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Paediatrics Part II Clinical

About the MRCPI Paediatrics Part II Clinical examination

It is expected that candidates taking the clinical examination will have a minimum of 12 months but ideally 15 months of experience in paediatric practice and will proficiently perform physical examinations to the level required of a registrar. Clinical judgement, management skills and communication are also assessed.

The clinical examination will focus on the ability of the candidate to demonstrate proficiency in the areas of history taking, communication, physical examination, problem solving and basic steps in the assessment and management of the neonate, child or adolescent with acute or chronic disease.

Clinical Exam Format

The Clinical exam format consists of a circuit of six short cases. These cases will be similar to an outpatient encounter or a clinical assessment of a patient in a Medical Admissions Unit.

All candidates should see a case mix which allows them to demonstrate a range of clinical skills.

Throughout the examination candidates are assessed on:

  • Communication skills,
  • Management of the child
  • Identifying/recognising normalcy/disability or complex need,
  • Recognise the acutely ill child and identifying red flags
Trainee performing check up.

Entry requirements

  • You must have passed MCRPI Paediatrics Part II Written within the last three years or have an exemption qualification
  • If this three-year period has expired, you must re-sit Part II Written
  • You also need 12 months' post-registration clinical Paediatric experience by the date of the exam (internship experience is not accepted)

If you hold FRACP you may apply on the basis of exemption from the Part II Written exam.


Places in this exam are limited

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

If there are withdrawals from the exam, the next person on the waiting list will be offered a place.

If we can't offer you a place in the clinical exam, you will receive a full refund of the fee.

MRCPI Examinations Calendar 2021-2022

This calendar includes opening/closing dates for all 2021-2022 examinations. TBC dates will be updated later in the year.

Application fee

The fee to sit Part II Clinical is €780. This exam is not currently held 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.

Curriculum for Basic Specialist Training in Paediatrics

Apply for this exam

The next MRCPI Paediatrics Part II Clinical examination in Dublin, Ireland will take place in May 2022

Applications are now closed for this exam. 

*Given travel and quarantine restrictions together with limited capacity available, all General Medicine and Paediatric Clinical examinations in Ireland at present will not be open to international candidates. The College is fully committed to providing clinical examinations for international candidates and we are working to deliver these in 2022.

** Candidates applying for this exam must be living and working in Ireland **

IMPORTANT: Places in this exam are limited, therefore you may not get a place in this exam when you first apply. You will not be asked to pay the exam fee upon first application, if you are successful in your application you will receive an email after closing date for applications with a link for payment and confirmation of your place in the exam.

COVID-19: Impact on RCPI exams

Please check our latest updates on examinations here

Update regarding Covid vaccinations in our Clinical and OSCE exams from September 2021 until further notice:

  • Full COVID vaccination for candidates, examiners and others involved in the clinical examinations of the RCPI is strongly advised.
  • In the absence of that, the RCPI Examinations Team will require email confirmation of a negative PCR test taken within 72 hours prior to the examination or proof of a COVID positive test in the previous nine months

MRCPI Paediatrics Exam Regulations

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

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.

RCPI Helpdesk

Tel: +353 1 8639721

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