Cardiology that would be expected of a junior registrar.
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    Neurology & MSK
    ​Abnormal gait
    This video playlist shows examples of common abnormal gaits.

    ​PGALS Guide
    The Paediatric Musculoskeletal Matters International website has useful information on when a PGALs examination is indicated, examination guide, proforma and video demonstrations.

    Neuro examination
    The PediNeuroLogic Exam website has information and video examples of neurological exams in paediatrics. ​
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    ​Dragon Bytes Podcasts

    Follow @Dragon_Bytes for updates on podcasts.

    Podcasts for clinical & theory exams available through most podcast media.

    ​​Book Recommendations

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    MRCPCH Clinical: Short Cases, History Taking & Communication Skills
    Very useful book used by most. Outlines key practical points for examinations and relates them to cases. Scenarios are good to use as part of a group for practising history & communication stations. A discount may be available if you already have a Pastet subscription, otherwise available through Pastiest or Amazon.






    ​Examination Paediatrics, 5th Edition
    ​This book is written for the Australian paediatric clinical exam but is an extremely useful book. It has detailed examination approaches for each system and provides multiple scenarios which these are related to.

    ​Good for private study and brushing up at the beginning of revision. £37.99 on Amazon.




    Short Cases for the MRCPCH
    Clinical scenarios and useful aide memoirs for each system. This book is no longer in print so very costly to purchase yourself but you may find someone has one hidden on a bookcase available to lend. 

    Courses

    There are several practical courses aimed at supporting the clinical exam. You can claim for one of these courses through your study budget- some of the courses cost slightly more than the maximum amount we can claim for a course. If this is the case, email your TPD and local contact for study leave to ask if they will support the additional cost being granted through study budget, as sometimes this will be agreed. If not you can still claim the value up to the maximum allowance and fund the rest yourself.

    Royal London MRCPCH Clinical Courses
    This is a weekend course. On the first day there is small group teaching (groups of 4) going through the examination for various systems with several patients on each station to practice on, all with clinical signs. The second day is a mock exam, with all station types and marked using example mark sheets from RCPCH. https://www.royallondonmrcpchclinicalcourse.co.uk

    ​Imperial College Part 2 Clinical Course
     A 2 day course. Small group teaching with patients to examine. https://www.imperial.ac.uk/medicine/study/short-courses/mrcpch-part-2/

    Guy's & St Thomas' MRCPCH Clinical Course
    This course aims to prepare candidates for the Royal College of Paediatrics and Child Health membership (MRCPCH) clinical examination. It includes clinical short cases and practice in communication skills and ethics and history taking and management planning. Patients from the Evelina Children’s Hospital and a number of other local hospitals will attend each day for real life practice. The course concludes with a mock exam and individual feedback on performance. https://www.guysandstthomasevents.co.uk/mrcpch-clinical-revision-course-information/

    RCPCH Clinical Exam Preparation Course
     All face to face courses cancelled at RCPCH until January 2021. Check website where updates on provision for any virtual courses will be provided. https://www.rcpch.ac.uk/news-events/news/update-our-courses-2020

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