General Medicine Part II Clinical

Doctor checking pulse.

About MRCPI General Medicine Part II Clinical

The MRCPI General Medicine Part II Clinical exam assesses your clinical skills, for example your ability to take a history, perform clinical examinations and formulate investigation and management plans.

You will be asked to examine two 25-minute long cases and five ten-minute short cases, one of which is a communication and ethics interaction with a role player.

Long case stations

At each long case station you will examine a patient for 25 minutes.

You have 20 minutes in which to take a history while observed by one examiner and to perform a focused and directed examination. A 10 minute notification will be given.

You will then have 5 minutes to discuss investigations and management.

Short case stations

There are five short case stations. Four of the stations will have a patient. The fifth station focuses on communication and will have a role-player instead of a patient.

In the first six minutes at each station you will be asked to examine the patient and elicit and interpret physical signs. During the next four minutes, the examiner will ask questions relevant to the clinical examination that you have just carried out.

For further details on the clinical examination format please read the document located at the end of this page

Entry requirements

You must have passed MCRPI General Medicine Part II Written within the last three years.

If this three-year period has expired, you must re-sit the Part II Written exam.

From January 2019 the maximum number of times a candidate can sit any Part of an MRCPI examination will be limited to six attempts.

This will mean that you have six attempts at each component of the MRCPI exams (i.e. 18 attempts in total across the three Parts).

Places in this exam are limited

If the number of applications for this exam exceeds the number of places available, we will prioritise doctors on our Basic Specialist Training programme. Priority access is also given to candidates with only one attempt left. All remaining applications will then be accepted on a first come, first served basis.

If we can't offer you a place in the clinical exam, you will be placed on a waiting list and you will be offered a place if one becomes available. If you are not allocated a place, you will receive a refund of your fee.

Application fee

The fee to sit Part II Clinical is €780 in Ireland, or €1,360 if you are taking the exam outside Ireland. The method of payment is credit or debit card, taken at the end of the online application process.

Don't forget, if you're in Ireland you can claim a refund of €450 under the HSE Clinical Course and Examination Refund Scheme

If you require a visa

If you require a visa to sit an exam, it is your responsibility to ensure the visa application is made in sufficient time before the examination date. We have no role in granting or refusing visas.

A refund will not be given if you are unable to attend the examination as a result of a visa-related problem.

How to prepare

It's important to prepare for MRCPI exams and not to underestimate how long it takes to get ready. Having an understanding of how each exam is formatted will help you prepare and develop good answering strategies. 

When you're preparing your study plan, make sure to refer to the documents made available below.

Read more about the MRCPI General Medicine Part II Clinical

Learn about the clinical examination structure and be better prepared

Curriculum for Basic Specialist Training in General Internal Medicine

MRCPI General Medicine examination regulations

This document contains more detailed information about the exam and the questions to expect

2019 MRCPI General Medicine calendar

2020 MRCPI General Medicine Calendar

Apply for this exam

The next Irish clinical exam in January/February 2020 have closed on the 27 November 2019.

The Irish clinical exam following this will be in June 2020 and will open for applications on the 17 February 2020.

Select your preferred venue below to begin an application. (None available at this time)

You will be asked for your username and password for the RCPI website. Please do not create a duplicate account if you already have login details for the RCPI website.

Cancellation policy

Before you apply, please read our Cancellation policy

Contact us

We have a dedicated examinations support team in our Dublin headquarters. They are there to guide you through your full exam journey, from application to MRCPI conferring. They are present at every exam and always happy to answer your questions.

Examinations Department

Tel: +353 1 863 9700

Our Examinations Department is happy to talk to you about applying to any of our postgraduate examinations.