MRCP Examination Preparation Strategy
I cannot provide evidence-based guidance for preparing for the MRCP (Membership of the Royal Colleges of Physicians) examination, as the provided evidence primarily addresses cardiovascular magnetic resonance (CMR) imaging training, MRCP cholangiopancreatography (a radiological procedure), and unrelated gastroenterology guidelines—not the MRCP postgraduate medical examination itself.
However, based on the limited relevant research evidence available:
Optimal Timing for Examination Attempts
Candidates should sit Part 1 and Part 2 written examinations 12-24 months after graduation, and Part 2 PACES 25-36 months after graduation, as these timeframes correlate with the highest pass rates. 1
- Foundation programme trainees or those in early core/specialty training demonstrate the highest likelihood of success, with pass rates peaking during these training periods 1
- Candidates who fail their first attempt should delay their next attempt by one examination diet (sitting), as this significantly increases the probability of passing on the subsequent attempt 1
Performance Patterns Across Multiple Attempts
- Candidates demonstrate true improvement in performance up to at least the tenth attempt at Part 1, the fourth attempt at Part 2, and the sixth attempt at PACES, suggesting that repeated study and experience contribute to eventual success 2
- Starting performance level at Part 1 predicts both starting level and rate of improvement at Part 2 and PACES 2
Preparation Resources and Methods
- Complete critical topic reviews well in advance—ideally one per year during the first four years of training, then select the best two for examination submission 3
- Practice with short clinical question books designed for MRCP, as these are especially helpful for examination preparation 3
- For critical appraisal sections, practice appraising papers, particularly those previously used in examinations 3
- Attend FFAEM or MRCP preparation courses, which provide opportunities to learn from recent successful candidates 3
Predictors of Success
- UK graduates demonstrate higher pass rates (67.0%) compared to overseas graduates (26.2%) in PACES examinations 4
- Among UK graduates, passing Part 2 written on the first attempt predicts PACES success 4
- For overseas graduates, those qualified for less than eight years show higher pass rates 4
- Candidate confidence does not predict actual examination success 4