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:
- What is MRCP(UK)?
- Eligibility for overseas doctors
- MRCP(UK) Part 1
- MRCP(UK) Part 2
- MRCP(UK) PACES
- How to prepare and what resources are available
- How to apply
- Fees
- Venues
- Dates of Exams
- Passed? What next?
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:
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 * |
|
£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 |
* 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
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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Don’t hesitate to get in touch using the buttons above (and below) to discuss doctor job options in the NHS, including discussions regarding a typical doctor salary in the UK and the most suitable hospital locations for you.
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Relevant Jobs
An NHS acute hospital in the South of England is looking for a Specialist Grade Doctor in Stroke Medicine with an interest in hyper-acute stroke care.
The Stroke Medicine department comprises a team of 2 stroke consultants and is supported by a large team of middle grade doctors. This Stroke Medicine job is open to both international applications and UK-based doctors, though those with European Specialist or MRCP (UK) qualifications 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 with a license to practice and at least 12 years of medical work (with a minimum of 6 years in Stroke Medicine) are required for this role, and anyone with an interest in hyper-acute stroke intervention should apply. The salary will be between £96,990 - £107,155 dependent on experience or grade.
CORE DUTIES OF THIS ROLE
-
Deliver high-quality hyper-acute, acute, and stroke rehabilitation care as part of a comprehensive stroke service.
-
Diagnose and manage patients presenting with stroke and stroke-mimic symptoms, including administering thrombolysis.
-
Participate in TIA clinics, ward rounds, multidisciplinary meetings, and contribute to clinical governance.
-
Supervise junior doctors and participate in research and clinical audits.
LIFE IN THE SOUTH OF ENGLAND
This post is located in a beautiful coastal region of the South of England, with great access to both scenic countryside and vibrant seaside towns. Options include family-friendly rural villages or more bustling urban centres nearby.
The area boasts good schools, fast transport links to mainland cities, and plenty of leisure and cultural opportunities, including outdoor sports, local festivals, and historical landmarks.
Famous for its heritage in British history and offering a high quality of life, the region is ideal for professionals and families alike.
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
An NHS acute hospital in the South East is looking for a Consultant or Specialist grade Geriatrician with an interest in Frailty Services.
The Geriatrics department comprises a team of 3 consultants and is supported by a large team of middle grade doctors. This Geriatrics job is open to both international applications and UK-based doctors, though those with European Specialist or MRCP(UK) qualifications 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 at least 6 years of post-graduate clinical experience are required for this role, and anyone with an interest in Frailty Services should apply. The salary will be between £96,990 to £107,155 for Specialist grade and £105504 to £139,882 for Consultant grade
CORE DUTIES OF THIS ROLE
-
Provision of a comprehensive inpatient medical service and specialist outpatient clinics.
-
Responsibility for the diagnosis and treatment of elderly patients.
-
Participation in the 1:11 consultant general medical on-call rota including weekend rounds.
-
Professional supervision and management of junior medical staff.
LIFE IN THE SOUTH EAST
This role is based in a coastal area in the South East of England, with urban living options in busy towns and rural choices in scenic villages.
The region offers excellent transport connections to the mainland, good schools, and plenty of outdoor activities including water sports and countryside trails.
Known for its historical and cultural significance, the area features beautiful coastlines, historic estates, and hosts several festivals throughout the year.
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
An NHS district general hospital in the South West of England is looking for a Consultant in Clinical Oncology with an interest in breast and skin cancers. The Clinical Oncology department comprises a team of 11 consultants and is supported by a large team of middle grade doctors and specialist nurses.
Anyone requiring portfolio support (formally known as CESR) can have their required support discussed on a case-by-case basis.
JOB REQUIREMENTS AND DETAILS
This oncology job is open to both international applications and UK-based doctors, though those with European Specialist Registration or FRCR are most encouraged to apply.
Anyone with an interest in breast and skin cancer should apply. The salary will be between £105,504 and £139,882 dependent on experience or grade.
CORE DUTIES OF THIS ROLE
-
Take ownership of site-specific oncology services, primarily in breast and skin cancer.
-
Participate in outpatient clinics, support patients undergoing day case treatments, and assist the Acute Oncology Service.
-
Contribute to education and training of junior medical staff and engage in multidisciplinary team working.
-
Participate in clinical governance, audits, and contribute to ongoing research and service development.
LIFE IN THE SOUTH WEST
This role is based in a beautiful coastal region in the South West, with access to popular towns and seaside resorts perfect for both urban and rural living. The area features excellent schools, well-connected transport options, and a wide range of outdoor activities from beach days to countryside walks. With its blend of natural beauty and cultural history, the region is a top choice for medical professionals relocating to the UK.
Would you like this packaged into a downloadable file or published in a particular format next?
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 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
A large NHS teaching hospital in the East Midlands is looking for a Consultant in Clinical Oncology with an interest in lung, gynaecology, and/or colorectal cancer. The oncology department comprises a team of over 20 consultants and is supported by a large team of specialty doctors and junior trainees.
Anyone requiring portfolio support (formally known as CESR) can have their required support discussed on a case by case basis.
JOB REQUIREMENTS AND DETAILS
This Clinical Oncology job is open to both international applications and UK-based doctors, though those with European Specialist Registration or FRCR are most encouraged to apply.
FRCR (or equivalent) and extensive oncology experience are required for this role, and anyone with an interest in lung, gynaecology, and/or colorectal cancer should apply. The salary will be between £105,504 and £139,882 dependent on experience or grade.
CORE DUTIES OF THIS ROLE
-
Provide comprehensive non-surgical oncology services, including radiotherapy and chemotherapy clinics, for patients across lung, gynaecology, and/or colorectal tumour sites.
-
Participate in the oncology on-call rota (1:12) and provide reciprocal cover for colleagues during periods of leave.
-
Support the education and training of junior doctors, specialty doctors, ACPs, and medical students.
-
Contribute to clinical governance, service development, and research initiatives across the Trust.
LIFE IN THE EAST MIDLANDS
This role is based in the East Midlands, a region that offers the perfect balance of urban convenience and rural charm. Residents can enjoy city living in Derby or find quieter settings in the nearby countryside and villages. The area boasts outstanding schools, excellent transport links, and a wide variety of cultural, sporting, and outdoor activities. With its strong ties to Britain’s industrial heritage and the beautiful Peak District on its doorstep, the East Midlands is a popular choice for healthcare professionals relocating to the UK.
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 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
A hospital in the Channel Islands is looking for a Staff Grade Doctor in General Medicine with interests in Respiratory, Renal, or Care of the Elderly. The department comprises a team of consultants and is supported by a large team of middle-grade doctors. This role is open to both international applications and UK-based doctors, though those with European Specialist or MRCP qualifications 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 registration with the General Medical Council and a minimum of 2 years of post-qualifying experience are required for this role, and anyone with an interest in Respiratory, Renal, or Care of the Elderly should apply. The salary will be between £58,742 and £97,050 dependent on experience or grade.
CORE DUTIES OF THIS ROLE
- Provide high-quality care across both inpatient and outpatient services within the chosen specialty.
- Participate in the middle-grade tier rota, including on-call duties.
- Support the clinical management of patients in various units, including emergency and intensive care.
- Collaborate with consultants and multidisciplinary teams to ensure continuous service improvement.
LIFE IN THE CHANNEL ISLANDS
The hospital is located in a vibrant town, with popular residential areas offering both urban and rural living options. The region offers excellent schools, efficient transport links, and a wide range of leisure activities for both adults and families, including beautiful beaches, sports facilities, and cultural events. The area has a rich history, having been a strategic location during World War II and now boasting a unique blend of cultural influences.
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