Examination

Introduction

MRCPI – an international benchmark examination is now at or near your home, being organised by the Indian Chapter. MRCPI Part I was commenced for the first time in September 2005 and since then held 2-3 times every year. Part II written was started since November 2006 & Clinical since December 2007. As the current prospect of job, attachment & training in Ireland & U.K. has become extremely difficult before & after the qualifying exams (e.g. PLAB & TRAS) it is more important to consider this option seriously. Those who are taking any post graduate examination in Medicine and Paediatrics i.e. MD, DM, DNB should avail this opportunity to add another qualification with same preparation.

MRCPI General Medicine

An internationally recognised qualification in General Medicine

Membership of the Royal College of Physicians of Ireland (MRCPI) is an internationally recognised benchmark of excellence, valued by healthcare employers worldwide.

MRCPI is achieved through examination. MRCPI in General Medicine is accredited by the Medical Council of Ireland as the foremost knowledge-based assessment for internal medicine in Ireland and an essential component of specialist training in Ireland.

If you've chosen General Medicine as a career path you need expert knowledge of a wide range of common acute disorders. The qualification of MRCPI in General Medicine shows potential employers that you have advanced knowledge of General Medicine - You can effectively take a patient's history, perform clinical examinations and formulate investigation and management plans.

In Ireland, achieving MRCPI means you are ready to enter Higher Specialist Training, the final stage of training before independent practice.

MRCPI in General Medicine is

  • Rigorously reviewed and quality assured against international standards of clinical excellence
  • Approved by the Medical Council of Ireland as the foremost knowledge-based assessment for General Medicine in Ireland
  • An essential component of specialist training in Ireland
  • Mapped to the curriculum for Basic Specialist Training in General Internal Medicine
  • A requirement for entry to Higher Specialist Training in 16 medical specialties
  • Highly relevant to the practise of General Internal Medicine - Questions keep pace with the latest medical developments
The gateway to progressing to higher specialty training and ultimately a career in hospital medicine, undertaking the MRCPI examinations also provides the opportunity to develop your knowledge base, your communication skills and career management. It also is a great time to develop professional relationships in sharing knowledge and technique with your peers.

Dr Paul McElwaine MRCPI

Quality assured against international standards

It takes immense dedication and clinical acumen to reach the standard required to achieve MRCPI. There's a lot at stake and you need to have faith in the delivery and grading of your exams.

We go to great lengths to ensure our exams are fairly and consistently marked. Each question is carefully reviewed and assessed for difficulty.

Our examiners are experienced clinicians who have met strict eligibility criteria. Before an examiner can assess candidates at the Part II Clinical exam, they are required to complete training on how to calibrate clinical exam patients to set marking criteria. They are trained to mark candidates fairly and objectively.

We are committed to continuously reviewing the format and delivery of our exams to ensure they are aligned with international best practice. For instance, changes to the format of the Part II Clinical examination in General Medicine came into effect in 2013 on foot of a review and recommendations by the Foundation for Advancement of International Medical Education and Research (FAIMER), Philadelphia, USA.

Your doorway to a global network of physicians

MRCPI is recognised around the world as an international benchmark of excellence in medicine, opening up new opportunities for career advancement.

When you are conferred as a Member of the Royal College of Physicians of Ireland, it marks a major milestone on the path to becoming a specialist. You are joining a global network of respected physicians whose roots date back to 1654. Today we have over 6,000 Members in 70 countries around the world.

After achieving Membership, you may choose to become a Collegiate Member of RCPI. Collegiate Members enjoy a range of exclusive Membership benefits from RCPI, such as free online journals from the BMJ and the New England Journal of Medicine, and an affinity scheme, offering discounts on medical equipment, hotels, insurance, travel and lots more.

Benefits of MRCPI

Read about the benefits and services available to Collegiate Members of the Royal College of Physicians of Ireland

MRCPI in General Medicine at a glance

There are three 'Parts' to the MRCPI in General Medicine exam:

  • 1. MRCPI Part I
  • 2. MRCPI Part II Written
  • 3. MRCPI Part II Clinical

About MRCPI General Medicine Part I

Exam format

The MRCPI General Medicine Part I examination consists of one paper with 100 Single Best Answer questions. You have three hours to complete the exam. There is no negative marking and each question is equally weighted.

Single Best Answer questions consist of a 'vignette' (clinical scenario) followed by five possible answers. You must select the single best answer.

Questions in Part I are selected to achieve a balanced spread across medical specialties, the sciences underlying evidence-based medical practice, and the basic skills required in general medicine.

Questions in Part I are selected to achieve a balanced spread across medical specialties, the sciences underlying evidence-based medical practice, and the basic skills required in general medicine.

Basic science questions may cover anatomy, bacteriology, biochemistry, ethics, genetics, immunology, metabolics, physiology, principles of evidence-based practice and statistics.

Entry requirements for Part I

• There must be at least 6 months between the date of your primary medical degree graduation and the date of the exam

From January 2019: the maximum number of times a candidate may attempt each part of the MRCPI exam is six. Candidates must pass the Part I examination within six years from their first attempt.

What to include with your application

When you apply for this exam you will need to upload a scanned attested copy of your primary medical degree. The attestation must appear on the front of the copy. Your degree can be attested by:

  • • An Garda Siochana (Irish police force)
  • • The issuing University or Medical School
  • • A solicitor/ notary public/ lawyer
  • • A Commissioner for oaths
  • • An Irish or British Consulate
  • • Your Embassy or High Commissioner

Official translations will only be accepted if they have been prepared and/or authenticated by:

  • • The issuing University or Medical School
  • • An Irish or British Consulate
  • • Your Embassy or High Commissioner

Candidates who are registered with the Medical Council (Ireland or UK) may provide proof of Medical Council registration instead of uploading their Primary Medical Degree.

You must also upload a recent colour passport-style photograph (minimum resolution of 100*100 pixels).

This is an online application process - Please do not post your application or any supporting documents.

Application fee

The fee to sit Part I is €630 in Ireland, or €710 if you are taking the exam outside Ireland. The method of payment is credit or debit card, taken at the end of the online application process.

Don't forget, if you're in Ireland you can claim a refund of €450 under the HSE Clinical Course and Examination Refund Scheme

Are you exempt?

If you have one of the qualifications listed below, you are exempt from MRCPI General Medicine Part I, which means you are eligible to apply to MRCPI General Medicine Part II Written now. As part of the application process you will be asked to upload an attested copy of your equivalent qualification(s).

  • • MRCP(UK)
  • • MRCPath
  • • MRCPCH
  • • MRACP
  • • FRCP(C)
  • • FCP(SA)
  • • Arab Boards in Medicine and Paediatrics
  • • Saudi Boards in Medicine and Paediatrics
  • • Omani Specialty Boards in General Medicine and Paediatrics
  • • Kuwait Boards of Medicine and Paediatrics
  • • MRCPsych
  • • FCPS in Medicine and Paediatrics (Pakistan)
  • • The American Boards in General (Internal) Medicine and Paediatrics
  • • MMed (Malaysia)

If you require a visa

If you require a visa to sit an exam, it is your responsibility to ensure the visa application is made in sufficient time before the examination date. We have no role in granting or refusing visas. A refund will not be given if you are unable to attend the examination as a result of a visa-related problem.

About MRCPI General Medicine Part II Written

Exam Format

The MRCPI Part II Written consists of two papers, each containing 75 Single Best Answer questions about the diagnosis and management of patients.

The vignettes (clinical scenarios) in Part II questions are generally longer and more descriptive than in the Part I examination. Interpretation of investigation and quick data analysis are required. There are no basic science questions.

The exam lasts five hours in total; each paper is 2.5 hours long. There is a one-hour break between papers. You are not required to pass both papers individually.

There is no negative marking and each question is equally weighted so we advise you to attempt all questions.

Entry requirements for Part II Written

• From January 2019: the maximum number of times a candidate may attempt each part of the MRCPI exam is six.

• You must have passed MRCPI General Medicine Part I or MRCPI Paediatrics Part I within the last six years. If this six-year period has expired, you must re-sit MCRPI Part I

If you have one of the qualifications listed above under About MRCPI General Medicine Part I, you are exempt from MRCPI General Medicine Part I, which means you can apply to Part II Written now. As part of the application process you will be asked to upload an attested copy of your equivalent qualification(s).

Application fee

The fee to sit Part II Written is €650 in Ireland, or €710 if you are taking the exam outside Ireland. The method of payment is credit or debit card, taken at the end of the online application process.

Don't forget, if you're in Ireland you can claim a refund of €450 under the HSE Clinical Course and Examination Refund Scheme

Are you exempt from Part II Written?

If you hold FRACP you can apply for exemption from MRCPI General Medicine Part II Written.

If you require a visa

If you require a visa to sit an exam, it is your responsibility to ensure the visa application is made in sufficient time before the examination date. We have no role in granting or refusing visas. A refund will not be given if you are unable to attend the examination as a result of a visa-related problem.

About MRCPI General Medicine Part II Clinical

Exam Format

The MRCPI General Medicine Part II Clinical exam assesses your clinical skills, for example your ability to take a history, perform clinical examinations and formulate investigation and management plans.

You will be asked to examine two 25-minute long cases and five ten-minute short cases, one of which is a communication and ethics interaction with a role player.

Long case stations

At each long case station you will examine a patient for 25 minutes. You have 20 minutes in which to take a history while observed by one examiner and to perform a focused and directed examination. A 10 minute notification will be given. You then have 5 minutes to discuss investigations and management.

Short case stations

There are five short case stations. Four of the stations will have a patient. The fifth station focuses on communication and will have a role-player instead of a patient.

In the first six minutes at each station you will be asked to examine the patient and elicit and interpret physical signs. During the next four minutes, the examiner will ask questions relevant to the clinical examination that you have just carried out.

For further details on the clinical examination format please download the appropriate document located at the end of this page

Entry requirements
  • • From January 2019: the maximum number of times a candidate may attempt each part of the MRCPI exam is six.
  • • You must have passed MCRPI General Medicine Part II Written within the last three years. If this three-year period has expired, you must re-sit Part II Written
  • Places in this exam are limited

    If the number of applications for this exam exceeds the number of places available, we will prioritise doctors on our Basic Specialist Training programme. Priority access is also given to candidates with only one attempt left. All remaining applications will then be accepted on a first come, first served basis.

    If we can't offer you a place in the clinical exam, you will be placed on a waiting list and you will be offered a place if one becomes available. If you are not allocated a place, you will receive a refund of your fee.

    Application fee

    The fee to sit Part II Clinical is €780 in Ireland, or €1,360 if you are taking the exam outside Ireland. The method of payment is credit or debit card, taken at the end of the online application process.

    Don't forget, if you're in Ireland you can claim a refund of €450 under the HSE Clinical Course and Examination Refund Scheme

    If you require a visa

    If you require a visa to sit an exam, it is your responsibility to ensure the visa application is made in sufficient time before the examination date. We have no role in granting or refusing visas. A refund will not be given if you are unable to attend the examination as a result of a visa-related problem.