PedsExaminer · Last verified 16 Sep 2026 · Updated 16 Sep 2026
European Board of Paediatrics – European Academy of Paediatrics Examination (EBP-EAP)
The EBP-EAP Examination is an online assessment of core paediatric knowledge for eligible trainees and qualified paediatricians. It uses 120 Best of Five multiple-choice questions over 2 hours and 30 minutes, tests knowledge and applied knowledge, and follows the approved European core-paediatrics syllabus. Passing awards an EBP-EAP knowledge certificate; it does not complete specialist training or guarantee national recognition or entry to a training programme.
What the EBP-EAP Examination measures
The European Board of Paediatrics – European Academy of Paediatrics Examination is an online assessment of the basic and core paediatric knowledge needed to underpin paediatric training. The current EAP examination page identifies it as CESMA accredited and aligns it with the European paediatric training curriculum.
The examination awards a certificate of theoretical paediatric knowledge. It is not a measure that specialist training is complete, and it does not replace broader assessments of clinical skills, competence or experience. National authorities decide independently whether and how to recognize the result.
The examination is primarily intended for paediatric trainees, including eligible trainees outside Europe, and is also open to fully qualified paediatricians through the applicable documentation route. For the current application cycle, candidates should use the official Upcoming Exam page and current terms for registration status, fees, sitting information and operational requirements.
Format, delivery and scoring
| Component | Verified format |
|---|---|
| Assessment | 120 multiple-choice questions in a Best of Five format; each question requires one best answer. |
| Duration | 2 hours and 30 minutes. |
| Content | Knowledge and applied knowledge in core paediatrics. Questions may use case histories and may ask for the most likely diagnosis, best investigation or best treatment. Photographic material may be used. |
| Language | English only. |
| Scoring | One point is awarded for each correct answer. Incorrect answers are not negatively marked, but an unanswered question is treated as incorrect. |
| Pass standard | A fixed percentage is not used. The current official explanation describes an Angoff approach, while the examination terms describe post-examination statistical analysis, key validation and committee determination of the passing score. |
| Results | Results are expected within six weeks. The results package includes an official results letter with subscore analysis and a digital certificate. |
| Remote delivery | Online candidates are monitored through proctoring with an active camera and microphone. Reference materials, mobile phones and other internet-enabled devices are prohibited, and equipment and connection checks are required before the examination. |
The 120-question, 150-minute format gives an average of approximately 75 seconds per question, so candidates should plan to answer every item before time expires.
Core-paediatrics blueprint and study coverage
The official examination terms state that the assessment uses the approved European syllabus in core paediatrics and that questions are mapped to a blueprint covering examination topics and their average question distribution. The official preparation guidance describes the blueprint as based on the European Core Paediatric Training Requirements.
For platform study planning, use a balanced review across these core-paediatrics lanes:
| Study lane | Practical focus |
|---|---|
| Acute and Emergency Care | Initial assessment, stabilization, respiratory and neurologic emergencies, shock, dehydration, sepsis and common emergency decisions. |
| Basic Sciences | Developmental physiology, pharmacology, fluids, electrolytes, acid–base, genetics, metabolism and evidence interpretation linked to clinical decisions. |
| Behavioral and Psychosocial Health | Common behavioral and mental-health presentations, psychosocial assessment and family or systems-of-care decisions. |
| Growth and Development | Normal growth, developmental milestones, surveillance, neurodevelopment and age-dependent interpretation. |
| Infectious and Immune Disorders | Fever, serious bacterial infection, common infection syndromes, immunology, allergy and antimicrobial decisions. |
| Neonatal and Perinatal Care | Newborn stabilization, common neonatal presentations, feeding, jaundice, respiratory problems and neonatal infection principles. |
| Organ System Pediatrics | Balanced review of cardiology, endocrinology, gastroenterology, hematology, nephrology, neurology, pulmonology and rheumatology. |
| Preventive and Community Care | Health supervision, immunization, screening, injury prevention, adolescent preventive care and population-health principles. |
| Professional Practice | Communication, consent and assent, confidentiality, child protection, quality and safety, governance and research literacy. |
The verified assessment is a core-paediatrics MCQ examination. Advanced subspecialty material and structured oral examination practice should therefore be secondary unless they reinforce a core presentation or decision.
Eligibility routes and application evidence
Eligibility is route-specific and depends on documentation accepted during the relevant registration period.
| Candidate route | Published eligibility and evidence |
|---|---|
| Paediatric trainee | Completion of 30–36 months of paediatric training in a recognized paediatrics training program, together with a university-awarded medical degree, valid identity document and an attestation from the training or clinical director confirming the training position. |
| Fully qualified paediatrician | A university-awarded medical degree, valid identity document and either a paediatrics diploma or an institutional letter confirming the relevant paediatric position. |
| General practitioner working with children | The terms describe a documentation route for a general practitioner working in a paediatric setting, such as a paediatrics diploma or institutional confirmation of work in that setting. Acceptance remains a matter for the EAP office. |
| International or overseas applicant | The official information permits applications from eligible trainees trained outside Europe, but the same route-specific evidence requirements apply. Original documents not in English may require official translations, and additional evidence may be requested if eligibility is unclear. |
A national medical license, job title or clinical experience alone should not be assumed to satisfy an eligibility route. Candidates should check the current application instructions and terms before submitting documents.
A preparation strategy matched to the assessment
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Plan across core paediatrics. Start with all nine core study lanes rather than concentrating on a preferred subspecialty. The official preparation guidance directs candidates toward the European Core Paediatric Training Requirements blueprint.
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Practice Best of Five reasoning. Identify what the question is asking—diagnosis, investigation, treatment or next step—before comparing the five options. The strongest distractors may contain a partially correct element but still be less appropriate than the single best answer.
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Use timed blocks. Practice 120-question or smaller timed sets at a pace close to 75 seconds per item. Use a first pass for straightforward questions, flag uncertain items and reserve time to complete every response.
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Read stems precisely. Watch for words such as “EXCEPT” and “NOT,” double negatives and age-specific clues. Include case-based questions and image interpretation because the official preparation guidance indicates that both may be used.
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Use the scoring rules. There is no negative marking, while unanswered questions are incorrect. Eliminate clearly unsuitable options, select the best remaining answer and move on rather than leaving items blank.
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Review errors by decision type. Keep separate records for missed diagnoses, investigation choices, treatment priorities, developmental interpretation, prevention and professional-practice decisions. This helps target revision without treating platform item counts as examination weights.
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Rehearse the online environment. Use the official mock examination in the candidate personal space when available. Complete the required equipment and connection checks early, and practice with the camera, microphone, stable internet connection and a workspace that meets the proctoring rules.
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Use the official preparation references appropriately. Consult the current preparation page for its listed textbook and European guideline resources, and remember that the EAP does not endorse a specific commercial question bank.
Candidate considerations across countries and training systems
- Purpose of the result: Passing provides evidence of theoretical paediatric knowledge and a digital certificate. It is not a national specialist title, proof that training is complete or a guarantee of national recognition or admission to a training program.
- Different training systems: The 30–36-month trainee route depends on recognized paediatric training and supporting institutional evidence. Training location does not remove the need for route-specific documentation.
- Qualified paediatricians: Fully qualified paediatricians may apply to demonstrate knowledge or ongoing professional development, but the examination should not be treated as a regulator-issued maintenance credential.
- Language: The examination is delivered only in English. Candidates should practice interpreting clinical stems and selecting precise answers in English.
- Remote examination conditions: Camera and microphone monitoring, recording-related privacy arrangements, equipment checks and the prohibition of reference materials are substantive examination conditions.
- Assessment boundary: The current examination is an online Best of Five MCQ assessment. It does not describe an OSCE, structured oral examination or direct observation of clinical performance.
- Current logistics: Before registering, consult the official Upcoming Exam page and current terms for the active application cycle, dates, fees, registration instructions, proctoring requirements and any updated documentation rules.
How our curriculum can help
Find your next area of focus. Explore the question bank by subject, then dive into the topics you want to strengthen.
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Acute and Emergency Care
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Adolescent and Transition Care
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Advanced Basic Sciences
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Basic Sciences
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Behavioral and Psychosocial Health
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Child Protection and Safeguarding
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Complex and Palliative Care
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Critical and Emergency Care
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Developmental and Behavioral Pediatrics
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Genetics and Metabolism
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Growth and Development
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Infectious and Immune Disorders
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Leadership and Scholarship
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Neonatal Intensive Care
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Neonatal and Perinatal Care
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Organ System Pediatrics
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Preventive and Community Care
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Professional Practice
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Structured oral examination (SOE)
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Subspecialty Pediatrics
Common questions
It means the candidate has met the examination's passing standard for theoretical paediatric knowledge and receives a digital certificate. It does not show that specialist training is complete, replace clinical competency assessment or guarantee recognition by a national authority.
Yes, the official examination information describes eligibility for trainees who completed the required paediatric training in a recognized program within Europe or elsewhere in the world. The candidate must still provide the required degree, identity and training attestation, and the EAP office must accept the evidence.
The current published format is an online multiple-choice examination testing knowledge and applied knowledge. The verified terms do not describe an OSCE, structured oral examination or direct clinical-performance component for this examination.
A permanently fixed percentage is not used. The current official explanation describes an Angoff approach, and the examination terms describe statistical analysis, key validation and committee setting of the passing score after the examination.
Yes. Correct answers receive one point, incorrect answers are not negatively marked and unanswered questions are treated as incorrect. Use elimination, choose the best remaining option and return to flagged items if time allows.
The published terms require a university-awarded medical degree, valid identity document and an attestation from the training or clinical director confirming the candidate's place in a paediatric training program. Official translations may be required for documents not issued in English.
Use the official Upcoming Exam page and the current examination terms before registering. Those pages contain the active application information, sitting logistics, fee categories, remote-proctoring instructions and documentation requirements, all of which may change between administrations.
Use the nine Core Pediatrics branches in the alignment section to distribute revision across the official core-paediatrics scope. Practice diagnosis, investigation and treatment decisions in Best of Five format, but do not interpret platform item counts as official examination percentages.
Official sources
Use the official board or college website for current application windows, dates, fees, and definitive eligibility requirements.
Build your preparation plan
Explore relevant topics, practice clinical reasoning, and identify areas that need more study.