Plan
Receive one adaptive prescription shaped by time, evidence and forgetting risk.
Move from Part 1 knowledge to Part 2 decisions and PACES performance through one system that plans, teaches, measures reasoning, schedules review and develops clinical judgement.


MRCP is the first complete track inside the Med with Spence Visual Learning OS.
Explore all learning tracks →Built for doctors who want more than exam questions. Transform clinical knowledge into measurable clinical judgement through adaptive visual learning, reasoning analytics, memory architecture and AI-guided decision training.
“Med with Spence is a Visual Learning Operating System that helps doctors build clinical judgement, not just pass exams.”
Receive one adaptive prescription shaped by time, evidence and forgetting risk.
Use high-yield visual frameworks to organise complex clinical knowledge.
Commit decisions, explain your sequence and train clinical prioritisation.
Retrieve the exact concept or reasoning step most likely to fade.
Convert retained knowledge into confident examination and clinical judgement.
Part 1, Part 2 and PACES in one secure visual-learning ecosystem — with 1,057 clinical visuals, Spence Success Planner™, AI Study Companion and adaptive revision.
Full access to Part 1, Part 2 and PACES while your membership is active.
One consistent visual language across all three examination stages.
Mechanisms, associations, investigations, management and high-yield exam traps.
Clinical interpretation, differential diagnosis, escalation and advanced decision-making.
Examination sequence, findings, presentation, viva and clinical safety.
One personalised daily prescription based on exam date, progress, overdue review and weak reasoning steps.
Review the exact chunk most likely to fade instead of repeatedly reopening an entire visual.
Ask for explanations, targeted tests and comparisons informed by your current visual and learning history.
Full-resolution licensed visuals, personal watermarking, notes, annotation, bookmarks and progress sync.
A completed Payhip purchase unlocks the matching access inside the Med with Spence Visual Learning OS. Use the same email for Payhip and your learning-platform account so the entitlement can be matched automatically.
Both monthly and lifetime access include all 1,057 secure visual lessons across MRCP Part 1, Part 2 and PACES, plus the Success Planner, AI Study Companion, Consultant Coach, adaptive review, notes, annotation and progress tools.
The £29.99 monthly membership provides access while the subscription remains active. The £119.99 lifetime option is a separate one-time purchase with no recurring payment.
Use the same email address for Payhip checkout and your Med with Spence account. The correct entitlements attach automatically after purchase.
Yes. The Visual Learning OS is responsive and includes secure visual delivery, rotation, zoom, annotations, notes, bookmarks and progress syncing.
No. Med with Spence is an independent educational resource and is not affiliated with MRCP(UK) or the Royal Colleges of Physicians.