Membership Exams (MFSRH)

Membership of the Faculty of Sexual and Reproductive Healthcare of the RCOG (MFSRH) is a recognised qualification in sexual and reproductive health care. It is held by clinicians who provide expertise in community, primary and acute care. The Faculty of Sexual and Reproductive Healthcare awards Membership by examination.

The MFSRH has three examination components and Membership is awarded on successful completion of all examinations:

  • Part I: Single Best Answer (SBA)
  • Evidenced-Based Commentary (EBC)
  • Part II: Critical Reading Question (CRQ), Extended Matching Questions (EMQ), Objective Structured Clinical Examination (OSCE)

The content of the qualification is based on the UK CSRH Curriculum and assessment framework and on UK practices and guidelines.

Got questions? Read our FAQs    Download our Exam Regulations

Following the launch of the new CSRH curriculum our MFSRH examination will be changing from 2022. Applications for the new MFSRH will open in November 2021. You can read more about the new MFSRH on the tab below and refer to our Frequently Asked Questions. 


MFSRH Part I Examination Information

Upcoming Examination: The Part I SBA will take place online on Friday 1 October 2021.  Applications have now closed.

What is the Part I?

The MFSRH Part I is a written paper conducted twice a year, in April and October. The Part I paper comprises 60 questions and has a 90-minute duration.

The question style is Single Best Answer (SBA), which is a type of multiple-choice question where more than one answer may be correct, but the candidate must choose the best answer.

The Part One SBA tests theory and applied knowledge of basic sciences related to Sexual and Reproductive Healthcare (inclusive of Obstetrics and Gynaecology). It is based on Modules 2-8 and 13 from the Community Sexual and Reproductive Healthcare (CSRH) Curriculum meaning there will be a selection of questions from each of these subjects.

Further information

We recommend reading the MFSRH Part I Handbook before applying to take this examination. The Handbook contains key information about the examination including the syllabus, a recommended reading list and example questions.

Examinations dates 2021

The Part I examination will be held online on the following dates.

  • Friday 9 April 2021 (online)
    Deadline closed.
  • Friday 1 October 2021 (online)
    Deadline closed.

Applying to take the Part I SBA

When applying for your examination please have ready the following documents for upload either as jpg or pdfs.

  • a clear copy of your medical degree
  • a passport-sized photographs clearly showing your facial features
  • a clear copy of the passport page that shows your name and photograph

The examination fee of £300 is payable online at this time also.

Download and read the “Guidance for those undertaking or recertifying FSRH qualifications whose personal beliefs conflict with the provision of abortion or any method of contraception”. You will be asked to confirm at the point of submitting your online application that you have read these guidelines.

After you have submitted your payment and supporting documents for the Part I SBA you will be contacted after the closing date to confirm your place and given further information.


MFSRH Evidenced-Based Commentary

What is the Evidenced-Based Commentary?

The Evidence Based Commentary examines your ability to assess a clinical topic and summarise and critically evaluate the key issues. You will be expected to use relevant literature and evidence-based guidelines to present management strategies. In addition to testing your ability to meet these requirements, this part of the MFSRH examination assesses skills in written English.

Further information

Below are two examples of an answer to EBC Topic 2, 2009-10, which were marked as ‘excellent’. Please note that the commentaries do not constitute clinical guidance in any way.

 Submitting your EBC

A new topic is set for the EBC each year and is published on 1 September. You must submit your EBC by the deadline of 31 August 2021.

Your EBC must be between 1,000 words and 2,000 words long and its format must comply with the guidance notes. We recommend that you upload your document as either a Word or PDF document. You will be required to pay an online EBC submission fee of £150.

You may submit your commentary before applying for, or after passing, the Part One SBA examination.

EBC Topic: 1 September 2020 – 31 August 2021

A 28 year old trans man, who is receiving treatment under the supervision of an NHS Gender Identity Clinic, attends the sexual health service and explains he has had vaginal spotting in the last month.

He has recently commenced Testosterone Undecanoate injections and has been taking the combined oral contraceptive pill (30 microgram ethinyl estradiol and 150 microgram levonorgestrel) for the last 3 months.

He has been in a relationship for 6 weeks with a male partner. On further questioning, he has had 2 sexual partners in the last 3 months. He has a blood pressure of 125/75, and body mass index 24, with no health conditions in his medical or family history.

Describe your management.

MFSRH Part II Examination

The next Part II examination will be held in 2022. This will be the new MFSRH Part II examination, more information can be found on the tabs at the bottom of this page and in our frequently asked questions. Applications will open in November 2021.

What is the MFSRH Part II?

The MFSRH Part II is a three-part examination held once a year, usually in June. The exam is usually held in London, but on occasions may be held in other UK centres. For 2021 the CRQ and EMQ papers were held online in May and the OSCE online in June.

The three components of the Part II examination are:

  • Critical Reading Question paper (CRQ)
  • Extended Matching Question paper (EMQ); and
  • Objective Structured Clinical Examination (OSCE).

Critical Reading Questions (CRQ)

The CRQ is a 90-minute written paper. You are required to read three papers (usually a recent significant clinical research paper or the evidence base of a clinical guideline) and answer questions about the methods used, the interpretation of results and the application of the findings to informing decisions about patient care.

 Any modules in the CSRH Curriculum may be examined by the CRQ.

Extended Matching Questions (EMQ)
The EMQ is a 2-hour written paper. The paper consists of 80 questions. Candidates must select the right answer from an alphabetised list of options that can vary from 7-15 different possible answers.
The EMQ is designed to assess your ability to integrate and apply theoretical knowledge, both basic and clinical, and apply knowledge of ethical and legal issues in the clinical situation.

The EMQ is based on Modules 2-15 in the CSRH Curriculum.

Objective Structured Clinical Examination (OSCE)
The OSCE is a roleplay based clinical examination, where candidates interact with a professional actor or an examiner most often to simulate a clinical scenario. It comprises of 10 active question stations in a circuit and lasts 2-3 hours, depending on how many candidates are sitting the examination.

The OSCE assesses your ability to gather information, apply their clinical skills, demonstrate appropriate patient centred care and make evidence-based decisions. It is a realistic simulation of real-life consultations, during which you will interact with a professional actor while being observed and assessed by an examiner. Occasionally scenarios may simulate interactions with colleagues, trainees, non-clinical support staff, managers or other professionals including those working within the healthcare arena.

Any modules in the CSRH Curriculum may be examined by the OSCE.

Further information

We recommend reading the MFSRH Part Two Handbook before applying to take this examination. The Handbook contains key information about the examination including the syllabus, a recommended reading list and example questions.

Upcoming examinations

  • Part II – Summer 2022 (date to be confirmed)
    The Part II examination in 2022 will be the new MFSRH.
IMPORTANT: In response to the COVID-19 pandemic the MFSRH Part II examinations will take place over two days in 2021. The written components of the Part II examination (CRQ & EMQ) will be held online and will take place on 24 May 2021. The OSCE examination will take place online on Thursday 3 June 2021.

Applying for the MFSRH Part II

To be eligible to apply for the MFSRH Part II examination, you must:

  • have passed the Part I SBA examination before the closing date for the Part II examination:
  • have passed your Evidence-Based Commentary before the closing date for the Part II examination


If you experience any issues with registering for an Exam, uploading evidence or have any questions regarding the MFSRH qualification please contact Niall Hamilton at NHamilton@fsrh.orgor call +44 (0)20 3198 3181 .

If you are an International candidate, and you do not have a GMC number, please email Niall Hamilton at so that we can assist you with your application. 

The new MFSRH - 2022

Our MFSRH examinations will be changing in 2022 following the review of the CSRH curriculum and assessment framework. 

The new MFSRH will consist of:

  • Part I Single Best Answer (SBA) examination
  • Part II: Knowledge Assessment Test (KAT) and Objective Structured Clinical Examination (OSCE)

What is changing?

  • The examinations will be aligned to test the Capabilities in Practice (CiPs) outlined in the new CSRH curriculum
  • The Part I SBA exam will increase from 60 to 80 questions and will test basic science knowledge as applied to Sexual and Reproductive Health together with some clinical questions as appropriate for ST3.
  • We have removed the Evidence-Based Commentary, this will no longer be a requirement to sit the Part II.
  • The Part II will consist of two papers, a KAT and OSCE, testing the all of the CiPs at a level appropriate for an ST5 trainee. The KAT will consist of Single Best Answer (SBA) and Extended Matching Question (EMQ) types.
  • There will be new methodology applied for standard setting the Part II OSCE, moving from borderline regression to modified Angoff. 

Applications will open in November 2021. 

Further information, updated handbooks and exam regulations will be made available on the website before applications open. See our FAQs to learn more about our new MFSRH or contact Niall Hamilton at with any questions you may have. 

How to Apply


Only doctors are eligible to undertake the MFSRH qualification and you are required to provide evidence of your medical degree when applying. You should be active in clinical practice in an area related to SRH (or one of its allied sciences) and be registered with their relevant national body (e.g. GMC for UK based applicants). We accept applicants from both the UK and internationally.

You must also confirm that they are not currently suspended or removed from medical practice by any authorising body or involved in disciplinary proceedings related to medical practice in any country.

How to apply

1.Register for a free MyFSRH account (if you do not already have a MyFSRH website account. No payment is taken at this stage.)


 Log in to MyFSRH if you already have a website account with us.

3. Click on the 'Browse Courses' tile

4. Select 'MFSRH Examinations' and click 'Go to course'

5. Under the heading 'Apply for the MFSRH' you will find links to the application forms for the Part I, EBC and Part II. Click on the required application form and this will open a new tab in your browser where you can complete and submit the application form and payment.

FSRH Register here  Log in to 'My FSRH'



The fees for the MFSRH qualification are given below. 

Please note on successfully passing all components of the MFSRH qualification, you will be become a Member (MFSRH) of FSRH and you will be asked to pay the membership fees associated with this membership type.

You will be required to pay an annual membership fee to maintain your MFSRH status. You will need to recertify your MFSRH every five years which will not incur any costs if you have maintained your annual membership payments.

If you are already a member of FSRH e.g DFSRH, this means your membership will change to MFSRH from your current status.

If you are not a member of FSRH you will become an MFSRH 'Member' and have access to the full range of MFSRH benefits

1. Part I Exam (payable upon application)


2. Evidence Based Commentary (EBC) - (payable on submission of your EBC document)


3. Part II Exam (payable upon application)


4. Current Diplomate Member upgrading to MFSRH Membership


Individuals not already an FSRH member




Total (two options)

Lower fees for existing FSRH members


Non FSRH Members






Please note: Fees in 2022 will be changing in line with changes to the MFSRH examinations. Fees will be updated on our website in due course. 


Completion of our MFSRH exam programme results in 'Membership' of FSRH and includes the following Membership benefits. Your membership subscription is payable annually and your membership runs from 1 January to 31 December each year.

  • Access to 'My FSRH' a personalised area on our website which includes resources and personal details
  • Full online access to BMJ SRH - our quarterly peer-reviewed journal
  • Free webinars 
  • Regular e-bulletins with access to previous editions
  • Discounts to FSRH conferences
  • Access to our Members' Evidence Request

Recertification of Membership

Why recertify your MFSRH or FFSRH?

It is important that medical professionals have the necessary knowledge & skills to give patients the safe, effective and individual advice that they deserve and need. Recertification supports individuals to demonstrate they have maintained knowledge, skills and standards during their appraisals, with employers and for revalidation. You are expected to recertify your MFSRH or FFSRH every five years from certification. For more information please read this guidance in full.

Recording your CPD

We recommend that you collect and record evidence to support your record of CPD activities within a structured portfolio such as an online CPD diary (if available) or using an Excel spreadsheet and folder. We suggest that activities and reflections are uploaded &/or collated whilst current. Please follow this link for an example spreadsheet that you may wish to use. We also recognise that you have recorded data through other colleges such as the RCOG. The FSRH will accept your RCOG logbook as supporting evidence.

We don’t mandate attendance at our conferences, however, we strongly encourage attendance as an excellent way to gain CPD. 

How to apply for recertifcation 

You are required to self-declare that you have achieved the required CPD via an online form.  You are required to reconfirm you have read and abide by the FSRH Personal Beliefs Guidance. You are not required to provide a record or evidence of your CPD as part of the application. You may however, be requested to provide a record and evidence of your CPD if you are selected for audit.

Before filling in the recertification online form, please have all the relevant information to hand before starting, you will not be able to save the form and then revisit later, the online form must be completed in one sitting. You will also need a stable internet connection while completing the online form.

Useful resources - RCGP's Women's Health Library

Bringing together national guidance, resources produced and accredited by the RCGP, and resources from the Royal College of Obstetricians and Gynaecologists (RCOG) and the Faculty of Sexual and Reproductive Healthcare (FSRH), the Women's Health Library is a resource relevant to GPs and other primary healthcare professionals.

The Library is divided into four sections for ease of use with the free resources clearly marked:

  • Maternal Health
  • Sexual and Reproductive Health
  • Pre-Menopause
  • Peri/Post Menopause

Access the library here.

Compliments and Complaints

If you have any feedback about our MFSRH and/ or FFSRH, please visit our compliments and complaints page.

FSRH Privacy Policy

The FSRH is committed to protecting your privacy. This Privacy Policy sets out how we collect, use, store and protect any information that you give us, in compliance with the requirements of the Data Protection Laws which are the EU General Data Protection Regulation (GDPR) (EU) 2016/679 and the UK Data Protection Act 2018.

Intellectual Property Rights

All intellectual property rights for any FSRH course including documents, materials and content belonging to and produced by the FSRH should not be used for purposes other than FSRH training. Should you wish to use any of the IPR for purposes other than FSRH training you must seek the FSRH’s approval in writing with your request via our copyright request form. We aim to respond to submissions of this nature within one working week.

Personal beliefs guidance

At the time of recertifying your MFSRH or FFSRH, you need to confirm you have read the 6 principles of care as outlined in the “Guidance for those undertaking or recertifying FSRH qualifications whose personal beliefs conflict with the provision of abortion or any method of contraception” and agree to abide by them in practice.

Contact Us

Contact the Specialty team on +44(0)20 3198 5187 or email for more information.

Contact Us

If you require any further information on the MFSRH, please contact Niall Hamilton (Education Development Officer, Exams) at or call +44 (0)20 3198 3181.