The College offers two types of examinations - the Membership Examination (MRCPCH) and the Diploma in Child Health (DCH). Our examinations are held in the United Kingdom, Republic of Ireland and many countries internationally.

Please keep up to date with important changes to exams by regularly checking the news and updates page.

On this page:

MRCPCH examination 

Membership of the Royal College of Paediatric and Child Health is achieved by passing a series of examinations. MRCPCH examinations are usually taken during the period of basic specialist training, which normally lasts two to three years, and are the normal entry requirement for Core Specialist Training in paediatrics.  

The MRCPCH comprises three theory examinations and one clinical examination:

  1. Foundation of Practice (FOP) - theory
  2. Theory and Science (TAS) - theory
  3. Applied Knowledge in Practice (AKP) - theory
  4. MRCPCH Clinical

Each of the three theory examinations can be taken in any order and are non sequential. There are usually three sittings of each per year. All three theory examinations must be passed before candidates can sit the MRCPCH Clinical examination. 

In general, we expect all trainees entering ST3 to have passed at least two of the three theory exams. We expect trainees entering ST4 (level 2) to have completed and passed all parts of the MRCPCH including the Clinical examination.

We recommend you read our introduction to the role and importance of the MRCPCH - MRCPCH. Assessment of Essential Paediatric Skills: A Guide for Newcomers (PDF, 17 Pages, 3147 KB).

More about theory examinations

More about MRCPCH Clinical examination

Diploma in Child Health (DCH) examination

The DCH is designed to give recognition of competence in the care of children to General Practitioner vocational trainees, staff grades in paediatrics and trainees in specialties allied to paediatrics.

The DCH examination comprises two parts:

  • Foundation of Practice (FOP) - theory
  • DCH Clinical

The FOP must be passed before candidates can sit the DCH Clinical. 

More about DCH Clinical examination

Dates - 2015 Exam Calendar

2015 examinations calendar (PDF, 1 page, 212 KB) - all UK theory examinations and fees as well as UK MRCPCH and DCH Clinical exam dates and fees. Overseas theory exam dates are the same as UK but the fees are different. Please refer to the Fees attachment below.

Dates for MRCPCH Clinical examinations

Fees - 2015

2015 examinations fees (PDF, 1 page, 212 KB) - all MRCPCH and DCH examination fees (UK and overseas)

Policies and regulations

We operate within policies and regulations, applicable to examination candidates, examiners and invigilators.

More about policies and regulations

Pass rates

We publish the overall pass rates for all examinations, broken down by UK and overseas.

More about pass rates

Quality and standards

Our examinations are held in the UK, Republic of Ireland and many countries internationally. A number of countries ally their standards to those of the UK and Republic of Ireland by using the MRCPCH as part of their own paediatric training programme.

The College is committed to maintaining the highest possible standards for its examinations. The MRCPCH Clinical is modelled to accurately assess the competencies of paediatric trainees and to conform to the highest standards of assessment and medical education.

To ensure the pre-eminence of the MRCPCH, the College rigorously quality assures all of its processes and actively engages in research and ongoing development work.

About 7,000 candidates attempt the Foundation of Practice and Theory and Science examinations, and about 2,100 candidates sit the Applied Knowledge in Practice. More than 1,500 candidates do the MRCPCH Clinical and about 500 candidates the DCH Clinical.

More about quality and standards

Registration for training (UK and Republic of Ireland trainees)

All paediatric specialty trainees who are in General Medical Council (GMC) approved training posts are required to be registered for training with the RCPCH, as set out in A Reference Guide for Postgraduate Specialty Training in the UK and Republic of Ireland, or the 'Gold Guide'.

The College has a duty to review the progress of trainees and provide support where required, and to ensure that eligible trainees can be recommended to the GMC for the consideration of Certificate of Completion of Training (CCT) or Certifiate of Eligibility to the Specialist Register (CESR) at the end of their specialty training.

Registered trainees have access to RCPCH assessment toolseducational supervision and member services.

Register for training


For more information, please contact the Examinations team on examinations.enquiries@rcpch.ac.uk