What to Expect in MRCOG Part 1: Syllabus and Exam Format
The Member of the Royal College of Obstetricians and Gynaecologists (MRCOG) Part 1 exam is the first step toward obtaining membership in the prestigious RCOG. This exam is designed to assess the candidate's knowledge of the basic sciences relevant to obstetrics and gynecology.
In this blog, we will discuss the syllabus, exam format, and essential tips to help you prepare effectively.
MRCOG Part 1 Exam Format
The MRCOG Part 1 exam is structured to test your understanding of fundamental medical sciences in the context of obstetrics and gynecology. It consists of two papers, both featuring multiple-choice questions (MCQs).
Exam Structure
Paper 1: 100 Single Best Answer (SBA) questions – Duration: 2.5 hours
Paper 2: 100 Single Best Answer (SBA) questions – Duration: 2.5 hours
Each paper is conducted on the same day, with a break in between. The total exam duration is five hours.
Marking Scheme
Each SBA question has five possible answers, but only one is correct.
There is no negative marking, so it is recommended to attempt all questions.
The questions assess recall, understanding, and application of knowledge.
Now that we have covered the format, let's delve into the MRCOG Part 1 syllabus to understand what topics you need to focus on.
MRCOG Part 1 Syllabus
The syllabus is broadly divided into the basic sciences and their application to clinical practice. Below is a breakdown of the key topics covered:
1. Anatomy
Female reproductive system (uterus, ovaries, fallopian tubes, and external genitalia)
Pelvic floor and perineum
Vascular and nervous supply to the pelvic organs
Fetal and placental anatomy
Breast anatomy
2. Physiology
Endocrinology (hormonal regulation of reproduction)
Menstrual cycle and ovarian function
Pregnancy-related physiological changes
Fetal physiology and adaptation to extrauterine life
Lactation and breast function
3. Biochemistry
Hormonal biosynthesis and metabolism
Protein metabolism and its relevance to pregnancy
Acid-base balance and its importance in fetal medicine
4. Pathology
Inflammation and immune response
Principles of neoplasia and cancer
Common gynecological and obstetric disorders
Placental pathology
5. Pharmacology
Drugs used in pregnancy and lactation
Hormonal treatments and contraceptives
Antibiotics and antivirals in obstetric care
Teratogenicity and drug safety in pregnancy
6. Embryology and Genetics
Normal and abnormal fetal development
Chromosomal abnormalities and genetic disorders
Prenatal screening and diagnosis
Molecular biology techniques in reproductive medicine
7. Microbiology and Immunology
Common infections in pregnancy (TORCH, STIs, etc.)
Maternal immune system adaptations in pregnancy
Vaccination and immunization in pregnancy
8. Biostatistics and Epidemiology
Study designs and clinical trials
Interpretation of research data
Evidence-based medicine in obstetrics and gynecology
Public health aspects of maternal and child health
Key Preparation Tips for MRCOG Part 1
1. Understand the Exam Format
Knowing the exam structure in advance will help you manage time effectively during the test. Familiarize yourself with the SBA question format and practice answering them under timed conditions.
2. Follow a Study Plan
Allocate 2-6 months for preparation, depending on your familiarity with the subjects.
Break the syllabus into manageable sections and review them systematically.
Dedicate time for revision and mock tests to assess your progress.
3. Use High-Quality Study Materials
Some of the best books for MRCOG Part 1 include:
"MRCOG Part 1: 400 SBAs" by Katherine Andersen
"Get Through MRCOG Part 1: MCQs and EMQs" by Rekha Wuntakal
"Basic Sciences for Obstetrics and Gynaecology" by Tim Chard and Richard Lilford
RCOG Green-top Guidelines and NICE Guidelines
4. Practice MCQs Regularly
Solving question banks improves recall and boosts confidence.
Review explanations for both correct and incorrect answers.
Identify weak areas and focus on improving them.
5. Join Online Courses and Study Groups
Enroll in online MRCOG preparation courses for structured guidance.
Participate in study groups and discussion forums to clarify doubts and stay motivated.
6. Stay Consistent and Manage Stress
Set realistic daily or weekly study goals.
Take regular breaks to prevent burnout.
Engage in physical activities or meditation to maintain a balanced mindset.
Final Thoughts
The MRCOG Part 1 exam is challenging but manageable with proper preparation. Understanding the syllabus and exam format will help you focus on key areas and build a strong foundation for success. Use quality study materials, practice regularly, and stay consistent in your efforts. With dedication and the right strategy, you can pass MRCOG Part 1 and move forward in your journey to becoming an RCOG member.
Good luck with your MRCOG Part 1 preparation! If you have any questions or need more guidance, feel free to ask in the comments below.
What's Your Reaction?






