FRCR Clinical Radiology - a guide for overseas radiologists
- June 09, 2022
Overseas Radiologists wanting to secure a role in the UK via the postgraduate qualification route will need to attain Fellowship of the Royal College of Radiologists or FRCR in order to register with the GMC. FRCR is the UK Royal College qualification and the recommended route for radiologists looking to work in the UK as a specialist or consultant.
IMGs from any country in the world can sit the FRCR examinations, provided certain eligibility criteria are met. These are summarised below along with a broad look at the following topics:
- What is FRCR?
- Am I eligible?
- What is the content and structure?
- Where and when can I sit the exams and how much will it cost me?
- How do I apply?
- How can I prepare for the exams?
- Passed? What next?
What is FRCR?
Radiologists become full members of the Royal College of Radiology and achieve the designation FRCR once they have passed the three separate postgraduate medical exams that make up the FRCR examination suite. The FRCR examinations aim to test a candidate’s knowledge and clinical understanding against the Specialty Training Curriculum for Clinical Radiology and the exams are a pre-requisite for anyone looking to go into a specialty training post as a radiologist in the UK. For more senior candidates, absence of FRCR will make it very difficult to attain a locum-consultant posts unless you have a recognised equivalent or specialist registration.
When registering via the postgraduate route, only full FRCR satisfies the GMC postgraduate requirements for registration as an overseas doctor. There are three parts to the FRCR examinations:
- First FRCR - two-part exam, each held on separate days, over a two-day period
- Final FRCR Part A (both must be passed in one sitting in order to attain a pass)
- two separate single best answer papers
- Final FRCR Part B
- a reporting session
- a rapid reporting session
- an oral examination
The FRCR examinations form an essential component of training for Radiologists in the UK. For overseas doctors relocating to the UK, the FRCR is one of two options to support full GMC registration (postgraduate qualification or PLAB route). For doctors who wish to secure a senior clinical radiology job in the NHS reflective of their current practice, we advise that FRCR would be the best route to choose. FRCR is often an essential requirement for jobs in radiology such as breast, cardiac, interventional, musculoskeletal and so on.
Eligibility for FRCR in Radiology:
First FRCR: To be eligible you must:
- hold a Primary Medical Qualification (PMQ) that is recognised by the GMC for registration purposes.
- hold a formal clinical radiology post in which they are actively receiving clinical radiology training.
- no minimum period of clinical experience or training is required to enter the exams
Final FRCR Part A: To be eligible you must:
- have passed the First FRCR examination
- have acquired 24 months in a formal clinical radiology training post by the month which the examination is taken
Final FRCR Part B: To be eligible you must:
- have passed the Final FRCR Part A
- have acquired 34 months in a formal clinical radiology training post by the month which the examination is taken
Content and structure for FRCR - Diagnostic Radiology
First FRCR Examination: It is delivered on a digital platform and as such is now also available across a larger number of test centres than before. The First FRCR examination expects candidates to have sufficient knowledge of two modules:
- the physical principles that are the foundation of diagnostic medical imaging
- the anatomy needed to perform and interpret radiological studies.
The test is divided into two parts:
- Anatomy - image viewing session delivered on an individual workstation
- Physics - multiple choice written question (MCQ) paper
Final FRCR Part A: The Final FRCR Part A examines candidates on all aspects of clinical radiology and the basic sciences of physics, anatomy and the techniques as per the Specialty Training Curriculum for Clinical Radiology syllabus.
The examination comprises two single best answer papers, each containing 120 questions and covering a broad range of the core curriculum. Exams are 3 hours for each sitting. The paper comprises a mix of questions from across a wide range of the curriculum:
- Cardiothoracic and Vascular
- Musculoskeletal and Trauma
- Gastro-intestinal
- Genito-urinary, Adrenal, Obstetrics & Gynaecology and Breast Paediatric
- Central Nervous and Head & Neck
Final FRCR Part B: This part to the assessment examines candidates on all aspects of clinical radiology against the curriculum and consists of three components. All components are examined by an image viewing session delivered on individual workstations.
Updates to the exam formats in light of COVID-19:
Given the disruption caused by COVID-19 it is advised to keep updating yourself of the RCR examination changes and updates posted on their website. This link here specifically takes you to the examination updates section. Information on the dates, fees and venues for the FRCR examinations are found within. In light of the COVID-19 pandemic most exams have now moved online in some form or another, with remote proctering (invigilation) in place to prevent cheating and ensure continuation of exam settings.
First FRCR Examination in Clinical Radiology: An online invigilation (proctoring) element will be introduced for both modules from June 2021. This will enable you to sit both modules at a location of their choosing rather than attending an RCR exam venue. You will need to ensure minimum software, a stable internet connection and an appropriate examination environment. The third-party proctoring service – Examity – provides a computer-readiness check prior to the examination to enable candidates to check suitability of their set-up. On the RCR page here you'll find a number of instruction and technical support guides and videos - it is highly recommended to read through all of these before applying.
FRCR Part 2A (Radiology) - CR2A: This examination will be proctored online. The examination is delivered by a software (Speedwell) which can now be integrated with Examity’s examination proctoring system, allowing candidates to take secure high-stake examinations at home or at a place of the candidate’s choosing where they should have a stable internet connection, a quiet working atmosphere and must be on their own. See our remote invigilation (proctoring) guidance for further information.
FRCR Part 2B (Radiology) - CR2B: The reporting component of this examination will be computed based at the venue candidates have chosen. Candidates will receive a username and password to access the examination. The reporting instructional video and accompanying demonstration site should be viewed prior to the examination. The oral component will also be delivered to candidates in venues, via video conference, and further detail shows in the orals guidance video.
Examination content will be shared via MS Teams and candidates will be able to take control of the mouse and access functionality to manipulate images. After 30 minutes candidates will move to the second room and complete the second 30-minute session of the oral exam with different examiners.
As an overseas candidate, where & when can I sit the exams and how much will they cost me?
This link here specifically takes you to the examination updates section. Information on the dates, fees and venues for the FRCR examinations are found within.
How do I apply for the FRCR examinations?
UK Trainees are given priority for examination places, whilst overseas candidates are offered those places not taken through a priority 2 window date after the earlier application date.
How should I prepare for the FRCR exams?
With lots of materials online we have discussed with IMGs the best place to start looking for resources and materials relating to the exams. Most IMGs recommended starting with the Royal College, who have created useful resources to help you prepare, see below:
Syllabus: The syllabus for these examinations can be found in the Specialty Training Curriculum for Clinical Radiology.
Instructional videos and demonstrations: The Royal College recommends that applicants familiarise themselves with the platform via the instructional videos and accompanying demonstration site found here.
Sample questions: The Royal College created useful sample questions and answer sheets to help you prepare for each exam:
- FRCR Part 1 sample questions & answer sheet
- Final FRCR Part A & answer sheets
- Final FRCR Part B – sample image
General FRCR exam advice: There are also many useful resources to offer more general advice for each section of the FRCR examinations, including:
- Anatomy examination advice
- First FRCR instructions for candidates
- Final FRCR Part A format and question advice
- TNM Staging – required knowledge to answer questions
- Final FRCR Part B – instructions for candidates
- Examiners report – to help prepare for future sittings
I passed the FRCR exams! What next?
First of all, congratulations! After you have passed all three parts of your FRCR examinations, you can apply for a full registration with a license to practice. Once the GMC have approved your application, you can work as a doctor in the UK. Don't hesitate to get in touch once you have completed FRCR radiology to discuss opportunities available to you in the NHS.
For the latest news and updates on all things radiology, including the Royal College, GMC registration and the NHS, follow us on social media and join the conversation.
Relevant Jobs
A large NHS Trust in the Midlands is looking for a Consultant Interventional Radiologist with an interest in complex vascular and non-vascular procedures. The Radiology department comprises a team of experienced consultants and is supported by a large team of middle grade doctors. This Interventional Radiology job is open to both international applications and UK-based doctors, though those with European Specialist or FRCR qualifications are most encouraged to apply.
Anyone requiring portfolio support (formally known as CESR) can have their required support discussed on a case by case basis.
JOB REQUIREMENTS AND DETAILS
FRCR or equivalent and extensive experience in interventional radiology are required for this role, and anyone with an interest in complex vascular and non-vascular procedures should apply. The salary will be between £105,504 to £139,882 dependent on experience.
CORE DUTIES OF THIS ROLE
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Lead a comprehensive range of interventional radiology procedures under consultant supervision.
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Assist in the general radiology workload including the Interventional on-call rota.
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Lead teaching and supporting junior radiological staff and radiographers.
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Lead departmental audit and research activities, with the opportunity to pursue formal research.
LIFE IN THE WEST MIDLANDS
This role is based in the West Midlands, offering access to urban living in cities like Birmingham and more peaceful rural areas such as Solihull and Warwickshire. The region is known for its excellent schools, strong transport links, and a wide variety of leisure activities for individuals and families alike. With a rich industrial heritage, the West Midlands remains one of the UK’s most historically significant and economically vibrant regions.
HOW WILL IMG CONNECT SUPPORT YOU?
When applying with IMG Connect you’ll have the full support of an expert recruitment team who will be your recruitment and relocation partners throughout the process. We\'ll support you with:
- CV Preparation with a bespoke session with one of our specialists
- Application support with expert knowledge of NHS specialisms & recruitment practice
- At least two video calling interview preparation sessions
- Contract and offer negotiations for salary, relocation packages, tenure and more
Once you have accepted your new role, you’ll then be supported and led throughout by one of our dedicated relocation executives who will guide you through all the way to starting to your new role including:
- Document gathering and checking
- COS and Visa Application support if applicable
- Support sourcing short- and long-term accommodation
- Travel Arrangements
- Family support for finding schools and any other aspects of pastoral care
An NHS general hospital in the East of England is looking for a Consultant General Radiologist with an interest in Gynaecology Imaging. The Radiology department comprises a team of 27 consultants and is supported by a large team of middle grade doctors. This Radiology job is open to both international applications and UK-based doctors, though those with NHS experience are most encouraged to apply.
Anyone requiring portfolio support (formally known as CESR) can have their required support discussed on a case by case basis.
JOB REQUIREMENTS AND DETAILS
FRCR (or equivalent), and completion of general radiology training and anyone with Gynaecology Imaging experience should apply. The salary will be between £105,504 and £139,882 dependent on experience or grade.
CORE DUTIES OF THIS ROLE
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Provide a consultant-led service in General Radiology and subspecialty Gynaecology imaging.
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Participate in the general radiology on-call rota (currently 1:15–1:16) and support acute inpatient and A&E CT, MRI, and ultrasound reporting.
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Contribute to the supervision, teaching, and professional development of Radiology SpRs and other junior colleagues.
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Engage in departmental governance, audit activities, and multi-disciplinary team meetings.
LIFE IN EAST OF ENGLAND
This role is based in a historic market town with easy access to urban centres and picturesque countryside. Families benefit from excellent schooling options and direct rail links to London, alongside coastal attractions and green spaces. The area is renowned for its Roman history and longstanding significance in shaping British heritage.
A leading NHS hospital in the UK is looking for a Consultant Breast Radiologist with an interest in breast imaging and intervention. The Radiology department consists of a team of experienced breast radiologists and is supported by a multidisciplinary medical team. This role is open to both international applications and UK-based doctors, with preference for those holding a European Specialist or FRCR qualification.
Anyone requiring portfolio support (formally known as CESR) can have their required support discussed on a case-by-case basis.
JOB REQUIREMENTS AND DETAILS
Applicants must have FRCR qualification and completed specialist training in Radiology, with subspecialty training in breast imaging. Clinical experience in breast radiology, interventional procedures, and pre-operative localisation is essential. The salary will be between £105,504 - £139,882, dependent on experience or grade.
CORE DUTIES OF THIS ROLE
Work independently in symptomatic one-stop clinics, breast screening, and assessment clinics, with a minimum of two one-stop clinics and one assessment clinic per week.
Perform ultrasound-guided and stereotactic-guided biopsies of the breast and axilla (stereotactic training can be provided if required).
Report on symptomatic and surveillance mammography, breast MRI, and support pre-operative localisation for surgical planning.
Contribute to the bi-weekly breast MDT, training of junior doctors, and general radiology reporting (optional on-call duties available).
LIFE IN THE UK
The hospital is based in a well-connected UK city, offering a mix of urban and rural living. Professionals can choose between vibrant city living or quieter countryside options, both with excellent amenities.
The area has top-rated schools, direct train links to London, and an international airport. It offers a wide range of leisure activities, including cultural festivals, outdoor sports, and a thriving social scene.
The region has historical significance, playing a key role in British maritime history and remaining a hub for medical innovation and research.
HOW WILL IMG CONNECT SUPPORT YOU?
When applying with IMG Connect you’ll have the full support of an expert recruitment team who will be your recruitment and relocation partners throughout the process. We\'ll support you with:
- CV Preparation with a bespoke session with one of our specialists
- Application support with expert knowledge of NHS specialisms & recruitment practice
- At least two video calling interview preparation sessions
- Contract and offer negotiations for salary, relocation packages, tenure and more
- Document gathering and checking COS and Visa Application support if applicable
- Support sourcing short- and long-term accommodation
- Travel Arrangements Family support for finding schools and any other aspects of pastoral care
Anyone requiring portfolio support (formally known as CESR) can have their required support discussed on a case-by-case basis.
JOB REQUIREMENTS AND DETAILS
- Candidates must hold FRCR or equivalent, full GMC registration, and Radiology training
- Three years of Radiology speciality training is required for this role, and anyone with a experience in Vascular and Non-Vascular IR should apply.
- The salary will be between £93,666 – £126,281 per annum dependent on experience or grade.
- Perform a wide range of vascular and non-vascular interventional radiology procedures, including aneurysm repair, peripheral and visceral revascularisation, catheter-assisted thrombolysis, and embolisation procedures.
- Provide on-call interventional radiology services as part of a regional network rota, covering vascular and non-vascular cases.
- Contribute to diagnostic imaging and reporting, as well as participation in vascular and aortic aneurysm MDTs, IR clinics, and general radiology reporting.
- Support the teaching and training of junior doctors, radiographers, and medical students, with opportunities for research and development.
Located in a scenic region of South West England, this hospital serves both urban and rural communities. Candidates can choose to live in a bustling market town with easy access to major cities or opt for a more peaceful setting in the countryside, surrounded by national parks and coastal areas. The region offers excellent schools, strong transport links, and a wide range of leisure activities including hiking, cycling, and watersports.
Historically, this area is known for its rich cultural heritage, historic landmarks, and vibrant local traditions, making it an attractive place to live and work.
HOW WILL IMG CONNECT SUPPORT YOU?
When applying with IMG Connect, you’ll have the full support of an expert recruitment team who will be your recruitment and relocation partners throughout the process. We\'ll support you with:
- CV Preparation with a bespoke session with one of our specialists
- Application support with expert knowledge of NHS specialisms & recruitment practice
- At least two video calling interview preparation sessions
- Contract and offer negotiations for salary, relocation packages, tenure and more
- Document gathering and checking
- COS and Visa Application support if applicable
- Support sourcing short- and long-term accommodation
- Travel Arrangements
- Family support for finding schools and any other aspects of pastoral care
A private diagnostic imaging clinic in a major Canadian city is looking for a Radiologist with an interest in specialized imaging services. The radiology team comprises a motivated group of professionals, including radiologists, Ultrasound Technologists, and Medical Radiation Technologists. This radiology job is open to both international applications and Canada-based doctors, though those with CCT from the UK, Ireland, or qualifications recognised by the Royal College of Physicians and Surgeons of Canada (FRCPC) are most encouraged to apply.
JOB REQUIREMENTS AND DETAILS
A fellowship level qualification in Diagnostic Radiology from the Australasia region, South Africa, Switzerland, Singapore, Hong Kong, Ireland, UK, and the USA is required for this role, and anyone with an interest in specialized imaging services such as Breast Imaging, MSK Ultrasound, or Image-Guided Pain Management should apply. Earning potential of between $600,000 and $800,000 is available, dependent on experience.
CORE DUTIES OF THIS ROLE
- Ensure accurate and timely production of diagnostic imaging reports.
- Supervise and guide diagnostic imaging personnel during scheduled hours.
- Maintain effective communication with patients and other physicians to ensure proper care.
- Monitor and report equipment malfunctions and inventory shortages.
LIFE IN THIS REGION
This major Canadian city offers a blend of urban and suburban living options, with lively downtown areas and peaceful neighborhoods for families. The region provides excellent schools, reliable transport links, and an array of leisure activities for adults and families alike. Known for its cultural diversity and natural beauty, this area is a significant hub for commerce and education in Canada.
HOW WILL IMG CONNECT SUPPORT YOU?
When applying with IMG Connect, you’ll have the full support of an expert recruitment team who will be your recruitment and relocation partners throughout the process. We\'ll support you with:
- CV Preparation with a bespoke session with one of our specialists.
- Application support with expert knowledge of specialisms & recruitment practice.
- At least two video-calling interview preparation sessions.
- Contract and offer negotiations for salary, relocation packages, tenure, and more.
Once you have accepted your new role, you’ll then be supported and led throughout by one of our dedicated relocation executives who will guide you through all the way to starting your new role, including:
- Document gathering and checking sponsorship and visa application support, if applicable.
- Support sourcing short- and long-term accommodation.
- Travel arrangements and family support for finding schools and any other aspects of pastoral care.