What it is
A three-part assessment of physician knowledge and clinical skill
MRCP(UK) is delivered by the Federation of the Royal Colleges of Physicians of the UK. The diploma comprises Part 1, Part 2 Written and the Practical Assessment of Clinical Examination Skills (PACES). Passing Part 1 is required before progressing to Part 2 Written or PACES.
01Part 1
Entry-level written examination testing clinical science and a broad range of common and important medical disorders.
- Minimum 12 months’ postgraduate medical employment before entry
- Two three-hour papers on one day
- 100 best-of-five questions per paper
- No images in the current Part 1 format
Open official Part 1 guide ↗02Part 2 Written
Tests application of clinical knowledge to diagnosis, investigation, immediate and long-term management, and prognosis.
- Part 1 must already be passed
- Two three-hour papers on one day
- 100 best-of-five questions per paper
- Questions may include clinical images
Open official Part 2 guide ↗03PACES
The clinical component assesses examination, identification of physical signs, communication and integrated clinical judgement.
- Part 1 must already be passed
- Five-station clinical carousel
- Best attempted after substantial hospital clinical experience
- Prepare through repeated bedside practice and structured feedback
Open official PACES guide ↗ Eligibility and progression
Check the current regulations before every application
Part 1 entryA primary medical qualification and at least 12 months’ postgraduate medical employment are required under current official guidance.
ProgressionPass Part 1 before applying for Part 2 Written or PACES. The written and clinical components may then be completed in either order.
Attempt limitThe current policy normally permits a maximum of six attempts at each examination component. Read the regulations for exceptional additional-attempt provisions.
Time limitThe former seven-year period for completing the diploma after Part 1 has been removed. Previous results and clinical activity still need to satisfy current regulations.
Dates, fees and application
Use the official pages—the details change between examination diets
- 1Create or confirm your My MRCP(UK) account and college of entry.
- 2Check eligibility, the application window, examination delivery method, centre and reasonable-adjustment deadline.
- 3Apply within the published window; late applications are not accepted.
- 4Verify the current fee before payment. From the 2026/03 diet, published UK fees are £520 for each written examination and £742 for UK PACES; international fees differ.
Preparation framework
Build knowledge, clinical reasoning and performance separately
Part 1Map revision to the official blueprint; combine core science, common medicine and timed best-of-five practice. Review why every distractor is wrong.
Part 2 WrittenPrioritise investigation, next-best management, prognosis, imaging and guideline-based decisions. Practise full papers under time pressure.
PACESExamine real patients regularly, present succinctly, justify differentials and plans, and practise communication encounters with observed feedback.
SafetyUse current official guidance rather than relying on recalled dates, fees, pass marks or commercial-course claims. Request reasonable adjustments early.
Direct official resources
MRCP(UK) links
Information check: examination formats, delivery arrangements, regulations, fees, dates and centre availability can change. Confirm every application decision on The Federation and My MRCP(UK) websites.