About MRCP (UK):
MRCP (UK) develops and delivers membership and specialty examinations that are recognised around the world as quality benchmarks of medical knowledge and clinical skills.
MRCP (UK) is accountable to the Federation of Royal Colleges of Physicians of the United Kingdom. The Federation sets internationally acknowledged standards in medicine, building on a proud tradition of professional excellence, established over centuries by British physicians.
The Federation is a partnership between:
- The Royal College of Physicians of Edinburgh
- The Royal College of Physicians and Surgeons of Glasgow
- The Royal College of Physicians of London
The Federation is responsible for the following postgraduate medical examinations:
Membership of the Royal Colleges of Physicians (UK)
This qualification is designed to test the skills, knowledge and behaviour of doctors in training. The MRCP (UK) has been approved by the General Medical Council (GMC) as the knowledge-based assessment for core medical training, and the successful completion of the entire three-part examination is a requirement for physicians wishing to undergo training in a medically related specialty in the UK. Internationally, the MRCP (UK) is also a valued professional distinction in many other countries.
Specialty Certificate Examinations (SCEs)
MRCP (UK) Part 1
The MRCP (UK) Part 1 Examination is designed to assess a candidate’s knowledge and understanding of the clinical sciences relevant to medical practice and of common or important disorders. Candidates will be tested on a wide range of common and important disorders in General Medicine as set out in the syllabus of the curriculum.
The MRCP (UK) Part 1 Examination has a two-paper format. Each paper is 3 hours in duration and contains 100 multiple choice questions in ‘best of five’ format, where candidates choose the best answer from five possible answers.
The questions in each specialty are distributed across both papers. The composition of the papers is as follows:
* This should be taken as an indication of the likely number of questions – the actual number may vary slightly.
** Clinical sciences comprise:
|Cell, molecular and membrane biology||2|
|Clinical biochemistry and metabolism||4|
|Statistics, epidemiology and evidence-based medicine||5|
MRCP (UK) Part 2 Written
The range of ability of candidates entering the Part 2 Written Examination is inevitably less broad in comparison with the MRCP(UK) Part 1 Examination, since only those who have passed the Part 1 Examination can enter the Part 2 Written Examination.
The MRCP (UK) Part 2 Written Examination has a three-paper format. Each paper contains 90 multiple- choice (Total 270 questions) questions in one from five (‘best of five’) format (3 hours in duration) held over two successive days, where candidates choose the best answer from five possible answers.
The composition of the papers is as follows:
|Specialty||Number of questions*|
|Endocrinology and metabolic medicine||25|
|Infectious diseases and GUM||25|
|Oncology and palliative medicine||13|
|Therapeutics and toxicology||25|
*This should be taken as an indication of the likely number of questions – the actual number may vary by up to 2%.
A proportion of the questions will be on adolescent medicine.
The questions will usually have a clinical scenario, may include the results of investigations and may be illustrated with images such as clinical photographs, pathology slides, inheritance trees, ECGs, X-rays, CT and MR scans, and echocardiograms.
The MRCP(UK) Part 2 Clinical Examination (Practical Assessment of Clinical Examination Skills – PACES) is designed to test the clinical knowledge and skills of trainee doctors who hope to enter higher specialist training (ST3). The exam sets rigorous standards to ensure that trainees are competent across a range of skills and ready to provide a high standard of care to patients.
|Station||Duration of examiner-to-candidate contact|
|Station 1||• respiratory system examination• abdominal system examination||10 minutes10 minutes|
|Station 2||• history-taking skills||20 minutes|
|Station 3||• cardiovascular system examination• nervous system examination||10 minutes10 minutes|
|Station 4||• communication skills and ethics||20 minutes|
|Station 5||• integrated clinical assessment – two brief focused clinical problems||10 minutes10 minutes|
|Total: 125 minutes (including 5 minutes between each station)|
The PACES examination consists of five clinical stations, each assessed by two independent examiners. Candidates will start at any one of the five stations, and then move round the carousel of stations, at 20 minute intervals until they have completed the cycle. There is a five-minute period between each Station.
Stations 1 and 3
These are often known as the “physical examination” stations. The emphasis in these stations is on the demonstration of comprehensive and correct physical examination technique, the ability to detect physical signs, the ability to construct a differential diagnosis, the ability to suggest sensible and appropriate treatment and investigation plans, and the ability to treat a patient with dignity and respect. Before seeing each case, the candidate will receive written instructions as to what is required of him/her.
Stations 2, 4 and 5
‘Standardised’ scenarios for Stations 2 and 4 are provided from MRCP(UK) Central Office and are generated by the Scenario Editorial Committee of the Clinical Examining Board. Host centres are currently told to recruit appropriate surrogates who fit the scenario and are available on the day. Examiners have been told that is not necessary to match the age exactly – a difference of a few years either way is fine, providing the surrogate can roughly pass for the age indicated in the scenario. Changes of the Scenarios are not allowed by any of the Colleges, unless they are merely typographical, or have been approved by the College concerned.
The history-taking skills station aims to assess the candidate’s ability to gather data from the patient, to construct a differential diagnosis, to deal with concerns the patient may have, and to construct a management plan that is explained to the patient clearly, and to treat the patient with dignity and respect.
The features are:
- written instructions for the case, usually in the form of a letter from the patien t’s GP are given to the candidate during the five-minute interval before the station
• 14 minutes are allowed for the history-taking, followed by a 1-minute period of reflection followed by five minutes for discussion with the examiners
• the two examiners are present throughout observing the interaction with the patient.
This video is intended to provide you with a brief overview of this Station.
Marking System / Pass Marks
Candidates’ overall results are calculated using a process called equating. This is a statistical process based on Item Response Theory, and it is used to ensure that candidates receive comparable results for comparable performance in different diets of the examination.
The MRCP (UK) Part 1 Standard Setting Group has determined that an overall scaled score of 528 or greater will be considered a pass.
The MRCP(UK) Part 2 Standard Setting Group has determined that an overall scaled score of 425 or greater will be considered a pass.
Please note that this score will be subject to review and candidates are advised to consult the website for the latest information. As a result of this process the pass rate (i.e. the percentage of candidates who pass) may vary slightly from one diet to another.
The marking system is as follows:
- One mark (+1) is awarded for each correct answer;
- No mark is deducted for an incorrect answer (i.e. there is no negative marking);
- No mark is awarded or deducted if a question is left unanswered;
- No mark is awarded if more than one answer is recorded or the answer is not sufficiently clear;
- No mark is awarded for any answer that the scanner queries as: • insufficiently erased; • smudged; • a double response to a question.
MRCP (UK) Part 2 -PACES Examination- pass mark
Skills Pass mark (% of marks available)
|A||Physical Examination||14 (58.3%)|
|B||Identifying Physical Signs||14 (58.3%)|
|C||Clinical Communication||10 (62.5%)|
|D||Differential Diagnosis||16 (57.1%)|
|E||Clinical Judgement||18 (56.3%)|
|F||Managing Patient Concerns||10 (62.5%)|
|G||Managing Patient Welfare||28 (87.5%)|
In addition, candidates must achieve an overall score of 130 to be eligible to pass.
International Examination Centres :
India (Kolkata, Chennai, Kerala, Mumbai)
Kuwait, Malaysia, Myanmar, Nepal, Oman, Pakistan, Saudi Arabia, Singapore, Sri Lanka, UAE (Dubai)
Edinburgh, Glasgow, London
*To see which centres are available for your visit @ https://www.mrcpuk.org/
Exam Fees & Diet:
Part 1: January, May & September
Part 2: April, July & December
Fees: International Examinations Centre
MRCP (UK)-part-1 Exam -£594 GBP
MRCP (UK)-part-2 written Exam -£ 594 GBP
MRCP (UK)-PACES Exam-£1202 GBP
Details are correct at the time of publication; however MRCP (UK) reserves the right to change these at any time.
[Please see the international examination centers section for details of which centers run for which examinations please, visit @ http://www.mrcpuk.org ]
Full details of dates and fees for the examination are available here @ https://www.mrcpuk.org
[*Disclaimer: Most of the information given here is taken from the official website of The Membership of the Royal Colleges of Physicians of the United Kingdom (https://www.mrcpuk.org/ ). For most recent updates Candidates are recommended to visit the official website of MRCPUK @ https://www.mrcpuk.org ]