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:
- What is MRCPsych Paper A?
- How do I get started with my preparation?
- What other resources are available?
- How has the exam been affected by COVID-19?
- #IMGTips
- Passed? What’s next?
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.
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.
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
- Start your revision early – starting in advance allows you to pace yourself and get ahead of the stresses of last-minute revision and anxiety.
- 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.
- 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.
- 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.
- 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
A new role as Specialty Doctor in inpatient child and adolescent mental health service at a Trust rated \"Outstanding\" by the CQC has just opened for both UK based and overseas candidates. Based in a city just north of London the trust supports doctors looking to build experience before entering ST4 or to support with CESR applications.
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.
ELIGIBILITY FOR THE ROLE:
Non-EEA:
- MRCPsych
- Experience in Child & Adolescent Psychiatry
- Specialist certification in Psychiatry (desirable)
- Experience in Child & Adolescent Psychiatry
- Experience in Child & Adolescent Psychiatry
Discover an exceptional opportunity for a Specialist Doctor in General Adult Psychiatry at an NHS Trust in London. This dynamic role caters to overseas specialists aspiring to join the NHS, accepting applications from EEA-specialized candidates and experienced IMGs pursuing CESR.
As part of the highly diverse General Adult Psychiatry Department, you\'ll work in various mental health services, contributing to the well-being of over 800,000 individuals. The department functions as a cohesive team of doctors built on mutual respect and trust. It offers a comprehensive range of services, including adult mental health, crisis resolution, home treatment teams, community integrated mental health teams, eating disorders, liaison psychiatry, personality disorder services, and psychological therapies.
There will be a CESR support, Section 12, and AC are provided, fostering career development. Enjoy a vibrant life in London, while advancing your career in this exceptional NHS job opportunity.
ARE YOU ELIGIBLE FOR THIS ROLE?
EEA Candidates:
-
Experience of working in General Adult Psychiatry (essential)
Non-EEA Candidates:
-
MRCPsych or PLAB (essential)
-
Experience of working for General Adult Psychiatry (essential)
UK based applicants
-
Experience of working in General Adult Psychiatry(essential)
An excellent job opportunity for either experienced Specialist grade (Associate Specialists) or Consultants in General Adult Psychiatry working in the community across five boroughs of Greater Manchester. The Trust\'s vision is for a happier and more hopeful life for everyone in their communities and their staff work hard to deliver the very best care for the people who use their services. They are really proud of their people, and continue to do everything they can to make sure that they are a great place to work.
The post is suitable for candidates holding specialisation in the EEA, or for experienced IMGs looking to complete CESR.
WHAT IS THE NHS FOUNDATION TRUST LIKE?
The NHS Foundation Trust serves a population of 1.3 million and their vision is a happier and more hopeful life for everyone in their communities. The Trust has more than 3,600 dedicated and skilled staff deliver care from 88 different locations in six boroughs. The Trust\'s mental health teams provide care and treatment for people with mild to moderate conditions such as depression, anxiety or dementia, or more serious mental health illnesses such as schizophrenia and bi-polar disorder. They run \"Healthy Minds\" (psychological therapies), drug and alcohol services, psychiatric intensive care, rehabilitation services, military veterans\' services and many more.
The Trust\'s learning disability services are for people with a moderate to profound level of learning disability, such as those with downs syndrome. The Trust has an updated strategy (2022-2025) that confirms their commitment to being a specialist mental health, learning disability and autism provider, while recognising the impact of the pandemic and the changes within the health and social care system.
WHAT IS THE DEPARTMENT & TEAM LIKE?
The service (generally for people aged 16 to 64) has been running since 2008, according to a model whereby their team of consultants are deployed as follows: three consultants work exclusively in the community and outpatient areas, one consultant works with the Early Intervention Service, two consultants cover the inpatient area and one works with our Home Treatment and A&E Liaison Team. Within this arrangement, the consultant appointed to this post will work with other sector consultants (East, West and South sector community outpatients).
WHAT IS LIFE LIKE IN THE REGION?
Situated in the east of Greater Manchester, between the City of Manchester and the Pennines National Park, the area offers a wonderful mixture of city and famously beautiful countryside. Manchester is one of the main cities of England, with all the benefits that brings including vibrant social and entertainment options in a vibrant city centre. The region enjoys excellent transport connections both international through the airport and local, via the M62, and M60 motorways and the Metrolink tram system. Approximately 22.5% of the population are from ethnic minority groups.
WHAT OPPORTUNITIES ARE AVAILABLE TO YOU?
If you are a new consultant you will receive mentoring and support from medical leads as well as access to a large peer group of enthusiastic and high-caliber Consultants.
ARE YOU ELIGIBLE FOR THIS ROLE?
EEA Candidates:
- European Specialist Qualification
- Experience of working in General Adult Psychiatry
Non-EEA Candidates:
- MRCPsych
- Experience of working in General Adult Psychiatry
UK based applicants
- Experience of working in General Adult Psychiatry
- Section 12 and Approved Clinician
This is a great opportunity for any experienced General Adult Psychiatrists and including those working towards CESR or specialist registration in the UK.
The NHS Foundation Trust is currently looking for a Specialist in Inpatient Adult Psychiatry. This is an outstanding opportunity for experienced Consultants Psychiatrists, Associate Specialist (Specialist Grade) and Specialty Doctors who is looking to work toward Specialist Registration through the CESR pathway.
The post is suitable for candidates holding specialisation in the EEA, or for experienced IMGs ideally with MRCPsych and overseas consultant or specialist experience looking to complete CESR.
WHAT IS THE NHS FOUNDATION TRUST LIKE?
The NHS Trust provides mental health services to all age ranges and supports people with a range of mental health problems whether they are mild, moderate or severe. The NHS Trust employs over 9,000 people who deliver support for the patient services. In addition to providing a wide range of patient services, we also contribute to training the next generation of nurses, doctors and therapists and conduct research that will help to advance clinical practice and treatments in the future.
WHAT IS THE DEPARTMENT & TEAM LIKE?
The Department is a 14 bedded ward which admits adults of working age. The district covers a largely rural area of 285 square miles with a population of approximately 114,000. There are 275 admissions per 100,000 adult population in Somerset. Over the last three years there was an average of 223 admissions per year with bed occupancy being lower than the national average. The majority of the patients admitted were given a diagnosis of a psychotic illness, followed by a mood disorder and then personality disorders.
The post holder will be part of the team which consists of a ward manager 0.5WTE, a deputy ward manager 1WTE, a trainee doctor 1.WTE, a medical secretary 0.4WTE, a ward administrator 1.0WTE, a ward psychologist 0.5WTE, three occupational therapists, 11 staff nurses, 17 health care assistants, and 6 service assistants.
The post holder will also be responsible for conducting Mental Health Act assessments for adults of working age admitted to the ward. Other Mental Health Act assessments for adults of working age in Mendip will fall to the community adult consultant psychiatrists. The post holder may be invited to contribute.
WHAT IS LIFE LIKE IN THE REGION?
Based in the South West, the trust is located between various areas of outstanding natural beauty and the idyllic rolling hills of Exmoor, featuring national hotspots for cycling, surfing, and climbing. There’s plenty to keep you occupied alongside the abundance of music festivals and local traditions.
WHAT OPPORTUNITIES ARE AVAILABLE TO YOU?
There is real opportunity to progress through CESR at pace at this trust, with a strong desire for newly-qualified consultants to develop their specialty areas of interest and undertake in various cancer trials and research projects where possible. Research is encouraged here, particularly when this is appropriate to professional development and to the service development of the department.
If you are a new consultant you will receive mentoring and support from medical leads as well as access to a large peer group of enthusiastic and high-caliber Consultants.
ARE YOU ELIGIBLE FOR THIS ROLE?
UK based candidates:
- Specialty Doctor Experience
- Specialisation in Psychiatry
- MRCPsych
- Consultant or specialist experience
An excellent job opportunity for either experienced Specialist grade (Associate Specialists) or Consultants in Learning Disability Psychiatry that continuously provide high quality mental health and learning disability services, both inpatient and in the community across five boroughs of Greater Manchester. The Trust\'s vision is for a happier and more hopeful life for everyone in their communities and their staff work hard to deliver the very best care for the people who use their services. They are really proud of their people, and continue to do everything they can to make sure that they are a great place to work.
The post is suitable for candidates holding specialisation in the EEA, or for experienced IMGs looking to complete CESR.
WHAT IS THE NHS FOUNDATION TRUST LIKE?
The NHS Foundation Trust serves a population of 1.3 million and their vision is a happier and more hopeful life for everyone in their communities. The Trust has more than 3,600 dedicated and skilled staff deliver care from 88 different locations in six boroughs. The Trust\'s mental health teams provide care and treatment for people with mild to moderate conditions such as depression, anxiety or dementia, or more serious mental health illnesses such as schizophrenia and bi-polar disorder. They run \"Healthy Minds\" (psychological therapies), drug and alcohol services, psychiatric intensive care, rehabilitation services, military veterans\' services and many more.
The NHS Foundation Trust aims to deliver mental health through services based in each Borough and in conjunction with local Commissioners and local social service departments. The Trust\'s learning disability services are for people with a moderate to profound level of learning disability, such as those with downs syndrome. The Trust has an updated strategy (2022-2025) that confirms their commitment to being a specialist mental health, learning disability and autism provider, while recognising the impact of the pandemic and the changes within the health and social care system.
The Trust made the list of the top 120 best places to work in 2015, as compiled by HSJ and Nursing Times, in association with NHS Employers. 5 The list is a celebration of NHS organisations that have worked hard to promote great staff engagement and create an environment where people can enjoy their work. The Trust is accredited with a ‘two ticks’ symbol to ensure that people with disabilities are afforded equal opportunity to enter employment and progress if and where possible.
WHAT IS THE DEPARTMENT & TEAM LIKE?
The Department is a team of kind, fair & determined doctors. In the context of a Specialist Community Learning Disability service model these values translate into principles which drive their vision and work. The team is committed to building upon the evidence base which informs the delivery of safe, caring, responsive and well led services. Their network of teams benefit from sharing learning from quality initiatives, research, compliments, complaints and incidents which in turn drive locality developments and the plans they share. Their service model will be supported by Quality Improvement forums and Research and Innovation hubs, these groups will work across disciplines, organisations and geographical boundaries.
The service model provides a platform from which their multi-disciplinary teams deliver a broad spectrum of pathways. Each pathway is flexed to meet the individual needs, skills and circumstances of the client. A client’s pathway may vary in the range of reasons for involvement, the setting of the intervention, the approach taken, even the number of disciplines involved. The population of Oldham is around 238,722, with a growth projected increase to 246,645 by 2025 (2.18%). At present, around 5156 people, within the borough of Bury, have a known learning disability, with the five year forecast showing this to increase to 5536 by mid-2025.
The post holder will provide psychiatric input to adults with learning disabilities of 18 years and older within the area. The post holder will be a key member of the team and will have access to clinical space at the clinic. It is also expected that psychiatric assessment, advice and liaison will be given in a variety of community locations. For example: The post holder is expected to carry out assessments of complex cases and support development of multi-disciplinary management plans.
WHAT IS LIFE LIKE IN THE REGION?
Oldham is a town with considerable geographical, cultural and ethnic diversity, situated in the northeast part of Greater Manchester, between the City of Manchester and the Pennines. The town enjoys excellent transport connections via the M62, and M60 motorways and the Metrolink tram system. The population of Oldham Borough is 227,312, of whom 62.1% are aged between 16 and 64 (OMBC 2013 mid-year estimate). Approximately 22.5% of the population are from ethnic minority groups.
WHAT OPPORTUNITIES ARE AVAILABLE TO YOU?
If you are a new consultant you will receive mentoring and support from medical leads as well as access to a large peer group of enthusiastic and high-caliber Consultants.
ARE YOU ELIGIBLE FOR THIS ROLE?
EEA Candidates:
- Experience of working in Learning Disability Psychiatry
- Board Certified Specialist in Learning Disability Psychiatry
Non-EEA Candidates:
- MRCEM (UK) (essential)
- Experience of working in Learning Disability Psychiatry
- Specialist training in Learning Disability Psychiatry
UK based applicants
- Experience of working in Learning Disability Psychiatry
This is a great opportunity for any experienced General Adult Psychiatrists working towards CESR or specialist registration in the UK, whilst working as a specialty doctor in the NHS.