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Internal Medicine

Medicine MRCP (PACES)

Walk into your PACES OSCE having already done it — dozens of times

Practise PACES stations out loud against a simulated patient who responds realistically, any time of day. Get examiner-style feedback on any station you finish, in seconds.

Practise PACES stations See a marked example station One-off £5 taster — 30 credits, no subscription

What is the PACES OSCE, and how do you practise for it?

MRCP(UK) PACES is the clinical examination that completes MRCP(UK) membership, taken after Part 1 — a 125-minute carousel of five stations assessing physical examination, communication, consultation skills and clinical judgement. MedMock lets you rehearse its four spoken encounters (two Communication, two Consultation) out loud against a realistic AI patient and examiner, with instant feedback on the PACES clinical skills.

Last updated 29 October 2026

PACES OSCE practice, on demand

MRCP(UK) PACES is the clinical examination that completes MRCP(UK) membership, usually sat by Internal Medicine Training doctors after passing Part 1. The real exam is a 125-minute carousel of five stations and eight encounters marked on seven clinical skills: two Communication encounters, two integrated Consultations and four physical-examination encounters. MedMock covers the four spoken encounters — Communication (Stations 1 and 4) and Consultation (Stations 2 and 5) — with the real timings; the physical-examination encounters are not simulated.

MedMock gives you a simulated patient who responds realistically, available 24/7. Pick a station, have a spoken conversation, and ask for examiner-style feedback when you finish, scored against what genuinely matters in the PACES.

How it works

1

Choose a station

Pick from the PACES stations — all 4 that MedMock runs, or let MedMock surprise you the way exam day will.

2

Have the conversation

Speak naturally, out loud. The AI patient responds in real time — with emotions, cues and unexpected turns, just like a real encounter.

3

Get instant feedback

The moment you finish, you get specific, examiner-style feedback and a score — what you did well, what cost you marks, and precisely what to fix before the next attempt.

Practise every station

MedMock covers the four spoken PACES encounters — two Communication and two Consultation — with the real timings. The four physical-examination encounters (respiratory, cardiovascular, neurological and abdominal) are not simulated.

1

Station 1: Communication

5 minutes' reading, then a 10-minute conversation with a patient, relative or healthcare worker — explaining a diagnosis or treatment, breaking bad news, or an ethically difficult discussion. The examiners observe and ask no questions. Marked on Clinical Communication, Clinical Judgement, Managing Patients' Concerns and Maintaining Patient Welfare.

2

Station 2: Consultation

5 minutes' reading, 15 minutes with one patient — history, explanation and an agreed plan — then 5 minutes answering the examiner's questions on the case. The real station also includes a focused examination, which is not simulated here.

3

Station 4: Communication

A second 10-minute Communication encounter after 5 minutes' reading, on a different scenario. No examiner questions.

4

Station 5: Consultation

A second Consultation on a different presentation: 5 minutes' reading, 15 minutes with the patient, then 5 minutes of examiner questions. The real station also includes a focused examination, which is not simulated here.

Sample PACES questions

Two questions from the topics that come up most in MedMock's PACES bank.

Station 1: Communication

“A 60-year-old man with newly diagnosed lung cancer. Break the news compassionately.”

Station 5: Consultation

“A 40-year-old man referred to the medical clinic with double vision and a drooping eyelid. Assess his problem, address his concerns and agree a plan.”

Example scenarios

A sample of the PACES scenarios you can practise, each as a spoken conversation.

Station 1: Communication

“Discuss the withdrawal of active life-prolonging treatments with the son of an elderly patient with end-stage dementia.”

Station 2: Consultation

“A 45-year-old woman referred by her GP with new palpitations and breathlessness on exertion. Assess her problem, address her concerns and agree a plan.”

Station 4: Communication

“Explain to a patient that a medication error led to them receiving the wrong dose, and address their concerns.”

Station 5: Consultation

“A 40-year-old man referred to the medical clinic with double vision and a drooping eyelid. Assess his problem, address his concerns and agree a plan.”

PACES dates 2026–27

PACES runs in three UK diets a year, each an assessment window rather than a single date. Diet 2026/03 runs late September to late November 2026 (applications closed 27 July 2026); diet 2027/01 runs late January to mid April 2027 (applications open 10 November and close 17 November 2026, 08:00). Your exact date arrives with your admission documents at least four weeks before. Checked against MRCP(UK) on 22 September 2026.

Exam dates change. MedMock is not affiliated with MRCP(UK); confirm every date, application window and venue on the official site before you book. MRCP(UK)

PACES practice — your questions answered

How does the feedback work?

When you finish a station you can have it marked, and the scorecard comes back in seconds — what you did well, what cost you marks, and exactly what to work on next. Scorecards, mark schemes and model answers are included at no extra credit cost.

Can I practise specific PACES stations?

Yes. You can pick any of the 4 stations to drill a weak area, or run a Full Mock that takes you through the stations MedMock practises, back to back.

How much does it cost?

You can start with a one-off £5 taster: 30 credits, which is 30 minutes of speaking practice, with no subscription. After that, or at any time, you can choose a monthly plan, which includes a monthly credit allowance. Current prices are on the pricing page.

Formats change from year to year: check the official candidate guidance or applicant handbook from the body that runs your exam or interview (the Royal Colleges, NHS England, the GMC and others) for your sitting.

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Ready for your PACES OSCE?

Rehearse real PACES scenarios out loud and get instant, examiner-style feedback.

  • Instant, personalised feedback
  • Real voice-to-voice conversation
  • Repeatable attempts, a different run every time
Practise PACES stations

Guides to help you prepare

How to break bad news in an OSCE (the SPIKES framework) How to take a focused history in an OSCE station How to explain a diagnosis or treatment to a patient (OSCE) How to give an SBAR handover or referral (OSCE) How to take consent in an OSCE station PLAB 2 vs MRCP PACES: what's the difference? Study partner, revision course or AI examiner: how to practise for a viva or OSCE

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Be ready for your PACES OSCE before you walk in

Start with the £5 taster, a one-off payment for 30 credits: practise PACES OSCE scenarios out loud and get any of them marked when you are ready.

Practise PACES stations