MRCPCH Clinical Structure

 

The Aim of the Examination

The aim of the examination is to assess whether candidates have reached the standard in clinical skills expected of a newly appointed Specialist Registrar.

Candidates are expected to demonstrate proficiency in:

  • Communication
  • History-taking and management planning
  • Establishing rapport with both parents and children
  • Physical examination
  • Child development
  • Clinical judgement
  • Organisation of thoughts and actions
  • Recognition of acute illness
  • Knowledge of paediatrics and child health
  • Professional behaviour
  • Ethical practice

The MRCPCH Clinical examination follows an OSCE style format.  Stations are set to test candidates in:

  • Child Development
  • Communication Skills
  • History-Taking and Management Planning
  • Recognition and diagnosis of clinical signs and symptoms
  • Physical examination skills

A diagram showing the order of stations around the circuit can be accessed here: 

MRCPCH Clinical Circuit (January 2009) MRCPCH Clinical Circuit (January 2009) (6KB)

 


Examiner and Candidate Guide Notes

Guide Notes for Candidates Guide Notes for Candidates (138KB - revised April 2009)

Information for Hosts and Examiners Information for Hosts and Examiners (228KB - revised June 2010)

Information for Senior Examiners Information for Senior Examiners (152KB - revised April 2009)

 For guidance on what is expected of candidates when performing clinical examinations of children please refer to the following document:

MRCPCH Clinical Exam Technique MRCPCH Clinical Exam Technique (123KB - revised June 2010)

 


Sample Communication Skills Scenarios

In each of these stations candidates are expected to specifically display their competence in communication. The candidate is given a task that will involve them being asked to impart and discuss information with a child, parent or colleague.

Some examples of scenarios used at these stations can be found below.


MRCPCH Clinical Video Scenarios Station

Candidates will be given time to read instructions relating to the Video Scenarios software before they begin their examination. Further guidance is available in the following document:

Clinical Video Scenarios User Guide Clinical Video Scenarios User Guide

 


Mark Sheets

Below are sample copies of the mark sheets to be used in the examination. The layout may be slightly different for the actual examination but the content and structure will not. Similar to the answer sheets used in our written examinations, candidates must enter their name and code number on every mark sheet.

Developmental Station Developmental Station

Communications A Communications A

History-Taking and Management Planning Skills History-Taking and Management Planning Skills

Communications B Communications B

Clinical Examination Station - CVS Clinical Examination Station - CVS

Clinical Examination Station - Respiratory/Other Clinical Examination Station - Respiratory/Other

Clinical Examination Station - Abdominal/Other Clinical Examination Station - Abdominal/Other

Clinical Examination Station - MSK/Other Clinical Examination Station - MSK/Other

Clinical Examination Station - Neuro Clinical Examination Station - Neuro

 


Anchor Statements

Anchor statements outlining the expected general standard for each station are provided to all examiners in order to aid them reach their overall judgements.

Anchor Development Anchor Development

Anchor Communication Anchor Communication

Anchor History taking Anchor History Taking

Anchor Clinical Exam Station Anchor Clinical Exam Station


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