In this video, Dr Sanil Rege introduces the Psych Scene MEQ Preparation Course and outlines the key approach to thinking through MEQ questions for the exam.
MEQ Course
Everything you need to pass the MEQ exam.
This powerful online course will not only prepare you to pass the RANZCP Modified Essay Questions (MEQ) Exam but will also equip you with critical thinking skills that benefit your entire psychiatric career.
You’ll explore 80 high-yield MEQ themes presented by Dr Sanil Rege, with key sub-themes spanning all major subspecialties in psychiatry. The course is designed to help you structure your answers, maximise relevance, and develop a confident, exam-ready mindset.
Looking for personalised marking and feedback on your MEQ responses? Check out our MEQ Marking & Personalised Feedback course.
A Helpful Framework for MEQ Questions
These webinars are excellent at framing how to think about MEQ questions. They have been very helpful.
MEQ Course participant 2026
Outstanding Support for Psychiatry Trainees
You are doing an amazing job for psychiatry trainees.
MEQ Course participant 2026
Structured and Efficient MEQ Preparation
I found the Psych Scene Exam Prep Course to be a valuable and well-structured resource for preparing for the MEQ exam. The course helped me better understand what the exam is assessing and, importantly, how to approach questions in a structured, focused and time-efficient way.
MEQ Course participant 2026
A Commitment to Continuous Improvement
Overall, the webinar was very helpful. Having also attended in January 2026, I could see Psych Scene’s commitment to continuous improvement being put into practice, particularly through the new pre-course material on question structure.
MEQ Course participant 2026
Practical Quizzes Using Past Questions
The quizzes are very helpful. They work through past exam questions and provide a practical approach to structuring an answer.
MEQ Course participant 2026
Revisitable Resources for Exam Preparation
The online resources provide very helpful content on exam structure and technique that can be revisited as needed.
MEQ Course participant 2026
A Comprehensive Course Booklet
The course booklet contains excellent information and a wealth of knowledge, although the volume of material can feel a little overwhelming at times.
MEQ Course participant 2026
Valuable for Trainees and Psychiatry Colleagues
I would recommend this course to trainee colleagues and to other psychiatry colleagues as a refresher.
MEQ Course participant 2026
Relevant Training with Practical Techniques
The training was completely relevant and included helpful tips and techniques.
MEQ Course participant 2026
Well-Structured and Detailed Course
The course was well structured and detailed.
MEQ Course participant 2026
Making MEQ Questions Easier to Approach
Working through past exam questions was highly relevant and valuable. I especially appreciated how Dr Rege identified common patterns across questions, making them easier to approach and less overwhelming than viewing each as a completely different scenario.
MEQ Course participant 2026
Clinical Wisdom Delivered with Humility
Dr Sanil’s teaching method—including his humility and openness to feedback—draws on a gold mine of wisdom from years of clinical experience and exam teaching.
MEQ Course participant 2026
Helpful and Effective Teaching
The teaching was very helpful.
MEQ Course participant 2026
Clear Teaching That Builds Confidence
Dr Rege has excellent knowledge and delivers it in a way that is easy to understand and follow. His teaching also instils confidence.
MEQ Course participant 2026
Engaging, Exam-Focused Course Content
The course struck a really good balance, covering the content while engaging with past exam-paper vignettes in real time.
MEQ Course participant 2026
Invaluable MEQ Exam Preparation
I passed the MEQ exam on my first attempt. The weekend course was invaluable. I took time to read and plan, used key buzzwords from the stem, and applied the structure taught in the course. The lived experience question initially caught me off guard, but using the structure, I was able to dissect and brainstorm my response. The course was incredibly helpful, and I have recommended it to my fellow registrars.
MEQ Course participant 2026
Invaluable Support for MCQ and MEQ Exam Preparation
Psych Scene has been invaluable in helping me pass both my MCQ and MEQ examinations this year. Dr Rege’s explanations of key concepts across psychiatry are always well structured and easy to follow. The critical analysis videos, in particular, were excellent at breaking down what can initially feel like a jargon-heavy area for the MCQ, helping me feel less overwhelmed by those questions. The live MEQ course was also excellent for ensuring we had the right balance of breadth and depth in our answers, which really helped refine my exam technique. I appreciated being able to ask questions and receive in-the-moment feedback, including examples of different ways to approach question stems. The marking was also very helpful, as it provided constructive feedback and a more experienced perspective on my answer style. This helped me identify domains I needed to remember to cover. I would absolutely recommend Psych Scene to other registrars preparing for exams.
Multiple Course participant 2026
MEQ exam success
I wish to express my sincere gratitude to Dr Sanil Rege for his teachings. The MEQ course has helped me pass the MEQ exams with a great score. His clear explanations, structured approach, and emphasis on clinical reasoning and understanding the questions were invaluable in helping me prepare for the MEQ exams.
MEQ Course participant 2025
Confidence, Clarity, and Clinical Reasoning: A Game-Changer for MEQ Success
I highly recommend the PsychScene MEQ (Modified Essay Question) preparation program to any psychiatry trainee preparing for their exams. Dr. Sanil Rege’s teaching style is engaging, structured, and incredibly insightful. He has a remarkable ability to break down complex clinical scenarios into clear, manageable frameworks that are not only useful for exam preparation but also highly applicable in day-to-day clinical practice. One of the most helpful aspects of the course was Dr. Rege’s new approach to tackling MEQs, especially when it came to navigating the often-confusing wording in exam instructions (describe, discuss, justification, etc). His method simplified what initially seemed like convoluted tasks, helping me focus on the clinical reasoning and structure of my answers rather than getting lost in semantics. The MEQ course is thoughtfully designed, focusing on high-yield content and strategies tailored specifically to the format of the RANZCP exams. Dr. Rege emphasises clinical reasoning, formulation skills, and diagnostic clarity—all essential components for success in MEQs and real-world psychiatry. The use of case-based learning, visual aids, and structured templates significantly enhances both understanding and retention. What sets this program apart is Dr. Rege’s genuine dedication to improving trainee performance and confidence. His passion for psychiatry and education is evident throughout the course. The feedback, tips, and clinical pearls he provides are invaluable. Thanks to this program, I felt much more confident approaching the MEQs and gained deeper insight into clinical reasoning that will benefit me throughout my career. It’s an investment well worth making.
MEQ High Impact Course participant 2025
Big role in academic achievements
I have attended both your online course and exam workshops; needless to say, I've passed the MEQ exam too, having already passed CEQ last year! You have a big role in my academic achievements, so please have your share of thanks!
Course participant 2024
Think like a consultant
I appreciated being taken through the process of thinking like a consultant, and the broad approach taught. It helped to simplify and make it a less overwhelming approach to the MEQ.
Course participant 2025
Breadth of practical knowledge
I can’t thank you enough for your dedication to teaching and providing such a breadth of practical knowledge in one place.
Course participant 2024
Forever grateful!
I undertook the CEQ and MEQ exams in February and passed both! This was my very first attempt at these exams! Your course was highly instrumental in helping me achieve this, and I will forever be grateful!
Course participant 2025
Passed MEQ
I did the CEQ and MEQ courses with Psych Scene and just wanted to share that I passed both. I'm very relieved.
Course participant 2024
Passed MCQ and MEQ - first attempt
I want to advise that I passed both my MCQ and MEQ exams in my first attempt. I was enrolled in the respective Psychscene online prep courses and feel I gained heavily from these courses.
Course participant 2024
Course materials helped a lot
I passed the exam on the first attempt. Your course and study material helped me a lot. Especially the weekend workshop in which you discussed the recent past papers. Thank you very much!
Course participant 2025
Useful for exam preparation and practical aspects
I would recommend this course. It is useful for exam preparation and practical aspects in daily work.
Course participant 2025
Absolutely amazing teaching
Hello Psychscene! I just wanted to say that I’ve passed the MEQ. Over the years, I’ve passed MCQ, MEQ and CEQ in ONE attempt with your guidance! Absolutely amazing teaching 💖 Thanks so much!
Course participant 2024
Reviewing past questions and frameworks
I found that reviewing the past questions and frameworks was very helpful.
Course participant 2024
Relevant to clinical practice
Excellent course to help synthesise an approach to the exam, and the framework that needs to be implemented. The course is also relevant to clinical practice beyond the exam, and I would highly recommend it to any trainee.
Course participant 2024
Keep the flag flying!
You’re doing an excellent job to help trainees pass the college exam. Keep the flag flying!
Course participant 2024
Highly impressive
Highly impressive, thank you heaps, Sanil et al.
Course participant 2024
Comprehensive overview
The course provided a comprehensive overview of psychiatry, effectively aligned with the expectations for MEQ responses. Beyond exam preparation, it offered clinically relevant insights that have enhanced my day-to-day practice. Thank you for an excellent learning experience.
Course participant 2024
Excellent Prep—Passed Both Exams with Flying Colours
I want to extend a big thank you to Sanil Rege and the Psych Scene team for the exam preparation materials. I successfully passed the CEQ and then the MEQ in March on my first attempt with flying colours. The course material was very good in providing a structured approach to tackling MEQ vignettes in a way that made sense. The exam preparation material was excellent. Many thanks once again.
Course participant 2025
Passed My MEQ on the First Attempt!
I passed my MEQ on my first attempt! The entire course was incredibly helpful, and I found the last webinar before the exam particularly valuable. Thank you again for your support.
Course participant 2024
SIMG Success: First-Attempt Pass in MEQ
I’m a SIMG who followed Psychscene MEQ and CEQ courses. I passed the MEQ in August last year and the CEQ this March. Your course helped me immensely to get through the exams on the first attempt. Thank you so much!
Course participant 2025
MEQ Success on First Try – Grateful for Your Guidance
I'm thrilled to let you know that I passed the MEQ—and it's all thanks to you. Your course was the only resource I used, and it helped me succeed on my first attempt. I'm incredibly grateful for your webinars, online courses, and especially the live session I attended just a week before the exam. Your guidance made a huge difference. Thank you so much for your support.
I look forward to continuing to use your resources as I progress toward becoming a psychiatrist. Eternally grateful!
Course participant 2025
First Attempt Pass
I wish to share my success in the CEQ exam recently. I enrolled for online exam prep courses for the MCQ, MEQ and CEQ exams and cleared all in the first attempt. Thanks to the Psychscene team for your support!
Course participant 2024
MEQ 3
The MEQ/CEQ course was a great way to change usual patterns of thinking from a narrower focus into a broader perspective, which allows for good exam preparation as well as good day-to-day clinical decision making which incorporates modern evidence-based guidelines.
Essay Course Candidate, Australia
MEQ 2
Just writing to say that I passed my essay exam!!! Over the moon considering the pass rate was only 32% and it was my first attempt. I think your course was absolutely essential in gaining me the pass. Your post-course resources covered at least 50% of the exam questions so that meant I had good responses ready to go for those questions! Your course also gave me a great framework in order to attempt the new questions on the exam. Thanks again and I am referring all my colleagues.
Essay Course Candidate, Australia
MEQ 1
I wanted to let you know that I passed the Essay-style written exam on my first attempt. I do sincerely believe that attending your course has had the lion's share in this. I could not believe my eyes when I saw the exam questions and how well your course was exam-focused. Thank you.
Essay Course Candidate | Australia
{"video_yurl":"false"}
Multiple plans with flexible options
Quick Prep
$695
Accessible for
1 Month
Includes:
- 1 month of complete access
- 5.5 hours + learning videos
- 80 + practice questions
- Reading material
Standard
$795
Accessible for
3 Months
Includes:
- 3 months of complete access
- 5.5 hours + learning videos
- 80 + practice questions
- Reading material
Extended
$895
Accessible for
6 Months
Includes:
- 6 months of complete access
- 5.5 hours + learning videos
- 80 + practice questions
- Reading material
Deluxe
$995
Accessible for
9 Months
Includes:
- 9 months of complete access
- 5.5 hours + learning videos
- 80 + practice questions
- Reading material
Annual
$1095
Accessible for
12 Months
Includes:
- 12 months of complete access
- 5.5 hours + learning videos
- 80 + practice questions
- Reading material
Course Structure
- Videos
- Quizzes
- Reading Material
In these videos, Dr Rege will teach you how to think like a consultant psychiatrist. The MEQ course lecture aims to shift your thinking from just thinking about diagnosis and management to deconstructing the problem into issues and then addressing them accordingly. The practice question videos will focus on solving real exam questions providing you with a strategy to think in terms of domains and issues.
1. What the MEQ Is Really Testing?
Dr Sanil Rege explains why the MEQ is a practical thinking exam, focusing on clinical reasoning, individualising answers to the vignette, and approaching questions like a consultant psychiatrist.
2. Converting Information to Knowledge
Dr Sanil Rege explains how to convert exam knowledge into vignette-specific answers by identifying key domains, linking them to clinical tasks, and applying them to the patient in front of you.
3. Using Frameworks Effectively in the MEQ
Dr Sanil Rege explains how to use frameworks as brainstorming tools in the MEQ, while keeping the vignette, patient context, and key clinical issues at the centre of the answer.
4. Two Types of MEQ Questions
Dr Sanil Rege explains the two broad types of MEQ questions: understanding the problem and solving the problem. This video covers how to recognise what the question is asking, avoid generic answers, and structure responses according to the clinical task.
5. The 2 to 3 Minute Thinking Window
Dr Sanil Rege explains how to use the first few minutes of an MEQ question to identify the question type, read the vignette carefully, recognise key clinical signals, and convert them into relevant domains.
6. How to Read a Vignette Effectively
Dr Sanil Rege explains how to read MEQ vignettes by identifying key signals, including age, setting, medication, family context, risk, culture, and clinical complexity, and converting these into relevant domains for the answer.
7. The Three Major MEQ Patterns
Dr Sanil Rege explains the three major MEQ question patterns: patient distress or illness complexity, behavioural scenarios, and broader “bird’s eye view” system-level questions. He shows how recognising the pattern helps candidates choose the right level of thinking and structure more relevant MEQ answers.
8. Professional, Ethical, Legal and Systems Thinking
Dr Sanil Rege explains how to approach professional, ethical, legal and systems-based MEQ questions by linking principles such as capacity, confidentiality, duty of care, collaboration and audit to the specific vignette.
9. How to prepare for the MEQ
Dr Sanil Rege explains how to prepare for the MEQ by focusing on a repeatable thinking process rather than memorising answers, using vignettes to practise domains, breadth and specificity, and applying the same approach across new exam questions.
10. Applied Exam Questions and Case Vignettes
Dr Sanil Rege applies the MEQ thinking process to exam-style case vignettes, showing how to identify key signals, create domains, and approach understanding, implementation, ethical, governance and audit-style questions.
11. Summary, Common Traps and Final Strategy
Dr Sanil Rege summarises the key MEQ preparation approach, highlighting common traps such as writing generic lists, misusing frameworks, overlooking the vignette setting or age, and mixing understanding with management in answers.
MEQ Course Lecture
In this 2 hr+ Lecture, Dr Sanil Rege takes you through an overview of Diagnostic hierarchy, Formulation and Management of Psychiatric disorders. We cover the MEQ themes for the exam covering a range of psychiatric disorders.
Modified Essay Questions Practice Questions Part 1
30:14 mins – 7 MEQ Practice Questions – Trauma and Psychiatry / Family Interventions / Perinatal psychiatry / Cultural assessment / Approaching differential diagnosis for MEQ
Modified Essay Questions Practice Questions Part 2
29:14 mins; MEQ Practice Questions (10 questions) – Assessment of Behavioural Disturbance / Managing Systemic Issues / Acting as an Educator / Approaching Information gathering in MEQ / CANMEDS approach for problem-solving/ Approaching psychological treatment questions / Approaching medico-legal aspects in MEQs / Consultation-Liaison Psychiatry / Addressing Carer Burden / Differential diagnosis in C-L /
Modified Essay Questions Practice Questions Part 3
27:50 mins; MEQ Practice questions (9 questions) – Medical Doctor and mental illness / Approaching differentials in psychogeriatrics / Principles of prescribing in psychogeriatrics / Testamentary capacity and enduring power of attorney (EPA) / Assessment in Child and Adolescent Psychiatry / Medico-legal aspects in C & A psychiatry and child protection issues / Complex decision making in C & A psychiatry / Outlining Ethical and Professional issues / Assessment of behavioural disturbance
Modified Essay Questions Practice Questions Part 4
18:13 mins; MEQ Practice questions (6 questions) – Assessment in Adolescent Psychiatry (Chronic fatigue syndrome / insomnia / complex family dynamics) / Differential diagnosis in Adolescent psychiatry / Treatment resistant depression differentials / Collaborating with family / Management options in ECT induced mania
Modified Essay Questions Practice Questions Part 5
44:32 mins; MEQ Practice questions (8 questions) – Ethical Issues with CTO / Risk Factors Associated with Relapse in Psychosis / Principles of informed Consent / Assessment of Risk in ED (Benzodiazepine dependence) / Managing a patient complaint / C & A Psychiatry – Trauma / C & A Psychiatry – Differential Diagnosis / Barriers to Behavioural Management
Modified Essay Questions Practice Questions Part 6
51:22 mins; MEQ Practice questions (11 questions) –
Modified Essay Questions Practice Questions Part 7
1:08:02 mins; MEQ Practice questions (12 questions) – Governance and Leadership | ECT | Clozapine Side Effects and Cessation | Cultural Assessment | Adult ADHD
The MEQ Practice questions consist of 80 + clinical themes with sub-questions all with answers. We recommend you try answering the questions yourself first before looking at the answers.
MEQ Revision 2022-2026
Past Exam questions and answers covering previous MEQ exam questions
MEQ Course Practice Questions with Answers – Part 1 (80 themes)
80 + Themes with sub-questions and answers from past MEQ exams.
MEQ Course Practice Questions with Answers – Part 2 (9 themes)
9 Themes with answers from past MEQ Exam Questions
MEQ Course Practice Questions with Answers – Part 3 (16 themes)
16 Themes with sub-questions and answers covering previous MEQ exam questions
Since the MEQ is an exam heaving focused on practical clinical aspects, the notes we provide reflect clinical practice. Notes on diagnostic formulation and management along with key points for psychiatric disorders are covered.
Definitions of List, Outline and Discuss for the MEQ’S
RANZCP description of terms in MEQs with marking scheme. List means you want a list without anything extra, the list doesn’t have to be
The Diagnostic Interview & History taking for MEQ (Notes)
Interview questions for all psychiatric disorders – these aspects are important for assessment questions in MEQ.
Formulation for MEQ (Notes)
Summary of formulation aspects for MEQ.
Management of Psychiatric Disorders (Notes)
Summary of management principles for psychiatric disorders
Psychological Therapies (Notes)
Basics of Psychological therapies. At least one MEQ will include this aspect.
MEQ Notes – Part 1
Notes on ADHD / Smoking cessation / Benzodiazepine dependence / Cannabis use in mental illness / Medically unexplained symptoms / Personality disorder / Transference
MEQ Notes – Part 2
Notes on – Intellectual Disability / Self Harm in Adolescents and Young Adults / Neuroimaging in Dementia / Body Dysmorphic Disorder / Delusional Disorder
Culture Somatisation (Exam Question with marking)
Previous MEQ exam question with marking scheme
Dementia and Carer Burden (Exam Question with marking)
Previous MEQ exam question with marking scheme
Eating Disorder (Exam question with marking)
Previous MEQ Exam question with marking scheme
Indigenous trauma (Exam Question with marking)
Previous MEQ Exam question with marking scheme – Indigenous Trauma / Relationship Issues / Behavioural aspects in dementia
Risk Assessment in ED (Exam Practice Question with marking)
Previous MEQ exam question with marking scheme – Risk assessment / Risk factor evaluation / Approaching requests for medicolegal reports
Schizophrenia and Clozapine (Exam Practice Question with marking)
Previous MEQ exam question with marking scheme – Risk-benefit analysis in schizophrenia / Management of Side Effects / Side Effects of Clozapine
Severe Depression (Exam Question with marking)
Previous MEQ exam question with marking scheme – Risk Assessment and Risk factors in severe depression / Management strategies in severe depression
MVA and Pain Management (Exam question with marking)
Previous MEQ Exam question with marking scheme – Differentials in Behavioural disturbance in C-L psychiatry / Management strategies in pain / Management of smoking
Modified Essay Questions Practice Questions Part 1
Download these questions, they are linked to the practice questions video 1. Try to answer these questions yourself as practice, then review the video.
Modified Essay Questions Practice Questions Part 2
Download these questions, they are linked to the practice questions video 2. Try to answer these questions yourself as practice, then review the video.
Modified Essay Questions Practice Questions Part 3
Download these questions, they are linked to the practice questions video 3. Try to answer these questions yourself as practice, then review the video.
Modified Essay Questions Practice Questions Part 4
Download these questions, they are linked to the practice questions video 4. Try to answer these questions yourself as practice, then review the video.
Modified Essay Questions Practice Questions Part 5
Download these questions, they are linked to the practice questions video 5. Try to answer these questions yourself as practice, then review the video.
Modified Essay Questions Practice Questions Part 6
Download these questions, they are linked to the practice questions video 6. Try to answer these questions yourself as practice, then review the video.
Modified Essay Questions Practice Questions Part 7
Download these questions, they are linked to the practice questions video 7. Try to answer these questions yourself as practice, then review the video.
MEQ Sample Questions
These are MEQ questions linked to MEQ revision in the Quiz (Practice questions ) section. You can attempt the questions on your own and