How to prepare for the Membership of the Royal College of Physicians (MRCp) 1 exam?

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Last updated: June 23, 2025View editorial policy

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From the Research

To prepare for the MRCP Part 1 exam, focus on creating a structured study plan covering all core medical topics with special attention to basic sciences, statistics, and clinical medicine. Begin by obtaining the official MRCP Part 1 syllabus from the Royal College of Physicians website to understand the exam format and content. Dedicate 4-6 months of preparation time, studying 2-3 hours daily with increased intensity in the final weeks. Use high-yield resources like PassMedicine, OnExamination, and Pastest question banks to practice thousands of questions, as the exam is entirely multiple-choice based. Essential textbooks include "Essential Revision Notes for MRCP" by Philip Kalra and "Basic Medical Sciences for MRCP Part 1" by Easterbrook. Create a systematic approach to answering questions by eliminating obviously wrong options first and managing your time effectively during the exam (about 72 seconds per question). Take regular mock exams under timed conditions to build stamina and identify knowledge gaps. Join study groups or online forums to discuss difficult concepts and maintain motivation. Focus on high-yield topics like cardiology, respiratory medicine, endocrinology, and nephrology, while ensuring adequate coverage of statistics and epidemiology which many candidates find challenging. Maintain your physical and mental wellbeing throughout preparation with regular breaks, exercise, and sufficient sleep to optimize learning and recall during the exam.

Some key points to consider:

  • The performance of graduates from different UK medical schools can vary significantly in the MRCP(UK) examination, as shown in a study published in BMC medicine 1.
  • The reliability of the MRCP(UK) Part I Examination has been maintained over the years, with a mean reliability of 0.865, as reported in Medical education 2.
  • The PACES examination has been introduced as a replacement for the existing MRCP(UK) Part 2 Clinical and Oral Examination, as announced in the Journal of the Royal College of Physicians of London 3.
  • Factors such as UK graduates being more likely to pass the PACES examination than non-UK graduates, and ethnic minority UK graduates having a poorer success rate, have been identified in a study published in Postgraduate medical journal 4.
  • Efficient coordination of candidates, patients, and examiners is crucial for the successful organization of the MRCP exam, as highlighted in the Journal of the Royal College of Physicians of London 5.

Professional Medical Disclaimer

This information is intended for healthcare professionals. Any medical decision-making should rely on clinical judgment and independently verified information. The content provided herein does not replace professional discretion and should be considered supplementary to established clinical guidelines. Healthcare providers should verify all information against primary literature and current practice standards before application in patient care. Dr.Oracle assumes no liability for clinical decisions based on this content.

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