MRCPCH Clinical examination

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Assesses whether candidates have reached the standard in clinical skills expected of a newly appointed Specialty Trainee 4 (ST4). This runs as an Objective Structure Clinical Examination (OCSE). 


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 judgment
  • organisation of thoughts and actions
  • recognition of acute illness
  • knowledge of paediatrics and child health
  • professional behaviour
  • ethical practice.

Candidates must have first passed all three MRCPCH theory exams.

Download our guide

MRCPCH Clinical - information for candidates (PDF, 153 KB)

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Results will be sent by hard copy five weeks after the date of the examination.