2025-04-23 | Category: Mrcog 2

📘 Mastering MRCOG Part 2: Study Guide Based on Green-Top Guidelines

The MRCOG Part 2 examination is a high-stakes assessment that tests more than just knowledge—it evaluates your ability to apply evidence-based medicine in real-world clinical scenarios. At the heart of this lies the Green-Top Guidelines (GTGs) issued by the Royal College of Obstetricians and Gynaecologists (RCOG).

To succeed, candidates must blend clinical reasoning, risk management, patient-centered care, and up-to-date guidance from GTGs, TOG articles, and NICE recommendations.

In this guide, we’ll explore a strategic roadmap to preparing for MRCOG Part 2 using the Green-Top Guidelines, question banks, and practice techniques that mirror the exam format.

🧠 Why Green-Top Guidelines (GTGs) Are Essential

The GTGs are evidence-based clinical practice guidelines developed by RCOG to support decision-making in UK obstetric and gynaecological practice. In the Part 2 exam:

• 📝 Most SBAs and EMQs are directly based on GTG content
• 🔬 Questions test not just “what is the answer?” but “why?”, according to current guidance
• ✅ The GTGs reflect clinical governance, audit standards, and patient safety—key themes in the MRCOG blueprint

🎯 High-Yield GTGs to Prioritize

While all GTGs are valuable, some are more frequently tested due to their clinical importance:

🔗 View the complete GTG list here: RCOG Green-Top Guidelines

📚 Key Strategies for MRCOG Part 2 Preparation

✅ 1. Summarize Each GTG into Structured Notes

Create high-yield revision documents per guideline:

• Background & epidemiology
• Investigations
• Management: conservative, medical, surgical
• Audit standards
• Strength of recommendations (A, B, C, ✓)

🖇️ Use tables, flowcharts, and mnemonics to condense information.

✅ 2. Align with Core MRCOG Themes

While revising GTGs, pay special attention to the following:

• 🛑 Patient Safety – e.g., preventing maternal death, escalation of care
• 📊 Audit & Governance – understanding audit criteria in each GTG
• 📜 Consent & Ethics – ability to counsel and involve women in decisions
• ❤️ Maternal Medicine – co-morbidities like cardiac disease, diabetes, epilepsy

✅ 3. Incorporate Clinical Vignettes

Real success lies in application, not memorization. Create clinical scenarios from GTGs:

"A 32-year-old woman presents at 34 weeks with shortness of breath and unilateral leg swelling… What’s the VTE risk score? Should you anticoagulate?"

This helps prepare for:

• SBA logic-based questions
• Risk scoring tools (e.g., VTE, hypertension, sepsis)
• Guideline-based clinical reasoning

✅ 4. Practice SBAs and EMQs Daily

Daily question practice is non-negotiable for MRCOG Part 2.

📌 Focus on:

• Timed sets of 20–30 questions
• Reviewing explanations thoroughly
• Creating a “mistake log” for weak topics

✅ 5. Attend Revision Webinars and GTG Review Classes

Live and recorded webinars help clarify difficult topics and provide:

• Real-time interaction
• Summarized GTG reviews
• Hot topics identified by tutors (e.g., GTG 1 for cervical cerclage, GTG 10 for epilepsy)

MRCOG PASS EXAMINATIONS offers weekly GTG spotlight sessions and monthly SBA mock reviews.

✅ 6. Use Cross-Referencing with NICE Guidelines

NICE guidelines often complement GTGs in exam questions (e.g., NG25: Preterm Labour, NG121: Intrapartum Care). Use both when revising overlapping areas.

🔗 Key link: NICE Guidelines Library

✅ 7. Develop a Weekly Study Plan

❌ Common Pitfalls to Avoid

• 🔁 Relying solely on books instead of current GTGs and TOG articles
• 📘 Memorising facts without understanding clinical application
• ⏱️ Not practicing questions under timed conditions
• ❎ Ignoring examiners’ feedback and reports
• 📉 Skipping mock exam performance reviews

💬 Real Candidate Tip:

“I focused on one GTG per day and practiced 20 SBAs after reading it. Within a month, I covered all core guidelines and could apply them instinctively during mocks.”
— Dr. Shalini R., MRCOG Part 2 Passer, March 2024

🧰 Resources to Support Your Journey

🔹 GTG Summary Templates (PDFs)
🔹 Clinical Scenario Builder Tool
🔹 Weekly SBA Quizzes
🔹 Peer Telegram Groups for Case Discussion
🔹 Feedback-based Mock Analysis Tracker

👉 Explore all these on MRCOG PASS EXAMINATIONS

🚀 Final Words

Success in MRCOG Part 2 lies in understanding guidelines, applying clinical reasoning, and practicing consistently. The Green-Top Guidelines are not just exam content—they’re what you’ll use every day as a clinician. Study them deeply, practice them repeatedly, and apply them confidently.