MRCOG Part 1 Exam

MRCOG Part 1: A Comprehensive Guide

AuthorDr. Sophie BrackeJanuary 14, 2025
MRCOGObstetricsGynaecologyExam Prep

General Overview

The path to becoming an obstetrics and gynaecology specialist in the UK represents an exciting yet challenging journey. At its foundation lies the MRCOG Part 1 examination - a crucial stepping stone that tests your understanding of basic sciences and their clinical applications. This exam is your gateway to ST3 training, career progression and forms the scientific backbone of your future clinical practice.

The MRCOG Part 1 tests your knowledge across basic sciences - from cell biology to clinical data interpretation. Passing this first MRCOG exam ensures that you have the scientific foundation needed before progressing to the more clinically-focused Parts 2 and 3.

Exam Format

  • The MRCOG Part 1 exam consists of two papers, each lasting 2.5 hours.
  • Both papers are weighted equally and contain 100 Single Best Answer (SBA) questions each.
  • Your final MRCOG Part 1 result is based on your combined score, with no minimum requirement for individual papers.

Pass Rates

Pass rates for the MRCOG Part 1 typically range from 25% to 35% per sitting, reflecting the exam's rigour. For instance, the September 2023 sitting recorded a pass rate of 32.6%. While these statistics may seem daunting, they highlight the need for strategic and focused preparation.

The overall pass mark for MRCOG Part 1 exam is determined using the modified Angoff method, a standard-setting process in which a panel of experts estimates the probability that a minimally competent candidate would answer each question correctly. The pass mark usually falls between 60% and 70%.

Eligibility and Registration

Candidates are eligible to sit the MRCOG Part 1 examination upon completion of their primary medical qualification, with no additional prerequisites required. However, it's worth noting that Part 2 must be attempted within seven years of passing Part 1. While many candidates sit the examination during their first year of specialty training, some choose to attempt it earlier to demonstrate commitment during specialty applications.

Stage 1: Expression of Interest & Documentation

You'll need to submit:

  • Your RCOG account number
  • Your primary medical qualification certificate (if you do not have a GMC number)
  • Valid proof of identity (passport or national ID)
  • Current GMC registration (UK candidates) or national medical council registration

Stage 2: Exam Booking

Once your eligibility for the MRCOG Part 1 exam is confirmed, you'll receive booking instructions via email between 1 PM and 5 PM UK time on the booking window opening day. The booking window typically remains open for six weeks, giving you time to arrange your preferred examination date.

When you can sit MRCOG Part 1?

The MRCOG Part 1 exam is typically held twice a year, in January and July, at locations in the UK and internationally. The next available sitting is July 2025. The booking window for this exam opens on 22 April 2025 and closes on 3 June 2025, with the exam date scheduled for 1 July 2025. For UK candidates, the standard fee is £550. Fees vary for other locations, so please check the official RCOG exam fees page for details. It's crucial to verify the exam dates and deadlines on the official RCOG website, as these can be subject to change.

How to Best Prepare

Preparation for MRCOG Part 1 typically requires 3 to 6 months of dedicated study, depending on your circumstances. Those working full-time in clinical roles often benefit from a 6-month schedule, while those with more lenient work schedules might complete preparation in 3-4 months.

Understand the Syllabus

The MRCOG Part 1 syllabus covers 14 knowledge areas, grouped into four domains:

🧬

Understanding Cell Function

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Understanding Human Structure

This distribution should inform your study strategy, focusing on topics you find challenging and those that are likely to appear more, although all topics deserve thorough attention.

Revision Resources

Effective preparation for the MRCOG exam involves a combination of high-quality reading materials and consistent question practice. While the RCOG provides an extensive reading list for this exam, some of the most widely recommended and frequently used texts include:

Supplementary resources, such as Basic Sciences for Obstetrics and Gynaecology by Tim Chard and Richard Lilford, can also be valuable for consolidating understanding of complex topics. However, it's crucial to strike a balance between reading and other forms of active learning.

Regular question practice is essential. High-quality question banks, such as Uterio, provide access to past questions and detailed explanations. Commit to completing the entire question bank at least once, ideally twice, during your preparation. This approach helps you become accustomed to the question style, refine your time management skills, and identify areas requiring further study. Question practice also serves as an active learning method, with detailed explanations offering an opportunity to consolidate your understanding and boost your confidence.

Creating Your Study Strategy

A well-structured study strategy is the foundation for effective MRCOG Part 1 preparation. Begin by reviewing the syllabus and breaking it down into manageable sections. Prioritise heavily weighted and complex topics, such as anatomy, embryology, and physiology, while ensuring a broad understanding of all subject areas. Allocate more time to topics you find challenging, and set specific, realistic goals for each study session to stay focused and track your progress.

Many candidates preparing for MRCOG Part 1 find that joining or forming a study group significantly enhances their learning experience. Studying alongside peers allows you to discuss complex concepts, clarify doubts, and benefit from different perspectives. Study groups also foster accountability and motivation, helping you maintain momentum during the intensive preparation period. If in-person meetings aren't feasible, virtual study groups or forums, such as those integrated into platforms like Uterio, can be an excellent way to connect with other candidates.

Over 30% of questions in each exam are repeated or adapted from previous sittings. This predictable pattern makes systematic practice with past questions an indispensable aspect of preparation. High-quality MRCOG Part 1 question banks are designed to incorporate these past questions and provide detailed explanations.

Time Management

Time management in the MRCOG Part 1 requires careful planning and practice. Each paper presents 100 Single Best Answer questions to be completed in 2.5 hours (150 minutes). This timing allows approximately 90 seconds per question, though some questions will require more time than others. Understanding how to allocate this time effectively can make the difference between success and failure.

Exam Timetable

The exam consists of two papers, each with 100 single best answer (SBA) questions. Both papers contribute equally to the final score.

MRCOG Part 1 Exam Structure
PaperDurationQuestionsNotes
SBA Paper 12.5 hours (150 minutes)100 SBAsA lunch break (approximately 1 hour) will follow Paper 1
SBA Paper 22.5 hours (150 minutes)100 SBAs

An effective approach involves an initial pass of 120 minutes, spending approximately 70-80 seconds per question. If you encounter a challenging question, mark it for review and move on. The marking system doesn't penalise wrong answers, so it's better to make an educated guess and return to the question later. Use the remaining 30 minutes for reviewing marked questions, changing answers only when you have clear justification for doing so.

As your exam date approaches, one of the best ways to prepare is by practicing timed mock exams to simulate the actual test environment. When choosing a question bank, consider whether it offers customisable timed tests and mocks.

Maintaining Balance

Finally, remember that success in the MRCOG Part 1 exam requires attention to both academic preparation and personal wellbeing. Regular exercise, adequate sleep, and healthy nutrition form the foundation of physical wellbeing, supporting cognitive function and learning capacity. Mental wellbeing benefits from scheduled breaks, stress management techniques, and maintained social connections. A balanced approach to study includes setting realistic goals and taking at least one day off per week. Stay connected with family and friends - their support can prove invaluable during challenging periods of preparation. Remember that sustainable study habits lead to better long-term retention and understanding.

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