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Pre-Registration Examination System — Level 3 (clinical)

The clinical stage: structured stations at intern level, assessed on whether you are safe to start work in an Irish hospital.

IrelandMedical Council of Ireland clinical / OSCE

Coming soon. This bank is still in build and not on sale yet. The banks live now are PLAB 1, MRCP Part 1 and AMC MCQ.

What is on the PRES Level 3?

Questions or stations12 verified 2026-08-10 Source says: “This consists of 12 'active' stations, rest stations and preparatory stations” check it yourself
Time7 minutes verified 2026-08-10 Source says: “Each station is seven minutes in duration” check it yourself
FormatOSCE of 12 active stations (7 minutes each) plus a one-hour data-interpretation exam
Adaptive deliveryNo
Pass markA minimum standard is required in each of the three skill domains and overall; marks are published per station. verified 2026-08-10 check it yourself
BlueprintPre-Registration Examination System (PRES) handbook and information, Medical Council of Ireland

Communication and practical skills are an OSCE of 12 active stations at 7 minutes each (with rest and preparatory stations), about 2h40m; a separate one-hour data-interpretation exam adds 6 questions marked out of 20. Total around 3h40m (PRES handbook, May 2023).

Verification status. All 3 published figures on this page have been read in the source document and dated above. Source of truth: Pre-Registration Examination System (PRES) handbook and information, Medical Council of Ireland. How we verify.

The PRES Level 3 curriculum, section by section

Every question in this bank is tagged to one of the sections below, and the tag traces to Pre-Registration Examination System (PRES) handbook and information. That is what makes a coverage claim checkable instead of a marketing line. The table shows exactly how many items exist in each section today, including the sections where the answer is none.

Curriculum sectionShare of the blueprintItems in this bank
History taking 25% none yet
Clinical examination 25% 1
Communication and breaking bad news 25% 1
Practical procedures and prescribing 15% 1
Professionalism and Irish practice context 10% none yet

Coverage today: 3 of 5 sections. We publish the gap rather than hiding it.

OSCE stations

PRES Level 3 is a clinical examination, so the material is structured as stations rather than multiple choice: a candidate brief, a simulated patient brief, and the mark scheme as separate scorable criteria you can tick against your own performance.

  • Breaking bad news — unexpected malignancy on imaging — 9 marked criteria, 10 minutes
  • Prescribing station — writing a safe discharge prescription — 8 marked criteria, 10 minutes
  • Cardiovascular examination — a systolic murmur — 10 marked criteria, 10 minutes

Where PRES Level 3 sits in the pathway

Ireland registration (PRES) runs PRES Level 2 → PRES Level 3. One DocPasser account covers all of them, so moving to the next stage does not mean a new subscription and a progress history you can no longer see.

PRES Level 2

Questions people actually ask about PRES Level 3

How is PRES 3 marked?

Station by station against structured criteria, at the standard of a doctor ready to begin internship. Each station in this bank carries its criteria as separate scorable items rather than a paragraph of advice.

What does PRES Level 3 preparation cost?

PRES Level 3 is a flat £20 for 12 months of access — one price, one purchase, no tiers. The first 1 station is free, with the full explanation for every option, so you can judge the quality of the explanations before paying for anything.

DocPasser is exam preparation material, not clinical guidance. Nothing here should be used to make a decision about a real patient. Always work from your own local guidelines and seniors.