MRCP (Membership of the Royal Colleges of Physicians)

The MRCP (Membership of the Royal Colleges of Physicians of the United Kingdom) is a prestigious medical qualification essential for doctors seeking to specialize in internal medicine and related specialties in the UK. Administered jointly by the Royal Colleges of Physicians of Edinburgh, Glasgow, and London, the MRCP is a prerequisite for entry into Physician Higher Specialty Training (PHST) programmes.

The MRCP consists of three parts: Part 1 (written examination), Part 2 Written (advanced written examination), and Part 2 Clinical (PACES - Practical Assessment of Clinical Examination Skills). Success in all three components is required to obtain the MRCP diploma, which is recognized globally and opens doors to specialist medical careers worldwide.

Frequently Asked Questions

What is the MRCP exam?

The MRCP (Membership of the Royal Colleges of Physicians of the United Kingdom) is a three-part postgraduate medical examination that assesses knowledge and clinical skills required for specialist training in internal medicine. It is mandatory for doctors wanting to pursue higher specialty training in the UK.

How many parts are there in the MRCP exam?

The MRCP has three parts: Part 1 (200 multiple-choice questions testing basic medical sciences), Part 2 Written (200 clinical scenario questions), and Part 2 Clinical (PACES - a 5-station practical examination testing clinical skills and communication).

What are the MRCP Part 1 exam fees for 2025?

The MRCP Part 1 exam costs £489 for UK candidates and £655 for international candidates. Part 2 Written fees are similar, while PACES costs £698 (UK) and £1,278 (international). Total cost ranges from £1,495 (UK) to £2,390 (international) if passed on first attempt.

How often are MRCP exams held?

MRCP Part 1 and Part 2 Written exams are held 3-4 times per year (typically February, June, September, and December). PACES frequency varies by location but is generally offered multiple times throughout the year at various international centers.

What is the pass mark for MRCP exams?

MRCP Part 1 requires a score above 540 (using equated scoring). Part 2 Written requires a score of at least 454 (approximately 121 correct answers out of 200). PACES uses criterion-referenced marking across seven clinical skills domains.

Can I take MRCP exams online?

Yes, MRCP Part 1 and Part 2 Written can be taken online from home/office or at test centers. From 2025, Part 2 exams will move to remote online proctoring for both UK and international candidates. PACES remains an in-person examination only.

How many attempts are allowed for MRCP?

Candidates are allowed a maximum of 6 attempts at each part of the MRCP exam. After 6 failed attempts, additional attempts may be considered only with exceptional circumstances and educational supervisor support.

What is PACES and how long is it?

PACES (Practical Assessment of Clinical Examination Skills) is the clinical component of MRCP Part 2. It consists of 5 stations lasting 20 minutes each, with a total exam duration of approximately 125 minutes. The 2023 format includes communication encounters and clinical consultations.

MRCP Key Information

Total Parts: 3 (Part 1, Part 2 Written, Part 2 Clinical/PACES)
Duration: 3 hours each (Part 1 & 2), ~125 minutes (PACES)
Questions: 200 MCQs (Parts 1 & 2), 5 clinical stations (PACES)
Frequency: 3-4 times per year (Parts 1 & 2), varies (PACES)
Total Cost: £1,495 (UK) / £2,390 (International)
Attempts Allowed: Maximum 6 per part

MRCP Exam Structure

MRCP Part 1

  • Format: 200 multiple-choice questions (2 papers of 100 each)
  • Duration: 3 hours per paper (6 hours total)
  • Content: Basic medical sciences and clinical knowledge
  • Question Type: Best of 5 format
  • Pass Mark: Score above 540 (equated scoring system)
  • Eligibility: 12 months post-graduation medical experience required

MRCP Part 2 Written

  • Format: 200 multiple-choice questions (2 papers of 100 each)
  • Duration: 3 hours per paper (6 hours total)
  • Content: Clinical scenarios, investigations, diagnosis, management
  • Images: Includes clinical photographs, X-rays, scans, and pathology
  • Pass Mark: Score of at least 454 (approximately 121/200 correct)
  • Prerequisite: Must have passed MRCP Part 1

MRCP Part 2 Clinical (PACES)

  • Format: 5 clinical stations (20 minutes each)
  • Duration: Approximately 125 minutes total
  • Content: Clinical examination, communication, consultation skills
  • Assessment: 7 clinical skills domains marked by 2 examiners per station
  • Updated Format: PACES23 introduced communication encounters and clinical consultations
  • Location: In-person only at approved examination centers

PACES 2023 Updated Format

Station Structure

  • Station 1: Communication and respiratory system examination
  • Station 2: Consultation skills assessment
  • Station 3: Cardiovascular and neurological examination
  • Station 4: Communication skills and abdominal examination
  • Station 5: Brief clinical consultation with focused history and examination

Key Changes in PACES23

  • Two 10-minute communication encounters
  • Two 20-minute clinical consultations
  • More realistic and integrated clinical scenarios
  • Removal of question-and-answer sections with examiners
  • Enhanced focus on communication and consultation skills

MRCP Content Areas

Part 1 Topics

  • Core Medical Sciences: Clinical pharmacology, statistics, genetics
  • System-Based Medicine: Cardiology, respiratory, gastroenterology, neurology
  • Specialties: Endocrinology, rheumatology, hematology, infectious diseases
  • Supporting Areas: Dermatology, psychiatry, clinical chemistry
  • Professional Skills: Ethics, communication, patient safety

Part 2 Written Focus

  • Clinical scenario-based questions with complex cases
  • Interpretation of investigations (imaging, laboratory, pathology)
  • Diagnosis and differential diagnosis in challenging presentations
  • Management decisions and treatment planning
  • Prognosis and long-term care considerations

PACES Clinical Skills

  • Physical Examination: Systematic examination of all major systems
  • Communication: Patient consultation, explanation, breaking bad news
  • Clinical Reasoning: History taking, differential diagnosis, management planning
  • Professional Behavior: Empathy, respect, ethical considerations
  • Practical Skills: Interpretation of clinical findings and investigations

MRCP Preparation Strategy

Part 1 Preparation

  • Build strong foundation in basic medical sciences
  • Use comprehensive question banks with detailed explanations
  • Focus on understanding concepts rather than memorization
  • Practice time management with mock exams
  • Review high-yield topics and common examination themes

Part 2 Written Preparation

  • Develop skills in clinical reasoning and case analysis
  • Practice interpreting clinical images and investigations
  • Study complex multi-system cases and their management
  • Learn to prioritize investigations and treatments
  • Focus on evidence-based medicine and current guidelines

PACES Preparation

  • Practice clinical examination techniques regularly
  • Develop strong communication and consultation skills
  • Attend PACES courses for hands-on experience
  • Practice with real patients and standardized scenarios
  • Work on professional behavior and time management

MRCP Resources

Start Your MRCP Preparation

Ready to begin your journey toward MRCP membership? Access our comprehensive question banks for all three parts of the MRCP, with thousands of practice questions, detailed explanations, and mock exams designed to help you succeed on your first attempt.