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

£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.

107,144 - 142,369
An NHS Board in Eastern Scotland is looking for a Consultant Psychiatrist with an interest in General Adult Psychiatry. The Psychiatry department comprises a team of consultants and multidisciplinary professionals and is supported by a large team of middle-grade doctors. 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 adult community mental health care is desirable.

Anyone with an interest in community or inpatient 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 General Adult 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
105,504 - 139,882
A mental health service in the UK is looking for a Consultant in General Adult Psychiatry with an interest in crisis intervention and intensive home treatment. The psychiatry team consists of consultants and a multi-disciplinary support staff, working with a caseload of 15–20 patients. Applications are open to both UK and international doctors, with MRCPsych or CESR eligibility being particularly desirable.

Anyone requiring portfolio support (formally known as CESR) can have their required support discussed on a case-by-case basis.

JOB REQUIREMENTS AND DETAILS
  • Candidates must hold MRCPsych (or equivalent) and be eligible for GMC registration with Specialist Registration in General Adult Psychiatry or within six months of gaining CCT.
  • Prior experience in community or inpatient psychiatry is required.
  • The salary will be between £105,504 - £139,882 per annum, dependent on experience.
CORE DUTIES OF THIS ROLE
  • Provide clinical leadership for the Intensive Service team, ensuring high-quality home-based crisis care.
  • Assess and treat patients referred to the Intensive Team, contributing to care planning and management discussions.
  • Collaborate with inpatient services, community teams, and crisis services to support effective patient care.
  • Participate in the teaching and development of junior doctors and multidisciplinary colleagues.
LIFE IN THE REGION

This region offers a balance of rural and urban living, with access to beautiful countryside, historic landmarks, and well-connected towns. Professionals moving to the area benefit from excellent schools, transport links, and a range of cultural and outdoor activities.

The region has a rich historical significance, featuring historic towns, world-renowned heritage sites, and a vibrant local community. It is a desirable location for families and professionals looking for a high quality of life.

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 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.
105,504 - 139,882

A leading NHS mental health hospital in the East of England is looking for a Consultant Psychiatrist in General Adult Psychiatry with an interest in acute inpatient care. The psychiatry department consists of a team of consultant psychiatrists and is supported by a large team of middle-grade doctors. This General Adult Psychiatry job is open to both international applications and UK-based doctors, though those with European Specialist or MRCPsych 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

  • Anyone with an interest and prior experience in acute inpatient psychiatry should apply.

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

CORE DUTIES OF THIS ROLE

  • Provide consultant leadership and psychiatric input into the acute inpatient unit.

  • Work closely with the multidisciplinary team, ensuring strong links with community teams.

  • Supervise junior doctors and support their training and professional development.

  • Participate in strategic planning, governance meetings, and service development.

LIFE IN THE REGION

This region offers a mix of urban and rural living, with vibrant city life and picturesque countryside nearby. Popular areas include city centre locations for convenience and scenic villages for a quieter lifestyle. The area is well connected, with excellent transport links, top-rated schools, and various leisure activities, including shopping, outdoor parks, and cultural events.

Rich in history, this region is known for its medieval architecture and contributions to British heritage, making it an attractive place to live and work.

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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