MRCPsych Paper A – preparation, resources and courses for IMGs 

  • April 06, 2023
 

Overseas doctors often have questions about the best ways to prepare for MRCPsych Paper A, particularly with the changes to the exam format and so many online materials geared towards UK applicants and trainees. 

So, what study preparation, materials, courses and support are available for international psychiatrists? We have compiled some of the best guidance and resources to help you in your preparation for the Paper A exam. We will also address some changes to the availability of test centres and exam delivery as a result of the COVID-19 pandemic. 

The topics we’ll cover are as follows: 

If you know what you’re looking for, skip ahead to the relevant section. 

For an overview of the entire examination series, have a look at our article in the IMG Resources library here

What is MRCPsych Paper A? 

Let’s begin with a quick recap of the first exam in the MRCPsych examination suite.  

MRCPsych Paper A is a three-hour written exam which covers the scientific and theoretical basis of psychiatry 

The paper comprises 150 questions and is worth 150 marks, with two thirds being multiple choice questions (MCQ) and the other third, extended matching item questions (EMI). 

The breakdown of the sections is as follows: 

For full guidance on the structure of the exam, see our detailed blog on the MRCPsych Paper A exam here

Preparation 

It can be tough to know the best place to start, so we’ve spoken to some IMG psychiatrists and the consensus was that the Royal College website is the best place to begin. There are some great resources on their website to help candidates in their preparation for the exam. These include: 

Syllabus: We always recommend this as the best place to start – plan your study around the curriculum topics for a road map to your success in the exam. You can find this here

Sample papers: These will help you perfect your exam techniques and are an effective way to benchmark your knowledge against the syllabus. They will also help you work quickly on the day as you will already know what to expect. The sample papers can be found here

Marking schemes: It’s always a good idea to understand how exams are marked so you can structure your revision accordingly, giving you the best chance of a pass. These are available here

Sample exam: Samples of the exam are also helpful in fully understanding the format and to familiarise yourself with the online exam environment, particularly as this is a more recent change to the exam. This is available here

Online exam guidance: This guidance has been written specifically to help candidates to prepare for sitting an online exam, including technology checks and timings that will be in place on the day. This will be more useful closer to the exam date. The guidance can be accessed here

Passing the MRCPsych - an insider’s guide: the Royal College suggest having a look through this guide, which is a helpful resource to help you to get over the first steps, available here

What other resources are available? 

IMG Connect has a library of written resources geared towards preparation for the Paper A exam. If you’re interested in any of these, please get in touch here and we would be delighted to share these with you. 

The most highly recommended resources are the SPMM and MRCPsychMentor resources. They are available in different formats depending on your revision needs: 

SPMM Starter Study Materials: A range of comprehensive study materials and subject-based question banks with evidence-based answers and explanations (SPMM HiYield and SmartRevise). These are available for 6 months from the date of purchase for the price of £299 and can be found here

SPMM Booster Mock Exams

These practice tests are simulations of the real exam prepared to the exam blueprint, allowing you to identify your weakest areas before the actual exam. This package includes access to 6 individual practice papers, comprising reconstructed questions from the most recent exams. Subscriptions can be purchased only 10 weeks before the College exam date. 

Duration 

N/A 

Cost 

£249 

Next start date 

On demand 

Website 

spmmcourse.com/local/coursepackages.php 

 

MRCPsychMentor Revision Course: unlimited access to a bank of over 2000 questions, including some from previous exams. These are delivered in the same format as will be in the exam (MCQs and EMIs), with practice timed tests you can complete as many times as you like. You can access the course here

MRCPsychMentor Mock Exam

There are two three-hour long exams available here which simulates exam conditions with mock exam papers of questions not available in the question bank. They include a revision mode, timed tests, extensive performance analysis and powerful question review functions. 

Duration 

6 weeks 

Cost 

£15 each 

Next start date 

On demand 

Website 

www.mrcpsychmentor.com/mocka/index.php 

 

IMG Psychiatrists MRCPsych Paper A Crash Course

This is a tailored MRCPsych Paper A course for overseas psychiatrists. This course offers weekly sessions covering the exam and its various domains. This is accompanied by practice MCQs and EMQs for exam-style practice, delivered by an experienced NHS psychiatrist and specialist psychiatry recruiters. These sessions are completely free to all doctors.

The course is supplemented by additional advice and guidance on MRCPsych as a whole, GMC registration support, as well as guidance and webinars on other topics such as finding work in the NHS, relocation support and specialist registration.

You can access our IMG Psychiatrists Paper A Study Course by joining the Facebook group here.


Other online resources available for the exam include a mixture of paid and free resources: 

  • BMJ Revision Questions: The BMJ has created an app-based revision resource with over 270 core questions, including the SBA and EMQ formats that will be seen in the exam. They are available at several price points dependent on the duration of access, from £29.99 for one month to £129.99 for 12 months. These are available here
  • TrickCyclists Exam Notes: A series of psychiatry notes specifically tailored to the MRCPsych Paper A exam, including the nine topics covered by the exam and more. They are available in word and PDF format and are free to be used, distributed and modified. They are available here

How have the exams been affected by COVID-19? 

As a result of the pandemic, all MRCPsych exams have moved online. You can learn more about the online exams for MRCPsych here

The application process for the exam takes 15 – 20 minutes where candidates will need a valid debit/ credit card, as well as the email address and full details of your sponsor. Further details on the application process can be found here

#IMGTips 

  1. Start your revision early – starting in advance allows you to pace yourself and get ahead of the stresses of last-minute revision and anxiety. 
  2. Divide your study time according to the marks percentage for each section – dividing your time in this way will ensure you’re putting most of your time towards what will gain you the most marks. 
  3. Think about your personal learning style and use this to plan effective revision - consider the ways you study best and use them to your advantage. 
  4. Try to take some time off work before the exam – you’ll likely be preparing for the exam alongside full-time work, so, if possible, take around 5-7 days somewhere in the run-up to the exam for some intense revision. 
  5. Join the online psychiatry community - for news and updates about all things psychiatry for IMGs, follow IMG Connect on social media and join the conversation here. 

Passed? What next? 

Great stuff, this is a fantastic achievement and you should take a well-deserved break! 

Once you’re ready, you can apply to sit the Paper B exam (or CASC if you started with Paper B). For more information, take a look at our blog, where we explore MRCPsych Paper B and everything you need to know about sitting the exam, including dates, results, fees and structure. 

For more useful blogs & articles on exams, registrations & qualifications to help you find your dream job in the NHS - take a look at our IMG Resources library


To receive the latest news and updates on all things psychiatry, including the Royal College, GMC registration and the NHS, follow us on social media and join the conversation. 

            

 

Relevant Jobs

52,530 - 82,240

An outstanding opportunity for a psychiatrist to join Forensic Psychiatry Department as Specialty Doctor that has received outstanding ratings from the CQC on three occasions. You will offer psychiatric input and conduct assessments, both psychiatric and physical, for patients on two wards. One ward is a self-contained low secure rehabilitation unit situated away from the main hospital premises, while the other is a medium secure rehabilitation ward. This role offers exposure to a broad spectrum of clinical presentations, including personality, affective, anxiety, psychotic, neurodevelopmental, and substance-related disorders. Moreover, it provides a platform for developing knowledge and understanding of forensic mental health sections. This position also offers CESR support for those seeking progression within the UK NHS Jobs system.

This is a great opportunity for overseas Specialty Doctors who want to establish themselves in the NHS, and grow their career. The post is suitable for candidates holding specialisation in the EEA, or for experienced IMGs looking to complete CESR.

What is the NHS Trust like?

The Mental Health NHS Trust is a leading provider of mental health service serving a population of 1.2 million. With five main inpatient sites and 25 community locations, they offer comprehensive support for both mental and physical health needs, catering to young people and adults alike. From managing phobias and anxiety to addressing conditions like bipolar disorder and schizophrenia, their services are diverse and inclusive. They integrate community health services with mental health care, enabling simultaneous treatment of conditions such as diabetes and mental health issues, promoting holistic patient care.

Forensic Psychiatry Team & Department

The Forensic Service enjoys a stellar reputation, earning an \'Outstanding\' rating from the Care Quality Commission. The Forensic Service delivers care in low and medium secure environments, featuring specialized facilities such as the National Stalking Clinic and the Fixated Threat Assessment Centre (FTAC). These services focus on evaluating and managing risks for prominent individuals. 

The inpatient service consists of one acute assessment and treatment medium secure male 4 4 ward, four treatment and intervention medium secure male wards, one female medium secure ward, one medium secure and one low secure male learning disability ward, one low secure male FICU ward and 4 low secure male wards. There are currently 25 Consultant Forensic Psychiatrists in post, working with 5 senior psychiatric trainees who rotate with posts at other forensic psychiatric services in the region. There are 5 junior psychiatric trainees, coming from the UCH training schemes. The service currently employs 10 specialty doctors, working in the prisons and in the rehabilitation parts of the service.

Life in the area

The area offers a blend of urban and suburban living, providing both rural escapes and city conveniences. Residents can explore scenic parks or enjoy activities at different parks. The area boasts a range of quality schools and easy access to universities like Middlesex University. Transport links are excellent, with frequent trains to central London and nearby cities, as well as efficient connections to major airports. Housing options vary from historic cottages to modern apartments, catering to diverse preferences and lifestyles.

Career Development and Opportunities Available

With an extremely active education/teaching programme supported by the consultant team, there is opportunity to work towards and complete CESR, RCPsych exams, get involved in active research and many aspects of CPD. 

Participation in research and educational activities will be encouraged.

ARE YOU ELIGIBLE FOR THIS ROLE?
EEA Candidates:

  • Experience of working in Forensic Psychiatry (Desirable)

Non-EEA Candidates:

  • MRCPsych
  • Experience of working in Forensic Psychiatry (Desirable)

UK based applicants

  • Experience of working in Forensic Psychiatry (Desirable)
93,666-126,281

An excellent opportunity for an experienced Consultant Old Age Psychiatrist to join an established NHS community clinic in London. The post if suitable for overseas psychiatrists, including candidates who are pursuing CESR. Specialists in Psychiatry, holding a specialist certification would be suitable for this post, based on experience entering at either Specialty Doctor or Consultant grade. 

WHAT IS THE DEPARTMENT & TEAM LIKE? 

The post offered is that of Specialist Psychiatrist in Older Adult Psychiatry, working in both the community mental health team and the memory clinic. In addition to this post, three additional CMHTs make up the older adult community service for the borough. The personnel of the CMHT include: medical staff, Community Psychiatric Nurses, Occupational Therapist, and Psychiatric Social Workers. There is a Psychological Therapy Department which provides therapy for older adults and which works across CMHTs in the Borough as does the Occupational Therapy Service.

The post holder will have responsibility for the diagnostic assessment and treatment of older adult psychiatric patients from the designated catchment area referred to and accepted by the service. Outpatient clinics and domiciliary visits in the community will constitute the majority of the direct clinical care provided by the post holder.

WHAT IS LIFE LIKE IN NORTH LONDON FOR PSYCHIATRISTS? 
This great world city is far more than just the capital of the United Kingdom of Great Britain and Northern Ireland. London is bustling, vibrant, multicultural and cosmopolitan. London is both old and new, a place where traditional pubs rub shoulders with the newest cocktail bars. Its most ancient castle is right next door to its newest skyscrapers. London\'s energy, as 8.6 million people go about their everyday lives, is tangible in every journey on the Underground, every stroll through a market and every walk along the banks of the River Thames. From the royal parks to the theatre stage, London really does have it all.

Working as a psychiatrist in London brings a range of exciting prospects. You will have the opportunity to work in some of the best mental health trusts in the UK, who will offer you the opportunity to constantly grow your medical and scientific knowledge and skills. In London you will have the opportunity to work in a wide range of settings, and as you progress through your career, you will have more opportunity to shape the way you work; you can develop research, work part time or full time and can combine your career with a wide range of other interests.


WHAT OPPORTUNITIES ARE AVAILABLE TO YOU AT THE TRUST?
With an extremely active education/teaching programme supported by the consultant team, there is opportunity to work towards and complete CESR, RCPsych exams, get involved in active research and many aspects of CPD. 

Participation in research and educational activities will be encouraged.

ARE YOU ELIGIBLE FOR THIS ROLE?
EEA Candidates:

  • 6 years experience of working in Older Adult Psychiatry

  • Board Certified Specialist in Psychiatry (desirable)

Non-EEA Candidates:

  • MRCPsych (desirable)

  • 6 years experience of working in Older Adult Psychiatry

UK based applicants

  • 6 years experience of working in Older Adult Psychiatry

  • S12 (desirable)

83945 to 95275

An NHS job opportunity is available for an ambitious and passionate General Adult Psychiatrist to join a trust rated \"Outstanding overall\" CQC. This position presents an ideal prospect for psychiatrists from overseas who aspire to establish themselves within the UK\'s NHS system and progress toward a consultant-level career. It is well-suited for candidates seeking support to achieve Certificate of Eligibility for Specialist Registration (CESR). Doctors must have 6 years work experience after finishing core psychiatry training or equivalent international qualification to be considered for this opportunity. 

What is the department & team like?

The department boasts a comprehensive General Adult Psychiatry department, equipped to deliver exemplary mental health care. Staffing includes a proficient team of consultants and dedicated junior doctors committed to providing superior patient care and support. The department\'s activity is marked by a wide spectrum of cases, ranging from common mental health disorders to more complex presentations. Patients receive tailored treatment plans incorporating evidence-based therapies, medication management, and holistic approaches to ensure comprehensive care.

Facilities within the department are modern and conducive to patient well-being, fostering an environment conducive to recovery and healing. Patients benefit from comfortable inpatient units, outpatient clinics, therapy rooms, and recreational spaces. On average, the department manages a significant caseload of general adult psychiatry cases annually, indicative of its pivotal role in addressing mental health needs within the community. The team\'s dedication to excellence and patient-centered care underscores the department\'s status as a leading provider of psychiatric services in the region.

What is the area like?

Location in a beautiful part of the south of England with easy links to London and Cambridge. Housing options range from historic cottages in quaint villages to modern developments, catering to diverse lifestyles. The location truly provides a balanced living experience, combining natural beauty, cultural richness, and modern comforts.

ELIGIBILITY FOR THE ROLE: 

Non-EEA: 

  • MRCPsych (Desirable)
  • 6 years specialist experience in General Adult Psychiatry
EEA: 
  • Specialist certification in psychiatry (desirable)
  • 6 years specialist experience in General Adult Psychiatry
UK based: 
  • 6 years Specialty Doctor experience in General Adult Psychiatry
52530 - 82400

Join an Older Adult Community Mental Health team led by experienced consultants and supported by a dynamic team of Specialty Doctors. This NHS Trust, rated \"Good\" overall by the CQC, prioritizes staff support and offers a flexible training program for career advancement and work-life balance. Ideal for overseas Consultants and specialists seeking to establish themselves in the NHS and also Junior Doctors or Specialty Doctors already in the UK. MRCPsych is essential for mosts doctors trained outside of Europe. European doctors would need specialisation in psychiatry with ideally expertise in old age. 

The post holder is expected to provide direct psychiatric services through the comprehensive evaluation, diagnosis, treatment planning, and treatment of patients assigned to him/her. The post holder is expected to be involved in discussions about assessments, treatment and risk management of patients in accordance with medical standards. The final decision rests with the consultant.

Life in the West Midlands

The West Midlands offers a blend of rural charm and urban amenities, catering to diverse preferences of residents. Its picturesque countryside provides opportunities for outdoor activities such as hiking, cycling, and exploring historic landmarks like Worcester Cathedral. The area boasts reputable schools and universities, ensuring quality education for families. Transportation links are convenient, with access to major cities like Birmingham and Bristol, as well as airports for domestic and international travel. Housing options range from quaint cottages in rural villages to modern developments in bustling towns, accommodating various lifestyles and preferences.

Career Development & Opportunities Available

The NHS Trust provides an environment that actively supports career development and offers various opportunities for professional growth. Staff members have access to ongoing training and development programs to enhance their skills and stay abreast of the latest advancements in healthcare. The Trust encourages and facilitates career progression, with opportunities for staff to take on additional responsibilities and roles within their specialties. Continuous professional development is promoted, ensuring that individuals can advance their careers and contribute effectively to patient care.

For those seeking further qualifications or specialization, the Trust may provide support for relevant educational pursuits, contributing to the professional development of its staff. CESR is a key feature of this role, with a current cohort of candidates working through CESR you will benefit from excellent support. 


ARE YOU ELIGIBLE FOR THIS ROLE?

EEA Candidates:

  • Specialist Qualification in Old Age Psychiatry

Non-EEA Candidates:

  • MRCPsych (Desirable)

  • Experience of working in Old Age Psychiatry (essential)

UK based applicants

  • Experience of working in Old Age Psychiatry (essential)
  • MRCPsych (desirable)
  • Section 12 (desirable) 
93,666 - 126,281

An exciting opportunity for an experienced Consultant in Child & Adolescent Psychiatry to join an award winning CAMHS inpatient unit. The team supports each other in balancing high quality patient care while you are pursuing your own special interests. The team is part of an NHS Foundation Trust that is a leading Trust in mental health research. The Trust was rated as \"good\" overall by the CQC in 2019. The post if suitable for overseas consultants, including candidates who are pursuing CESR. Specialists in Child & Adolescent Psychiatry holding a specialist certification would be suitable for this post, based on experience entering at either Specialty Doctor or Consultant grade. 

Overseas applications from experienced Specialty Doctors and Consultants are welcomed. 

WHAT IS THE NHS FOUNDATION TRUST LIKE? 

The NHS Foundation Trust is the leading trust in mental health research. They provide excellent opportunities for professional development. The NHS Foundation Trust provides a broad range of community and inpatient mental health services, community services (including therapies), learning disability services, healthy lifestyle support and addictions services to a population of 765,000 people of all ages who live within areas of more than 4,700 square kilometres.

The Trust employs approximately 2,800 staff across more than 79 sites at locations throughout 4 towns. Their budgeted income for 2022/2023 is £186m. The NHS Foundation Trust works closely with major academic partners which ensures the nurturing of workforce of tomorrow\'s doctors, nurses and other health professionals. They aim to be a leading provider of integrated health services, recognised for the care compassion and commitment of their staff and known as a great employer and a valued partner.

The way they deliver their services has a direct bearing on their patients and carers’ experience of the Trust and, most importantly of all, their health. The Humber Teaching NHS Foundation Trust aim to provide the best services they can and constantly look at how they can improve them aspiring to excellence and be the best that they can be. They offer a wide range of benefits to help support a healthy work-life balance and support their employees\' overall health & wellbeing.

WHAT IS THE DEPARTMENT & TEAM LIKE? 

The service is a team of excellent and forward thinking doctors consisting of: psychiatrists, psychologists, nurses, creative therapists and family therapists. There is currently funding for 4.8 WTE Community Consultant Child & Adolescent Psychiatrists. The service aims to keep children and adolescents at home with increased support if possible. The Trust provides a comprehensive Specialist Child & Adolescent Mental Health Service for young people that are 19 years and under. 

The department has a Crisis Team that operates 24 hours a day, 7 days a week. While the Home Treatment (Intensive Intervention Team) aims to work from 8AM to 6PM, 7 days a week. The services is provided at various locations across the town in order to be able to offer families an accessible and convenient service within a less stigmatising and less threatening environment. There is also a team that works with people aged between 14 and 65, who are experiencing their first episode of psychosis or might be at risk of developing psychosis.

The post holder expected to make assessment of referrals/admissions. The post holder will liaise and collaboratively work with other services/agencies. The successful candidate is expected to have a care plan and treatment formulation, guidance on evidence-based treatment and effectiveness.


WHAT IS LIFE LIKE IN THE AREA? 

Blessed with rural beauty, bustling towns and a dramatic coastline, the town makes a wonderful place to call home. Affordable property prices make living here even more appealing, with luxurious city-centre apartments, quiet suburban new builds and charming country cottages to choose from. Some of the UK’s finest beaches are located right here. Affordable property prices make living here even more appealing, with luxurious city-centre apartments, quiet suburban new builds and charming country cottages to choose from. 

The town is known for its quirky narrow streets and bustling harbour overlooked by the striking Gothic ruins. It is a fascinating town, unlike any other. You will enjoy the quirky fishing villages, the unspoilt sandy beaches, the staggering views from the clifftops, and the popular seaside resorts. You will enjoy the 800km of bridleways that weave through the peaceful and colourful countryside of the North York Moors National Park.

WHAT OPPORTUNITIES ARE AVAILABLE TO YOU AT THE NHS FOUNDATION TRUST?

With an extremely active education/teaching programme supported by the consultant team, there is opportunity to work towards and complete CESR, exams, get involved in active research and many aspects of CPD. 

Participation in research and educational activities will be encouraged.


ARE YOU ELIGIBLE FOR THIS ROLE?

EEA Candidates:

  • Experience of working in Child & Adolescent Psychiatry
  • Board Certified Specialist in Child & Adolescent Psychiatry

Non-EEA Candidates:

  • Experience of working in Child & Adolescent Psychiatry

UK based applicants

  • Experience of working in Child & Adolescent Psychiatry
  • Within 6 - 12 months of completing CCT

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