PedsExaminer · Last verified 19 Oct 2026 · Updated 19 Oct 2026
Medical reviewer: Dr. Ali Ragab, MBBCH, MSc, MCAI
Saudi Board Examinations in Pediatrics: Format, Blueprint, and Preparation
SCFHS lists three assessments for Main Specialty in Pediatrics: Part One, Final Written, and Final Clinical. The written exams have distinct single-best-answer blueprints; Final Clinical has eight timed stations, one OSCE and seven SOE. Match your preparation to the exam you are taking.
Practice Saudi Board questions free for 3 days
Full access to the question bank. No credit card required.
Start practicingSaudi Board Pediatrics: assessment overview
The Saudi Commission for Health Specialties (SCFHS) postgraduate-programs listing places Main Specialty in Pediatrics separately from the Pediatrics Diploma and pediatric subspecialty programs. It lists distinct Part One, Final Written, and Final Clinical examination documents. This guide covers those three assessments, not licensing exams, the Pediatrics Diploma, or subspecialty examinations.
The listed Part One and Final Written blueprints are labeled 2024–2027, version 1; the listed Final Clinical blueprint is 2024–2027, version 2. The exams have different formats, and the written examinations have different percentage distributions. Use the current SCFHS listing and the blueprint for your specific assessment.
Written papers and Final Clinical stations
| Assessment | Format in the listed blueprint |
|---|---|
| Part One Examination | One paper with 150 single-best-answer (SBA) multiple-choice questions; up to 10% unscored pretest items may be added. |
| Final Written Examination | Two papers, each with 100–125 SBA multiple-choice questions; up to 10% unscored items may be added for calibration. |
| Final Clinical Examination | Eight graded stations, each with a 10-minute encounter and one or two examiners. One station is an Objective Structured Clinical Examination (OSCE); seven are Structured Oral Examination (SOE) stations. |
The 2024–2027 Part One blueprint gives a standard passing score of 65%, with a stated cohort-based adjustment rule and a floor of 60%. The Final Written blueprint gives a standard passing score of 70%, with a cohort-based adjustment rule and a floor of 65%. These are the rules printed in the cited documents; check the current SCFHS instructions for your sitting.
The Final Clinical blueprint describes integrated clinical or practical encounters. Domains and content sections may overlap, and a station may include one or more cases or scenarios. SOE stations use preset questions and ideal answers. The blueprint identifies four clinical/practical skill domains: data gathering, reasoning and analysis, decision-making, and professional attitude.
Published blueprint priorities
Part One Examination
| Blueprint section | Weight |
|---|---|
| General Paediatrics / Growth & Development | 30% |
| Adolescent and behavioural / ambulatory | 7% |
| Acute care (PICU / ED / NICU) | 15% |
| Cardiology | 5% |
| Neurology | 5% |
| Gastroenterology / Nutrition | 6% |
| Pulmonary / Allergy & Immunology | 5% |
| Nephrology / Rheumatology / Dermatology | 5% |
| Infectious diseases / Preventive medicine / Immunization | 5% |
| Hematology & Oncology | 5% |
| Endocrinology / Genetics & Metabolic | 7% |
| Pediatric Surgery / Ophthalmology / ENT | 5% |
Final Written Examination
| Blueprint section | Weight |
|---|---|
| General Paediatrics / Growth & Development | 20% |
| Adolescent and behavioural / ambulatory | 10% |
| Acute care (PICU / ED / NICU) | 15% |
| Cardiology | 6% |
| Neurology | 6% |
| Gastroenterology / Nutrition | 6% |
| Pulmonary / Allergy & Immunology | 6% |
| Nephrology / Rheumatology / Dermatology | 6% |
| Infectious diseases / Preventive medicine / Immunization | 7% |
| Hematology & Oncology | 7% |
| Endocrinology / Genetics & Metabolic | 6% |
| Pediatric Surgery / Ophthalmology / ENT | 5% |
The written blueprints share broad categories but not identical percentages. Each says a section’s distribution may differ by up to ±5% and that content and percentages may change. Research, ethics, professionalism, and patient safety are identified as integrated themes.
Final Clinical Examination
The version 2 blueprint lists 12 possible content sections: General Pediatrics / Growth & Development; Adolescent and Behavioral / Ambulatory; Acute care (PICU / ED / NICU); Cardiology; Neurology; Gastroenterology / Nutrition; Pulmonary / Allergy & Immunology; Nephrology / Rheumatology / Dermatology; Infectious diseases / Preventive Medicine / Immunization; Hematology & Oncology; Endocrinology / Genetics & Metabolic; and Pediatric Surgery / Ophthalmology / ENT. It says eight or more will be covered. The document does not assign percentages to these sections.
Program admission versus examination application
Keep entry to a training program separate from applying for an examination sitting. SCFHS describes its postgraduate-exam application service as serving trainees in Saudi postgraduate programs and providing a Mumaris+ route for applications to Part One, Final Written, and Final Clinical examinations for the Saudi Board and Saudi Diploma. Follow the current service instructions for your trainee status and examination.
The separate Saudi Board program-admission service lists general admission and registration checkpoints, including a recognized health-specialty degree, internship completion before the program starts, a complete transcript, a valid Saudi Professional Licensure Examination result within the stated validity period, medical fitness, GPA documentation where required, professional classification, and sponsorship documentation for sponsored trainees. These are program-admission or registration requirements; do not treat them as a substitute for examination-sitting instructions.
If your training or classification route differs from the current Saudi postgraduate trainee route, confirm the applicable examination process with SCFHS rather than assuming the general admission list establishes your eligibility for a particular sitting.
Prepare for the format you will take
Part One and Final Written
- Work from the blueprint for your immediate exam. Both give 15% to acute care, but Part One gives 30% to General Paediatrics / Growth & Development while Final Written gives it 20%. Adjust your plan to the relevant table instead of reusing one weighting for both exams.
- Practice timed SBA question blocks. Review missed items for knowledge gaps, misreading, premature closure, and time management; use the pattern of errors to choose what to revisit.
- Keep lower-weight sections in your plan as well as the higher-weight priorities. The documents allow section distributions to vary by up to ±5% and identify research, ethics, professionalism, and patient safety as integrated themes.
Final Clinical
- Rehearse SOE answers aloud in a concise, organized sequence: relevant findings, priorities and reasoning, next steps, alternatives or risks, and professional communication.
- Practice the OSCE separately as a timed, observable clinical encounter. Verbal SOE drills alone do not reproduce an OSCE station.
- Rotate through all 12 listed content sections during preparation. The blueprint states that eight or more are covered but publishes no section percentages to support predictions about station frequency.
- Use timed practice that reflects the published 10-minute station encounters and review how clearly you gather information, reason, make decisions, and communicate professionally.
A practical cycle is to map strengths and gaps against the relevant blueprint, study priority areas, practice in the specified format, and then review recurring errors or performance gaps.
Version checks and Saudi-specific logistics
- Check the current SCFHS listing. It links the Pediatrics Part One and Final Written blueprints labeled 2024–2027, version 1, and the Final Clinical blueprint labeled 2024–2027, version 2. The documents state that content may change.
- Do not carry written percentages over to Final Clinical. The clinical blueprint lists possible sections and says eight or more will be assessed; it does not provide section weights.
- Use the examination application service for the sitting-specific process. SCFHS directs trainees to Mumaris+ for postgraduate examination applications. Confirm the current instructions and applicable application window in the official workflow.
- Separate matching requirements from examination requirements. Degree, internship, licensure-examination, and registration checkpoints belong to the program admission service; they do not replace the current examination service instructions.
- Clinical-day rules: the version 2 blueprint prohibits electronic devices and communication with other candidates during evaluation. It also directs candidates to identify a perceived substantial examiner conflict at the time of introduction.
- Results timing: the Final Clinical blueprint states that results will be published within 14 business days after the last examination date.
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.
-
Acute and Emergency Care
-
Adolescent and Transition Care
-
Advanced Basic Sciences
-
Basic Sciences
-
Behavioral and Psychosocial Health
-
Child Protection and Safeguarding
-
Complex and Palliative Care
-
Critical and Emergency Care
-
Developmental and Behavioral Pediatrics
-
Genetics and Metabolism
-
Growth and Development
-
Infectious and Immune Disorders
-
Leadership and Scholarship
-
Neonatal Intensive Care
-
Neonatal and Perinatal Care
-
Organ System Pediatrics
-
Preventive and Community Care
-
Professional Practice
-
Structured oral examination (SOE)
-
Subspecialty Pediatrics
Common questions
No. They share broad sections but assign different percentages. For example, General Paediatrics / Growth & Development is 30% in Part One and 20% in Final Written; use the table for the exam you are taking.
Part One lists one 150-question SBA paper. Final Written lists two papers, each with 100–125 SBA questions. Each blueprint says that up to 10% unscored items may be added for its stated purpose.
The version 2 blueprint lists 12 possible sections and says eight or more will be covered; it does not assign section percentages. Prepare across the listed sections rather than relying on predicted station weights.
Use separate practice. Rehearse concise verbal reasoning for the seven SOE stations, and practice the OSCE as a timed, observable clinical encounter. The blueprint identifies them as different station types.
SCFHS directs postgraduate trainees to the Mumaris+ examination service for applications to Part One, Final Written, and Final Clinical examinations. Check the current service instructions for your trainee status and sitting.
Exam dates and registration
Sitting dates, application windows and fees change between cycles. Check the next sitting and registration deadlines on the official Saudi Commission for Health Specialties website.
Visit the official Saudi Commission for Health Specialties websiteOfficial sources
Use the official board or college website for current application windows, dates, fees, and definitive eligibility requirements.
- Postgraduate programs category — Main Specialty in Pediatrics entry
- Saudi Board Part One Examination; Pediatrics — 2024–2027, version 1 (2024–2027; version 1)
- Saudi Board Final Written Examination; Pediatrics — 2024–2027, version 1 (2024–2027; version 1)
- Saudi Final Clinical Examination Pediatrics; Blueprint 2024–2027 — version 2 (2024–2027; version 2)
- Apply to Postgraduate Exam — Service Guide
- Apply for Saudi Board Programs – Main Specialties & Diplomas — Service Guide
Build your preparation plan
Explore relevant topics, practice clinical reasoning, and identify areas that need more study.