The College offers two types of examinations - the Membership Examination (MRCPCH) and the Diploma in Child Health (DCH) - hosted in the United Kingdom, Republic of Ireland and many countries internationally. Some countries use the MRCPCH as part of their paediatric training programmes.

Keep up to date with important updates to examinations.

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Register online for examinations

If you have not yet sat an examination with the RCPCH and/or do not have an RCPCH number, you will need to create or sign in to your online account, and then register online for examinations.

Important! Please do not register for an exam account during any exam application period. We recommend you begin the registration process at least four weeks before your exam application period opens.

Once your registration is accepted, you can apply for an examination during the relevant application period.

More about registering for examinations

MRCPCH examination

Membership of the RCPCH 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:

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

Candidates take the three theory examinations on a computer at a test centre. These exams can be taken in any order and are non sequential. There are usually three sittings of each per year. Candidates must pass the three theory examinations berfore they 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.

Each year, about 7,000 candidates attempt the FOP and TAS exams, about 2,100 the AKP, and more than 1,500 the MRCPCH clinical.

MRCPCH Assessment of essential paediatric skills: a guide for newcomers (PDF, 17 pages, 3147KB) - we recommend you read this introduction to the role and importance of the MRCPCH 

About theory examinations (for MRCPCH)

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 comprises:

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

Candidates must pass the FOP before they can sit the DCH clinical exam. About 500 candidates do the DCH clinical exam each year.

About FOP theory examination (for DCH)

More about DCH Clinical examination

Dates and fees - 2016

Theory (UK and Overseas) and Clinical (UK) - dates, application periods and fees (PDF, 195KB, 1 page)

All exam fees (PDF, 396KB, 1 Page)

Theory exam - dates (PDF, 124KB, 1 page)

DCH route theory and clinical exam - dates (PDF, 142KB, 1 page)

MRCPCH clinical exam - dates and fees

Theory exam - fees


We normally process these within 5-6 weeks of the examination date. For overseas MRCPCH/DCH Clinical examinations, this can be up to 8 weeks. 

Examination candidates can sign in to their RCPCH online accounts to check their results.

For more precise information on examination results processing and publication dates please email examination.enquiries@rcpch.ac.uk. Please ensure when sending emails through examination enquries that you add a clear subject heading e.g. 'MRCPCH Clinical Egypt 2016.3 exam result enquiry'.

Policies and regulations

We strongly advise all examination candidates become familiar with the exam policy and regulation documents before you enter any of the examinations.

About policies and regulations

Pass rates

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

Access pass rates


From the 2014 exam calendar year two prizes are now awarded to high performing MRCPCH candidates.

More about exam awards

Quality and standards

The College is committed to maintaining the highest possible standards for its examinations. The MRCPCH 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.

More about quality and standards at the RCPCH

Registration for training (UK and Republic of Ireland trainees)

Registration for training at the RCPCH gives you access to the essential online assessment tool, RCPCH ePortfolio, and further resources to support your career. All paediatric specialty trainees in General Medical Council (GMC) approved training posts are required to be registered for training.

You need to be an RCPCH member in order to register for training. You can apply for membership and register for training using our online system.

Contact the Examinations Team

Please ensure when sending emails through examination enquries that you add a clear subject heading. If for example your enquiry is related to results for your examination please add the relevant specific detail within the subject heading e.g. 'MRCPCH Clinical Egypt 2015.3 exam result enquiry'. Failure to clearly identify your query within the subject heading could lead to extended waiting times for a response.

Email: examinations.enquiries@rcpch.ac.uk