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MRCS Part B is the last and practical part in the MRCS pathway. It is an Objective Structured Clinical Examination (OSCE), which is designed to assess not just what you know, but how well you can apply that knowledge in real-life practice. If you are looking forward to the upcoming MRCS Part B exams anywhere in the world, here we will guide you to understand what happens on the exam day and how you can prepare effectively for it.

It is very natural to feel anxious on exam day. But, from understanding the structure and setup to being aware of the rules and environment, getting familiar with every detail beforehand will help build your confidence on the exam day.

What to expect on the exam day

The exam assesses both your applied surgical knowledge and clinical skills through 17 stations, each lasting 9 minutes. You will get a 1-minute reading time before entering each station. The total duration of the exam is approximately 3 hours and 30 minutes.

The stations are grouped under two main Broad Content Areas (BCAs).

Applied knowledge (8 stations | 160 marks)

• Anatomy and Surgical Pathology: 5 stations
• Applied Surgical Science and Critical Care: 3 stations

This section tests your understanding of surgical anatomy, pathology, and principles of perioperative care and critical management.

Applied skills (9 stations | 180 marks)

• Clinical and Procedural Skills: 5 stations
• Communication Skills: 4 stations

In this section, the examiners will evaluate your ability to perform safe surgical procedures, make clinical judgements, and communicate effectively with patients and colleagues.

Exam conduct and essentials

All candidates must complete an identity verification process before the exam begins. A valid ID, be it the passport or driver’s licence containing your name, signature, and photograph, is needed. In addition, for visual identification, you may be asked to uncover your face briefly, with full respect for privacy and sensitivity.

Dress code

The MRCS OSCE follows a standard dress code to ensure infection control and professionalism.

• Arms must be bare below the elbows.
• Jewellery is not allowed on hands or wrists except wedding rings or bands.
• A conventional short-sleeved shirt or blouse open at the neck is ideal.
• T-shirts and polo shirts are not permitted.

Candidates with religious or cultural reasons for specific dress may need to comply with this code for stations involving physical examinations.

Briefing and instructions

Candidates will get a detailed briefing before the exam begins. The briefing explains station layouts, rest stations, starting positions, timing, and safety arrangements. You must listen carefully and follow the administrative staff’s directions.

There will be written instructions displayed outside each station. You will have one minute to read them before entering. These instructions will also be available inside the station for reference. Typically, six minutes are allocated for performing the task and three minutes for examiner interaction. Examiners will not prompt you unless necessary and may remind you to reread the instructions if you go off track.

Do not forget to use the hand gel provided after handling patients or equipment. Even if you complete your task early, you must remain in the station until the signal to move on.

Equipment and devices

All equipment needed for each station will be provided. You can bring your own stethoscope or measuring tape if you prefer. Mobile phones and electronic devices are not allowed during the circuit and must be handed over before the exam. Any violation may result in disciplinary action.

How to prepare

• Understand the structure and flow of the exam.
• Practise under timed conditions to improve focus and speed.
• Revise key surgical principles, anatomy, and critical care topics.
• Improve your communication and interpersonal skills.
• Attend mock circuits to experience real exam conditions.

Get exam-ready with StudyMRCS

At StudyMRCS, our training programs are designed to help candidates perform confidently in the MRCS Part B General Surgery OSCE. Our courses are structured and delivered by experienced surgeons who know exactly what the exam demands. We also offer two-day live circuit courses, replicating real MRCS OSCE exam scenarios with expert examiners and professional role players. Our overall success rate for the MRCS Part B stands at 93% over the last few years.

You can even explore our premium learning materials via StudyMEDIC LMS 3.0 before enrolling in our courses.

Want to know more? Connect with the StudyMRCS team today.

Authored By: Sarath