The DCH and the MRCPCH: one FOP paper, two qualifications
DCH and MRCPCH candidates sit the same Foundation of Practice paper. What that means for a GP, how DCH candidates apply and how to prepare.

MBBS, BSc (Hons), MRCGP
Co-Founder & GP Partner, Core Revision
David is an NHS GP Partner and a partner in Core Revision. He helps write the questions for the GP diploma banks and reviews questions across the wider content, drawing on the most up-to-date UK guidance and mapping to the RCGP curriculum, with a strong focus on clinical realism and exam relevance.
He particularly enjoys chronic disease management and brings experience from palliative care into how complex clinical decisions are framed and explained.
Favourite topics: Medical statistics · Palliative care · Evidence-based medicine
Outside of work: Gardening and baking.
Every Core Revision resource is written by a practising UK GP, peer-reviewed by another GP and reviewed for learning design. How we write our questions · About the Core Revision team
DCH and MRCPCH candidates sit the same Foundation of Practice paper. What that means for a GP, how DCH candidates apply and how to prepare.
For a GP who sees a lot of children, the DCH examines exactly that work. Who can sit it, what the theory paper and the clinical test, where it helps a GP career and where it does not.
For a GP who does a lot of women’s health, the DRCOG examines exactly that work. Who can sit it, what the one paper tests, where it helps a GP career and where it does not.
The two DOccMed parts pass or fail independently: a standard-set MCQ and an oral with a 50% rule. The regulations on attempts, the five-year limit and the new-portfolio rule, and how to use the six months between attempts.
The DOccMed cannot be sat without an FOM-approved course. The seven providers the Faculty lists, the 90% attendance rule, the deadline the course must meet, and the questions worth asking before you pay.
Eighty best-fit questions in 105 minutes, sat on a Monday afternoon, revised around a full-time GP job. A twelve-week plan across the twelve syllabus modules, with the portfolio running alongside and the registration deadline in the middle.
ANPs can sit the DipMSK. The FSEM eligibility wording (and the one discrepancy to check), what the knowledge exam tests, where it helps a nurse in an MSK or first-contact role, and where it does not.
The pass mark is set before the paper is sat, you get an overall mark only, and there is no resit until the next annual sitting. What the FSEM publishes about marking and results, what it does not, and what happens if you do not pass.
Applications open 11 January and close 1 April 2027 for the exam on 27 May. Who is eligible, the electronic form, photographic ID, the £296 fee, adjustments, refunds and the TestReach steps in the final week.
The RCP opens the CGM to any regulated healthcare professional and the paper can be sat worldwide; the DGM clinical exam is in Liverpool. What the rules say for overseas-registered doctors and nurses, and what the diploma does and does not do.