MRCPI GM Part II Written study plan
MRCPI GM Part II Written · Give each week a clear focus.
8 weeks · About 6 hours per week
General (internal) medicine - clinical sciences and core topics
Map the core general medicine syllabus into a one-page checklist covering cardiology, respiratory, gastroenterology, endocrinology, nephrology, neurology, rheumatology, haematology, oncology, infectious diseases and dermatology
Revise the physiology and pathophysiology underpinning the top ten acute medical presentations, writing a short mechanism note for each
Work through 40 single-best-answer questions on general medicine topics and log every error with the underlying knowledge gap
Draw a personal drug-dosing and monitoring sheet for the ten drugs you most often misremember
Your checkpoint
A dated one-page syllabus checklist plus an error log of at least 40 attempted questions with a named gap for each wrong answer
General (internal) medicine - clinical sciences and core topics
Apply a systematic interpretation routine to twelve ECGs and twelve chest radiographs, writing the findings in exam-style prose
Explain the investigation pathway and initial management for the ten commonest medical emergencies presenting to a general medical take
Summarise the key trial evidence and guideline thresholds for hypertension, type 2 diabetes and heart failure in your own words
Answer 40 further single-best-answer questions and re-test every item you got wrong in week 1
Your checkpoint
A twelve-case ECG and radiograph interpretation portfolio with written findings and a corrected re-test score for week 1 errors
Medicine of the elderly and rehabilitation
Construct a structured assessment framework for the older patient covering falls, delirium, frailty, polypharmacy and continence
Interpret comprehensive geriatric assessment findings and translate them into an individualised care plan for five written case vignettes
Compare the pharmacology and adverse-effect profiles of the drug classes most implicated in falls and confusion in older adults
Practise explaining rehabilitation goals and discharge planning to a simulated patient and family in under five minutes
Your checkpoint
Five written comprehensive geriatric assessment case plans, each with a problem list, medication review and rehabilitation goal
Medicine of the elderly and rehabilitation
Distinguish the causes and management of acute confusion from those of dementia, and write a comparison table you can recall unaided
Outline the rehabilitation approach to stroke, hip fracture and Parkinson's disease with named outcome measures
Describe the legal and ethical framework for capacity assessment and decision-making in your jurisdiction
Complete 40 questions weighted to elderly medicine and rehabilitation and record your accuracy by subtopic
Your checkpoint
A subtopic accuracy report from 40 elderly medicine questions plus a one-page capacity and consent summary
Acute and emergency medicine, including critical care
Run a structured ABCDE assessment on ten written deteriorating-patient vignettes and state the immediate action at each step
Interpret arterial blood gases and calculate the anion gap and delta ratio across fifteen mixed acid-base scenarios
Explain the indications, settings and complications of non-invasive ventilation, invasive ventilation and renal replacement therapy in critical care
Summarise the early management of sepsis, anaphylaxis, acute coronary syndrome and status epilepticus against current guideline criteria
Your checkpoint
A completed fifteen-scenario blood gas workbook with calculated values, interpretations and stated immediate actions
Acute and emergency medicine, including critical care & Specialty and subspecialty medicine (cardiology, respiratory, gastroenterology, endocrinology, nephrology, neurology, rheumatology, haematology, oncology, infectious diseases, dermatology)
Prioritise the differential and immediate management for the top twenty emergency presentations, writing a three-line plan for each
Revise the acute presentations within cardiology, respiratory and neurology that overlap with emergency medicine
Practise delivering a concise structured handover and a referral for four simulated acute cases
Answer 40 emergency and critical care questions under timed conditions and review every explanation
Your checkpoint
A timed 40-question emergency medicine paper with a written reflection on timing, accuracy and the three weakest areas
Specialty and subspecialty medicine (cardiology, respiratory, gastroenterology, endocrinology, nephrology, neurology, rheumatology, haematology, oncology, infectious diseases, dermatology)
Consolidate subspecialty knowledge by writing a one-page summary for each of the eleven specialty areas listing red flags, key investigations and first-line treatment
Interpret specialised investigations including autoimmune serology, thyroid function tests, hepatitis serology, tumour markers and cerebrospinal fluid findings
Compare the emergency presentations within haematology and oncology, including febrile neutropenia and tumour lysis syndrome
Complete 50 subspecialty questions and identify the three specialties needing further revision
Your checkpoint
Eleven one-page specialty summaries plus a ranked list of the three weakest specialties with a targeted revision action for each
General (internal) medicine - clinical sciences and core topics & Medicine of the elderly and rehabilitation & Acute and emergency medicine, including critical care & Specialty and subspecialty medicine (cardiology, respiratory, gastroenterology, endocrinology, nephrology, neurology, rheumatology, haematology, oncology, infectious diseases, dermatology)
Sit two full-length timed mock examinations under exam conditions and record accuracy by domain
Revisit every item answered incorrectly across the programme and confirm you can now justify the correct answer
Rehearse a concise structured clinical reasoning script for unseen vignettes, practising aloud on ten cases
Finalise a one-page pre-exam recall sheet of thresholds, scores and dosing rules
Your checkpoint
Two completed mock examinations with a domain-by-domain accuracy table and a finalised one-page recall sheet
Milestones
Week 2: Complete the core general medicine checklist and achieve at least 60% on the combined 80-question general medicine set, with every error logged
Week 4: Produce all five geriatric assessment plans unaided and reach at least 65% on the elderly medicine question set
Week 6: Complete the timed emergency paper within the allotted time with at least 65% accuracy and a written reflection on weak areas
Week 8: Score at least 70% on both mock examinations, with no single domain below 60% and the recall sheet finished