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Internal Medicine

Medicine MRCP (PACES)

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The Practical Assessment of Clinical Examination Skills (PACES23 format) rigorously tests integrated clinical skills across five rotating stations.

Exam Stations Breakdown

1

Stations 1 & 4: Communication & Physical

A 10-minute communication encounter (observed, no Q&A) followed by a physical examination.

2

Stations 2 & 5: Clinical Consultations

20-minute integrated consultations combining history, physical exam, and management planning.

3

Station 3: Cardiovascular & Neuro

Dedicated physical examinations of the cardiovascular and neurological systems.

A Couple of Example Practice Scenarios

Communication Encounter

"Discuss the withdrawal of active life-prolonging treatments with the son of an elderly patient suffering from end-stage dementia."

Clinical Consultation

"A 40-year-old presents to the outpatient clinic with new-onset diplopia and ptosis. Take a history, perform a focused exam, and formulate a plan."

Disclaimer: National medical recruitment formats and Royal College examination criteria are subject to change annually. While Medmock strives for absolute accuracy based on the latest HEE/NHS England cycles, always consult your official applicant handbook or Royal College website for the definitive, up-to-date station requirements for your specific cohort.

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