How many parts are there in the MRCP exam?

Crack Medicine
Sep 18
3 min read

TL;DR

If you’re asking “how many parts are there in the MRCP exam”, the answer is three: MRCP Part 1, MRCP Part 2 Written, and PACES (Practical Assessment of Clinical Examination Skills). Each stage tests progressively advanced knowledge and clinical ability. You must pass them in sequence, starting with MRCP Part 1. Below we explain each part, common traps, and strategies to prepare effectively.

Why this matters

The Membership of the Royal Colleges of Physicians (MRCP) is a globally respected qualification for physicians. For Indian and international graduates, it often serves as a pathway to postgraduate training in the UK. Understanding the structure—the number of parts, their purpose, and preparation strategy—is essential before planning your attempt.

Three parts of the MRCP exam illustrated as progressive steps

The three parts of MRCP

The MRCP exam is divided into three distinct parts:

MRCP Part 1 – A written exam with 200 Single Best Answer (SBA) questions over two three-hour papers. Focuses on core clinical sciences and common medical conditions.
MRCP Part 2 Written – Also a written SBA exam but more complex, testing problem-solving and data interpretation.
MRCP PACES – A practical, clinical exam with five stations assessing history, examination, and communication skills in real patient encounters.

Comparison table

Part	Format	Focus	Timing
Part 1	2 × 3-hour SBA papers	Basic clinical knowledge across specialties	Entry-level
Part 2 Written	2 × 3-hour SBA papers	Complex cases, data interpretation	After Part 1
PACES	Clinical stations	Bedside examination, communication, professionalism	Final stage

High-yield outline

You must pass Part 1 before attempting Part 2 or PACES.
Eligibility: Primary medical qualification and 12 months of clinical experience.
Frequency: Part 1 and Part 2 are held three times per year; PACES schedules vary.
Centres: Parts 1 & 2 have test centres in India; PACES often requires travel.
Scoring: No negative marking; all SBAs should be attempted.
Progression: Typical candidates complete all three parts in 2–3 years.
Preparation: Part 1 builds foundations; later parts require applied reasoning and clinical skills.
Recognition: Passing all parts grants MRCP(UK), a qualification recognised worldwide.

Practical example / mini-case

Sample SBA (Part 1 style):

A 35-year-old man presents with exertional chest pain. ECG shows ST depression during exercise testing. What is the most likely diagnosis?

A. Stable angina ✅
B. Myocardial infarction
C. Pericarditis
D. Aortic stenosis

Explanation:Exercise-induced ST depression with exertional chest pain is diagnostic of stable angina. MRCP Part 1 often tests recognition of common clinical presentations and matching investigations to likely diagnoses.

Practical study-tip checklist

Begin with MRCP Part 1 overview to structure your plan.
Use QBanks daily: 50–75 SBAs, review mistakes carefully.
Take a mock test every 2–3 weeks.
Revise top systems weekly (cardiology, neuro, renal, respiratory, gastro).
Watch focused lectures for weak areas.
Allocate final 2 weeks for revision, not new topics.
Practise communication skills early for PACES.

Common pitfalls (and fixes)

Assuming all parts are similar → Each stage tests different skills; preparation must adapt.
Neglecting timing practice → Train in timed blocks from the start.
Over-reliance on textbooks → QBanks simulate the actual exam better.
Delaying PACES practice → Communication and examination require early rehearsal.
Ignoring exam eligibility rules → Ensure documents and rotations are completed before booking.

FAQs

1. How many parts are there in the MRCP exam?

There are three: MRCP Part 1, Part 2 Written, and PACES.

2. Do I need to pass MRCP Part 1 before Part 2?

Yes, Part 1 is the entry requirement for Part 2.

3. Can I take PACES in India?

Centres are limited; most candidates travel abroad for PACES.

4. How long does it take to complete all parts?

On average 2–3 years, depending on attempt success and exam availability.

5. Is MRCP recognised outside the UK?

Yes, MRCP(UK) is respected globally and often aids career progression.

Ready to start?

To succeed in MRCP, start with MRCP Part 1—the foundation for everything that follows. Explore the MRCP Part 1 overview, practise with Free MRCP MCQs, and Start a mock test to assess readiness. For in-depth system reviews, our lectures provide structured coverage of high-yield areas.