Indian Cardiologist Edition · 2026

MRCP(UK)
Exam Guide

From 25 Years of Cardiology to a Postgraduate Diploma

3Parts
10Months
650+Study Hours
View Roadmap Study Resources

Three Parts.
One Diploma.

Understanding each stage lets you allocate your energy strategically. Your cardiology expertise gives you a head-start in Parts 1 and 2, while PACES demands a different kind of preparation.

Part 1

Written · MCQ

Two papers of 100 Best-of-Five questions each, sat on the same day. Tests clinical sciences and basic medicine across all specialties.

  • 200 questions total (2 × 100)
  • Pass mark ~55–60%
  • Basic sciences, genetics, pharmacology
  • All medical specialties covered
  • Held 3 times/year — Jan, May, Sept

Part 2 Written

Written · Clinical

More clinically oriented with Best-of-Five and Extended Matching Questions. Tests investigation, diagnosis and evidence-based management.

  • 200 questions total (2 × 100)
  • Must pass Part 1 first
  • Emphasis on NICE/ESC guidelines
  • Data interpretation included
  • Held 3 times/year

PACES

Clinical · OSCE

The pinnacle — 5 real-patient stations. Tests clinical examination, history taking, communication, and data interpretation under observation.

  • 5 stations × 20 minutes
  • Real patients with real signs
  • Communication skills critical
  • Examiner marks in real time
  • Available at Indian centres

The Roadmap
to December 2026

Three sequential phases mapped to exam diets. Your clinical experience compresses what typically takes 18 months into 10.

Feb

May

Phase 1 — Part 1 Preparation

FEB 2026 → MAY 2026 · Target: May/June Diet

Systematic coverage of all medical specialties via question banks. Your cardiology knowledge handles 15–20% of the paper — focus energy on basic sciences, genetics, pharmacology mechanisms, and non-core specialties (dermatology, ophthalmology, psychiatry).

Daily target: 100–120 questions/day with explanation review. Weekdays Q-bank + weekends weak topic revision.

Passmedicine OnExamination Kumar & Clark Philip Kalra Notes
Jun

Aug

Phase 2 — Part 2 Written

JUNE 2026 → AUG 2026 · Target: Sept/Oct Diet

Clinical vignettes, investigation interpretation, management guidelines. Your 25 years of clinical experience will feel much more relevant here. Focus on nephrology, respiratory, gastroenterology, and rheumatology — areas where cardiologists may be rustier.

Key focus: NICE/ESC/BTS guidelines, ECG mastery verification, evidence-based management decisions.

Passmedicine Part 2 BMJ OnExamination NICE Guidelines ESC Guidelines
Oct

Dec

Phase 3 — PACES Clinical

OCT 2026 → DEC 2026 · Target: Dec Diet

The most challenging stage for senior doctors — not because of knowledge, but because of style. Structured examination technique, patient-centred communication, and performing under observation require dedicated rehearsal. Video yourself, join a group, book a course.

Critical: Attend a PACES preparation course. Practice out loud. Avoid the trap of being paternalistic in the communication station.

PACES Course Study Group Iqbal & Iqbal Video Practice

Everything You
Need to Study

Every resource linked directly. Click any card to access. Prioritise question banks — they are the single most important habit.

PACES — The
Five Stations

Each station is 20 minutes with a real patient and a live examiner. This is where clinical experience can work both for and against you — technique must be textbook, not habitual.

01

History Taking

Structured, patient-centred. Must demonstrate ICE (Ideas, Concerns, Expectations).

02

Examination

Cardiovascular, respiratory, abdominal or neurological — slick, rehearsed sequence.

03

Communication Skills

Two scenarios — breaking bad news, ethics, consent. Avoid paternalism.

04

Brief Clinical

Combined history + physical examination in a shortened format.

05

Data Interpretation

ECGs, CXR, spirometry, bloods. Your strongest station as a cardiologist.

Your Strengths &
Your Danger Zones

25 years of cardiology shapes both your advantages and your blind spots. Plan accordingly.

✦ Leverage These Strengths

  • Cardiology stations (15–20% of Part 1) — near-perfect scores expected
  • ECG interpretation in PACES Station 5 — your natural home
  • Chest pain history — polished and authoritative
  • CVS examination — aortic stenosis, CCF, arrhythmias
  • Clinical instinct in Part 2 scenarios
  • Breaking bad news with real empathy — you've done this

⚠ Watch These Danger Zones

  • Part 1 basic sciences — genetics, pharmacology mechanisms, statistics. Don't underestimate.
  • PACES communication station — seniors tend to be paternalistic. MRCP wants ICE-based patient-centred style.
  • Examination technique — must be textbook sequence, not your clinical habit. Say steps aloud.
  • Dermatology, ophthalmology, psychiatry — low day-to-day exposure, high exam weight.
  • Gastroenterology & rheumatology management guidelines in Part 2.

Exam Booking
& Key Facts

All three parts are available in India. No need to travel to the UK. Register at mrcpuk.org.

Part 1 Fee

~£450

Check mrcpuk.org for current rates. Fees vary by diet and location.

Part 2 Fee

~£550

Written paper. Held 3 times per year — check exact diet dates.

PACES Fee

~£800

Clinical exam. Available at select centres in India including Mumbai, Delhi.

Attempts Allowed

6 per part

Three years per part. You have buffer — aim to pass each first time.

India Centres

5+ cities

Mumbai, Delhi, Chennai, Kolkata, Hyderabad. Verify current list on mrcpuk.org.

Study Hours

~650 hrs

2–3 hrs weekdays + 4–5 hrs weekends over 10 months. Achievable alongside clinical work.