MRCOG Part 1: What It Is and Why It Matters
The mrcog part 1 is the first step in the Royal College of Obstetricians and Gynaecologists (RCOG) membership pathway. It tests basic and applied sciences that support safe practice in obstetrics and gynaecology. It is a computer-based test with two papers of Single Best Answer (SBA) questions. You must pass it before you can take Part 2.
Exam Structure at a Glance
- Two SBA papers, each 2.5 hours, with 100 questions per paper; both count equally to the final score.
- No minimum score per paper; the combined total determines the result.
- Delivery via Pearson VUE testing centres or online proctoring where available.
MRCOG Part 1 Exam: Format, Syllabus, and Scoring
Format and Question Style
Each sitting has Paper 1 and Paper 2 on the same day, with a lunch break of about 1 hour in between. Each paper lasts 150 minutes, making 200 SBAs in total. SBAs give a short stem and five options. Only one option is best. The exam checks your accuracy, application of knowledge, and speed.
Syllabus and Knowledge Domains
The syllabus covers 15 core areas across four domains that form the science base for O&G.
- Understanding Cell Function: physiology, endocrinology, biochemistry.
- Understanding Human Structure: anatomy, embryology, genetics.
- Understanding Measurement and Manipulation: biophysics, epidemiology, statistics, data interpretation, pharmacology.
- Understanding Illness: immunology, microbiology, pathology, clinical management principles.
The RCOG syllabus and reading list show the depth and themes for each area, plus recommended texts.
Marking and Pass Standard
Both papers contribute 50% each to the final result. There is no separate pass mark per paper; only the combined score matters. The pass standard is set for each sitting using standard-setting methods to keep it fair across different forms.
Eligibility, Attempts, and Application Steps
Who Can Apply
Graduates with a primary medical degree can apply. Postgraduate training is not required for Part 1. New candidates must complete an eligibility application before booking.
Attempts and Progression Rules
You have a maximum of six attempts for Part 1. After passing Part 1, you must progress to Part 2 within the timeframe stated in current RCOG policy.
How to Apply: Step-by-Step
- Create an RCOG account.
- Submit the Part 1 eligibility application with required documents by the deadline.
- Complete the Expression of Interest (EOI) for your chosen sitting.
- Book the exam during the booking window and schedule your test with Pearson VUE.
Check the RCOG dates and fees pages for booking timelines and key steps.
MRCOG Part 1 Exam: Fees, Dates, and Centres
RCOG bands fees by exam centre location, aligned with international membership country bands. For sittings in India, from January 2025 an additional £103 GST applies to the standard Part 1/2 fee, making the total £675 in 2025 for exams sat in India. Review current band rates and booking windows on the RCOG key dates and fees pages. Exams run via Pearson VUE centres worldwide, with guidance on ID, check-in, and test-day rules provided by Pearson VUE for RCOG exams.
What to Study and How to Prepare
High-Yield Scientific Themes
Focus on reproductive physiology, female pelvic anatomy, early development and genetics, pharmacology in pregnancy, statistics and epidemiology, microbiology linked to O&G infections, and pathology mechanisms behind common obstetric and gynaecologic disease. Use the RCOG reading list with a structured question bank and timed mocks to build knowledge and speed.
Smart Prep and Time Management
- Aim for about 90 seconds per question; flag tough items and return later.
- Build a study plan across the four domains and 15 areas; space your revision and practise data interpretation and calculation items.
- Use the official syllabus to guide depth so you study the right level for each topic.
Practical Tips for Exam Day
Arrive early at the test centre or complete online system checks in advance. Bring accepted ID that matches your RCOG booking name. Follow locker and personal item rules at Pearson VUE sites. Expect ID verification and on-screen instructions before the timer starts.
Conclusion
In summary, the mrcog part 1 builds a strong science base for safe obstetrics and gynaecology. Learn the format, study the four domains, and practise SBAs under timed conditions. Use the official syllabus to set depth and focus on anatomy, physiology, genetics, pharmacology, statistics, microbiology, and pathology. Prepare documents early, track booking dates, and follow test‑day rules. With a clear plan, steady practice, and smart time management, you can approach the mrcog part 1 exam with confidence.
