Respiratory Medicine SCE – a closer look
- February 18, 2022
Respiratory medicine SCE is the higher postgraduate qualification delivered by the Royal College of Physicians as a specialist qualification for respiratory medicine doctors.
It is one of 11 SCEs offered by the Royal College and offers physicians a postgraduate qualification which demonstrates to prospective employers the achievement of a standard equivalent to UK specialist doctors.
Here we take a closer look at the MRCP (UK) Respiratory Medicine Specialty Certificate Examination for doctors who have chosen to specialise in respiratory medicine. We cover the content of the exam, as well as fees and the eligibility criteria, all summarised below along with a broad look at the following topics:
- What is the respiratory medicine SCE?
- Where does the SCE fit into my training?
- What is the structure of the respiratory medicine SCE?
- How do I apply for the exams and what do they cost?
- Where can I sit the exams as an overseas respiratory medicine doctor?
- How should I prepare for the exams as an IMG?
- I’ve passed? What’s next?
Skip ahead to the relevant section if you know what you're looking for.
MRCP (UK) Respiratory Medicine SCE
The respiratory medicine specialty certificate exams are administered as a compulsory component of assessment for Certificate of Completion of Training (CCT) in respiratory medicine for all UK trainees.
The purpose of an SCE is to:
- ensure that certified specialists have sufficient knowledge of their specialty to practice safely and competently as consultants
- complement workplace-based assessments
- provide a rigorous national assessment to establish public confidence
- offer a challenge similar to sub-specialty certification examination in North America
SCE as part of Training in Respiratory Medicine
Since the MRCP(UK) exams are taken during the Internal Medicine Training years (ST1-ST3), the respiratory medicine SCE allows physicians to demonstrate that they are able to practice independently at a consultant level.
The SCE has no official entry requirements (both for UK and overseas candidates); however, UK trainees would normally take the SCE in their penultimate year of higher specialty training (ST6). UK trainees should have made at least one attempt by the time of their penultimate year assessment.
For in-depth guide to the MRCP exams, see our IMG Resources library here.
Exam Structure
The SCE assesses candidates on a wide range of common and important disorders, as set out in the syllabus of the curriculum. This should be taken as an indication of the likely number of questions – the actual number may vary:
|
Topic |
Number of questions |
|
Airways disease |
35 |
|
Interstitial lung disease (ILD) |
25 |
|
Disorders of the pleura and mediastinum, including pneumothorax |
25 |
|
Pulmonary infections |
35 |
|
Pulmonary vascular disease |
20 |
|
Sleep-related breathing disorders and hypoventilation |
5 |
|
Thoracic oncology |
35 |
|
Other* |
20 |
|
Total |
200 |
*Other: Critical and high-dependency care of respiratory disease; Genetic and developmental lung disease; Lung transplantation; Pharmacology; Practical procedures; Statistics
The questions in each category are distributed across both papers.
All SCEs are computer-based and are administered by Pearson VUE at a test centre in the UK or internationally.
Respiratory Medicine SCE Applications
SCEs are held once a year and applications are made online through My MRCP(UK) account, within the Upcoming Exams section of the Royal College website.
The application process is as follows:
- Register online through My MRCP(UK) (candidates have the opportunity at this point to register any special arrangements)
- Request a preferred test country and city
- Pay applicable examination fee
- Application is confirmed via an automatically generated email
- Receive test centre confirmation email from Pearson VUE within four weeks of the examination date.
The Royal College of Physicians has created a helpful video guide on SCE applications which you can watch here.
Cost
The cost of the SCE exams are as follows:
- UK centres: £665
- International centres: £833
Exam Centres
UK Centres
Candidates who choose to sit the respiratory medicine SCE in the UK must contact Pearson VUE to book their test. There are up to 137 test centres throughout the UK for each SCE, and the Royal College of Physicians advise that candidates should book their exam as early as possible to secure their preferred test centre, as bookings operate on a first come first served basis.
International Centres
Candidates are given a choice of regions and are then asked to nominate a particular city in that region as their desired test location. The Royal College of Physicians will pass this request to Pearson VUE once the application period has closed, and Pearson VUE will confirm final test centre details to candidates via email at least three weeks before the date of the examination. If the exam is not available in a requested location, candidates will be offered a choice of the nearest available test centres.
Please note, international candidates should not book their own test centre with Pearson VUE - attempting to do so may delay a candidate's application.
The full list of international SCE test centres can be found here.
Preparation and Resources for the Respiratory Medicine SCE
It can be difficult for IMGs to know where to start with their preparation and revision. This list should provide a good starting point for any international respiratory medicine doctors preparing to sit the SCE:
Curriculum - Applicants are tested on a range of common and important disorders in Respiratory Medicine as set out in the Joint Royal Colleges’ Curriculum for Respiratory Medicine Specialist Training. We recommend getting to know the curriculum as early as possible and using it as a blueprint for your study.
Guidelines - These tools are helpful for supplementing your knowledge:
- American Thoracic Society
- British Thoracic Society
- European Respiratory Society
- National Institute for Health and Care Excellence (NICE)
- Scottish Intercollegiate Guidelines Network (SIGN)
Journals
- American Journal of Respiratory and Critical Care Medicine
- CHEST
- European Respiratory Journal
- Thorax
Sample questions: It is a good idea to regularly assess your knowledge and progress using example questions from the current exam syllabus. You can find these here.
For an 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, check out at our blog: IMG Connects Top Tips for exam preparation.
I’ve passed? What’s next?
First of all, congratulations - this is a massive achievement! With your MRCP(UK) and Respiratory Medicine SCE in hand, you can apply for a full GMC registration with a license to practice. Once the GMC has approved your application, you can work as a doctor in the UK. Great stuff!
Don’t hesitate to get in touch with an IMG medicine recruitment specialist to discuss GMC registration, respiratory medicine positions in the NHS, including typical NHS salaries, the most suitable UK locations and hospitals for you, and relocation.
To receive the latest news and updates, including the Royal Colleges, GMC registration and the NHS, follow us on social media and join the conversation.
Relevant Jobs
A hospital in the Channel Islands is looking for a Staff Grade Doctor in General Medicine with interests in Respiratory, Renal, or Care of the Elderly. The department comprises a team of consultants and is supported by a large team of middle-grade doctors. This role is open to both international applications and UK-based doctors, though those with European Specialist or MRCP 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.
JOB REQUIREMENTS AND DETAILS
Full registration with the General Medical Council and a minimum of 2 years of post-qualifying experience are required for this role, and anyone with an interest in Respiratory, Renal, or Care of the Elderly should apply. The salary will be between £58,742 and £97,050 dependent on experience or grade.
CORE DUTIES OF THIS ROLE
- Provide high-quality care across both inpatient and outpatient services within the chosen specialty.
- Participate in the middle-grade tier rota, including on-call duties.
- Support the clinical management of patients in various units, including emergency and intensive care.
- Collaborate with consultants and multidisciplinary teams to ensure continuous service improvement.
LIFE IN THE CHANNEL ISLANDS
The hospital is located in a vibrant town, with popular residential areas offering both urban and rural living options. The region offers excellent schools, efficient transport links, and a wide range of leisure activities for both adults and families, including beautiful beaches, sports facilities, and cultural events. The area has a rich history, having been a strategic location during World War II and now boasting a unique blend of cultural influences.
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
A General Hospital in the Channel Islands is seeking a Consultant in Respiratory Medicine. This opportunity is ideal for candidates with a passion for Respiratory diagnostics and acute medicine. The hospital\'s Respiratory Medicine team includes 8 Consultant Physicians, supported by junior doctors and a dedicated respiratory team. International and UK-based applications are welcome, with preference given to candidates holding a European Specialist or MRCP qualification.
JOB REQUIREMENTS AND DETAILS
- Applicants must hold a CCT/CESR in Respiratory Medicine.
- Experience in bronchoscopy and acute on-call medicine is required.
- The salary will be competitive, dependent on experience or grade.
CORE DUTIES OF THIS ROLE
- Deliver comprehensive respiratory and general medical care, including bronchoscopy procedures and inpatient oversight.
- Supervise and collaborate with a team of junior doctors.
- Support the island’s Respiratory Medicine Service, focusing on conditions like COPD and lung cancer.
- Engage in hospital management activities, including clinical audits and governance.
LIFE IN THE CHANNEL ISLANDS
The Channel Islands provide a balance of coastal beauty and community living. With top-rated schools, excellent transport links, and ample leisure opportunities, this location is ideal for individuals and families alike. The islands are steeped in history and offer a lifestyle that combines professional fulfillment with personal well-being.
An excellent NHS job opportunity for an experienced Consultant in Respiratory Medicine to join a prominent NHS Trust in the UK. This NHS job offers CESR Portfolio Pathway support and international applications from IMGs are welcome.
What is the NHS Trust like?
This leading NHS Trust provides extensive health services across a broad region, including acute and community settings. The Trust is renowned for its commitment to high standards of patient care and innovative healthcare solutions. It has received commendable ratings from the Care Quality Commission (CQC) and is recognized for its effective and compassionate care. Recent government funding has further strengthened its facilities and capabilities, making it an ideal environment for medical professionals seeking to make an impact in a forward-thinking NHS organization.
What is the department & team like?
The Respiratory Medicine Department offers a full spectrum of inpatient and outpatient specialist services. Inpatient care ward features 28 beds and recently received an enhanced ventilation refurbishment. The ward includes a dedicated treatment room with a mobile Sonosite Ultrasound, ensuring top-notch, consultant-led care. Daily multidisciplinary team meetings facilitate best practices and patient-centered approaches, while medical education and quality improvement are integral to our rounds. Outpatient services include a fully equipped lung function laboratory and a range of lung function tests performed by professional physiologists.
They also offer an ambulatory pleural service and share bronchoscopy lists. EBUS, interventional bronchoscopy, and Thoracoscopy procedures are conducted at the Eastbourne endoscopy unit. A committed secretarial team supports the department, providing dedicated office space and IT facilities for the post holder.
Continued Professional Development
This NHS job offers further training & accreditation within Respiratory Medicine, including CESR Portfolio Pathway Support, access to specialty training, and the opportunity to develop a sub-specialist interest. The Trust emphasizes continuous professional development with structured mentorship, opportunities for research, and involvement in cutting-edge respiratory care practices. You will have the chance to advance your career while contributing to a high-performing team.
What is the location like?
The region offers a high quality of life with a mix of scenic landscapes and cultural attractions. It boasts charming towns, beautiful coastlines, and vibrant countryside. With excellent schools, safe neighborhoods, and affordable living costs compared to major cities, it provides a welcoming environment for international doctors and their families. The area is well-connected to major cities, including London, allowing for easy exploration of the UK while enjoying a balanced and enriching lifestyle.
ARE YOU ELIGIBLE FOR THIS ROLE?
EEA Candidates:
- Experience of working in Respiratory Medicine
- Board Certified Specialist in Respiratory Medicine
Non-EEA Candidates:
- Experience of working in Respiratory Medicine
- MRCP UK
UK based applicants
- Experience of working in Respiratory Medicine
- Within 6 - 12 months of completing CCT
A large teaching hospital based in the East Midlands is looking for a Consultant in Respiratory Medicine with an interest in Cystic Fibrosis, Bronchiectasis, Sleep (+/- Complex Ventilation) and/or COPD. The Respiratory Medicine department comprises a team of 25 consultants and is supported by a large team of middle grade doctors. This Respiratory Medicine job is open to both international applications and UK-based doctors, though those with European Specialist or UK CCT are most encouraged to apply.
JOB REQUIREMENTS AND DETAILS
Specialist or eligibility for specialist GMC registration is required for this role, and anyone with an interest in Cystic Fibrosis, Bronchiectasis, Complex Ventilation or Sleep, or COPD should apply.
CORE DUTIES OF THIS ROLE
-
Provide inpatient and outpatient care across respiratory sub-specialties including General Respiratory, Cystic Fibrosis, Sleep Medicine, Bronchiectasis, and COPD.
-
Participate in the Respiratory Assessment Unit (RAU) on-call rota and deliver in-reach services at Queen’s Medical Centre.
-
Contribute to clinical governance, teaching, audit, and the supervision of junior doctors.
-
Engage in service development, leadership activities or research, with optional support for a personal/professional interest via the Trust’s Career Development Programme.
LIFE IN EAST MIDLANDS
The hospital is based in a large midlands city, a lively and well-connected city surrounded by picturesque countryside. Popular residential areas include the urban suburb of West Bridgford or the rural charm of villages like Southwell. Nottingham boasts excellent schools, efficient transport links including fast trains to London and major motorways, and a vibrant social scene with plenty of leisure options for families and professionals alike. Historically significant, Nottingham is renowned for the legend of Robin Hood and its heritage in lace making and industry, making it a culturally rich and dynamic place to live and work.
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
Discover an exciting opportunity as a Specialty Doctor in Acute & General Internal Medicine, you\'ll be a driving force in reshaping the future of acute care in the captivating region in Scotland! Embrace the chance to join a dynamic, forward-thinking team dedicated to revolutionizing medical care. The hospital you will be assigned to proudly serves its community, offering essential emergency, acute, and elective services. Be a part of a team that champions local care, ensuring patients receive support within their familiar surroundings.
Delve into the Medicine Department\'s transformation and collaborate closely with the Emergency Department, backed by adept hospital management. Experience unwavering support within a contemporary, well-equipped environment. The department sits within a health board that stands as a pillar of healthcare excellence in Scotland, collaborating with national bodies to deliver quality care. With around 14,000 staff, it oversees clinical governance and provides specialized hospital services. It serves as a tertiary and teaching center, delivering specialized care to the North of Scotland.
It is located in a place that captivates with its landscapes. From coastal tranquility to fertile expanses, this region offers a soothing commute amid picturesque beauty. Navigate well-maintained roads with a tranquil pace, enjoying a connection with nature as you journey.
The opportunity extends to education, with advanced facilities and affiliations with institutions like the University of the Highlands and Islands. For IMGs seeking CESR, this is your pathway to growth.
Seize the chance for leadership, teaching, research, and continued professional development. Whether a new consultant or an experienced practitioner, you\'ll thrive within a supportive network of high-caliber professionals.
In summary, embark on a journey that combines medical excellence, natural allure, and career growth. The post is suitable for candidates holding specialisation in the EEA, or for experienced IMGs looking to complete CESR.
ARE YOU ELIGIBLE FOR THIS ROLE?
EEA Candidates:
- Experience of working in Acute & General internal Medicine
- Board Certified Specialist in Acute & General internal Medicine
Non-EEA Candidates:
- MRCP UK
- Experience of working in Acute & General internal Medicine
UK based applicants
- Experience of working in Acute & General internal Medicine
- Within 6 - 12 months of completing CCT