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:
- An overview of MRCPsych
- What is MRCPsych Paper B?
- How is the exam structured and marked?
- Am I eligible to sit this exam?
- As an international psychiatrist, when and where can I sit the exam?
- Where and how do I apply?
- How much will the exam cost?
- What is the best way to prepare for MRCPsych B?
- #IMG Tips
- Passed? What next?
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:
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:
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:
Syllabus: We 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
- Start your revision early – preparation is key, and what better way to avoid last-minute stress?
- 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.
- 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
An excellent job opportunity for an experienced Consultant Adult Inpatient Psychiatrist to join a private healthcare organisation near to Birmingham. This role is based within a well-established inpatient setting, offering a great chance to advance your medical career and earn a higher salary compared to the NHS. This job provides CESR Portfolio Pathway support, welcoming international applications from IMGs.
Working in Private Healthcare
This private organisation is recognized for its commitment to delivering exceptional mental health services. They are known for its multidisciplinary approach, working collaboratively to provide holistic, patient-centric care. Specializing in general adult psychiatry, they focus on promoting recovery and improving the quality of life for its patients. The team is dedicated to ongoing innovation and quality improvement, ensuring that the highest standards of care are consistently met. This job offers a unique opportunity to be part of a dynamic team that values professional development and excellence in clinical practice.
The Psychiatry Department & Team
The Psychiatry Department has a 10-bedded ward for psychiartric intensive care unit for females of working age, and another 9-bedded ward for acute service which provides treatment for females of working age. The department is comprised of a multidisciplinary team dedicated to providing comprehensive inpatient care for adults with severe mental health conditions. The team includes consultants, junior doctors, psychologists, nurses, and allied health professionals, all working together to deliver evidence-based treatments. The department is committed to fostering a supportive and collaborative environment, where every team member plays a vital role in patient care.
The approach emphasizes continuous improvement and innovation, with regular team meetings and clinical governance sessions to ensure the highest quality of care.
Continued Professional Development:
This job offers further training & accreditation within general adult psychiatry, including CESR Portfolio Pathway Support, access to specialty training, and the opportunity to develop sub-specialist interests. They support its medical staff in pursuing their professional goals, providing access to a wide range of CPD opportunities, including in-house training programs and supervision. This commitment to professional development ensures that consultants are well-equipped to advance in their careers while delivering the highest standard of care to their patients.
Location
This private healthcare organisation is located in the midlands not fare from Birmingham. The area boasts a low cost of living, making it an attractive option for those relocating. It is a safe and family-friendly area with excellent schools, a rich cultural scene, and plenty of recreational activities. The region is known for its natural beauty, with easy access to national parks and outdoor pursuits. Additionally, it has excellent transport links, making it easy to connect with other parts of the UK.
Am I eligible for this role?
UK based candidates:
- Experience in General Adult Psychiatry
- CCT (Preferred)
- Section 12
- AC Status (Preferred)
EEA candidates:
- Experience in General Adult Psychiatry
- European Specialist Qualification
Non-EEA candidates:
- MRCPsych
- Experience in General Adult Psychiatry
An excellent NHS job opportunity for an experienced psychiatrist to join this NHS Trust as a Specialist Doctor working in a community psychiatry setting in the UK. This NHS job offers CESR Portfolio Pathway support and international applications from IMGs are welcome.
The NHS Trust
The NHS Foundation Trust is a renowned provider of integrated healthcare services, covering a broad spectrum of care. The Trust is committed to delivering high-quality, compassionate care and has received accolades for its innovative approaches and excellent clinical outcomes. As part of the NHS, the Trust ensures comprehensive mental health services, physical health care, and specialist services to the community. Their robust partnership with local authorities and healthcare providers enhances their service delivery, making it an exceptional place for medical professionals to grow and make a significant impact.
The Department & Team
The Child & Adolescent Mental Health Services (CAMHS) team is a forward-thinking, dynamic department. The team provides community-based services to young people up to 18 years old. The department includes a mix of professionals, such as a substantive consultant, trainees, non-medical prescribers, and a well-resourced multidisciplinary team (MDT). The service boasts various specialized programs like the Mental Health in Schools teams, CAMHS Psychiatry Liaison, and Enhanced Support services. Pebble Lodge, the CAMHS inpatient unit, holds an outstanding rating from the Care Quality Commission, reflecting the high standards of care provided.
Continued Professional Development
This NHS job offers further training & accreditation within Child & Adolescent Psychiatry, including CESR Portfolio Pathway Support, access to specialty training, and the opportunity to develop sub-specialist interests. The NHS Foundation Trust supports continuous professional development with structured training programs, opportunities for research, and participation in innovative projects, ensuring doctors can advance their careers and contribute to service development.
Location
The area is a vibrant coastal town known for its stunning beaches, beautiful parks, and a variety of cultural and recreational activities. The area offers a high quality of life with excellent schools, safe neighborhoods, and affordable living costs. With easy access to natural areas of beauty and efficient transport connections to major cities, it is an ideal location for international doctors and their families seeking a balanced lifestyle in the UK.
??????Am I eligible for this role?
UK based candidates:
- Experience in Child & Adolescent Psychistry
EEA candidates:
- Experience in Child & Adolescent Psychistry
- European Specialist Qualification
Non-EEA candidates:
- MRCPsych
- Experience in Child & Adolescent Psychistry
An excellent NHS job opportunity for an experienced Consultant Psychiatrist to join this NHS Trust in the West of England as a Consultant working in an established acute psychiatric ward in the UK. This NHS job offers CESR Portfolio Pathway support and international applications from IMGs are welcome.
The NHS Trust
This NHS Trust provides Community Health, Mental Health, Social Care, and specialist Learning Disability services. Formed from the merger of two previous trusts, it has been operational since October 1, 2019, and received a ‘Good’ rating from the CQC in 2022. This role offers a unique opportunity to be part of a forward-thinking team dedicated to enhancing patient outcomes.
The General Adult Psychiatry Department & Team
The General Adult Psychiatry department includes acute wards, a PICU, a low-secure unit, and a Hospital-Based Place of Safety. The Consultant Psychiatrist will lead a multidisciplinary team, including a Specialty Doctor, Foundation Doctor, Core Trainee, and nursing staff. Responsibilities include direct patient care, consultation, and supervision of junior doctors, ensuring comprehensive management plans for inpatient treatment and community reintegration. The department is recognized for its high standards, receiving accolades and accreditations from the Royal College of Psychiatrists and the Healthcare Commission.
Continued Professional Development
This NHS job offers further training & accreditation within General Adult Psychiatry, including CESR Portfolio Pathway Support, access to specialty training, and the opportunity to develop sub-specialist interest. Opportunities for teaching, research, clinical governance, and quality improvement projects are integral to the role. The Trust supports continuous professional development with dedicated training for educational and clinical supervision, participation in job planning reviews, and providing resources like a full-time medical secretary, dedicated office space, and modern IT facilities.
Location
This region in the West of England offers an excellent quality of life for international doctors and their families. The cost of living is relatively affordable, and the area boasts a variety of good schools, making it an ideal location for families. The region is rich in history and culture, with numerous attractions, including historic landmarks, museums, and festivals. It is surrounded by beautiful natural areas, perfect for outdoor activities. With excellent transport links, including proximity to major motorways and direct train lines to major cities, this region is well-connected, offering the best of both urban and rural living in the UK.
Am I eligible for this role?
UK based candidates:
- CCT or Specialist Registration (preferred)
- Experience in General Adult Inpatient Psychiatry
- S12
- AC (preferred)
EEA candidates:
- Experience in General Adult Inpatient Psychiatry
- European Specialist Qualification
Non-EEA candidates:
- MRCPsych (preferred)
- Specialist/Consultant Experience in General Adult Inpatient Psychiatry
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
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
- Experience in Old Age Psychiatry
- European Specialist Qualification
- MRCPsych
- Consultant experience in Old Age Psychiatry