knowledge in their chosen specialty to practice safely and competently. This will bring the assessment of physicians in training in the UK into line with those training in North America, where most specialist trainees sit a specialist examination as a further test of excellence, usually after having acquired certification in Internal Medicine. Parts The MRCP exam has three parts: MRCP Part 1 (written paper); MRCP Part 2 (written paper); and MRCP Part 2 Clinical Examination (PACES). The MRCP part 1 examination consists of multiple choice questions in the best of five format. Starting from September 2019 MRCP part 1 exam will be available in USA. The MRCP part 2 examination consists of multiple choice questions in the best of five format. The MRCP PACES examination consists of a carousel with 5 stations. Station 1: Tests the candidate's ability to examine the respiratory system and abdomen. Station 2: Tests the candidate's history taking ability. Station 3: Tests the candidate's ability to examine the cardiovascular system and perform a neurological examination. Station 4: Tests the candidate's communication skills and the ability to deal with issues of medical ethics. Station 5: Comprises two 8-minute "integrated clinical assessments" requiring the candidate to take a focused history and examination, formulate a differential diagnosis and management plan, and communicate the plan to the patient. Countries hosting PACES The MRCP PACES examination is held not only in the United Kingdom, but also in many other parts of the world. Hosting sites include Brunei, Dubai, Al Ain, Egypt, Kuwait, Oman, Qatar, India, Pakistan, Singapore, Malaysia, Malta, Hong Kong, Myanmar, Sri Lanka, Kenya and Sudan. Examination fees at centres outside the UK are significantly higher than at UK centres. In Singapore, the MRCP(UK) and MMed are often taken together. In Hong Kong, MRCP(UK) is taken with MHKCP intermediate examination. Fees At present, the examination cost is £1495 from start to finish if all parts are taken in the UK and £2390 if are taken overseas - assuming each examination is passed in a single attempt without attending any courses. Candidates may elect to participate in any of a number of training courses, online revision websites or use mobile applications as revision aids to improve their chances of passing. References External links Medical associations based in the United Kingdom Professional titles and certifications