The Royal College of Physicians & Surgeons is the most prestigious, exclusive, and oldest medical institution in the world. The British started the first Royal College in the year 1645, and admitted the most famous doctors, who in turn, trained selected but few other physicians, and honored them with distinct titles signifying membership in the Royal College of Physicians (M.R.C.P.), as well as the College of Surgeons (M.R.C.S. etc…).