An Overview of the MRCP PACES Examination

//An Overview of the MRCP PACES Examination
An Overview of the MRCP PACES Examination 2018-01-30T16:38:29+08:00

This information is accurate as of the June 2015 examination. Please note that exam regulations, marking schemes and formats are subject to change. You are advised to look at the MRCP(UK) website for any changes / further details.

Structure

  • 5 stations, each 20 minutes
  • 5 minute gap between each station
  • Station 1: respiratory and abdominal examination (10 minutes each)
    • 6 minutes for physical examination, 4 minutes for questions
  • Station 2: history-taking
    • 14 minutes for history-taking, 1 minute for reflection, 5 minutes for questions
  • Station 3: cardiovascular and neurological examination (10 minutes each)
    • 6 minutes for physical examination, 4 minutes for questions
  • Station 4: communication skills and ethics
    • 14 minutes with patient, 1 minute for reflection, 5 minutes for questions
  • Station 5: brief clinical consultation 1 and 2 (10 minutes each)
    • 8 minutes for history, examination and addressing patient concerns
      • 3 minutes for history
      • 3 minutes for examination
      • 2 minutes to address patient concerns
    • 2 minutes for discussion with examiner

Skills Tested

A. Physical examination

  • Demonstrate correct, thorough, systematic, appropriate, fluent and professional technique
  • For station 5: focused examination

B. Identifying physical signs

  • Identify signs correctly
  • Does not and not pick up physical signs which are not present

C. Clinical communication

  • Elicit a systematic, thorough, fluent history relevant to the patient’s complaints
    • Elicits presenting complaint, systems review, past, family and medical history
    • Does so in a systematic, fluent and professional manner
  • Assesses the impact of symptoms on patient’s occupation, lifestyle and activities of daily living
  • Explain relevant clinical information in an accurate, clear, structured, comprehensive, fluent and professional manner

D. Differential diagnosis

  • Create a sensible differential for a patient that the candidate has personally assessed
  • Differential should include the correct diagnosis

E. Clinical judgment

  • Select or negotiate a sensible and appropriate management plan for the patient, relative or clinical situation
  • Select appropriate investigations or treatments for the patient
  • Negotiates this plan with the patient or relative
  • Apply clinical knowledge, including knowledge of law and ethics, to the case

F. Managing patients’ concerns

  • Seek, detect, acknowledge and address patients’ or relatives’ concerns
  • Listen to a patient or relative and demonstrate empathy
  • Confirm a patients’ or relatives’ understanding of the matter under discussion

G. Managing patients’ welfare

  • Treat a patient or relative respectfully and sensitively
  • Has a manner that ensures their comfort, safety and dignity

Marking Scheme

  • Each tested skill is scored as:
    • 0: unsatisfactory
    • 1: borderline
    • 2: satisfactory
  • Each station assesses different skills:
Station Encounter Skills Tested Max Marks
A B C D E F G
1 Abdomen

10

1 Respiratory

10

2 History

10

3 Cardiovascular

10

3 Neurology

10

4 Communication

8

5 Brief clinical consult 1

14

5 Brief clinical consult 2

14

Total marks per skill

24

24

16

28

32

16

32

Pass mark per skill 14 (58%) 14 (58%) 10 (62%) 16 (57%) 18 (56%) 10 (62%) 28 (88%)
Total marks per examiner (2 examiners)

86

Total marks for examination

172

Overall marks required to pass

130 (75%)

  • In order to pass PACES, the following must be fulfilled:
    • Achieve overall score of 130/172 (75%)
    • Pass each of the seven assessed clinical skills:
      • A. Physical examination: 14/24 (58%)
      • B. Identifying physical signs: 14/24 (58%)
      • C. Clinical communication: 10/16 (62%)
      • D. Differential diagnosis: 16/28 (57%)
      • E. Clinical judgment: 18/32 (56%)
      • F. Managing patients’ concerns: 10/16 (62%)
      • G. Managing patients’ welfare: 28/32 (87%)
  • If only 28/32 is scored for skill G, overall performance will be reviewed by the clinical examining board, and regardless of total score, the candidate may still fail.

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This Sliding Bar can be switched on or off in theme options, and can take any widget you throw at it or even fill it with your custom HTML Code. Its perfect for grabbing the attention of your viewers. Choose between 1, 2, 3 or 4 columns, set the background color, widget divider color, activate transparency, a top border or fully disable it on desktop and mobile.