Poor performance

Performance causing concern in the MRCP(UK) Part 2 Clinical Examination (PACES)

Doctor responsibilities

All doctors practising in the UK, including examiners and the Officers of the Royal Colleges of Physicians, are governed by the principles outlined by the UK General Medical Council in the publication Good Medical Practice.

The Royal Colleges of Physicians acknowledge that some good doctors may perform badly and aberrantly under examination conditions. However, where there are genuine concerns that a doctor's fitness to practise is called into question by facts coming to light during the course of the MRCP(UK) Part 2 Clinical Examination (PACES), the Royal Colleges of Physicians are duty-bound to inform those to whom the candidate is contractually or professionally responsible.

In exceptional circumstances, where no such person can be identified, there may have to be direct communication with the GMC or similar professional body.

Reporting procedure

The candidate concerned will be informed by letter whether their performance in the PACES Examination raised sufficient concern to warrant referral to a sponsor, employer, or professional body as outlined above. Reporting will normally take place only for consistently poor performance in repeated Clinical Examinations but, in exceptional circumstances, it may take place as a result of concerning performance in a single examination.

Examinations re-entry

Before the candidate may re-enter any part of the MRCP(UK) Examination (or any examination run under the auspices of any of the three Royal Colleges of Physicians of the UK) written evidence must be received from the sponsor, employer or professional body confirming that remedial action has been taken.

It will be for the Chairman of the MRCP(UK) Clinical Examining Board (CEB) to confirm whether the evidence presented is satisfactory to warrant re-entry to the MRCP(UK) Examination. The Chairman of the CEB will also be available to consider any representations that the candidate may wish to submit