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What's new with MRCP (UK) PACES 2023?

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The new format examination, now known as PACES23 will be introduced from the 3rd Diet of 2023

What are being removed from the MRCP (UK) PACES carousel?

❌ Station 2

The history-taking station was considered to be artificial with structured history-taking skills being tested in isolation and not representative of modern practice.

❌ Station 4

20 minutes for a single communication and ethics encounter was felt to be rather long and in particular, the five-minute examiner/candidate interaction added little value to the overall assessment.

❌ Station 5

Testing all seven skills in an integrated manner was very like real life but was very pressured in 10 minutes.

What are being introduced?


Two 10-minute communication encounters. These will no longer include a question-and-answer section with the examiners. Instead, the encounter will be judged on observation alone.


Two 20-minute clinical consultations will assess candidates across all seven skills in a realistic and integrated manner:

- 15 minutes: Take a structured history, examine the patient, explain the likely diagnosis and management and address any questions or concerns raised

- 5 minutes: Question-and-answer section with the examiners

Encounter sequencing across the carousel

The new carousel will alter the sequencing of the encounters through the carousel. Some stations will include a physical examination and communication encounters. This will ensure that examiners at each station contribute more judgements in each of the skills for each candidate, improving the reliability of the exam.



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