MRCPsych Paper A – preparation, resources and courses for IMGs 

  • April 14, 2022
 

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

£106,000 to £154,760

A Health Board on the South Wales coast is seeking a Consultant Psychiatrist to join a central clinic as part of an evolving mental health service committed to delivering a 24-hour single point of admission, supported by two treatment wards and five dynamic community mental health teams.

This is a fantastic opportunity to lead clinical change within a supportive and multidisciplinary environment, where collaboration with management and clinical colleagues is highly valued.

This opportunity is open to both UK-based and international doctors, with CESR portfolio support available to help progress toward specialist registration.


Job Requirements and Details

Qualifications: Full GMC registration with a licence to practise, MRCPsych preferred, CCT or equivalent specialist qualification and training in Psychiatry.
Experience: Applicants must have significant experience in general adult psychiatry.
Desirable: Previous leadership roles, community mental health experience, and involvement in service development or clinical governance.
Salary: £106,000 to £154,760 per annum, dependent on experience and length of service.


Core Duties of This Role

  • Take overall clinical responsibility for outpatient care, including the development and oversight of Care and Treatment Plans.

  • Provide leadership and supervision to the multidisciplinary team, with clear delegation of responsibilities.

  • Contribute to service planning in line with the strategic direction of the Health Board.

  • Provide educational supervision to junior medical staff, supporting training and development in line with Royal College guidelines.

  • Actively participate in quality assurance, clinical governance, risk management, and clinical audit processes.

  • Fulfil on-call commitments on a 1:14 rota, with prospective cover across the SBUHB area.

  • Engage in continuous professional development, including annual job plan review and maintenance of Royal College CPD requirements.

  • Opportunities for involvement in research and innovation are encouraged and supported.


Living and Working on the South Wales Coast

The South Wales coast offers a unique blend of coastal beauty and urban convenience. With stunning beaches, nearby national parks, and a thriving cultural scene, the region provides a high quality of life for professionals and families.

The area is well connected, with excellent schools, vibrant communities, and strong transport links to Cardiff, Bristol, and London. Whether you\'re seeking outdoor adventure or a peaceful place to call home, the South Wales coast offers an ideal setting for both work and leisure.


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 will assist you with:

  • CV preparation with a bespoke session from one of our NHS recruitment specialists.

  • Application support tailored to psychiatric roles and NHS expectations.

  • Two comprehensive video interviews to prepare for your NHS panel.

  • Contract negotiation including salary, relocation, and service expectations.

Post-offer, your IMG Connect relocation executive will guide you through:

  • Visa sponsorship (including COS and application support).

  • Accommodation search assistance.

  • Family relocation support (schools, childcare, etc.).

  • Local area orientation and integration advice.

96,990 - 107,155

A trust in the West Midlands is looking for a Specialist Doctor in Child and Adolescent Mental Health with an interest in community-based care for children and young people. This exciting role supports the a CAMHS team, providing vital services to a diverse population across both urban and rural settings. The multidisciplinary team includes mental health practitioners, psychologists, psychotherapists, social workers, occupational therapists, and administrative support staff.

This opportunity is open to both UK-based and international doctors, with CESR portfolio support available to help progress toward specialist registration.

Job Requirements and Details

Qualifications: Full GMC registration with a license to practice and at least six years of CAMHS experience.
Desirable: Experience working with children and young people in mental health or multidisciplinary settings.
Salary: £96,990 - £107,155 per annum, dependent on experience.

Core Duties of This Role

  • Comprehensive psychiatric assessment, care planning, and evidence-based treatment for children and adolescents.

  • Leadership and consultation within a multidisciplinary team, with opportunities for supervision and teaching.

  • Liaison with professionals in education, paediatrics, social care, and adult mental health services.

  • Contribution to clinical governance, service development, and quality improvement.

  • Participation in clinical audits, peer reviews, and regular MDT meetings.

Life in the West Midlands

The West Midlands offers a blend of vibrant towns and peaceful countryside, giving professionals and families the flexibility to choose a lifestyle that suits them. The region features outstanding schools, excellent transport links (M5, M50, and nearby airports), and a wealth of leisure activities, from historical landmarks to outdoor exploration in areas like the Malvern Hills.

With strong educational institutions and a rich cultural history, the West Midlands supports both personal and professional growth in a balanced and welcoming environment.

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 practices.

  • At least two video calling interview preparation sessions.

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

Once you’ve accepted your new role, you’ll be guided by one of our dedicated relocation executives who will assist you all the way to starting your new role, including:

  • Document gathering and checking.

  • COS and Visa application support, if applicable.

  • Assistance with finding accommodation.

  • Family support for schools and pastoral care.

105,504 - 139,882

A UK-based mental health service is seeking a Consultant Child & Adolescent Psychiatrist to join their Neurodevelopmental Team. This is a part-time (0.8 FTE), permanent post, offering an exciting opportunity to take on a senior clinical leadership role within a well-established specialist service for children and adolescents with complex neurodevelopmental conditions.

The team operates within a multidisciplinary framework, delivering comprehensive assessments, pharmacological treatment, and evidence-based care for young people. The role is ideal for experienced consultants looking to shape service delivery while maintaining strong clinical involvement.

This opportunity is also open to international applicants, particularly those eligible for inclusion on the GMC Specialist Register and who will be applying via CESR.

JOB REQUIREMENTS AND DETAILS

  • Job Title: Consultant Child & Adolescent Psychiatrist – Neurodevelopmental Team

  • Contract: 8 Programmed Activities (PAs) per week – Part-Time

  • Contract Type: Permanent
  • Salary: £105,000 – £139,000 (pro rata, dependent on experience)

Applicants must have:

  • Full GMC registration with a licence to practise
  • GMC Specialist Register in Child & Adolescent Psychiatry
  • Section 12(2) MHA approval, or a willingness to complete this upon appointment
  • Experience working in child, adolescent, or neurodevelopmental psychiatric services
  • Strong leadership, multidisciplinary collaboration, and communication skills
  • The ability to travel independently across service sites, including schools and service users\' homes

CORE DUTIES OF THIS ROLE

  • Lead on psychiatric assessments, diagnosis, and pharmacological treatment planning for young people with complex and/or high-risk neurodevelopmental presentations.

  • Provide consultation and guidance to the multidisciplinary team, as well as external agencies including paediatrics, schools, Tier 4 providers, and primary care.
  • Maintain clinical oversight for young people under the care of the team, participating in emergency assessments and the consultant out-of-hours rota.
  • Attend and contribute to weekly multidisciplinary team meetings and clinical formulations.
  • Collaborate with carers, families, and professionals to co-create effective, evidence-based care plans.
  • Support transitions from child to adult mental health services in line with protocol.
  • Fulfil duties under the Mental Health Act, including conducting assessments and contributing to reports and tribunals as required.
  • Maintain clear and timely medical documentation and support audit and quality improvement initiatives.

MANAGEMENT & STRATEGIC RESPONSIBILITIES

  • Provide senior clinical leadership in partnership with the non-medical Clinical Team Lead.

  • Contribute to the development of service-wide clinical guidelines and care pathways.
  • Support service planning and transformation initiatives based on emerging need.
  • Actively participate in governance activities, clinical audit, and performance monitoring.
  • Engage with stakeholders and external partners at strategic and operational levels.

LIFE IN THE REGION

This role is based in a well-connected and scenic part of the UK, ideal for those who enjoy a balance between urban accessibility and countryside living. With excellent road and rail links, London is just 1 hour by train and car, offering easy commuting and travel.

The area is highly attractive for families, with access to top-rated schools, green open spaces, and a vibrant local community. Whether you\'re seeking historic towns, cultural attractions, or tranquil rural retreats, this region offers something for everyone.
 

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 interview preparation sessions.
  • Contract and offer negotiations for salary, relocation packages, tenure, and more.

Once you have accepted your new role, you’ll be supported by one of our dedicated relocation executives, who will guide you through the process, including:

  • Document gathering and checking.
  • COS and Visa Application support, if applicable.
  • Support sourcing short- and long-term accommodation.
  • Travel arrangements and family support for finding schools and other aspects of pastoral care.
105,504 - 139,882

A leading NHS mental health hospital in the East of England is looking for a Consultant Psychiatrist in Old Age Psychiatry with a focus on functional illness within inpatient care. The service sits within a well-integrated healthcare system combining mental and physical health services. The post is based on a 22-bed ward, supported by a multidisciplinary team including psychologists, occupational therapists, physiotherapists, and speech and language therapists. This Old Age Psychiatry job is open to both international and UK-based doctors, with MRCPsych or EEA specialist certification 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
  • Consultant level experience in old age psychiatry

  • Be eligible for GMC registration, either with MRCPsych (Full), or EEA specialist certification

  • Consultants with an interest and prior experience in old age psychiatry and inpatient functional illness should apply

  • The salary will be between £105,504 to £139,882 dependent on experience or grade

CORE DUTIES OF THIS ROLE
  • Provide medical oversight and psychiatric input for 22 beds (14 for functional illness, 8 for organic illness) on an inpatient ward

  • Conduct psychiatric assessments, care planning, and contribute to regular MDT reviews

  • Supervise junior doctors and support their training and development

  • Collaborate with community teams including the Crisis Resolution and Home Treatment Team for Older People (CRHTT-OP)

  • Liaise with other services such as social care, physical health teams, and voluntary sector partners to ensure coordinated care

  • Engage in clinical documentation, audits, research, and educational activities

LIFE IN THE REGION

This region offers a balance of vibrant urban living and tranquil countryside settings. From lively city centres with extensive amenities to quiet villages rich in charm, there’s something for everyone. The area benefits from excellent rail and road connections (50 minutes to London) high-performing schools, and a diverse mix of leisure and cultural attractions.

Steeped in history, the region is known for its architectural heritage and community spirit, making it a highly desirable location 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 all the way to starting your new post, 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

107,144 - 142,369

An NHS Board in Eastern Scotland is looking for a Consultant Psychiatrist with experience in Old Age Psychiatry to lead an outpatient community team.. The Psychiatry department comprises a team of psychiatrists and multidisciplinary professionals including Nurse Team Lead, Community Mental Health Nurses, Community Mental Health Nurses, Healthcare Support Workers, Care Home Liaison Nurses, Young Onset Dementia Nurse, Occupational Therapists, Psychologist, Dementia Post Diagnostic Support, Care managers, DPDS Link Worker, Alzheimer Scotland Link Worker.

This Psychiatry job is open to both international applications and UK-based doctors, though those with European Specialist or MRCPsych 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

  • Consultant level experience in psychiatry

  • Be eligible for GMC registration, either with MRCPsych (Full), or EEA specialist certification

  • Prior experience in Old Age mental health care.

Anyone with consultant experience in old  age psychiatry should apply. The salary will be between £107,144 - £142,369 per annum, dependent on experience or grade.

CORE DUTIES OF THIS ROLE

  • Provide clinical leadership and management in Old Age Psychiatry services.

  • Supervise junior doctors and contribute to their training and professional development.

  • Work closely with multidisciplinary teams to deliver high-quality patient care.

  • Participate in service development and improvement initiatives within the department.

LIFE IN SCOTLAND

This location offers a blend of urban convenience and rural tranquillity, with easy access to major cities such as Edinburgh, Dundee, and Glasgow. Whether you prefer city living with vibrant culture and nightlife or coastal and countryside retreats with stunning landscapes, there are plenty of options.
The region has excellent transport links, making commuting easy, and offers high-quality schools and a wealth of recreational activities, including outdoor pursuits, cultural festivals, and family-friendly attractions.
Scotland is steeped in history, known for its ancient castles, famous universities, and contributions to global innovation. The country provides a unique cultural experience, rich in traditions and scenic beauty.

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 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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