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
An excellent NHS job opportunity for an experienced Locum Consultant Interventional Radiologist has arisen at an excellent NHS Foundation Trust. This role offers an exciting chance to develop your medical career within the UK, working in a progressive and dynamic healthcare environment. The position involves delivering a range of interventional radiology services, including vascular and non-vascular procedures. You will be joining a highly skilled team and working alongside radiographers, nurses, and surgeons to provide the best possible care to patients. The Trust is committed to offering a supportive environment for international medical graduates (IMGs), and applications from overseas doctors are welcomed.
This NHS job provides full support for the CESR Portfolio Pathway, enabling you to achieve your Certificate of Eligibility for Specialist Registration. Whether you are looking to further develop your expertise in interventional radiology or explore sub-specialist interests, this role offers a fantastic platform for professional growth. With a focus on both patient care and career development, this is an excellent opportunity to advance your career within the NHS.
The NHS Trust
This NHS Foundation Trust is a leading healthcare provider known for its commitment to delivering high-quality patient care. Serving a population of over 657,000 people, the Trust offers a wide range of medical specialties, including vascular surgery, neonatal intensive care, and stroke services. Formed through a merger in 2020, the Trust now operates across multiple sites and has quickly established itself as a center of excellence in the region. The Trust’s state-of-the-art facilities include cutting-edge imaging and diagnostic equipment, allowing staff to provide advanced medical care to a diverse patient population. The Trust is also at the forefront of medical innovation, having introduced robotic surgery and other advanced treatment modalities in recent years. With over 9,000 staff members, the Trust places a strong emphasis on continuous professional development, ensuring all healthcare professionals have access to the latest training and education opportunities. The Trust\'s dedication to both patient care and staff development makes it an attractive employer for UK-based and international doctors?.
The Radiology Department & Team
The Radiology Department at this NHS Foundation Trust offers a comprehensive imaging service that supports both emergency and elective care. With a dedicated team of consultants, radiographers, and support staff, the department performs over 172,000 imaging examinations each year, including CT, MRI, and ultrasound scans. As a Locum Consultant Interventional Radiologist, you will be responsible for delivering a range of procedures, including biopsies, drainages, and complex hepatobiliary interventions. The department also plays a key role in supporting multidisciplinary team meetings, working closely with other specialties such as vascular surgery, gastroenterology, and urology to ensure seamless patient care.
Continued Professional Development
This NHS job offers further training and accreditation within Radiology, including CESR Portfolio Pathway Support, access to specialty training, and the opportunity to develop sub-specialist interests. The Trust is committed to professional development, offering opportunities to engage in research and teaching, ensuring you stay at the cutting edge of medical practice.
Location
This position is based in a thriving region in the UK, known for its balance of urban amenities and natural beauty. The area offers excellent transport links, making it an ideal choice for professionals and their families. The region also boasts affordable living, top-tier schools, and a wide array of recreational activities, making it a highly desirable location for both UK-based and international candidates.
ARE YOU ELIGIBLE FOR THIS ROLE?
UK based applicants:
- Consultant experience in Interventional Radiology
- Or within 6 months of completing CESR or CCT in Radiology
- Consultant experience in Radiology
- Recognised European Medical Degree or Specialist Qualification in Radiology
- FRCR
- Consultant experience in Interventional Radiology
What is the NHS Trust like?
This NHS Foundation Trust, based in Manchester, is one of Europe’s leading cancer centres, treating over 60,000 patients annually. Known for its advanced cancer care, the Trust provides a national service, with approximately 25% of its patients referred from across the UK. It is renowned for cutting-edge technologies, including the MR-linac and proton beam therapy. This NHS Trust is also a leader in research, partnering with the Manchester Cancer Research Centre and has received multiple \'Outstanding\' ratings by the Care Quality Commission (CQC) for its innovation and patient care excellence.
What is the department & team like?
The Radiology department plays a vital role in cancer care, being one of the largest radiotherapy providers in Europe. It operates 3 CT and 4 MR scanners and offers a comprehensive range of diagnostic services, performing around 60,000 examinations annually. These services include CT, MR, plain film, ultrasound, interventional radiology, and nuclear medicine, with the department also providing reports for the regional PET-CT service. The team, comprising 25 consultants, fellows, radiographers, and support staff, closely collaborates with oncological and surgical teams and supports multidisciplinary meetings. Research is central to the department, contributing significantly to clinical trials.
The post-holder will join this team to deliver high-quality cancer imaging, including cross-sectional body imaging, MR, CT, and PET-CT.
Continued Professional Development
This NHS job offers extensive training and accreditation within Radiology, including CESR Portfolio Pathway Support. You will have access to specialty training, with opportunities to develop sub-specialist interests and contribute to ongoing research within the Trust.
What is the area like?
This NHS job is based in a highly desirable region in the UK, known for its affordability, excellent schools, and quality of life. The area offers easy access to nature and cultural attractions, making it a great choice for international professionals and their families.
Am I eligible for this role?
UK based candidates:
- Experience in Radiology
- Experience in Stroke Medicine
- European Specialist Qualification
- FRCR
- Experience in Stroke Medicine
An exciting opportunity for a Consultant Breast Radiologist with expertise in breast and general radiology to work for a health board that aims to provide the best services to their patients. Ideal for overseas consultants looking to establish themselves in the NHS. The health board serves a population of 384,000 in several towns. They aim to improve healthcare by collaborating with local government and the third sector.
You will be a part of the Breast Radiology Department, which is a vital part of the healthcare service in the area, providing comprehensive diagnostic and interventional breast radiology services. Their team includes experienced consultants and junior doctors, ensuring high-quality care. The facility is well-equipped, and the successful candidate will lead and enhance the department\'s services. You will have a lot of growth opportunities as the Health Board is involved in education and research, with strong links to other universities. They aim to engage emerging clinicians in addressing Prudent Health Cares. Their Clinical Research Facility and initiatives in BioBanking and telemonitoring demonstrate their commitment to research and advancement.
It is situated in a town that offers a tranquil lifestyle with access to scenic coastal areas. It is a blend of rural and urban living. The region features quality schools and links to the University of Wales Trinity Saint David. Transportation connections are strong, and housing options are diverse, catering to different preferences. It\'s a balanced location for professionals and families.
ARE YOU ELIGIBLE FOR THIS ROLE?
EEA Candidates:
- Experience of working in Radiology
- Board Certified Specialist 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 excellentHealth Board is actively seeking a Consultant Interventional Radiologist to join their innovative team. The role involves enhancing radiological services across the Health Board, reflecting their commitment to exceptional patient care. This opportunity is well-suited for overseas Consultants looking to establish themselves in the NHS or experienced IMGs seeking to complete CESR requirements.
The Health Board caters to 384,000 residents across several towns, delivering a wide spectrum of healthcare services. Their dedication to patient well-being includes a focus on continuous improvement, achieved through collaboration with local government and the third sector. The Health Board actively promotes education and research, fostering multi-profession teaching and supporting the development of up-and-coming clinicians. Their Clinical Research Facility and initiatives like BioBanking and telemonitoring reflect their commitment to advancing healthcare.
The Interventional Radiology Department is well-equipped and managed by experienced consultants and junior doctors. They provide comprehensive care, specializing in minimally invasive treatments for various conditions. Their advanced imaging technology ensures accurate diagnoses, and they handle a significant caseload of interventional radiology cases.
The hospital sits within a town that offers a balanced lifestyle with both urban conveniences and access to scenic rural areas. The region is known for its beautiful landscapes, high-quality schools, and strong transportation links to major cities and airports. Housing options are diverse, accommodating various preferences. This opportunity presents a holistic and enriching professional and personal life for healthcare professionals.
ARE YOU ELIGIBLE FOR THIS ROLE?
EEA Candidates:
- Experience of working in Radiology
- Board Certified Specialist 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 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