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The Royal College of Physicians is a medical school in London. Founded in 1518 by Henry VIII, it was originally known as the College of Physicians and was not given the title “Royal” until 1674. At present, the Royal College of Physicians in London is one of the most active medical organizations in the world. Its main purpose is to develop professional standards for the specialty of internal medicine. Specialist examinations are held several times a year. Doctors are required to pass a series of examinations to become members of the Royal College of Physicians (MRCP(UK). Membership of the Royal Colleges of Physicians of the United Kingdom (MRCP(UK)) is a postgraduate medical diploma in the United Kingdom (UK). The examinations are run by the Federation of the Medical Royal Colleges – the Royal College of Physicians of London, the Royal College of Physicians of Edinburgh, and the Royal College of Physicians and Surgeons of Glasgow. The three Royal Colleges of Physicians share this common three part assessment in general medicine which consists of two written parts and one clinical examination. Examinations are held throughout the UK and in overseas centres.
Holders of the MRCP(UK) can subscribe as “collegiate members” to any or all of the three UK Royal Colleges of Physicians. Thus the MRCP(UK) qualification has replaced the former MRCP(Lon), MRCP(E), and MRCP(G) qualifications. (Similarly, the MRCS is also now intercollegiate.)
The three Royal Colleges of Physicians have been holding membership examinations for many years. In the London College the Censors, helped by other examiners, had the duty to carry out the assessment of candidates and advise the College. The MRCP (London) examination began in 1859 with a numerical marking system devised in 1893. In the late 1960s the need to have a single recognized membership examination throughout the United Kingdom was recognized. Such an examination made it unnecessary for junior doctors to enter several membership examinations and removed the suggestion that the standards of the examination at the three Colleges were different.
The exam incorporates both examination of the candidate’s knowledge of basic medical sciences as well as testing the clinical skills required for the diagnosis and management of disease. Changes to the exam in recent years have put more emphasis on communication skills and professionalism. Obtaining the “MRCP(UK)” is a prerequisite to anyone wishing to go on to a specialist training post as a Physician in the United Kingdom. Various companies, including the Royal Colleges themselves, have developed preparatory courses that focus on the nature of the questions and the required background knowledge.
In partnership with the relevant specialist societies, the three UK Royal Colleges have set up the MRCP Specialist Examinations Unit responsible for the organization of new knowledge based assessments. The ultimate objective is to ensure that NHS consultants have demonstrated their acquisition of sufficient knowledge in their chosen specialty to practice safely and competently. This will bring the assessment of physicians in training in the UK into line with those training in North America, where most specialist trainees sit a specialist examination as a further test of excellence, usually after having acquired certification in Internal Medicine.