Neurology for MRCP PACES: a new teaching course

<h3>Background</h3> With a 64% pass rate, MRCP PACES is a challenging, high-stakes, practical exam. Neurophobia, the fear of neural sciences and clinical Neurology, affects PACES candidates. 4-day PACES courses charge approximately £1500, and 1-day Neurology courses £300–400, which limits access. <h3>Aims</h3> We aimed to launch an affordable, 1-day PACES course, recruiting faculty from local hospitals and showcasing interesting patients from our neurology clinics. <h3>Methods</h3> The course was advertised to trainees across London, costing £75 including lunch and refreshments. We recruited 6 faculty members, and 6 patients; all were paid more than the London Living Wage. The programme included practical demonstrations and interactive workshops, with mock PACES circuits in the afternoon. Pre- and post-course questionnaires were analysed to measure the impact of the course. <h3>Results</h3> There was high demand for the course. Most candidates cited Neurology as their biggest fear in PACES. After attending, 100% of candidates (n=18) reported increased levels of confidence in Neurology, and 100% (n=18) felt the course was good or excellent value for money. The course also gained excellent feedback from faculty and patients and has won an improvement ward. <h3>Conclusion</h3> We designed an accessible course for PACES candidates to gain confidence in their most- feared PACES station.