# Practising for Obstetrics & Gynaecology (MRCOG Part 3 Clinical Assessment) with MedMock

Canonical page: https://medmock.com/exams/obstetrics-and-gynaecology-mrcog-part-3-clinical-assessment

## What is the MRCOG Assessment OSCE, and how do you practise for it?

Evaluates patient safety, applied clinical knowledge, information gathering, and communication with patients, families and colleagues across the full O&G curriculum. The real circuit is 14 tasks, one per syllabus module, with no published station titles; these practice stations group the tasks by type and run as 2-min reading + actor-led encounter or examiner-led structured discussion. A real circuit may also include linked tasks, where the second task builds on the first, and a writing task; MedMock runs each task on its own and has no writing task. MedMock lets you practise it out loud against an AI patient, with examiner-style feedback on any station you finish.

A complete example station — full transcript and the scorecard MedMock produced — is at https://medmock.com/exams/obstetrics-and-gynaecology-mrcog-part-3-clinical-assessment/example

## What happens in the real MRCOG Assessment (checked against the official source on 2026-09-24)

MRCOG Part 3 is a clinical assessment made up of a circuit of 14 tasks, each 12 minutes long including two minutes of initial reading time. Tasks are either role-plays with a trained actor playing a patient or colleague, or structured discussions with a clinical examiner. Each task assesses three or four of five domains, with a clinical examiner on every task and a lay examiner on four of them.

- **Simulated patient or colleague tasks** (12 minutes): You interact with an actor who has been trained and fully briefed to play a patient or colleague, knows the details of the case and has some scripted questions to prompt you if needed. Each task includes two minutes of initial reading time.
- **Structured discussion tasks** (12 minutes): You talk directly with a clinical examiner, who has a list of questions to prompt you or move the task on, and may give you further information as the scenario evolves before asking further questions. Each task includes two minutes of initial reading time.

Marking: Each task assesses three or four of five domains: patient safety; communication with patients and their relatives; communication with colleagues; information gathering; and applied clinical knowledge. A trained clinical examiner features on all 14 tasks, and a trained lay examiner on four of them, assessing communication, patient safety and information gathering from the patient's perspective. RCOG does not publish the marking scale on its Part 3 pages.

Passing: RCOG sets the Part 3 pass mark with its own standard-setting method (the 'RCOG Procedure'), based on the number of examiner judgements in the exam plus an additional factor and a standard error of measurement. There is no fixed pass level, so the pass mark can change from one sitting to the next.

Sources: https://www.rcog.org.uk/careers-and-training/exams/mrcog-our-specialty-training-exam/mrcog-part-3/mrcog-part-3-format/ https://www.rcog.org.uk/careers-and-training/exams/mrcog-our-specialty-training-exam/mrcog-pass-mark/ https://www.rcog.org.uk/careers-and-training/exams/mrcog-our-specialty-training-exam/mrcog-part-3/mrcog-part-3-exam-how-to-apply/ https://www.rcog.org.uk/careers-and-training/exams/mrcog-our-specialty-training-exam/mrcog-part-3/mrcog-part-3-faqs/ https://www.rcog.org.uk/careers-and-training/exams/mrcog-our-specialty-training-exam/mrcog-part-3/mrcog-part-3-key-dates-and-fees/ https://www.rcog.org.uk/careers-and-training/exams/mrcog-our-specialty-training-exam/mrcog-part-3/global-expansion-and-sustainability-project/
Full format page: https://medmock.com/exams/obstetrics-and-gynaecology-mrcog-part-3-clinical-assessment/format

## How to prepare for the MRCOG Assessment (facts checked against official sources on 2026-09-27)

MRCOG Part 3 is a circuit of 14 twelve-minute tasks, each either a role-play with a trained actor or a structured discussion with an examiner, and each assessing three or four of five domains. Prepare from the Part 3 knowledge requirements in the RCOG syllabus and the Green-top Guidelines, which the RCOG says inform the exam, and rehearse both task types out loud against the clock, including linked tasks and writing.

1. **Get your Assessment of Training approved early** — To sit Part 3 you must have passed Part 2 and had your Assessment of Training (AoT) approved. You can apply for the AoT at any time after passing Part 1, without waiting for your Part 2 result; allow up to four weeks from the published deadline for it to be processed. Sittings are in May and November.
2. **Revise from the Part 3 knowledge requirements** — The RCOG syllabus sets out requirements for each part of the exam under each of its 15 knowledge areas. For Part 3 they include justifying investigations and interventions, critically discussing management options, presenting a balanced view of risks and benefits, and taking notes concisely and accurately.
3. **Revise the Green-top Guidelines and national guidance** — The RCOG says its Green-top Guidelines inform the exam itself and will help you understand what questions are asking and how best to answer them. Its revision page also points you to NICE guidelines, the BNF, its Scientific Impact Papers and The Obstetrician & Gynaecologist.
4. **Practise simulated patient and colleague tasks** — Actors know the case and have scripted prompts, and a lay examiner on four tasks judges communication, patient safety and information gathering from the patient's point of view. Practise introducing your role, mainly open questions, information in manageable amounts without jargon, shared decisions that respect autonomy even against medical advice, and informed consent with attention to capacity.
5. **Practise structured discussions with a senior** — In a structured discussion the examiner may give you new information as the scenario evolves and then ask more, and may move you on so that you do not run out of time. Ask a consultant to run evolving cases with you and to make you justify each decision.
6. **Prepare for linked tasks and writing** — A circuit may contain linked tasks, where the second builds on the first, and there may be a writing task. Practise carrying what you learnt in one task into the next, and writing clear, concise, accurate notes within the time.
7. **Run full circuits to time** — Each task lasts 12 minutes, including two minutes of reading. Rehearse full circuits with a timer, planning each task in the reading time. The RCOG's own eLearning recreates a 14-task circuit with interactive videos to show the format and marking, and has a free sample video.

Official resources:

- MRCOG Part 3 format (https://www.rcog.org.uk/careers-and-training/exams/mrcog-our-specialty-training-exam/mrcog-part-3/mrcog-part-3-format/): The RCOG's description of the circuit, the five domains, the two task types, linked tasks and writing tasks.
- MRCOG Syllabus and Knowledge Requirements (https://www.rcog.org.uk/media/yeqbkfrw/mrcog-syllabus-and-knowledge-requirements-v10.pdf): The syllabus, with the Part 3 requirements listed under each knowledge area; use it as your revision map.
- MRCOG Part 3 revision resources (https://www.rcog.org.uk/careers-and-training/exams/mrcog-our-specialty-training-exam/mrcog-part-3/revision-resources/): The RCOG's list of recommended revision materials, including its eLearning, guidelines and journals.
- RCOG Green-top Guidelines (https://www.rcog.org.uk/guidance/browse-all-guidance/green-top-guidelines/): The RCOG's clinical guidelines, which it says inform the exam itself.
- MRCOG Part 3 FAQs (https://www.rcog.org.uk/careers-and-training/exams/mrcog-our-specialty-training-exam/mrcog-part-3/mrcog-part-3-faqs/): Attempts, the seven-year rule after Part 2, results feedback and courses.
- MRCOG Part 3: key dates and fees (https://www.rcog.org.uk/careers-and-training/exams/mrcog-our-specialty-training-exam/mrcog-part-3/mrcog-part-3-key-dates-and-fees/): Exam dates and venues, AoT deadlines, booking windows and fees for each sitting.

Sources: https://www.rcog.org.uk/careers-and-training/exams/mrcog-our-specialty-training-exam/mrcog-part-3/mrcog-part-3-format/ https://www.rcog.org.uk/careers-and-training/exams/mrcog-our-specialty-training-exam/mrcog-part-3/syllabus/ https://www.rcog.org.uk/careers-and-training/exams/mrcog-our-specialty-training-exam/mrcog-part-3/mrcog-part-3-exam-how-to-apply/ https://www.rcog.org.uk/careers-and-training/exams/mrcog-our-specialty-training-exam/mrcog-part-3/mrcog-part-3-key-dates-and-fees/ https://www.rcog.org.uk/media/yeqbkfrw/mrcog-syllabus-and-knowledge-requirements-v10.pdf https://www.rcog.org.uk/careers-and-training/exams/mrcog-our-specialty-training-exam/mrcog-part-3/revision-resources/ https://www.rcog.org.uk/guidance/browse-all-guidance/green-top-guidelines/ https://www.rcog.org.uk/careers-and-training/exams/mrcog-our-specialty-training-exam/mrcog-part-3/mrcog-part-3-faqs/ https://www.rcog.org.uk/careers-and-training/exams/mrcog-our-specialty-training-exam/mrcog-pass-mark/ https://www.rcog.org.uk/careers-and-training/exams/mrcog-our-specialty-training-exam/mrcog-part-3/global-expansion-and-sustainability-project/
Full guide: https://medmock.com/exams/obstetrics-and-gynaecology-mrcog-part-3-clinical-assessment/prepare

Upcoming sittings: 4–5 November 2026; 9–10 November 2026 (source: RCOG, checked 2026-09-23).
All MRCOG Assessment dates: https://medmock.com/exams/obstetrics-and-gynaecology-mrcog-part-3-clinical-assessment#dates

## Stations you can practise

- **Information Giving** — Simulated patient task: counsel a patient on a diagnosis, investigation result or treatment option (e.g. PCOS, HMB, heavily dyskaryotic smear, contraception choice).
- **Breaking Bad News** — Simulated patient task: deliver difficult news (e.g. miscarriage, fetal anomaly, gynaecological malignancy) using SPIKES, manage emotion, agree next steps.
- **Consent & Triadic Communication** — Simulated patient task with partner / relative in room: obtain informed consent for a procedure (e.g. laparoscopy, LLETZ, TOP) or navigate a capacity / autonomy dilemma.
- **Acute Obstetric Emergency** — Simulated colleague task: lead a labour-ward emergency with the midwife as the primary interlocutor (e.g. PPH, eclampsia, shoulder dystocia, cord prolapse, ruptured ectopic). Tests team leadership, drug doses, escalation.
- **Communication with Colleagues** — Simulated colleague task: communicate with a trainee doctor, a midwife or a nurse — for example handing over a complex patient, discussing an adverse incident, resolving a disagreement about a plan or supporting a struggling trainee.
- **Structured Discussion — Clinical** — Examiner-led viva on a clinical scenario from the O&G curriculum (e.g. management of placenta accreta, recurrent miscarriage workup, gynae-oncology MDT decision). Anchored in RCOG Green-tops, NICE NG133 / NG121, MBRRACE-UK.
- **Structured Discussion — Ethics & Governance** — Examiner-led viva on an ethical, governance or duty-of-candour scenario specific to O&G practice (e.g. conscientious objection in TOP, disclosure of a never event, capacity to consent to LARC, sex-selective TOP request).

## Sample MRCOG Assessment questions

- *Acute Obstetric Emergency:* You are the on-call O&G registrar. A 40-year-old patient develops an eclamptic fit. You have administered magnesium sulphate. She has a second fit 15 minutes later. Manage this refractory eclampsia.
- *Consent & Triadic Communication:* A 28-year-old woman has had a failed medical TOP and now requires surgical completion. She is with her friend and is very upset. Obtain consent for the surgical procedure, acknowledging her distress and the previous failed treatment.

## Example scenarios

- *Information Giving:* Explain the diagnosis and management implications of heavily dyskaryotic cervical screening results to a 34-year-old woman who has just found out.
- *Breaking Bad News:* Tell a 38-year-old G1P0 at 22+3/40 that the anomaly scan has identified bilateral renal agenesis and the prognosis is incompatible with life.
- *Acute Obstetric Emergency:* You are the on-call O&G registrar. The labour-ward midwife has called you for a primary PPH with an estimated 1500 mL blood loss following SVD. Lead the call.
- *Communication with Colleagues:* A midwife is upset that you did not come when she asked for a review of an abnormal trace overnight. Discuss the incident with her.
- *Structured Discussion — Clinical:* Discuss your management of a P2 G3 woman at 36/40 with placenta praevia and a previous LSCS who has presented with a fresh PV bleed of 500 mL.
- *Structured Discussion — Ethics & Governance:* A patient asks you to perform a sterilisation at caesarean section, but the consent form was signed during labour. Discuss the issues and your approach.

## How a practice session works

1. **Choose a station** — Pick from the MRCOG Assessment stations — all 7 that MedMock runs, or let MedMock surprise you the way exam day will.
2. **Have the conversation** — Speak naturally, out loud. The AI patient responds in real time — with emotions, cues and unexpected turns, just like a real encounter.
3. **Get instant feedback** — The moment you finish, you get specific, examiner-style feedback and a score — what you did well, what cost you marks, and precisely what to fix before the next attempt.

## Price

Free trial of 30 credits, no card required. After that, £69 per month for 350 credits. One credit is one minute of spoken practice, or two typed exchanges, and where the examiner or patient speaks first, that opening line is free. Marking is separate: your examiner scorecard costs 2 credits, and you choose whether to mark each session. Cancel at any time. Full details: https://medmock.com/pricing

## Frequently asked questions

### How does the feedback work?

When you finish a station you can have it marked, and the scorecard comes back in seconds — what you did well, what cost you marks, and exactly what to work on next. Marking costs 2 credits on top of the practice, you choose which stations to mark, and the price is shown before you are charged.

### Can I practise specific MRCOG Assessment stations?

Yes. You can pick any of the 7 stations to drill a weak area, or run a mixed set to simulate the real exam.

### How much does it cost?

Every plan includes a monthly credit allowance, and everyone starts with a free trial with no card required. Current prices are on the pricing page.

## About MedMock

MedMock is a web app for practising the spoken parts of UK medical exams and interviews out loud. The candidate talks; an AI patient, examiner or interview panel answers in real time by voice; and when the station ends MedMock marks the performance against that exam's assessment domains and shows the model answer.

It covers 95 spoken exams and interviews — OSCEs, vivas, structured oral exams, simulated consultations, and specialty-training and consultant interviews. It does not cover written or multiple-choice papers, and it is not a question bank.

It was founded by Mr Sam Nahas, MBBS BSc MEd FRCS (Tr & Orth), a practising consultant orthopaedic surgeon in the UK, with co-founder and CTO Arjan Jandu. It is operated by VirtualPatients Ltd (company no. 16303492).

Pricing: a free trial of 30 credits with no card required, then a monthly subscription from £20 to £129 depending on the exam (student exams cost least, fellowship exit exams and consultant interviews most), or £199 to £275 for the Intensive plans, which carry more credits. One credit is one minute of spoken practice, or two typed exchanges, and where the examiner or patient speaks first, that opening line is free. Marking is separate: your examiner scorecard costs 2 credits, and you choose whether to mark each session. Subscriptions can be cancelled at any time.

It runs in a web browser on a laptop or phone; spoken practice needs a microphone. There is no public demo: practice starts after creating a free account.

MedMock is for adults aged 18 or over. Sign-up asks every new account to confirm it.

MedMock is a revision tool. The patients, examiners and cases are fictional and AI-generated; it is not clinical guidance and is not affiliated with or endorsed by any Royal College, the GMC or any examining body.

Start a free trial: https://medmock.com/auth/signup