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Aims and MethodThe aim of this study was to investigate the pattern of performance of candidates in the MRCPsych examinations in the period 1997–2002 inclusive. During this period 6306 candidates sat the MRCPsych part I and 4536 sat the MRCPsych part II.ResultsThe overall pass rates for MRCPsych part I was 44.7% and 48.9% for MRCPsych part II. The majority of those who passed either part of the examinations did so on their first attempt; females performed better than males and graduates of UK and Republic of Ireland medical schools performed better than foreign graduates in all component parts of the examinations.Clinical ImplicationsThe pattern of results suggests that clinical tutors and course organisers need to pay special care to the training needs of trainees who are foreign medical graduates.