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FRACP · RACP Paediatrics & Child Health

RACP Paediatrics
your patients.

696 sourced study notes across all 22 RACP Paediatrics categories (764 LOs). AI clinical-reasoning grading on the Fail / Borderline / Pass / Distinction tier, a DCE long and short case simulator, and a DWE-format MCQ library. Flashcards rebuilding per learning objective. Built to the exam's weight-based, age-stratified standard.

Pass rate
75.9%
Sittings per year
2
Written: February & October
Format
Written + DCE
170 MCQ/EMQ (2 papers) + DCE
Study notes
696
across 764 LOs · 22 categories
Organising college
RACP
Not affiliated with PRIMEX
· 2026 dates ·

RACP Paediatrics & Child Health Exam Dates 2026 (DWE + DCE)

Published dates for the upcoming sittings. Always confirm against the official RACP examinations page before scheduling. I refresh this section quarterly as new windows are announced.

  • Divisional Written Exam: FebruaryDWE February 2027: Tue 9 Feb 2027
  • Divisional Written Exam: October20 Oct 2026
  • Divisional Clinical Exam (DCE)Per accredited site; see official link

Paediatrics DWE shares its date with Adult Medicine. DCE is delivered locally at accredited sites; specific calendars sit on the per-division pages.

· Exam categories ·

Topics tested in the RACP Paediatrics exam

~20%
Neonatology & Development
Neonatal resuscitation, HIE, RDS, NEC, and neonatal sepsis. Plus developmental and behavioural paediatrics, adolescent medicine, and child protection; high-yield for both DWE and DCE.
NLS algorithm · HIE (Sarnat staging) · Neonatal jaundice thresholds · ASD (M-CHAT-R) · ADHD dosing · Non-accidental injury fracture patterns
~30%
CVS, Respiratory, GI & Nephrology
Congenital heart disease, Kawasaki, paediatric asthma, bronchiolitis, cystic fibrosis (CFTR modulators), coeliac disease, inflammatory bowel disease, and nephrotic syndrome at RACP Paediatrics level.
Kawasaki IVIG resistance · Cystic fibrosis elexacaftor · Bronchiolitis HFNC · Prednisolone dosing · Glomerulonephritis · UTI / VUR
~30%
Neurology, Endocrinology & Haematology
Paediatric epilepsy syndromes (West, Lennox-Gastaut, Dravet), status epilepticus APLS protocol, DKA cerebral oedema (ISPAD), CAH, short stature, sickle cell disease, and paediatric ALL.
Status epilepticus protocol · DKA cerebral oedema (ISPAD) · CAH (21-hydroxylase) · Nusinersen / onasemnogene (SMA) · Paediatric ALL induction · Sickle cell vaso-occlusive crisis
~20%
Infection, Child Protection & Acute Care
Paediatric sepsis (PHOENIX 2024 criteria), fever without focus in infants, meningococcal disease, osteomyelitis, and paediatric trauma. Mandatory reporting obligations and safeguarding frameworks for child protection.
PHOENIX 2024 criteria · Fever without focus (Boston/Philadelphia) · Meningococcal ciprofloxacin prophylaxis · Paediatric anaphylaxis dosing · Mandatory reporting · Burns (Lund-Browder)
· Real imaging ·

Practice on real radiology images

Used with permission from LearningRadiology.com. Every image links to its full teaching case. Tap to open.

Published with permission from LearningRadiology.com Try a free spot diagnosis →
· What's inside ·

How candidates prepare for the RACP Paediatrics

Age-specific marking. Every time.

The RACP Paediatrics DWE penalises missing weight-based drug doses, adult thresholds applied without paediatric adjustment, and failure to recognise child protection concerns. Write a structured paediatric clinical reasoning response and get a debrief with tier, every key point flagged, and a Distinction-level model answer with ISPAD, PALS, APEG, and NICE guideline references.

  • Fail / Borderline / Pass / Distinction tier, paediatric-specific rubric
  • Flags missing weight-based doses and adult threshold misapplications
  • Checks for child protection recognition in relevant cases
  • Distinction model answers reference ISPAD, APLS, PALS, AAP, NICE guidelines
  • AI question generation across all 22 paediatric categories
RACP Paediatrics MCQ practice: a DWE-format single-best-answer question marked correct, with a paediatric explanation and community answer distribution
DWE-format MCQs. Paediatric depth. Community data.

Single-best-answer MCQs across all 22 RACP Paediatrics categories, written at FRACP consultant-entry level with age-stratified normal values, weight-based dosing, and paediatric-specific guideline knowledge. Community answer distributions show how other RACP Paediatrics candidates responded.

  • DWE-format SBA MCQs with paediatric-specific clinical complexity
  • Uses age-stratified values: vital signs, BP percentiles, developmental milestones
  • Weight-based dosing in explanations, not adult shortcuts
  • Community answer distribution after each question
  • Timed mock mode: 170 questions across 2 papers, paper-based format
RACP Paediatrics DCE simulator setup: long case or short case, topic selection, and an examiner conversation style from neutral to challenging
An AI RACP Paediatrics examiner. Day or night.

Simulates both DCE formats for paediatric medicine. Long case: present a complex paediatric patient with multi-system involvement to an AI examiner for 25 minutes. Short case: interpret specific examination findings in a child. Expects age-stratified values, weight-based dosing, and paediatric-specific guideline knowledge throughout. Voice mode included.

  • Long case: structured summary, then probing across problem list and management
  • Short case: paediatric physical findings described, interpretation probed
  • Probes for named guidelines: ISPAD, APLS/PALS, NICE, AAP, APEG
  • Voice mode: speak your answer, no typing needed
  • Debrief on clinical acumen, reasoning, management, and communication
Topic-grouped deck rebuilding per learning objective.

PRIMEX's existing RACP Paediatrics flashcard deck is grouped by topic. To match the RACP curriculum's learning-objective structure across the 22 categories, the deck is being rebuilt one card set per LO. Until the LO-aligned cards land, the deck is held back in-app. Study notes, MCQ practice, written-exam grading, and the DCE simulator all work normally.

  • Rebuilding per learning objective from the study notes pipeline
  • Planned card types: age-stratified thresholds (vital signs, BP percentiles, bilirubin), paediatric dosing (ceftriaxone, adrenaline, dexamethasone, insulin), developmental milestones, GMFCS / Westley / Kocher
  • MCQ drill mode and one-click link to full study notes when the deck lands
RACP Paediatrics study note on Kawasaki disease opened in the reading view, with overview, epidemiology, and a reading-progress rail
696 study notes. One per LO. Linked from every result.

696 sourced study notes across the RACP Paediatrics curriculum, one for every covered learning objective. Written to a consistent seven-section format with paediatric-specific normal values, weight-based dosing protocols, and references to ISPAD, PALS, NICE, AAP, and Australian paediatric guidelines. They surface automatically from MCQ results and DCE debriefs.

  • 696 study notes across all 22 categories, one per LO
  • Consistent 7-section structure with paediatric-specific normal values embedded
  • Referenced to ISPAD, APLS, PALS, RCH guidelines, AAP, NICE throughout
  • Full-text search across all notes
  • Linked from MCQ explanations, DCE case feedback, and flashcards
· About this exam ·

RACP Paediatrics format and structure: DWE and DCE

The RACP Paediatrics fellowship examination assesses consultant-level knowledge and clinical judgement across all paediatric medicine categories: from neonatology and developmental paediatrics to adolescent medicine and child protection. The Divisional Written Examination is 170 questions across two paper-based MCQ papers (4-option single best answer MCQs and EMQs, no negative marking), demanding age-stratified values and weight-based paediatric guideline knowledge. The Divisional Clinical Examination is held at a separate hospital and involves two long cases and four short cases with real paediatric patients. RACP publishes per-sitting pass rates by component: the DWE Paediatrics pass rate was 75.9% in February 2026 (79.3% Feb 2025, 86.2% Feb 2024), and the 2025 Paediatrics DCE pass rate was 85.4%. PRIMEX is built by Dr Jay Marshall, an anaesthetics registrar in Taree, NSW.

  • OrganiserRoyal Australasian College of Physicians (RACP)
  • FormatDivisional Written Examination (170 questions: Paper 1 = 92 MCQ + 8 EMQ; Paper 2 = 66 MCQ + 4 EMQ; 4-option single best answer; paper-based; no negative marking) and Divisional Clinical Examination (2 long cases: 60 min patient + 10 min prep + 25 min discussion; 4 short cases: 2 min stem + 15 min each)
  • Categories22 curriculum categories: neonatal & perinatal medicine, acute care, developmental paediatrics, adolescent & young adult medicine, child safety & maltreatment, rural paediatrics, cardiology, dermatology, endocrinology & metabolic medicine, ear nose & throat, gastroenterology, genitourinary & gynaecology, haematology & oncology, immunology & allergy, infectious disease, inflammatory & rheumatological, kidney, mental health, musculoskeletal, neurology & rehabilitation, respiratory & sleep, and foundations & cross-cutting issues
  • SittingsTwice yearly, typically May and November
  • Pass rateDWE Paediatrics 75.9% (RACP, Feb 2026); rates vary by component and sitting. See past DWE results
· Questions ·

Common questions about the RACP Paediatrics exam

· Pricing ·

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  • Study notes for every curriculum topic
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  • Community feed
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  • Study plan with pace tracking
  • Community feed
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