MRCOG

a general overview of the MRCOG examinations”

MRCOG is the membership of the royal college of obstetricians and gynecologists. All those candidates who wish to specialize in obstetrics/gynecology in the UK, have to pass this exam. MRCOG will allow you to work in the field of Obstetrics/Gynecology in the UK, that is, pregnancy, childbirth, female sexual and reproductive health.

What is RCOG?

RCOG is a professional association based in the UK. It has a fellowship of over 14,000 members worldwide. Around half of the members practice outside the UK, with over 6000 obstetricians and gynecologists working in more than 100 countries including India, Pakistan, Saudi Arabia, UAE, and so on…

The RCOG is aimed at developing the framework and the curriculum of the post-graduate training in Obstetrics and Gynecology in the UK. RCOG principally conducts two examinations. The details of these examinations are tabulated below;

MRCOG DRCOG
It is a primary membership examination It is only a diploma from RCOG
The Membership examination is intended for those who wish to specialize in obstetrics and gynecology. The DRCOG examination is aimed at doctors, and especially General Practitioners, who wish to certificate their knowledge and interest in obstetrics and gynecology.
Leads to FRCOG-Fellowship of the Royal College of the Obstetricians and the Gynecologists. It is only a certificate to practice generally

 

Why take MRCOG?

This question is often confronted by many: why take MRCOG? To answer this question we have to understand the benefits and the advantages which we can gain after passing the MRCOG examinations.

MRCOG is a professional qualification to work as a specialist Obstetrician or Gynecologist in the UK. The membership certification is awarded by the;

  • Royal College of the Obstetricians and Gynecologist

In this way, you will be able to work as a renowned Gynecologist in the UK and around many other parts of the world. Given below is a short summary of why take MRCOG?

  • Gold Standard qualification for career progression in Obstetrics and Gynecology
  • Worldwide recognition
  • Opens career options in the UK, Australia, and many other countries in the world
  • Makes you a professional Obstetrician/Gynecologist

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Fellowship of the Royal Colleges of Surgeons-FRCS

Hurdles on way to MRCOG

Many of the candidates who are willing to pursue a career in OBS/GYNE are unaware of the application process and waste a lot of time during all this hectic process. Given below are some of the hurdles you can face during your journey to the MRCOG pathway;

  • Lack of Guidance and motivation
  • Lack of time
  • Lack of confidence
  • Lack of proper study material
  • Lack of exposure to clinical scenarios and SBA’s (Single Best Answer)
  • Lack of focused feedback

Aims and Objectives of the MRCOG examination

The MRCOG examination is aimed at testing your basic sciences knowledge, communication skills, your act of conduct, and what you have learned during your primary medical qualification. The main aims and objectives of the MRCOG examination, in a nutshell, are compiled below:

  • To test the basic medical sciences knowledge and basic clinical skills
  • To assess the communication skills and the professionalism of the candidate
  • To make your work as specialist obstetricians/gynecologists in the UK
  • The ultimate objective is to ensure that the recruited doctors are skilled enough to meet the market demand in the UK

Components of the MRCOG examination

MRCOG is a 3-part assessment examination for those wishing to pursue a career in OBS/GYNE in the UK. The below table will clarify your idea regarding its 3-parts:

Examination

Pattern

MRCOG Part 1 Written (MCQs)
MRCOG Part 2 Written (MCQs)
MRCOG Part 3 Clinical-OSCE Component (Objective Structured Clinical Examination)

 

MRCOG Part 1

MRCOG part 1 is the entry-level exam. A brief overview of it is given below:

What is asked? Basic and Applied Sciences relevant to the clinical practice of OBS/GYNE

Format: Part 1 is further broken into 2-papers.

Paper What is asked? Time MCQ’s
A Applied Basic Sciences relevant to OBS/GYNE 2 Hours 30 minutes 100 SBA’s (Best Choice-1 out of 5)
B Applied Basic Sciences relevant to OBS/GYNE 2 Hours 30 minutes 100 SBA’s(Best Choice 1 out of 5)

 

Total Time: 5 hours examinations with 1-hour break; total time=6 hours (1 Day exam)

When to take it? Most trainees sit the exam during ST1 or ST2.

Test Centers: The test centers which conduct MRCOG part 1 examination are divided into 2 categories:

Test Centers in the UK International Test Centers
London Bangladesh
Manchester Egypt
Edinburgh Greece
Dublin Hong Kong

India

Iraq

Lebanon

Myanmar

Nepal

Netherlands

Oman

Nigeria

Pakistan

Saudi Arabia

Singapore

Sudan

UAE

West-Indies

 

Eligibility Criteria: Eligibility Criteria are very simple for the MRCOG part 1 examination:

  • You must have completed your primary medical qualification (MBBS) from the institutions listed in the directory of the General Medical Council of the UK.
  • You must be enrolled in specialty training ST1 or ST2.

MRCOG Part 1 Comprehensive Study

 There are a total of 18 modules that highlight the topics which are necessary and are examined. Modules 2,4, and 19 are not examined during the part 1 assessment so they are not tabulated below:

MODULE What is Asked?
1 Clinical Skills
3 IT, Clinical Governance, and research
5 Core Surgical Skills
6 Postoperative Care
7 Surgical Procedure
8 Antenatal Care
9 Maternal Medicine
10 Management of labor
11 Management of delivery
12 Postpartum Problems
13 Gynecological Problems
14 Subfertility
15 Sexual and Reproductive Health
16 Early Pregnancy Care
17 Gynecological Oncology
18 Uro-gynecological and Pelvic Floor Problems

 

 

Study Material/Content

Everything related to the Part 1 preparation is provided on the official website of the Royal College of Obs and Gyne. You can check and download the study material from the official website.

The recommended books from the official website of the Royal College are mentioned here:

  • Basic Sciences of Obstetrics and Gynecology (5th edition)
  • British National Formulary
  • Clinical Gynecologic Endocrinology and Infertility (7th edition)
  • Clinical Pharmacology and Therapeutics: Lecture Notes (9th edition)
  • Essential Medical Genetics (6th edition)
  • Ganong’s Review of Medical Physiology (24th edition)
  • Harper’s Illustrated Biochemistry (28th edition)
  • Larsen’s Human Embryology (4th edition)
  • Last’s Anatomy – Regional and Applied (12th edition)
  • Medical Microbiology (7th edition)
  • MRCOG Part One: Your essential revision guide

purchase from the Cambridge website

  • Revision Notes for the MRCOG Part 1 (Oxford Specialty Training: Revision Texts)
  • Robbins Basic Pathology (8th edition)
  • SBAs for the Part 1 MRCOG

purchase from the Cambridge website

How much time is required for the Preparation? Allow yourself at least 6-8 Months for the part 1 preparation.

 

MRCOG Part 2

Once you have passed your Part 1 examination, you become eligible to take MRCOG Part 2 examination.

A general and brief overview of the Part 2 examination is given below:

What is asked? The application of the knowledge to the clinical scenarios is assessed in part 2.

Format: The Part 2 examinations are further broken into 2 separate papers:

Paper What is asked? Time MCQ’s
A Application of the core knowledge to clinical scenarios 3 hours 100 MCQs (Combination of 50% SBA’s and 50% Extended Matching Items)
B Application of the core knowledge to clinical scenarios 3 hours 100 MCQs (Combination of 50% SBA’s and 50% Extended Matching Items)

 NOTE: Single best Answer questions count for 40% of the total marks and the Extended Matching Items count for 60% of the total marks.

Total time: 6 hours for the papers and 1-hour lunch break; total time=7 hours (one-day examination)

When to take it? Most trainees applying via route ‘ A’ sit for the examination during ST3-ST5. You need o take Part 2 within the 7 years of passing Part 1.

Test Centers: The test centers which conduct MRCOG part 1 examination are divided into 2 categories:

Test Centers in the UK International Test Centers
London Bangladesh
Manchester Egypt
Edinburgh Greece
Dublin Hong Kong

India

Iraq

Lebanon

Myanmar

Nepal

Netherlands

Oman

Nigeria

Pakistan

Saudi Arabia

Singapore

Sudan

UAE

West-Indies

 

Eligibility Criteria: The eligibility criteria to take the Part 2 examination are:

  • Passing MRCOG Part 1 examination
  • Must be in ST3-ST5 specialist training

MRCOG Part 2 Comprehensive Study

There are a total of 18 modules that highlight the topics which are necessary and are examined. Modules 4, and 19 are not examined during the part 2 assessment so they are not tabulated below:

MODULE What is Asked?
1 Clinical Skills
2 Teaching, appraisal, and assessment
3 IT, Clinical Governance, and research
5 Core Surgical Skills
6 Postoperative Care
7 Surgical Procedure
8 Antenatal Care
9 Maternal Medicine
10 Management of labor
11 Management of delivery
12 Postpartum Problems
13 Gynecological Problems
14 Subfertility
15 Sexual and Reproductive Health
16 Early Pregnancy Care
17 Gynecological Oncology
18 Uro-gynecological and Pelvic Floor Problems

 

Study Material/Content for Part 2

Everything related to the Part 2 preparation is provided on the official website of the Royal College of Obs and Gyne. You can check and download the study material from the official website.

The recommended books from the official website of the Royal College are mentioned here:

·       Obstetrics and Gynecology – An evidence-based text for MRCOG (3rd edition)

·       Bonney’s Gynecological Surgery (11th edition)

·       Clinical Gynecologic Oncology (e-book)

·       Contraception: Your Questions Answered (7th edition)

· High-Risk Pregnancy: Management Options (4th edition)

·       Handbook of Obstetric Medicine (5th edition)

·       Drugs during Pregnancy and Lactation. Treatment Options and Risk Assessment (3rd edition)

·       Martindale: The Complete Drug Reference (37th edition)

·       Neonatal-Perinatal Medicine (9th edition)

·       Dewhurst’s Textbook of Obstetrics and Gynecology (8th edition)

·       Operative Obstetrics (2nd edition)

·       Oxford Specialty Training: Training in Obstetrics & Gynecology

MRCOG Part 3 (OSCE Component)

Part 3 is the final part of the MRCOG series. Once you have passed the part 3 examinations, you become eligible to work as a specialist Obstetrician/Gynecologist in the UK. Part 3 is the Objective Structured Clinical Examination which is aimed at testing more of your clinical skills rather than basic knowledge and basic skills.

Given below is a brief overview of the Part 3 examination:

What is asked? The candidate’s ability to demonstrate core clinical skills in the context of the skills, knowledge, attitudes, and competencies are assessed in the Part 3 examination.

Format: The Part 3 Clinical Assessment consists of 14 tasks in a circuit, each task based on one of the 14 modules:

  1. Teaching 
  2. Core surgical skills 
  3. Postoperative care 
  4. Antenatal care 
  5. Maternal medicine 
  6. Management of labor 
  7. Management of delivery 
  8. Postpartum problems (the puerperium) 
  9. Gynecological problems 
  10. Subfertility 
  11. Sexual and reproductive health
  12. Early pregnancy care 
  13. Gynecological Oncology 
  14. Uro-gynaecology and pelvic floor problems 

Each of the above modules is assessed under the following domains:

  • Patient safety
  • Communicating with patients and families
  • Communicating with colleagues
  • Information gathering
  • Applied clinical knowledge

Test Centers: There are only a few test centers that conduct Part 3 examinations:

  • London
  • Delhi, India
  • Hong Kong
  • Singapore

Eligibility Criterion:

  • Passing MRCOG Part 2 examination


What if you fail the exam on the first try?

There is no need to worry if you fail the examinations on the first try. You can retake the Part 1, Part 2, and Part 3 examinations as tabulated below:

Exam No. of Retakes
MRCOG PART 1 6 attempts
MRCOG Part 2 6 attempts
MRCOG PART 3 4 attempts (if you fail all 4 times you need to take Part 2 again)

 

Is IELTS a requirement of the MRCOG examination

IELTS is not required to pass your examination. ILETS is required when you apply for registration with GMC.

IELTS Component Scores Needed
Speaking 7  bands
Listening 7  bands
Writing 7  bands
Reading 7 bands
Overall 7.5 Bands

 

Fee Structure

The fee structure for the MRCOG examinations is tabulated below:

Exam Fee in the UK International Fee
MRCOG Part 1 £432 £360
MRCOG Part 2 £432 £360
MRCOG Part 3 £420 £350

 

Registration Procedure

Before we discuss the registration procedure for the MRCOG examinations, let us throw some light on the routes of entry in the UK OBS/GYNE Specialist training. There is a total of 2 routes:

Route “A” Route “B”
This route is for UK candidates and requires that you must meet the following criteria:

·       have been fully registered with the GMC for at least 4 years,

·       have passed part 1 MRCOG,

·       Have at least 2 years of full-time (or equivalent) experience in O&G.

·       have held each O&G post for at least 6 months,

·       Have completed training by 7th. February for the March exam and the 7th. August for the September exam.

This route is for the candidates applying outside the UK and requires that you meet the following criteria:

·       have a medical qualification that is recognized by the GMC,

·       have held the medical qualification for at least 5 years,

·       have passed the part 1 MRCOG,

·       have at least 4 years full-time (or equivalent) experience in O&G,

·       have been in O&G for at least 2 years in the 4 years before the first application to sit the exam,

·       Have completed training by 7th. February for the March exam and the 7th. August for the September exam.

 

To register for the MRCOG examination kindly, follow the below-mentioned link:

ROYAL COLLEGE OF OBSTETRICIANS AND GYNECOLOGISTS REGISTRATION

 

This is all about the MRCOG Examinations. If there is anything missing you can mention it below in the comment box. Feel free to ask any questions.

For a complete guide;e to the USMLE please follow the link below:

USMLE

For a Complete Guide to the AMC Australia kindly follow the link below:

AMC AUSTRALIA

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