FRCR Clinical Radiology - a guide for overseas radiologists
- November 08, 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
An excellent opportunity for an experienced Consultant in Radiology to join a Health Board in North Wales that promotes equality and diversity. If you love a challenge, have a passion to help others or simple fancy a fresh start, then this Health Board has all the ingredients. The post if suitable for overseas consultants, including candidates who are pursuing CESR. Specialists in Radiology holding a specialist certification would be suitable for this post, based on experience entering at either Specialty Doctor or Consultant grade.
Overseas applications from experienced Specialty Doctors and Consultants are welcomed.
WHAT IS HEALTH BOARD LIKE?
The Health Board is largest health organisation in Wales, that are developing an integrated health service which provides excellent care delivered in partnership with the public and other statutory and third sector organisations.
The Health Board have a budget of £1.3 billion and a workforce of over 17,000 staff. Providing primary, community, mental health and acute hospital services for the population of around 700,000 across of North Wales. They continuously develop their workforce so that it has the right skills and operates in a research-rich learning culture.
Besides their three main hospital sites, they are also responsible for community hospitals, health centres, clinics, mental health units, community teams, GP practices and other NHS services provided by dentists, opticians and pharmacists. They plan to improve the health of the population, with particular focus upon the most vulnerable in our society.
WHAT IS THE DEPARTMENT & TEAM LIKE?
The Department is a group of people who are truly hard-working, highly motivated and committed. They focus on the quality care that they provide for their patients. The Department is responsible for the CT scanning, DXA scanning, Interventional Radiology, MRI, Nuclear Medicine & PET/CT scanning, Ultrasound, Vascular Laboratory and X-ray. The Department cares for their patient in such a way that during the pandemic, they trialled a clear mask to support better communication for people with conditions such as hearing loss, or dementia.
WHAT IS LIFE LIKE IN NORTH WALES?
North Wales has a vast national park, purpose built mountain biking trails, a breath taking coastal path, soaring zip wire, food festivals and world class sport and adventure around every corner. The North Wales is equipped with sport and leisure centres that provide opportunities for a wide variety of sporting, fitness and recreational activities. Not only does it have lots of activities for you, it also has a wide selection of private housing is available, both traditional and modern in towns, villages and rural settings.
For doctors with family, the educational standards are consistently high in both the primary and secondary sectors. There are several well established independent schools within North Wales and the surrounding area that cater for both day pupils and boarders. The regional University with its excellent scholastic reputation has a thriving student community.
You can say goodbye to heavy inner city commuter traffic, and enjoy a breath-taking commute across North Wales.
WHAT OPPORTUNITIES ARE AVAILABLE TO YOU AT THIS HEALTH BOARD?
With an extremely active education/teaching programme supported by the consultant team, there is opportunity to work towards and complete CESR, exams, get involved in active research and many aspects of CPD.
Participation in research and educational activities will be encouraged.
ARE YOU ELIGIBLE FOR THIS ROLE?
EEA Candidates:
- Experience of working in Radiology
- European Specialist Qualification in Radiology
Non-EEA Candidates:
- Experience of working in Radiology
UK based applicants
- Experience of working in Radiology
- Within 6 - 12 months of completing CCT
An excellent opportunity for an experienced Consultant in Radiology to join a Health Board in Wales that promotes equality and diversity. If you love a challenge, have a passion to help others or simple fancy a fresh start, then this Health Board has all the ingredients. The post if suitable for overseas consultants, including candidates who are pursuing CESR. Specialists in Radiology holding a specialist certification would be suitable for this post, based on experience entering at either Specialty Doctor or Consultant grade. Overseas applications from experienced Specialty Doctors and Consultants are welcomed.
Radiologists with interest in cross sectional imaging, head and neck, oncology and urology will be best suited to this posts.
WHAT IS HEALTH BOARD LIKE?
The Health Board is largest health organisation in Wales, that are developing an integrated health service which provides excellent care delivered in partnership with the public and other statutory and third sector organisations.
The Health Board have a budget of £1.3 billion and a workforce of over 17,000 staff. Providing primary, community, mental health and acute hospital services for the population of around 700,000 across of North Wales. They continuously develop their workforce so that it has the right skills and operates in a research-rich learning culture. Besides their three main hospital sites, they are also responsible for community hospitals, health centres, clinics, mental health units, community teams, GP practices and other NHS services provided by dentists, opticians and pharmacists. They plan to improve the health of the population, with particular focus upon the most vulnerable in our society.
WHAT IS THE DEPARTMENT & TEAM LIKE?
The Department is a group of people who are truly hard-working, highly motivated and committed. They focus on the quality care that they provide for their patients. The Department is responsible for the CT scanning, DXA scanning, Interventional Radiology, MRI, Nuclear Medicine & PET/CT scanning, Ultrasound, Vascular Laboratory and X-ray. The Department cares for their patient in such a way that during the pandemic, they trialled a clear mask to support better communication for people with conditions such as hearing loss, or dementia.
WHAT IS LIFE LIKE IN NORTH WALES?
North Wales has a vast national park, purpose built mountain biking trails, a breath taking coastal path, soaring zip wire, food festivals and world class sport and adventure around every corner. The North Wales is equipped with sport and leisure centres that provide opportunities for a wide variety of sporting, fitness and recreational activities. Not only does it have lots of activities for you, it also has a wide selection of private housing is available, both traditional and modern in towns, villages and rural settings.
For doctors with family, the educational standards are consistently high in both the primary and secondary sectors. There are several well established independent schools within North Wales and the surrounding area that cater for both day pupils and boarders. The regional University with its excellent scholastic reputation has a thriving student community.
You can say goodbye to heavy inner city commuter traffic, and enjoy a breath-taking commute across North Wales.
WHAT OPPORTUNITIES ARE AVAILABLE TO YOU AT THIS HEALTH BOARD?
With an extremely active education/teaching programme supported by the consultant team, there is opportunity to work towards and complete CESR, exams, get involved in active research and many aspects of CPD.
Participation in research and educational activities will be encouraged.
ARE YOU ELIGIBLE FOR THIS ROLE?
EEA Candidates:
- Experience of working in Radiology
- European Specialist Qualification in Radiology
Non-EEA Candidates:
- Experience of working in Radiology
- FRCR
UK based applicants:
- Experience of working in Radiology
- Within 6 - 12 months of completing CCT
An exciting opportunity for an experienced Stroke Consultant to join one of the top performing trusts in the UK. Rated as "outstanding" by the CQC, this university hospital is seeking to appoint a Consultant Physician in Stroke Medicine.
Department and Trust overview:
This is a fixed term post joining an established and growing team. The post will involve responsibility for stroke prevention, hyper-acute and acute stroke care, including proactive in-reach, stroke rehabilitation and a commitment to the General Medicine on call rota.
The Stroke Team are part of the Medicine for the Elderly Department, but suitably qualified applicants from any parent speciality are encouraged to apply.
The department provides a full range of services to a population of approx 400,000.
The stroke service admits approximately 500 patients per year, and sees about 800 patients per year in the fast track TIA clinic. Hyper-acute and acute stroke is managed in the Bristol Royal Infirmary on the current 26 bedded acute stroke unit (ASU) which includes 10 hyper-acute beds. Patients requiring longer inpatient rehabilitation are cared for in the 16 bedded dedicated stroke rehabilitation unit.
Requirements for the role:
UK candidates:
- Consultant experience in Stroke Medicine
- Within 6 months of CCT or CESR
- Specialisation in Stroke Medicine
- MRCP
- Consultant experience in Stroke Medicine