2027: Launch of the New FFPMRCA Exams
Key Information for Candidates and Training Supervisors
The Faculty of Pain Medicine is launching new formats for the FFPMRCA examinations, with full implementation beginning July 2027. This marks an exciting step forward in modernising our assessments and improving the candidate experience.
What’s changing?
- New exam formats will be delivered from July 2027 onward (subject to GMC approval).
- These formats will replace the current MCQ and SOE components.
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All candidates will sit the new formats.
| Legacy Exam | New Exam Name | New Exam Format |
| FFPMRCA Final MCQ |
FFPMRCA AKT (Applied Knowledge Test) |
1 paper comprising 60 Single Best Answer (SBA) questions and 13 Extended Matching Questions (EMQ). Total duration: 3 hours |
| FFPMRCA Final SOE |
FFPMRCA CPEP (Clinical Performance Examination in Pain) |
1 circuits of 12 stations 8-minute stations 2 minutes to read station information Total time: 2 hrs |
Why are the exams changing?
The exam formats are being transformed to improve clarity, consistency, and alignment with current training and assessment standards. This transformation has taken place over a four-year development period and addresses the recommendations in the Independent Review of RCoA exam processes published in February 2023.
The new exam formats give candidates
- Improved authenticity
- A better test experience
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Greater alignment to current practice
Hear from our Exam Development Leads
In this short video, our Exam Development Leads introduce the new CPEP (Clinical Performance Examination in Pain) examination. They explain the purpose of the new format, what candidates can expect on the day, and share practical tips and reassurance as you prepare for the transition.
Available May 2026
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An Introduction to CPEP
Who does this affect?
- All candidates should prepare for the new exam formats from July 2027.
Not sure which exam route applies to you? See our dedicated Planning for the New Exams page for decision pathways.