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About this exam

MRCP(UK) Part 1 is the entry examination of the Royal College of Physicians' three-part membership assessment, and it sits alongside Part 2 and PACES within the Federation's examinations portfolio. It is a written examination, taken by doctors who are building a career in hospital medicine - most often those in core medical training, internal medicine training or equivalent posts - as the first formal hurdle on the route to full MRCP(UK) and entry into higher specialty training. The paper is designed to test applied clinical knowledge rather than isolated recall, drawing on the whole breadth of general internal medicine: cardiology, respiratory medicine, gastroenterology and hepatology, endocrinology and diabetes, renal medicine, neurology, rheumatology, haematology, infectious diseases and tropical medicine, clinical pharmacology and therapeutics, dermatology, and general and geriatric medicine. Expect questions that ask you to recognise a presentation, choose the most appropriate investigation, or select first-line management. Preparation works best as a structured pass through each specialty against the published assessment blueprint, blended with question practice and a deliberate review of your wrong answers. The Federation publishes dedicated Format, Sample questions, Preparation, Results and FAQ pages for Part 1, and these should be your first stop for anything you need to know about the structure of the paper, dates, fees and regulations. This page is independent study material and is not affiliated with, endorsed by or produced by the Federation or the Royal Colleges.

What you'll study

Common questions

About MRCP(UK) Part 1 preparation

What is the difference between MRCP(UK) Part 1, Part 2 and PACES?

Part 1 and Part 2 are both written examinations; PACES is the later clinical assessment. Part 1 is the knowledge-based entry paper, and it must be cleared before you progress. The Federation hosts the Format pages for each examination under its Examinations section, which is where the current structure for each should be confirmed.

Who is eligible to sit the exam?

Part 1 is aimed at doctors who have completed, or are completing, their foundation-level training and are entering core or internal medicine training. Full eligibility requirements, including any postgraduate experience or registration conditions, are set out in the Federation's Regulations and How to apply pages for Part 1; check those before booking.

Where can I take the exam?

The Federation lists UK and international centres for Part 1, plus a separate Myanmar/Sudan online exam arrangement. Centre availability varies by diet, so check the UK and international centres page for the sitting you intend to enter rather than assuming your local centre will be offered.

How much does it cost, and can I get a concession?

Fees are published on the Part 1 Exam dates and fees page and are updated periodically, so always take the figure from there rather than from older material. The Federation also has a Visas and concessionary fees page under Guidance and information, which is worth reading if cost or travel is a concern.

What happens if I fail - can I retake?

The Federation sets out the rules on numbers of attempts and any intervals between attempts in its Regulations, and these are the definitive source. Do not rely on what peers tell you, since rules are revised. Read the Regulations and the Part 1 FAQs before you re-apply so you know exactly where you stand.

How should I structure my revision?

Work specialty by specialty against the published blueprint, and finish each topic with question practice rather than re-reading notes. Keep a log of every question you get wrong and why - knowledge gap, misread stem, or second-guessing. Most candidates lose marks through recurring reasoning errors, not through absence of facts.

How do I find out what the questions actually look like?

The Federation publishes Sample questions and a Preparation page for Part 1. Use those to understand the question style, the depth of knowledge expected, and how options are constructed. Practising against the official samples early stops you over-learning trivia and under-practising the applied reasoning the paper rewards.

When will I get my results?

The Part 1 Results page on the Federation site gives the timetable for each diet. Results release dates are not fixed across all diets, so check the page for your specific sitting rather than planning around a date you heard from someone else. The Pass marks explained page also clarifies how the standard is set.

What is the most common reason candidates fail?

Breadth of coverage is the usual problem. Candidates tend to over-invest in their intended specialty and neglect dermatology, clinical pharmacology, haematology or geriatric medicine, then meet several unfamiliar questions in the paper. A timed, evenly distributed revision plan covering every listed specialty protects against this.