MRCPUK

Compiled and published for the Federation of Royal Colleges of Physicians of the UK by the MRCP(UK) Central Office

Regulations and Information for Candidates 2003 Edition

Royal College of Physicians of Edinburgh

Royal College of Physicians & Surgeons of Glasgow

Royal College of Physicians of London

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MRCPUK
Regulations and Information for Candidates

MRCP(UK) Central Office Royal Colleges of Physicians of the United Kingdom

 2003 ROYAL COLLEGES OF PHYSICIANS Royal College of Physicians of Edinburgh 9 Queen Street Edinburgh EH2 1JQ

Royal College of Physicians & Surgeons of Glasgow 234/242 St Vincent Street Glasgow G2 5RJ

Royal College of Physicians of London 11 St Andrews Place London NW1 4LE All rights reserved. No part of this publication may be reproduced, stored in a retrieval system, or transmitted, in any form or by any means, electronic, mechanical, photocopying, recording or otherwise without the prior permission of the copyright owners.

First Published 2003

While every attempt has been made to ensure that the MRCP(UK) Examination Regulations 2003 are accurate. Notice of future amendments to the Regulations The MRCP(UK) Examination will continue to change to reflect developments in medicine.org. In such circumstances. All changes will also be notified on the MRCP(UK) web site http://www. These Regulations apply from 1 January 2003 to the MRCP(UK) Examination (General Medicine) and cover the two paper Examinations for the MRCP(UK) Part 1 Examination and the MRCP(UK) Part 2 Written Examination. they are advised to read these notices along with this publication.mrcpuk. There are separate Regulations governing the joint MRCP(UK) Part 2 Examination (Paediatrics)/MRCPCH Part 2 Examination.F OREWORD The MRCP(UK) Examination Regulations 2003 have been revised since the last Regulations were published in 2002. MRCP(UK) Central Office 11 St Andrews Place London NW1 4LE I . notices will be issued indicating the nature of these changes and will be available with the relevant Examination Application Forms. further changes to the MRCP(UK) Examination and the Regulations may be implemented within the next year. In order that candidates are fully briefed about the status of any proposed changes. as well as the MRCP(UK) Part 2 Clinical Examination (PACES).

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MRCP(UK) Examination: Conduct of candidates III . Introduction 1 3 4 7 8 8 9 10 11 13 13 14 16 16 18 18 20 22 22 23 24 25 26 27 28 31 2.4 MRCP(UK) Part 1 Examination-Regulations for May 2003 and September 2003 6.8 Review of the MRCP(UK) Part 2 Written Examination by the MRCP(UK) Part 2 Examining Board 6. Academic framework: Aims and objectives of the MRCP(UK) Examination 4. Glossary of terms 9. Admission to the MRCP(UK) Examination 5.5 Review of the MRCP(UK) Part 1 Examination by the MRCP(UK) Part 1 Examining Board 6.12 Review of the MRCP(UK) Part 2 Clinical Examination (PACES) by the MRCP(UK) Clinical Examining Board 6.3 Testimonials 5.1 Entry requirements 5.10 MRCP(UK) Part 2 Clinical Examination (PACES) Regulations 6.1 MRCP(UK) Part 1 Examination-Method of assessment for January 2003 6.6 MRCP(UK) Part 2 Written Examination-Method of assessment 6. Award of the MRCP(UK) Diploma 5.7 MRCP(UK) Part 2 Written Examination-Regulations 6.2 MRCP(UK) Part 1 Examination-Regulations for January 2003 6.C ONTENTS R EGULATIONS 1.2 Exemptions 5. Examination Procedures 8.11 Poor performance in the MRCP(UK) Part 2 Clinical Examination (PACES) 6.Period of Eligibility 6. Methods of assessment and Examination Regulations 6.4 MRCP(UK) Part 2 Clinical Examination (PACES) .13 Confidentiality and Copyright Statement 7. Constitutional framework: Powers and responsibilities of the Royal Colleges of Physicians 3.3 MRCP(UK) Part 1 Examination-Method of Assessment for May 2003 and September 2003 6.9 MRCP(UK) Part 2 Clinical Examination (PACES) Method of assessment 6.

5 Application check lists for the MRCP(UK) Part 2 Written Examination 16.2 Joint MRCP(UK) Part 2 Examination (Paediatrics)/ MRCPCH Part 2 Examination 11.Multiple Choice Questions (MCQs) 13. How to claim exemption from part of the MRCP(UK) Examination 21.1 Transfer of the MRCP(UK) Part 1 Examination (Paediatric option) to the Royal College of Paediatrics and Child Health (RCPCH) 10. Admission to the MRCP(UK) Examination 16. MRCP(UK) Examination and MRCP(UK) Diploma fees 18. MRCP(UK) Part 1 Examination & MRCP(UK) Part 2 Written Examination – How to complete the answer sheets 12.C ONTENTS I NFORMATION FOR CANDIDATES 37 10. Information for Paediatric candidates 10.6 How to enter the MRCP(UK) Part 2 Clinical Examination (PACES) 16. Discounting of attempts 37 37 40 42 44 48 50 51 51 51 53 54 55 56 57 59 60 61 62 63 IV . MRCP(UK) : Progress to Membership Diploma 16. Withdrawal from the MRCP(UK) Examination 20. Progress through the MRCP(UK) Examination 15. MRCP(UK) Part 2 Clinical Examination (PACES) 14.7 Application check lists for the MRCP(UK) Part 2 Clinical Examinations 17. Advice on Answers .4 How to enter the MRCP(UK) Part 2 Written Examination 16.3 Application check lists for the MRCP(UK) Part 1 Examination 16. Attending the MRCP(UK) Part 1 Examination & Part 2 Written Examination 19.2 How to enter the MRCP(UK) Part 1 Examination 16.1 Admission to the MRCP(UK) Examination 16.

MRCP(UK) Part 1 Examination: Centres in the UK 31. MRCP(UK) Examination publications 29. Training of a physician in the UK 26. Preparation for the MRCP(UK) Examination 27.22. Assessment queries and requests for remarking an MRCP(UK) Examination 24. Special advice for doctors working outside the UK 30. MRCP(UK) Part 1 Examination: Centres outside the UK 32. Location of the Royal Colleges of Physicians 36. Order form for MRCP(UK) Examination publications 64 65 66 67 69 70 71 73 75 76 77 78 83 85 87 V . Issuing of results 23. MRCP(UK) Part 2 Examination: Centres outside the UK 33. Examples of MRCP(UK) Part 2 Clinical Examination (PACES) Marksheets 35. Where to go for advice 28. Award of the MRCP(UK) Diploma 25. Addresses of MRCP(UK) Centres outside the UK 34.

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ac.ac.mrcpuk.uk Royal College of Physicians of London 11 St. the Royal College of Physicians and Surgeons of Glasgow and the Royal College of Physicians of London share a common Examination. the MRCP(UK). Andrews Place London NWI 4LE Tel: +44 207 935 1174 Fax: +44 207 487 2628 http://www.rcpsglasg.ac.1. I NTRODUCTION There are three Royal Colleges of Physicians in the United Kingdom: Royal College of Physicians of Edinburgh 9 Queen Street Edinburgh EH2 1JQ Tel: +44 131 225 7324 Fax: +44 131 225 2053 http://www.rcplondon. Andrews Place London NWI 4LE Tel: +44 207 935 1174 Fax: +44 207 486 4514 http://www.uk The Royal College of Physicians of Edinburgh. Vincent Street Glasgow G2 5RJ Tel: +44 141 221 6072 Fax: +44 141 248 3414 http://www.org 1 . The Federation of the Royal Colleges of Physicians of the UK has devolved responsibility for the organisation of the Examination to the MRCP(UK) Central Office: MRCP(UK) Central Office 11 St.rcpe.uk Royal College of Physicians and Surgeons of Glasgow 234-242 St.

2 . The MRCP(UK) Examination is usually taken during the period of general professional training in medicine which follows registration in the United Kingdom. Any decision on the interpretation of these Regulations made by any one Royal College of Physicians is binding on all three Royal Colleges of Physicians.The following Regulations apply to all candidates entering the MRCP(UK) Examination. Success in the MRCP(UK) Examination leads to the award of the Diploma of Membership of the Royal Colleges of Physicians of the United Kingdom. in the UK it is an entry qualification for higher specialist training. The MRCP(UK) does not confer specialist status.

the Royal Colleges of Physicians will comply.2. (ii) Producing syllabuses for appropriate parts of the Examination. (ii) Recognise appropriate periods of training. and ensure compliance. in fulfilment of the entry requirements of the MRCP(UK) Examination. the Royal Colleges of Physicians have the responsibility of: (i) Appointing examiners with appropriate qualifications and experience. and to maintain the academic quality of the Examination. (iv) Arranging suitable examination facilities. In exercising their powers. (iii) Monitoring candidate performance. racial or political test will be imposed on any person as a condition of receiving the MRCP(UK) Diploma. (iii) Confer the MRCP(UK) Diploma on persons who have passed the MRCP(UK) Examination. No religious. and determine when this training has been completed successfully by candidates. In the exercise of these powers and responsibilities. CONSTITUTIONAL PHYSICIANS FRAMEWORK: RESPONSIBILITIES OF THE ROYAL POWERS AND COLLEGES OF The Royal Colleges of Physicians of the United Kingdom have the power to: (i) Determine the terms and conditions of entry to the MRCP(UK) Examination. 3 . with the requirements of relevant legislation such as: – Race Relations (Amendment) Act 2000 – Disability Discrimination Act 1995 and Special Educational Needs and Disabilities Act 2001 – Data Protection Acts 1984 and 1998. The Royal Colleges of Physicians reserve the right to refuse admission to any part of the MRCP(UK) Examination.

including applied science. Communication skills. It provides a professional standard against which physicians working outside the United Kingdom may measure their level of attainment. • • • • • • • 4 . Problem-solving skills in diagnosis and management. Dealing with ethical problems. Clinical examination. It is also being used by medical educationalists in other countries in respect of local postgraduate assessments. Management of common medical emergencies. have acquired the necessary professional knowledge.3. (ii) Skills Taking and interpreting a clinical history. It is a prerequisite for physicians wishing to undergo training in a medically related specialty in the United Kingdom. Practical skills. epidemiology and statistics. Overall objectives The MRCP(UK) Examination evaluates competence of medical graduates at the end of a specified minimum period of general professional training with regard to: (i) Core medical knowledge. skills and attitudes to enable them to benefit from a programme of higher specialist training with confidence and enthusiasm. The aim of the MRCP(UK) Examination is to identify those physicians who. having undertaken a period of general training. The MRCP(UK) Examination also plays an increasingly important role in the international arena of postgraduate medical education. ACADEMIC FRAMEWORK: AIMS AND OBJECTIVES OF THE MRCP(UK) EXAMINATION Overall aims The MRCP(UK) Examination plays an essential role in the overall educational experience and continuing professional development of physicians in the United Kingdom.

skills and attitudes which can be expected during the period of General Professional Training. and are in keeping with the principle of life-long learning. MRCP(UK) Part 1 Examination Purpose The purpose of the MRCP(UK) Part 1 Examination is to identify those physicians in training who.1). make clinical judgements and take responsibility for: 5 . MRCP(UK) Part 2 Written Examination Purpose The MRCP(UK) Part 2 Written Examination is taken by physicians in training who have passed the MRCP(UK) Part 1 Examination or who have exemption from the MRCP(UK) Part 1 Examination (see Section 5.2). Aims To test the acquisition by a candidate of a representative sample of medical knowledge as specified in the published Syllabus for the MRCP(UK) Part 1 Examination. Aims The MRCP(UK) Part 2 Written Examination will test the ability to apply knowledge. possess a broad knowledge and understanding of clinical science as well as common and important disorders. having satisfied the entry criteria (see Section 5. The demands of the various parts of the Examination will reflect the improvement in knowledge. To measure a candidate’s ability to apply their medical knowledge of the common and important topics outlined in the Syllabus and make appropriate clinical judgements.(iii) Attitudes to patients. Success in this Examination demonstrates the attainment of a level of knowledge expected at the completion of General Professional Training and an ability to apply this knowledge to clinical problem solving and clinical practice.

Aims The MRCP(UK) Part 2 Clinical Examination (PACES) will test the ability to: • • • • • • • Demonstrate the clinical skills of history taking. MRCP(UK) Part 2 Clinical Examination (PACES) Purpose To demonstrate in the clinical setting the knowledge. Interpret physical signs. Evidence-based practice. patients or their relatives.• • • • • • • • • • Prioritising diagnostic or problem lists. Areas covered by the MRCP(UK) Part 2 Written Examination will also include: Social and cultural aspects of disease. immediate and long-term management plans. Working with colleagues. Selecting a plan for immediate management. Selecting a plan for long-term management. 6 . Planning investigation. Communicate clinical information to colleagues. skills and attitudes appropriate for a physician who is eligible to take the MRCP(UK) Part 2 Clinical Examination (PACES) and is completing general professional training. Make appropriate diagnoses. Assessing prognosis. Audit. Literature reviews. Examine a patient appropriately to detect the presence or absence of physical signs. Develop and discuss. Discuss ethical issues.

4 Before the MRCP(UK) Diploma can be awarded.4. Bye-Laws. every candidate must pass all parts of the MRCP(UK) Examination. 4. Statutes and Regulations of the Royal Colleges of Physicians of the United Kingdom as they apply to Members of the Royal Colleges of Physicians of the United Kingdom.5 Candidates should refer to Section 24 on the Award of the MRCP(UK) Diploma before they apply to sit the MRCP(UK) Part 2 Clinical Examination (PACES). Bye-Laws. (b) Sign a Form of Faith.1 Unless exemption is granted under Regulation 5. amended or re-enacted and to keep myself informed of advances in medicine.3 Members of the Royal Colleges of Physicians of the United Kingdom are elected subject to the Laws. candidates are required to: (a) Pay a Diploma fee. 4.” 4. Copies of the Laws.2 Candidates who pass the MRCP(UK) Examination will be eligible to apply for the award of the MRCP(UK) Diploma. Bye-Laws.2. 4. Individual Statutes and Regulations relating to Members can be inspected on application to the respective Colleges. as from time to time modified. 7 . The Form of Faith states. AWARD OF THE MRCP(UK) D IPLOMA 4. Statutes and Regulations of the Royal Colleges of Physicians of the United Kingdom.“l hereby faithfully promise to abide by the Laws.

and within the last five years before the date of taking the MRCP(UK) Part 2 Clinical Examination (PACES). Candidates will not be admitted to the MRCP(UK) Part 1 Examination before the expiry of 18 months from the date of graduation given on their diploma of medical qualification. 5. Before candidates can enter the MRCP(UK) Part 2 Clinical Examination (PACES).4 8 .1 Entry requirements 5.1.1. In the United Kingdom this is a pre-requisite to obtaining full registration with the General Medical Council. It is assumed that all candidates in their first year after graduation will have spent six months as a house physician.3 5. 5.4. ADMISSION TO THE MRCP(UK) EXAMINATION 5. may be admitted to the MRCP(UK) Part 2 Written Examination with exemption from the MRCP(UK) Part 1 Examination without the need for further training.1.1. either adults or children. It would be desirable for candidates to have spent a period of at least six months in a post in which there is a strong emphasis on responsibility for unselected emergency admissions.1. If this is not the case then an additional six months should be spent involving the care of emergency medical patients.1 Every candidate for the Examination must hold a medical qualification recognised by the Royal Colleges of Physicians.5 Overseas graduates who hold a postgraduate diploma which is recognised by the Royal Colleges of Physicians (see Regulation 5. either adults or children. not less than 12 months should have been spent in posts involving the care of emergency medical patients.1 concerning the MRCP(UK) Part 2 Clinical Examination (PACES) Period of Eligibility).2 5.5. they must have passed the MRCP(UK) Part 2 Written Examination and completed a minimum period of training of two and a half years from the date of graduation given on their diploma of medical qualification (see Regulation 5.2) and which requires a comparable period of training. Within the last 18 months of this period. Candidates for the MRCP(UK) Part 2 Written Examination must have passed the MRCP(UK) Part 1 Examination within seven years.

All MRCP(UK) assessments are conducted in English. Fellowship of the College of Physicians and Surgeons of Bangladesh. Membership of the Royal College of Physicians of Ireland. their English language ability should be equivalent to IELTS Level 7 in each module.2 Exemptions 5.8 For further information on how to enter the MRCP(UK) Examination please refer to Section 16. the Royal Colleges of Physicians advise candidates that in order that they are sufficiently prepared to sit the MRCP(UK) Examination. However.1 Holders of the following diplomas may apply to any one of the Royal Colleges of Physicians for exemption from the MRCP(UK) Part 1 Examination.1. Candidates will also be required to pay Examination fees as determined by the Royal Colleges of Physicians of the United Kingdom.Internal Medicine. 5. Master of Medicine (Singapore) .6 Any candidate unsuccessful in passing the MRCP(UK) Part 2 Written Examination within a period of seven years of passing the MRCP(UK) Part 1 (the MRCP(UK) Part 2 Examination Registration Period) will be required to take and pass the MRCP(UK) Part 1 Examination again. providing that they have obtained the exempting qualification within the seven years prior to sitting the MRCP(UK) Part 2 Written Examination: (a) (b) (c) (d) (e) (f) (g) (h) (i) Membership of the Royal College of Pathologists. Doctor of Medicine (West Indies) .Medicine. or any other language examination to sit the MRCP(UK) Examination. Master of Medicine (Khartoum). It should be noted further that passing PLAB is necessary for those intending to work in the UK as doctors with Limited Registration.7 5.Internal Medicine.1. Doctor of Medicine (Colombo) . Candidates do not need to have passed IELTS. Fellowship of the College of Physicians and Surgeons of Pakistan -Medicine.1.2. 5.5. Fellowship of the College of Medicine of South Africa. 9 . the assessment of the Professional and Linguistic Assessments Board (PLAB).

5.3 10 . 5.2 Members and Fellows of the Royal Australasian College of Physicians and those who have passed the FRACP Examination may apply for exemption from the MRCP(UK) Part 1 and the MRCP(UK) Part 2 Written Examinations.3.3.3 Testimonials 5.3 To claim exemption. 5.Paediatrics. candidates should refer to Section 16. 5. Testimonials will be accepted only from Fellows of the Royal Colleges of Physicians of the UK or from Members of the Royal Colleges of Physicians of at least eight years standing. (c) Master of Medicine (Singapore) .Paediatrics. within five years prior to the date of the attempt at the MRCP(UK) Part 2 Clinical Examination (PACES). providing that they have obtained the exempting qualification before 1 April 1999 and within the seven years prior to sitting the MRCP(UK) Part 2 Written Examination: (a) Fellowship of the College of Physicians and Surgeons of PakistanPaediatrics.Paediatrics. must have taken a clinical attachment or an honorary NHS appointment) postregistration with a proposer.5.1 Candidates must submit testimonials from two proposers at their first attempt at the MRCP(UK) Part 2 Clinical Examination (PACES) and one new or updated testimonial at each successive attempt. Exemption qualifications are periodically reviewed. These details are correct at the time of writing but may be subject to change and removal of recognition. Candidates must have worked (or. The Royal Colleges of Physicians may require evidence of further training before candidates who fail badly are permitted to re-enter the examination. (d) Doctor of Medicine (Colombo) . (b) Master of Paediatrics and Child Health (Khartoum). (e) Doctor of Medicine (West Indies) .3.2. for overseas candidates.2 5.2. Holders of the following diplomas may apply to any one of the Royal Colleges of Physicians for exemption from the MRCP(UK) Part 1 Examination.3.

The Period of Eligibility will commence for each candidate when they pass the MRCP(UK) Part 2 Written Examination regardless of whether they have completed the two-and-a-half year training period. and also Regulation 5. This period will commence after candidates have been notified of success in the MRCP(UK) Part 2 Written Examination (usually on the first day of the month of the next PACES Main Assessment Point . Before taking the MRCP(UK) Part 2 Clinical Examination (PACES) candidates must have completed a minimum period of training of two-and-a-half years from the date of graduation given on their diploma of medical qualification.see Section 8). (See Note 2 below. 5.3 11 . The Royal Colleges of Physicians have stipulated that a pass in the MRCP(UK) Part 2 Written Examination.see Note 1 below. allowing progress to the MRCP(UK) Part 2 Clinical Examination (PACES). For an explanation of the Main Assessment Point .4.4.2 Candidates may have up to three attempts at the MRCP(UK) Part 2 Clinical Examination (PACES) during the MRCP(UK) Part 2 Clinical Examination (PACES) Registration Period of Eligibility before having to resit and pass the MRCP(UK) Part 2 Written Examination. not less than 12 months should have been spent in posts involving the care of emergency medical patients. should not be valid for a period of more than two years. Candidates may not normally resit the MRCP(UK) Part 2 Clinical Examination (PACES) less than three months after their failed attempt (this means that candidates will normally be required to 5. and within the last five years before the date of taking the MRCP(UK) Part 2 Clinical Examination (PACES).4 MRCP(UK) Part 2 Clinical Examination (PACES) . NOTE 2: Within the last 18 months of this period.5.4.Period of Eligibility 5.4. NOTE 1: Candidates must complete the minimum period of training of two-and-a-half years before they can sit the MRCP(UK) Part 2 Clinical Examination (PACES).1 Candidates will be registered eligible for a period of two years to take the MRCP(UK) Part 2 Clinical Examination (PACES).4).

the requirements set out in Regulation 5. Once the MRCP(UK) Part 2 Written Examination has been passed. and the candidate is unsuccessful in three attempts at the MRCP(UK) Part 2 Clinical Examination (PACES). Candidates can attempt the MRCP(UK) Part 2 Written Examination at any time during their seven year MRCP(UK) Part 2 Examination Registration Period. first served basis depending on the number of places available (please see Section 16. However.4.wait until the next Main Assessment Point before reattempting the MRCP(UK) Part 2 Clinical Examination (PACES)).4.6.4. 5.6 12 .5 5.6). a two year MRCP(UK) Part 2 Clinical Examination (PACES) Period of Eligibility will be permitted regardless of whether the MRCP(UK) Part 2 Examination Registration period has expired. he/she will be required to resit and pass the MRCP(UK) Part 1 Examination before re-attempting the MRCP(UK) Part 2 Written Examination. 5. Applications to the MRCP(UK) Part 2 Clinical Examination (PACES) will be accepted on a first come.4 will be applied if the candidate fails the MRCP(UK) Part 2 Clinical Examination (PACES) on three occasions or the period of two years elapses.4 Should the seven year MRCP(UK) Part 2 Examination Registration Period elapse during the MRCP(UK) Part 2 Clinical Examination (PACES) Period of Eligibility.4.

genetics. evidence-based medicine. both of those aspects of clinical sciences which are relevant to medical practice and of common or important disorders. elementary statistics. anatomy.2 6. M ETHOD OF R EGULATIONS ASSESSMENT AND E XAMINATION 6.1. microbiology. The composition of Paper 1 is as follows: Clinical Science Cardiology Clinical haematology Clinical pharmacology. and pharmacology) and some 46 MCQs which will test a candidate’s knowledge of a wide range of common and important disorders in General Medicine as set out in the published Syllabus. The MRCP(UK) Part 1 Examination Paper 1 contains 60 multiple truefalse questions including approximately 14 MCQs on all aspects of clinical science (molecular and membrane biology. to a level appropriate for entry to specialist training. therapeutics and toxicology Dermatology Endocrinology Gastroenterology Infectious diseases and tropical medicine Nephrology Neurology Psychiatry Respiratory medicine Rheumatology Miscellaneous (e.1. metabolism. sexually transmitted diseases) 14 4 4 6 1 4 4 4 4 4 4 4 2 1 6.6. ophthalmology. epidemiology.1. biochemistry.g. The MRCP(UK) Part 1 Examination is designed to assess a candidate’s knowledge and understanding.1 MRCP(UK) Part 1 Examination-Method of assessment for January 2003 6. immunology.1 The MRCP(UK) Part 1 Examination consists of two papers and is held simultaneously at all examination centres and may be taken in General Medicine only.3 13 . physiology.

• • • 6.4 The MRCP(UK) Part 1 Examination Paper 2 contains 100 multiple choice questions in one from five (best of five) format. As Paper 1 and Paper 2 are testing different areas of the Syllabus.2. The composition of Paper 2 is as follows: Cardiology Clinical haematology and oncology Clinical pharmacology.2. using questions in different formats.3 No marks will be deducted for any incorrect answers.1 The MRCP(UK) Part 1 Examination will be criterion referenced from 2002/2 and will assess a candidate’s performance in relation to an external standard of performance (pass mark) set by the examiners. therapeutics and toxicology Dermatology Endocrinology and metabolic medicine Gastroenterology Infectious diseases. tropical medicine and sexually transmitted diseases Nephrology Neurology Ophthalmology Psychiatry Respiratory medicine Rheumatology Statistics 8 8 10 6 8 8 8 8 8 4 6 8 8 2 6. 14 .2. candidates must achieve a pass in each Paper in order to pass the MRCP(UK) Part 1 Examination overall. A correct answer to a one from five question in Paper 2. 6.6. A false statement indicated as false in Paper 1.1.2 One mark (+1) will be awarded for each correct answer: A true statement indicated as true in Paper 1. where a candidate chooses the best answer from five possible answers.2 MRCP(UK) Part 1 Examination Regulations for January 2003 6.

00 if a candidate requests that their Examination is remarked.2.10 There is a charge of £100. In these circumstances the Royal Colleges of Physicians do not consider it is appropriate to interpret a candidate’s intentions. The final score is converted to a percentage. Note: Candidates are reminded that their Examination scripts are held for one year only.6. (Please note that these arrangements are separate from an appeal against an Examination result and candidates cannot request that a check be conducted as an outcome of an Appeal).5 6. This charge is refundable if an error is identified. The final score is expressed as a percentage.7 6. giving a total of 300 for Paper 1 as a whole. No marks will be awarded to any candidate who does not complete the Answer Sheet in accordance with the MRCP (UK) Part 1 Examination instructions and produces an answer that the OMR (optical mark reader) queries as: (a) Insufficiently erased. giving a total of 100 for Paper 2 as a whole.8 6.4 No marks will be awarded or deducted if the question is left unanswered.9 Candidates who pass the MRCP(UK) Part 1 Examination can proceed immediately to sit the MRCP(UK) Part 2 Written Examination in General Medicine. (b) Smudged. No marks will be awarded if more than the required number of responses are recorded in Paper 2.2.2.2.2. 6. Candidates should also refer to Section 23.2.2. 6. In Paper 2 one mark is awarded to each question. 15 .6 6. (c) Identified as a double response to a question. In Paper 1 a total of five marks are allocated to each question.

11 Candidates are asked to note that any allegation of academic or professional misconduct that is sustained against a candidate is likely to be reported to employers. tropical medicine and sexually transmitted diseases Nephrology Neurology Ophthalmology Psychiatry Respiratory medicine Rheumatology Statistics 6. sponsors and the relevant professional bodies such as the UK General Medical Council. 6.4. where a candidate chooses the best answer from five possible answers.3 MRCP(UK) Part 1 Examination – Method of Assessment for May 2003 and September 2003.2. The composition of each Paper will include questions on the following specialties: Clinical Science Cardiology Clinical haematology and oncology Clinical pharmacology. 6.6. therapeutics and toxicology Dermatology Endocrinology and metabolic medicine Gastroenterology Infectious diseases. 16 .3.4 MRCP(UK) Part 1 Examination Regulations for May 2003 and September 2003 6.1 The MRCP(UK) Part 1 Examination will be criterion referenced and will assess a candidate’s performance in relation to an external standard of performance (pass mark) set by the examiners.1 The MRCP(UK) Part 1 Examination will consist of two papers both containing 100 multiple choice questions in one from five (best of five) format.

6. (c) Identified as a double response to a question. 6. 17 . In these circumstances the Royal Colleges of Physicians do not consider it is appropriate to interpret a candidate’s intentions.6 One mark is awarded to each question.5 No marks will be awarded if more than the required number of responses are recorded. (b) Smudged.4.4.4. 6.4 No marks will be awarded or deducted if the question is left unanswered. 6. This charge is refundable if an error is identified. No marks will be deducted for any incorrect answers. Candidates should also refer to Section 23.4. Note: Candidates are reminded that their Examination scripts are held for one year only.4.8 Candidates who pass the MRCP(UK) Part 1 Examination can proceed immediately to sit the MRCP(UK) Part 2 Written Examination in General Medicine. The final score is expressed as a percentage.4.4. giving a total of 100 for each Paper as a whole.3 6.00 if a candidate requests that their Examination is remarked. 6.9 There is a charge of £100.2 Both papers carry equal weight and one mark will be given for each correct answer.6.7 No marks will be awarded to any candidate who does not complete the Answer Sheet in accordance with the MRCP (UK) Part 1 Examination instructions and produces an answer that the OMR (optical mark reader) queries as: (a) Insufficiently erased. 6.4.

The MRCP(UK) Part 1 Examining Board considers each question prior to its appearance in the Examination and subsequently reviews the question’s performance. In the light of these analyses.6 MRCP(UK) Part 2 Written Examination-Method of assessment 6.4.2 18 . Questions will be asked about the diagnosis and management of patients using MCQs 6. 6. the MRCP(UK) Part 1 Examining Board will also note the mean score for the Examination and the mean scores for.5. A detailed analysis of the responses to each item (including a separate index of discrimination for every item).6.6. sponsors and the relevant professional bodies such as the UK General Medical Council. and a coefficient indicating the internal reliability of the Examination as a whole are also considered by the Board.6.5.2 6. the questions that comprise the paper. the MRCP(UK) Part 1 Examining Board makes modifications to the questions that it deems desirable to ensure that the quality of the Examination is maintained.5 Review of the Part 1 Examination by the MRCP(UK) Part 1 Examining Board 6. Some material on adolescent medicine will be included in both the General Medicine and Paediatric Examinations.1 The MRCP(UK) Part 2 Written Examination is held simultaneously at all examination centres and may be taken in General Medicine or Paediatrics. and the discriminatory power of.10 Candidates are asked to note that any allegation of academic or professional misconduct that is sustained against a candidate is likely to be reported to employers. Paediatric candidates will need to contact the Royal College of Paediatrics and Child Health for details of the Examination Regulations for the joint MRCP(UK) Part 2 Examination (Paediatrics)/MRCPCH Part 2 Examination (see Section 10). In addition to the final scores obtained by the candidates.1 Results are released when the Chairman and Medical Secretary of the MRCP(UK) Part 1 Examining Board are satisfied that the Examination has been conducted appropriately and in accordance with the procedures of the Royal Colleges of Physicians. 6.

There will also be questions addressing the aims of the MRCP(UK) Part 2 Written Examination (see Section 3).4 Answers should be recorded on the answer sheets provided.6.6. 19 .6.that are either one from five. only the correct answer will attract a mark. where a candidate must choose the best answer from five possible answers or ‘n’ from many where two or three choices are made from a list of 10 or 15 options. 6.3 The MRCP(UK) Part 2 Written Examination will consist of two papers each lasting two-and-a-half hours. Both papers will contain up to 100 multiple choice questions. 6. All questions will have a clinical scenario and may include the results of investigations and may be illustrated. The composition of each Paper will be approximately as follows: Number of questions (+/-2) Adolescent medicine 2 Cardiology 9 Dermatology 4 Endocrinology 9 Gastroenterology 9 Haematology 4 Infectious diseases and sexually transmitted diseases 9 Metabolic medicine 2 Nephrology 8 Neurology 9 Oncology 6 Psychiatry 4 Respiratory medicine 9 Rheumatology 6 Therapeutics 10 100 6.5 For one from five questions.

7. 6.6. 6. (v) No marks will be awarded if more than the required number of responses are recorded. 6. Thus.8 It should be noted that drugs will almost invariably be referred to by their International Non-proprietary Name (rINN) rather than by their trade names.6 For ‘n’ from many questions.7.7.7 MRCP(UK) Part 2 Written Examination-Regulations 6.7 Credit will not be given for answers in excess of the number required. if two investigations are asked for and three are given. 6. Thus. Under the current Regulations. One mark (+1) will be awarded for each correct answer.6. 6. only the correct answers will attract marks. No marks will be deducted for any incorrect answers. it is vital that candidates follow the instructions given with the question.3 20 .6.2 6. where additional answers are recorded no marks will be scored.1 Both Papers carry equal weight with one mark given for each correct answer.6. There are two types of questions used – “Best of Five” requiring a single response and ‘ “n” from many’ requiring two responses. the candidate will score no marks for the question. the marking system adopted for the MRCP(UK) Part 2 Written Examination is as follows:(i) (ii) (iii) (iv) Each item has an equal value.6.9 Biochemical and other measurements will be expressed in SI units (normal ranges or reference ranges will be provided where these are likely to be in doubt). The MRCP(UK) Part 2 Written Examination will be criterion referenced and will assess a candidate’s performance in relation to an external standard of performance (pass mark) set by the examiners. No marks will be awarded or deducted if a question is left unanswered.

Identified as a double response to a question.00 if a candidate requests that their Examination is remarked.7. To pass the MRCP(UK) Part 2 Written Examination it is not necessary therefore for candidates to obtain a pass mark in each of the two Papers. 6. such as the UK General Medical Council.4). Smudged. This charge is refundable if an error is identified.(vi) The final mark for each candidate is the sum of the marks given in the two Papers expressed as a percentage.7. (Please note that these arrangements are separate from an Appeal against an Examination result and candidates cannot request that a check be conducted as an outcome of an Appeal. 6. so long as the total mark achieved by the candidate reaches the required pass mark for the Examination as a whole. In these circumstances the Royal Colleges of Physicians do not consider it is appropriate to interpret a candidate’s intentions.4 MRCP(UK) General Medicine candidates who pass the Part 2 Written Examination enter the MRCP(UK) Part 2 Clinical Examination (PACES) Period of Eligibility and may attempt PACES as soon as the entry criteria are satisfied (see Section 5. (vii) No marks will be awarded to any candidate who does not complete the Answer Sheet in accordance with the MRCP (UK) Part 2 Written Examination instructions and produces an answer that the OMR (optical mark reader) queries as: • • • Insufficiently erased. Note: Candidates are reminded that their Examination scripts are held for one year only.5 21 . 6. sponsors and the relevant professional bodies.7.) Candidates may also wish to refer to Section 23.6 Candidates are asked to note that any allegation of academic or professional misconduct that is sustained against a candidate is likely to be reported to employers. There is a charge of £100.

9. June/July and October/November) and it is anticipated that most candidates will be examined at these times.6.1 The MRCP(UK) Part 2 Clinical Examination (PACES) [Practical Assessment of Clinical Examination Skills] is the clinical component of the MRCP(UK) Examination and is separate from the MRCP(UK) Part 2 Written Examination.8.2 6. and then move round the carousel of Stations. each assessed by two independent examiners. candidates will be eligible to receive the award of the MRCP(UK) Diploma.Method of Assessment 6.8.9. After every Examination. the MRCP(UK) Part 2 Examining Board reviews the performance of each question and the Examination as a whole. subject to meeting the necessary administrative requirements detailed in Section 4. An annual timetable is published detailing when the MRCP(UK) Part 2 Clinical Examination (PACES) will be conducted. There are three points in the year (Main Assessment Points) when the MRCP(UK) Part 2 Clinical Examination (PACES) is scheduled to run (February/March.1 Results are released when the Chairman and Medical Secretary of the MRCP(UK) Part 2 Examining Board are satisfied that the Examination has been conducted appropriately and in accordance with the procedures of the Royal Colleges of Physicians.2 6.9. The MRCP(UK) Part 2 Clinical Examination (PACES) is composed of five Stations (three clinical and two “talking”).9 MRCP(UK) Part 2 Clinical Examination (PACES) .3 22 . On passing the MRCP(UK) Part 2 Clinical Examination (PACES).8 Review of the Part 2 Written Examination by the MRCP(UK) Part 2 Examining Board 6. 6. until the cycle has been completed. Candidates will start at any one of the five Stations. The Stations are: Station 1 Station 2 Station 3 Respiratory system examination Abdominal system examination History taking skills Cardiovascular system examination Central nervous system examination (10 minutes) (10 minutes) (20 minutes) (10 minutes) (10 minutes) 6. at 20-minute intervals.

6.5 All marks are recorded on a four point grading system and are detailed on the MRCP(UK) Part 2 Clinical Examination (PACES) marksheets. eye examination (20 minutes) The MRCP(UK) Part 2 Clinical Examination (PACES) lasts a total of 120 minutes (including breaks).9.Regulations 6. or “Deferral” (see Section 8 Glossary of terms).10. These are: • • • • Clear fail Fail Pass Clear pass. endocrine. “Fail”. clear pass=4). 6. A candidate will automatically fail the MRCP(UK) Part 2 Clinical Examination (PACES) if they are awarded three ‘clear fail’ grades (by three separate examiners) regardless of the overall total achieved. The nominal pass mark for the MRCP(UK) Part 2 Clinical Examination (PACES) is 42.Skin.1 Success or failure in the MRCP(UK) Clinical Examination (PACES) is confirmed ultimately by the MRCP(UK) Clinical Examining Board.6 The MRCP(UK) Part 2 Clinical Examination (PACES) is marked out of a total of 56 marks (being the maximum available from the fourteen mark-sheets).Station 4 . 6. pass=3. Grade descriptors are provided to both examiners and candidates in order to make the process of assessment transparent.9. These grades are converted to a numeric value of 1-4 (clear fail=1. The Board will decide whether a candidate should be awarded a “Pass”. The overall marks awarded on all fourteen marksheets will determine the candidate’s total overall MRCP(UK) Part 2 Clinical Examination (PACES) score.9.4 Fourteen marksheets in total will be completed by the examiners: One by each examiner at Stations 2. locomotor.Communication skills and ethics (20 minutes) Station 5 . Two by each examiner at Stations 1 and 3 (total 8). fail=2. 4 and 5 (total 6).10 MRCP(UK) Part 2 Clinical Examination (PACES) . 6. 23 .

11. Reporting will normally take place only for consistently poor performance in repeated Clinical Examinations but.1 All doctors practising in the UK. where there are genuine concerns that a doctor’s fitness to practise is called into question by facts coming to light during the course of the MRCP(UK) Part 2 Clinical Examination (PACES).4 Aggressive or inconsiderate behaviour.6.10. in exceptional circumstances. employer.2 The candidate concerned will be informed by letter whether their performance in the MRCP(UK) Part 2 Clinical Examination (PACES) constitutes poor performance that warrants referral to a sponsor. 6. it 24 . The Royal Colleges of Physicians acknowledge that some good doctors may perform badly and aberrantly under examination conditions. In exceptional circumstances. including examiners and the Officers of the Royal Colleges of Physicians. to a patient will result invariably in failure.2 The MRCP(UK) Clinical Examining Board may adjust the pass mark for all candidates in a particular cohort. or professional body as outlined above.3 Success in the MRCP(UK) Examination overall is subject to the candidate passing all components of the MRCP(UK) Examination as stipulated in the MRCP(UK) Regulations. The MRCP(UK) Clinical Examining Board would need to be satisfied that the standards of the MRCP(UK) would not be compromised by taking such action. 6. the Royal Colleges of Physicians are duty bound to inform those to whom the candidate is contractually or professionally responsible. where no such person can be identified.11 Poor performance in the MRCP(UK) Part 2 Clinical Examination (PACES) 6. there may have to be direct communication with the UK General Medical Council or similar professional body. are governed by the principles outlined by the UK General Medical Council in the publication Duties of a Doctor. either physical or verbal.10.11. 6. 6. and completing the necessary administrative arrangements for conferring the MRCP(UK) Diploma which grants Membership of the Royal Colleges of Physicians of the UK.10. However.

the MRCP(UK) Clinical Examining Board will review the whole Examination.12.4 After every Examination.3 Before the candidate may re-enter any part of the MRCP(UK) Examination. 6. it has before it statistical analyses of each candidate’s performance. 6.3 The MRCP(UK) Clinical Examining Board is responsible for confirming the pass mark and success or failure in the Examination. 6. employer or professional body confirming that remedial action has been taken.12. The Chairman of the MRCP(UK) Clinical Examining Board will also be available to consider any representations that the candidate may wish to submit. To do so. the MRCP(UK) Part 2 Clinical Examination (PACES). In the light of these analyses and 25 . 6. and the organisation of.12. 6. together with the comments of the examiners.11. (or any Examination run under the auspices of any of the three Royal Colleges of Physicians of the UK) written evidence must be received from the sponsor.4 It will be for the Chairman of the MRCP(UK) Clinical Examining Board to confirm whether the evidence presented is satisfactory to warrant re-entry to the MRCP(UK) Examination.12.12 Review of the MRCP(UK) Part 2 Clinical Examination (PACES) by the MRCP(UK) Clinical Examining Board 6. 6. Results are released only when the MRCP(UK) Clinical Examining Board is satisfied that the MRCP(UK) Part 2 Clinical Examination (PACES) has been conducted appropriately and in accordance with the procedures of the Royal Colleges of Physicians.may take place as a result of poor performance in a single Examination.2 The MRCP(UK) Clinical Examining Board will consider reports from Senior Examiners (and others as necessary) on the delivery of the MRCP(UK) Part 2 Clinical Examination (PACES) at centres within and outside the UK.11.1 The MRCP(UK) Clinical Examining Board has overall responsibility for policy and procedures relating to.

A candidate may not communicate any question or part of a question to any other person.opinions. To do so would be a serious breach of Copyright. 6. All MRCP(UK) Examination questions are confidential and are copyrighted by the Royal Colleges of Physicians.13 Confidentiality and Copyright Statement Question papers or any part of them or any individual questions must not be copied or removed from the examination room. the MRCP(UK) Clinical Examining Board may: (a) Agree that the pass mark should be changed from 42: (b) Make modifications to the structure and format of the MRCP(UK) Part 2 Clinical Examination (PACES) that it deems desirable to ensure the validity of the Examination. 26 .

E XAMINATION P ROCEDURES 7. 7. These will be issued on request.3 Full details of the Academic and Professional Misconduct Procedure and the Appeals Procedure are held by MRCP(UK) Central Office. 27 . (ii) MRCP(UK) Examination: Academic and Professional Misconduct. (iii) MRCP(UK) Examination: MRCP(UK) Appeals Procedure and guidance for candidates submitting an Appeal.7.2 The following Procedures have been approved: (i) MRCP(UK) Examination: Conduct of Candidates (This is set out in full in Section 9). 7.1 MRCP(UK) Examination Procedures have been produced to regulate specific MRCP(UK) policies and activities. These Procedures form an integral part of the MRCP(UK) Examination Regulations.

An extension to the MRCP(UK) Part 2 Clinical Examination (PACES) Registration Period of Eligibility may also be added at the discretion of the MRCP(UK) Clinical Examining Board. 28 . with the administrative processes) may make a general complaint.8. The MRCP(UK) Part 2 Clinical Examination (PACES) may be failed in the following ways: (i) The candidate may not achieve the pass mark. A candidate allowed deferral will have their attempt expunged and may repeat the relevant MRCP(UK) Examination without losing an attempt. Note: The candidate may not achieve the pass mark but is permitted a further attempt in accordance with the Regulations governing the MRCP(UK) Part 2 Clinical Examination (PACES). (ii) A candidate will automatically fail the MRCP(UK) Part 2 Clinical Examination (PACES) if they are awarded three ‘clear fail’ grades (by three separate examiners) regardless of the overall total achieved. G LOSSARY OF TERMS This glossary aims to define some of the terms used in the Regulations. Appeals A candidate may appeal against an assessment decision. though the glossary does not itself have the status of a Regulation. A candidate who is dissatisfied with other aspects of assessment (for example. Deferral Deferral is a decision made by the relevant MRCP(UK) Examining Board on grounds of mitigating circumstances (see below). A candidate may not appeal until the Examination result has been communicated to them formally. The grounds for appeal are stated in the MRCP(UK) Appeals Procedure (Schedule 3). but this will not meet the criteria for appeal. Fail in the MRCP(UK) A candidate not achieving the pass mark in the MRCP(UK) Part 1 Examination or the MRCP(UK) Part 2 Written Examination will be deemed to have failed the Examination.

Mitigating circumstances Mitigating circumstances are circumstances outside a candidate’s control. will be deemed to have failed the MRCP(UK) Part 2 Clinical Examination (PACES) and will be required to sit again either the MRCP(UK) Part 1 Examination or the MRCP(UK) Part 2 Written Examination. Candidates are advised to read Section 9: Conduct of candidates. 29 . Misconduct Academic or professional misconduct is an attempt by a candidate. MRCP(UK) Part 2 Examination Registration Period The MRCP(UK) Part 2 Examination Registration Period means that a candidate has commenced a seven year period when they are eligible to take the MRCP(UK) Part 2 Written Examination. The MRCP(UK) Part 2 Registration Period begins when success in the MRCP(UK) Part 1 Examination has been confirmed. or the period itself has expired. (iv) A candidate may fail the MRCP(UK) Part 2 Clinical Examination (PACES) at their first or second attempt and be deemed by the MRCP(UK) Clinical Examining Board to require more clinical experience before re-attempting the MRCP(UK) Part 2 Clinical Examination (PACES). The maximum period of the MRCP(UK) Part 2 Registration Period is seven years. These will be referred to as the Main Assessment Points. or an attempt to aid a candidate.(iii) A candidate who has failed the MRCP(UK) Part 2 Clinical Examination (PACES) after three attempts during the MRCP(UK) Part 2 Clinical Examination (PACES) Period of Eligibility. where the candidate has provided documentary evidence. Main Assessment Point The MRCP(UK) Part 2 Clinical Examination (PACES) will normally take place during three two week periods within any given year. and which the relevant Examining Board has accepted as a valid reason for poor performance or non-completion of that part of the Examination. to gain an unfair advantage in an assessment or in application for the MRCP(UK) by deception or by fraudulent means.

Unless there are mitigating circumstances. will be valid for a period of no more than two years. allowing progress to the MRCP(UK) Part 2 Clinical Examination (PACES). No-show for the MRCP(UK) Part 2 Clinical Examination (PACES) The demand for the MRCP(UK) Part 2 Clinical Examination (PACES) is very high and. However.7). Pass A pass is awarded when a candidate has successfully completed a component of the MRCP(UK) Examination.Pass A Pass in The MRCP(UK) Part 2 Written Examination. The MRCP(UK) Part 2 Clinical Examination (PACES) Registration Period of Eligibility begins when success at the MRCP(UK) Part 2 Written Examination has been achieved. some candidates may be unable to take the MRCP(UK) Part 2 Clinical Examination (PACES) even if they apply before the closing date. MRCP(UK) Part 2 Clinical Examination (PACES) Registration Period of Eligibility The MRCP(UK) Part 2 Clinical Examination (PACES) Registration Period of Eligibility forms part of the MRCP(UK) Part 2 Examination Registration Period and means that a candidate has commenced the period when they are eligible to take the MRCP(UK) Part 2 Clinical Examination (PACES). candidates may not proceed to take the MRCP(UK) Part 2 Clinical Examination (PACES) until a minimum period of training of two and a half years from the date of graduation given on their diploma of medical qualification has been completed. as a consequence.6 and 19.MRCP(UK) Part 2 Written Examination . The three components are: MRCP(UK) Part 1 Examination MRCP(UK) Part 2 Written Examination MRCP(UK) Part 2 Clinical Examination (PACES) 30 . The maximum length of the MRCP(UK) Part 2 Clinical Examination (PACES) Registration Period of Eligibility is two years. the MRCP(UK) Policy Committee has agreed that candidates who fail to notify the Colleges within three weeks of the published date (the first day) of the UK PACES will be classed as a ‘Noshow’ and will use up one of their three attempts (see Sections 19.

This would normally be a passport.1.2.1 Candidates presenting themselves for the MRCP(UK) Examination must have complied fully with all admission requirements.3 9. Candidates will not be admitted unless they produce suitable identification in addition to the Admission Document. some other form of identification may be acceptable. pagers. Candidates must not bring into the examination hall any papers.1. including the payment of fees. personal stereos or electronic wrist watches or any 9. including the risk that the relevant Examining Board may permanently debar the candidate from taking any further Examinations.1 Candidates should assemble outside the examination hall at least thirty minutes before the commencement of the Examination and should not enter until instructed by the invigilator(s).1. Admission to the Examination will be at the discretion of the invigilator(s).3 31 . mobile phones.2 9. Where candidates do not possess one.1. pagers (or any electronic audio or communication device). 9.2.9 . mobile phones. The use of calculators. MRCP(UK) E XAMINATION : C ONDUCT CANDIDATES OF 9.2 9. Candidates are warned that any breach of MRCP(UK) Examination Rules and Regulations will result in severe penalties. bags.4 9. The MRCP(UK) Examination Rules set out below apply to all parts of the MRCP(UK) Examination. Any infringement of these Regulations may be reported to the Head of the MRCP(UK) Central Office for consideration in accordance with the MRCP(UK) Procedures on Academic or Professional Misconduct. providing that it includes both the photograph and signature of the candidate concerned.2.2 Before the MRCP(UK) Part 1 and Part 2 Written Examinations 9. calculators.1 Examination Procedure: Preliminary information 9. textbooks or documents or items of any kind other than those specifically allowed for that particular Examination and previously notified to them.

2.2.2. Smoking is not permitted in any part of the MRCP(UK) Examination. of sight and/or hearing.5 9.3. this should be handed to the invigilator(s) before the Examination commences or at the earliest possible opportunity thereafter. 9. other than exceptionally with the express permission of the invigilator(s). Candidates must not commence reading or completing the Examination questions until the start of the Examination is announced by the invigilator(s). Candidates will comply with all instructions given to them by invigilator(s). bags or other item(s) brought into the examination hall should be deposited as directed by the invigilator(s).1 Candidates will not be admitted to either Paper of the Examination if they arrive after the Examination has started.6 9. Such instructions may include the instruction to leave 9. candidates may bring into the examination hall aids which will enable them to remedy a disability e.8 9.2.4 32 . Any rough work must be completed on the approved stationery and handed in with the completed papers. Candidates who infringe the Examination Rules or who are found during the Examination in possession of unauthorised devices will be reported to the Head of the MRCP(UK) Central Office. 9.g. Electronic items must be deactivated and placed away from the candidate’s desk. With prior approval.4 Where Examination halls do not have secure areas to store personal items.7 9.2.3. If a candidate has unwittingly brought any unauthorised paper or item into the examination hall.3. coats.other such device that is either audible or can be used for communication is strictly forbidden.2 9. Candidates may use only the stationery approved by the Royal Colleges of Physicians.3 9.3.3 During the MRCP(UK) Part 1 or Part 2 Written Examinations 9.

33 . 9. invigilators should endorse the script of each candidate suspected of being involved.6 Where an invigilator suspects a candidate/candidates of infringing MRCP(UK) Examination Regulations/examination hall rules he/she shall: (a) Confiscate any unauthorised material in the possession of the candidate. Candidates who infringe the Examination Rules or who are found during the Examination in possession of unauthorised material will be reported to the Head of the MRCP(UK) Central Office. (d) Inform the candidate(s) in question at the end of the Examination that a written report of the incident will be submitted to the Head of the MRCP(UK) Central Office. (b) Endorse the front cover of the candidate’s script with a note of the time when the alleged infringement was discovered. (c) Allow the candidate(s) in question to continue the Examination (see Note below).3.the examination hall and not to return during the period of the Examination. It is the duty of a candidate to comply with an invigilator’s instruction notwithstanding that they may judge the instruction to be unreasonable (there is the right of appeal if a candidate considers the invigilator has not acted in accordance with these Regulations). Any unauthorised material will be confiscated.3. 9. Candidates who fail to follow the invigilator’s instructions will be reported to the Head of the MRCP(UK) Central Office. In cases of suspected collusion.5 Whilst in the examination hall a candidate must not attempt to read the work of any other candidate or communicate in any way with any other candidate without the express permission of the invigilator. Wherever possible an invigilator should require another invigilator to act as witness by countersigning the endorsement.

These who attempt to do so will be deemed to have breached the Examination Regulations and will be reported to the Head of the MRCP(UK) Central Office. Candidates may not leave the examination hall as a result of finishing the Examination Paper early.(e) Prepare within three working days a written report on the alleged incident and send it with any confiscated materials to the MRCP(UK) Central Office. Ejection from the examination hall should normally take place only in the event of a candidate’s conduct causing disruption to other candidates (see also Section 9.2).11 Candidates must not leave the examination hall temporarily. Where necessary they should communicate the same in writing to Head of the MRCP(UK) Central Office immediately following the Examination concerned. 9.3.9 9.12 Candidates may not temporarily leave the examination hall during the first hour of either Paper or in the ten minutes before the scheduled end of each Paper. If such permission is given.10 Once admitted to each part of the Examination. 9.8 9. during the Examination. unless given the express permission by the invigilator(s) to do so.4.3.g. They should report to the invigilator(s) on returning to the examination hall. distracting noise) that is adversely affecting them during the Examination. they must not attempt to contact any other person or consult any material relating to the Examination whilst outside the examination hall.3. Any candidate attempting to leave the 34 .3. Failure to report on returning will be reported to the Head of the MRCP(UK) Central Office. candidates must stay for the full duration of each Paper. for example to use the toilet.3. 9. Candidates who wish to attract the attention of the invigilator(s) during the Examination should do so by raising a hand.7 Any invigilator or examiner present is empowered to refuse to allow a candidate to continue with the Examination on grounds of misconduct. Candidates should bring to the attention of the invigilator any factor (e. 9.3.

4.1 Where an examiner considers a candidate is acting in an unprofessional or inappropriate manner during the MRCP(UK) Part 2 Clinical Examination (PACES) they shall: (a) Ask the candidate to stop that particular part of the MRCP(UK) Part 2 Clinical Examination (PACES).4. The matter will be reported to the Head of the MRCP(UK) Central Office. (e) Prepare within three working days a written report on the alleged incident and send it with any confiscated materials to the MRCP(UK) Central Office. 9.examination hall during these periods will be deemed to have breached the Examination Regulations.2 A candidate will be prevented from proceeding with the MRCP(UK) Part 2 Clinical Examination (PACES) if it is the examiners’ view that his/her conduct is likely to endanger the safety of patients.2 below). will be deemed to have breached the Examination Regulations.13 Candidates who leave the examination hall during the period of the Examination. The matter will be reported to the Head of the MRCP(UK) Central Office. that a written report of the incident will be submitted to the Head of the MRCP(UK) Central Office. 35 . (b) Endorse the candidate’s clinical mark sheet with a note of the time when the alleged infringement occurred and request their co-examiner to act as witness by countersigning the endorsement. without the express permission of the invigilator.4 During the MRCP(UK) Part 2 Clinical Examination (PACES) 9. (c) Decide whether the candidate in question may continue with the MRCP(UK) Part 2 Clinical Examination (PACES) (see 9.3. 9. (d) Inform the candidate in question at the end of the MRCP(UK) Part 2 Clinical Examination (PACES). cause distress or disrupt other candidates. 9.4.

Candidates should not remove from the examination hall any papers or examination materials.5. Candidates who fail to follow the invigilator’s instructions will be reported to the Head of the MRCP(UK) Central Office.2 9. empty answer books.9.5 After the MRCP(UK) Part 1 or Part 2 Written Examinations 9. When authorised to do so by the invigilator(s). candidates should leave the examination hall in an orderly manner.1 Candidates should stop writing when instructed to do so and remain in their seats in silence whilst papers. 9. continuation sheets or other papers are collected.5.5.3 36 .

10. I NFORMATION
10.1

FOR

PAEDIATRIC

CANDIDATES

Transfer of the MRCP(UK) Part 1 Examination (Paediatric option) to the Royal College of Paediatrics and Child Health (RCPCH) Since May 1999 (the 1999/2 Examination), the Federation of Royal Colleges of Physicians has no longer offered the MRCP(UK) Part 1 Examination (Paediatric option). In its place, the Royal College of Paediatrics and Child Health now offers the MRCPCH Part 1 Examination. All candidates wishing to pursue this qualification must address their applications and queries to: The Examinations Administrator Royal College of Paediatrics and Child Health 50 Hallam Street London WIW 6DE Tel: +44 207 307 5600 Fax: +44 207 307 5601

10.1.1

10.2

Joint MRCP(UK) Part 2 Examination (Paediatrics)/MRCPCH Part 2 Examination

10.2.1 Detailed information for candidates on the joint MRCP(UK) Part 2 Examination (Paediatrics)/MRCPCH Part 2 Examination is published separately and may be obtained from either: MRCP(UK) Central Office 11 St Andrews Place London NW1 4LE Tel: +44 207 935 1174 Fax: +44 207 487 2628 http://www.mrcpuk.org The Examinations Administrator Royal College of Paediatrics and Child Health 50 Hallam Street London WIW 6DE Tel: +44 207 307 5600 Fax: +44 207 307 5601

37

10.2.2 Until the 2003/3 diet a joint MRCP(UK) Part 2 Examination (Paediatrics)/MRCPCH Part 2 Examination is offered. However, not all paediatric candidates are eligible for the choice of award. Candidates who passed the MRCPCH Part 1 Examination in May 1999 (the 1999/2 Examination) or in subsequent diets cannot enter the MRCP(UK) Part 2 Examination. 10.2.3 Table 1 sets out the various award options that candidates are now eligible to receive. 10.2.4 Candidates are asked to note that the time available to sit the MRCP(UK) Part 2 Examination (Paediatrics) will reduce progressively, ceasing to be available after the end of 2003, due to the transfer of responsibility for the Examination to the Royal College of Paediatrics and Child Health.

38

Table 1: Entry to the MRCP(UK) Part 2 Examination, MRCP(UK) Part 2 Examination (Paediatrics) and MRCPCH Part 2 Examination Examination passed MRCP(UK) Part 1 Examination (General Medicine or Paediatric option) MRCP(UK) Part 1 Examination (General Medicine or Paediatric option) MRCP(UK) Part 1 Examination Diet 1999/1 or earlier Eligibility MRCP(UK) MRCPCH Entry to Part 2 The MRCP(UK) Part 2 Examination (Paediatrics) can be sat until 2003/3 MRCP(UK) Part 2 Examination (General Medicine)

1999/1 or earlier

MRCP(UK)

1999/2 onwards

MRCP(UK)

MRCP(UK) Part 2 Examination (General Medicine) MRCPCH Part 2 Examination (RCPCH grants exemption from the MRCPCH Part 1 Examination) No exemption granted by RCPs MRCPCH Part 2 Examination MRCPCH Part 2 Examination No exemption granted by RCPs

MRCP(UK) Part 1 Examination

1999/2 onwards

MRCPCH

MRCPCH Part 1 Examination MRCPCH Part 1 Examination MRCPI Part 1 Examination MRCPI Part 1 Examination

1999/2 onwards

Not eligible for MRCP(UK) MRCPCH

1999/2 onwards

1995 onwards

MRCPCH

Anytime

Not eligible for MRCP(UK)

39

In each box there are two rectangles labelled T (= True) and F (= False). The answer sheet for the MRCP(UK) Part 1 – Paper One in January 2003 will contain a row of boxes for each question. You should indicate whether you think a particular item is ‘True’ or ‘False’ by pencilling in the appropriate rectangle. MRCP(UK) PART 1 EXAMINATION AND PART 2 WRITTEN EXAMINATION – HOW TO COMPLETE THE ANSWER SHEETS 11. Answers in ink or a different grade of pencil cannot be read by the optical mark reader.e. 1C etc. otherwise answer sheets may be rejected by the machine or your intention misinterpreted.1 The new format MRCP(UK) Part 1 and Part 2 Written Examinations were introduced in May 2002 and July 2002 respectively. candidates must comply fully with the instructions given on each answer sheet. The output from the OMR is processed by computer and marks are allocated according to the candidate’s responses. you should guess or leave it blank (there is no negative marking). Both Examinations are marked by machine-reader.4 11.11.2 11. Candidates indicate their answers to the questions by completing answer sheets. 1A. 11. You should use only the pencil (Grade 2B) supplied in the Examination.).5 11. Each box refers to a single item and is numbered accordingly (i. scores are calculated and statistical data are derived relating to individual questions: this information is produced in printed form for the MRCP(UK) Part 1 and Part 2 Examining Boards.3 11. As the completed answer sheets are computer marked.6 40 . complete your examination number using the appropriate rectangles.write your family name and initials in the boxes provided. which are machine-read by an optical mark reader (OMR). First of all identify yourself . Next. 1B. If you do not know the answer.

You should indicate the correct answer(s).11.9 11.8 11.7 The answer sheet for the MRCP(UK) Part 1 Paper 2 Examination in January 2003 will contain a row of five rectangles for each question.10 11. as additional time will not be allowed. The answer sheets for the MRCP(UK) Part 2 Written Examination will contain a row of rectangles for each question. To avoid too many erasures on the answer sheet. before transferring them to the answer sheet.11 11. You should indicate the single correct answer. in accordance with the instructions given on the Examination Papers. You should indicate the single correct answer.12 41 . Full advice is given on the MRCP(UK) web site. It is important that you fully understand how to complete the answer sheet before you sit the Examination. in accordance with the instructions given on the Examination Paper. Do not fold or crease your answer sheet. Remember to allow sufficient time to do so. The answer sheets for the MRCP(UK) Part 1 Examination for May and September 2003 (both Papers) will contain a row of five rectangles for each question. in accordance with the instructions given on the Examination Papers. 11. you may if you wish indicate your choices in the question book in the first instance. You may erase an answer by using the rubber provided.

but will also test powers of judgement and discrimination. The only certain way you will pass the Examination is for you to know the answers to all the questions. However. Careful thought and the intelligent use of a sound knowledge of basic principles will often be more rewarding. The former method has the advantage of “getting marks in the bank” and avoids the possibility that questions may remain unattempted at the end of the Examination. each refers to a single quantum of knowledge. It has sometimes been suggested that you should begin by going quickly through the whole paper. A DVICE QUESTIONS 12. therefore. This method also allows more time to think about items left unanswered the first time round. some candidates suffer from an inability to obey these instructions precisely. as well as the ability to reason.CHOICE (MCQ S ) IN THE MRCP(UK) Multiple choice questions are the most reliable. reproducible and internally consistent method known of testing a knowledge of facts.12. good MCQs will not only test recall of factual knowledge. It should be remembered that each item is independent of every other item in the question.2 12.4 42 .3 12. The other alternative is for you to work steadily through the paper. This should pose no problems.1 ON ANSWERING MULTIPLE . but it is also important that you are able to communicate your knowledge accurately through the medium of the answer sheet. The main disadvantage is that it requires considerable concentration and mental agility to consider so many different topics in rapid succession. than plain memory work. marking the answers to the items about which you are “certain”. to read and understand the questions. You must study the question (both stem and items) carefully and be clear that you understand exactly what is being asked. provided that you understand the form of the questions and follow certain specific and simple instructions. completing each question before going on to the next. Nevertheless. or to organise their time. 12.

The method adopted by you will depend on your personality and familiarity with MCQs. At the same time you can check that you have filled in your responses correctly. but it is worth noting that the majority of candidates have no difficulty in completing the Examination within the allotted time. third or fourth perusal. However. 12. paying particular attention to questions you have found difficult.7 43 .6 12. repeated review of your answers may in the end be counter-productive. even if you have not completed the transfer of your answers to the answer sheet. try to leave some time to go over your answers again before the end. In this situation. Answers that you were originally confident were “absolutely correct” often look rather less convincing at a second.5 It should be remembered that you must stop writing as soon as the invigilator announces the end of the Examination. first thoughts are usually best. Whichever method you adopt. Only answers transferred to your mark-sheet will count towards your score.12.

locomotor. there are three Main Assessment Points in the year when the MRCP(UK) Part 2 Clinical Examination (PACES) is scheduled to run (February/March.2 13. One sheet is given to each examiner at Stations 2.13. No examiner will have any knowledge of the marks given elsewhere in the Examination.1 The MRCP(UK) Part 2 Clinical Examination (PACES) is now separate from the MRCP(UK) Part 2 Written Examination.3 The MRCP(UK) Part 2 Clinical Examination (PACES) lasts a total of 120 minutes (including breaks). The examiners are required to record their mark for each candidate on the marksheet independently and without consultation. each assessed by two independent examiners. MRCP(UK) PART 2 CLINICAL EXAMINATION (PACES) 13. However. 13. The candidate will have completed their personal details immediately prior to the examination and will then hand the appropriate sheets to the examiners at each station. at 20-minute intervals. June/July and October/November) and it is anticipated that most candidates will be examined at these times. Candidates will start at any one of the five Stations. 44 . until the cycle has been completed. 4 and 5 and two sheets are given to each examiner at Stations 1 and 3. eye examination (20 minutes) 13. An annual timetable is published detailing when the MRCP(UK) Part 2 Clinical Examination (PACES) will be conducted. and then move round the carousel of Stations. The Stations are: Station 1 Station 2 Station 3 Station 4 Station 5 Respiratory system examination (10 minutes) Abdominal system examination (10 minutes) History taking skills (20 minutes) Cardiovascular system examination (10 minutes) Central nervous system examination (10 minutes) Communication skills and ethics (20 minutes) Skin. The MRCP(UK) Part 2 Clinical Examination (PACES) is composed of five Stations. endocrine.4 A candidate will receive 14 structured mark-sheets prior to the start of the MRCP(UK) Part 2 Clinical Examination (PACES).

One examiner will take the candidate into the Station and give the candidate written instructions for the first of the two cases. The candidate will leave the station and be directed to the next Station. 13. Examiners will inform the candidate when five minutes have passed at each sub-station and suggest that the candidate complete the clinical assessment of the case.13. The examiners and candidate must then stop. The response will involve the examination of the appropriate system and questions from the examiners that may include management of the clinical problem. a bell will sound to signal the end of the Examination at the Station. the timekeeper will sound a bell to announce the commencement of the Station.8 13. The candidate will respond to the written instructions. The same procedure as outlined above will be adopted for the other three cases at Station 5. A period of five minutes has been allowed for this changeover and for the examiners to complete the mark-sheets.5 At Stations 1 and 3 (each having two sub-stations lasting 10 minutes each) the timekeeper will sound a bell to announce the commencement of the assessment at the Station.9 45 . Each of the four cases will last approximately five minutes. which lasts 20 minutes. After a second period of ten minutes. The response will usually involve the examination of the appropriate system and may include questions that arise from the examination. At Station 5. One examiner will take the candidate into the Station and give the candidate written instructions for the first case.7 13. The candidate will then receive written instructions from the second examiner for the second case and examination at the second substation will commence and follow the same procedure as the first sub-station. The candidate will respond to the written instructions. The examiners and the candidate must then stop.6 13. After ten minutes the timekeeper will signal the end of the substation. The examiners may also ask questions about the investigation and management of the clinical problem.

and will then be invited to summarise and discuss important features of the history (Station 2) or interaction with the patient/subject (Station 4). Two by each examiner at Stations 1 and 3 (total 8). The candidate will leave the Station and be directed to the next Station.11 13. A period of five minutes has been allowed for this changeover and for the examiners to complete the mark-sheets. At Stations 2 and 4. each lasting 20 minutes. If a candidate completes the examination at any Station before the end of the prescribed period.10 After twenty minutes a bell will sound to signal the end of the Examination at Station 5. One examiner will take the candidate into the station. The interview will involve interaction between the candidate and the patient/subject appropriate to the Station. or further notes.14 13. The candidate will be given one minute for reflection. this could mean a period of silence. Rough paper will be provided for note-taking (these notes will not form part of the examination and will be destroyed afterwards). the candidate will be given a GP letter/scenario to read outside the Station in the period (approximately five minutes) prior to commencement of the Station.15 46 . The timekeeper will indicate when 14 minutes have elapsed. The timekeeper will sound a bell to announce the commencement of the Station. The marks awarded on all fourteen marksheets will determine the candidate’s overall MRCP(UK) Part 2 Clinical Examination (PACES) score.13 13. 13. The examiners and candidate must then stop. he/she must remain at the Station. The patient/subject will then leave the Station. Fourteen marksheets in total will be completed by the examiners: One by each examiner at Stations 2.12 13. 4 and 5 (total 6).13.

16 All marks are recorded on a four point grading system and are detailed on the MRCP(UK) Part 2 Clinical Examination (PACES) marksheet. Grade descriptors will be provided to both examiners and candidates in order to make the process of assessment transparent.13. pass=3. fail=2. A candidate will not pass the MRCP(UK) Part 2 Clinical Examination (PACES) if they are awarded three ‘clear fail’ grades (by three separate examiners) regardless of the overall total achieved. clear pass=4).17 The MRCP(UK) Part 2 Clinical Examination (PACES) is marked out of a total of 56 marks (being the maximum available from the fourteen mark-sheets). The nominal pass mark for the MRCP(UK) Part 2 Clinical Examination (PACES) is 42. 13. 47 . These are: • • • • Clear fail Fail Pass Clear pass These grades will be converted to a numeric value of 1-4 (clear fail=1.

3 14. from 2001 the MRCP(UK) Part 2 Clinical Examination (PACES) Period of Eligibility will start as set out below: Pass in MRCP(UK) Part 2 Written Examination January 2001 May 2001 July 2001 November 2001 March 2002 July 2002 November 2002 April 2003 August 2003 December 2003 PACES Period of Eligibility 1 June 2001-31 May 2003 1 October 2001-30 Sept 2003 1 October 2001-30 Sept 2003 1 March 2002-28 Feb 2004 1 June 2002-31 May 2004 1 October 2002-30 Sept 2004 1 March 2003-28 Feb 2005 1 June 2003-31 May 2005 1 October 2003-30 September 2005 1 March 2004-28 February 2006 14. Candidates need to pass the MRCP(UK) Part 1 Examination or meet the requirements for exemption as in Section 5. The MRCP(UK) Part 2 Clinical Examination (PACES) Period of Eligibility will commence for each candidate when they have passed the MRCP(UK) Part 2 Written Examination regardless of whether they have completed the two-and-a-half years training period.5 48 .2 14. Candidates need to pass the MRCP(UK) Part 2 Written Examination and complete the minimum period of training of two and a half years before they can sit the MRCP(UK) Part 2 Clinical Examination (PACES). P ROGRESS EXAMINATION 14. Candidates need to meet the 18 month training requirement in full before they can sit the MRCP(UK) Part 1 Examination.4 14.14.1 THROUGH THE MRCP(UK) The entry requirements for each stage of the MRCP(UK) Examination are set out in Section 5.1 of the MRCP(UK) Regulations. Hence.2 of the MRCP(UK) Regulations before taking the MRCP(UK) Part 2 Written Examination.

In order to make full use of the MRCP(UK) Part 2 Clinical Examination (PACES) Period of Eligibility candidates may well need to consider taking the MRCP(UK) Part 2 Written at a time when they are nearing the completion of the minimum period of training of two-and-a-half years. they should contact the MRCP(UK) Central Office and provide documentary evidence to this effect. If a candidate considers they have been unreasonably denied the full MRCP(UK) Part 2 Clinical Examination (PACES) Period of Eligibility. In exceptional circumstances it may be agreed to extend the MRCP(UK) Part 2 Clinical Examination (PACES) Period of Eligibility to the next Main Assessment Point if the candidate has been unable to use the full three attempts permitted within that particular MRCP(UK) Part 2 Clinical Examination (PACES) Period of Eligibility.7 49 . 14.14.6 Candidates are advised to note that the MRCP(UK) Part 2 Written Examination is valid for a limited period.

MRCP(UK): PROGRESS TO THE MRCP(UK) DIPLOMA 18 months after graduation MRCP(UK) Part 1 Examination Unlimited Attempts Fail PASS Exemption from MRCP(UK)Part 1 Examination (per Regulations) MRCP(UK) Part 2 Written Examination Unlimited attempts within seven years Unsuccessful after seven years Fail PASS PACES Period of Eligibility: • 21/2 years after graduation • Plus required experience • Allows three attempts over two years MRCP(UK) Part 2 Clinical Examination (PACES) After two years or three failures Unsuccessful. seven years after pass in MRCP(UK) Part 1 Examination Fail PASS MRCP(UK) Diploma 50 .15.

2 Candidates will be admitted to the Examination in their full name as given on their original medical registration certificates or diplomas of medical qualification or official translations of their diplomas or as in the current edition of the Medical Register of the General Medical Council of the United Kingdom.1. 16.5 Candidates who change their names by marriage or deed poll must submit the original documentary proof of this if they wish to be admitted to the Examination in their new names. ADMISSION TO THE MRCP(UK) EXAMINATION 16. 16.7 Candidates who have a disability which may affect their performance in the Examination are advised to inform the MRCP(UK) Central Office (on the application form) when they apply in order that they may be assisted. 16. order or number of names given. Admission to an Examination will be at the discretion of the invigilator. is the same person as that named on the diploma.1. providing that it includes both the photograph and signature of the candidate concerned. 16.3 Entries will NOT be accepted if there is any discrepancy in the spelling. where possible.2 How to enter the MRCP(UK) Part 1 Examination 16.1.33).1.1. 16. 51 .2. both within and outside the UK (See Sections 30 . some other form of identification may be acceptable. 16. A medical report is required in support of such claims.1. by obtaining a statement from the issuing authority certifying that the candidate.1 Admission to the MRCP(UK) Examination 16.1 The MRCP(UK) Part 1 examination is held in various centres.16. Where candidates do not possess one. in his or her full and correct name.4 It is the candidate’s responsibility to clear up such discrepancies. and candidates must retain the same surname/family name in any further applications. including the use of initials.6 When candidates attend any part of the MRCP(UK) Examination they must produce some means of identification in addition to the admission document. This would normally be a passport.

candidates must submit their original certificate(s) of medical registration or their diploma(s) of medical qualification unless they hold Full Registration with the Medical Register of the General Medical Council of the United Kingdom. together with the Examination Calendar. The issuing University or Medical School 2.7 Applications will not be accepted earlier than one month before the closing date.5 When making their first entry to the Examination.2 Applications for entry must be made on the appropriate forms which. For a full list of addresses see Section 33.2.16.2. 16. 16.2. are available from all three Royal Colleges of Physicians. 16.2. all Examination Centres outside the UK and the Central Office website: http://www.2. Candidates will not be admitted to the Examination before the expiry of 18 months from the date of graduation given on their diploma of medical qualification. A British Consulate or British Council 3.6 Photocopies of certificates and/or official translations will only be accepted if they have been prepared and/or authenticated by one of the following: 1. Candidates holding Limited or Provisional Registration with the General Medical Council of the United Kingdom must submit their original medical registration certificate(s) or their diploma(s) of medical qualification.org.mrcpuk. The candidate’s own Embassy or High Commission in the United Kingdom. 16.4 Enquiries and all applications to sit the Examination outside the UK should be submitted to the Centre concerned and not to the Royal Colleges of Physicians or to the MRCP(UK) Central Office. 52 . 16.2.3 Applications to sit the Examination at any one of the Centres in the United Kingdom may be submitted to any one of the three Colleges.

16. 53 .3. (ii) Fee in Sterling (please check current amount). (ii) Form B. and accompanied by the appropriate fee and any other documents required. 16. 16. (iii) Diploma of Primary Medical Qualification or General Medical Council (UK) Registration Certificate (original or authenticated photocopy only).9 Applicants are advised to submit their applications at least two weeks before the closing date: allowances cannot be made for postal or other delays.2. and late or incomplete applications cannot be accepted.16. the appropriate Centre) before the published closing date.1 For first time entry send: (i) Form A.10 Candidates who fail badly may be recommended to defer re-entry for one Examination.3.2).2 For re-entry send: (i) Form B (as above). (iv) Fee in Sterling (please check current amount). unless they are claiming exemption from the MRCP(UK) Part 1 Examination (See Regulation 5.8 The application form.2. 16. complete in every detail. for candidates intending to take the examination outside the UK.2. 16.2. must reach the applicable Royal College of Physicians of entry (or.3 Application check lists for the MRCP(UK) Part 1 Examination 16.11 Candidates must pass the MRCP(UK) Part 1 Examination before applying to enter MRCP(UK) Part 2 Written Examination. (v) Self-addressed label for return of Diploma or Registration Certificate.

Candidates who reenter the MRCP(UK) Part 1 Examination and pass will have a further seven years in which to pass the MRCP(UK) Part 2 Written Examination.4. are available from all three Royal Colleges of Physicians. If more than seven years have elapsed since passing MRCP(UK) Part 1 Examination or the exempting qualification. the MRCP(UK) Part 1 Examination must be re-taken before the MRCP(UK) Part 2 Written Examination can be attempted. 54 . for those with exemption (see Regulation 5.4 Applications for entry must be made on the appropriate forms which.3.2.4.16.3 Candidates should check carefully that they have enclosed all relevant documentation before sending their applications.4. must submit their primary and postgraduate medical Diploma Certificate .3 Candidates who fail badly may be recommended to defer re-entry for one or more Examinations.5 Candidates who are claiming exemption from MRCP(UK) Part 1 Examination and are making their first attempt at the Examination.4 How to enter the MRCP(UK) Part 2 Written Examination 16.2 The MRCP(UK) Part 2 Written Examination must be completed within seven years of passing the MRCP(UK) Part 1 Examination or. within seven years of the date of the exempting qualification. 16.1 The MRCP(UK) Part 2 Written Examination is held in the UK and at certain overseas centres (see Section 32).4. 16.2) from the MRCP(UK) Part 1 Examination. 16.00 hrs on the closing date will be returned.see Regulation 5.4. together with the Examination Calendar. Allowances cannot be made for postal or other delays. 16.4.6 Applications will not be accepted earlier than one month before the closing date. Candidates wishing to sit the Part 2 Examination outside the UK should apply direct to the appropriate Centre (See Section 33). 16. 16. Applications which are not complete in every detail and/or arrive after 17.

5. complete in every detail.1 For first time entry send: (i) Form C (indicate clearly General Medicine and Royal College of entry).5.4. when applying for exemption from Part 1 send: (i) Form A (for essential data gathering purposes). 16. (ii) Fee in Sterling (please check current amount). Applicants are advised to submit their applications at least two weeks before the closing date: allowances cannot be made for postal or other delays.3 For first time entry. and accompanied by the appropriate fee and any other documents required.5. 55 . (ii) Form C (indicate clearly General Medicine and Royal College of entry). (v) Fee in Sterling (please check current amount).16.5 Application check lists for the MRCP(UK) Part 2 Written Examination 16. (iii) Diploma of Primary Medical Qualification or General Medical Council (UK) Registration Certificate (original or authenticated photocopy only). (ii) Fee in Sterling (please check current amount). (vi) Self-addressed label for return of Diploma or Registration Certificate.7 The application form. (iv) Postgraduate Diploma (original or authenticated photocopy only). must reach the College of entry before the published closing date. 16. and late or incomplete applications cannot be accepted. 16.2 For re-entry send: (i) Form C (indicate clearly General Medicine and Royal College of entry).

6.6. Allowances cannot be made for postal or other delays. Applications which are not complete in every detail and/or arrive after 17. Candidates wishing to sit the MRCP(UK) Part 2 Clinical Examination (PACES) outside the UK should apply direct to the appropriate Centre (See Section 33). together with the Examination Calendar. dependent upon the number of places available.6.4 of the MRCP(UK) Regulations) 16.6. are available from all three Royal Colleges of Physicians.6. 16. 16. 16. first served basis.00 hrs on the closing date will be returned.16. applicants submitting forms near to but not after the closing date may have their applications returned if places are not available: all candidates affected by these circumstances will have their 56 .5 Applications for entry must be made on the appropriate forms which. 16.1 The MRCP(UK) Part 2 Clinical Examination (PACES) is held in the UK and at certain overseas centres (see Section 32).6. 16.6 How to enter the MRCP(UK) Part 2 Clinical Examination (PACES) 16. This Period of Eligibility will commence after candidates have been notified of success in the MRCP(UK) Part 2 Written Examination irrespective of whether they have completed a minimum period of training of twoand-a-half years from the date of graduation given on their diploma of medical qualification (see section 5. Consequently.6 Applications will be accepted on a first come.4 Testimonials (Form T) must accompany all MRCP(UK) Part 2 Clinical Examination (PACES) applications.3 Candidates who fail badly may be recommended to defer re-entry for one or more Examinations.4 Candidates should check carefully that they have enclosed all relevant documentation before sending their applications.2 Candidates will be eligible for a period of two years to take the MRCP(UK) Part 2 Clinical Examination (PACES).5.

7. provided that places are available.8 Applications will only be accepted a month prior to the closing date of the MRCP(UK) Part 2 Clinical Examination (PACES). 16. 16.6. and late or incomplete applications cannot be accepted. (vi) Self-addressed label.completion time for MRCP(UK) Part 2 Clinical Examination (PACES) extended. 16.6. (iv) Fee in Sterling (please check current amount) for the MRCP(UK) Part 2 Clinical Examination (PACES).6.9 The application form.7 Only a limited number of candidates can be accommodated by each Royal College of Physicians and applications are accepted in order of receipt.7 Application check lists for the MRCP(UK) Part 2 Clinical Examination (PACES) 16. (v) Fee in Sterling (please check current amount) for the MRCP(UK) Diploma. 16. (ii) Form of Faith. 16. (iii) Form T with signatures from two Consultants in support of your application. complete in every detail. candidates who cannot be accommodated may have their applications transferred to another Royal College.1 For first time entry in the current period of eligibility send: (i) Form P. must reach the College of entry before the published closing date. 57 . and accompanied by the appropriate fee and any other documents required.10 Applicants are advised to submit their applications at least two weeks before the closing date: allowances cannot be made for postal or other delays.6. When one Royal College list is full.

(iii) Form T with a signature from one Consultant in support of your application. 16. Applications which are not complete in every detail and/or arrive after 17.7. Allowances cannot be made for postal or other delays.00 hours on the closing date will be returned. (ii) Form of Faith.3 Candidates should check carefully that they have enclosed all relevant documentation before sending their applications. (v) Fee in Sterling (please check current amount) for the MRCP(UK) Diploma. 58 . (iv) Fee in Sterling (please check current amount) for the MRCP(UK) Part 2 Clinical Examination (PACES).2 For re-entry in the period of eligibility send: (i) Form P.7.16.

Candidates sitting the Examination outside the UK 17.3 17.4 Candidates are required to submit the Form of Faith and MRCP(UK) Diploma fee before the closing date for the MRCP(UK) Part 2 Clinical Examination (PACES) in order to have the award of the MRCP(UK) Diploma processed. method of payment and Examination dates may be obtained from the addresses given in Section 33.1 AND MRCP(UK) No candidate will be permitted to take any part of the Examination unless all the fees are paid in full.17. MRCP(UK) EXAMINATION DIPLOMA FEES 17.5 Details of fees.2 The fees payable on entry to the MRCP(UK) Part 1 Examination. which are subject to annual revision. 59 . Candidates sitting the Examination in the UK 17. Cheques should be sent to the Royal College of Physicians of entry and made payable to: ‘The Royal College of Physicians’ 17. Part 2 Written Examination and the MRCP(UK) Part 2 Clinical Examination (PACES) are published annually.

1. or alternative location. no guarantee can be made of a later place at the same examination centre. 60 .3 Due to the restricted number of clinical places.3 For full details of the Rules governing attendance at the Examination please refer to MRCP(UK) Examination: Conduct of candidates (Section 9). 18. ATTENDING 18.2 Arrival once the Examination has started constitutes absence from the Examination and therefore counts as an attempt.2.2.2 Attending the MRCP(UK) Part 2 Clinical Examination (PACES) 18.1. for a candidate arriving late. 18.2. we cannot guarantee that you will be permitted to enter the examination hall after the start of the Examination. 18. for security reasons.2 Question papers are individually numbered (with Examination Numbers) in the top right hand corner.1. 18.1 You are advised to allow for any transport delays when planning your time of arrival at the examination hall as you will not be permitted to enter the Examination once it has started. 18.4 For full details of the Rules governing attendance at the Examination please refer to MRCP(UK) Examination: Conduct of candidates (Section 9). You must sit at the desk where the question paper is marked with your Examination Number.1 THE MRCP(UK) E XAMINATION Attending the MRCP(UK) Part 1 and Part 2 Written Examinations You are advised to allow for any transport delays when planning your time of arrival at the examination hall as.18. 18.2.1 18.

The dates of the three week deadline in 2003 are: – Thursday 6 February 2003 for the 2003/1 diet.6 above) will forfeit their fee but not an attempt.7 61 . Candidates who withdraw after the published closing date and no later than three weeks before the first published date of the UK Examination (see 19.5 19.4 19. Refunds will not be made where candidates withdraw after the closing date. – Thursday 25 September 2003 for the 2003/3 diet.6 19.3 19.2 19. 19. Candidates for the MRCP(UK) Part 2 Clinical Examination who withdraw at any point within three weeks of the published date of the UK Examination will forfeit both their fee and their attempt. – Thursday 22 May 2003 for the 2003/2 diet. W ITHDRAWAL 19. Withdrawal or absence on the day from the MRCP(UK) Part 1 Examination or the MRCP(UK) Part 2 Written Examination will not be counted as an attempt. The Examination fee (less an administration charge) will be refunded when notice of withdrawal is received before the published UK closing date.19. Fees cannot be transferred to the next Examination. if received.1 FROM THE E XAMINATION Notice of withdrawal from any part of the Examination must be given in writing to the Royal College of entry (or Centre outside the UK) and be accompanied by the Admission Document.

holders of the diplomas listed in 5. Photocopies of certificates and/or official translations will only be accepted if they have been prepared and/or authenticated by one of the following: (i) The issuing University or Medical School.2. together with their Postgraduate Diploma unless full details of their qualifications appear in the current (annual) edition of the Medical Register of the General Medical Council of the United Kingdom.3 of the Regulations must submit their original Medical Registration Certificate or their Diploma of Primary Medical Qualification. H OW TO CLAIM EXEMPTION THE MRCP(UK) E XAMINATION 20. Irish Medical Registration Certificates do not give sufficient details of qualifications held and are not therefore acceptable. or (iii) The candidate’s own Embassy or High Commission in the United Kingdom. 20.1 FROM PART OF In order to claim exemption.2 20. or (ii) A British Consulate or British Council.20.2.3 62 .1-5.

5 63 . Requests received at a later stage will not be considered. In cases of claims on the grounds of illness.4 21. If agreement is given to discount the attempt. the candidate’s record will be amended accordingly and part of the fee may be refunded. Decisions about discounting attempts are made by the Officers of the relevant MRCP(UK) Examining Board. Any request for discounting of an attempt must be submitted to the MRCP(UK) Central Office within one month of the date of the Examination.1 OF ATTEMPTS Candidates who are prevented from attending the Examination due to the following circumstances may apply to have that attempt discounted: • • 21. 21. D ISCOUNTING 21.3 21. a medical certificate provided by the consultant responsible for the candidate’s care must be submitted as supporting evidence. illness or bereavement of a near relative.2 involvement in an accident.21.

iii) This facility may be extended to other parts of the MRCP(UK) in 2003.2 22.mrcpuk. nor can they be given over the telephone. ii) Candidates not wishing for their result to be published should inform the Candidate Office of their College of Entry in writing at the earliest opportunity and before they are due to take the examination. 22. Results cannot he collected from the Royal Colleges of Physicians.3 64 . Lists of the names of candidates who are successful in the MRCP(UK) Part 2 Clinical Examination (PACES) will be published on the MRCP(UK) website (http://www. you must inform the Head of the MRCP(UK) Central Office in writing before you take the Examination.org) after each diet and following confirmation of the Pass Mark by the MRCP(UK) Clinical Examining Board. If you do not wish your results to be published in this form. I SSUING 22.1 OF RESULTS Results of each part of the MRCP(UK) Examination will be posted by first class mail within four weeks of the date of the Examination. Publication of MRCP(UK) Results on the MRCP(UK) Website: i) Candidates successful in the MRCP(UK) Part 2 Clinical Examination (PACES) and eligible for Membership of the Royal Colleges of Physicians will now have their PACES result published on the MRCP(UK) Website (www.org) and the names of those eligible to receive the MRCP(UK) Diploma will be released to the medical press. Three weeks after the date of the Examination an answerphone announcement will be available to indicate the date on which results will be dispatched.22.mrcpuk.

the computer output is hand-checked.00 to any candidate requesting that their Examination Answer Sheet is remarked.1.1. 65 . ASSESSMENT QUERIES AND REQUESTS REMARKING AN MRCP(UK) E XAMINATION 23. Note: Candidates are reminded that their Examination mark-sheets are held for one year only. it has become necessary to introduce a charge of £100. This is done to ensure the results are accurate.2 Due to the number of requests the Royal Colleges of Physicians are receiving.1 23.1 FOR MRCP(UK) Part 1 Examination and MRCP(UK) Part 2 Written Examination Candidates may wish to note that before any of the MRCP(UK) Examination results are issued. This charge will be refunded in the event of an error being identified.23. 23.

1 OF THE MRCP(UK) D IPLOMA Candidates who pass the MRCP(UK) Examination and who wish to claim their Diplomas must follow the procedure below. The Diploma does not differentiate between those successful in Paediatrics and those successful in General Medicine. Those who fail to submit the Form of Faith and Diploma fee before the appropriate MRCP(UK) Part 2 Clinical Examination (PACES) closing date.4 66 . will have to wait until the next deadline for submitting these details (usually the next MRCP(UK) Part 2 Clinical Examination (PACES) closing date) before the award of their MRCP(UK) Diploma can be processed. if elected. The Form of Faith and Diploma fee must be received before the closing date for the MRCP(UK) Part 2 Clinical Examination (PACES) that the candidate intends taking. will receive the Diploma of Membership of the Royal Colleges of Physicians of the United Kingdom. successful candidates are awarded exactly the same Diploma upon election to the Membership of the Royal Colleges of Physicians of the United Kingdom. Candidates who are then successful in the MRCP(UK) Part 2 Clinical Examination (PACES) will have their names presented to the three Royal Colleges of Physicians and.3 24.2 24. Candidates who fail the MRCP(UK) Part 2 Clinical Examination (PACES) will have their Diploma fee returned.24. AWARD 24. 24. The Form of Faith and Diploma fee (along with the MRCP(UK) Part 2 Clinical Examination (PACES) fee) should be sent to the Royal College of entry. Although currently candidates may sit the MRCP(UK) Part 2 Examination in either General Medicine or Paediatrics.

It is designed primarily to select those suitable for higher specialist training in the UK. (c) General professional training and MRCP(UK). T RAINING 25. In order to comply with the Examination Regulations. six months of which should be in a post undertaking unselected emergency take. it is not essential for training to be 25.25.5 67 . (b) Pre-registration year. The Examination may also be taken by those who do not intend to pursue a career in hospital medicine. leading eventually to a Certificate of Completion of Specialist Training (CCST) awarded by the Specialist Training Authority (STA) of the Medical Royal Colleges. This is one of the reasons why the Colleges have not followed the example of other countries in only awarding their Fellowship or Membership once specialist status has been obtained. 25.4 General professional training should last for at least two years in posts approved for this purpose which involve 18 months in emergency admissions. (e) Continuing education as a normal part of professional life.2 25.1 OF A PHYSICIAN IN THE UK This information refers to training in the UK at the time of publication. (d) Specialist training ending with the award of a CCST by the STA.3 25. This aspect of training is also a mandatory requirement of the Joint Committee for Higher Medical Training (JCHMT) regulations regarding entry to a specialist registrar post in the UK. The professional training of a physician in the UK may be summarised as follows: (a) Initial undergraduate training ending with graduation. The MRCP(UK) is not a specialist qualification. Candidates should normally have completed the MRCP(UK) towards the end of their general professional training.

25. It is.7 25. it is essential to ensure that the posts are educationally approved for this purpose. or outside the UK which meets the requirements of the MRCP(UK) Examination Regulations. At the end of four years’ higher specialist training in an approved programme.undertaken in approved posts as no such approval scheme exists outside the UK. Trainees in the UK should ensure that they are enrolled with the Joint Committee for Higher Medical Training (JCHMT) following a substantive appointment as a Specialist Registrar to an approved programme and the award of a National Training Number (NTN) or a Visiting Training Number (VTN). However. but the College Fellows and Members proposing a candidate for the MRCP(UK) Examination must testify that the candidate has completed a period of training in hospital posts in acute medicine either in. There is no scheme for approval/recognition of hospital posts specifically for the MRCP(UK). 25.1). in order to complete the minimum requirement of two years’ general professional training before proceeding to the Specialist Registrar grade. essential to comply with the Examination Regulations regarding the length of time to be spent in posts involving the care of emergency medical patients (see Regulation 5.6 It is recommended that physicians do not specialise until they have demonstrated their competence in clinical methods and knowledge of General Medicine or Paediatrics by success in the MRCP(UK) or its equivalent (including diplomas granted overseas) and become eligible to seek higher specialist training. trainees will be required to apply to the STA for a CCST.8 68 . however.

3 69 . P REPARATION EXAMINATION 26. This is published annually and is available from the National Advice Centre for Postgraduate Medical Education (See Section 27). and by studying up-to-date postgraduate clinical textbooks and current medical journals. though details of courses are contained in the Guide to Postgraduate Degrees. Diplomas and Courses in Medicine. whether adults or children. 26. The Royal Colleges of Physicians do not provide lists of recommended MRCP(UK) courses. There is a published Syllabus for the MRCP(UK) Part 1 Examination and a set of Clinical Guidelines for the MRCP(UK) Part 2 Clinical Examination (PACES). Books of past papers are available as listed in Section 28.26.2 26.1 FOR THE MRCP(UK) The Royal Colleges of Physicians recommend that candidates prepare for the Examination by gaining clinical experience in hospital posts involving the care of emergency medical patients.

1 TO GO FOR ADVICE Candidates. W HERE 27.2 Candidates in Scotland may prefer to contact: Scottish Council for Postgraduate Medical and Dental Education Hanover Buildings 66 Rose Street Edinburgh EH2 2NN Tel: 0131 220 8632 70 .britcoun.27. clinical attachment.org. from outside the UK.uk/health/nacpme 27. Candidates may telephone for an appointment or write to: National Advice Centre for Postgraduate Medical Education British Council Bridgewater House 58 Whitworth Street Manchester Ml 6BB Tel: 0161 957 7218 Fax: 0161 957 7218 www. availability and suitability of courses and careers guidance are recommended to contact the National Advice Centre for Postgraduate Medical Education. who feel they would benefit from impartial advice on registration.

These are the only publications that contain questions actually used in the MRCP(UK) Examination. It gives information to candidates wishing to know about the subjects covered in the Examination. new publications have been produced by the MRCP(UK) Central Office.mrcpuk. Candidates will also be able to indicate their degree of confidence in their answers (“Educated guess” or “Complete guess”).org) to provide candidates with relevant material on the MRCP(UK) Examination. 28. 28. This book will provide good revision material for the new MRCP(UK) Part 1 Examination Paper 1.3 28.4 MRCP(UK) Part 1 Examination Papers (General Medicine) 1997-1998 with interactive CD This book contains the six MRCP(UK) Part 1 Examination papers sat in 1997 and 1998.28. Data Interpretation and Photographic Material components of the Examination.2 28.5 MRCP(UK) Part 2 Written Examination Papers (General Medicine) Contains questions drawn from the MRCP(UK) Part 2 Written Examinations sat in 1997 and 1998. The MRCP(UK) Central Office now has its own web site (http://www. MRCP(UK) E XAMINATION 28. that is same 360 multiple true-false questions It comes with a free interactive CD which will allow candidates to sit the papers set for each diet. 28. MRCP(UK) Part 1 Syllabus (General Medicine) This is the Syllabus for the MRCP(UK) Part 1 Examination and provides details of methods used to set and assess the Examination.6 MRCP(UK) Part 2 Clinical Examination (PACES) and Clinical Guidelines These Guidelines provide details of the techniques a candidate should use to examine a patient competently in the Clinical 71 .1 PUBLICATIONS To provide more information about the MRCP(UK) Examination. produce their own test papers covering one or more topics or have an examination set by the computer program. It includes samples of the Case History.

72 . 28.8 Future Publications In 2003 it is expected that the following publications will be made available: – MRCP(UK) Part 1 Examination Papers 2002 A selection of papers from 2002/1 and 2002/2 diets.Examination. 28.7 Availability of publications Copies of the above publications are available from the MRCP(UK) Central Office and the Examination Departments of the three Royal Colleges of Physicians. an order form appears at the end of this booklet (Section 36). how they should elicit abnormal findings and discuss their significance. – MRCP(UK) Part 2 Written Examination Papers 2002 A selection of questions used in the 2002/1 and 2002/2 diets.

Correspondence will be addressed using your medical title followed by initials in place of each forename.3 Registration with the UK General Medical Council 29. or an affidavit stating that the candidate (in his or her full name) is the same person named on the diploma. you will need to submit a certificate from the issuing university.1 If you need to transfer your fees from outside the UK. This name will be shown on any Diploma that might be issued to you. Some candidates are themselves inconsistent in the spelling of such translations and must realise that this does not allow accurate identification and is not acceptable to the Royal Colleges of Physicians. You are required to state your full and correct name on your application form. This requirement also applies to initials and abbreviations.2 Names are phonetically translated into English from some languages and this can lead to spelling variations.1.3 The records of the Royal Colleges of Physicians and the MRCP(UK) Diploma will show forenames followed by the family name for example. 29. then the family name as it appears on your diploma of medical qualification. for example. so candidates must themselves pay the bank charges.1 Registration with the General Medical Council is required for all candidates intending to work as doctors in the UK. Mahammed.29. 29. Mahamed.1 Entry to the Examination 29. S PECIAL OUTSIDE THE ADVICE FOR DOCTORS WORKING UK 29. If the name you are applying under is different from the name which appears on your primary diploma of medical qualification.3. 29. Dr A J Smith. Thus Mohammed may appear as Mohamed. etc. The Royal Colleges of Physicians must receive the full Examination fee in Sterling. 29.1.1.2 Payment of Examination fees 29. Alan John Smith.1 Please re-read Section 5 and Section 16.1. Muhammed. Registration with 73 . please remember that the banks will deduct their charges from the sum being transferred.

org 29. Full details are available from: PLAB Test Section General Medical Council 178-202 Great Portland Street London W1N 6JE Tel: +44 207 580 7642 Fax: +44 207 436 1383 74 .3. However.3.the General Medical Council is not necessary merely in order to take the MRCP(UK) Examination. it is necessary for those intending to work in the UK as doctors with Limited Registration. However.4 Professional and Linguistic Assessments Board (PLAB) 29. prospective candidates who intend to obtain training in a UK hospital. must register with the General Medical Council. whether paid or unpaid. 29.1 Candidates do not need to have passed PLAB in order to take the MRCP(UK) Examination.2 A list showing those overseas qualifications eligible for full registration is given at the front of the Medical Register published by the GMC. 29.4. Doctors who are nationals and/or hold a qualification of one of the countries of the European Community are subject to special conditions and should seek advice direct from the General Medical Council.3 Application forms and pamphlets giving details of the requirements of each kind of registration may be obtained from: Overseas Registration Division General Medical Council 178 Great Portland Street London W1N 6JE Tel: +44 207 580 7642 Fax: +44 207 436 1383 or Fax: +44 207 915 3641 E-mail: gmc@gmc-uk.

to which they will be allocated automatically if their first (or second) choice is full.3 75 . Belfast Birmingham Bristol Cambridge Cardiff Edinburgh Glasgow Leeds Leicester Liverpool London Manchester Newcastle-upon-Tyne Oxford Sheffield Southampton 30.30. Application forms and details of the Examination in the UK are available only from the three Royal Colleges of Physicians. The number of examination places available at any one Centre is limited and candidates are advised to apply early.1 Candidates may enter the MRCP(UK) Part 1 Examination through any of the three Royal Colleges and may sit at any one of the Centres listed below. Candidates must specify on their application form at which Centre they wish to sit the Examination and are requested to give a second and third choice of Centre. MRCP(UK) PART 1 EXAMINATION: CENTRES IN THE UNITED KINGDOM 30.2 30.

Jamaica. Candidates should apply directly to the addresses given in Section 33 for application forms and details of the MRCP(UK) Examination.4 76 . 31. Hong Kong. Nepal.3 Usually only doctors who are resident or working in these countries are eligible to sit in these Centres. Malta. Only a limited number of places are available and the selection of candidates is the responsibility of the Centres concerned. 31.2 Please note that some Centres may not offer the Examination at each diet. Barbados. Bahrain. Singapore. Syria. Jeddah. Malaysia. Sri Lanka. Riyadh.1 The MRCP(UK) Part 1 Examination is held at the following Centres: Abu Dhabi. Dubai. Doctors working in countries not listed above should apply to one of the three Royal Colleges of Physicians to sit the MRCP(UK) Part 1 Examination in the UK. Kuwait. Ghana. Egypt. MRCP(UK) PART 1 EXAMINATION: CENTRES OUTSIDE THE UK 31.31. Jordan. Sudan. Myanmar. Trinidad and Zimbabwe. Oman. 31. Qatar.

32.3 32. 32. MRCP(UK) PART 2 EXAMINATION: CENTRES OUTSIDE THE UK 32. Jordan. Kuwait. Qatar. Egypt. Requests for application forms and for details of the Examination should be submitted directly to the addresses given in Section 33. The MRCP(UK) Part 2 Written Examination is also held in Barbados. Doctors working in countries not listed above should apply to one of the Royal Colleges of Physicians to sit the Part 2 Written Examination or the Part 2 Clinical Examination (PACES) in the United Kingdom. Please note that these Centres do not offer the MRCP(UK) Part 2 Examination at each diet. Saudi Arabia. Malaysia.2 32.4 77 . Egypt.1 Both the MRCP(UK) Part 2 Written Examination and the MRCP(UK) Part 2 Clinical Examination (PACES) will be held in Abu Dhabi. Hong Kong. Jamaica. Dubai. Sri Lanka and Trinidad. Oman and Singapore in 2003.

33. A DDRESSES OF MRCP(UK) E XAMINATION C ENTRES OUTSIDE THE UK (please refer to Sections 31 and 32) Bahrain Secretary The Amiri Academy of Medical Specialists of Bahrain PO Box 28958 Riffa Bahrain Barbados Professor G Nicholson School of Clinical Medicine & Research University of the West Indies Queen Elizabeth Hospital Bridgetown Barbados Egypt Professor H El-Sayed President Egyptian Medical Syndicate 42 Kasr El Ainy Street Cairo Ghana Professor Yeboah Vice-Dean for Postgraduate Studies College of Health Studies University of Ghana Medical School Accra PO Box 4236 Ghana Hong Kong Staff and Organisation Development Department Hospital Authority Head Office 4/F Hospital Authority Building 147B Argyle Street Kowloon Hong Kong China 78 .

Jamaica Professor O Morgan The Dean Faculty of Medical Sciences University of West Indies Mona Kingston7 Jamaica Jordan Director Centre for Educational Development University of Jordan Amman Jordan Kuwait Professor KV Johny Director of Postgraduate Studies Faculty of Medicine Kuwait University PO Box 24923 Safat 13110 Kuwait Malaysia Professor M A Jalaludin Dean of the Faculty of Medicine University of Malaya 50603 Kuala Lumpur Malaysia Malta Dr J Azzopardi Head of Department of Medicine Postgraduate Department Medical School University of Malta Msida Malta 79 .

Doha Qatar Saudi Arabia Riyadh Examinations Secretary Postgraduate Centre College of Medicine King Saud University PO Box 2925 Riyadh 11461 Kingdom of Saudi Arabia 80 . Medical Education Department Hamad Medical Corporation PO Box 3050.Myanmar Professor Maung Maung Wint Director General Department of Medical Sciences Government of the Union of Myanmar Ministry of Health Yangon Lather Township Myanmar Nepal Professor MR Pandey Chairman. MRCP(UK) Committee PO Box 2587 Thapathali Kathmandu Nepal Oman Dr Abdulla M Riyami Chief of Medicine & Head of Cardiology Royal Hospital PO Box 1331 Seeb Airport Postal Code 111 Sultanate of Oman Qatar Dr Mohamed Salem Al-Hassan Director.

MRCP(UK) Committee Ceylon College of Physicians Wijerama House 6 Wijerama Mawatha Colombo 7 Sri Lanka Sudan Head. Department of Medicine Faculty of Medicine University of Khartoum PO Box 102 Khartoum Sudan Syria Professor A H Sabah Faculty of Medicine Damascus University Damascus Syria 81 .Jeddah MRCP(UK) Coordinator Department of Medicine King Abdulaziz University Hospital PO Box 6615 Jeddah 21452 Kingdom of Saudi Arabia Singapore Principal Administrative Officer Graduate School of Medical Studies MD5 Level 3 National University of Singapore 12 Medical Drive Singapore 117598 Sri Lanka Professor Rezvi Sheriff Chairman.

Swaziland. Mozambique. ICHE Faculty of Medicine University of Zimbabwe PO Box A178 Avondale Harare Zimbabwe 82 . Tanzania and Zambia) Director.Trinidad and Tobago Dr M Bartholomew University of the West Indies General Hospital 160 Charlotte Street Port of Spain Trinidad West Indies United Arab Emirates Abu Dhabi Dr A Q Hadi Director. Malawi. Medical Affairs and Doctors Training Department Ministry of Health Abu Dhabi PO Box 848 UAE Dubai Professor JM Muscat-Baron Professor of Medicine Dubai Hospital Dubai PO Box 7272 UAE Zimbabwe (Please note that applications may also be submitted by candidates resident in Botswana. Namibia. Kenya. Lesotho. Republic of South Africa.

2 and 3) by filling in the appropriate box like this . Copies of these marksheets will be given to candidates on arrival at the MRCP(UK) Part 2 Clinical Examination (PACES). Counselling Recommended COMMENTS (PLEASE PRINT) overall judgement clear pass pass fail clear fail please continue in the unshaded area overleaf if necessary 83 . Identification and interpretation of physical signs clear pass pass fail clear fail • identifies abnormal physical signs correctly • interprets signs correctly • makes correct diagnosis 3. assesses chest wall movement correctly percusses over both sides of the chest assesses tactile vocal fremitus when applicable auscultates over both sides of chest auscultates vocal fermitus/whispering pectoriloquy and added sound when applicable 2.34. Physical examination general inspection confirms position of trachea.CLINICAL MARKSHEET STATION ONE: Respiratory System Examination CANDIDATE NAME (PLEASE PRINT) 0 1 2 3 4 5 6 7 8 9 Examination Number Centre Number Sheet No. 0 1 2 3 4 5 6 7 8 9 0 1 2 3 4 5 6 7 8 9 0 1 2 3 4 5 6 7 8 9 0 1 2 3 4 5 6 7 8 9 0 1 2 3 4 5 6 7 8 9 0 1 2 3 4 5 6 7 8 9 0 1 2 3 4 5 6 7 8 9 0 1 2 3 4 5 6 7 8 9 0 1 2 3 4 5 6 7 8 9 1 1 2 3 4 5 6 7 Examiners are required to make a judgement of the candidate's performance in each of the sections (1. Discussion related to the case clear pass pass fail clear fail • familiar with appropriate investigation and sequence • familiar with appropriate further therapy and management clear pass pass fail clear fail Now record your overall judgement of the candidate's performance taking into account the above: please grade as clear pass/pass/fail/ clear fail. E XAMPLES OF MRCP(UK) PART 2 CLINICAL EXAMINATION (PACES) MARKSHEETS Sample versions of the MRCP(UK) Part 2 Clinical Examination (PACES) marksheets used by examiners are shown for information. Brief description of case: Examiner Number: 0 0 1 2 3 4 5 6 7 8 9 0 1 2 3 4 5 6 7 8 9 0 1 2 3 4 5 6 7 8 9 EXAMINER (PLEASE PRINT NAME AND SIGN BELOW) 1 2 3 4 5 6 7 8 9 • • • • • • 1. Please use 2B pencil only. ROYAL COLLEGES OF PHYSICIANS OF THE UNITED KINGDOM MRCP(UK) PACES EXAMINATION . (a fail or clear fail grade must be accompanied by clearly written explanatory comments).

Please use 2B pencil only. Brief description of case: Examiner Number: 0 0 1 2 3 4 5 6 7 8 9 0 1 2 3 4 5 6 7 8 9 0 1 2 3 4 5 6 7 8 9 EXAMINER (PLEASE PRINT NAME AND SIGN BELOW) 1 2 3 4 5 6 7 8 9 1. Ethics and Law In relation to the clinical scenario the candidate demonstrates knowledge of the relevant ethical and legal principles and appropriate attitudes in making decisions • Knowledge of ethical principles • Understanding legal constraints applicable to case • Provides adequate reasoning as appropriate to case • • • • clear pass pass fail clear fail clear pass pass fail clear fail clear pass pass fail clear fail Now record your overall judgement of the candidate's performance taking into account the above: please grade as clear pass/pass/fail/ clear fail. 2 and 3) by filling in the appropriate box like this .Conduct of Interview Introduces self to patient and explains role clearly Agrees the purpose of the interview with the patient Puts the patient at ease and establishes good rapport Explores the patient's concerns. Communication Skills . feelings and expectations demonstrates empathy. (a fail or clear fail grade must be accompanied by clearly written explanatory comments).generally open-ended to closed as the interview progresses • Provides clear explanations (jargon-free) that the patient understands • Agrees a clear course of action • Summarises and checks the patient's understanding • Concludes the interview appropriately 3.CLINICAL MARKSHEET STATION FOUR: Communication Skills and Ethics CANDIDATE NAME (PLEASE PRINT) 0 1 2 3 4 5 6 7 8 9 Examination Number Centre Number Sheet No.exploration and problem negotiation • Appropriate questioning style .ROYAL COLLEGES OF PHYSICIANS OF THE UNITED KINGDOM MRCP(UK) PACES EXAMINATION . Communication Skills . Counselling Recommended COMMENTS (PLEASE PRINT) overall judgement clear pass pass fail clear fail please continue in the unshaded area overleaf if necessary 84 . respect and non-judgemental attitude • Prioritises problems and redirects interview sensitively 2. 0 1 2 3 4 5 6 7 8 9 0 1 2 3 4 5 6 7 8 9 0 1 2 3 4 5 6 7 8 9 0 1 2 3 4 5 6 7 8 9 0 1 2 3 4 5 6 7 8 9 0 1 2 3 4 5 6 7 8 9 0 1 2 3 4 5 6 7 8 9 0 1 2 3 4 5 6 7 8 9 0 1 2 3 4 5 6 7 8 9 6 1 2 3 4 5 6 7 Examiners are required to make a judgement of the candidate's performance in each of the sections (1.

35. L OCATION P HYSICIANS

OF THE

R OYAL C OLLEGES

OF

EDINBURGH

GLASGOW

85

LONDON

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36. ORDER FORM FOR MRCP(UK) EXAMINATION
PUBLICATIONS
All publications can be obtained from MRCP(UK) Central Office or any of the Examinations Departments of the three Royal Colleges. Postage and packing:- Please include an additional £1.00 for each book sent within the UK and £3.00 for each book sent overseas (Maximum charge for multiple purchases sent to one address £3.00 UK and £9.00 overseas for up to 5 publications). Price (per copy) Publication MRCP (UK) Part 1 Syllabus General Medicine) £8.00 Number of Copies Total (£s) Cost

MRCP (UK) Part 1 Examination Papers £20.00 (General Medicine) 1997-1998 with free interactive CD MRCP (UK) Part 2 Written Examination Papers (General Medicine) 1997-1998 MRCP (UK) Part 2 Examination (PACES) and Clinical Guidelines

£20.00

£10.00

Postage Total Cost Name and address (BLOCK LETTERS) where the order should be sent:

I enclose remittance of £......................

87

.........Methods of payment: Cheque/Postal Order ......................... 88 .do not mail cash) Credit Card ................ Date.Cheques must be made payable to the Royal College of Physicians Cash (in person only at the MRCP(UK) Central Office.. depending on local conditions................... or the Examinations Departments of the three Royal Colleges .... Billing Address (BLOCK LETTERS) if different from above: Publications are normally dispatched within three days of your order being received but please allow at least 21 days for delivery within and outside the UK...please fill in all details Visa MasterCard (please circle as appropriate) Account Number: Expiry Date: Signature...............

Edinburgh .MRCPUK Compiled and edited by the MRCP(UK) Part 1 Examining Board and published for the Federation of Royal Colleges of Physicians of the UK by the MRCP(UK) Central Office MRCPUK Compiled and edited by the MRCP(UK) Part 2 Examining Board and published for the Federation of Royal Colleges of Physicians of the UK by the MRCP(UK) Central Office MRCPUK Compiled and edited by the MRCP(UK) Clinical Examining Board and Part 1 Syllabus Part 2 Papers 1999 Edition published for the Federation of Royal Colleges of Physicians of the UK by the MRCP(UK) Central Office Part 2 Clinical Examination (PACES) and Clinical Guidelines 2001/2 Edition Royal College of Physicians of Edinburgh Royal College of Physicians of Edinburgh Royal College of Physicians of Edinburgh Royal College of Physicians & Surgeons of Glasgow Royal College of Physicians & Surgeons of Glasgow Royal College of Physicians & Surgeons of Glasgow Royal College of Physicians of London 1 Royal College of Physicians of London 3 Royal College of Physicians of London 7 Royal College of Physicians of Edinburgh Royal College of Physicians & Surgeons of Glasgow Royal College of Physicians of London Design & Print Production by Metro Press.

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