Psychiatric Bulletin (2006) 30: 193. doi: 10.1192/pb.30.5.193-b
© 2006 The Royal College of Psychiatrists
Psychiatric Bulletin (2006) 30: 193
© 2006 The Royal College of Psychiatrists
The award of Membership without examination
Rameez Zafar, Consultant Psychiatrist
Peter Hodgkinson Centre, Lincoln LN2 5UA, e-mail:
Rameez.Zafar{at}lpt.nhs.uk
I fully agree with the views expressed by Dr Khan and I appreciate the
comments made by Professor Bhugra (Psychiatric Bulletin, January 2006,
30, 3-6). It is heartening to note that the College is striving hard to
maintain the highest standards of training and ethics and that certain steps
are being taken to establish new guidelines and criteria to uphold these
standards across the board. MRCPsych is undoubtedly the most prestigious
qualification and therefore it should not be awarded to those who fail to meet
its standards.
Professor Bhugra mentions two groups of people who could be awarded this
qualification without examination. However, there is another group which he
fails to mention. Under Article 14, the Postgraduate Medical and Education
Training Board (PMETB) can now consider the applications of many middle grade
doctors for specialist registration who do not have the accredited higher
specialist training or who have previously been unsuccessful in the MRCPsych
examination. If some of these applicants are successful, then they will move
on to the specialist register of the General Medical Council, thereby
automatically qualifying for Membership of the College.
I suggest that the College sets up a tier system whereby these potential
awardees, before being granted Membership, either take some form of modular
examination or undergo a series of training workshops and courses. By
implementing such a system the College will be able to appraise the knowledge
and skills of these doctors objectively. It will also enable these doctors to
match the standards achieved by those who acquire MRCPsych through normal
means. If this is not possible then the College should seriously consider
amending the Bye-Laws once again.