MRCP (UK) - a guide for overseas medicine doctors

  • November 05, 2021
 

Here we take a closer look at the Membership of the Royal College of Physicians examinations (MRCP) for doctors who have chosen their specialism in medicine, including exam dates, fees and eligibility. 

International Medical Graduates (IMGs) from any country in the world can sit the MRCP examinations, provided certain eligibility criteria are met. These are summarised below along with a broad look at the following topics:


The Royal College of Physicians is the professional body responsible for the specialty of medicine throughout the UK. Amongst many other duties, its role is to set and monitor the educational curriculum for those training to enter the profession.


What is MRCP(UK)?

The MRCP examinations assess:

  • knowledge of basic medical sciences 
  • clinical skills required for the diagnosis and management of disease. 

The exams are designed to test both applied basic science and principles of medicine to the level of a UK trainee with two to three years postgraduate experience. 

Completion of MRCP will allow you to work in the UK from ST3 level upward (ST3+), with seniority beyond ST3 level dependent on experience.

MRCP is one of two routes an overseas doctor can take full GMC registration (postgraduate qualification or PLAB route). 

For doctors who wish to take more senior roles reflective of their current practice, IMG Connect advise that MRCP would be the best route to take. 


MRCP (UK) is a prerequisite to anyone wishing to go on to a specialist training post as a physician in the UK.


The MRCP exam has three parts as outlined below: 

  • MRCP Part 1 – two written papers
  • MRCP Part 2 – two written papers
  • MRCP PACES – practical assessment in a clinical setting

Eligibility for overseas doctors:

Part 1:

To be eligible you must have a GMC recognised Primary Medical Qualification and a minimum 12 months postgraduate experience in medical employment.

Part 2 & PACES: 

To be eligible you must have passed Part 1 within the last seven years.


Whilst it is not essential to successfully complete Part 2 to sit PACES, the Royal College strongly advises you to do so. 

To support this, pass-rates are much lower for those who sit PACES before passing Part 2.


MRCP(UK) Part 1: 

The entry-level examination is accessible to doctors with a minimum 12 months postgraduate experience in medical employment. 

It consists of: 

  • one-day examination
  • two three-hour papers
  • 200 multiple-choice (best of five) questions 
  • no imagery
  • sat in an examination hall

A more detailed look at Part 1 can be found here.

This will include examination centers, dates, fees and advice to give you the best chance to pass at first attempt.

MRCP(UK) Part 2

Part 2 can only be taken if you have passed Part 1 (building on the knowledge already assessed). 

The format at a glance:

  • two papers taken on one day
  • papers last three hours
  • 200 multiple choice questions
  • questions include images
  • sat in an examination hall

A more detailed look at Part 2 can be found here.

This will include examination centers, dates, fees and advice to give you the best chance to pass at first attempt.

MRCP(UK) PACES:

PACES applicants must have passed MRCP Part 1. However, we echo the Royal College guidance and strongly advise our doctors to take both Parts 1 & 2 before taking PACES.

PACES is based on a format that is similar to OSCEs, a practical assessment in a clinical setting. There are five clinical stations with either patients with a given condition, or trained stand-ins (surrogates). 

The format in brief:

  • half-day examination
  • takes place in a clinical setting (hospital or clinical skills centre)
  • assesses seven core skills
  • five stations 
  • eight patient encounters
  • two independent examiners at each station
  • each candidate is assessed independently by a total of 10 examiners

A more detailed look at PACES can be found here.

This will include examination centers, dates, fees to give you the best chance to pass at first attempt.

How do I prepare and what resources are available? 

With lots of resources available online, we have discussed with IMGs the best place to start looking for materials relating to the exams. Most IMGs recommended starting with the Royal College, who have created useful resources to help you to prepare for the exams. See below: 

Curriculum: Applicants are tested on a range of common and important disorders in General Medicine as set out in the Joint Royal Colleges Specialty Training Curriculum for Core Medical Training.

We recommend getting to know the curriculum as early as possible, and using it as a road map for your study plan. 

MRCP(UK) mock exams: We suggest registering for the MRCP mock exams here.

These will provide you with the most accurate and relevant mock questions to prepare you for the real thing.

Sample questions: Test your knowledge using example questions from the current exam syllabus provided by the Royal College, see below:

PACES content: prepare and practice example questions on the topics and skills covered in the PACES exam

For a useful overview of how to prepare for exams, including advice on study groups, online community support, best use of online resources & Royal College materials and courses, take a look at our blog: IMG Connects Top Tips for exam preparation 

How do I apply?

Applications for all exams are made online via My MRCP(UK) account.

You will simply need to create an account and submit evidence of your primary medical qualification, then make a payment online to confirm your application.

Application videos from the Royal College can be found below:

Part 1 & 2

PACES

Please note, the application process is a little different for those looking to sit the exam in Hong Kong. Further information can be found on the Royal College website here.

Fees for 2019:

Exam

UK Test Centres

Overseas Test Centres

Part 1

£419

£594 *

Part 2

£419

£594 *

PACES

£657

£1202 *

*the application process and fees applicable for Hong Kong and Singapore centres are different and applicants are encouraged to submit their application directly to the administration team for this centre.

Venues:

Exam

UK Test Centres

Overseas Test Centres

Part 1

&

Part 2

Edinburgh

Glasgow

London

Bahrain

Bangladesh

Egypt

Ghana

Hong Kong

Iceland

India

Iraq

Jordan

Kenya

Kuwait

Malaysia

Malta

Myanmar

Nepal

Oman

Pakistan

Qatar

Saudi Arabia

Singapore

Sri Lanka

Sudan

United Arab Emirates

United States of America

West Indies

Zimbabwe

PACES

England

Scotland

Wales

Northern Ireland

Brunei

Egypt

Hong Kong

India

Kuwait

Malaysia

Myanmar

 

Malta

Oman

Qatar

Singapore

Sri Lanka

Sudan

United Arab Emirates

* Please note, exact locations change from each diet of PACES.

Dates of Exams:

Upcoming dates for the exams can be found using the following links:
Part 1

Part 2

PACES

Passed? What next?

First of all, congratulations! After you have passed all parts of MRCP(UK) you can apply for a full registration with a license to practice. Once the GMC have approved your application, you can work as a doctor in the UK. 

For further information on MRCP exams including structure, content, preparing, procedure, dates, locations and fees, see the following articles: 

MRCP(UK) Part 1 – a closer look

MRCP(UK) Part 2 – a closer look

MRCP(UK) PACES – a closer look


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Relevant Jobs

£96,990 - £107,155

A NHS Trust in the South East of England is looking for a Specialist Doctor in Medical Oncology with an interest in Breast. The Oncology department includes a team of consultants and is supported by a large group of specialty doctors and clinical fellows. This Medical Oncology role is open to both UK-based and international applicants, with those holding FRCR/MRCP especially encouraged to apply.

Anyone requiring portfolio support (formerly known as CESR) can have their needs reviewed on a case-by-case basis.


JOB REQUIREMENTS AND DETAILS

Doctors with FRCR/MRCP and an interest in breast cancer are encouraged to apply. The salary will range from £96,990 – £107,155.


CORE DUTIES OF THIS ROLE

  • Deliver high-quality oncology care, including chemotherapy, hormone therapy, and targeted therapy.

  • Participate in multidisciplinary team meetings and provide leadership for tumour site specialisations.

  • Supervise and mentor junior medical staff, contributing to teaching and research activities.

  • Engage in clinical governance and audit work to maintain high standards of care.


LIFE IN THE SOUTH EAST OF ENGLAND

This region offers a balance of busy towns and peaceful countryside. There are excellent schools, reliable transport links to London and Europe, and a wide range of leisure activities — including historic sites, coastal attractions, and cultural events. The area combines accessibility with quality of life, making it attractive for professionals and families alike.


HOW WILL IMG CONNECT SUPPORT YOU?

When applying through IMG Connect, you’ll receive full support from a specialist recruitment team who will guide you through every step. Support includes:

  • CV preparation and tailored feedback sessions.

  • Application support with in-depth NHS and recruitment insights.

  • At least two video-based interview preparation sessions.

  • Help with contract discussions and offer negotiations, including relocation packages.

Once you’ve accepted your offer, you’ll have access to a dedicated relocation executive to assist with:

  • Document collection and checks.

  • COS and visa support where needed.

  • Short- and long-term accommodation options.

  • Travel planning.

  • Family support, including help finding schools and settling in.

99,532 - 131,964

An excellent NHS job opportunity for an experienced Consultant to join this NHS Trust as a Consultant in Haematology working in an established medical setting in the UK. This NHS job offers CESR Portfolio Pathway support and international applications from IMGs are welcome.

The NHS Trust

The NHS Trust is one of the largest integrated care providers in England, serving a diverse population with a commitment to high-quality care and continuous improvement. The Trust operates across multiple sites, offering a broad range of services through various care groups, including Surgery, Integrated Medical Specialties, Family Health, Community, and Clinical Specialist Services. It provides a dynamic environment that supports innovation, education, and collaboration.

The Haematology Department & Team

The Haematology Department is a forward-thinking unit, staffed by a dedicated team of Consultant Haematologists and Clinical Nurse Specialists. The department focuses on outpatient and day case treatments, with a collaborative approach to inpatient care. It utilizes advanced facilities for a wide range of haematological services and participates in regional MDTs. This new consultant post will primarily be based at one of the main hospital sites but may involve activities across other locations within the Trust.

Continued Professional Development

This NHS job offers further training and accreditation within haematology, including CESR Portfolio Pathway Support, access to specialty training, and the opportunity to develop sub-specialist interests. The Trust supports continuous professional development and encourages participation in research and teaching activities. There is a strong emphasis on education with regular clinical meetings, audit sessions, and opportunities for career advancement.

Location

The location is ideal for international doctors and their families, offering affordable living costs, good schools, and a rich cultural heritage. There are numerous recreational activities, from exploring beautiful countryside and national parks to enjoying vibrant community events and historical sites. The area has excellent transport links, including easy access to major cities and convenient connections to international airports.

Am I eligible for this role?

UK based candidates:

  • Active GMC registration with license to practice
  • Experience in Haematology

EEA candidates: 

  • European Specialist Qualification in Haematology

Non-EEA candidates:

  • MRCP or FRCPath Haematology or PLAB
99,532 - £107

An NHS district general hospital in the West Midlands is looking for a Specialist Grade Haematologist with an interest in haemato-oncology, laboratory haematology and blood transfusion. The Haematology department comprises a team of 3 consultants and is supported by a large team of middle grade doctors. This Haematology job is open to both international applications and UK-based doctors, though those with European Specialist or FRCPath (or equivalent) are most encouraged to apply.

Anyone requiring portfolio support (formally known as CESR) can have their required support discussed on a case by case basis.

JOB REQUIREMENTS AND DETAILS

FRCPath (or equivalent) and broad experience in clinical and laboratory haematology are required for this role, and anyone with an interest in clinical trials, haemato-oncology, education, or blood transfusion should apply. The salary will be between £96,990 to £107,155 dependent on experience or grade.

CORE DUTIES OF THIS ROLE

  • Provide clinical support in both inpatient and outpatient settings, working closely with consultants and the multidisciplinary team.

  • Participate in the delivery of chemotherapy and specialist care via the dedicated oncology/haematology unit.

  • Contribute to clinical governance, teaching of junior doctors and nurse practitioners, and development of service pathways.

  • Assist with laboratory haematology duties including blood film reporting, and advise on transfusion and diagnostic services.

LIFE IN THE WEST MIDLANDS

This hospital is located in a picturesque region of the West Midlands, with access to both rural retreats and small city living. Residents enjoy a mix of traditional market towns and vibrant city centres, with good schools, easy rail access to Birmingham, and plenty of green spaces for outdoor activities. The area has deep historical roots, from medieval cathedrals to Roman forts, offering a unique combination of heritage and modern living.

HOW WILL IMG CONNECT SUPPORT YOU?

When applying with IMG Connect you’ll have the full support of an expert recruitment team who will be your recruitment and relocation partners throughout the process. We\'ll support you with:
CV Preparation with a bespoke session with one of our specialists
Application support with expert knowledge of NHS specialisms & recruitment practice
At least two video calling interview preparation sessions
Contract and offer negotiations for salary, relocation packages, tenure and more
Once you have accepted your new role, you’ll then be supported and led throughout by one of our dedicated relocation executives who will guide you through all the way to starting to your new role including:
Document gathering and checking COS and Visa Application support if applicable
Support sourcing short- and long-term accommodation
Travel Arrangements Family support for finding schools and any other aspects of pastoral care

105,504- 139,882

An NHS hospital in South East England is looking for a Consultant in Clinical Oncology with an interest in Upper and Lower GI cancers. The Oncology department comprises a team of four Clinical Oncologists and a Consultant Radiographer, supported by a large team of middle-grade doctors. This Clinical Oncology job is open to both international applications and UK-based doctors, though those with European Specialist Registration, GMC Specialist Register, CCT, or CESR are most encouraged to apply.

Anyone requiring portfolio support (formally known as CESR) can have their required support discussed on a case-by-case basis.

JOB REQUIREMENTS AND DETAILS

GMC registration with a license to practice, CESR, or a GMC-recognised qualification such as FRCR is required for this role. Anyone with an interest in Upper and Lower GI cancer should apply. The salary will be between £105,504 – £139,882 dependent on experience.

CORE DUTIES OF THIS ROLE

  • Provide expert oncology care for patients diagnosed with Upper and Lower GI cancers, overseeing treatment plans and managing patient care.

  • Participate in multidisciplinary team (MDT) meetings across sites to coordinate treatment.

  • Contribute to research and clinical trials within the Oncology department, promoting innovation in GI cancer treatment.

  • Engage in teaching opportunities with medical students and junior doctors, especially in preparation for the launch of a new postgraduate medical programme.

LIFE IN SOUTH EAST ENGLAND

This hospital is located in the South East of England, a region known for its mix of lively coastal cities and peaceful countryside towns. It offers great transport links to London, top-performing schools, and diverse leisure options, including historic landmarks, nature trails, and vibrant cultural scenes. The area is rich in maritime and military history, making it a unique and engaging place to live and work.


HOW WILL IMG CONNECT SUPPORT YOU?

  • CV Preparation with a bespoke session with one of our specialists

  • Application support with expert knowledge of NHS specialisms & recruitment practice

  • At least two video calling interview preparation sessions

  • Contract and offer negotiations for salary, relocation packages, tenure, and more

  • Once you have accepted your new role, you’ll then be supported and led throughout by one of our dedicated relocation executives who will guide you through all the way to starting your new role including:

    • Document gathering and checking

    • COS and Visa Application support if applicable

    • Support sourcing short- and long-term accommodation

    • Travel arrangements

    • Family support for finding schools and any other aspects of pastoral care

105,504 to 139,882

An NHS district general hospital in Yorkshire is looking for a Consultant Dermatologist with an interest in skin cancer and minor skin surgery. The Dermatology department comprises a team of locum consultants, an experienced Specialty Doctor, and a Biologic Nurse Consultant, supported by a large team of middle grade doctors. This Dermatology job is open to both international applications and UK-based doctors, though those with European Specialist or MRCP (UK) or SCE are most encouraged to apply.

Anyone requiring portfolio support (formally known as CESR) can have their required support discussed on a case-by-case basis.

JOB REQUIREMENTS AND DETAILS

Full GMC registration and significant experience in general dermatology and minor surgery, are required for this role. Anyone with an interest in skin cancer management and dermatological surgery should apply. The salary will be between £109,725 and £145,478 dependent on experience or grade.

CORE DUTIES OF THIS ROLE

  • Deliver high-quality general dermatology services, including urgent and routine outpatient clinics.
  • Participate in subspecialty clinics, particularly for skin cancer diagnosis, management, and surgery.
  • Contribute to departmental management, teaching, and supervision of junior doctors and medical students.
  • Support service development and clinical governance through audit, guideline development, and education initiatives.

LIFE IN THE NORTH OF ENGLAND

???????This hospital is situated in the north of England, with popular residential areas including vibrant cities and picturesque countryside locations. Urban dwellers may enjoy city life in places like Sheffield or Leeds, while rural enthusiasts might prefer the surrounding villages and national parks. The region offers great schools, excellent transport connections, and a wide variety of leisure activities for all lifestyles. Historically significant for its industrial roots, the area remains a vital and evolving part of British heritage and modern living.

HOW WILL IMG CONNECT SUPPORT YOU?

When applying with IMG Connect you’ll have the full support of an expert recruitment team who will be your recruitment and relocation partners throughout the process. We\'ll support you with:

  • CV Preparation with a bespoke session with one of our specialists
  • Application support with expert knowledge of NHS specialisms & recruitment practice
  • At least two video calling interview preparation sessions
  • Contract and offer negotiations for salary, relocation packages, tenure and more

Once you have accepted your new role, you’ll then be supported and led throughout by one of our dedicated relocation executives who will guide you through all the way to starting to your new role including:

  • Document gathering and checking COS and Visa Application support if applicable
  • Support sourcing short- and long-term accommodation
  • Travel Arrangements
  • Family support for finding schools and any other aspects of pastoral care

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