Membership of the Royal College of Psychiatrists (MRCPsych) is a prestigious postnominal qualification awarded to physicians who have completed the prescribed training requirements and membership examinations mandated by the Royal College of Psychiatrists. MRCPsych is awarded after the completion of the required amount of clinical practice and successful completion of rigorous examinations. A further three years within psychiatry and a certificate of completion of specialist training are required to register as a psychiatrist on the General Medical Council specialist register. The examination has undergone a radical change in the past few years, notably in terms of focus and structure.