MRCP UK Exam regulation(1 )

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Constitutional Framework:

Powers and Responsibilities of the Royal Colleges of Physicians
The Royal Colleges of Physicians of the UK have the power to:
• determine the terms and conditions of entry to the MRCP(UK) Examination. The Royal Colleges of Physicians reserve the right to refuse admission to any part of the MRCP(UK) Examination;
• recognise appropriate periods of training, in fulfilment of the entry requirements of the MRCP(UK) Examination, and determine when this training has been completed successfully by candidates;
• confer the MRCP(UK) Diploma on persons who have passed the MRCP(UK) Examination.

To maintain the academic quality of the Examination, the Royal Colleges of Physicians have the responsibilities of:
• appointing examiners with appropriate qualifications and experience;
• producing syllabuses for appropriate parts of the Examination;
• monitoring candidate performance;
• arranging suitable examination facilities.
In the exercise of these powers and responsibilities, the Royal Colleges of Physicians will comply and ensure compliance with the requirements of relevant legislation, such as the:
• Race Relations (Amendment) Act 2000;
• Disability Discrimination Act 1995;
• Special Educational Needs and Disabilities Act 2001;
• Employment Equality (Age) Regulations 2006;
• Data Protection Acts 1984 and 1998.

The MRCP(UK) Management Board believes that equality of opportunity is fundamental to the many and varied ways in which individuals become involved with the Colleges, either as members of staff and Officers, as advisers from the medical profession, as members of the Colleges’ professional bodies or as doctors in training and examination candidates.
Accordingly, it warmly welcomes, and actively seeks to recruit, contributors and applicants from as diverse a population as possible, regardless of race, religion, ethnic origin, disability, age, gender or sexual orientation.

Route Map: MRCP(UK) Diploma
There have been a number of key changes introduced to the structure and eligibility requirements of the MRCP(UK) Examination for 2009. These are incorporated into these Regulations, but an overview of the changes and new eligibility requirements is as follows:
Candidates may now apply to sit the MRCP(UK) Part 1 Examination provided they graduated at least 12 months in advance of the examination date (and have had at least 12 months’ experience in medical employment, i.e. have completed Foundation Year 1 or equivalent). This was previously 18 months. There is no restriction to the
number of times a candidate can apply to sit the MRCP(UK) Part 1 Examination in order to pass. Once a candidate has passed this examination they will be permitted a further 7 years from the date of the Part 1 Examination at which they were successful to pass the remaining parts of the MRCP Qualification.
Candidates who have passed the Part 1 Examination are now able to apply simultaneously to sit the MRCP(UK) Part 2 Written and Part 2 Clinical (PACES) Examinations in any order. They are now permitted unlimited attempts at the MRCP(UK) Part 2 Written and Part 2 Clinical (PACES) Examinations within their 7-year period of eligibility. However, all applications for the MRCP(UK) Part 2 Written and Part 2 Clinical (PACES) Examinations must be supported by the candidate’s current or most recent educational supervisor or current or most recent supervising consultant.
Once a candidate has successfully completed their final Part of the examination (irrespective of whether this was the Part 2 Written or Part 2 Clinical (PACES) Examination) they must then complete and submit the Form of Faith and a testimonial for election to membership. The testimonial must be completed by a Fellow or Member of the Royal College of Physicians of the United Kingdom (the latter should have worked with the candidate within the previous 3 years and must be a holder of MRCP(UK) for at least 8 years).


Transitional arrangements for existing candidates
Candidates who enrolled in the MRCP(UK) Examination system before January 2009 should refer to the table below for further information as to how the changes will affect their status. The changes take effect from the 2009/01 diet:
Category
Current examination status
Arrangements under the new regulations

A candidate has passed the MRCP(UK) Part 1 Examination but has not passed the MRCP(UK) Part 2 Written Examination.
The candidate will be permitted a total of 7 years (from the date they passed the MRCP(UK) Part 1 Examination) in order to succeed in both remaining parts of the MRCP(UK) Examination.

A candidate has passed the MRCP(UK) Part 1 and Part 2 Written Examinations and is still within the 7-year eligibility period from the date they passed the MRCP(UK) Part 1 Examination. However the candidate is either past the end of their 2-year Part 2 Clinical Examination (PACES) period of eligibility or has used all three of their PACES attempts by the end of 2008.
The candidate has from now until 7 years from the date they passed the MRCP(UK) Part 1 Examination in which to sit and pass both the MRCP(UK) Part 2 Written Examination and the Part 2 Clinical Examination (PACES). Candidates will be permitted to attempt the examinations as often as they wish within that period.

A candidate has passed the MRCP(UK) Part 1 and Part 2 Written Examinations and is still within the 7-year eligibility period from the date they passed the MRCP(UK) Part 1 Examination. The candidate is also within an existing 2-year Part 2 Clinical Examination (PACES) period of eligibility and has at least one of their three PACES attempts remaining by the end of 2008.
The candidate will have either 2 years from the date they passed the MRCP(UK) Part 2 Written Examination (previously known as the PACES period of eligibility) or 7 years from the date they passed the MRCP(UK) Part 1 Examination in which to sit the Part 2 Clinical Examination (PACES) – whichever is greater. Candidates will be permitted to sit the Part 2 Clinical Examination (PACES) as often as they wish within that period. All applications will need to be supported by the candidate’s current or most recent educational supervisor, or current or most recent supervising consultant.

A candidate has passed the MRCP(UK) Part 1 and Part 2 Written Examinations, the 7-year eligibility period has expired but the candidate is within an existing 2-year Part 2 Clinical Examination (PACES) period of eligibility and has at least one of their three PACES attempts remaining by the end of 2008.
The candidate will keep their 2-year PACES period of eligibility and will be permitted to sit the Part 2 Clinical Examination (PACES) as often as they wish within that period. The new entry requirements/arrangements will be applied. If the candidate is unsuccessful at the Part 2 Clinical Examination (PACES) during this time they must re-sit the MRCP(UK) Part 1 Examination, starting the process again under the new arrangements.

A candidate has passed the MRCP(UK) Part 1 Examination more than 7 years ago.
The candidate must return to Part 1 and start the process again under the new arrangements.

Framework: The Aims and Objectives of the MRCP(UK) Examination

The MRCP(UK) Examination plays an essential role in the overall educational experience and continuing professional development of physicians in the United Kingdom. It is a prerequisite for physicians wishing to undergo training in a medically related specialty in the United Kingdom.
The MRCP(UK) Examination also plays an increasingly important role in the international arena of postgraduate medical education. It provides a professional standard against which physicians working outside the United Kingdom can measure their level of attainment. It is also being used by medical educationalists in other countries in respect of local postgraduate assessments.

Aim
The aim of the MRCP(UK) Examination is to identify those physicians who, having undertaken a period of general training, have acquired the necessary professional knowledge, skills and attitudes to enable them to benefit from a programme of higher specialist training with confidence and enthusiasm.

Objectives
The MRCP(UK) Examination evaluates the professional competence of medical graduates during medical training with regard to:
• core clinical knowledge and problem-solving, including clinical science, epidemiology and statistics;
• clinical skills, including taking and interpreting a clinical history and undertaking a physical examination;
• attitudes to patients, including communication skills and ethical obligations.
The standard of the various parts of the examination will reflect the development in the knowledge, skills and attitudes which can be expected during medical training, and is in keeping with the principle of lifelong learning.

methodology
The MRCP(UK) Examination includes questions and assessments that require an understanding not only of common medical emergencies in diagnosis and management, but also of the social, psychological and cultural backgrounds of diseases and evidence-based practice.

(UK) Part 1 Examination
Purpose
The purpose of the MRCP(UK) Part 1 Examination is to identify those physicians in training who, having satisfied the entry criteria, possess a broad knowledge and understanding of common and important disorders as well as clinical science.

Aims
To test the acquisition of a representative sample of medical knowledge as specified in the published Syllabus for the Examination (MRCP(UK) Part 1 Syllabus). To measure the candidate’s ability to apply their medical knowledge in regard to common and important disorders and clinical science, as outlined in the Syllabus, and make appropriate clinical judgements.
For further information candidates should consult the MRCP(UK) website and the documents referred to in Section 15. MRCP(UK) Examination Publications.

MRCP(UK) Part 2 Written Examination
Purpose
The MRCP(UK) Part 2 Written Examination can be 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 6.4). Success in this Examination demonstrates the attainment of the minimum level of knowledge expected of a physician in training and the ability to apply this knowledge to clinical problem-solving and clinical practice.

Aims
The MRCP(UK) Part 2 Written Examination will test the ability to apply clinical understanding, make clinical judgements and take responsibility for:
• prioritising diagnostic or problem lists;
• planning investigation;
• selecting a plan for immediate management;
• selecting a plan for long-term management;
• assessing prognosis.

MRCP(UK) Part 2 Clinical Examination (PACES)
Purpose
The MRCP(UK) Part 2 Clinical Examination (PACES) can be 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 6.4), in accordance with the recommendations for necessary clinical experience detailed in Section 8.2.3. Success in this Examination demonstrates in a clinical setting the knowledge, skills and attitudes appropriate for a physician in training.

Aims
The MRCP(UK) Part 2 Clinical Examination (PACES) will test the ability to:
• demonstrate the clinical skills of history taking;
• examine a patient appropriately to detect the presence or absence of physical signs;
• interpret physical signs;
• make appropriate diagnoses;
• develop and discuss emergency, immediate and long-term management plans;
• communicate clinical information to colleagues, patients or their relatives;

• appreciate the ethical issues that relate to day-to-day clinical practice.
The above is set out in the published guidelines for the Examination, MRCP(UK) Part 2 Clinical Examination (PACES) and Clinical Guidelines 2001/2 Edition (see Section 15. MRCP(UK) Examination Publications).

MRCP(UK) Part 1 Examination
Format
The MRCP(UK) Part 1 Examination is designed to assess a candidate’s knowledge and understanding of the clinical sciences relevant to medical practice and of common or important disorders to a level appropriate for entry to specialist training.
The MRCP(UK) Part 1 Examination has a two-paper format. Each paper contains 100 multiple-choice questions in one from five (best of five) format, where candidates choose the best answer from five possible answers. Candidates are tested on a wide range of common and important disorders in General Medicine as set out in the published Syllabus.
The composition of the papers is as follows:
Specialty Number of questions*
Cardiology 15
Clinical haematology and oncology 15
Clinical pharmacology, therapeutics and toxicology 20
Clinical sciences** 25
Dermatology 8
Endocrinology 15
Gastroenterology 15
Neurology 15
Ophthalmology 4
Psychiatry 8
Renal medicine 15
Respiratory medicine 15
Rheumatology 15
Tropical medicine, infectious and sexually transmitted diseases 15
200
* This should be taken as an indication of the likely number of questions – the actual number may vary by up to 2.
**Clinical sciences comprise:
Cell, molecular and membrane biology 2
Clinical anatomy 3
Clinical biochemistry and metabolism 4
Clinical physiology 4
Genetics 3
Immunology 4
Statistics, epidemiology and evidence-based medicine 5
A proportion of the questions will be on adolescent medicine and medicine for the elderly.
The questions in each specialty are distributed across both papers.
The Examination may include pre-test questions (trial questions that are used for research purposes only). A small number of pre-test questions may appear in any paper. Responses to them do not count towards a candidate’s final score. The use of pre-test questions is in line with the assessment criteria set out by the Postgraduate

Medical Education and Training Board (PMETB). More information on PMETB is available at http://www.pmetb.org.uk/pmetb.
Drugs are almost invariably referred to by their recommended International Non-Proprietory names (rINN) rather than by their trade names.
Biochemical and other measurements are expressed in SI units and normal or reference ranges are provided.
The marking system for the MRCP(UK) Part 1 Examination is as follows:
One mark (+1) is awarded for each correct answer;
No mark is deducted for an incorrect answer;
No mark is awarded or deducted if a question is left unanswered;
No mark is awarded if more than one response is recorded or the
answer is not sufficiently clear;
No mark is awarded for any answer that the scanner queries as:
• insufficiently erased;
• smudged;
• a double response to a question.
In these circumstances the Royal Colleges of Physicians do not consider it is appropriate to interpret a candidate’s intentions.
Since the 2008/3 MRCP(UK) Part 1 Examination diet, candidates’ overall results are calculated using a process called equating. This is a statistical process based on Item Response Theory, and it is used to ensure that candidates receive comparable results for comparable performance in different diets of the examination.
Instead of an overall percentage score, all candidates are given an ‘overall scaled score’. This score is a number between 0 and 999, which is calculated from the number of questions a candidate has answered correctly in the two examination papers and also takes into account the relative difficulty of the examination. Since no two examinations can contain exactly the same set of questions, it is inevitable that some papers may be slightly harder (or easier) than others, and equating is a statistical process that addresses this by calculating the exact difficulty of each question.

The MRCP(UK) Part 1 Standard Setting Group has determined that an overall scaled score of 521 or greater will be considered a pass. Please note that this score will be subject to review and candidates are advised to consult the website for the latest information. As a result of this process the pass rate (i.e. the percentage of candidates who pass) may vary slightly from one diet to another.

How to complete the MRCP(UK) Part 1 Examination answer sheets
Candidates should identify themselves by writing their family name and initials in the boxes provided. The examination number should be entered by marking the appropriate rectangles.
The answer sheets for the MRCP(UK) Part 1 Examination contain a row of rectangles for each question. Candidates should indicate the single correct answer in accordance with the instructions given on the Examination Paper.
All papers are marked by an Optical Mark Reader (OMR). The OMR output is processed by computer and marks are allocated according to the candidate’s

responses. Scores are then calculated and statistical data across candidates are derived relating to individual questions. This information is produced in printed form for the MRCP(UK) Part 1 Examining Board.
As the completed answer sheets are computer marked, candidates must comply fully with the instructions given on each answer sheet, otherwise answer sheets may be rejected by the machine or the candidate’s intention misinterpreted.
Candidates should use only the pencil (Grade 2B) supplied in the Examination. Answers in ink or a different grade of pencil cannot be read by the OMR and will therefore result in a zero score.
Candidates may erase an answer by using the rubber provided. To avoid too many erasures on the answer sheet, they may indicate their choices in the question book in the first instance, before transferring them to the answer sheet. Candidates should remember to allow sufficient time to do this, as additional time will not be allowed.
The answer sheet must not be folded or creased.
It is important that candidates fully understand how to complete the answer sheet before sitting the Examination. A sample version of part of a completed MRCP(UK) Part 1 answer sheet is shown below for information.

Entry requirements
Every candidate for the Examination must hold a medical qualification recognised by the Royal College of Physicians.
Candidates will not be admitted to the MRCP(UK) Part 1 Examination until 12 months after the date of graduation given on their diploma of medical qualification. If the date of graduation is significantly later than the date of completion of training, the date on which candidates received notice of passing their final examination may be considered. In such cases, candidates should submit documentary proof.
Candidates must have had at least 12 months’ experience in medical employment, i.e. must have completed Foundation Year 1 or equivalent.
All applications will need to be supported by the candidate’s current or most recent educational supervisor or most recent supervising consultant. Candidates will be required to provide details of their educational supervisor or supervising consultant in their application and confirm that their application has been discussed and is supported by them.


If, at the time of making an application to sit any Part of the MRCP(UK) Examination, a candidate is suspended by the UK General Medical Council (or equivalent regulatory body if a candidate is not resident or practising in the United Kingdom), they must notify the MRCP(UK) Central Office of this at the time of application, providing details of the length of the suspension.

Exemptions
For information on claiming exemption from the MRCP(UK) Part 1 Examination, please see Section 6.4.
Registering for an online account / My MRCP(UK)
All MRCP(UK) candidates can register for a personal account through the MRCP(UK) website. To register for an online account candidates will need a unique email address which will remain as their username. Candidates with an online account will have access to their personal area of the website entitled ‘My MRCP(UK)’. Registration permits candidates to view and amend certain personal/contact details, view and apply for the written examinations within the respective application periods in all UK centres and some overseas centres (as detailed on the MRCP(UK) website), view the details of any current examination attempt and view their personal examination history.
It is intended that the online application facility will be rolled out to more overseas centres in future.

How to enter the MRCP(UK) Part 1 Examination
Method of application
Candidates sitting in UK centres can apply for the MRCP(UK) Part 1 Examination via the online or paper (manual) method. Candidates sitting in overseas centres may also apply via the online method where that facility is currently available (for up-to-date details see the MRCP(UK) website). Instructions for applications made via each of these methods are provided (see Sections 5.6.2 and 5.6.3).
The submission of an application is in effect an application to register for the examination, for which the full examination fee will be incurred, irrespective of whether or not the application is complete. It is the responsibility of the candidate to ensure that their application is completed by the required deadline.
In the case of paper applications, the application form(s), complete in every detail and accompanied by the appropriate fee and any other documents required, must reach the appropriate Administration Office (or Centre in the case of overseas applications) by 5 p.m. on the published closing date. In the case of online applications, applications will need to be submitted via the MRCP(UK) Examination website by 11.55 p.m. on the published closing date.
Details of fees (which are subject to annual revision), method of payment, Examination dates and opening and closing dates for applications, are published annually and can be checked on the MRCP(UK) Examination website. They can also be obtained directly from Centres. Cheques should be made payable to ‘The Royal College of Physicians’.

Candidates transferring fees from outside the UK should remember that banks deduct their charges from the sum being transferred. The Royal Colleges of Physicians must receive the full Examination fee in pounds Sterling, so candidates must themselves pay the bank charges. Enquiries relating to examination fee payments for applications to overseas centres should be submitted directly to the Centre concerned.
Concessionary fees
Doctors with refugee status may be eligible for a concessionary examination fee (see Section 10.5 for further details).
Visas
If a candidate requires a visa to sit an examination, it is the responsibility of the candidate to ensure that the visa application is made in sufficient time before the examination date for which it has been sought. A refund will not be given if a candidate is unable to attend the Examination as a result of visa-related problems. For more information on this, please visit the following section of the MRCP(UK) Examination website:
www.mrcpuk.org/Candidate/Pages/VisaStatement.aspx

Applying via paper (manual) method
New entry and re-entry candidates
Candidates applying via paper (manual) method must complete the appropriate form(s) which, together with the Examination Calendar, are available to download from the Examination website. Outdated copies of the application form, i.e. with no ‘Proposer’ section, will not be accepted. If for any reason you are unable to download a form, please contact the Administration Office to which you intend to submit your application, and a form will be downloaded from the website and sent to you.
Faxed applications will not be accepted.
Applications will not be accepted earlier than the published opening date.
Applicants are advised to submit their applications at least two weeks before the closing date: allowances cannot be made for postal or other delays, and late applications cannot be accepted.
Candidates should check carefully that they have enclosed all relevant documentation before sending their applications. Applications that are not complete in every detail and/or arrive after the closing date may be returned. Allowances cannot be made for postal or other delays.

Applying via online method
New entry candidates
First-time entry candidates may apply in part for the MRCP(UK) Part 1 Examination online after setting up an online account (see Section 5.5).
All first-time entry candidates who apply online must also print off and submit via hardcopy a completed form (e-Form), which can be generated after the online application has been completed; if necessary the e-Form can be submitted after the application closing date but should be received as soon as possible. The e-Form includes a checklist indicating any additional documents or information the candidate needs to submit to their Administrative Office along with the signed form. First-time

entry candidates who are not registered with the UK General Medical Council must submit an original or appropriately attested copy of their primary medical qualification along with the e-Form (for an application checklist see Section 5.8.2).
Re-entry candidates
Re-entry candidates may also be able to apply for the MRCP(UK) Part 1 Examination online after setting up an online account.
Re-entry candidates who opt to make payment online using the credit/debit card method can complete the application process entirely online. Candidates who choose to pay by cheque or bank draft, however, should submit their e-Form along with their payment by post (for an application checklist see Section 5.8.2).
Payments
Cash or cheque payment methods may increase the application processing time.
Candidates applying online who select to pay by either cash or cheque, and those who do not successfully complete the credit or debit card payment, will have their application marked as incomplete. It is the responsibility of the candidate to ensure that the payment is made and their application is completed promptly. In the case of cash payments, candidates are advised not to send cash by post.

Submission of documentary evidence of primary medical qualification
Photocopies of certificates and/or official translations (in English)* will be accepted only if they have been prepared and/or authenticated by one of the following:
• the issuing University or Medical School;
• a British Consulate or British Council outside the UK;
• the British Embassy;
• the British High Commission;
• the candidate’s own Embassy or High Commission in the United Kingdom;
• a member of the Gardai in the Irish Republic;
• Government Ministries of Health;
• a Fellow or Member of the College or a Chair of the Examining Board of the award body (verification of the Fellow or Member will be sought to ensure that they are affiliated with the issuing University/Medical School and the attested copy should be submitted with an accompanying official stamp/letter from the Fellow, Member or Chair).
* Candidates must submit an authenticated translation if their primary medical degree certificate is not in English.
The College reserves the right to request to see the original documents if there is any doubt as to the authenticity of the attested copies of documents.

Names
Candidates with registration (be it full, limited, or provisional) with the UK General Medical Council (GMC) do NOT need to submit documentary evidence of their primary medical qualification, only their GMC number. This regulation is dependent on the primary medical qualification appearing on the GMC website (www.gmc-uk.org).
Candidates must ensure that the relevant section of Form A (or e-Form in the case of an online application) is completed to include their GMC number, the year and

month they obtained their degree and the category of registration they have obtained.
Candidates who are not registered with the UK General Medical Council must submit documentary evidence of their primary medical qualification (original or authenticated copy).
If the name under which candidates are applying is different from the name that appears on the original diploma of their primary medical qualification or the GMC register, they will need to submit a certificate from the issuing university or an affidavit stating that the candidate (in his or her full name) is the same person as that named on the diploma. A similar certificate or an attested copy of a passport may be used to verify initials and abbreviations, but not changes of name.
Applications will not be accepted if there is any discrepancy in the spelling, order or number of names given, and candidates must retain the same surname or family name in any further applications.
It is the candidate’s responsibility to resolve any discrepancies, including the expansion of initials, by obtaining a statement from the issuing authority certifying that the candidate, in his or her full and correct name, is the same person as that named on the diploma.
Candidates who change their names by marriage or deed poll must submit the original or authenticated documentary proof of this if they wish to be admitted to the Examination in their new names.
Names are phonetically translated into English from some languages and this can lead to spelling variations. Thus ‘Mohammed’ may appear as ‘Mohamed’, ‘Mahammed’, ‘Mahamed’, ‘Muhammed’ and so on. Some candidates are 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.
The records of the Royal Colleges of Physicians and the MRCP(UK) Diploma will show forenames followed by the family name, for example, Alan John Smith. Correspondence will be addressed using the candidate’s medical title followed by initials in place of each forename, then the family name as it appears on the candidate’s diploma of medical qualification, for example, Dr A J Smith.
Candidates, particularly those based outside the UK, are recommended to provide attested copies of any original documentation. Original documents will be returned as soon as possible after receipt but the MRCP(UK) Examinations Office cannot take responsibility for any items lost in transit.

Centres
The MRCP(UK) Part 1 Examination is held in various centres, both within and outside the UK. Candidates should refer to the MRCP(UK) Examination website for the most up-to-date information about which centres are holding the MRCP(UK) Part 1 Examination.
Centres in the UK
Edinburgh Administration Office
Aberdeen

Edinburgh
Leicester
Manchester
Newcastle
Sheffield
Glasgow Administration Office
Belfast
Glasgow
Leeds
Liverpool
London Administration Office
Birmingham
Bristol
Cambridge
Cardiff
London
Oxford
Southampton
Please note that some centres may not offer the Examination at each diet.
Paper (manual) applications
Candidates may apply to sit the MRCP(UK) Part 1 Examination at any one of the centres listed. However, the number of examination places available at each centre may be limited. Candidates must specify on their application form at which centre they wish to sit the Examination but are requested to give a second and third choice of centre, to which they will be allocated automatically if their first (or second) choice is full. Please note that it may not always be possible to allocate candidates to a centre of their choice.
Candidates should note that there are three Administration Offices dealing with applications. Candidates must send their application to the appropriate Administration Office (see lists above) based on their first-choice centre. Applications sent to the wrong Administration Office will be returned, and their processing is likely to be delayed. Addresses of the three Administration Offices are provided on page 1. Full details are also given on the application form and on the Examination website.
Online applications
Candidates applying via the online method are able to select only one city in which they wish to take the Examination. All city choices initially available for a specific examination are displayed; once the maximum quota for that city is reached its status will be displayed as ‘No more spaces available’ and candidates will have to select a different city in which to sit the Examination.

Centres outside the UK
Bahrain
Barbados
Egypt
Ghana
Hong Kong
India: Chennai; Kerala; Kolkata; Mumbai
Jamaica

Jordan
Kuwait
Libya
Malaysia
Malta
Myanmar
Nepal
Oman
Pakistan: Karachi; Lahore
Qatar
Saudi Arabia: Jeddah; Riyadh
Singapore
Sri Lanka
Sudan
Syria
Trinidad
United Arab Emirates: Abu Dhabi; Dubai
Zimbabwe
Any updates to this list, such as new centres, will be advertised on the MRCP(UK) Examination website.
Please note that some centres may not offer the Examination at each diet.
Usually only doctors who are resident or working in these countries are eligible to sit in these centres. Only a limited number of places are available at each centre and the selection of candidates is the responsibility of the centres concerned.
Contact details for each centre are published on the website. Candidates should refer to this information before submitting their application. Please refer to the MRCP(UK) Examination website for centre contact details and the most up-to-date information on where to send completed application forms.
Doctors working in countries not listed above should decide where in the UK they would like to sit the Examination and send their application form to the appropriate Administration Office (see Section 5.7.1 for details).
Online applications
Candidates applying to sit the MRCP(UK) Part 1 Examination in centres outside the UK can currently do so online to a limited number of centres. For a list of the overseas centres currently open to online applicants please refer to the MRCP(UK) website.
Candidates applying online to centres outside the UK are still subject to the same eligibility rules that hold for paper applications.
Candidates applying via the online method are able to select only one city in which they wish to take the Examination. All city choices initially available for a specific examination are displayed; once the maximum quota for that city is reached its status will be displayed as ‘No more spaces available’ and candidates will have to select a different city in which to sit the Examination (observing the eligibility rules referenced above).

Application checklist for the MRCP(UK) Part 1 Examination
Paper applications

First-time entry candidates
Before making their application, candidates should ensure that their application is supported by their current or most recent educational supervisor or supervising consultant (see Section

For first-time entry, candidates should send:
• completed Form A;
• completed Form B;
• Diploma of Primary Medical Qualification (original or attested copy only – see
Section 5.6.4 for how to authenticate a copy of your diploma correctly) or UK General Medical Council (GMC) Registration Number (meaning that your details appear on the GMC website);
• fee in pounds Sterling (please check current amount as detailed on the MRCP(UK)
Examination website.
Candidates with registration (be it full, limited or provisional) with the UK General Medical Council do NOT need to submit documentary evidence of their primary medical qualification, only their GMC number, so long as their primary medical qualifications appear on the GMC website (www.gmc-uk.org). Candidates must ensure that the relevant section of Form A is completed to include their GMC number, the year and month they obtained their degree and the category of registration they have obtained.
Candidates who are not registered with the UK General Medical Council must submit documentary evidence of their primary medical qualification (original or authenticated copy).
Candidates, particularly those based outside the UK, are recommended to provide attested copies of any original documentation. Original documents will be returned as soon as possible after receipt but the MRCP(UK) Examinations Office cannot take responsibility for any items lost in transit.
Re-entry candidates
Before making their application, candidates must ensure that their application is supported by their current or most recent educational supervisor or supervising consultant

For re-entry, candidates should send:
• completed Form B;
• fee in pounds Sterling (please check current amount as detailed on the MRCP(UK) Examination website;

Online applications
First-time entry candidates
Before making their application, candidates must ensure that their application is supported by their current or most recent educational supervisor or supervising consultant
When making an online application, candidates are required to submit the following:
• a signed e-Form;
• Diploma of Primary Medical Qualification (original or attested copy only) or General Medical Council (GMC) (UK) Registration Number (meaning that your details appear on the GMC website);

• fee in pounds Sterling (if not paying online using the credit/debit card method).
Re-entry candidates
Before making their application, candidates must ensure that their application is supported by their current or most recent educational supervisor or supervising consultant . When making an online application, candidates are required to submit the following:
• a signed e-Form with attached cheque/bank draft payment (if choosing the cheque method of payment). The fee must be in pounds Sterling.

All candidates
No candidate will be permitted to take any part of the Examination unless all outstanding fees are paid in full.
It is each candidate’s responsibility to ensure that applications are completed as soon as possible. The MRCP(UK) Central Office will contact candidates to advise them of any outstanding information and will provide a deadline for receipt. Candidates will be allocated a provisional examination place in the meantime, but complete applications will take precedence and incomplete applications will be rejected if the outstanding information is not received by the deadline. Candidates whose applications are incomplete because the full examination fee has not been received must pay this in order to sit any future MRCP(UK) examinations, even if they subsequently withdraw or are absent from the examination, as a provisional place will have been allocated to them for that examination.
Candidates should check carefully that they have enclosed all relevant documentation before sending their applications. Applications that are not complete in every detail and/or arrive after the closing date may be returned. Allowances cannot be made for postal or other delays.
Special arrangements
Any candidate who has a physical disability, learning disability or any other special need that they believe could affect their performance in an examination may be entitled to special arrangements. All such candidates should inform the Administration Office to which they apply, at the time of application, of their circumstances, by completing the Special Arrangements area on the application form. In all cases a medical report or other appropriate documentary evidence will be required to support an application for special arrangements, and this should be submitted either with the application or as soon as possible thereafter. Failure to include this information at the time of application may affect the arrangements that can be put in place in time for the examination.
Further information is available by contacting the Head of Written and Overseas Examinations, MRCP(UK) Central Office (for contact details see page 1).

Withdrawal from the Examination and refund of Examination fees
Notice of withdrawal from any part of the Examination must be given in writing (letter, fax or email) to the appropriate Administration Office (or MRCP(UK) Central Office if the Examination is to be taken outside the UK). Candidates are asked to quote their RCP Code Number (if known), full name and date of birth in their withdrawal notice to allow College staff to easily identify candidates.

Only written requests to withdraw will be accepted as official withdrawal requests. For example, candidates who are informed that they have submitted incomplete applications and are asked to complete them will not be considered as withdrawn from the Examination if they do not respond in writing to such requests for information and will incur the full Examination fee.
Under no circumstances can Examination applications and/or fees be transferred from one Examination to another.
Candidates whose withdrawal request is received on or before the UK closing date (for applicants to UK centres) or the overseas closing date (for applicants to overseas centres) of that respective Examination will be refunded 90% of the Examination fee paid. Where possible this refund will be paid in the same way as the original payment was made. Refunds will not be made where candidates submit their withdrawal request after the closing date unless there are circumstances deemed exceptional which can be substantiated. This will normally be in the following circumstances:
• illness;
• involvement in an accident;
• death of a close relative (parent, sibling, spouse, child).
Other cases may be considered on their own merit and at the discretion of the Head of Operations, MRCP(UK) Central Office; documentary evidence is required in all cases.
Any request (accompanied by supporting evidence) must be submitted within 4 weeks of the Examination date if it is to be considered. No consideration to refunding fees will be given, irrespective of the circumstances, thereafter. Decisions on these cases will be made by the Head of Operations, whose decision is final.