Exam guide · United Kingdom

Intercollegiate Specialty Examination — Paediatric Surgery

The Intercollegiate Specialty Examination in Paediatric Surgery is the exit examination of UK and Irish Paediatric Surgery training, run by the Joint Committee on Intercollegiate Examinations (JCIE). Candidates who are members of a surgical college are promoted to the Fellowship of their college on passing.

It is not offered overseas: the Joint Surgical Colleges Fellowship Examination (JSCFE) has no Paediatric Surgery examination.

Exam Specification

Component Details
Section 1 Two papers of 120 Single Best Answer questions, 2 hours 15 minutes each, computer-based at Pearson VUE centres in the UK and Ireland
Section 2 Clinical and oral examination — see below
Pass mark Not published as a number — set by standard setting
Attempts Section 1: maximum 4, within two years of the first attempt. Section 2: maximum 4. No re-entry. The whole examination must be completed within 7 years
Eligibility A primary medical qualification recognised by the GMC or the Medical Council of Ireland, held for at least six years · evidence of reaching the CCT/CCST standard · three structured references
Fees Section 1 £580 (£600 from 1 January 2027) · Section 2 £1,420 (£1,470 from 1 January 2027)

Section 2 — Clinical and Oral

Component Content Time
Short cases Neonatal Surgery, Oncology, Urology 3 × 15 minutes
Intermediate cases Two cases with volunteers, plus one Emergency/Trauma and General/Gastrointestinal scenario 3 × 15 minutes
Oral 1 Urology; Urology and Neonatal Urology 40 minutes
Oral 2 Oncology and Endocrine; General and Gastrointestinal Surgery 40 minutes
Oral 3 Neonatal Surgery; Emergency Surgery and Trauma 40 minutes

Content Blueprint

Not published.

Specialist Registration

Paediatric surgeons trained outside the UK without a UK CCT reach the Specialist Register through the Portfolio Pathway.

What we offer

Paediatric Surgery Section 1 preparation at the two-paper, 240-question format, with Section 2 clinical and oral preparation.

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