European Specialty Examination in Nephrology


From February 2020, the Specialty Certificate Examination (SCE) in Nephrology and the European Certificate in Nephrology that was originally developed between the UEMS Renal Section and Boards and the European Renal Association (ERA) became a single examination called the European Specialty Examination in Nephrology (ESENeph). 

The examination is delivered jointly in partnership with the ERA, the European Section and Board of Nephrology, the UK Kidney Association and the Federation of the Royal Colleges of Physicians of the UK.

In the UK, the examination continues to be the General Medical Council (GMC) approved mandatory summative assessment of knowledge for trainees in Renal Medicine as part of the requirement for the award of a Certificate of Completion of Training (CCT) and therefore entry onto the Specialist Register.

This combined, high quality exam will help to drive standards and promote the harmonisation of nephrology training across the European Union.

Exam date UK registration period UK centre booking window International registration period Reasonable Adjustment Application Deadline Results release Certificates posted

17 February 2021

28 October 2020 - 23 December 2020

25 November 2020 - 24 December 2020

28 October 2020 - 25 November 2020

NA 17 March 2021 12 May 2021
23 February 2022 03 November 2021- 01 December 2021 01 December 2021- 29 December 2021 03 November 2021- 01 December 2021 09 December 2021 4 weeks after exam date 8 weeks after results release

Eligibility requirements

There are no entry requirements for the ESENeph, although candidates in UK training posts would normally take the examination as part of their higher specialty training. The UEMS Renal Section and Board have reviewed the performance of candidates in the United Kingdom and now advise UK based trainees dual accrediting in General Internal Medicine and Nephrology to attempt the examination during ST5 in order to ensure that they have time for 3 attempts prior to CCT. Those in single accreditation programme may wish to consider a first sitting in their ST4 year.

EU candidates would normally take the examination towards the end of their specialisation.

If you have passed the SCE in Nephrology you are not permitted to apply for the ESENeph.

How to apply

Instructions on how to apply for the new examination are here.

Examination fees

Candidates sitting in the UK                                                                                  £665
Candidates sitting in ESENeph full member, associate member and observer countries*                                                                                                               €760
Candidates sitting the examination in all other countries and territories               £833
*A defined list of countries is available here  

Sign up for email updates

Sign up here for more information on application periods as well as info/tips on revision/preparation resources and more.


Trainees who hold MRCP(UK), have gained the Certificate in Nephrology and who are recommended for a CCT will be entitled to apply for the postnominal MRCP(UK) (Nephrology). One year of free ERA-EDTA membership is offered to all the candidates who register and pass the examination.

Curricula and blueprints

The Specialty Training Curriculum for Renal Medicine is published by the Joint Royal Colleges of Physicians Training Board (JRCPTB).

The examination is made up of questions covering the whole curriculum, selected by a predetermined blueprint:

SCE in Nephrology blueprint

Resources for trainees

Preparation for the SCE requires a wide breadth of knowledge around the curriculum and should involve reading of textbooks, journals and guidelines. Experience of the MRCP(UK) examination provides an excellent background to the format of the examination.

Suggested sources and reading are listed below:



  • American Journal of Kidney Disease – publishes the US core curriculum in nephrology which gives detailed notes across the entire renal curriculum
  • Comprehensive Clinical Nephrology (Eds Feehally, Floege, Johnson)
  • Handbook of Kidney Transplantation (Eds Danovitch et al)
  • Oxford Handbook of Dialysis (Eds Levy et al)
  • Oxford Textbook of Nephrology (Eds Davison et al)


Sample questions

The questions are in ‘best of five’ multiple choice format. This format, in addition to testing core knowledge and comprehension, also assesses the ability to interpret information and to solve clinical problems. There will be five options – one correct answer and four alternatives to the correct answer. The four distractors will be closely related to the preferred option but less correct, therefore acting as plausible alternatives.

These questions give an indication of the type of question you can expect in the exam. Please take part in our interactive sample question test.

Results report

Nephrology results report