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Specialty Certificate Examination in Geriatric Medicine — Information & Free Practice

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About Specialty Certificate Examination in Geriatric Medicine

Specialty Certificate Examination in Geriatric Medicine · GB

Key exam facts

Provider
The Federation of the Royal Colleges of Physicians of the UK, through MRCP(UK), develops and delivers the SCE; Surpass administers the computer-based examination at test centres.
Format
Computer-based knowledge examination at a test centre (UK and international SCEs in-centre from June 2026). Two papers of best-of-five single-best-answer multiple-choice questions; one mark per correct answer and no negative marking.
Exam questions
Total questions: 200.
Time limit
Three hours of answering time for each paper; six hours across the two papers. This is not a combined check-in, tutorial or break allowance.
Passing score
Equated passing score 431, following the April 2025 review; applies to future examinations until the SCE Geriatric Medicine Examination Board reviews standards. This is a scaled score, not 43.1% or a fixed percentage; the corresponding raw pass percentage varies by diet.
Exam fee
GBP £700 at a UK centre; GBP £875 at an international centre. A transfer from UK to international incurs the £175 difference. The €800 ESEGH/ESENeph-country fee is not the Geriatric Medicine SCE fee.

Topics covered

  • General medicine in older people (30.5%)

    • Anaemia/haematology
    • Cardiovascular medicine
    • Dermatology
    • Endocrine medicine
    • Gastroenterology
    • Infection
    • Musculoskeletal medicine
    • Neurology
    • Renal medicine including fluid/electrolyte imbalance
    • Respiratory medicine
    • Sensory impairment

  • Basic science (4%)

  • Geriatric assessment and management (3%)

  • Rehabilitation and multidisciplinary teamworking (7%)

  • Planning transfer of care, including discharge, intermediate care and community practice, long-term (continuing) care (4.5%)

  • Falls and poor mobility (8%)

  • Psychiatry in older age (13.5%)

    • Cognitive issues (Delirium and Dementia)
    • Old age psychiatry (not related to cognition)

  • Urogenital issues including continence (urinary and faecal) (5%)

  • Orthogeriatrics and osteoporosis (5%)

  • Surgical liaison (3%)

  • Palliative care (4.5%)

  • Nutrition (2%)

  • Tissue viability (2.5%)

  • Stroke care (7.5%)

How to prepare

Work through the topics, read the explanation after each answer, and revisit the areas where you miss questions. Use the official outline and reference materials below to guide your study.

These independent practice questions are not actual exam items and do not guarantee a passing result.

Frequently asked questions

What is the exam format?

Computer-based knowledge examination at a test centre (UK and international SCEs in-centre from June 2026). Two papers of best-of-five single-best-answer multiple-choice questions; one mark per correct answer and no negative marking.

How many questions are on the exam?

Total questions: 200.

How long is the exam?

Three hours of answering time for each paper; six hours across the two papers. This is not a combined check-in, tutorial or break allowance.

What is the passing score?

Equated passing score 431, following the April 2025 review; applies to future examinations until the SCE Geriatric Medicine Examination Board reviews standards. This is a scaled score, not 43.1% or a fixed percentage; the corresponding raw pass percentage varies by diet.

How much does the exam cost?

GBP £700 at a UK centre; GBP £875 at an international centre. A transfer from UK to international incurs the £175 difference. The €800 ESEGH/ESENeph-country fee is not the Geriatric Medicine SCE fee.

Official sources and references

Confirm current exam arrangements with the exam provider.