FRCPath Part 2 – a detailed guide for overseas histopathologists 

  • March 09, 2023
 

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 

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: 

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 

  1. 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. 
  2. 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? 
  3. 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. 
  4. 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! 
  5. 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:

            

 

Relevant Jobs

93,666 - 126,281

A unique opportunity awaits Histopathologists, especially Consultants, to join a dynamic team of 35 professionals at the Histopathology Department within a prestigious NHS Foundation Trust. Engaged in diverse diagnostic tasks, the department encourages research and teaching, offering a platform for career growth. This role is ideal for overseas Histopathologists interested in the UK NHS, with a focus on those specializing in the EEA or experienced IMGs aiming to fulfill CESR requirements.

The Histopathology Department boasts a skilled team of consultants and junior doctors, equipped with cutting-edge facilities for accurate diagnostics. Handling a wide range of cases annually, the department ensures timely and precise reports, contributing to patient care.

The department is part of an NHS Foundation Trust that is considered as a leading healthcare institution, emphasizes staff well-being, inclusivity, and equal opportunities. With 23,500 staff, the Trust is dedicated to creating a compassionate work environment where every team member can thrive. The commitment to inclusivity is deeply ingrained, driven by diverse staff networks and a Fairness Taskforce led by the CEO.

The career development opportunities at University Hospitals Birmingham NHS Foundation Trust extend to research and development initiatives. Actively participating in regional and national research programs and clinical trials, the Trust supports staff in project planning and submission. This role presents a compelling prospect for experienced international histopathologists pursuing CESR and specialist registration in the UK NHS.

ARE YOU ELIGIBLE FOR THIS ROLE?

EEA Candidates:

  • Experience of working in Histopathology (essential) 

Non-EEA Candidates:

  • FRCPath or PLAB (essential)

  • Experience of working for Histopathology (essential)

UK based applicants

  • Experience of working in Histopathology (essential)

88364 - 119133

A compelling opportunity awaits a Consultant Histopathologist at South Tees Hospitals NHS Foundation Trust, renowned for its \"good\" overall rating by the CQC. This pivotal NHS job offers the chance to contribute significantly to pathology services within the Tees Valley Collaborative Service. Collaborating with a skilled team of 12 consultants, the role involves delivering a comprehensive cellular pathology reporting service to a diverse population across several towns, and totaling 1.6 million residents.

This role is particularly advantageous for overseas Consultant Histopathologists aspiring to establish themselves in the NHS. Suited for candidates with specialization in the European Economic Area (EEA) or experienced International Medical Graduates (IMGs) seeking completion of the Certificate of Eligibility for Specialist Registration (CESR), it provides a unique pathway for professional growth.

The Histopathology Department at The James Cook University Hospital stands as a beacon of diagnostic excellence, equipped with a dedicated team of consultants and junior doctors. With a robust staffing quota, the department handles a diverse caseload, offering comprehensive care ranging from routine diagnostics to complex pathology. State-of-the-art facilities, including a modern operating suite with 20 theatres and a 33-bedded critical care unit, underscore the commitment to precision and cutting-edge diagnostics.

The department is part of an NHS Foundation Trust that oversees a diverse healthcare landscape, including their main hospitals that is a major teaching and trauma center with 1,024 beds, a 24-hour acute admissions unit, and an emergency department. The NHS Foundation Trust has another hospital, integral to community care, complements the trust\'s commitment to excellence across Middlesbrough and Northallerton.

The Trust\'s dedication to research and development is evident through active participation in regional and national research programs and clinical trials. The Research and Effectiveness department within the Trust facilitates project coordination, supporting innovation. A specialized member of the research staff brings expertise in managing the pathological aspects of clinical trials.

It is part of the Middlesbrough, the urban hub, offers residents a dynamic living experience with access to scenic parks, cultural attractions, quality schools, and Teesside University. Robust transportation links connect Middlesbrough locally and to major cities and airports. Housing options, from historic residences to modern developments, cater to diverse preferences, ensuring a vibrant urban lifestyle with green spaces and educational excellence.

This opportunity, tailor-made for experienced international histopathologists, aligns with the aspiration to achieve CESR and specialist registration within the UK NHS. It not only offers a stimulating professional environment but also serves as a gateway to making a meaningful impact on healthcare.

ARE YOU ELIGIBLE FOR THIS ROLE?

EEA Candidates:

  • Experience of working in Histopathology (essential) 

Non-EEA Candidates:

  • FRCPath or PLAB (essential)

  • Experience of working for Histopathology (essential)

UK based applicants

  • Experience of working in Histopathology (essential)

93,666-126,281

Experienced Pathology Consultants from around the globe are encouraged to apply for consultant roles in one of the largest Foundation Trusts in the South East of England. The trust actively seeks experienced consultants, whether or not they are currently on the specialist register, with a commitment to supporting those not on the register for CESR if that is their preference. This Trust, boasting nearly 10,000 staff and an annual budget exceeding £715 million in 2019/20, operates two large general hospitals in the East of England that consistently perform well according to their CQC reports.

The Histopathology department at this Trust is on a trajectory of advancement, aiming to incorporate the latest technologies and innovations to meet the current and future challenges of the modern NHS. An exciting collaboration with a large teaching hospital and tertiary center in China is underway, promising extensive opportunities for research and teaching within the Histopathology department. The post holder will play a crucial role in surgical pathology and cytopathology, engaging with a dynamic and multidisciplinary team.

The work environment within the Histopathology department is characterized by surgical cut-up performed by Consultant Pathologists, Specialty Registrars, and Biomedical Scientists. Two biomedical scientists have completed the Diploma of Expert Practice in Histological dissection (cut-up), with ongoing training for another. Technical staff handle small biopsies, while Consultant Pathologists report all FNA and non-cervical cytology specimens. Although there is no sub-specialization in surgical histology or diagnostic cytology at present, lead pathologists for each cancer site act as contact points within the department, actively participating in multidisciplinary meetings. Importantly, there is no on-call commitment, and the post holder has the option to undertake coronial post-mortem examinations by direct agreement with local coroners services.

Currently, there are six consultant pathologists, with capacity for two more, including the current vacancy. The Histopathology and Blood Science services are fully accredited by UKAS, participating in both interpretative and technical EQA schemes. The hospital itself holds HTA approval as an institution.

Beyond the professional realm, life in the region offers an enviable quality of life in a historic town. The area features a wealth of affordable housing in one of the most attractive parts of Britain, while remaining in proximity to one of London\'s major airports and all the facilities of the capital. Families will find excellent schools and a range of leisure facilities to enhance their living experience. Relocation support, including detailed information through a relocation document, is available for those interested in exploring this exciting opportunity further.

Are you eligible for this role?
To be considered for this role you must meet the following requirements:

  • Specialist Registration in Histopathology or
  • FRCPath and extensive consultant experience or
  • GMC registration with reporting experience in a similar healthcare system
Experience from similar healthcare systems with similar reporting methods will be considered for these roles. Any consultant pathologists not on the specialist register for histopathology will be supported for CESR if that is their desire.
£93-126k

Exciting Consultant Opportunity in Cardiothoracic Histopathology!

Are you a highly motivated Consultant in Cardiothoracic Histopathology seeking a rewarding NHS job in the UK? Look no further! This exceptional opportunity offers a dynamic environment for career growth. With a commitment to delivering tertiary cardiothoracic services, you will be part of a team that stands as an innovative and dynamic unit, now in its 11th year of excellence. You will be an integral part of a small, dedicated team delivering tertiary care services.

This position is particularly advantageous for individuals aiming to pursue a CESR (Certificate of Eligibility for Specialist Registration) pathway in their career development within the NHS. The role not only promises a challenging and stimulating professional journey but also provides essential CESR support for those seeking specialization in Cardiothoracic Histopathology in the UK.

Joining the Histopathology Department means becoming part of a team of experienced professionals. The department maintains a robust staffing quota, ensuring a seamless workflow and high-quality patient care. Handling a diverse caseload that includes a wide range of histopathology and cytology cases, the team\'s expertise allows for precise diagnoses and comprehensive treatment planning.

The department is equipped with state-of-the-art facilities, providing the necessary tools for accurate analyses and efficient reporting. As a Consultant, you will play a crucial role in contributing to the comprehensive range of tertiary histopathology diagnostic services offered to the local catchment area of Essex and beyond by the CTC Histopathology department.

The department sits within one of the largest NHS Foundation Trusts in the country. With a workforce of approximately 15,000, it serves a diverse population of 1.2 million people. The Trust manages three renowned hospitals. Its commitment to excellence is reflected in its commendable Care Quality Commission (CQC) rating. They prioritizes the professional development of its staff. By joining the Trust, you gain access to personal development opportunities, appropriate training for your role, and support to succeed. The Trust is dedicated to ensuring the health, well-being, and safety of its workforce and provides opportunities for staff to engage in decisions affecting both individual roles and the services provided.

The hospital is situated in a town that offers a well-rounded living experience. It provides a unique blend of urban and suburban living. The town retains urban conveniences while offering a rural escape through the surrounding countryside. Residents can enjoy various activities, from scenic walks to exploring the parks! The area boasts quality schools and proximity to renowned universities, making it an ideal location for families and individuals alike. Robust transportation links connect the town to major cities and airports, ensuring convenient accessibility. Housing options are diverse, ranging from modern developments to charming suburban homes, accommodating a variety of preferences.

Seize this exceptional opportunity to contribute to the forefront of Cardiothoracic Histopathology while enjoying a balanced and fulfilling lifestyle in the vibrant town of Basildon. Apply today to become a part of the dedicated team at the Essex Cardiothoracic Centre, shaping the future of healthcare in the UK. 

ARE YOU ELIGIBLE FOR THIS ROLE?

EEA Candidates:

  • Experience of working in Histopathology (essential) 

Non-EEA Candidates:

  • FRCPath or PLAB (essential)

  • Experience of working for Histopathology (essential)

UK based applicants

  • Experience of working in Histopathology (essential)

An excellent NHS Trust is currently seeking Consultant Histopathologists for a locum position. This role offers the chance to work alongside a team of ten pathologists within one of the Eastern Region\'s leading healthcare organizations. The Trust is known for its comprehensive acute services. The position is suitable for candidates with EEA specialization or experienced IMGs pursuing CESR.

The NHS Trust is a district general hospital trust comprising three hospitals. It serves the communities of three towns, consistently achieving a commendable CQC rating for its commitment to high-quality healthcare services.

The Histopathology Department is a vital healthcare component, staffed by experienced histopathologists, including consultants and junior doctors. Equipped with cutting-edge facilities, the department ensures precise diagnoses for a diverse caseload, from routine biopsies to complex cancer evaluations. Annually, the department handles a substantial number of histopathology and cytology cases, making it an ideal environment for professionals seeking career growth in histopathology.

The hospital is situated in a town that offers both urban and rural settings within reach. The area features diverse schooling options and excellent transportation links, including rail services to London, easy access to major cities, and airports. Housing choices range from modern apartments to family-friendly homes, making it an appealing destination for medical professionals and families alike.

Apply now and get the chance to contribute to the provision of high-quality healthcare services in a dynamic and supportive environment. Experience career growth and an enriching life in an urban area with a touch of scenic beauty.

ARE YOU ELIGIBLE FOR THIS ROLE?

EEA Candidates:

  • Experience of working in Anatomical Pathology
  • Specialist European Qualification in Anatomical Pathology

Non-EEA Candidates:

  • FRCPath
  • Experience of working in Anatomical Pathology

UK based applicants

  • Experience of working in Anatomical Pathology
  • Within 6 - 12 months of completing CCT

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