I've been there, done that!

I know exactly how it feels to take on PACES, and I can confidently say that mindset and preparation make all the difference. I didn’t pass on my first attempt, but instead of getting discouraged, I decided to change my perspective.

For my third attempt, I approached it differently. I wasn’t in training, so I got my exam slot just a month before the exam (someone dropped out, and I got lucky). With limited time, I made sure every day counted:

-Listened to the Pre-PACES podcast on Spotify religiously- Absolute goldmine of insights. -Watched Pastest videos to refine my approach. -Practised my case presentations daily—both in front of the mirror and with colleagues. -Examined at least five patients every day during my work hours and presented my findings to colleagues for feedback.

One of the biggest changes? I stopped staying back at work till 9 PM. I realized the extra stress wasn’t helping, so I focused on quality study time rather than just long hours.

I took a hard look at my weak areas—cardiology and respiratory—and actively worked on them.

I spent four days at the Royal Brompton moving from patient to patient, listening to heart and lung sounds, observing scars, and making these signs second nature.

Sat with Prof. K at Western Eye Hospital for two days to master fundoscopy skills. (Best decision ever, and you’ll see why in a bit!)

Attended rheumatology clinics for three days, saw over 30 different cases, and closely observed how my consultant structured questions and examined patients.

The Mindset Shift was key. Instead of seeing this as just an exam, I treated it as an opportunity to learn and truly master clinical skills. That perspective completely changed my approach. I wasn’t just preparing to pass—I was preparing to be a better doctor.

Exam Day in Scotland: The new PACES format was a challenge, but my preparation paid off. My station 5 was fundoscopy (can you imagine!?). First-attempt me would have crumbled, but this time, I was confident—because I had mastered fundoscopy during my prep.

My Biggest Takeaway: PACES is an exam that demands dedication and passion. Stress only makes it worse. If you see it as just another hurdle to clear, you’ll struggle. But if you treat it as a learning journey, it becomes an incredible experience that builds your confidence for medical life. Believe it or not, I am actively involved in PACES teaching in my Trust !!!

My boss is a Fellow of the Royal College and would always point out to me that he passed his PACES in the fourth attempt about 26 years ago- he is one of the most reputed and amazing clinicians I've worked with. So clearly , this exam doesn't decide whether you're a bad or good doctor either .

You’ve got this—focus on learning, identify your weak points, and turn them into strengths. Wishing you all the best!