MRCP-an overview

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					MRCP-an overview
Shirley Rigby RCP Tutor Warwick Hospital Aug 2007

CMT Coventry and Warwickshire

To understand how the MRCP exam fits into specialist training To know the different parts of the exam To know how to apply/prepare for the exam
CMT Coventry and Warwickshire

MRCP-Why do I need to pass it?
Increase knowledge/skills Progress in career Become a member of one of the elite clubs!

CMT Coventry and Warwickshire

2007-full MRCP required to enter ST3 From 2008 Part 1 will be needed to enter ST3 Will need part 2 written and PACES to complete training and get CCT In reality may need MRCP to enter ST3 for some Coventry and Warwickshire time. CMT

MRCP -when?
Part 1 Part 2 PACES after 18/12 qualification ~6/12 after part 1 ~6/12 after part 2

Start ASAP! Certain exemptions allowed, see CMT Coventry and Warwickshire website

MRCP Part 1
2 papers, each 100 questions, 3 hours Best of 5 MCQ 1 mark for each correct answer No negative marking
NB pretest questions may be used Syllabus published
CMT Coventry and Warwickshire

Part 1 composition
Specialty Cardiology Clinical haematology/oncology Clinical pharmacology/therapeutics/toxicology Clinical science (See below Note 1) Dermatology Endocrinology Gastroenterology Infectious diseases, tropical medicine and sexually transmitted diseases Total 15 15 20 25 8 15 15 15 Note 1: Clinical sciences comprise: Cell, molecular and membrane biology Clinical anatomy Clinical biochemistry and metabolism Clinical physiology Genetics Immunology Statistics, epidemiology and evidence-based medicine 2 3 4 4 3 4 5

Neurology Ophthalmology Psychiatry Respiratory medicine

15 4 8 15


200 CMT Coventry and Warwickshire

A sample of the type of question you may expect in the MRCP(UK) Part 1 Examination is set out below.

A 64-year-old man with bronchoscopically confirmed squamous cell carcinoma of the right upper lobe has a normal FEV1 of 2.5 L and normal serum biochemistry. Which one of the following investigations is most appropriate to assess operability? A. bone scan B. chest CT scan C. differential perfusion lung scan D. measurement of total lung capacity E. sputum cytology

Answer key: B

CMT Coventry and Warwickshire

MRCP part 2
From Dec 2005, 3 papers Each 3 hours, 90-100 questions Best of 5 MCQs or n of 10/15 MCQs Images/radiology used
NB pre-test questions may be used
CMT Coventry and Warwickshire

MRCP part 2 written
Aims MRCP(UK) Part 2 Written Examination will test the ability to apply clinical understanding, make clinical judgements and take responsibility for:

prioritising diagnostic or problem lists
planning investigation selecting a plan for immediate management selecting a plan for long-term management assessing prognosis
CMT Coventry and Warwickshire

The composition of the Papers is as follows: Specialty Number of questions per 100* Cardiology Dermatology Endocrinology and metabolic medicine 10 5 10

Haematology/Immunology Infectious diseases and GUM Neurology/Ophthalmology/Psychiatry Oncology and palliative medicine Renal medicine Respiratory medicine Rheumatology Therapeutics and toxicology 100

5 10 10 5 10 10 5 10

Part 2 written

*This should be taken as an indication of the likely number of questions - the actual number may vary by up to 2%. CMT Coventry and Warwickshire

Practical assessment of clinical examination skills

CMT Coventry and Warwickshire

Aims MRCP Part 2 Clinical Examination (PACES) will test ability to: demonstrate the clinical skills of history taking examine a patient appropriately to detect the presence of absence of physical signs interpret physical signs make appropriate diagnoses develop and discuss emergency, immediate and long-term management plans communicate clinical information to colleagues, patients or their relatives appreciate the ethical issues that relate to day-to-day clinical practice
CMT Coventry and Warwickshire

3 colleges, same exam London RCP-test centres London, Birmingham Apply early Application dates on website

CMT Coventry and Warwickshire

Part 1 Date 22.1.08 Opens on 5.10.07 Closes on 2.11.07 Fee £330 Part 2 5-6 Dec 07 14.9.07 12.10.07 £330
CMT Coventry and Warwickshire

PACES Oct/Nov 07 27.7.07 24.8.07 £520

PACES video

CMT Coventry and Warwickshire

Any Questions?

CMT Coventry and Warwickshire


Covered the current format of the exams Start now for MRCP exam and good luck!
CMT Coventry and Warwickshire