MRCPI Bedside

In this episode we are joined again by Rheumatology Specialist Registrar Dr Aine Connerton to discuss some final tips and FAQs before your exam. We discuss what to wear, how to keep track of time, how to stand, whether to check pulses and BP, bedside tests and Aine's cases in her exam. This podcast is supported by Pastest and their excellent online education resource to help candidates sit their clinical exams. Sign up to Pastest MRCP Clinical revision resource via our affiliate link below: ⁠⁠⁠https://www.awin1.com/cread.php?awinmid=46017&awinaffid=1651835&campaign=MRCPi+Bedisde&ued=https%3A%2F%2Fwww.pastest.com%2Fmrcp-part-1%2F⁠⁠⁠ For Irish based candidates you can apply to claim back the cost through the training support scheme (up to date as of July 2023) Consultant supervisor Professor Declan Byrne, consultant physician St James's Hospital, Dublin Show music by Stepping on Lego - email: ⁠⁠steppingonlegoband@gmail.com⁠⁠ - socials: @steppingonlego_ Get in touch with us by email ⁠⁠mrcpibedside@gmail.com⁠⁠ or social media @mrcpibedside Good luck!

In this episode we are joined again by Rheumatology Specialist Registrar Dr Aine Connerton to discuss Systemic Sclerosis (scleroderma) as a potential station in the Irish MRCPI Part II clinical exam. We talk through a case of rheumatoid arthritis - the physical findings, a differential diagnosis, investigations and management. We then go on to briefly talk through some potential follow-up questions including monitoring on biologic therapy, extra-articular manifestations, and causes of anaemia in RA. This podcast is supported by Pastest and their excellent online education resource to help candidates sit their clinical exams. Sign up to Pastest MRCP Clinical revision resource via our affiliate link below: ⁠⁠⁠https://www.awin1.com/cread.php?awinmid=46017&awinaffid=1651835&campaign=MRCPi+Bedisde&ued=https%3A%2F%2Fwww.pastest.com%2Fmrcp-part-1%2F⁠⁠⁠ For Irish based candidates you can apply to claim back the cost through the training support scheme (up to date as of July 2023) Consultant supervisor Professor Declan Byrne, consultant physician St James's Hospital, Dublin Show music by Stepping on Lego - email: ⁠⁠steppingonlegoband@gmail.com⁠⁠ - socials: @steppingonlego_ Get in touch with us by email ⁠⁠mrcpibedside@gmail.com⁠⁠ or social media @mrcpibedside Good luck!

In this episode we are joined again by Rheumatology Specialist Registrar Dr Aine Connerton to discuss Systemic Sclerosis (scleroderma) as a potential station in the Irish MRCPI Part II clinical exam. We discuss the approach the distinctions between systemic sclerosis or scleroderma, CREST, and Raynaud's Syndrome, physical findings, a differential diagnosis, investigations and management. We then go on to briefly talk through some potential follow-up questions. This podcast is supported by Pastest and their excellent online education resource to help candidates sit their clinical exams. Sign up to Pastest MRCP Clinical revision resource via our affiliate link below: ⁠⁠https://www.awin1.com/cread.php?awinmid=46017&awinaffid=1651835&campaign=MRCPi+Bedisde&ued=https%3A%2F%2Fwww.pastest.com%2Fmrcp-part-1%2F⁠⁠ For Irish based candidates you can apply to claim back the cost through the training support scheme (up to date as of July 2023) Consultant supervisor Professor Declan Byrne, consultant physician St James's Hospital, Dublin Show music by Stepping on Lego - email: ⁠steppingonlegoband@gmail.com⁠ - socials: @steppingonlego_ Get in touch with us by email ⁠mrcpibedside@gmail.com⁠ or social media @mrcpibedside Good luck!

In this episode we are joined by Dublin based Cardiology Specialist Registrar Dr Roisin Gardiner to discuss mitral regurgitation as a station in the MRCPI Part II clinical exam. We discuss the approach, physical findings, a differential diagnosis, investigations and management. We discuss heart failure management and its relevance in MR, as well as a discussion about infective endocarditis, and how it might come up in the MRCPI clinical exam, including Duke's Criteria. Sign up to Pastest MRCP Clinical revision resource via our affiliate link below: ⁠⁠https://www.awin1.com/cread.php?awinmid=46017&awinaffid=1651835&campaign=MRCPi+Bedisde&ued=https%3A%2F%2Fwww.pastest.com%2Fmrcp-part-1%2F⁠⁠ (when purchased through this link a small percentage goes towards supporting the podcast) Episode external review by Dr Rory Durand, Dublin Consultant supervisor Professor Declan Byrne, consultant physician St James's Hospital, Dublin Show music by Stepping on Lego - email: steppingonlegoband@gmail.com - socials: @steppingonlego_ Get in touch with us by email mrcpibedside@gmail.com or social media @mrcpibedside Good luck!

In this episode we are joined by Neurology Specialist Registrar Dr Emma Dolan to discuss some general tips for neurology cases in MRCPI Part II clinical exam. Sign up to Pastest MRCP Clinical revision resource via our affiliate link below: ⁠⁠⁠https://www.awin1.com/cread.php?awinmid=46017&awinaffid=1651835&campaign=MRCPi+Bedisde&ued=https%3A%2F%2Fwww.pastest.com%2Fmrcp-part-1%2F⁠⁠⁠ Consultant supervisor Professor Declan Byrne, consultant physician St James's Hospital, Dublin Show music by Stepping on Lego - email: steppingonlegoband@gmail.com - socials: @steppingonlego_ Get in touch with us by email mrcpibedside@gmail.com or social media @mrcpibedside Good luck!

In this episode we are joined by Neurology Specialist Registrar Dr Emma Dolan to discuss the examination, investigations and differentials for cerebellar disorder case in the MRCPI Part II clinical exam. Sign up to Pastest MRCP Clinical revision resource via our affiliate link below: ⁠⁠https://www.awin1.com/cread.php?awinmid=46017&awinaffid=1651835&campaign=MRCPi+Bedisde&ued=https%3A%2F%2Fwww.pastest.com%2Fmrcp-part-1%2F⁠⁠ Consultant supervisor Professor Declan Byrne, consultant physician St James's Hospital, Dublin Show music by Stepping on Lego - email: steppingonlegoband@gmail.com - socials: @steppingonlego_ Get in touch with us by email mrcpibedside@gmail.com or social media @mrcpibedside Good luck!

In this episode we are joined by Endocrinology Specialist Registrar Dr Michelle Maher to discuss the e assessment, investigations and management for a case of acromegaly as a case in the MRCPI Part II clinical exam. Sign up to Pastest MRCP Clinical revision resource via our affiliate link below: https://www.awin1.com/cread.php?awinmid=46017&awinaffid=1651835&campaign=MRCPi+Bedisde&ued=https%3A%2F%2Fwww.pastest.com%2Fmrcp-part-1%2F Consultant supervisor Professor Declan Byrne, consultant physician St James's Hospital, Dublin Show music by Stepping on Lego - email: steppingonlegoband@gmail.com - socials: @steppingonlego_ Get in touch with us by email mrcpibedside@gmail.com or social media @mrcpibedside Good luck!

In this episode we are joined by Neurology Specialist Registrar Dr Emma Dolan to discuss the examination, investigations and differentials for limb weakness as a case in the MRCPI Part II clinical exam. Sign up to Pastest MRCP Clinical revision resource via our affiliate link below: ⁠https://www.awin1.com/cread.php?awinmid=46017&awinaffid=1651835&campaign=MRCPi+Bedisde&ued=https%3A%2F%2Fwww.pastest.com%2Fmrcp-part-1%2F⁠ Consultant supervisor Professor Declan Byrne, consultant physician St James's Hospital, Dublin Show music by Stepping on Lego - email: steppingonlegoband@gmail.com - socials: @steppingonlego_ Get in touch with us by email mrcpibedside@gmail.com or social media @mrcpibedside Good luck!

In this episode we are joined by Nephrology Specialist Registrar Dr Sarah Cormican to briefly discuss some pertinent points about peritoneal dialysis for the the MRCPI Part II clinical exam. Editors note: also to remember hernias as a potential complication! Link to Pastest MRCP Clinical revision resource: https://bit.ly/468j0lT Consultant supervisor Professor Declan Byrne, consultant physician St James's Hospital, Dublin Show music by Stepping on Lego - email: steppingonlegoband@gmail.com - socials: @steppingonlego Get in touch with us by email mrcpibedside@gmail.com or social media @mrcpibedside Good luck!

In this episode we are joined by Nephrology Specialist Registrar Dr Sarah Cormican to discuss the topic of renal transplant in a potential station in the MRCPI Part II clinical exam. Link to Pastest MRCP Clinical revision resource: ⁠https://bit.ly/468j0lT⁠ Consultant supervisor Professor Declan Byrne, consultant physician St James's Hospital, Dublin Show music by Stepping on Lego - email: ⁠steppingonlegoband@gmail.com⁠ - socials: @steppingonlegoGet in touch with us by email ⁠mrcpibedside@gmail.com⁠ or social media @mrcpibedside Good luck!

In this episode we are joined by Nephrology Specialist Registrar Dr Sarah Cormican to discuss polycystic kidney disease as potential station in the MRCPI Part II clinical exam. Link to Pastest MRCP Clinical revision resource: https://bit.ly/468j0lT Consultant supervisor Professor Declan Byrne, consultant physician St James's Hospital, Dublin Show music by Stepping on Lego - email: steppingonlegoband@gmail.com - socials: @steppingonlegoGet in touch with us by email mrcpibedside@gmail.com or social media @mrcpibedsideGood luck!

In this episode we are joined by Respiratory Consultant Dr Brian Kent to discuss Interstitial Lung Disease as potential station in the MRCPI Part II clinical exam. Link to Pastest MRCP Clinical revision resource: https://bit.ly/468j0lT Episode external review by Dr Margaret Higgins, Respiratory SpR Consultant supervisor Professor Declan Byrne, consultant physician St James's Hospital, Dublin Show music by Stepping on Lego - email: steppingonlegoband@gmail.com - socials: @steppingonlegoGet in touch with us by email mrcpibedside@gmail.com or social media @mrcpibedside

In this episode we are joined by Respiratory Consultant Dr Brian Kent to talk through bronchiectasis as a potential station in the MRCPI Part II clinical exam. Link to Pastest MRCP Clinical revision resource: https://bit.ly/468j0lT Episode external review by Dr Margaret Higgins, Respiratory SpR Consultant supervisor Professor Declan Byrne, consultant physician St James's Hospital, Dublin Show music by Stepping on Lego - email: steppingonlegoband@gmail.com - socials: @steppingonlegoGet in touch with us by email mrcpibedside@gmail.com or social media @mrcpibedside Good luck!

In this episode we are joined by Rheumatology Specialist Registrar Dr Aine Connerton to discuss Ankylosing Spondylitis as a potential station in the Irish MRCPI Part II clinical exam. We discuss the approach, physical findings, a differential diagnosis, investigations and management. We then go on to briefly talk through some potential follow-up questions including radiological findings, and extra articular manifestations. Episode external review by Dr Eleanor Connolly, Rheumatology Specialist Registrar This podcast is supported by Pastest and their excellent online education resource to help candidates sit their clinical exams. Link to Pastest MRCP Clinical revision resource: https://bit.ly/468j0lT For Irish based candidates you can apply to claim back the cost through the training support scheme (up to date as of July 2023) Consultant supervisor Professor Declan Byrne, consultant physician St James's Hospital, Dublin Show music by Stepping on Lego - email: steppingonlegoband@gmail.com - socials: @steppingonlego Get in touch with us by email mrcpibedside@gmail.com or social media @mrcpibedside Good luck!

In this episode we are joined by Haematology Specialist Registrar Dr Claire Kelly to discuss splenomegaly and some important haematological disorders as potential stations in the MRCPI Part II clinical exam. We discuss the approach, physical findings, a differential diagnosis, investigations and management. We then go on to briefly talk through some potential follow-up questions including differentiating a large spleen versus a large kidney, management of Chronic Myeloid Leukaemia (CML) and Myelofibrosis, a brief review of Autoimmune Haemolytic Anaemia (AIHA) and Immune Thrombocytopenia (ITP), splenectomy indications and splenectomy precautions. Common causes of splenomegaly in exams are CML and myelofibrosis. A possible way to learn and work through a splenomegaly differential diagnosis (taken from Pastest Splenomegaly case notes): The causes of splenomegaly can be stratified into three main categories: "1 . Infiltration, malignant or benign - (including myeloproliferative and lymphoproliferative disorders), lymphomas, amyloidosis, sarcoidosis, Gaucher's disease (ie lipid storage disease), thyrotoxicosis. 2. Increased function – with increased removal of defective red blood cells with spherocytes, thalassaemia, nutritional anaemias and early sickle cell anaemia. Also there is immune hyperplasia in response to infection (viral, bacterial, fungal or parasitic) including tropical splenomegaly with chronic malaria and visceral leishmaniosis i.e. Kala-azar. Also consider glandular fever, infectious hepatitis, subacute bacterial endocarditis, brucellosis and disordered immunoregulation (rheumatoid arthritis with Felty's syndrome, SLE, sarcoidosis) 3. Abnormal blood flow, either with cirrhosis, or secondary to a vascular problem, such as hepatic or portal vein obstruction. As there are so many causes of splenomegaly, you may find the examiner will give you a clue to guide you to the diagnosis. Listen carefully for this. So, for example, if the examiner asks you to examine this farmer's abdomen, they may be likely to have Brucellosis. If you were only asked to examine the abdomen itself but given an opportunity to examine elsewhere, you may request to examine the throat for glandular fever. If the examiner asks you to examine this man and informs you he is an Ashkenazi Jew, there may be increased likelihood that the patient may have type 1 Gaucher's. If you are informed the patient has recently returned from Africa, then you should consider chronic malaria, although there would likely be other clinical features such as anaemia." Link to Pastest MRCP Clinical revision resource: https://bit.ly/468j0lT Episode external review by Dr Louisa Shackleton, Haematology SpR Consultant supervisor Professor Declan Byrne, consultant physician St James's Hospital, Dublin Show music by Stepping on Lego - email: steppingonlegoband@gmail.com - socials: @steppingonlego Get in touch with us by email mrcpibedside@gmail.com or social media @mrcpibedside Good luck!

In this episode we are joined by Dublin based Endocrinology Specialist Registrar Dr Michelle Maher to discuss how thyroid disorders may appear as a case in the MRCPI Part II clinical exam. We discuss the approach, physical findings, a differential diagnosis, investigations and management for a number of thyroid conditions for the clinical exam format. We then go on to briefly talk through some potential follow-up questions. Link to Pastest MRCP Clinical revision resource: https://bit.ly/468j0lT Episode external review by Endocrinology SpR Dr Liam O'Murchadha, Dublin Consultant supervisor Professor Declan Byrne, consultant physician St James's Hospital, Dublin Show music by Stepping on Lego - email: steppingonlegoband@gmail.com - socials: @steppingonlego Get in touch with us by email mrcpibedside@gmail.com or social media @mrcpibedside Good luck!

In this episode we are joined by Dublin based Cardiology Specialist Registrar Dr Roisin Gardiner to discuss aortic stenosis as a station in the MRCPI Part II clinical exam. We discuss the approach, physical findings, a differential diagnosis, investigations and management. We then go on to briefly talk through some potential follow-up questions including Heyde's syndrome, symptoms of aortic stenosis, echocardiogram findings of severe aortic stenosis, surgical repair versus TAVI and benefits of mechanical versus bioprosthetic valves. Link to Pastest MRCP Clinical revision resource: https://bit.ly/468j0lT Episode external review by Dr Rory Durand, Dublin Consultant supervisor Professor Declan Byrne, consultant physician St James's Hospital, Dublin Show music by Stepping on Lego - email: steppingonlegoband@gmail.com - socials: @steppingonlego Get in touch with us by email mrcpibedside@gmail.com or social media @mrcpibedside Good luck!

In this episode we talk through the structure and how to prepare for short case station 1 , the Communication and Ethics station, one of the most failed stations outside of candidates who sit their exam outside of Ireland.  Check out  >>> Pastest

In part two of The Short Cases episode we continue on from where we left off, going through what to expect in the 4 minutes of question time with the consultant examiner. We talk through the presentation of your physical examination findings, and the structure of the questions along with some tips for both. The VITAMIN CDE mnemonic as a potential helpful tool for working through a differential diagnosis: V - Vascular I - Infectious/Inflammatory T - Trauma/Toxic A - Autoimmune  M - Metabolic I - Iatrogenic/Idiopathic  N - Neoplastic C - Congenital  D - Degenerative  E - Endocrine Get in touch with any questions or to share any of your own tips with us at mcrpibedside@gmail.com Check out our Twitter @mrcpibedside for more helpful tips and tricks Instagram (neww!!) @mrcpibedside  Check out the great exam resource on the Pastest website - using the PACES resource to study for the MRCPI we both found was highly beneficial follow this link >>> Pastest Show music: Stepping on Lego. Forward any enquiries to SteppingOnLegoBand@gmail.com Consultant Lead: Professor Declan Byrne, St. James Hospital, Dublin

Welcome back to MRCPI Bedside, hosted by Dr. Christine Condon and Dr. Harry Economos. This is part one of The Short Cases episodes. In this episode we will talk through the need-to-know information to get you through the five short cases. Good preparation is the key to ensure that you're not thrown on the day. Keep calm and achieve the marks you deserve. Get in touch with us at mcrpibedside@gmail.com Check out our Twitter @mrcpibedside for more helpful tips and tricks Check out this great exam resource >>> Pastest Show music: Stepping on Lego. Forward any enquiries to SteppingOnLegoBand@gmail.com Consultant Lead: Professor Declan Byrne

Welcome back to MRCPI Bedside, hosted by Dr. Christine Condon and Dr. Harry Economos. This is part two of our intro guide about the long cases where we divulge our own personal experiences. Get in touch with us at mcrpibedside@gmail.com or Twitter @mrcpibedside Show music: Stepping on Lego. Forward any enquiries to SteppingOnLegoBand@gmail.com. Consultant Lead: Professor Declan Byrne

Welcome back to MRCPI Bedside, hosted by Dr. Christine Condon and Dr. Harry Economos. This is part one of our how to guide on passing your long cases. How to guide: 1.  Get to know the layout and timing early on. Check out the RCPI page here for more information. 2.  Familiarise yourself with medical conditions from the following conditions >>> Cardiology, Respiratory, Abdominal, Endocrine, Dermatology, Neurology and Rheumatology. 3.  Take each clinical encounter as the admitting doctor in ED as a mock run for your long cases. 4.  Time yourself from the very start. 5.  Don't underestimate the value of a systems review. 6.  Keep your examination focused. 7.  Do a mock long case. 8.  Reference a book when practicing to ensure that you're not missing anything big. We recommend Rupa Bessant's ‘The Pocketbook for PACES'. Access it here. 9.  Check out or sign up to Pastest here, an online resource, that will provide you not only with hundreds of videos with real life patients with physical signs but also model physical exams, example questions and answers to prepare you for exam day. 10.  At the time of uploading this podcast, there are COVID-19 specific changes to the exam. More information here. This is subject to change. For more information, get in touch with us at mcrpibedside@gmail.com or via our Twitter @mrcpibedside. Show music: Stepping on Lego. Forward any enquiries to SteppingOnLegoBand@gmail.com. Consultant Lead: Professor Declan Byrne

Welcome back to MRCPI Bedside, hosted by Dr. Christine Condon and Dr. Harry Economos. Get in touch at mrcpibedside@gmail.com or on Twitter @MRCPIBedside In our third episode we do our best to explain the confusing marking scheme. We highlight how a bit of an understanding of what is necessary to achieve a 'satisfactory' score can assist your preparation and maximise the points you earn yourself on the day.  The 7 different examinable skills and what indicates a 'satisfactory' (full points) and 'unsatisfactory' (fail/zero points) are: 1. Clinical communication skills Satisfactory = History is relevant/ Fluent/ Focused Unsatisfactory = Omits crucial areas/ Unpractised/ Unprofessional 2. Managing relationships with patients Satisfactory = Listens to patient's concerns/ Empathetic Unsatisfactory = Dismisses patient's concern's/ Not empathetic 3. Physical examination Satisfactory = Accurate/ appropriate/ practised/ professional Unsatisfactory = Poor technique/ Omits important tests/ Hesitant / Lacks Confidence 4. Identifying physical signs Satisfactory = Identifies correct physical signs Unsatisfactory= Misses important clinical signs / Reports signs that are not present 5. Differential diagnosis Satisfactory = Presents a sensible and comprehensive differential diagnosis Unsatisfactory = Inappropriate, incomplete differential diagnosis 6. Clinical judgement Satisfactory = Evidence of reflective problem solving / Suggests appropriate investigations and management Unsatisfactory = Poor evidence of problem solving / Selects unsuitable investigations and treatments 7. Maintaining patient safety and quality of care Satisfactory = Treats patient respectfully and sensitively, and ensures comfort, safety, and dignity Unsatisfactory = Jeopardises patient safety / Causes physical or emotional pain to the patient We feel this episode is best accompanied by reading through the points allocation table and have having a look at the examiners' marking card. Available in the link below (direct from RCPI website) - scroll to pages 5-9.  https://rcpi-live-cdn.s3.amazonaws.com/wp-content/uploads/2021/06/MRCPI-Part-II-GM-Clinical-Examination-Candidate-Information-COVID-Updated-June-2021.pdf

Welcome back to the MRCPI bedside, hosted by Dr. Christine Condon and Dr. Harry Economos. In our second episode we are going to talk through some tried and tested preparation techniques to set yourself up for the best chance of success. Get in touch at mrcpibedside@gmail.com or on twitter @MRCPIBedside.  The Books - Essential Examination (an excellent book to have at the bedside to make sure you are doing your physical exam correctly to pick up physical signs): https://www.amazon.co.uk/Essential-Examination-3rd-Step-step/dp/1907904107/ref=sr_1_5?crid=UZWA52KXG2V7&keywords=clinical+examination+book&qid=1662810037&sprefix=clinical+exam%2Caps%2C106&sr=8-5 - The Pocketbook for PACES: https://www.amazon.co.uk/Pocketbook-PACES-Oxford-Specialty-Training/dp/0199574189/ref=sr_1_2?keywords=rupa+bessant&qid=1662810815&sr=8-2 - Cases for PACES: https://www.amazon.co.uk/Cases-PACES-Stephen-Hoole/dp/1118983572/ref=sr_1_5?keywords=rupa+bessant&qid=1662810815&sr=8-5 Websites - https://www.pastest.com/mrcp-paces/online-revision - https://www.prepacespodcast.com Videos - See Pastest website above - Prof. Niall Tubridy Neurology videos - For example; Parkinsons exam. https://www.youtube.com/watch?v=kXMydlXQYpY Podcasts - Prepaces podcast (45-60 min episodes focusing on specific exam topics) https://open.spotify.com/show/5i7o1ENPUcvQwQDrH9XFlQ - PACES revision podcast (15 min episodes) (harry loves these) https://soundcloud.com/mededleeds/sets/paces-revision-podcast Courses - 2 day PACES course in Manchester: https://www.paces4u.com - 4 day PACES course in London: http://www.passpaces.co.uk/courses.html Your exam kit Candidates are expected to bring the relevant equipment required for a physical examination (e.g. stethoscope, patella hammer, tuning fork, pen torch, neuro tips or monofilament, cotton wool, measuring tape). No examining equipment will be provided. Pencils and paper are provided for history taking at long case stations. Show music: Stepping on Lego Enquiries: SteppingOnLegoBand@gmail.com Consultant Lead Professor Declan Byrne

Welcome to the first episode of MRCPI bedside hosted by Dr. Christine Condon and Dr. Harry Economos. In this episode we introduce the podcast and run through the basics and format of the MRCPI clinical exam in General Medicine. Get in touch at mrcpibedside@gmail.com or on twitter @MRCPIBedside. 1. About the MRCPI part II clinical exam:  https://www.rcpi.ie/examinations/mrcpi-in-general-medicine/general-medicine-part-ii-clinical/ 2. Examinations Calendars: - 2022: https://rcpi-live-cdn.s3.amazonaws.com/wp-content/uploads/2022/07/Examinations-Calendar-2021-2022-V_130722.pdf - 2023: https://www.rcpi.ie/examinations/examinations-calendar/ 3. About the application process: Verification of applications are completed after the closing date for applications. Once these verifications are completed, this may take a couple of weeks, those who have allocated a place will be asked to pay the outstanding fees and will receive their exam details the week following that. The candidates who have not received a place, will be kept on a waiting list where they will be given a place if an allocated candidate withdraws and they are the next eligible candidate. All candidates are advised not to make any travel arrangements until the closing date has passed and they have received an email saying their application is successful, their fees have been paid and they have been allocated a place in the exam. Candidates will receive exact details of the exam time and location after they have paid their fees and all places have been allocated. Please review the website for the most up to date information on this process. 4. Exam structure  https://rcpi-live-cdn.s3.amazonaws.com/wp-content/uploads/2021/06/MRCPI-Part-II-GM-Clinical-Examination-Candidate-Information-COVID-Updated-June-2021.pdf 5. RCPI General Medical Skills Course for MRCPI Part II Free access (requires RCPI website login) is available to the MRCPI General Medicine Skills Course for Exam Candidates, which includes practice questions for the Written exams and guidance on preparing for the Clinical exam: https://brightspace.rcpi.ie/d2l/le/sequenceLauncher/9337/View 6. Exam reimbursement  - Training Support Scheme for NCHDs (TSS): https://www.hse.ie/eng/staff/leadership-education-development/met/ed/fin/training-support-policy-2020.pdf - Clinical Course & Examination Refund Scheme for https://www.hse.ie/eng/staff/leadership-education-development/met/ed/fin/ccers-march-2021-.pdf