MRCPI GM Part II Written study materials
MRCPI GM Part II Written study resources

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

Week 1

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

Week 2

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

Week 3

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

Week 4

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

Week 5

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

Week 6

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

Week 7

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

Week 8

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