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

£105,504 – £139,882

An NHS hospital in the UK is looking for a Consultant Neurologist with an interest in multiple sclerosis, movement disorders, or dystonia treatment. The Neurology department comprises a team of consultants and is supported by a multidisciplinary team. This Neurology job is open to both international applications and UK-based doctors, though those with European Specialist or MRCP (UK) 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 licence to practice and inclusion on the Specialist Register (or eligibility within six months) is required for this role. Experience in Botulinum toxin treatment and subspecialty expertise in motor neurone disease would be desirable. The salary will be between £105,504 – £139,882 dependent on experience or grade.

CORE DUTIES OF THIS ROLE

  • Provide comprehensive inpatient and outpatient neurology services, including specialist clinics.
  • Offer expert advice and support to primary and secondary care colleagues.
  • Participate in multidisciplinary team meetings and service development initiatives.
  • Engage in teaching, research, and the use of telemedicine for remote patient consultations.

LIFE IN THE REGION

This hospital is based in a region that offers the best of both worlds—easy access to major cities while being surrounded by beautiful countryside. The area has top-rated schools, efficient transport links, and a wealth of cultural and leisure activities for individuals and families. Steeped in history, this region has played a key role in the UK’s heritage and remains a desirable place to live and work.

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 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 - 139,882

An NHS hospital in the UK is looking for a Consultant Diabetologist & Endocrinologist with an interest in insulin pump therapy and diabetes technology. The Diabetes & Endocrinology department comprises a team of consultants and is supported by a large team of middle-grade doctors and diabetes specialist nurses. This role is open to both international and UK-based doctors, though those with European Specialist or MRCP (UK) 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 licence to practice and inclusion on the Specialist Register (or eligibility within six months) is required for this role. Experience in insulin pump therapy and DAFNE training would be highly desirable. The salary will be between £105,504 – £139,882 dependent on experience or grade.

CORE DUTIES OF THIS ROLE

  • Lead and deliver consultant-led care in Diabetes & Endocrinology, including outpatient and inpatient responsibilities.
  • Support and develop diabetes technology services, including insulin pump therapy and young adult clinics.
  • Participate in the acute general medical on-call rota.
  • Supervise and train junior doctors, medical students, and multi-disciplinary staff.

LIFE IN THE REGION

This hospital is situated in a region that offers the best of both worlds—scenic countryside with excellent links to bustling urban centres. The area boasts a selection of high-quality schools, strong transport connections, and a variety of leisure opportunities, from outdoor pursuits to cultural and entertainment hubs. With a rich historical background, this part of the UK has played a significant role in British heritage.

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 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- 139,882

 

An NHS hospital in the North of England is looking for a Consultant Clinical or Medical Oncologist. The Oncology department comprises a team of experienced oncologists, specialist nurses, and research staff, offering high-quality patient care and research opportunities. TAnyone 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, GMC Specialist Register (or within 6 months), CESR, or a suitable Royal College qualification are most encouraged to apply.

  • The salary will be between £105,504 - £139,882 per annum, dependent on experience and grade.

CORE DUTIES OF THIS ROLE

  • Provide specialist care in a chosen cancer site, including systemic anti-cancer therapies (SACT), immunotherapy, and targeted treatments.
  • Participate in multidisciplinary team (MDT) meetings across hospital sites.
  • Engage in clinical research and trials, working alongside a well-established research team.
  • Support the teaching and supervision of junior doctors, registrars, and medical students.
  • Contribute to the 1:8 consultant on-call rota, including weekend ward rounds.

LIFE IN THE NORTH OF ENGLAND

This region offers a perfect mix of city and countryside living, with bustling urban centres and tranquil rural retreats. Those looking for city life can enjoy vibrant city centres, while those seeking peace and quiet can explore beautiful national parks and historical towns.

The area boasts high-performing schools, excellent transport links, and a wide range of leisure activities, including outdoor adventures, cultural festivals, and international travel connections.

With a rich industrial heritage and stunning architecture, the region has played a pivotal role in British history, making it an exciting and dynamic place to live and work.

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 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- £139,882

An NHS hospital in Bath, South West England is looking for a Consultant Clinical or Medical Oncologist with an interest in  either Breast, Urology and/or Colorectal Cancers. The Oncology department comprises a team of 12 Clinical Oncologists, 8 Medical Oncologists, and is supported by a large team of middle-grade doctors, specialist nurses, and research staff. This Oncology job is open to both international applications and UK-based doctors.

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

JOB REQUIREMENTS AND DETAILS

  • Experience and interest in Breast, Urology and/or Colorectal Oncology is required.
  • The salary will be between £105,504 - £139,882 per annum, dependent on experience and grade.

CORE DUTIES OF THIS ROLE

  • Manage patients with Breast, Urology and/or Colorectal Cancers, including systemic anti-cancer therapies (SACT), immunotherapy, and targeted treatments.
  • Provide expert care in oncology inpatient and outpatient settings and contribute to multidisciplinary team (MDT) meetings.
  • Participate in clinical research, with access to a well-established clinical trials unit and national research collaborations.
  • Engage in teaching and mentoring junior doctors, registrars, and medical students, with opportunities for leadership in education and training.

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 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 - 139,882

A leading hospital in the Midlands is looking for a Consultant Physician in Elderly Care with an interest in frailty services. The Geriatric Medicine department consists of a team of experienced consultants and is supported by a multidisciplinary team of middle-grade doctors. This role is open to both UK-based and international applicants, though those with MRCP (UK) or equivalent qualifications are most encouraged to apply.

JOB REQUIREMENTS AND DETAILS

Full GMC Registration with a Licence to Practise and clinical training and experience enabling autonomous decision making in geriatric medicine is required for this role. Anyone with an interest in frailty services should apply. The salary will be upwards of £105k per annum as this is a consultant post, and further increase is dependent on experience or grade.

CORE DUTIES OF THIS ROLE

  • Provide inpatient care for elderly patients in both acute and community settings.
  • Work within a team delivering frailty and geriatrics services, including Orthogeriatrics and Front Door Frailty.
  • Contribute to teaching and training of junior doctors and participate in quality improvement initiatives.
  • Engage with community care teams to support integrated patient care across primary and secondary services.
LIFE IN THE MIDLANDS

The Midlands offers a fantastic blend of city and countryside living. Major urban centres provide all the amenities of a vibrant city, while surrounding rural areas offer tranquil country living. The region has outstanding transport links, including rail connections to London and Manchester, excellent schools, and a range of leisure activities from cultural attractions to outdoor pursuits.

Historically, the Midlands has played a significant role in British industry and innovation, and it remains an important hub for medical, educational, and cultural advancements.

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 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

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