Abstract
Most of us find clinical examinations stressful—not because they are necessarily difficult but because candidates fear the unpredictability of the cases they may encounter, how the patients will react and how they will perform on the day. Many unsuccessful candidates feel they knew enough to pass but were so nervous that they made simple errors. The Royal Colleges' clinical exams require you to reach the standard expected of a senior house officer who is ready to adopt the responsibilities of a registrar. This does not mean that you must always achieve the correct diagnosis; there will be some patients with diseases that you have not seen before. You are, though, expected to show that you can behave professionally with courtesy, examine a patient fully, interpret your findings in a logical manner, and discuss the possible subsequent management.
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