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 exciting NHS job opportunity is open for a Consultant Clinical Oncologist specializing in Lung & Breast Cancer at an NHS Trust that has been rated \"good\" over all by the CQC. This NHS Trust has undergone significant development, emphasizing patient and community care excellence. With £58 million in national funding, the Trust boasts a University Hospital status, prioritizing research, education, and training. The Care Quality Commission (CQC) lauds the Trust\'s outstanding performance, with 992 beds and 92% patient recommendation, serving a population of 675,000.
This position aims to strengthen the Oncology team, focusing on lung cancer care and Stereotactic Ablative Body Radiotherapy (SABR). Situated at the dynamic centre within the \"good\"-rated trust, the role contributes to systemic treatment advancements and ongoing research. The Oncology Department at the Combined Haematology Oncology Centre caters to 1-1.5 million residents. Designated as a Cancer Centre since 1996, the Centre collaborates with neighboring hospitals, fostering a multidisciplinary approach. The purpose-built Cancer Centre, equipped with advanced imaging, provides nurse-led services, chemotherapy units, and home-delivered immunotherapy.
The post holder is expected to:
Career development at the Trust includes access to CESR support, specialty training, and opportunities for external duties. The forward-thinking Oncology department initiated SABR practices in 2021 and maintains a dynamic research team supporting various clinical trials.
Life in the area, a historic home of the Royal Navy, offers cultural richness and proximity to scenic countryside. A thriving artistic community, excellent schools, and various development projects contribute to the vibrant atmosphere. The area combines city conveniences with picturesque villages, making it an excellent place to raise a family!
This comprehensive opportunity integrates the Consultant role, SABR RT specialisation, CESR support, and coastal life in the UK, creating a fulfilling and enriching professional and personal experience.
AM I ELIGIBLE FOR THIS ROLE?
EEA Candidates:
Non-EEA Candidates:
UK Based Candidates:
This is a great opportunity for any experienced consultant clinical oncologist working towards CESR in Clinical oncology specialist registration in the UK.
Non-EEA candidates:
EEA candidates:
UK candidates:
Are you a Clinical Oncologist looking for a rewarding opportunity in the UK? An excellent NHS Foundation Trust is seeking a talented professional to join their oncology team. With a commitment to collaborative working, this NHS Foundation Trust provides excellent oncology services and ample opportunities for training, research, and career development. The trust is supportive of CESR applications.
The Oncology Department takes a collaborative approach to cancer care, with teams in two sites working together to provide comprehensive and sustainable services. Equipped with state-of-the-art technology, the Cancer Centres offer a multidisciplinary approach, supported by Acute Oncology Teams and a skilled team of healthcare professionals. The post holder will have the opportunity to immerse themselves in an NHS Role as part of a well-equipped, modern oncology department.
The department sits within an NHS Trust that is known to be the leading healthcare provider in East Anglia, serves a population of nearly 800,000 residents across two main hospitals, six community hospitals, and various clinics. With a budget exceeding £650 million, the NHS Foundation Trust invests in enhancing their hospitals and creating an ideal working environment. They prioritise the well-being of their staff and patients, offering exciting prospects for development, innovation, research, education, and training.
Additional to the opportunity of working for a great NHS Foundation Trust, living in the area offers a diverse and vibrant lifestyle. Essex, with its stunning coastline, beaches, and countryside, provides a great environment for families. The county offers a range of housing options, urban or rural, at affordable prices. With excellent transport links to London, you can enjoy the benefits of both city and countryside living. Furthermore, Essex boasts good schools and a high quality of life, making it an ideal place to settle and explore nature\'s playground.
Join them to make a significant impact in the field of oncology while enjoying a fulfilling career and a balanced lifestyle in a beautiful region of the UK.
AM I ELIGIBLE FOR THIS ROLE?
To be eligible for this vacancy you will need the following:
EEA Candidates:
Non-EEA Candidates:
UK-Based Candidates:
This is a great opportunity for any experienced Oncologist working towards CESR in the UK and Specialist Registration in Oncology. There will be opportunity to develop and lead on sub-specialist areas of cancer care.
This specialist cancer centre are looking for full-time, permanent or fixed-term Medical Oncology Consultants specialising in Sarcoma Cancers primarily, though they will be flexible across a wide range of cancer sites. The trust is considering either UK or Overseas trained doctors for these posts and will support with CESR for those that need it. A full induction programme is provided and is well set-up for any doctors new to the NHS. This is a high-performing and supportive department for cancer specialists to develop and grow in a highly specialised NHS setting.
THE HEALTH BOARD
It is a highly-respected specialist treatment, teaching, research and development centre for non-surgical tertiary and secondary oncology services. It is proud of its reputation for providing a first-class patient experience where the patient are at the centre of everything it does. It has created an environment of compassion and care, where staff go the ‘extra mile’ to meet the needs of patients, families and carers. The first Cancer Patient Experience Survey produced by the Welsh Government and Macmillan Cancer Support highlighted it as one of the best in the UK.
THE ONCOLOGY DEPARTMENT AND TEAM:
The department is responsible for SACT services for adults with solid tumours in the region of Wales. The majority (60%) of day-case services are delivered on site, while there is a long-established network of outreach sites in LHB acute and community hospitals, and based with 3rd-sector providers.
Based on its professional and public reputation for delivering excellence in terms of patient and staff experience, the Trust has has been selected to lead the ‘Transforming Cancer Services’ programme and to build a new hospital. The new site will be a £200million pound development and will open in the coming years. It will be nearly twice the size of the current hospital and will be equipped with brand new, state-of-the-art diagnostic and treatment facilities
The new site will have 10 new linear accelerators, 2 CT and 2 MRI scanners to support precision image-guided and adaptive radiotherapy. There will be a dedicated clinical trials treatment unit including a 10-bedded early phase trials unit, and 2 isotope cubicles for molecular radiotherapy treatments.
LIFE IN WALES:
Wales has a lot to offer, and the local area has recently beaten off popular regions of the North West and South West to be awarded the city with the “Best Quality of Life”. The City is easily accessible via motorway, and London is a comfortable drive away. It has rail links to the rest of the UK and has good international access.
There is also spectacular countryside, a National Park and Area of Outstanding Natural Beauty and a beautiful coastline.
The people of Wales are immensely proud of our rich history and culture, which can been seen throughout our many castles and museums, and of our ancient language which you can try out for yourself. Above all else, they are proud of their friendliness and welcome (and singing ability!). The area has been assessed as one of the top cities in the UK and compares very favourably with many larger cities for house price growth, the cost of renting, average salaries and quality of life. There is a wide choice of schooling including English- and Welsh-medium schools at all levels. The local University offers a wide variety of highly rated courses and ensure that the city is is a thriving city for young people.
AM I ELIGIBLE FOR THIS ROLE?
To be eligible for this vacancy you will need the following:
EEA Candidates:
Non-EEA Candidates:
UK-Based Candidates:
This is a great opportunity for any experienced Medical Oncologist working towards CESR in the UK and Specialist Registration in Oncology in the UK. There will be opportunity to develop and lead on sub-specialist areas of cancer care.