Preparing for PACES - where do I start? 

  • September 05, 2022
 

As an overseas doctor where should you start with your PACES exam preparation?

With lots of resources available online, we discussed with successful candidates for them the best place to start looking for exam materials. Whilst there are lots of fantastic courses available for IMGs to help pass their PACES exam first time, most IMGs recommended starting their preparation with free resources from the Royal College of Physicians. Using these will give you strong foundations to further supplement with any further studies or courses which you may decide to invest in.

We have provided the Royal College's official resources below:

It is recommended that to give yourself the best chance, you gain clinical experience involving care of emergency patients, adults and children.

We advise you to regularly invite senior colleagues to observe and provide feedback on your clinical assessments, so you will be comfortable with the PACES format and give you confidence in approaching and examining patients with examiners present.

Curriculum:

Applicants are tested on a range of common and important disorders in General Medicine as set out in the Joint Royal Colleges Specialty Training Curriculum for Core Medical Training.

We recommend getting to know the curriculum as early as possible, using it as a road map for your study plan. 

PACES station 4 examiner guidance examples:

This useful guide contains examples of the types of statements found in the examiner guidance section of station 4 scenarios. This will help you to understand what the examiner is looking for. 

PACES sample scenarios:

These will provide you with the most accurate and relevant scenarios to prepare you for the real thing. Sample scenarios cover Station 2, 4 & 5 (‘history taking’, ‘communication skills and ethics’ and ‘clinical consultations’ respectively.

Most of these have been previously used in a recent exam, but please note that during the exam you will only receive the section marked ‘information for the candidate’.

Videos - what to expect on the day:

These helpful videos will give you a true reflection of what to expect on the day of the exam, easing some of the pressure and ensuring you can focus on the task at hand. 

PACES candidate video:

Whilst there are lots of useful videos online that are easy to find, the PACES candidate video contains important information about the exam, and practical examples of how the exam will run. 

Candidate guidenotes:

These guidenotes created by the Royal College help IMGs to understand what to expect on the day, from your arrival to the completion of the test. 

PACES Marksheets:

To help you understand how PACES is marked here are some examples of full marksheets.


It can also be useful to understand how IMGs have failed the exam in the past, as this will give you the best chance to pass first time. The ‘how I failed PACES’ guide provides tips to help you to identify where you might be going wrong, along with practical advice to help you to improve. 


General Exam Tips & Preparation:

For a useful overview of how to prepare for exams, including advice on study groups, online community support, best use of online resources & Royal College materials and courses - take a look at our blogs on exam tips and preparation

Passed? What next? 

First of all, congratulations! After you have passed all parts of MRCP(UK) you can apply for a full registration with a license to practice. Once the GMC have approved your application, you can work as a doctor in the UK. 


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Don’t hesitate to get in touch using the buttons above (and below) to discuss doctor job options in the NHS, including discussions regarding CESR, a typical doctor salary in the UK and the most suitable NHS jobs & hospital locations for you.

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Relevant Jobs

99,532 - £107

An NHS district general hospital in the West Midlands is looking for a Specialist Grade Haematologist with an interest in haemato-oncology, laboratory haematology and blood transfusion. The Haematology department comprises a team of 3 consultants and is supported by a large team of middle grade doctors. This Haematology job is open to both international applications and UK-based doctors, though those with European Specialist or FRCPath (or equivalent) are most encouraged to apply.

Anyone requiring portfolio support (formally known as CESR) can have their required support discussed on a case by case basis.

JOB REQUIREMENTS AND DETAILS

FRCPath (or equivalent) and broad experience in clinical and laboratory haematology are required for this role, and anyone with an interest in clinical trials, haemato-oncology, education, or blood transfusion should apply. The salary will be between £96,990 to £107,155 dependent on experience or grade.

CORE DUTIES OF THIS ROLE

  • Provide clinical support in both inpatient and outpatient settings, working closely with consultants and the multidisciplinary team.

  • Participate in the delivery of chemotherapy and specialist care via the dedicated oncology/haematology unit.

  • Contribute to clinical governance, teaching of junior doctors and nurse practitioners, and development of service pathways.

  • Assist with laboratory haematology duties including blood film reporting, and advise on transfusion and diagnostic services.

LIFE IN THE WEST MIDLANDS

This hospital is located in a picturesque region of the West Midlands, with access to both rural retreats and small city living. Residents enjoy a mix of traditional market towns and vibrant city centres, with good schools, easy rail access to Birmingham, and plenty of green spaces for outdoor activities. The area has deep historical roots, from medieval cathedrals to Roman forts, offering a unique combination of heritage and modern living.

HOW WILL IMG CONNECT SUPPORT YOU?

When applying with IMG Connect you’ll have the full support of an expert recruitment team who will be your recruitment and relocation partners throughout the process. We\'ll support you with:
CV Preparation with a bespoke session with one of our specialists
Application support with expert knowledge of NHS specialisms & recruitment practice
At least two video calling interview preparation sessions
Contract and offer negotiations for salary, relocation packages, tenure and more
Once you have accepted your new role, you’ll then be supported and led throughout by one of our dedicated relocation executives who will guide you through all the way to starting to your new role including:
Document gathering and checking COS and Visa Application support if applicable
Support sourcing short- and long-term accommodation
Travel Arrangements Family support for finding schools and any other aspects of pastoral care

105,504- 139,882

An NHS hospital in South East England is looking for a Consultant in Clinical Oncology with an interest in Upper and Lower GI cancers. The Oncology department comprises a team of four Clinical Oncologists and a Consultant Radiographer, supported by a large team of middle-grade doctors. This Clinical Oncology job is open to both international applications and UK-based doctors, though those with European Specialist Registration, GMC Specialist Register, CCT, or CESR are most encouraged to apply.

Anyone requiring portfolio support (formally known as CESR) can have their required support discussed on a case-by-case basis.

JOB REQUIREMENTS AND DETAILS

GMC registration with a license to practice, CESR, or a GMC-recognised qualification such as FRCR is required for this role. Anyone with an interest in Upper and Lower GI cancer should apply. The salary will be between £105,504 – £139,882 dependent on experience.

CORE DUTIES OF THIS ROLE

  • Provide expert oncology care for patients diagnosed with Upper and Lower GI cancers, overseeing treatment plans and managing patient care.

  • Participate in multidisciplinary team (MDT) meetings across sites to coordinate treatment.

  • Contribute to research and clinical trials within the Oncology department, promoting innovation in GI cancer treatment.

  • Engage in teaching opportunities with medical students and junior doctors, especially in preparation for the launch of a new postgraduate medical programme.

LIFE IN SOUTH EAST ENGLAND

This hospital is located in the South East of England, a region known for its mix of lively coastal cities and peaceful countryside towns. It offers great transport links to London, top-performing schools, and diverse leisure options, including historic landmarks, nature trails, and vibrant cultural scenes. The area is rich in maritime and military history, making it a unique and engaging place to live and work.


HOW WILL IMG CONNECT SUPPORT YOU?

  • CV Preparation with a bespoke session with one of our specialists

  • Application support with expert knowledge of NHS specialisms & recruitment practice

  • At least two video calling interview preparation sessions

  • Contract and offer negotiations for salary, relocation packages, tenure, and more

  • Once you have accepted your new role, you’ll then be supported and led throughout by one of our dedicated relocation executives who will guide you through all the way to starting your new role including:

    • Document gathering and checking

    • COS and Visa Application support if applicable

    • Support sourcing short- and long-term accommodation

    • Travel arrangements

    • Family support for finding schools and any other aspects of pastoral care

105,504 to 139,882

An NHS district general hospital in Yorkshire is looking for a Consultant Dermatologist with an interest in skin cancer and minor skin surgery. The Dermatology department comprises a team of locum consultants, an experienced Specialty Doctor, and a Biologic Nurse Consultant, supported by a large team of middle grade doctors. This Dermatology job is open to both international applications and UK-based doctors, though those with European Specialist or MRCP (UK) or SCE are most encouraged to apply.

Anyone requiring portfolio support (formally known as CESR) can have their required support discussed on a case-by-case basis.

JOB REQUIREMENTS AND DETAILS

Full GMC registration and significant experience in general dermatology and minor surgery, are required for this role. Anyone with an interest in skin cancer management and dermatological surgery should apply. The salary will be between £109,725 and £145,478 dependent on experience or grade.

CORE DUTIES OF THIS ROLE

  • Deliver high-quality general dermatology services, including urgent and routine outpatient clinics.
  • Participate in subspecialty clinics, particularly for skin cancer diagnosis, management, and surgery.
  • Contribute to departmental management, teaching, and supervision of junior doctors and medical students.
  • Support service development and clinical governance through audit, guideline development, and education initiatives.

LIFE IN THE NORTH OF ENGLAND

???????This hospital is situated in the north of England, with popular residential areas including vibrant cities and picturesque countryside locations. Urban dwellers may enjoy city life in places like Sheffield or Leeds, while rural enthusiasts might prefer the surrounding villages and national parks. The region offers great schools, excellent transport connections, and a wide variety of leisure activities for all lifestyles. Historically significant for its industrial roots, the area remains a vital and evolving part of British heritage and modern living.

HOW WILL IMG CONNECT SUPPORT YOU?

When applying with IMG Connect you’ll have the full support of an expert recruitment team who will be your recruitment and relocation partners throughout the process. We\'ll support you with:

  • CV Preparation with a bespoke session with one of our specialists
  • Application support with expert knowledge of NHS specialisms & recruitment practice
  • At least two video calling interview preparation sessions
  • Contract and offer negotiations for salary, relocation packages, tenure and more

Once you have accepted your new role, you’ll then be supported and led throughout by one of our dedicated relocation executives who will guide you through all the way to starting to your new role including:

  • Document gathering and checking COS and Visa Application support if applicable
  • Support sourcing short- and long-term accommodation
  • Travel Arrangements
  • Family support for finding schools and any other aspects of pastoral care
105,504- 139,882

An NHS cancer centre in Northern Ireland is seeking a Consultant Clinical Oncologist with a specialist interest in Upper GI and Breast cancers. The department includes 11 oncology consultants and is supported by a team of middle grade doctors and specialty trainees. This position is open to both UK-based and international doctors, particularly those with FRCR or European Specialist Registration.

Anyone requiring portfolio support (formally known as CESR) can have their required support discussed on a case-by-case basis.

JOB REQUIREMENTS AND DETAILS

Applicants should have full GMC registration and at least 6 years of postgraduate experience in Clinical Oncology. The salary for this role is between £88,799 and £119,723, dependent on experience.

CORE DUTIES OF THIS ROLE

  • Manage patients with Upper GI and Breast cancers across inpatient and outpatient settings.

  • Engage in tumour site-specific MDTs and contribute to treatment planning and decision-making.

  • Support the training and mentoring of oncology registrars and junior doctors.

  • Contribute to service development, teaching, and clinical governance.

LIFE IN NORTHERN IRELAND

Based in the north-west region of Northern Ireland, this location offers both city and rural living, with access to scenic countryside, the coast, and neighbouring towns. The area features well-rated schools, convenient transport infrastructure, and rich opportunities for cultural, historical, and recreational pursuits. It’s a growing destination for healthcare professionals seeking balance between professional development and quality of life.


HOW WILL IMG CONNECT SUPPORT YOU?*

  • CV Preparation with a bespoke session with one of our specialists

  • Application support with expert knowledge of NHS specialisms & recruitment practice

  • At least two video calling interview preparation sessions

  • Contract and offer negotiations for salary, relocation packages, tenure and more

  • Once you have accepted your new role, you’ll then be supported and led throughout by one of our dedicated relocation executives who will guide you through all the way to starting to your new role including:

  • Document gathering and checking

  • COS and Visa Application support if applicable

  • Support sourcing short- and long-term accommodation

  • Travel Arrangements

  • Family support for finding schools and any other aspects of pastoral care

107,144 - 142,369
An NHS teaching hospital in Scotland is looking for a Consultant Haematologist with an interest in Thrombosis and Obstetrics Haematology. The Haematology department comprises a team of 8 consultants and is supported by a large team of middle grade doctors. This Haematology job is open to both international applications and UK-based doctors, though those with European Specialist or FRCPath qualifications are most encouraged to apply.

Anyone requiring portfolio support (formally known as CESR) can have their required support discussed on a case by case basis.

CORE DUTIES OF THIS ROLE
  • Deliver Haematology services across multiple NHS hospital sites, with inpatient care based at the main centre.
  • Conduct outpatient clinics, lab-based diagnostics, MDT participation, and administrative responsibilities.
  • Participate in the on-call rota (1 in 8), including weekend ward rounds and lab duties.
  • Support the development of junior doctors and engage in audit, research, and quality improvement.
LIFE IN SCOTLAND

The hospital is based in the central belt of Scotland, with urban living options like Glasgow and more rural choices such as the Clyde Valley. The region offers a good range of schools, strong public transport, and plenty of leisure activities for both professionals and families. Historically rich and industrially significant, this area has evolved into a hub for modern healthcare delivery and research.

HOW WILL IMG CONNECT SUPPORT YOU?

When applying with IMG Connect you’ll have the full support of an expert recruitment team who will be your recruitment and relocation partners throughout the process. We\'ll support you with:
  • CV Preparation with a bespoke session with one of our specialists
  • Application support with expert knowledge of NHS specialisms & recruitment practice
  • At least two video calling interview preparation sessions
  • Contract and offer negotiations for salary, relocation packages, tenure and more
Once you have accepted your new role, you’ll then be supported and led throughout by one of our dedicated relocation executives who will guide you through all the way to starting to your new role including:
  • Document gathering and checking COS and Visa Application support if applicable
  • Support sourcing short- and long-term accommodation
  • Travel Arrangements Family support for finding schools and any other aspects of pastoral care

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