Hospitals across the UK are offering specialty doctor job plans with opportunity for CESR programmed support, giving doctors the chance to quickly work towards specialist registration.
For experienced IMGs this is a new and quick route to your first Consultant post. By taking up a service level job as a Specialty Doctor with CESR support as part of the job plan many IMGs are securing a great start to their future career in the NHS that is suited to their senior level experience.
If you are an overseas doctor looking for a Specialty Doctor job with the chance to work towards your Certificate of Eligibility for Specialist Registration (CESR), speak to the IMG Connect team to discuss if this is a suitable route for you. We have opportunities across the UK for doctors to take advantage of the CESR programme.
You can also send your CV to info@imgconnect.co.uk or register here. It takes 30 seconds to register!
By taking such posts in NHS trusts and hospitals you can join diverse, dynamic and inspiring groups of specialty doctors and acting Consultants all on the way to achieving their CESR as part of a tailored programme. In offering such job opportunities, hospitals will provide a supportive environment with protected time to fulfill all the requirements of the CESR application, gaining career-enhancing experiences as you do.
Acting up, dedicated peer groups, coaching & mentoring, scheduled learning and study time are some of the benefits that you could receive.
In such roles you will typically receive hands on support from consultant colleague and exposure to a wide range of experience to specifically aid competency achievement for your CESR application.
In some specialty doctor jobs with CESR programme you will rotate through various departments, dependent on your required experience.
Some hospitals will also provide the following as part of the CESR programme:
Supported Professional Activity (SPAs) sessions per week
Tailored experience to your CESR portfolio
Regular clinical supervision
A CESR mentor
Involvement in academic programme and medical student teaching
Support in gaining research competencies
SAS Tutor support
CESR / SAS support forums and meetings
IMG Jobs
Search and find live NHS doctor jobs in the UK with CESR
IMG Resources
Read more useful articles on finding an NHS trust doctor job, pay scales & doctor’s salary in the UK, relocation and much more!
Get in Touch
Don’t hesitate to get in touch using the buttons above (and below) and chat with an IMG consultant to discuss the CESR job vacancies in the NHS and start your journey towards specialist registration and your first consultant post in the NHS.
To receive the latest news and updates, including the Royal College, GMC registration and the NHS, follow us on social media and join the conversation.
The MRCEM OSCE exam requires a considerable amount of revision and preparation....
And we are often asked by Emergency Medicine doctors where they should look for MRCEM OSCE resources, online revision materials, mock stations and preparation courses.
Here we compile the best advice, tips, courses and resources available for the Membership of the Royal College of Emergency Medicine (MRCEM) OSCE exam whilst also address some understandable concerns about the effect of COVID-19 on availability of test centres and upcoming exams.
What is the MRCEM OSCE?
The MRCEM OSCE consists of 18 stations (16 patient encounters & 2 rest stations), each one lasting for about 7 minutes. The MRCEM OSCE exam will not only test your theoretical knowledge, but also your resus skills and communication skills. Even candidates who are working in an emergency medicine department (ED or ER) often find these OSCEs difficult. Even if you have strong background knowledge in Emergency Medicine the exams can still be tricky due to a heavy reliance on testing your communication skills and etiquette.
Preparation is therefore vital for all doctors who intend to take the MRCEM OSCE (part C) exam. This can be broken down into the following:
Practical day-to-day work (colleague observations & feedback, peer groups, study groups)
Online revision resources (subscriptions, reading materials, tutorials, videos)
Courses (face to face, online)
In general, emergency medicine course tutors advise setting aside at least 2-3 months preparation in addition to your Emergency Medicine experience.
How has the COVID-19 coronavirus afffected MRCEM exam centres & dates?
The Royal College of Emergency Medicine took the difficult decision to cancel all events for the months of April, May and June following the escalation of the virus. As the UK and most of the world remain in some form of lockdown, the Royal College has not announced when it is expecting to open up it's centres again. Understandably this will be tied into government advice and that of the WHO whilst most examiners involved in the OSCE examinations will be tied into urgent clinical duties.
IMG Connect is keeping a very close eye on the examination schedule and will keep all our IMGs informed as soon as the College publishes some updates. You can find the updated exam schedule here.
However, this does not mean you cannot use the time to prepare for your OSCE!
So how to get started?
The first step is to ensure you are familiar enough with the Royal College of Emergency Medicine Curriculum (2015), and to use this to create your study plan covering the whole curriculum, whilst also identifying areas of weakness to strengthen.
Take a look through Mastering Emergency Medicine – a practical guide to re-enforce your solid background in Emergency Medicine knowledge before you start approaching the stations. Note that this book was first published in 2009, and some aspects may be slightly outdated.
Familiarise yourself with the stations, techniques and format by watching online videos and tutorials - you can find both free and paid tutorials online.
YouTube has many great videos available to get you started, covering basics of examination and OSCE guides through to mock OSCE scenarios:
Mcleods Examination videos (Basics of examination)
OSCE guides - Geeky Medics
Bromley webinars and tutorials
Watching these videos before you start your practice sessions (and then repeatedly throughout your study plan) will give you a huge boost.
Resources for MRCEM OSCE
General advice is to use a variety of resources, including reading materials, online subscriptions to videos and tutorials, podcasts and videos. The following have helped IMGs on their journey to successful completion of the MRCEM OSCE:
Bromley Emergency Courses online tutorials:
Revision communication videos
Revision examination videos
Revision procedure videos
MRCEM OSCE course Podcast
Geeky Medics – Emergency Medicine
Practical work - peer groups and senior colleague observations
The best way to practice and solidify what you have learnt from your studies is to organise group sessions and observations at work.
Observations at work
Ask senior colleagues to observe and offer feedback to you on a regular basis on the EM ward. Receiving quality feedback in a formal setting is widely regarded as fundamental to your advances in emergency medicine practice.
Group sessions
When organising a peer group of Emergency Medicine OSCE aspirants, advice is to have a maximum of three/four persons per group. Three works very well because you can each play a role during role play sessions.
When conducting role plays, you may want to organise yourselves as follows:
Patient (use instructions for the actor provided in the textbooks, remember each patient has a backstory and there are many aspects the actor must show, including emotion)
Exam Candidate
Examiner (takes notes, observes, marks the checklist and gives immediate and detailed feedback on all aspects of the marking sheet)
Remember to take turns and swap roles, work as the patient, exam candidate and the examiner. Stick to the exam format, for example set a time limit of about 7 minutes which will allow you to get a clear understanding of how to pace yourself and finish before 7 minutes. Remember not to be too fast, or too slow, helping you to make every second count.
Feedback is crucial to improving your practice. As you practice together, look at the checklists after you perform each station and find out if you are missing anything.
When taking up the examiner role ensure to give detailed feedback covering all marking criteria (intro, examination, body language and winding up - the four key areas that can improve your score). Once the examiner has delivered their feedback, discuss as a group, considering how to improve in all aspects of the exam criteria.
Build stamina
Once you have a routine in place for peer group practical OSCE simulations, build up towards completing a full set of stations. This should be done for each member of your group. The exam can be tiring, which can in turn affect your performance on the day of the exam. For example, if exhausted at the final stations, it can be hard to maintain your clear communication and positive body language, so a full run through will help you to understand what it will be like on the day and what you need to do to ensure that you are consistently performing.
Record sessions
Try recording your group scenarios. IMGs who have done this repeatedly informed us that this was one of the single most important methods for seeing first-hand how to improve. We are after all our own worst critics! Take notes on the way you enter the room, move, talk, express yourself, your non-verbal cues, body language and interactions.
Take a course
There are various workshops organised by expert course tutors in Emergency Medicine designed to help you pass. You can find these online and anecdotal evidence suggests that taking a face to face course improves your chances of passing the MRCEM OSCE exam.
Speak to an IMG Consultant to check what courses might be suitable for you, if there is not a course where you live, it may be possible for us to organise one for you and your peers.
Is a course necessary?
Many overseas doctors preparing for their FRCEM or MRCEM Emergency Medicine examinations wonder if they should take a course as part of their preparation. In short, we advise that all IMGs should attend as many courses as possible. The knowledge gained on an MRCEM or FRCEM course goes well beyond the exam.
One issue is of course that courses cost a considerable amount of money, but if you consider that taking a course increases your chances exponentially of passing the examinations first time, the cost is offset by not having to pay to re-sit and all the additional costs that come with it (i.e. flights & accommodation).
Finding courses can be tricky
So take some time to work out what you specifically need help with and the stage you are at in the process. Search online to find the course that will suit your needs the most.
Speak to your peers, some may have attended a course that they felt had a positive impact on the learning and preparation.
Once you think you have found a course that suits your needs, such as an MRCEM OSCE course, check reviews posted by other IMGs to be sure of the quality of the tutoring.
If you have found a course that suits your needs, has good reviews recommendations from your peers, then it will likely be worth the investment. As a direct result you will likely pass the exams much quicker, helping you to secure the Emergency Medicine job that you want in the NHS.
On the day of exam - tips from IMGs
Passing any exam is not easy, passing the Membership of the Royal College of Emergency Medicine (MRCEM) OSCE examination even more so. In speaking with IMGs about their journey through the MRCEM OSCE exams, we have heard many thoughts about what it takes to pass. To help IMGs preparing to take the test, here we share some tips from past examinees and OSCE course tutors.
Firstly, it is good to know that every IMG taking the test is in the same position as you, perhaps anxious about how to prepare and worried about the exam day. We are told that the exam is just an ordinary day on the ward, so why then do so many excellent practicing EM physicians struggle to pass at first attempt?
It is perhaps important to say that the advice below is not just from not just those IMGs who passed first time, but from those who had to learn from their mistakes and take the test a second or even third time.
The most common thing that we hear is that IMGs must adapt their skill set to the requirements of the NHS system as well as changing their mindset to be able to work under intense observation.
Further reasons they struggle are:
1. Anxiety
Experiencing anxiety during exams is completely natural and the fact that the OSCE stations are only 7 minutes adds to this in the Part C. The only way to combat exam anxiety is to accept that is both natural and inevitable. The best way to prepare and suppress the adrenergic surge is with practice, practice and more practice. The best way to practice is under exam conditions and if possible, this should be timed and observed by different examiners.
We are not of the opinion that this practice should be done last minute in the week before the exam, instead, your practice should start long before this point. Ask your senior colleagues in the ED to observe and comment upon your history taking and examination skills. If you can get into a routine of doing this with 3 to 5 patients per day you will be able to run through nearly all the most likely scenarios in only 12 shifts. Another great strategy is to teach OSCEs to the more junior doctors within the department. Teaching can be a powerful learning tool and has helped many aspirants with their revision.
2. Lack of practice
Make no mistake – the exam is very tough. Over 50% of candidates failed the 2016 sitting. Unless you are freakishly good at cramming you will need to set aside at least 3 months to prepare. IMGs will all study in different ways. Remember you have been through many exams all on your own. Whatever revision method works for you, stick to it. Once you know that you are going to study, make a revision plan and stick to it.
Practice in any way that you can. As above, be sure to ask senior colleagues to observe and offer feedback to you on a regular basis on the EM ward.
To practice out of work, form a small group of colleagues who are also taking the test and run through role plays, taking turns to be patient, doctor or examiner.
Pay careful attention to time keeping as it is very common for candidates to run out of time, particularly in history taking and communication skills stations.
3. Lack of familiarisation with curriculum
If you don’t know what you could be tested on, you won’t know what to prepare. The MRCEM OSCE is mapped to the competences of Year 1-3 of the Emergency Medicine 2015 Curriculum which is available on the 2015 Curriculum page. You should familiarise yourself with the Year 1-3 competences in preparation for sitting this examination.
4. Not being able to communicate effectively
Many IMGs have made the mistake of thinking that communication is only about what you say, not considering how you say it, and what you look like when you are saying it. Of course, you may be anxious, which can make you behave differently and say things in a different way. So, if you have practiced as above, make sure you incorporate practicing communicating not just focusing on what you say, but also your body language when saying it. Remember that between 70% of our communication is non-verbal!
Try to speak audibly and clearly and if at all possible, sit at the same level as the patient with an open posture. Attempt to make a connection with the patient, maintain good eye contact and give them your undivided attention. Treat actors and mannequins as if they are real patients, interact with them in the same way that you would on the EM ward.
Be direct and to the point but deliver any bad news in a sensitive and empathetic manner. Always check whether the patient has understood what you have said and ask if they have any questions.
5. Reading and deciphering the instructions
It is vitally important to read the instructions very carefully before entering a station. Easy marks are frequently lost by nervous or over-confident candidates that have overlooked key information or made assumptions by misreading. This is a mistake many IMGs have made, so learn from their mistakes and be sure to read everything carefully. Once read, make a plan of how you will approach the scenario. Once your minute is up… deep breath and smile!
If you have any questions about how to prepare for the MRCEM OSCE exam, including advice on courses, resources, mock scenarios, online materials and revision books, then don’t hesitate to get in touch with an IMG Consultant.
IMG Jobs
Search and find live emergency medicine NHS doctor jobs in the UK
IMG Resources
Read more useful articles on finding an NHS trust doctor jobs, doctor salary & relocation for emergency medicine specialists
Get in Touch
Don’t hesitate to get in touch using the buttons above (and below) to discuss emergency medicine doctor job options in the NHS, including discussions regarding a typical doctor salary in the UK and the most suitable hospital locations for you.
One of the biggest concerns IMGs relocating with families will have, is how to find the right school for their children in the UK.
The good news is that the education system is excellent, and education is free!
If you are bringing children to the UK with you, the first thing you will need to do is apply for a place in the school you want them to go to. To do this you will need to get in touch with your local council to ask about the schools in the catchment area, and find out where places are available.
You can then apply for places in schools through the local council, applications usually opening a year before you want your child to start. More information about the process is available here. Children normally begin school in the September after they turn four and usually you can apply for a place in a state school at any point in the year.
There are many options that parents have when deciding which school is best for their children, including faith schools, free schools, academies, technology colleges, boarding schools, private or paid for schools, or grammar schools to name a few.
All children living in England, Scotland, Wales, Northern Ireland and Ireland are entitled to a free place at a state school.
If you choose to send your child to a free state school, then your local council will decide which school your child is given a place at.
All schools have admission criteria to decide which children get places. The school or local council usually set these.
Admission criteria are different for each school. For example, schools may give priority to children:
who live close to the school (catchment area)
who have a brother or sister at the school already
from a particular religion (for faith schools)
who do well in an entrance exam (for selective schools, for example grammar schools or stage schools)
who went to a particular primary school (a ‘feeder school’)
Councils usually use 'catchment areas' to decide where your child is given a place at school.
A catchment area is an area around a school. Any children who live in this area are given a place at the school.
Most councils publish catchment area maps on their website.
You can find out where your child will be given a place at school by looking on your local council's website.
See below useful links to how to register, depending on country:
Scotland
England & Wales
Northern Ireland
Ireland
If you choose to send your child to a paid school, then you can ask the team at IMG connect to help you further, including advice on how to check the school’s standards, costs and how to contact them directly.
If you want to know more about schooling in the UK, have a chat with our team or take a look at our relocation blogs.
IMG Jobs
Search and find live NHS doctor jobs in the UK
IMG Resources
Read more useful articles on finding an NHS trust doctor job, pay scales & doctor’s salary in the UK, relocation and much more!
Get in Touch
Don’t hesitate to get in touch using the buttons above (and below) to discuss doctor job options in the NHS, including discussions regarding CESR, a typical doctor salary in the UK and the most suitable NHS jobs & hospital locations for you.
Moving to a new country means adapting to new ways of doing things.
Before relocating, one of the most important things to know is what the typical cultural and social norms are. As an overseas doctor from another country, you may naturally do things differently. So, this article introduces you to a few things that you need to know about British culture and social norms before you arrive.
The British are punctual, especially doctors!
Being late for work or meetings is considered to be rude. If you’re going to be late to an appointment, contact those involved as soon as you know you will be late. But don’t worry, amongst friends and social gatherings it isn’t considered a problem, British people are late all the time!
Never jump the queue.
In many countries jumping to the front of the queue is normal, but in the UK, people may not be very happy with you and will most likely let you know just how unhappy they are. Expect a ticking off, or a 'tut' to let you know. So, as annoying as queuing is, standing patiently in the queue is normal and expected.
Don’t get too close.
In the UK, it’s normal to keep arm’s length between yourself and the person you are speaking with. As a doctor of course this is standard practice across the world. But in social situations, any closer is assumed to be uncomfortable for those native to the UK. Of course, this does not mean that you can't be friendly!
Be polite - say “please”, “thank you”, and “sorry”.
You will probably get tired of saying these so often, but these are normal parts of everyday conversation and interactions. As an international doctor, you may not be used to this, but you will get used to it very quickly.
Shake hands, pat on the back or kiss on the cheek?
This one can get confusing. At work, a handshake is the only expected and accepted way of greeting colleagues. For obvious reasons. However, amongst friends, British people shake hands, have a brief hug and pat on the shoulder, or give a ‘peck on the cheek’ (kiss) when greeting a friend or family member. It isn’t that simple though, if you are not a close friend or family member, then the physical touch can sometimes be considered unusual or uncomfortable, shaking hands is best in this situation. So, when greeting people, you will have to judge for yourself the most appropriate way to go about it.
Give up your seat.
Like most corners of the world, the Brits show respect for older adults, pregnant women or disabled people. For example, if you are travelling, you are expected to give up your seat if someone who is pregnant, disabled or older, gets on board and there is no other seat. If an older adult or someone who is disabled seems to be struggling with something, you are also expected to approach them and offer your help.
Note, the same can be said for people who are visibly distressed, have fallen unwell, are lost or could benefit from some assistance.
These social norms will help you get along with your new friends and colleagues whilst you settle into your new life in the UK.
Get in touch
We are of course always here to help you to understand what to expect and once you have started in your new job, we can offer support on any situations that arise which may require some friendly advice. Get in touch here.
It will come as a relief to those moving to the UK from overseas to know that the NHS is free to all at the point of delivery.
Put simply, the NHS belongs to you and is run for the people of the UK. It exists to help you and your family to stay healthy and improve your wellbeing. It helps you to keep mentally and physically well.
The NHS was founded on a common set of principles and values that bind together the communities and people it serves – the patients and public of the UK – and of course the amazing staff who work for it.
Provided you are resident in the UK, you and your family can access free GP & hospital treatment.
Some people in the UK are also entitled to free prescriptions; to check your eligibility, click here. In Scotland prescriptions are free for all patients.
You should register with the NHS as soon as you can have relocated to the UK. To do so is simple. Once you arrive in the UK, check for GP practices near you, and if they are taking new patients all you have to do is register. It is quick and easy, simply complete a registration form. Once submitted your GP will register you with the NHS, and you will receive an NHS number.
Once registered, you can attend your local GP at no cost.
Find out more about registering with your GP practice, here.
You can search for your local GP service here, the search also gives you access to reviews, overviews of facilities and services that each service offers.
In summary, the NHS is available to all. It is free at the point of delivery, access to NHS services is based on clinical need, not an individual’s ability to pay.
IMG Jobs
Search and find live NHS doctor jobs in the UK
IMG Resources
Read more useful articles on finding an NHS trust doctor job, pay scales & doctor’s salary in the UK, relocation and much more!
Get in Touch
Don’t hesitate to get in touch using the buttons above (and below) to discuss doctor job options in the NHS, including discussions regarding a typical doctor salary in the UK and the most suitable hospital locations for you.
Islam is the second-largest religion in the UK, with the Muslim community reaching some 2.8 million people.
Britain is home to one of the most diverse Muslim communities in the world. With such rich diversity, mosques/masjids and prayer rooms can be found in every corner of the country.
Muslim communities can be found across the UK, and are represented in all areas of British economic, cultural, political and working life. The NHS has a tradition of encouraging faith or religion to be expressed, with prayer rooms and chaplains provided in every trust across the UK.
The MuslimsInBritain.org website provides a directory of all UK and Ireland masjids/mosques, these are provided in list, Google Maps, SatNav and smart-phone formats.
The website is intended primarily for people looking for a masjid when in an unfamiliar area. But you can use it to find your closest masjid/mosque.
You can also find excellent information on the British Muslim community from The Muslim Council of Britain.
IMG Jobs
Search and find live NHS doctor jobs in the UK
IMG Resources
Read more useful articles on finding an NHS trust doctor job, pay scales & doctor’s salary in the UK, relocation and much more!
Get in Touch
Don’t hesitate to get in touch using the buttons above (and below) to discuss doctor job options in the NHS, including discussions regarding CESR, a typical doctor salary in the UK and the most suitable NHS jobs & hospital locations for you.
For regular news and updates, follow IMG Connect on social media using the links below:
It is typical to hear people around the world say that childcare can be difficult to find and costly. Affordable child care is one of the main priorities for many working parents. And with a large number of overseas doctors relocating with their families, child care is a big issue.
The good news in the UK is that you can get help finding and paying for childcare.
Even better, if you work for the NHS, then you are entitled to additional support through the Tax-free childcare scheme.
How much does childcare cost?
The average cost of sending a child under 2 years of age to nursery is:
Part-time - £125 per week
Full-time - £240 per week
The average cost of an after-school club for one working week is £60.
Playgroups or pre-school groups (usually organised by the school or nursery directly), typically cost £2 - £10 per session. Sessions are normally two – three hours before and after standard working hours.
A registered childminder could cost on average £250 per week full time, and £150 per week part-time (costs will be slightly higher in London).
If you have read our articles on schooling, you will remember that nursery schools, if provided by the state, are free for all children.
There is help you can get with childcare costs, for example with tax-free childcare you can get up to £2,000.
Help is provided if you select childcare run by an approved childcare provider, such as:
registered childminder, play scheme, nursery or club
childminder with an Ofsted-registered childminding agency
registered school
home care worker working for a registered home care agency
Try this useful tool for checking what childcare can be made available for you.
Tax free childcare scheme:
A scheme is in place aimed at helping reduce the cost of childcare for NHS employees.
The scheme is administered through online accounts, opened by parents on the get-tax-free-childcare website. Parents pay money into the account, which is used to pay for childcare with registered providers.
Parents can pay money into their childcare account as and when they like, and for every £8 paid in, the government will add £2, up to a maximum of £2,000 government support per child, per year (£4,000 for children with disabilities).
The scheme is open to parents of children up to and including the age of 11 (16 for children with disabilities).
What else is available?
Some employers offer additional support to families, giving that little bit extra to make the work-life balance more sustainable. Extra help could include workplace nurseries, directly contracted childcare, advice services and community groups.
Checking childcare providers:
It is important to check that the provider you wish to use is suitable for your child, working to high standards, and approved for use under the tax-free scheme.
You can check if a childcare provider is approved or search for one using the following websites:
England through Ofsted
Wales through the Care and Social Services Inspectorate Wales
Scotland through the Scottish Care Inspectorate
Northern Ireland through the local early years team register
You can get help paying for childcare provided by a school, for example nursery school fees. State schools are free, so when it comes to childcare you can only get help paying for care that is outside school hours, for example after school clubs or breakfast clubs
Steps to follow:
If you want to check how much support you can receive and how to find the right provider, follow these steps:
Check how much free childcare you can receive using the government online tool: Government Childcare Calculator
Check where you can get childcare:
England
Wales
Scotland
Northern Ireland
Get help paying for childcare:
You can get help with childcare costs for children under 18. You might be able to apply for:
Tax-Free Childcare
Tax credits
Universal Credit
You could also get free hours childcare. You might be able to apply for:
free education and childcare for 2 year olds
15 hours free childcare for 3 to 4 year olds
30 hours free childcare for 3 to 4 year olds
Advice and support is provided by the government, local councils and education organisations. We advise you to speak with your IMG consultant, who can help you establish where to start, answer any questions you may have and point you in the right direction to getting the best start for your children in the UK.
You will also find that parents in the UK, as well as staff in the NHS and education system, will be keen to support and help you with advice. The parental community in the UK is strong and supportive, with networks of like-minded families sharing experiences and contacts.
IMG Jobs
Search and find live NHS doctor jobs in the UK
IMG Resources
Read more useful articles on finding an NHS trust doctor job, pay scales & doctor’s salary in the UK, relocation and much more!
Get in Touch
Don’t hesitate to get in touch using the buttons above (and below) to discuss doctor job options in the NHS, including discussions regarding CESR, a typical doctor salary in the UK and the most suitable NHS jobs & hospital locations for you.
Overseas oncologists often ask us how to best prepare for the Final FRCR Part 1 and 2 exams. With so much online content geared towards UK clinical oncology trainees, it can be difficult to know what is best suited to you as an international candidate.
Here we have compiled some of the best advice and resources available to help overseas radiation oncologists prepare for their Royal College (RCR) exams. We’ll also address some of the changes to the exam, both the format, administration and availability of the exam in the wake of the COVID-19 pandemic.
In this article, we'll cover the following - skip to one of these sections if you know what you're looking for:
What are FRCR (Oncology) CO2A and CO2B?
How do I get started with my preparation?
What online resources are available?
How have the exams been affected by COVID-19?
Consultant posts and CESR
#IMG Tips
What are FRCR (Oncology) CO2A and CO2B?
As a quick reminder, Final FRCR (Oncology) are the final two exams in the FRCR (Oncology) examination suite. The full set, CO1, CO2A and CO2B are required by overseas clinical or radiation oncologists when applying for GMC registration through the postgraduate route.
For the final exams, candidates are expected to have a wide knowledge of subjects related to the care of patients with cancer and the investigation of malignant disease.
CO2A includes two written papers of 120 single best answer (SBA or multiple choice) questions.
CO2B has two components (clinical and oral) which are designed to test the oncological skills of the candidate which are relevant to safe and effective practice.
The clinical element is assessed in a mock clinical setting with real patients to increase authenticity.
The oral exam assesses clinical decision-making, radiotherapy planning, diagnostic imaging, and case management. It is made to mirror elements of a day-to-day clinical setting, including discussions and MDT meetings.
A full breakdown of the Final FRCR (oncology) Part 2A and 2B exams can be found on our website here.
How do I get started with my preparation?
After discussing with IMGs the best way to approach preparing for the Final FRCR (oncology) exams, most recommended beginning with the Royal College website and resources, which they have put together to aid in your preparation.
Curriculum: The FRCR (oncology) exam is based on the Specialty Training Curriculum for Clinical Oncology and the Clinical Oncology syllabus. As a rule of thumb, your revision should start here to ensure you are focusing on the exact material that will be in your exam. Knowing the curriculum is key and you can find these on the Royal College website here.
Helpful Royal College Resources include:
Learning hub: the learning hub is available to members and contains many useful learning resources. This can be found here.
Implementation tools: this is a range of tools which have been compiled by the College to support the new curricular which all students should have transferred to by August 2022 at the latest and can be accessed here.
Guidance: a guidance document from trainees who have already sat the exam, on behalf of the Oncology Registrars’ Forum, found here.
Sample questions: sample SBA and oral questions for FRCR CO2A and CO2B have been provided with answers on the RCR website, here for Part A and here for Part B.
Examiners’ reports: this is a collection of generic reports written by examiners on the overall performance of candidates and individual questions as a guide for applicants for future sittings. These are available here.
Trainees’ experiences: the two-part series has been compiled from the experiences of candidates in sitting their final exams, found here.
Demonstration films: demonstrations of both parts of FRCR Part 2, providing insight into both elements of the exam and what candidates can expect on the day. These are on the RCR website here.
Royal College YouTube: several helpful videos to be used for training and informational purposes on the RCR YouTube channel.
Other online resources
There are a couple of online courses which provide preparation for the exam, including mock exams and insight into exam technique. As with all courses, we advise that you register your interest as soon as possible to avoid disappointment as they are in very high demand.
Leeds – TMA Final FRCR Single Best Answer (SBA) Course - FRCR Part 2A
This is a four-day course aimed at clinical trainees who are preparing for their FRCR CO2A. The course offers daily mock SBA exams, question review with site specific experts, coverage of all tumour sites and a deep dive into exam technique.
The course is delivered live virtually, via Microsoft Teams.
Duration
4 days
Cost
TBC
Website
www.leedsth.nhs.uk/a-z-of-services/leeds-cancer-centre/education/events/
Oncopaedia – Cardiff FRCR Part 2 Course
This is a web-based revision course for the FRCR part 2. The course allows candidates to revise SBA questions by individual tumour site, timed mock exams (including a leader board), access to Cardiff Course teaching materials and lecture slides, focused tutorials and a user forum.
Duration
On demand
Cost
£50 for 6 months’ access
Website
www.oncopaedia.com/moodle/moodle/enrol/index.php?id=2
FRCR Clinical Oncology Preparation - F.O.R.O. (The Forum of Radiation Oncology)
A handy hour-and-a-half video filled with useful information covering all aspects of the FRCR exam, from revision resources to guidance a breakdown of the format of the exam.
The YouTube video can be found here.
How have the exams been affected by COVID-19?
Final FRCR are still taking place in person, but as a result of the ongoing COVID-19 pandemic, the availability of test centres has decreased. Currently, test centres are available in Belfast, Birmingham, Crewe, Edinburgh, Glasgow, Leeds, London and Bridgend Wales. For now, the only overseas test centres for the exam are India and Malta. For advice on preparation before applying for the exams, see the Royal College website here.
Consultant Posts and CESR
FRCR Oncology forms a key part of the application for international doctors looking to attain specialist registration in Clinical Oncology through CESR. For doctors with more senior level experience, this could also allow you to work as a locum consultant clinical oncology post, whilst you are not yet accredited as a specialist in the NHS.
#IMG Tips
Familiarise yourself with the exam content – the best way to do this is through the syllabus and curriculum
Prepare early – the earlier you begin your revision, the more structured and relaxed the entire process can be and the more likely you are to pass!
Join the IMG Connect study and support group – join the IMG Oncologists Facebook group for access to a community of like-minded FRCR (Oncology) aspirants and dedicated oncology recruiters.
In this group you will find tailored resources for oncology IMGs, including access to our FRCR (Oncology) crash courses, completely free to all doctors.
You can access our IMG Oncologists community here.
We hope this is helpful for any overseas doctors preparing to sit their Final FRCR exam and the team here at IMG Connect wish you the best of luck!
For news and updates on the Royal Collges, the GMC, finding work in the NHS and relocating to the UK, join us online:
The final exam in the FRCPath Histopathology series...
International specialists in histopathology, cellular pathology or anatomic pathology looking to secure a job in the UK via the postgraduate qualification route will need to obtain Fellowship of the Royal College of Pathologists or FRCPath Histopathology by examination only.
The completion of Part 1 and Part 2 of the Royal College of Pathology qualification for Histopathology results in eligibility for GMC registration (with the addition of the English language component). The FRCPath qualification is recommended for international pathologists looking to securing senior jobs in the NHS.
The exams can be taken by IMGs from all over the world, provided certain eligibility criteria have been met.
Here we’ll take a closer look into these and other important questions through the following topics - skip to one of these sections if you know what you're looking for:
An overview of FRCPath Histopathology
What is FRCPath Part 2?
Am I eligible to sit this exam?
How is the exam structured and marked?
As an international histopathologist, where can I sit the exam?
How much will the exam cost?
How do I apply for the exam?
What is the best way to prepare for the exam?
#IMG Tips
I’ve passed the FRCPath exams, what’s next?
An overview of FRCPath Histopathology
The FRCPath Histopathology exams are administered by the Royal College of Pathologists to test a doctor's knowledge and ability to apply this in the practice of histopathology within the scope of the Specialty Training Curriculum for Histopathology.
The exams are as follows:
FRCPath Part 1
FRCPath Part 2
To read more about the full FRCPath examination suite via out IMG resources, please click here.
Please note that only full FRCPath satisfies the requirements for GMC registration for overseas doctors taking the postgraduate route. Alternative routes to GMC registration include PLAB and licensing exams such as USMLE. You can find out more about alternative routes here.
For doctors who are interested in more senior roles in the NHS that are reflective of their current practice, we advise that FRCPath is the best route to take to GMC registration. Histopathology in the UK is consultant-led specialism; and many NHS job postings will have FRCPath as a requirement for doctors who are not on the Specialist Register. In most cases, and FRCPath qualification will help you to attain a locum consultant role.
What is FRCPath Part 2?
FRCPath Part 2 is the last exam in the FRCPath qualification. It is designed to recognise candidates who are close to the end of their training who can demonstrate an appropriate approach to independent practice. The assessment consists of six components which are take over a period of two days. The components include both written and face-to-face elements with an examiner where candidates are expected to demonstrate both clinical and practical knowledge as well as special techniques and complex diagnoses. Every section assesses a distinct set of professional skills which are all essential to effective performance ad an independent histopathologist and cytopathologist.
Am I eligible to sit this exam?
The FRCPath Part 2 Histopathology exam is open to candidates from every country, provided they have met certain criteria. This includes the expectation that most trainees will sit the Part 2 exam after at least 3 years of specialty training in Histopathology. There should also normally be a 12-month wait between passing the Part 1 exam and attempting Part 2.
For full details, please see the Royal College website here.
How is the exam structured and marked?
The six stations of FRCPath Part 2 are detailed below:
Surgical Histology
Format: 20 x 20 mins stations, 20 cases over 3 hours and 20 minutes.
This will include twenty cases presented in H&E stained slides in 20-minute slots over 3 hours and 20 minutes. The cases are selected according to a blueprint and include a balanced mix of neoplastic and non-neoplastic material, drawn from a wide range of organ systems. The cases will vary in difficulty from straightforward cases to cases not capable of diagnosis through a single H&E, prompting the use of further techniques and specialist opinions.
Cytopathology
Format: 8 x 20 mins stations, 16 cases
Eight non-gynaecological cases in pairs, in 20-minute slots and will be marked according to pre-determined criteria.
Macroscopic Pathology
Format: 2 x 20 mins stations, 4 cases; 20 mins discussion
Candidates will be provided with photos of 4 cases in the form of gross pathology specimens. Candidates will be provided with clinical information and asked to prepare responses to specific questions and mark on the photos where they would take blocks. There will be two 20-minute slots given to view two cases per slot, followed by a 20-minute discussion with two examiners. The exercise is designed for candidates to show their capabilities in discussing gross pathology and familiarity with block selection in relation to the RCPath Minimum datasets.
OSPEs
Format: 2 x 20 mins stations
The objective structured practical examination (OPSE) includes two 20-minute stations, one of which is a written exercise and the other is conducted face-to-face with two examiners. Topics may include management/ clinical governance type and MDT-type cases, amongst other topics.
Long Cases
Format: 4 x 20 mins stations
Four 20-minute stations of cases which cannot usually be covered by a single H&E section, requiring additional stains. These may include histochemistry, immunohistochemistry and immunofluorescence, among other cases.
Frozen Sections
Format: 2 x 20 mins stations, 6 cases; 20 mins discussion
Six cases for review in two 20-minute stations where candidates should make notes, including a ‘bottom line’ diagnosis only, before discussing these with a pair of examiners in a face-to-face 20-minute station.
Exam marking
Each section of the exam is marked against a pre-determined specimen answer with a pass or fail awarded per section. Due to the importance of cellular pathology in medical practice, only a small margin of inaccuracy is allowed. Failure to distinguish across the benign/ malignant boundary (or other similar errors of equal significance in terms of affecting patient outcome) in 15-25% of cases in any section of the exam will result in a failure of the entire exam, regardless of performance in other areas with no leeway to compensate. Final marks will be approved by the Examinations Committee.
Candidates attempting the FRCPath Part 2 exam have four attempts within which to pass the exam, and 7-years between each sitting to pass the full qualification.
As an international histopathologist, where can I sit the exam?
The exam currently takes place twice a year in Spring and Autumn and are held in the UK and in one overseas centre in Irbid, Jordan.
For up-to-date information on exam centres, visit the Royal College website here.
How much will the exam cost?
The FRCPath Part 2 exam costs £1,416. A breakdown of the cost of the 2019 sitting of the exam can be found on the Royal College website here.
How do I apply for the exam?
Applications for each sitting of the exam open months in advance and are currently closed for the Autumn 2021 sitting. Applications for the Spring 2022 sitting will open in late 2021. Late applications are not accepted. Keep an eye on the Royal College website for up-to-date information on applications here.
What is the best way to prepare for the exam?
There are several resources available to help you prepare for your Histopathology FRCPath exam. As always, we recommend that the best starting point for your study is the Royal College website, particularly the Curriculum for Specialty Training in Histopathology. Your exam is based on this curriculum so familiarising yourself with it as soon as possible will give you the best chance for success.
Other helpful resources for your study include:
Regulations and guidelines – before applying for FRCPath exams, the College recommends you read both the general and specialty-specific regulations and guidelines, found below:
General Regulations and Guidelines
Histopathology Regulations and Guidelines
Social media study groups – there are multiple study groups available across different platforms such as Telegram, Facebook, and WhatsApp. IMG Connect hosts study groups for FRCPath Part 2 – these are forums that bring together international doctors from all over the world in one communicative, constructive, and moderated space for learning, sharing, and supporting international histopathologists.
If you are interested in joining the IMG Connect FRCPath Part 2 study group, please email info@imgconnect.co.uk to speak to our histopathology specialist and request your admission.
Online courses, videos and other resources - there are some great online courses and resources available to prepare for the FRCPath Part 2 exam. These include everything from full mock exams to mock exams targeting specific sections of FRCPath Part 2 and YouTube videos. You can find a full list of these here, through our IMG resources library.
FAQs - there is also a Frequently Asked Questions (FAQs) document which the Royal College have compiled to help applicants who have questions about online examinations. You can read this here.
#IMG Tips
Prepare early – getting your revision going as soon as possible will help you avoid those last-minute cramming sessions and increase your chances of passing first time.
Speak to your senior colleagues and peers – there are so many study materials to choose from - who better to ask for recommendations than histopathologists who have been through the process or are going through it with you?
Food and drink – there are multiple stations on both days of the exams so make sure you’re prepared with lots of fuel for the day as there may be no access to food.
Hire a microscope – for applicants for the UK sitting, examination centres will not have microscopes for you to use so you will need to hire one in advance. There are a few companies who rent microscope and you can find these through a quick web search!
Join the conversation – for news and updates on all things histopathology for IMGs, click here follow IMG Connect on social media and join the conversation.
I’ve passed the FRCPath exams, what’s next?
Firstly, congratulations! The FRCPath exams are not easy so this is an incredible achievement. Once you have passed both passed of the FRCPath in Histopathology, your postgraduate qualifications satisfy the requirements for GMC registration. You can now apply for full registration with license to practice.
Get in touch with our IMG Connect histopathology specialist to discuss your options for specialist jobs in the UK or to find out more about where you fit into the NHS as a histopathology specialist with FRCPath.
FRCPath also plays a big part in the Certificate of Eligibility for Specialist Registration (CESR) application, the alternative route to the Specialist Register for overseas doctors who did not complete their training in an approved UK training programme. You can find out more about CESR in our guide for international doctors here.
The team at IMG Connect hope you find this article helpful and wish you the best of luck in your FRCPath Histopathology Part 2 exam!
Follow us on social media through the links below for regular news and updates on the Royal Colleges, relocating to the UK and working in the NHS:
IMG Stories is our series introducing you to international doctors who we have helped to relocate to the UK - sharing their personal journeys from working overseas to securing a new job as a doctor in the NHS.
Today we introduce you to Rehan Qureshi, a brilliant general medicine specialty doctor who relocated to the UK from Saudi Arabia with his wife, children and his mother in 2020. Having passed the MRCP and English language exams, Rehan received full GMC registration with license to practise. He is now working in the NHS at Scarborough General Hospital in the north of England – where he is making a fantastic impact on the service and wider community.
A specialty doctor’s journey to the UK
When I was first contacted by Marcus at IMG Connect about an NHS general medicine specialty doctor job opportunity at Scarborough General Hospital, I was a little nervous about where to start, and what lay ahead. We were moving from Jeddah, Saudi Arabia, which is a very lively city, and I was going to quit my permanent job to relocate to the UK. I have always been keen to work for the NHS, but I wasn’t sure what it’d be like to start my first NHS job in a small coastal town. What would the hospital be like? How would I be treated? Would it be wet and dark like you hear about online? Would the hospital be supportive in my career progression, or would I be simply thrown into the wards to struggle? As an ethnic Muslim minority, would we struggle to find Asian, vegetarian and Halal foods and mosques? All these questions were going through my mind, and after working through these together with Marcus and the team at IMG Connect, and with only a few more fears remaining, I decided to take up the challenge and proceed.
"Ruaidhri put in so much effort to turn this impossible task into reality for me."
During my recruitment process, the biggest challenge was getting my mother’s visa. This was absolutely crucial for me as my mother has always lived with us and is such an important member of our household. We have also been her primary carers. Ruaidhri at IMG Connect put in so much effort to turn this impossible task into reality for me. During the process, it was a real team effort from IMG, and I’m also thankful to the MP for Scarborough and Whitby who responded to Ruaidhri’s request and supported our efforts in this matter. Needless to say, my mother is now very happy and settled into life in Scarborough!
The hospital was also very supportive and did not push me to start by any given date. They were very accommodating and gave me ample time to sort out my relocation process. While some of the other international doctors I knew were struggling to travel before the deadlines set by their NHS trusts, I never felt this pressure. I was supported throughout, knew where to turn for answers and ultimately it was such a big relief that my mother was able to come with us.
When we arrived at London Heathrow Airport, the UK was in a lockdown due to the rising number of COVID-19 cases. We had to quarantine on our arrival, and during this time, we were very well taken care of. Our groceries were paid for, and Ruaidhri checked in with us often to see how we were and if we ever needed anything. All my queries were promptly answered by Ruaidhri and the hospital’s recruitment team.
The very next working day after our arrival in the UK, I received an email from the medical recruitment team at Scarborough General Hospital, and the process for opening my bank account was promptly initiated. I know a number of people who have also struggled with opening their first bank account in the UK, however mine was just set up for me by the recruitment team, who put me in touch with the bank representative. All I had to do was visit the branch for 15 minutes for an ID check once our quarantine had finished and everything was set up!
At work, I found everybody to be very helpful. I received a tremendous amount of help as I struggled to get used to the new system. Whenever I got stuck somewhere, there was always someone to offer a helping hand by my side.
Initially we struggled with accommodation - finding suitable housing in Scarborough was challenging, especially when we had no previous tenancy history in the UK. However, with some help we were able to get our first accommodation which was a lovely fully furnished apartment. We enjoyed our stay there for a month before moving to a long-term let property.
There are two types of institutions, I believe: those that hire people, use them and lose them, and those that hire people, explore their interests and goals, help them progress in their careers as per their interests and preferences, and turn them into effective and happy members of staff. Scarborough Hospital is definitely the latter. Very soon after I started, my consultant sat with me and discussed my goals and personal development plan. I had always been interested in teaching, so he presented me with a number of teaching opportunities in the area. I received great support from him in my career development and with his support, I was appointed an Honorary Senior Lecturer at Hull York Medical School within only 2 months of my joining. Not only this, but he assured me of his full support in my career progression, which is very encouraging for me. When I meet other IMG doctors in the hospital, the thing that is quite noticeable among them is a great deal of professional satisfaction, no matter what grade they are working at.
Scarborough Hospital has a very friendly, multicultural environment and people work together with mutual respect and support for one another. Scarborough Hospital implements and fully supports the SAS charter of NHS and provides every possible opportunity to SAS doctors for their career progression and growth.
As a town, Scarborough is a lovely place to live in. It’s beautiful, peaceful, lively and even at night, the streets are very well lit, and the town is not dark or dead at all. It has all the amenities to cater for a variety of ethnic backgrounds, and we faced NO difficulty whatsoever at finding some Asian, vegetarian and Halal food to eat. We also love Scarborough’s local fish ‘n’ chips!
Scarborough has plenty of entertainment options for children. A forest on one side, seacoast on the other. Boating, hiking, cycling, parks, children’s train ride, the sea life aquarium, and castles with so much more to explore.
The town also has an Islamic centre where prayers are regularly offered. At the hospital, there are separate prayer rooms for both males and females, as well as a Chapel where Friday prayers are offered. I was very impressed when I first saw the Chapel being offered for prayers, which is a great gesture of inter-faith harmony at the hospital.
"I am immensely thankful to Marcus and Ruaidhri"
I am glad that I made the decision to come to Scarborough. It is a wonderful place to live, and people are genuinely nice and welcoming. Scarborough General Hospital is an excellent place to work. We got settled here very quickly and we have fallen in love with this place. My family and I are enjoy living here and have started to consider Scarborough our new home.
I am immensely thankful to Marcus and Ruaidhri at IMG connect and everyone else who played a role in my recruitment, relocation, and induction processes. I really appreciate all their efforts to make the entire process as swift and smooth as possible for us – they gave me the confidence to move to the UK with my family to work as a general medicine specialty doctor in the NHS.
Moving to live and work in the UK is a big decision to make but can be massively rewarding in many ways. International doctors have the chance to find a new home and the NHS presents an incredible opportunity to secure rewarding jobs, progress within their field and explore adjacent opportunities such as CESR (for non-EEA doctors), writing publications and research. Whatever route an overseas doctor may take on their journey to the UK, IMG Connect is here to support them through every step and welcome them to the IMG Connect family.
FRCR (Oncology) Part 1 or CO1 is the first exam in the FRCR postgraduate qualification.
The completion of all the exams in the Fellowship of the Royal College of Radiologists (FRCR) examination suite leads to eligibility for GMC registration. The exams can be taken by IMGs from any country, provided certain criteria have been met. In this article, we’ll take a look at the following:
An overview of the FRCR (Oncology) exams
A deep dive into FRCR (Oncology) Part 1
How is the FRCR (Oncology) Part 1 exam structured?
How is the exam marked?
As an overseas oncologist, where can I sit the exam?
How much will the exam cost?
How do I apply for this exam?
What is the best way to prepare for the exam?
#IMG Tips
I’ve passed the FRCR (Oncology) Part 1 exam, what’s next?
Skip ahead to the relevant section if you know what you're looking for.
An overview of FRCR (Oncology)
FRCR (Oncology) is the set of postgraduate examinations administered by the Royal College of Radiologists to test a candidate’s knowledge and clinical understanding within the scope of the Specialty Training Curriculum for Clinical Oncology.
The exams are as follows:
Please note that only full FRCR satisfies the postgraduate requirements for overseas doctors.
You can read an overview of the full FRCR (Oncology) examination suite here via our IMG Resources section.
Alternative routes to GMC registration include PLAB or other recognised GMC qualifications or licensing exams, such as UMSLE or FRANZCR (radiation oncology) which you can find out more about here.
For doctors who are interested in securing senior roles in the NHS which are reflective of their current practice or grade, we advise that FRCR is the best route to take to GMC registration. FRCR is often a requirement for NHS locum consultant job postings where candidates are not already on the Specialist Register for Clinical or Radiation Oncology. The FRCR route allows senior candidates to better align their qualifications with the specifications of relevant jobs.
A deep dive into FRCR (Oncology) Part 1
FRCR (Oncology) Part 1 is the first in the set of FRCR (Oncology) exams. The assessment expects that candidates have a broad knowledge of subjects that relate to the investigation and management of patients with cancer.
This includes a good understanding of the sciences that underpin clinical oncology, including:
Radiobiology
Cancer biology (including molecular biology)
Physics (as applied to radiotherapy)
Pharmacology of systemic anti-cancer treatments
Medical statistics
You can find the full purpose of assessment for FRCR Part 1 on the Royal College website here.
FRCR (Oncology) Part 1 Structure
All three parts of the FRCR (Oncology) exam are assessed against the specialty training curriculum for clinical oncology and the clinical oncology syllabus. A new curriculum has been implemented as of summer 2021, and all trainees are expected to have transferred to this curriculum by August 2022. For more information on this, visit the curriculum webpages.
The First FRCR (Oncology) exam comprises four modules of 180 single best answer (SBA) questions.
Candidates can enter any number of modules per sitting, though there is a limit of six sittings per candidate within which they must pass all four modules.
Each individual SBA question has a stem (a question or statement) and five answers, and candidates must decide which of the five best represents the answer to the stem question. Essentially, this is a multiple-choice exam.
Here is a breakdown of the exam:
Cancer Biology & Radiobiology - the processes of cancer cell transformation and tumour development and how these processes may be demonstrated and the response to ionising radiation of cells both individually and grouped as tissues
Clinical Pharmacology - the structure, action, use and evaluation of drugs used in the treatment of a patient with cancer
Physics - with special reference to clinical trials and assessment of results, and the epidemiology of cancer
Medical Statistics - the application of physical principles and methods in clinical radiotherapy, physical basis of the therapeutic uses of radioactive isotopes, radiation hazards and protection
A knowledge of SI units is also expected.
Marking
The exam is marked by a computer, with one mark given for each correct answer and zero marks for incorrect answers. As the exam is not marked negatively, candidates are encouraged to provide an answer to all the questions. No marks are awarded where multiple answers have been selected or where answers are not sufficiently clear as the College does not interpret candidates’ answers.
Results and feedback
Candidates will receive details on scores and the level of performance required to pass each module. A further breakdown for each module will be provided, detailing incorrect questions numbers along with the corresponding syllabus section for each question.
For more information on the exam content and structure, read the guidance notes for candidates on the College website here.
Exam centres
The current venues for the First FRCR (CO1) exam are:
Belfast, Birmingham, Bridgend Wales, Crewe, Edinburgh, Glasgow, Leeds and London. Overseas centres for now are in Hong Kong, India and Malta.
The exam is typically held twice a year over two consecutive days, in February and either August or September.
For updates on exam dates, including the application window, keep an eye on the Royal College website here.
Exam cost
First FRCR (CO1) exam cost (per module):
Members - £168
Non-members - £213
Applications
UK trainees are given priority for examination places, followed by those who have had exams deferred over the last year due to cancellations. The remaining places are offered to all other candidates through a ballot system following the close of priority applications.
All candidates should apply for the exams through the Royal College website here.
FRCR (Oncology) Part 1 Preparation
Although there are many online materials to aid in your preparation for FRCR (Oncology) Part 1, as always, we recommend you start your preparation on the Royal College website, particularly with the Specialty Training Curriculum for Clinical Oncology and the Clinical Oncology syllabus.
In using these as a blueprint for your preparation, you will ensure your study is focused on the most relevant and useful information as prescribed directly from teaching materials.
Useful resources include:
Learning hub: available to members through the Royal College website and contains many useful learning resources and available here.
Implementation Tools: a range of tools compiled by the RCR to support the implementation of the new curricular which all candidates should have transferred to by summer of 2022 at the latest. This can be found here.
Sample Questions: sample SBA questions with answers which can be found here.
Examiners Reports: a guide for candidates for future sittings, based on the experiences of examiners with previous applicants, found here.
Speedwell instructional video: a walkthrough video of the FRCR Part 1 exam format with guidance and instructions which can be found on the College YouTube channel.
Suggested reading list: a suggested list of core texts and additional reading put together by the College which is available here.
For other great resources including videos, courses, and flashcards, check out our blog on preparation for the First FRCR (Oncology) exam here.
#IMG Tips
Prepare early – the best way to avoid stress and last-minute cramming is to get started as soon as possible.
Get familiar with the exam content – during your study (at least to start off with), the curriculum should be your guide to the FRCR (Oncology) exams.
Join the conversation – join the IMG Oncologists Facebook group for access to a community of like-minded FRCR (Oncology) aspirants and dedicated oncology recruiters.
In this group you will find tailored resources for oncology IMGs, including access to our FRCR (Oncology) crash courses, completely free to all doctors.
You can access our IMG Oncologists community here.
I’ve passed the First FRCR (Oncology) exam, what’s next?
Firstly, congratulations! This is an incredible achievement, and you deserve to treat yourself after all that hard work! With a pass in the First FRCR (Oncology) in hand, you can look ahead to the Final FRCR (Oncology) CO2A and CO2B exams. Once you have completed all parts of FRCR (Oncology), you can apply for full GMC registration with a license to practice.
The team at IMG Connect wish all First FRCR (Oncology) aspirants and IMGs the very best of luck with their exams!
Are you an overseas medical oncologist looking to move to the UK? Here you can hear first-hand the experience of an international medical oncologist who has been through the process, from completing their MRCP and GMC registration, to securing an NHS job and relocating to the UK?
IMG Stories is our series introducing you to international doctors who we have helped to relocate to the UK - sharing their personal journeys from working overseas to securing a new job as a doctor in the NHS.
Today we introduce Kishore Kumar, a brilliant consultant oncologist who relocated to the UK from India. Kishore has been living and working in the UK after receiving full GMC with license to practice. He is now working in the NHS at South Tees Hospitals NHS Foundation Trust, where he is making a positive impact on the service and the wider community.
Tell us about yourself - what should the IMG community know about Kishore Kumar?
I am a medical oncologist who moved to the UK from India. I moved to the UK later in my life than most IMGs, I'd say, having worked as a consultant medical oncologist in India for over 11 years before I decided to move to the NHS. The system I worked in was quite similar to the NHS (free medical care at the point of access), and whilst I was looking for a change, this was something I enjoyed about my previous work and was looking for that in any healthcare system I may move into.
What motivated you to move to the UK?
The NHS is arguably one of the finest healthcare systems in the world (I know many some may disagree, but having personally seen some other systems, I would definitely rate the NHS very highly). Working in the NHS was a long-held desire of mine, so the move was logical once the opportunity presented itself.
Tell us about your experience with the Royal College exams...
I passed the MRCP exams in 2005 at a time when there were no overseas centers in India. I had to travel to the UK for the exam, which was held in Glasgow and I also attended a training session in Ealing Hospital for the exam. It was very exciting process for me, especially visiting the UK for the first time.
Do you have any tips or advice for overseas doctors who are currently working towards MRCP?
I passed the exam quite a while ago, so I'm not sure how relevant my advice will be to current candidates. However, from my experience, overseas doctors need to understand the NHS system to do well, especially for the PACES exam. Practices which build on this knowledge would be helpful.
How did you manage to navigate and juggle the different aspects of registration whilst working?
Since I was working full time, I needed to set aside dedicated time to study for the MRCP exams. I roped in a friend (a very bright doctor) who would conduct mock exams for me over the weekends.
Did you have any major or unexpected issues with the GMC registration process or your visa application?
Since I was applying for GMC registration a significant amount of time after passing the MRCP, the GMC wanted evidence that I was still up-to-date in my practice. Luckily, this wasn't too complicated and the GMC advisor was very helpful.
How did you find a medical oncology job within the NHS?
Two words: IMG Connect. I was completely new to the process and I was quite unsure about locations and the general steps. Ruaidhri form the IMG Connect team was my go-to person for everything, from advice regarding locations, to job profiles, visas, and GMC registration. I don’t think I would have made it here if not for him. Most importantly, IMG Connect really listened and took into consideration all of my needs and worries. They go far beyond any of the simple questions you may have for them and cover all angles, including things you may not have considered yourself!
I would advise any IMGs hoping to relocate to the UK to find someone (like Ruaidhri) who will genuinely look after THEIR interests. It is easy to land up in the wrong role and to struggle through the complications of trying to leave soon after. If in doubt, seek advice from overseas doctors already in the UK and honest recruitment teams like IMG Connect.
Tell us about a day in the life of an NHS consultant medical oncologist...
The days are usually quite busy. They are split into two sessions (morning and afternoon), with at least one session (sometimes both) being a clinic and the other an MDT or another supportive activity. Working in the UK is very different to working in India, in some ways. At my current hospital, we see far less patients than I used to, but the amount of time spent on each patient is far greater. Of course, five-day working weeks are very welcome (it was six in India).
Tell us about your journey to the UK...
I arrived in early November 2020, when the UK had just gone into its second lockdown. COVID numbers were very high and many people advised me against traveling until things had settled. However, at this point I didn’t see COVID-19 going away anytime soon and decided there was no time like the present. The only difference was my family made sure I traveled business class to decrease the risks - this was the only time I've ever flown business class and it was nice ;-)
What has been your experience working with IMG Connect?
Absolutely fantastic! I can’t thank Ruaidhri and Marcus enough for everything. Just to give you an example, once I'd landed in the UK and reached my accommodation, I had to quarantine for two weeks. Ruaidhri drove over 3 hours (one way, at night) from Scotland to my place and brought in groceries for the next two weeks, since I would not be able to go shopping. Need I say more.
Although it’s been almost a year since my arrival in the UK, I still regularly chat with Ruaidhri and Marcus. We're like old friends at this point.
How are you settling into life in the UK?
I'd say I'm settling in quite well, and my colleagues agree. I am currently here without my family (they will join me later), so I've needed something to do at the weekends. Once the lockdown lifted, I bought a car and have traveled quite a bit. I go trekking most weekends and enjoy visiting new places.
What have you enjoyed most about living in Middlesbrough in particular?
The proximity to great places to visit. It’s just 20 minutes from the beach, or the Yorkshire Moors. London (from Darlington) is less than 3 hours away, and Scotland is a couple of hours away, as is the lake district.
What’s next for you now that you’re working in the UK?
My department has been very helpful. They are actively supporting me in my CESR application process, and I'm getting involved in research and clinical trials. I have also been given teaching opportunities, and even delivered a talk in the Royal College of Physicians CPD series.
What’s been the biggest challenge you’ve faced in moving to the UK?
I'd say the separation from my family, primarily on account of the COVID-19 pandemic.
Have you experienced any culture shocks living in the UK?
No real 'shocks', but I've found the people here quite friendly. The only shock really is how expensive things are compared to India (things like train fares, eating out etc). I've also been introduced to things I'd never done before, like filling petrol and air in a car, ironing clothes etc.
What have you missed about India the most?
Other than my family, I miss the sunny days most (where I lived in India was sunny and not very hot). I will never take the sun for granted again!
Is there anything you wish you’d known before you began your journey to live and work in the UK?
Not really. Having friends and family who already lived in the UK (as well as the power of the internet), meant that a lot of my questions had already been answered and there was a lot of information available to me.
Do you have any tips or advice for international doctors who want to move to the UK?
Moving to the UK is something to consider if you're an IMG looking for a good work-life balance. A medical oncologist might be paid better in some countries, but it would be difficult to beat the quality of work and the relatively stress-free work environment here. I'd say try to avoid landing here during the winter - it does not make a very good first impression, but if you have interests in other areas (especially travel or hiking), the summers here are really awesome!
Moving to live and work in the UK is a big decision to make but can be massively rewarding in many ways. International doctors have the chance to find a new home and the NHS presents an incredible opportunity for IMGs to secure rewarding jobs, progress within their fields and explore adjacent opportunities such as CESR, writing publications, teaching opportunities and research.
Whatever route an overseas doctor may take on their journey to the UK, IMG Connect is here to support them through every step and welcome them to the IMG family.
Join the IMG Oncologists Facebook group for access to a community of like-minded MRCP aspirants and dedicated oncology recruiters.
In this group you will find tailored resources for oncology IMGs, including access to our MRCP crash courses, completely free to all doctors.
You can access our IMG Oncologists community here.
For regular news and updates on the Royal College and all things oncology, follow IMG Connect on social media using the links below: