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

105,504- 139,882

An NHS district general hospital in the North of Scotland is looking for a Consultant Clinical Oncologist with an interest in Lung, Head & Neck, or Breast cancer. The oncology department comprises a team of 7 consultants and is 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 or FRCR (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

FRCR, full GMC registration with specialist registration or within 6 months of CCT, along with broad experience in prescribing radiotherapy and SACT, are required for this role, and anyone with an interest in Lung, Head & Neck, or Breast radiotherapy should apply. The salary will be between £107,144 and £142,369 dependent on experience or grade.

CORE DUTIES OF THIS ROLE

  • Manage a subspecialty caseload in Lung, H&N or Breast radiotherapy, delivering high-quality care and treatment planning.

  • Participate in MDT meetings, clinical governance, research and teaching activities.

  • Contribute to acute oncology on-call cover and peripheral clinics across the region.

  • Lead or support the development of new services or innovations in clinical delivery within the department.

LIFE IN THE SCOTTISH HIGHLANDS

This job is based in the Scottish Highlands, a region known for both its bustling city of Inverness and rural escapes like Beauly or Fort Augustus.

The Highlands offer excellent schools, strong transport links including rail and air connections, and year-round recreational options from hiking to arts festivals. The city also has a vibrant cultural and social scene for families and professionals alike.

Rich in heritage, the Highlands are home to some of Scotland’s most renowned history—from clan culture to castles—making this region both a scenic and significant 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

96990 - 107155

An NHS acute hospital in the South East is looking for a Specialist Acute Physician with an interest in Same Day Emergency Care and Ambulatory Medicine. The Acute Internal Medicine department comprises a team of 13 consultants and is supported by a large team of middle grade doctors. This Acute Medicine job is open to both international applications and UK-based doctors, though those with European Specialist or MRCP (UK) 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

MBBS or equivalent, full GMC registration, MRCP, and a minimum of 4 years’ post-graduate NHS experience (with at least 2 years in Acute Medicine) are required for this role, and anyone with an interest in expanding SDEC and short stay services should apply. The salary will be between £96,990 - £107,155 dependent on experience or grade.

CORE DUTIES OF THIS ROLE

  • Provision of the Acute Internal Medicine service, including same day emergency care, inpatients on the AMU, and the Short Stay Unit

  • Receiving referrals from primary care to provide clinical advice and triage for potential admissions

  • Supervision of junior doctors and alternative workforce, including advice on treatment plans

  • Participation in clinical education and governance activities, and supporting development of the department

LIFE IN THE SOUTH EAST

This role is based in a major coastal city in the South East, with nearby living options ranging from lively urban centres to scenic rural towns. The region offers strong transport connections, reputable schools, and a wide range of leisure pursuits including historic attractions, beaches, and outdoor activities. Known for its maritime heritage, this area has longstanding ties to British naval and defence history.

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 teaching hospital in the North of England is looking for a Consultant in Medical Oncology with all interests considered. The oncology department comprises a team of consultants and is supported by a large team of middle grade doctors. This Medical Oncology job is open to both international applications and UK-based doctors, though those with European Specialist Registration or MRCP (UK) 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 with a licence to practise and inclusion (or eligibility within 6 months) on the Specialist Register in Medical Oncology are required for this role. The salary will be between £105,504 and £139,882 dependent on experience or grade.

CORE DUTIES OF THIS ROLE

  • Manage and treat patients with cancers as part of the site-specific MDTs.

  • Provide on-call and acute cover for oncology inpatients and new inpatient referrals on a rotational basis (1 week out of 8).

  • Attend weekly multi-disciplinary meetings.

  • Hold an honorary lecturer position at a local medical school and participate in undergraduate teaching.

  • Participate in clinical research as appropriate.

  • Train and teach specialty trainees in medical oncology.

LIFE IN THE NORTH OF ENGLAND

This role is based in the North of England, a region that offers the perfect balance of urban convenience and rural charm. Residents can enjoy city living in York or find quieter settings in the nearby countryside and villages. The area boasts outstanding schools, excellent transport links, and a wide variety of cultural, sporting, and outdoor activities. With its strong ties to Britain’s industrial heritage and the beautiful countryside on its doorstep, the North of England is a popular choice for healthcare professionals relocating to the UK.

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

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105,504- 139,882

An NHS teaching hospital in the East Midlands of England is looking for a Consultant Clinical Oncologist with an interest in Upper Gi, HPB, and Breast cancers. The Oncology department comprises of a large team of Medical Oncology Consultants and Clinical Oncology Consultants, supported by prescribing Clinical Nurse Specialists (CNS) and rotational specialist registrars (SPRs).

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

JOB REQUIREMENTS AND DETAILS

This Clinical Oncology job is open to both international applications and UK-based doctors, though those with European Specialist registration or FRCR qualifications are most encouraged to apply.

Full GMC registration and FRCR (or equivalent) are required for this role, and anyone with an interest in Upper Gi, HPB, and Breast cancers should apply. The salary will be between £105,504 and £139,882 per annum, dependent on experience or grade.

CORE DUTIES OF THIS ROLE

  • Provide outpatient and inpatient care for patients with Upper Gi, HPB, and Breast cancers
  • Participate in multidisciplinary team (MDT) meetings for skin and urology.
  • Supervise and support Clinical Nurse Specialists (CNS), specialist registrars (SPRs), and ward resident doctors.
  • Prescribe and manage radiotherapy and systemic treatments.

LIFE IN THE EAST MIDLANDS

The hospital is based in a vibrant city offering both urban living in the city center and rural living in surrounding villages like West Bridgford. The area boasts excellent schools, efficient public transport links, and a variety of leisure activities, including theaters, sports venues, and parks. Nottingham holds historical significance as the legendary home of Robin Hood and played a pivotal role in the UK\'s industrial history.

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 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

A Yorkshire based general hospital is looking for a Locum Consultant in Gastroenterology with an interest in inflammatory bowel disease, hepatology or advanced therapeutic endoscopy. The gastroenterology department is staffed by a team of consultants and supported by middle grade doctors. This opportunity welcomes applications from both UK-based and international doctors, especially those holding European Specialist or MRCP(UK) qualifications.

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

JOB REQUIREMENTS AND DETAILS

MRCP (or equivalent), extensive experience in gastroenterology, and ideally some NHS experience will be required for this role, and anyone with an interest in inflammatory bowel disease, hepatology or therapeutic endoscopy should apply. The salary will be between £105,504 and £139,882 dependent on experience or grade.

CORE DUTIES OF THIS ROLE

  • Deliver consultant-level care for inpatients and outpatients in gastroenterology.

  • Participate in a shared on-call rota and cover gastroenterology services on a rotational basis.

  • Conduct at least two endoscopy sessions and two outpatient clinics each week.

  • Support departmental audit, teaching, research, and development initiatives.

LIFE IN YORKSHIRE

Located in South Yorkshire, the hospital is near vibrant city living in Sheffield or quieter countryside communities such as Wickersley. The area offers good schools, strong public transport links, and leisure activities suitable for families and professionals alike. Yorkshire has a rich industrial past and plays a notable role in British history, contributing to its unique character and charm.

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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