The MRCPCH Foundation of Practice (FOP) is a computer-based theory examination that forms part of the Membership of the Royal College of Paediatrics and Child Health (MRCPCH). It assesses candidates' knowledge and understanding of medical conditions affecting children, along with clinical decision-making abilities required for core specialist training in paediatrics.
The FOP exam is also used as the theoretical component of the Diploma of Child Health (DCH), making it essential for both aspiring paediatricians and GPs working with children. The exam ensures that doctors who will come into contact with children have acquired a secure knowledge base for clinical practice in various settings.
The MRCPCH Foundation of Practice (FOP) is a computer-based examination assessing basic child health knowledge and clinical decision-making skills. It's the first theory exam required for MRCPCH membership and also serves as the theory component for the DCH (Diploma of Child Health).
From September 2024 onwards, the FOP exam consists of 100 Single Best Answer (SBA) questions. Previously, it contained 80 questions (70 SBAs and 10 Extended Matching Questions), but the format was updated to focus exclusively on SBA questions.
The FOP exam duration is 2 hours (120 minutes). This gives candidates approximately 1.2 minutes per question to complete all 100 Single Best Answer questions under exam conditions.
The FOP exam typically runs three times per year. For 2025, the scheduled dates include February 19th, June 25th, and October 14th. FOP is usually scheduled in the morning, with TAS (Theory and Science) available in the afternoon.
Yes, candidates can take both FOP and TAS exams on the same day. FOP is scheduled in the morning session and TAS in the afternoon session. Alternatively, you can choose to take them on separate occasions during different exam diets.
The FOP covers all major paediatric specialties including General Paediatrics (25-38%), Neonatology, Cardiology, Child Development, Emergency Medicine, Endocrinology, Gastroenterology, Neurology, Respiratory Medicine, and other core areas of child health.
The FOP exam costs £350 in the UK and £435 at overseas test centers. The fee is the same whether you choose to sit at a test center or use online remote invigilation. Additional costs may include preparation materials and travel expenses.
As of 2024, all MRCPCH candidates are allowed up to six attempts at each part of the MRCPCH, including the FOP exam. If you complete six attempts, you must provide supporting evidence to request additional attempts.
Ready to begin your journey toward MRCPCH membership? Access our comprehensive FOP question bank with over 1,500 practice questions, detailed explanations, and mock exams designed specifically for the current SBA format.