Overseas medical oncologists looking to register with the GMC through the postgraduate qualification route will need to attain Membership of the Royal College of Physicians (MRCP UK).
Here we take a closer look at the MRCP (UK) examinations for doctors who have chosen their specialism in medical oncology, including a breakdown of each exam, 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:
Skip ahead to the relevant section if you know what you're looking for.
The Royal College of Physicians is the professional body responsible for the specialty of medicine throughout the UK. Among many other duties, its role is to set and monitor the educational curriculum for those training to enter the profession.
As medical oncology comes under the umbrella of medicine, the postgraduate exams for medical oncologists are set and delivered by the Royal College of Physicians. For clinical oncologists, the Royal College of Radiologists are the overseeing body for training and exams. You can learn more about the clinical oncology postgraduate route here.
The MRCP examinations assess a candidate’s knowledge of basic medical sciences, as well as 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.
Therefore, completion of MRCP will allow you to work in the UK from ST3 level upward, with seniority beyond ST3 level dependent on experience.
MRCP (as a postgraduate qualification) is one of the two main routes an overseas doctor can take to gain full GMC registration, the other being the PLAB route. For in-depth information on each of the MRCP exams, see our IMG Resources library here.
Full MRCP (UK) is a requirement for all oncologists wishing to go on to a specialty training post in the UK.
For doctors who wish to find more senior roles in the NHS which are reflective of their current practice and experience, IMG Connect advise that MRCP (UK) would be the best route to take to GMC registration.
The MRCP exam has three parts as outlined below:
The first exam in the MRCP exam suite tests a sample of medical knowledge skills and behavior are specified in the UK specialty training curriculum for core medical training / internal medicine training.
The first examine that MRCP suite is designed to assess the candidate's knowledge and understanding of the clinical silences relevant to medical practice and of common or important disorders to a level appropriate for entry to specialist training.
The examination has a two-paper format - each paper is 3 hours long and contains 100 multiple choice questions in a ‘best of five’ format. The paper both tests core knowledge and comprehension as well as a candidate's ability to interpret information and solve clinical problems.
Each question has five options: one correct answer and four alternatives to the correct answer.
The exam is also designed to help prepare candidates for the more challenging Part 2 written and PACES exam.
Specialty |
Number of questions |
Cardiology |
14 |
Clinical Pharmacology and Therapeutics |
15 |
Clinical sciences |
25 |
Dermatology |
8 |
Endocrinology, diabetes and metabolic medicine |
14 |
Gastroenterology and Hepatology |
14 |
Geriatric medicine |
8 |
Haematology |
14 |
Infectious diseases |
14 |
Neurology |
14 |
Oncology |
5 |
Medical ophthalmology |
4 |
Palliative medicine and end of life care |
4 |
Psychiatry |
9 |
Renal medicine |
14 |
Respiratory medicine |
14 |
Rheumatology |
14 |
Total |
200 |
For more detailed information on the content of the exam, see the Royal College website here.
The second exam in the exam suite builds on the knowledge assessed in Part 1 and again tests the acquisition of a representative sample of medical knowledge skills and behavior.
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.
Questions are asked about the diagnosis investigation management and prognosis of patients using multiple choice questions in a ‘best of five’ format.
Specialty |
Number of questions |
Cardiology |
19 |
Clinical Pharmacology and Therapeutics |
18 |
Dermatology |
9 |
Endocrinology, diabetes and metabolic medicine |
19 |
Gastroenterology and Hepatology |
19 |
Geriatric medicine |
9 |
Haematology |
9 |
Infectious diseases |
19 |
Medical ophthalmology |
3 |
Neurology |
17 |
Oncology, Palliative medicine & end-of-life care |
9 |
Psychiatry |
3 |
Renal medicine |
19 |
Respiratory medicine |
19 |
Rheumatology |
9 |
Total |
200 |
For more detailed information on the content of the exam, see the Royal College website here.
The MRCP (UK) Practical Assessment of Clinical Examination Skills (PACES) assesses a candidate’s ability to carry out essential clinical skills.
There are five clinical stations where there are either patients with a given condition, or trained stand-ins (surrogates). At each station, there are two independent examiners who will observe and evaluate the candidates' performance.
PACES Carousel
For more detailed information on the content of the exam, see the Royal College website here.
Part 1
To be eligible for MRCP (UK) Part 1, you must have a GMC recognised Primary Medical Qualification and a minimum of 12 months postgraduate experience in medical employment.
Part 2 & PACES
To be eligible for MRCP (UK) Part 2 & PACES, you must have passed Part 1 within the last seven years.
Please note, whilst it is not essential to successfully complete Part 2 to sit PACES, the Royal College strongly advises you to do so, as pass-rates are much lower for those who sit PACES before passing Part 2.
Applications for all MRCP exams are made online through My MRCP(UK) account, via the Royal College website. You will need to create an account and submit evidence of your primary medical qualification, then make a payment online to confirm your application.
The cost of the MRCP exams are as follows:
Part 1 |
Part 2 |
PACES |
|
UK |
£460 |
£460 |
£657 |
International |
£616 |
£616 |
£1,202 |
The MRCP exams are held 4 times a year and can be sat in several locations around the world, including the UK, Manama, Dhaka, Cairo, Accra, Hong Kong, Reykjavik, Chennai, Hyderabad, Kerala, Kolkata, Mumbai, New Delhi, Erbil, Amman, Nairobi, Kuwait City, Kuala Lumpur, Malta, Kathmandu, Muscat, Karachi, Lahore, Doha, Jeddah, Riyadh, Singapore, Sri Lanka, Khartoum, Abu Dhabi, Dubai, New Jersey, Barbados, Jamaica, Trinidad and Harare.
Please note that the number of sittings for each exam varies between countries – you can find the full list of cities and dates here.
The Part 1 and Part 2 exams are held online in the UK for candidates within the UK and Republic of Ireland.
During the COVID-19 pandemic, there is limited availability of spaces for the PACES exam, and whilst every effort will be made to provide as many places as possible, if the number of applications for the exam exceeds the places available, candidates in UK training will be prioritised.
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. These include:
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 roadmap for your study.
Sample questions for Part 1 & Part 2: It is a good idea to regularly benchmark your knowledge by testing yourself using example questions from the current exam syllabus provided by the Royal College see below:
PACES scenarios: To familiarise yourself with the format of the PACES exam, take a look at sample scenarios from the stations. You can find these here.
Join the IMG Oncologists Facebook group for access to a community of like-minded MRCP aspirants and dedicated oncology recruiters.
In this group you will find tailored resources for oncology IMGs, including access to our MRCP crash courses, completely free to all doctors.
You can access our IMG Oncologists community here.
For an overview of how to prepare for exams, including advice on study groups, online community support, the best use of online resources & Royal College materials and courses, take a look at our blog: IMG Connects Top Tips for exam preparation.
For more information on the MRCP exams including structure, preparation, dates and a content drill down, see the blogs we’ve written on each part of the examination suite:
First of all, congratulations! This is a massive achievement and you deserve to put your feet up after all that hard work. With full MRCP, you can now apply for a full GMC registration with a license to practice (once you’ve passed an English language exam). Once the GMC has approved your application, you can work as a doctor in the UK. Nice one!
Don’t hesitate to contact an IMG oncology recruitment specialist to discuss GMC registration, oncology positions in the NHS, including typical NHS salaries, the most suitable UK locations and hospitals for you, and relocation.
For regular news and updates on the Royal College and all things oncology, follow IMG Connect on social media using the links below:
An NHS Trust in the South West of England is looking for a Specialty Doctor in Oncology with an interest in Acute Oncology and Chemotherapy Services. The Oncology department comprises a team of consultants, senior nursing staff, and a multidisciplinary team, supported by a large team of middle-grade doctors. This Oncology job is open to both international applications and UK-based doctors, though those with European Specialist qualifications or MRCP/MRCPath 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.
At least four years of postgraduate training, including two years in a relevant specialty, and full GMC registration are required for this role. Anyone with an interest in Acute Oncology and Chemotherapy Services should apply. The salary will be between £59,175 and £95,400 dependent on experience or grade.
This Trust is based in a lively city in the South West, offering a mix of urban and coastal living, with popular residential areas including city suburbs and the countryside. The region provides excellent schools, strong transport links across the UK, and a range of cultural and recreational opportunities for professionals and families. The city has played a crucial role in British maritime and engineering history and continues to be a hub for innovation and creativity.
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:
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:
An NHS Trust in the West Midlands is looking for a Specialist Doctor in Clinical Oncology with an interest in Neuro-Oncology and Lower-GI cancers or Lung and thoracic malignancies. The Oncology department comprises a team of over 20 consultants and is supported by a large team of middle-grade doctors. This Oncology job is open to both international applications and UK-based doctors, though those with European Specialist qualifications or FRCR 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.
10 years of oncology experience in a middle-grade role and full GMC registration are required for this role, and anyone with an interest in Neuro-Oncology and Lower-GI cancers or Lung and thoracic malignancies should apply. The salary will be between £96,990 and £107,155 dependent on experience or grade.
This Trust is located in a major city in the West Midlands, offering easy access to both vibrant urban areas and picturesque rural locations. Popular residential areas nearby include a mix of city living and countryside retreats. The region offers excellent schools, strong transport links to major UK cities, and a range of cultural, shopping, and leisure options. Historically, this area has played a vital role in Britain\'s industrial and automotive history and is home to a number of significant landmarks.
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:
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:
An NHS Trust in the West Midlands is looking for a Specialist Doctor in Clinical Oncology with an interest in Neuro-Oncology and Lower-GI cancers. The Oncology department comprises a team of over 20 consultants and is supported by a large team of middle-grade doctors. This Oncology job is open to both international applications and UK-based doctors, though those with European Specialist qualifications or FRCR 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.
10 years of oncology experience in a middle-grade role and full GMC registration are required for this role, and anyone with an interest in Neuro-Oncology and Lower GI should apply. The salary will be between £96,990 and £107,155 dependent on experience or grade.
This Trust is located in a major city in the West Midlands, offering easy access to both vibrant urban areas and picturesque rural locations. Popular residential areas nearby include a mix of city living and countryside retreats. The region offers excellent schools, strong transport links to major UK cities, and a range of cultural, shopping, and leisure options. Historically, this area has played a vital role in Britain\'s industrial and automotive history and is home to a number of significant landmarks.
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:
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:
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:
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:
An NHS hospital in London is looking for a Locum Consultant in Medical Oncology with an interest in GI and Lung malignancies. The Oncology department comprises a team of 16 Consultant Oncologists and is supported by a multidisciplinary team of nurses, pharmacists, and radiographers. This Medical Oncology job is open to both international applications and UK-based doctors, though those with European Specialist registration 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
Applicants should have full GMC registration, MRCP (or equivalent), and substantial experience in Medical Oncology. Interest in Lung and GI malignancies is essential. The salary will be between £105,504- £139,882 dependent on experience.
CORE DUTIES OF THIS ROLE
LIFE IN LONDON
London offers a dynamic and diverse environment with a mix of bustling urban areas and quieter suburban neighborhoods. It provides access to world-class educational institutions, excellent transport links, and a wide range of cultural, leisure, and historical attractions. London’s rich history and multicultural vibrancy make it an ideal location for both professional development and personal fulfillment.
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:
Once you have accepted your new role, you’ll then be supported and guided throughout by one of our dedicated relocation executives, including: