MRCP PACES May 2025: A Clear Guide to the Passing Criteria


The MRCP (UK) Part 2 Clinical Examination, known as PACES (Practical Assessment of Clinical Examination Skills), is a crucial step for doctors aiming to progress into higher specialty training (ST3) in the UK. To be eligible for PACES, candidates must have successfully cleared both MRCP Part 1 and Part 2 (written).

If you’re preparing for the MRCP PACES exam in May 2025, this guide will walk you through the exam format and help you understand the marking criteria.

 PACES Exam Format

The MRCP PACES exam is structured around five clinical stations, each lasting 20 minutes. Candidates rotate through the stations in a carousel format, encountering both real and simulated patients. Each station is assessed by two independent examiners, and a short 5-minute break is given between stations.

Here’s a breakdown of the stations:

  • Station 1: Communication skills + Respiratory examination
  • Station 2: Consultation skills
  • Station 3: Cardiovascular + Neurological examinations
  • Station 4: Communication skills + Abdominal examination
  • Station 5: Integrated clinical assessment (brief clinical consultation)

Understanding the Marking Scheme

Candidates are evaluated across seven core clinical skills, labeled A to G:

  • A. Physical Examination
  • B. Identifying Physical Signs
  • C. Clinical Communication
  • D. Differential Diagnosis
  • E. Clinical Judgement
  • F. Managing Patient Concerns
  • G. Maintaining Patient Welfare

Each skill is rated as:

  • 2 points — Satisfactory
  • 1 point — Borderline
  • 0 points — Unsatisfactory

There are 10 examiners in total, and each of the 8 clinical encounters is marked independently. The scores are based on observed performance and documented using structured marksheets.

Before the exam begins, all examiners participate in a calibration session to ensure consistency and fairness in grading by aligning on the criteria for what constitutes a satisfactory performance.

Your Success Starts with the Right Preparation

Cracking MRCP PACES requires focused preparation and hands-on practice. We offer a range of preparation options, including:

With expert guidance and structured training, we aim to help you pass PACES on your first attempt.

contact our team to learn more about the courses

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