MRCPCH Clinical exam - how to apply

If you are taking the MRCPCH Clinical in the UK or another country, find out when and how to apply, how places are allocated and what to expect after you submit your application. You will find the application process is similar to the theory exams.
Last modified
8 August 2019


You will need to have passed all three theory exams before you can apply for MRCPCH Clinical.

In order to optimise your chances of success in the MRCPCH Clinical we strongly recommend that you have:

  • completed a period of training lasting two and a half years from the graduation date on your diploma of medical qualification
  • spent no less than 12 months in posts involving the care of emergency paediatric patients (it is desirable that at least six months in a post with a strong emphasis on responsibility for unselected emergency admissions) within the five years prior to your exam date - note this does include clinical attachments
  • spent six months of your first year after graduation as a house paediatrician; if not, an additional six months in a post involving the care of emergency paediatric patients.


All MRCPCH Clinical candidates must be proposed by two sponsors, or proposers. These sponsors certify from personal knowledge and repute that the candidate has had a period of training in paediatrics which complies with the exam regulations and is considered ready to take the exam.

  • Ideally one sponsor will be your current educational supervisor with whom you have worked for at least three months.
  • Your second proposer may be a senior colleague who you are currently working with or have recently worked with.
  • Ideally, one or both of your proposers is an RCPCH Member or Fellow. We understand that this may not be possible for candidates outside the UK. In that case, it is appropriate to use a senior colleague who can testify that you have adequate experience and competence to achieve the standards required in MRCPCH Clinical.
  • Your sponsors will be notified if you receive a poor mark/if you are deferred by one or two sittings.
  • We expect proposers to refuse to sponsor candidates whose training or competence is considered unsuitable.

You must obtain permission from each of your sponsors to provide the information required below. You will be asked to provide each sponsor's:

  • full name
  • RCPCH number (if known / available)
  • relationship to you (for example, educational supervisor or senior colleague)
  • position (for example, senior consultant or professor)
  • place of work
  • email address

Test centres and availability

MRCPCH Clinical exams take place in hospitals across the UK and in other countries. Each exam centre has a fixed number of places per day. For MRCPCH Clinical exams held in the UK availability of host centres may vary from exam diet to exam diet.

If your application is successful, we will email you an admissions document with the centre's full address approximately five weeks before your exam.

Once an application is confirmed and paid, transfers between centres are not normally possible. We will only be able to process cancellation requests after the application period closes.

Countries in which MRCPCH Clinical takes place

Not all countries will offer the exam during each exam diet (exam period). If you would like to request an exam in another country, please contact us on

  • UK
  • Egypt
  • Hong Kong
  • India
  • Kingdom of Saudi Arabia
  • Malaysia
  • Myanmar
  • Oman
  • Singapore
  • Sudan
  • United Arab Emirates

Start and end times

For clinical examinations held in the UK the morning sessions normally start at 10:00 and finish at 12:30. The afternoon sessions normally start at 14:00 and finish at 16:30.

For clinical examination held overseas start and end times may vary slightly depending on the centre. This information will be provided to candidates in their admission/placement letter.


Exam 2019 exam fee
UK £765
Egypt £1,145
India £1,428
KSA £1,479
Malaysia £1,255
Myanmar £1,082
Oman £1,479
Singapore (Conjoint MMED - MRCPCH Clinical fee) £1,428
Sudan £1,220
UAE £1,479
Hong Kong TBC

Dates of exams and application periods

2019.3 diet

Country Exam date Application open date Application close date
UK 21 - 27 October 2019 30 July 2019 12 August 2019
India (Hyderabad) 31 August and 1 September 2019 closed closed
Egypt 6 and 7 September 2019 closed closed
Singapore 5 and 6 October 2019 closed closed
Malaysia 9 and 10 October 2019 closed closed
Hong Kong 22 and 23 October 2019 closed closed
UAE 8 and 9 November 2019 13 August 2019 14 August 2019
KSA (Jeddah) 9, 11 and 12 November 2019 20 August 2019 21 August 2019

2020.1 diet

Country Exam date Application open date Application close date
Myanmar 22 and 23 January 2020 24 September 2019 25 September 2019
India (Ahmedabad) 18 and 19 January 2020 30 September 2019 1 October 2019
Oman 17 and 18 January 2020 2 October 2019 3 October 2019
UK 17 - 23 February 2020 25 November 2019 6 December 2019
Hong Kong 25 and 26 February 2020 tbc tbc
Malaysia 29 February and 1 March 2020 tbc tbc
Egypt 13 and 14 March 2020 tbc tbc
KSA (Jeddah) 14 and 15 March 2020 tbc tbc
Sudan 20 and 21 March 2020 tbc tbc
Nepal 10 and 11 April 2020 tbc tbc

2020.2 diet

Country Exam date Application open date Application close date
UK 15 - 21 June 2020 30 March 2020 10 April 2020
UAE 29 and 30 May 2020 tbc tbc
Singapore 30 and 31 May 2020 tbc tbc
Malaysia 3 and 4 June 2020 tbc tbc
KSA (Jeddah) 14, 16, and 17 June 2020 tbc tbc
Egypt 26 and 27 June 2020 tbc tbc

2020.3 diet

Country Exam date Application open date Application close date
UK 26 October - 1 November 2020 3 August 2020 14 August 2020
India 19 and 20 September 2020 tbc tbc
KSA (Jeddah) 21, 23, and 24 September 2020 tbc tbc
Singapore 3 and 4 October 2020 tbc tbc
Malaysia 10 and 11 October 2020 tbc tbc
Hong Kong 20 and 21 October 2020 tbc tbc
UAE 6 and 7 November 2020 tbc tbc
Egypt 11 and 12 December 2020 tbc tbc

Before you apply

  • Find out when the next MRCPCH Clinical is in your location - see upcoming exams above.
  • You may only apply during the application period, which for UK exams is usually two - three weeks. Overseas application periods are normally no longer than two to three days. Application periods will open at 09:30 GMT (local time in the UK) on the first day and close at 16:30 GMT on the last day.
  • You can save your application and go back later. But you must submit your application by the deadline. Any applications that are not submitted by the deadline will be deleted.
  • Once you submit your application, you will not be able to edit or delete this.
  • Places for MRCPCH Clinical are limited, and submitting your application does not guarantee a place. You may be given a place on any date within the exam period. UK candidates may be placed anywhere in the UK; this depends on the availability of host centres, previous posts and attendance at preparatory courses.
  • If you choose to withdraw your application after the application, we cannot guarantee a refund of your exam fees.
  • If your application is successful, we will process your payment after the application period closes. If your application is unsuccessful, we will not process your payment and we will return any cheques or bank drafts to you.
  • The RCPCH reserves the right to bar a candidate from sitting any exam where there exist reasons to doubt the candidate's fitness to hold MRCPCH. Such reasons include falsifying country of work or residence. We check this information and will take action against candidates where there is evidence of falsification.

Allocation of places - UK clinical centres

The MRCPCH is very important to the career progression of doctors working in paediatrics in the UK, in particular those who are registered on the UK paediatric training programme. It is therefore important this is recognised in the criteria for allocating candidate places for MRCPCH Clinical in the UK.

Applications are accepted based on the number of places available. Your application may be returned if places are not available. If this happens to you, your seven year MRCPCH registration period will be extended by one examination sitting.

Places are allocated using the following criteria, in this order:

  1. applications from candidates working in the UK that are at a career critical stage (outcome 3 or 4 of the last Annual Review of Competence Progression (ARCP) which must be confirmed by the LETB/deanery) in order received
  2. applications from candidates working in the UK based on current stage of training (for example, ST3 prioritised over ST2)
  3. priority applications from candidates working in the UK in order received
  4. other applications from candidates working in the UK in order received
  5. priority applications from candidates working overseas in order received
  6. other applications from candidates working overseas in order received.

Note: Applicants not currently operating within the UK training programme are not prioritised (point 4, above).

If you are at a career critical stage you are encouraged to submit your application early to improve your chances of placement.

If you are not initially allocated a place, you will be placed on a waitlist for the exam you have applied for, in order of application status. If any placed candidates withdraw or more places are made available, candidates on the waitlist will be contacted and offered these places, in order, up to the day before the exam.

Allocation of places - overseas clinical centres

Places are allocated using the following criteria, in this order - for candidates who currently work in:

  1. the host country and whose seven year registration period (7YRP) is nearing expiry
  2. countries where there is no established MRCPCH clinical exam host centre and whose 7YRP is nearing expiry
  3. the host country
  4. countries where there is no established MRCPCH Clinical host centre
  5. countries where there is an established MRCPCH Clinical host centre and whose 7YRP is nearing expiry
  6. countries where there is an established MRCPCH Clinical host centre.

Please note:

  • Although you may be on the waiting list this does not guarantee that you will be allocated a place for a particular examination sitting.
  • If your application is placed on the waiting list, it will remain on this until two weeks before the exam, unless you inform the College in writing that you want to withdraw. If you are on the waiting list, you may not apply to other exam centres.
  • You must include testimonials for proposers who do not hold the relevant qualifications with your application for the clinical exam. Please see information about additional requirements below.

Additional requirements / reasonable adjustments

If you require support for your exam, please include details in your application. We will contact you during or shortly after the application period to discuss requirements.

If this is your first attempt at the clinical exam you will need to complete a separate Request for reasonable adjustment form, with the required evidence such as a medical certificate or a report from an educational psychologist or consultant. This must be received by us at least seven weeks before the exam.

We may be able to arrange:

  • additional time to complete the exam
  • option to sit the exam at a centre of your choice, a centre recommended by the Exams Team or a centre that suits your accessibility needs.
  • other more complex arrangements. Please note: complex arrangements require time. If required you must contact the Exams Team as early as possible and ideally before you apply for your exam.

Find the policy and form in our exam regulations and rules.

Contact us on or +44 20 7092 6000 (ask for Exams team).

Your online exam dashboard

  • Log in to your RCPCH account.
  • Go to Account (a link in the header).
  • From your dashboard, go to the Exams panel.

You will see your exam dashboard where you can see information about your exams, and apply for your next exam. On the dashboard, you will find:

  • qualification route - whether you are doing MRCPCH or Diploma of Child Health
  • qualification progress - which exams you need to sit, and whether you have sat and passed each
  • exams you are eligible for - if your seven year exam registration period has expired, you will be directed to re-sit your Applied Knowledge in Paediatrics (AKP) theory exam.
  • exams you may apply for - when the application period is open for your next exam(s)
  • your next exam - if you have an upcoming exam
  • your exam applications - if you have one or more saved applications
  • your exam results - you will see your exam attempts and results. Select an exam to see the full details.

Online or paper applications?

Candidates in the UK and most clinical exam centres in other countries (including Egypt, India, Malaysia, Myanmar, Oman, Saudi Arabia, Sudan and UAE) can only apply through our online system. We do not accept paper, email or faxed applications for these countries - even if you have previously applied for a clinical exam in this way.

Candidates applying to the Hong Kong and Singapore exams must complete a paper application form and submit it directly to the host centre (details below). You can download the form at the bottom of this page. Please do not send paper applications to the RCPCH.

Hong Kong - host contact information

Singapore - host contact information

  • Contact: Mr Tan Beng Kong Nicholas
  • Telephone: 0065 6601 1990
  • Email:
  • Website: Yong Loo Lin School of Medicine
  • Postal address: Mr Tan Beng Kong Nicholas, Division of Graduate Medical Studies, Yong Loo Lin School of Medicine, National University of Singapore, Blk MD3, Level 2, 16 Medical Drive, Singapore 117597

How to apply online

  • Log in to your RCPCH account.
  • Go to My Account (a link in the header).
  • From your dashboard, go to the Exams panel, and from your exam dashboard, follow links to apply.

Most fields in the exam application are mandatory. If you want to return to a previous screen, select Back to button at the top of the page.

Please ensure that your employment details are up to date on your account. Failure to keep your details current may result in your application being rejected.

Guidance notes and agreement

First, read the guidance notes, and tick to acknowledge. This confirms that you are entering into an agreement to sit the MRCPCH Clinical exam, so you understand that:

  • places at exam centres are sometimes limited and an application to sit the examination does not guarantee a place
  • for UK candidates in particular, placements can be located anywhere in the UK and your final exam location will depend on availability of host centres, your previous posts and your previous attendance at preparatory courses
  • you may be given a placement on any date within the exam week/period
  • if you choose to withdraw once the application period has closed, there is no guarantee of a refund and exam fees will be processed.

Other fields

  • Add details of your previous and future clinical exam courses, including location and date.
  • Add details of your sponsors.
  • Check your details are correct. If you need to make changes, follow the link back to your dashboard where you can update your personal details or your work details. Ensure you add details:
    • relevant acute medical posts
    • current post
    • current NHS trust, deanery or LETB (UK only)
    • details of any gaps in your employment history.
  • Go back to the exams panel to restart your application.
  • Enter any previous and future posts, if this has changed since your last application.
  • If you have additional requirements or require a reasonable adjustment, enter these - see notes below.
  • Read the data protection statement, and tick to acknowledge.

Saving and submitting your application

  • You can save your form and come back to it later - click on save application. Before you submit, you can make changes or cancel the application.
  • When you have completed your form, click on Submit. (This may take a few moments - please do not refresh the page.)

Making a payment

When you submit your application, you can make a payment in these ways:

  • online by credit card or debit card
  • bank draft or cheque - only available to candidates outside the UK and Republic of Ireland; we must receive payment within five working days of the date you submit your application.

Please ensure that you have sufficient funds in your account in advance of payment.

Please note: There have been a number of fraudulent credit card payments associated with RCPCH exam fee submissions in recent years. This has mainly been associated with overseas exam payments. We urge all candidates to use their own credit or debit cards when processing payments for exam sittings.

Candidates who use another individual’s card even with their full permission are putting themselves at risk. There have been a number of incidents where candidates have been given permission by a friend or colleague to use their card to process payment only to discover later that the card details provided are fraudulent. Should this happen to any candidate they will be refused entry to the exam they have applied for until such time as they have provided alternative payment. The College reserves the right to contact the relevant authorities, should this be felt necessary.

What happens after you submit and pay

We will send you an email to confirm your application has been received and payment has been tokenised. Tokenised means the exam fee has not been taken by the RCPCH, however your card provider may have allocated the funds ready for payment. Sometimes the tokenisation times out after 10 working days. Please do not worry if the funds have automatically been returned to your payment account as this does not affect our ability to take your payment.

If your application is successful

We will process your payment and place you on the exam. You will see your exam date and location in your exam dashboard.

You will be emailed a final placement letter with details, including a schedule and map, sent either by us or for some overseas centres by the exam host, usually three to four weeks before the exam. Please do not arrange travel, accommodation or exam preparation course before you receive this email. Keep this letter, as you will need to bring it with you on the exam day.

If you are on the waiting list

Your application will not be accepted or rejected, and no payment will be taken.

If a place becomes available due to cancelation, we will contact you. This may be at very short notice, for example, one or two weeks before the exam. If you are given a place, you will be sent a final placement letter, and your payment will be taken.

If no place becomes available, your application will be rejected and deleted from your online account. You will need to wait until the next application period to apply for an exam. If you have submitted a cheque or bank draft, we will returned this to you by international registered post as soon as possible. If you had provided payment details by credit or debit card, these will be deleted.

If your application is rejected

Your application will be rejected, and deleted from your online account. You will see this on your exam dashboard - click on 'rejected' to see details.

You will need to wait until the next application period to apply for an exam. If you have submitted a cheque/bank draft, this will be returned to you by international registered post as soon as possible. If you had provided payment details by credit or debit card, these will be deleted.

If your payment was tokenised when you applied (see above) then your card provider will automatically return the funds to you after their set period. You will need to contact your card provider and not the RCPCH if your payment is still being held.

On the day

Make sure you are at the test centre by the registration time, which is on your admissions document. Candidates who arrive after their exam circuit has begun will not be permitted to sit the exam.

You will need to bring your final placement letter with you.

You must also bring one form of identification that includes a signature and recent photograph, such as:

  • passport
  • driving licence
  • hospital ID card.

A travel card will not be accepted.

If you have recently changed name - for example, through marriage - you will need to provide official supporting evidence to both the Exams team and the test centre.

You will not be permitted to take anything onto the exam circuit. If you need anything else, you must include this request for reasonable adjustments in your online application.

Your personal belongings will be securely stored during the exam. Please collect these items after your exam(s) have finished. The College and the test centre take no legal responsibility for any loss or damage caused to personal belongings stored in the test centre.

Once you have registered you will be asked to fill in the relevant sections of your exam station mark sheets using pencil. Please write your name and write and highlight your candidate number on each mark sheet. You will find a route map within your mark sheet pack that will tell you your start station and the order of stations you will move through.

Talking with other candidates during the examination circuit is not permitted.

Once the Senior Examiner or Host Examiner has ushered you to your start station you will have approximately 4 minutes waiting time before the circuit begins.

Exam Results

Exam results for MRCPCH Clinical UK will be published on the website within 6 weeks of the exam date. For overseas centres, this process can take up to 8 weeks. A Results Letter including detailed feedback will follow the week after the results are published on the website. Log in to your account to view your results.

Find out more information regarding exam results.

Withdrawals and appeals

Requests for withdrawals

If you wish to withdraw after you apply, please send your request by email at, post or fax.

  • If you withdraw after you submit an application but before the application period closes, you will not be charged.
  • If you withdraw after you have been placed and wish to request a refund you will need to include supporting evidence with your request. Requests must be received no later than 30 days after the exam date. Any refund that may be granted will depend on supporting evidence and is at the discretion of the Examinations Manager/Examinations Executive Committee.

Please refer to the exams regulations and rules for more details on refunds.

If you need to apply for a visa, please submit your application early in the application period and state this in your application. If you have difficulties obtaining a visa, you will not be automatically entitled to a refund.

Requests for transfers (UK centres only)

After you receive notification of your placement you may wish to make a request to transfer or change your exam date. If you do, please contact the Exams Team as soon as possible. If you are unable to transfer to a centre or date where there is an available space you will need to request a withdrawal - please see above.

If you do not inform us of any specific requirement you may have in your original application (e.g. a centre in the London area - not on a weekend) we may place you on a date or in a centre that might be difficult for you. If this happens, we may need to ask you to withdraw from the exam - see above.


Find out about appeals