Preparing for the MRCP PACES exam is a significant challenge for aspiring MRCP candidates. Even well-prepared and knowledgeable doctors may struggle due to technique-related errors or inadequate guidance on preparation. As the PACES format in 2026 continues to focus on integrated clinical encounters, avoiding these common mistakes is essential for successfully mastering the MRCP PACES exam.
Below are the key preparation mistakes candidates should avoid to perform well in the MRCP PACES examination.
1. Neglecting the "Bread and Butter" Cases in MRCP PACES
In the MRCP PACES exam, "Neglecting the 'bread and butter' cases" refers to the mistake of failing to master common, high-yield clinical conditions that appear frequently in the exam. Neglecting these cases is dangerous because they are the "easy marks" of the exam. Candidates who struggle with a complex neurological case can often "pass" the overall exam by performing flawlessly on the predictable bread-and-butter cases in other stations.
2. Ignoring Communication and Ethics Stations in PACES
Communication skills account for roughly 40% of the exam marks. Candidates often over-prepare for physical signs while neglecting history-taking and sensitive conversations. Practice using structured models like ICE (Ideas, Concerns, Expectations) and SPIKES for breaking bad news to ensure you don't lose easy marks.
3. Practicing for MRCP PACES Without a Timer
Knowing the clinical signs is one thing; performing under pressure is another. You must strictly adhere to time limits—typically 6 minutes for examination in physical stations and 15 minutes for consultations. If you haven't timed your practice, your pacing will likely fall apart on the day.
4. Failing to Identify Patient Welfare (Skill G)
This is a critical "safe doctor" check. Candidates often rush and forget to ask the patient if they are in pain or comfortable while examining. Maintaining patient welfare remains a core skill; if you cause significant discomfort, you're at risk of failing the station entirely.
5. Making Up Clinical Signs During PACES Examination
It is better to admit you are unsure than to report signs that aren't there. Examiners calibrate findings beforehand; reporting a "puddle sign" for ascites (now considered outdated) or finding a murmur that doesn't exist will immediately flag poor technique.
6. Using Medical Jargon with Patients in Communication Stations
Using overly technical language during the consultation or communication stations is a common reason for failure. Use the "chunk and check" method: explain a concept in simple terms, then check if the patient understands before moving on.
7. Enroll in a Hands-On MRCP PACES Training Program
Revising solo can reinforce bad habits. A PACES buddy or study group is invaluable for providing honest feedback and acting as a surrogate patient or examiner. However, hands-on training is necessary for better preparation.
8. Weak Case Presentation in MRCP PACES
Identifying the sign is only half the battle; you must present findings in a logical, clear, and confident manner. Avoid "textbook" lists of differentials; instead, provide a tailored differential diagnosis relevant to the patient you just examined.
9. Poor Physical Positioning During Clinical Examination
Simple technical errors, such as failing to lay a patient completely flat for an abdominal exam or not positioning them at 45 degrees for a cardiovascular assessment, can cost crucial marks. Make your physical examination technique automatic so your brain can focus on the signs.
Conclusion
The MRCP PACES exam tests your ability to be a safe and competent physician. By shifting your focus from pure knowledge to refined technique, communication, and time management, you can approach the 2026 exam with the confidence needed to succeed on your first attempt.
Preparing well for the MRCP PACES exam involves consistent practice, clear guidance, and exposure to real exam-style scenarios. Structured, hands-on training with regular feedback can help candidates avoid common mistakes and build confidence across all PACES stations.
To support your preparation, Farz Academy offers practical courses with live exam simulations and guided learning. You can connect with the team to explore a preparation pathway that suits your needs and exam timeline.
Frequently Asked Questions
Q1. How many stations are there in the MRCP PACES exam?
Ans: The MRCP PACES exam consists of five stations, conducted according to the MRCP PACES 2023 carousel format.
Q2. Does Farz Academy provide hands-on training for MRCP PACES?
Ans: Yes, Farz Academy provides hands-on training courses, along with online lectures and pre-course study materials, to support comprehensive PACES preparation.
Q3. When can a candidate appear for the MRCP PACES exam?
Ans: A candidate can appear for the MRCP PACES exam after successfully completing MRCP Part 1 and MRCP Part 2.