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The Royal College of Psychiatrists Improving the lives of people with mental illness

Preparing for Paper B

MRCPsych Paper B is a written paper which assesses critical review and the clinical topics in psychiatry.


Length of exam and question type

Paper B is a three hour exam worth 200 marks.

  • One third of the paper covers critical review

  • Two thirds of the paper covers clinical topics, of which 30% will be General Adult Psychiatry.


What will it cover?

Paper B will cover the following sections of the syllabus:

6. Organisation and Delivery of Psychiatric Services

7. General Adult Psychiatry

8. Old Age Psychiatry

9. Psychotherapy

10. Child and Adolescent Psychiatry

11. Substance Misuse/Addictions

12. Forensic Psychiatry

13. Psychiatry of Learning Disability

14. Critical Review


Do I need to take Paper B?

Under interim arrangements, candidates holding a valid pass in Paper 3 do not need to sit paper B.


Further information



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  • Exam dates

    To find out the examination dates see the 2018 and 2019 Examinations Calendar.