MRCPsych Paper B – A detailed breakdown for overseas Psychiatrists 

  • July 08, 2024
 

The MRCPsych exams can be overwhelming for overseas Psychiatrists and UK trainees alike. 

Where do you turn for study materials? How do you prepare for the exams? What are the exams dates and fees? Where can I sit the exam? How can I find support online?   

In this blog we will explore MRCPsych Paper B and everything that you need to know about how to sit the exam, taking a detailed look at the following topics: 

Skip to the relevant section if you know what you’re looking for. 

An overview of MRCPsych 

The MRCPsych exams are the central components of psychiatry training in the UK. The examination series is designed to test the candidate’s knowledge of basic medical sciences as well as the clinical skills needed for diagnosis and management within psychiatry. 

For IMGs taking this route, full MRCPsych satisfies the postgraduate requirements for full GMC registration. 

The exams within the series are as follows: 

  • MRCPsych Paper A 
  • MRCPsych Paper B 
  • MRCPsych CASC 

For a more general overview of the MRCPsych examinations via our IMG Resources, please click here. 

MRCPsych Paper B 

Paper B is a three-hour written exam which asses critical review and the clinical topics in psychiatry. 

Each questions is worth 150 marks, comprised of 150 questions: 

  • One third - critical review 
  • Two thirds - clinical topics 

Exam structure and marking 

Paper B will cover the following sections of the syllabus

  • Organisation and Delivery of Psychiatric Services 
  • General Adult Psychiatry 
  • Old Age Psychiatry 
  • Psychotherapy 
  • Child and Adolescent Psychiatry 
  • Substance Misuse/Addictions 
  • Forensic Psychiatry 
  • Psychiatry of Learning Disability 
  • Critical Review 

In Paper B, the percentage split, and marks allocation for the 150-mark exam will be approximately: 


Eligibility   

Trainees from any country in the world can sit the MRCPsych Examinations providing that they meet the eligibility requirements. 

You are eligible to sit Paper B if you are a fully registered medical practitioner. It is also recommended that you have 12 months experience in Psychiatry before attempting Paper B. 

Exam locations and dates 

Since the Pandemic, commencing from 2021, the Royal College of Psychiatrists has made the decision to move all MRCPsych exams online and will remain this way for the forseeable future. This means you can sit the MRCPsych exams from your home country with submission and preparation details available on the Royal College website.

This change makes it much easier for international psychiatrists to complete their Royal College exams and work towards GMC registration within a normal timeframe and with reduced disruptions. 

Exams are usually held three times a year – you will find the most up-to-date information on exam and application dates on the Royal College website.

Applications 

To apply you’ll need to complete the Royal College online application form. The form is only available during the published application dates and must be submitted prior to the closing date. If you miss the cut-off date, your application will not be considered. 

For new overseas candidates, you will need to register for a Royal College login first. 

You will need to provide the following: 

  • Personal details 
  • Primary Medical Qualifications & Registration 
  • Training 
  • Written paper selection 

Fees 

At the end of your application, you will be directed to an online payment system where you can pay by credit or debit card, so make sure you have your details ready. 

Once your application is complete you will receive two confirmation emails, one to confirm receipt of the application and one to confirm the payment has been received. 

See below for MRCPsych Paper B fees for 2024: 

  • PMPT Trainees and Affiliates (UK & Ireland Centres) - £496
  • Non-PMPT Trainees and Affiliates (UK & Ireland Centres) - £550

Preparation 

With lots of materials online, we have discussed with our community of international psychiatrists as to the best resources and 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. See below: 

SyllabusWe always suggest that this is the best place to start – plan your study around the curriculum topics and make a road map to your success in the exams. You can find this here

Current critical review syllabus: For Paper B, candidates will need to ensure that they make optimal use of the MRCPsych Paper B critical review - evidence-based practice syllabic content, available here

Sample Papers: These will help you polish your exam techniques and are a good way to regularly benchmark your knowledge against the syllabus. Additionally, they will help you work quickly on the day as you will already know what to expect. The samples can be found here.

Marking schemes: Candidates pass or fail the written papers based on their performance, and not how well you perform against other candidates. As such, it is a good idea to understand how the exam is worked, so you can maximise your exam skills, giving you the best chance of a pass. These can be accessed here

Sample exam: These can help you understand the exact format of the exam and to familiarise yourself with the online exam environment. This is available here, you'll need scroll down to see 'Taking Papers A and B onine: Sample Exam'.

Online exam guidance: Detailed guidance written specifically to guide candidates in preparing for an sitting an online exam, including technology checks and timings. The guidance can be accessed here

The Royal College also suggest taking a look at Passing the MRCPsych - an insider’s guide - a useful resource to help you to get over the first steps. This is available here

#IMG Tips 

  1. Start your revision early – preparation is key, and what better way to avoid last-minute stress? 
  2. Choose the best resources for you – whether it’s the Royal College materials, online courses or flash cards, try to figure out what works best for you. 
  3. Join our online support community – why not be part of a community of like-minded psychiatrists and MRCPsych aspirants? Join IMG Connect on social media for a place to ask questions and share resources. 

Passed? What next? 

Now that you have passed Paper A and B you are now eligible to sit the CASC exam. For more information take a look at our blog we will explore MRCPsych CASC and everything that you need to know about how to sit the exam, including syllabus, dates, results, fees and preparation. 

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 library.

            

 

Relevant Jobs

110,257 - 164,372

We are looking to recruit a Consultant Psychiatrist to a Crisis & Assessment Team role in the Channel Islands, a UK territory sitting off the coast of France and just a 1 hour flight from London. This job presents a great opportunity to advance your medical career in the UK.

The health service, separate from the NHS, is an integrated, taxation-funded system, free at the point of delivery, managed by the Health and Community Services Department on the island. Key benefits of working there are higher salaries than the NHS, lower taxes and sunnier weather.

Consultant Pay range - £110,257 to £164,372
Single rate of tax - 20%.

The Department & Team

The Crisis and Assessment Team (CAT) serves as the primary gateway to adult and older people\'s mental health services, conducting assessments in the community and emergency settings, alongside medical reviews. They collaborate closely with law enforcement, responding to Adult Protection Notices and coordinating mental health law assessments. This role within the CAT focuses on streamlining referrals, providing short-term crisis interventions, and ensuring individuals receive appropriate ongoing care. You\'ll engage with both working-age adults and older adults, with responsibilities extending to police referrals and mental health law assessments during standard working hours, with on-call commitments.

Continued Professional Development

Professional development is integral to their ethos, offering CESR Portfolio Pathway support, access to specialty training, and opportunities for sub-specialist development. They prioritize ongoing learning through conferences, local CME events, and a generous study leave allowance.

Life in the area

Living in this location offers significant financial benefits. The flat income tax rate of 20% is notably advantageous compared to the UK, and a generous public sector pension scheme is provided, not constrained by UK lifetime or annual contribution limits. The consultant contract closely mirrors the UK model but offers higher incremental levels starting at £110,257 and with a top basic salary of £164,372.


Am I eligible for this role?

UK based candidates:

  • Experience in General Adult Psychiatry
  • Specialist Registration or locum consultant experience

EEA candidates: 

  • Experience in General Adult Psychiatry
  • European Specialist Qualification


Non-EEA candidates:

  • MRCPsych
  • Experience in General Adult Psychiatry
110,257 - 164,372

We are looking to recruit a Consultant Psychiatrist to an Old Age role in the Channel Islands, a UK territory sitting off the coast of France and just a 1 hour flight from London. This job presents a great opportunity to advance your medical career in the UK.

The health service, separate from the NHS, is an integrated, taxation-funded system, free at the point of delivery, managed by the Health and Community Services Department on the island. Key benefits of working there are higher salaries than the NHS, lower taxes and sunnier weather.

Consultant Pay range - £110,257 to £164,372
Single rate of tax - 20%.

 

What is the health & community service like?

Working in this location is professionally rewarding, offering high-quality, patient-centered care. Clinicians lead in developing and managing services, supported by strong links with UK specialists. With a generous study leave budget, doctors are encouraged to pursue further education. Exciting developments include a new general hospital and a new mental health inpatient unit. The service fosters strong relationships between mental health, primary, and secondary care, promoting joint learning and teaching in a modern education center.

What is the department & team like?

The inpatient services are currently undergoing extensive refurbishment, including two wards for older adults. One ward offers 14 assessment beds for individuals over 65 experiencing functional mental health issues, with some flexibility for those under 65. The other ward provides 10 assessment beds for patients with dementia. Following the refurbishment, the latter ward will feature 8 acute assessment beds and 8 transitional/step-down beds for those with dementia or enduring mental health problems who cannot be supported in local nursing or residential homes.

The Older Adults Community Mental Health Team (OACMHT) manages a caseload of about 300 patients, including new referrals triaged by the Crisis and Assessment team, providing both short-term treatment and long-term care coordination. The role involves providing medical support to the OACMHT alongside two other consultants and a staff grade doctor.

The post holder will join an established team, comprising 2 WTE older adult consultants, 1.0 WTE Associate Specialist (Memory Assessment Service), 2.0 WTE staff grades (inpatient and community), and 1.0 WTE F1 doctor (inpatients and community). Dedicated administrative support includes a 0.5 WTE medical secretary and ward and team secretarial support.

Continued Professional Development

This position offers further training and accreditation within psychiatry, including CESR Portfolio Pathway support, access to specialty training, and the opportunity to develop sub-specialist interests. The post holder will have ample opportunities to develop knowledge, skills, and experience through attendance at relevant courses, conferences, and locally organized CME events. The organization supports Continuing Medical Education with time and financial support, offering study leave of 30 days in 3 years and an annual study leave allowance. Regular case discussions, teaching sessions, and MDT supervision ensure ongoing professional development, meeting the Royal College of Psychiatrists\' CPD requirements.

Living in the Area

Living in this location offers significant financial benefits. The flat income tax rate of 20% is notably advantageous compared to the UK, and a generous public sector pension scheme is provided, not constrained by UK lifetime or annual contribution limits. The consultant contract closely mirrors the UK model but offers higher incremental levels starting at £110,257 and with a top basic salary of £164,372.

Am I eligible for this role?Am I eligible for this role?

UK based candidates:

  • Experience in Old Age Psychiatry
  • Specialist Registration or locum Consultant Experience
EEA candidates: 
  • Experience in Old Age Psychiatry
  • European Specialist Qualification
Non-EEA candidates:
  • MRCPsych
  • Consultant experience in Old Age Psychiatry
110,257 - 164,372

We are looking to recruit a Consultant Psychiatrist to a General Adult role in the Channel Islands, a UK territory sitting off the coast of France and just a 1 hour flight from London. This job presents a great opportunity to advance your medical career in the UK.

The health service, separate from the NHS, is an integrated, taxation-funded system, free at the point of delivery, managed by the Health and Community Services Department on the island. Key benefits of working there are higher salaries than the NHS, lower taxes and sunnier weather. 

Consultant Pay range - £110,257 to £164,372
Single rate of tax - 20%

General Adult Psychiatry Department & Team

The inpatient service features 17 adult acute beds, including an extra-care area, for individuals aged 18 to 65 with severe mental illness requiring admission. The goal is to promote recovery and well-being, helping service users achieve their potential. The service caters to a diverse population with complex needs. The multidisciplinary inpatient team includes doctors (two part-time consultants, staff grade/clinical fellow, and F2), a clinical psychologist, nurses, a social worker, occupational therapists, an art therapist, healthcare assistants, and administrative staff.

The Home Treatment Team functions as a step-up, step-down service to prevent unnecessary hospital admissions and facilitate early discharge. They attend ward reviews, support patients on leave, and assist with discharge planning, also gatekeeping inpatient beds. The team includes two part-time consultants, a 0.5 FTE team manager, two FTE senior practitioners, 5.5 FTE nurse practitioners, one FTE social worker, three FTE senior HCAs, and one FTE occupational therapist. Covering all adult ages, there is an arrangement with an Older Adult Consultant for additional support if needed.

Continued Professional Development

This position offers further training and accreditation within psychiatry, including CESR Portfolio Pathway support, access to specialty training, and the opportunity to develop sub-specialist interests. The post holder will have ample opportunities to develop knowledge, skills, and experience through attendance at relevant courses, conferences, and locally organized CME events. The organization supports Continuing Medical Education with time and financial support, offering study leave of 30 days in three years and an annual study leave allowance. Regular case discussions, teaching sessions, and MDT supervision ensure ongoing professional development, meeting the Royal College of Psychiatrists\' CPD requirements.

Living in the Area

Living in this location offers significant financial benefits. The flat income tax rate of 20% is notably advantageous compared to the UK, and a generous public sector pension scheme is provided, not constrained by UK lifetime or annual contribution limits. The consultant contract closely mirrors the UK model but offers higher incremental levels starting at £110,257 and with a top basic salary of £164,372.

Am I eligible for this role?

UK based candidates:

  • Experience in Adult Psychiatry
  • Specialist Registration or locum Consultant Experience

EEA candidates: 

  • Experience in Adult Psychiatry
  • European Specialist Qualification

Non-EEA candidates:

  • MRCPsych
  • Consultant experience in Adult Psychiatry
110,257 - 164,372
We are looking to recruit a Consultant Psychiatrist to a Child & Adolescent  role in the Channel Islands, a UK territory sitting off the coast of France and just a 1 hour flight from London. This job presents a great opportunity to advance your medical career in the UK.

The health service, separate from the NHS, is an integrated, taxation-funded system, free at the point of delivery, managed by the Health and Community Services Department on the island. Key benefits of working there are higher salaries than the NHS, lower taxes and sunnier weather.

Consultant Pay range - £110,257 to £164,372
Single rate of tax - 20%.

The post holder will be expected to take on the full range of duties including the routine and emergency diagnosis and management of children and young people with significant mental health problems (up to the age of 18), the support of other team members, and providing consultation and advice to other agencies. Successful applicants will be encouraged to develop a special interest and take a clinical lead in one of the following areas: Eating Disorders, Crisis Intervention, Neurodevelopmental Disorders, or Transition.

The Health Service

Working for this service is professionally rewarding, offering high-quality, patient-centered care. Their clinicians lead in developing and managing services, supported by strong links with UK specialists. With a generous study leave budget, doctors are encouraged to pursue further education. Exciting developments include a new general hospital and a new mental health inpatient unit. They foster strong relationships between mental health, primary, and secondary care, promoting joint learning and teaching in their modern education centre.

Department & Team

The Mental Health Service is staffed by a dedicated multi-disciplinary team, supported by secretarial and administrative staff. The service provides comprehensive assessment, treatment, and therapeutic interventions for a wide range of developmental, behavioral, emotional, and psychiatric issues in children and young people up to their 18th birthday.

Currently, CAMHS manages 1,627 open cases. In 2022, 926 new referrals were received, with 752 new referrals to date in 2023. The current locum postholder\'s caseload is approximately 90, with most cases having an allocated care coordinator. While most new assessments are conducted by other members of the multi-disciplinary team, some will require an initial medical assessment. On average, there are 1-2 new assessments and 15-20 follow-up appointments per week, depending on case complexity and other commitments.

Continued Professional Development

The health service offers further training & accreditation within psychiatry, including CESR Portfolio Pathway Support, access to specialty training, and the opportunity to develop sub-specialist interest. The post holder will have ample opportunities to develop knowledge, skills, and experience through attendance at relevant courses, conferences, and locally organized CME events. Health & Community Services supports Continuing Medical Education with time and financial support, offering study leave of 30 days in 3 years, and an annual study leave allowance. Regular case discussions, teaching sessions, and MDT supervision ensure ongoing professional development, meeting the Royal College of Psychiatrists\' CPD requirements.

Living in the Area

Living in this location offers significant financial benefits. The flat income tax rate of 20% is notably advantageous compared to the UK, and a generous public sector pension scheme is provided, not constrained by UK lifetime or annual contribution limits. The consultant contract closely mirrors the UK model but offers higher incremental levels starting at £110,257 and with a top basic salary of £164,372.

Am I eligible for this role?

UK based candidates:
  • Experience in Child & Adolescent  Psychiatry
  • Specialist Registration or locum Consultant Experience
EEA candidates: 
  • Experience in Child & Adolescent  Psychiatry
  • European Specialist Qualification
Non-EEA candidates:
  • MRCPsych
  • Consultant experience in Child & Adolescent Psychiatry
52,530 - 82,400

A prime opportunity awaits a dedicated Specialty Doctor in Psychiatry to join the Crisis Resolution Home Treatment Team (CRHTT) for a NHS job in the UK, with CESR support. Located at Eaglestone Health Centre on Milton Keynes Hospital Campus, you\'ll provide top-tier assessment, consultation, and treatment for individuals in mental health crises, with office space and administrative support.

As part of a medical team with a Consultant Psychiatrist and Trainee Doctor, you\'ll demonstrate motivation, energy, and a fervent commitment to exceptional patient care. Strong teamwork, organizational skills, initiative, effective communication, and empathy are key. Operated by an NHS Foundation Trust that is known for excellence locally, nationally, and internationally, this role offers professional growth opportunities for EU-trained specialists and experienced IMGs seeking CESR completion.

What is the NHS Foundation Trust like?

Established in 2002 through the merger of several trusts, this NHS Foundation Trust is among the UK\'s largest. With about 7,000 staff, they serve a third of London\'s population and extend services to areas like Milton Keynes, Kent, Surrey, and Hampshire.

Their focus is on delivering patient-centered, safe, and effective care across various settings, from hospitals to community clinics and even patients\' homes. They emphasize community-based services, aligning with the NHS\'s modernization goals. They prioritize recruiting exceptional individuals who support patients and colleagues alike, offering opportunities for career development. The role entails participating in clinical supervision sessions with the team\'s consultant psychiatrist.

What is the Department & Team like?

The Crisis Resolution and Home Treatment Team (CRHTT) comprises a multi-disciplinary group of mental health professionals delivering a 7-day service for individuals in acute psychiatric crises. They offer intensive community-based interventions as an alternative to hospitalization and support early discharge, facilitating the transition back to the community. The team triages referrals, deciding on home treatment or admission, aiming to provide less restrictive alternatives to hospitalization when feasible.

The Team is composed of:

  • 1.0 wte Consultant Psychiatrist
  • 1.0 wte Specialty Doctor
  • 1.0 wte Core Trainee / equivalent
  • 1.0 wte Team Manager
  • 3.0 wte Senior Practitioner Band 7
  • 14.5 wte Mental Health Practitioner Band 6
  • 2.6 wte Occupational Therapist Band 6
  • 2 wte Therapy Support Staff Band 4
  • 6.6 wte Support Worker Band 3
  • 3 wte Medical Secretary and Team Administrator Band 4

The post holder is expected to make an assessment, diagnosis, formulation of risks and development of a management plan for new referrals, re-referrals and patients under the care of the team. The post holder is expected to identify need for referrals to other services such as referrals for psychological interventions and review treatment plans and risk assessments of patients in the service.

Career Development & Opportunities Available

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. 

Life in South East

South East, a vibrant urban area in Buckinghamshire, offers a blend of city amenities and rural charm. Residents enjoy scenic parks & perfect for outdoor activities. The area boasts excellent schools and universities. Transportation links are convenient, with easy access to major cities like London and Birmingham via train and nearby airports like Luton and Birmingham. Housing options range from modern apartments in the city center to spacious suburban homes, catering to diverse preferences and lifestyles.

Am I eligible for this role?
UK based candidates:

  • Experience in General Adult Psychiatry - Crisis Resolution Home Treatment Team
EEA candidates: 
  • Experience in General Adult Psychiatry - Crisis Resolution Home Treatment Team
Non-EEA candidates:
  • MRCPsych
  • Experience in General Adult Psychiatry - Crisis Resolution Home Treatment Team

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