Pain Exams
European Diploma in Pain Physiotherapy
A European qualification for physiotherapists who assess and treat people living with pain, developed by EFIC to set a shared standard of competence across Europe and beyond.
Held by more than 70 diplomates in 15 countries, across three continents, since 2018.
70+
Diplomates worldwide
15
Countries represented
3
Continents
2018
Awarded since
Figures based on the EDPP diplomate record since the first examination in 2018.
Why take the EDPP
A European standard for pain physiotherapy
The EDPP is the European Pain Federation's diploma for physiotherapists who assess and treat people living with pain. It sets a shared benchmark of competence across European countries and recognises the full breadth of physiotherapy practice in pain management.
A European benchmark of competence
A single, recognised standard of pain physiotherapy across Europe, providing consistency of standards and outcomes between countries through a shared measure of competency.
Grounded in the EFIC curriculum
The examination is based on the EFIC Pain Physiotherapy Curriculum and its reading list, testing a broad understanding of all types of pain and their treatment rather than a single technique.
The full breadth of practice
Knowledge, clinical and communication skills, and professional behaviours are all assessed, reflecting what patient-centred pain management asks of a physiotherapist in practice.
Value beyond the certificate
Diplomates describe the preparation itself as a self-directed learning experience that broadens their clinical knowledge and, in turn, improves the care they provide to people living with pain.
Purpose and background
Raising the standard of pain physiotherapy across Europe
The purpose of the EDPP is to improve the standard of pain assessment and treatment by providing a qualification for physiotherapists that tests their broad understanding of all types of pain and their treatment.
It establishes a harmonised understanding of pain across Europe through a qualification open to all European physiotherapists, as well as physiotherapists from outside Europe.
Objectives
- To articulate the scope of practice required of a physiotherapist, including what is necessary for quality, person-centred care.
- To outline the breadth and depth of knowledge, the range of skills, and the professional behaviours required to ensure effective, person-centred pain management.
- To provide consistency of standards and outcomes across different countries in Europe, through the establishment of a benchmark of competency.
The examination is based on the EFIC Pain Physiotherapy Curriculum and its accompanying reading list. A recorded webinar from September 2025 explains the diploma in more detail.
Who it's for
Open to qualified physiotherapists who work in pain
The EDPP is open to all qualified physiotherapists who assess and treat people living with pain. It is designed for physiotherapists with at least three years of clinical experience in pain assessment and treatment.
Demonstrable possession of a Physiotherapy Degree or Diploma and registration with your national authority or professional body are required. Diplomas obtained through online or short-term courses are not acceptable.
Eligibility criteria
- A Physiotherapy Degree or Diploma. Please supply a scan of your qualification. Where the original is not in English please supply both the original and an English translation.
- Registration with your national authority or professional body certifying your status as a physiotherapist.
- A curriculum vitae (written in English) detailing at least three years of clinical work in which people living with pain have been assessed and treated.
- A letter of support from one referee (for example a head of department, clinical director, or senior colleague). The letter should confirm that you are in good standing in your country and department and regularly involved in managing people living with pain, attest to your level of English, and note any adjustments to your working environment that should be factored into the exam (for example, reading aids).
- A completed application form.
- Proficient in written and spoken English.
- Payment of fees ahead of the requested deadline.
- All supporting documents: Three case studies required for the vivas. Supporting documents (for example, CV and a scan of your degree) should be provided in English. Where the originals are not in English, please supply both the original and an English translation.
The examination at a glance
Three parts, testing knowledge, skills, and clinical reasoning
The examination is made up of three parts: Part 1 is held separately, part 2 and 3 are held together. The minimum pass mark is calculated across all three parts.
Part 1
35%
Multiple-choice questions
Fifty questions test your knowledge of the curriculum. Each question is a stem followed by three to six true or false answer statements. There is no negative marking.
Sat virtuallyPart 2
30%
Clinical skills examination
You demonstrate ten diagnostic or treatment skills, each representing a clinical situation, testing your clinical, handling, and communication skills.
Sat in personPart 3
35%
Viva examination
An oral examination in dialogue with two examiners, based on the case study reports you submit. It tests clinical experience, reasoning, attitude, and communication.
Sat in person65%
Overall pass mark
How the EDPP Exam parts are sat
Part 1 is currently delivered online via the EFIC Academy Education Platform; first-time users receive guidance on accessing the platform. Parts 2 and 3 are delivered in person only. These arrangements remain in place until further notice.
Validity and resits
Once you pass Part 1, you have four years to complete Parts 2 and 3. For example, a candidate who passes Part 1 in February 2024 has until 31 December 2028 inclusive. EFIC aims to offer one full sitting per year, giving three to four opportunities within the validity period. If EFIC is unable to offer a Parts 2 and 3 sitting in a given calendar year, that year does not count towards the four years.
Maintaining marks. Provided all components are passed within the four-year period, you may carry forward marks from previous valid attempts. For example, if you score well in the clinical skills but less well in the viva, you can resit Part 2 to improve the viva while keeping your earlier result.
What diplomates think
In the words of physiotherapists who have taken the EDPP
“
First, it was wonderful to get lost in the extensive literature and online lectures that the EFIC curriculum offers as part of the exam while studying. Then, during the practical exam, the examiners showed genuine interest in the case I submitted, which I had spent a lot of time developing. The practical exam was therefore a very interesting conversation instead of an exciting test.
Peter Glashouwer
“
I strongly believe that every physical therapist should participate in the EFIC examination for the Diploma in Pain Physiotherapy, as this will improve our level of understanding of the multidimensional nature of pain, enhance our interventions, and push research forward.
Yiannis Sotiralis
“
The EDPP exam is an amazing self-directed learning experience, and the benefits are twofold: for you, as a clinician, broadening and expanding your knowledge, and for your patients, to better manage their pain and help them to thrive. Take this road and you will not regret it.
Andrea Celso
Fees and registration
What it costs, and how to register
You can register for the full examination or for either part on its own. All fees are shown excluding VAT and are non-refundable.
Part 1
MCQ, virtual
130 EUR excl. VAT
Part 2
Clinical skills and viva, in-person
195 EUR excl. VAT
Full examination
All three parts
325 EUR excl. VAT
#EFICAcademy members save 25% on the exam fee
Already a member? Your discount code has been emailed to you. If you have not received it, contact academy@efic.org. Not yet a member? You can join the EFIC Academy while registering for the exam, and the 25% discount (before VAT) is applied automatically.
Join the EFIC AcademyFees are non-refundable. Withdrawals after registration are subject to a 15% administration fee.
Please look out for updates on whether EFIC will offer financial support for upcoming examinations.
EFIC can provide a supporting letter for visa applications. If a visa is refused, the fee is refunded minus the 15% administration fee, provided confirmation is sent at least two months before the examination.
Virtual sittings use the EFIC Academy Education Platform. First-time users receive guidance ahead of the examination.
Registration is open for the November 2026 examination
Part 1 (virtual) takes place on 13 November 2026. Register by 13 October 2026.
Frequently asked questions
Questions about the EDPP
Who can take the EDPP?
The EDPP is open to qualified physiotherapists who assess and treat people living with pain. You will need a physiotherapy degree or diploma, registration with your national authority or professional body, and a curriculum vitae showing at least three years of relevant clinical experience. A letter of support from a referee is also required.
What does the examination involve?
There are three parts: a multiple-choice examination (Part 1, 35%), a clinical skills examination (Part 2, 30%), and a viva based on your submitted case study reports (Part 3, 35%). The overall pass mark is 65%.
How and where is each part sat?
As of now and until further notice, Part 1 can only be sat virtually, through the EFIC Academy Education Platform, while Parts 2 and 3 can only be sat in person. First-time users of the platform are given guidance, tutorials, and preparatory sessions.
Once I pass Part 1, how long do I have to complete the rest?
You have four years from passing Part 1 to complete Parts 2 and 3. EFIC aims to offer one full sitting per year, giving three to four opportunities within that period. If EFIC is unable to offer a Parts 2 and 3 sitting in a given calendar year, that year does not count towards the four years.
Can I carry marks forward between attempts?
Yes. Provided all components are passed within the four-year window, you may cite marks achieved in previous valid attempts as part of your total mark, so you can resit a single part to improve it while keeping your earlier results.
What does it cost?
The full examination is 325 euros. Where it is taken in separate parts, Part 1 is 130 euros and Part 2 is 195 euros. Fees exclude VAT and are non-refundable, and withdrawals after registration are subject to a 15% administration fee.
#EFICAcademy members receive a 25% discount (before VAT). You can join while registering and the discount is applied automatically.
What language is the examination in?
The examination is conducted in English, both written and oral, and a high level of English is required. Reasonable flexibility is provided for medical and technical terminology. In collaboration with national physiotherapy organisations it may also be offered in additional languages, but obtaining the EDPP in a language other than English does not constitute proof of language proficiency at a European level.
If you have a condition that affects reading comprehension, such as dyslexia, please indicate this on the registration form and EFIC will do its best to accommodate your needs.
What do I need for the virtual examination?
You should have a reasonably strong level of IT literacy, including the ability to adjust your webcam and microphone settings. A proctoring tool is used to confirm that exam rules are followed, which requires recordings of your webcam and desktop. Following the tutorials and preparatory sessions beforehand is important so you are comfortable with the platform on the day.
How do I appeal a result?
Write to the Examination Committee via the Federation Secretariat within four weeks of receiving your results. The committee will respond within six weeks of the initial communication of results.
For candidates
Full examination regulations
The complete rules for each part of the examination, marking, conduct, language, and appeals. Select a section to read the detail.
The MCQ examination tests candidates' knowledge of the curriculum. It features 50 questions, each made up of a stem followed by three to six answer statements. Each statement is either true or false, and there is no negative marking. The time allowed is 90 minutes.
The examination can take one of two forms:
- Paper form. Answers are marked with a pen or pencil. Candidates should take care to mark a single choice of true or false for each answer statement.
- Virtual form. The examination is run in a virtual environment, with candidates providing their answers remotely from their workspace.
This part tests candidates' clinical, handling, and communication skills. The candidate is asked to demonstrate ten diagnostic or treatment skills, each representing a clinical situation.
The viva tests candidates' clinical experience, reasoning, attitude, and communication skills. It is an oral examination in which the candidate engages in a dialogue with two examiners, based on the case study reports they have submitted.
The examination is marked with the following weighting: MCQ 35%, clinical skills examination 30%, and viva examination including case study reports 35%. The pass mark is 65%.
At the end of each Part 2 sitting, the Board of Examiners holds a final meeting to determine marks. If the Examination Committee identifies anomalies or concerns about a particular candidate's performance, it may deviate from the standard marking rules and will provide the candidate with justification for its decision.
Maintaining marks from previous attempts. Provided all components of the examination are passed within a four-year period, a candidate may cite marks achieved in previous valid attempts as part of their total mark. For example, a candidate who scores well in one part may resit another to improve it, while carrying forward the earlier result.
Candidates are provided with pens and pencils. No additional materials may be taken into the examination venue. Electronic devices such as phones, tablets, computers, and smart watches are strictly prohibited, and communication between candidates during the examination is not permitted.
Any candidate found to be breaching these rules, or otherwise jeopardising the fair conduct of the examination, will be excluded. Any candidate found to have passed any part through fraudulent means will have their qualification rescinded.
For virtual sittings, additional steps such as randomising the order of questions and answers are taken. The Examination Committee may rescind the qualification of any candidate thought to have committed an infringement, which in this context may include:
- taking copies of examination content for use outside the sitting;
- conferring with other candidates, in person or online;
- using an internet browser or other materials to inform their answers.
The examination content, both written and oral, is in English, and a high level of spoken and written English is required. The registration process includes questions about the candidate's language level, and the Examination Committee may exclude any candidate considered to be below the level required, with a full refund applied.
Translation and interpretation services are not available. If you have special requirements in this area, such as dyslexia or another medical condition affecting reading comprehension, please indicate this on the registration form and EFIC will do its best to accommodate your needs. Any adjustments to your standard working environment should be attested to by your employer in the letter of support. The Examination Committee ensures a reasonable level of flexibility for medical and other technical terminology, though candidates should be familiar with such terminology in English.
The EDPP examination is typically conducted in English. In collaboration with national physiotherapy organisations, it may also be offered in additional languages. Obtaining the EDPP in a language other than English does not constitute proof of language proficiency at a European level, and candidates intending to practise in another country should be aware that additional language qualifications may be required to meet national regulatory or professional standards.
Part 1 may be offered virtually via an examination platform. Candidates are expected to follow all guidance provided by EFIC and to complete all tutorials and preparatory sessions so that they are comfortable with the platform on the day.
EFIC uses a proctoring tool to ensure that conduct rules are followed by all candidates. Candidates acknowledge that this requires recordings to be taken, including of their webcam and desktop. A reasonably strong level of IT literacy is expected, including adjusting hardware settings such as the webcam and microphone, in order to follow the instructions of the examination platform.
Any candidate wishing to appeal should write to the Examination Committee via the Federation Secretariat within four weeks of receiving their results. Appeals will be responded to by the Examination Committee within six weeks of the initial communication of results.