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The RACP Paediatrics & Child Health Basic Training exams — Divisional Written Examination (DWE) and Divisional Clinical Examination (DCE) for paediatrics — gate progression from Basic Training to Advanced Training in paediatric subspecialties across Australia and New Zealand. An AI-adaptive question bank mapped to the RACP Paediatrics Curriculum and Australasian paediatric guidelines.
Full RACP Paediatrics (DWE + DCE) bank, AI Tutor and timed mocks — $29/month or $99/year. All paid exam banks included.
Two papers sat on the same day: Clinical Applications (100 questions — 92 single-best-answer plus 8 extended matching) and Medical Sciences (70 questions — 66 single-best-answer plus 4 extended matching), 6 hours in total. Tests breadth of paediatric medicine across the RACP Paediatrics Curriculum at the level expected of a Basic Training trainee progressing to Advanced Training.
Long cases (with paediatric patient + parent/carer) and short cases (paediatric examination scenarios). Tests clinical examination technique, paediatric communication (with both child and family), clinical reasoning, and management planning.
Completion of Basic Training in Paediatrics & Child Health (typically 3 years post-internship) at an accredited Australasian training site. Both DWE and DCE must be passed to progress to Advanced Training in a chosen paediatric subspecialty.
After DWE+DCE passes, trainees enter ~3 years of Advanced Training in chosen subspecialty: general paediatrics, paediatric cardiology, paediatric endocrinology, paediatric gastroenterology, paediatric oncology, paediatric infectious diseases, neonatal-perinatal medicine, paediatric intensive care, community child health, developmental paediatrics, paediatric emergency medicine, child and adolescent psychiatry (joint with RANZCP), and others.
Successful completion of Basic Training + Advanced Training + subspecialty requirements awards the FRACP in the chosen paediatric subspecialty.
DWE: typically held once per year (around February). DCE: held at multiple accredited paediatric centres across multiple weeks following the DWE. Confirm 2026 specific dates and enrolment deadlines on the RACP website (racp.edu.au).
Approximate distribution across the RACP Paediatrics & Child Health Curriculum. The DWE tests breadth across all paediatric subspecialties; the DCE tests applied paediatric assessment with real patients and families.
Drawn from the RACP Paediatrics Curriculum, eTG Paediatrics, Australasian Paediatric Endocrine Group (APEG), Cardiac Society of Australia and New Zealand (CSANZ), and item density across the iatroX bank.
Neonatal resuscitation — Australia New Zealand Committee on Resuscitation (ANZCOR) Neonatal Life Support algorithm, Apgar scoring nuances, recognising abnormal vital signs in newborns, prematurity-specific management
Sepsis in children — paediatric sepsis recognition (PEWS or similar), Australian/NZ paediatric sepsis bundles, antimicrobial stewardship per eTG, recognising the deteriorating child
Paediatric asthma — Australian National Asthma Council guidelines for children, salbutamol via spacer, severity assessment, when to escalate to PICU, asthma action plans for school
Type 1 diabetes — APEG guidelines, insulin pump and CGM access in Australia, DKA pathway (cerebral oedema risk especially in younger children), sick day rules, transition to adult care
Developmental milestones and red flags — age-appropriate developmental targets, autism spectrum recognition (M-CHAT, ADOS-2), ADHD diagnosis (DSM-5 criteria), school readiness
Child protection — recognising NAI patterns (TEN-4-FACESp bruising rule, fractures inconsistent with developmental stage), mandatory reporting under state child protection laws (state-specific), fabricated/induced illness, Family and Community Services pathways
Indigenous and Māori child health — disproportionate burden of disease, otitis media (high in Aboriginal communities), rheumatic heart disease (high in Aboriginal/Māori), trachoma, social determinants
Common DCE long-case themes — multi-system complex child (cystic fibrosis, CHD, chronic neurodisability), adolescent transition, child with disability + family complexity, breaking bad news to a family
Observations from recent RACP Paediatrics Basic Training graduates. Verify against the current RACP Paediatrics Curriculum and Australasian paediatric guidelines.
Candidate-reported observations — not official guidance.
A pragmatic phased approach used by recent RACP Paediatrics Basic Training graduates.
A live item from the iatroX bank. Try it before launching a full session.
A 3-year-old child presents with acute flaccid paralysis affecting one leg following a febrile illness. Reflexes are absent in the affected limb. MRI shows enhancement of the anterior horn cells in the lumbar spinal cord. What is the most likely diagnosis?
Why iatroX is built differently for RACP Paediatrics (DWE + DCE).
Every iatroX item is tagged to a blueprint topic, so your performance dashboard mirrors the structure of the exam itself.
The engine surfaces your weakest topics first, in real time, instead of marching you through a static syllabus.
Incorrect items return at increasing intervals to interrupt the forgetting curve and lock knowledge into long-term memory.
Timed full-length simulations that mirror the official exam structure under realistic conditions.
One iatroX subscription includes the RACP Paediatrics (DWE + DCE) bank, the Socratic Tutor inside supported sessions, and every other premium iatroX exam bank.
Cancel anytime · 7-day money-back guarantee on annual
Three-phase pathway: (1) Basic Training (~3 years post-internship) culminating in DWE + DCE Paediatric exams; (2) Advanced Training (~3 years) in chosen paediatric subspecialty; (3) FRACP award after successful completion. The DWE+DCE gate progression from Basic to Advanced Training.
DWE: typically held once per year (around February). DCE: held at multiple accredited paediatric centres across multiple weeks following the DWE. Confirm 2026 specific dates and enrolment deadlines on the RACP website (racp.edu.au).
The structural format is similar (two written MCQ papers + clinical long/short cases) but content differs. Paediatric DWE tests across paediatric subspecialties (neonatology, paediatric cardiology, paediatric oncology, developmental paediatrics, etc.). Paediatric DCE long cases include the child + parent/carer (family-centred). Adult DWE/DCE tests adult internal medicine.
Many subspecialties: general paediatrics, paediatric cardiology, paediatric endocrinology, paediatric gastroenterology, paediatric haematology/oncology, paediatric infectious diseases, paediatric nephrology, paediatric respiratory, paediatric rheumatology, neonatal-perinatal medicine, paediatric intensive care, paediatric emergency medicine, community child health, developmental paediatrics, child and adolescent psychiatry (joint with RANZCP), and others.
Examined directly across both DWE and DCE. Recognising disproportionate burden of disease (otitis media, rheumatic heart disease, trachoma in Aboriginal communities; diabetes in younger ages in Māori children), cultural safety in paediatric encounters, working with Aboriginal/Māori health workers. Increasing emphasis in recent diets.
Yes. Mandatory reporting frameworks for child protection vary by state in Australia (each state has its own child protection legislation, child welfare agency, and notification process). New Zealand has its own framework via Oranga Tamariki. Practitioners must know the framework applicable to their jurisdiction.
Yes. A single iatroX subscription (£29/month or £99/year for UK users; $29/$99 elsewhere) includes the RACP Paediatrics bank alongside RACP Adult, AMC, MRCPCH, and every other premium iatroX exam bank. No add-ons or per-exam fees.
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Reviewed by Dr Kola Tytler MBBS CertHE MBA MSt MRCGP · Last reviewed 12 May 2026
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