A Clinician's Guide to MRCPsych Paper B

Introduction to the MRCPsych Paper B Exam

This guide provides a detailed overview of MRCPsych Paper B—from its purpose and structure to the syllabus, eligibility criteria, application process, and core study strategies. Whether you are a UK-based trainee or an international medical graduate (IMG), this will help you navigate this important examination.

The MRCPsych Pathway

Paper B is the second written examination, building upon the foundational sciences of Paper A and preceding the practical CASC exam.

Why It Matters

• UK Training Progression: It is a mandatory step for progressing from Core Training (CT) to Specialty Training (ST).
• International Advantage: The MRCPsych credential is a globally respected qualification that opens doors to consultant roles worldwide.
• Breadth of Clinical Knowledge: Prepares you with the expertise needed for advanced clinical reasoning, teaching, and leadership in psychiatry.

MRCPsych Paper B: Exam Structure and Focus

MRCPsych Paper B Syllabus Overview

A strong performance requires a comprehensive understanding across all domains, with special focus on Critical Review and General Adult Psychiatry. This is a key part of any good MRCPsych Paper B guide.

Eligibility, Dates & Logistics

Eligibility Criteria

• Must be a fully registered medical practitioner.
• Minimum 12 months of core psychiatric training is strongly recommended for your MRCPsych Paper B attempt.
• IMGs must hold a primary medical qualification from a recognized institution.

Key Dates for 2025 (Example)

Fees & Budgeting (Typical for 2025)

Fees are subject to change. Plan for study materials and potential revision courses.

• £508 for PMPT / College Affiliates
• £564 for non-PMPT trainees

Application Process

1. Create/Access RCPsych Account: Ensure all personal details are up-to-date on the College's exam portal.
2. Complete Application Form: Provide all required documentation, including qualifications and proof of training.
3. Pay Examination Fee: Secure your application with payment, typically via card.
4. Book Exam Slot: Once approved, book your test center or remote proctoring slot.
5. Receive Confirmation: Keep your admission permit safe for exam day.

MRCPsych Paper B Preparation Strategy

Recommended Timeline: 4-6 Months

A structured approach is key for your MRCPsych Paper B preparation. Dedicate more time to high-weightage topics like General Adult Psychiatry and Critical Review.

High-Yield Resources

• Core Texts: Shorter Oxford Textbook of Psychiatry, Maudsley Prescribing Guidelines, Lishman's Organic Psychiatry.
• Statistics: Medical Statistics at a Glance, Essential Medical Statistics.
• Question Banks: Edubros, SPMM, PassMRCPsych, and others are invaluable for practice.
• Active Learning: Use timed mock exams, form study groups, and utilize flashcards for active recall.

Exam Day & Beyond

On the Day

Arrive or log in 30-45 minutes early. Have your photo ID and admission permit ready. Stay calm, manage your time, and attempt every question on the MRCPsych Paper B.

After the Examination

• Results: Published 4-6 weeks post-exam.
• Validity: A pass is valid for 1643 days, within which you must pass all other components (Paper A/B and CASC).
• Next Steps: Successful candidates who have also passed Paper A are eligible for the CASC.
• Retake Policy: If unsuccessful, you can re-sit up to a maximum of six attempts. Use the performance feedback to guide your next revision cycle.