Final FRCR (Oncology) – a guide for overseas clinical oncologists

  • May 16, 2023
 

FRCR Part 2A and Part 2B are the final exams in the FRCR qualification.

Completion of all three parts of the Fellowship of the Royal College of Radiologists (FRCR) qualification results in eligibility for GMC registration, once the English language component has also been met.  

The FRCR examinations are key to an international oncologist being able to secure senior oncology jobs in the NHS and can be taken by IMGs from any country, provided certain eligibility criteria have been met.

In this article, we take a closer look at the following - skip to one of these sections if you know what you're looking for:


An overview of FRCR (Oncology) 

FRCR (Oncology) are the set of three postgraduate examinations administered by the Royal College of Radiologists to test candidates’ knowledge and clinical understanding within the scope of the Specialty Training Curriculum for Clinical Oncology.  

The exams are as follows: 

  • FRCR Part 1 – CO1 
  • FRCR Part 2A - CO2A  
  • FRCR Part 2B – CO2B 

You can read an overview of the full FRCR (Oncology) examination suite here via our IMG Resources section. 

Please note that only full FRCR satisfies the postgraduate requirements for overseas doctors. 

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 of NHS job postings where candidates are not already on the Specialist Register for Clinical Oncology, so this route allows candidates to better align their qualifications with the specifications of relevant jobs. 


What are FRCR (Oncology) Parts 2A and 2B? 

FRCR Part 2A and 2B form the final two parts of the FRCR examination suite. These assessments expect candidates to have a wide knowledge of subjects related to the investigation of malignant disease and the care of patients with cancer. Whilst the focus is on drug therapy and radiotherapy, there is also the expectation of a good understanding of other key areas such as general medicine, surgery and gynaecology. 

Am I eligible to sit these exams? 

Eligibility for FRCR Parts 2A and 2B are as follows: 

Final FRCR Part A (CO2A): 

  • Passed the first FRCR examination (CO1) 
  • Acquired at least 24 months of training in a clinical oncology role by the date of the examination 

Final FRCR Part B (CO2B): 

  • Passed the first FRCR examination (CO1) 
  • Passed the Final FRCR examination Part A (CO2A) 
  • Acquired at least 36 months of training in a clinical oncology role by the date of the examination 

How are the exams structured and marked? 

All parts of the examination suite 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. Further information on this can be accessed on the curriculum webpages

Final FRCR Part A (CO2A): 

This exam comprises two papers which include 120-question single best answer (SBA) questions each. The time limit for the exam is three hours and ordinarily, candidates are not allowed more than six attempts at FRCR exams.  

CO2A Paper 1

Tumour Type 

Number of Questions 

Respiratory 

24 

Urology 

24 

Head and neck 

24 

Skin 

12 

CNS 

12 

Gynaecology 

24 

CO2A Paper 2

Tumour Type 

Number of Questions 

Breast 

24 

Lower GI 

24 

Upper GI 

12 

Haematology 

12 

Miscellaneous* 

38 

Image-based 

10 

*The miscellaneous section will contain questions on sarcoma, thyroid cancer, unknown primary, palliative care, regulations, and a few questions which do not belong to any define site specific category. 

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. One mark is 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 all the questions. 

Final FRCR Part B (CO2B): 

This exam has two components (clinical and oral) which are designed to test different aspects of the candidate’s oncological skills, necessary elements for effective and safe practice. The format allows the for the assessment of skills which are not as easily addressed in a written format. 

CO2B Clinical Examination:

This component is practical and involves the use of real patients to increase authenticity in attempts to reflect situations that may present in a clinical setting. The cases are selected for the exam to test common tumour types. The examination itself has five strictly-timed clinical assessment ‘stations’ where certain core clinical skills are tested by a pair of examiners. The use of an objective marking system aims to minimise bias and ensure consistency across examinations for all candidates.  

Candidates are assessed on their ability to: 

  • Detect important clinical signs using effective exam techniques 
  • Provide a rational differential diagnosis 
  • Order and interpret appropriate investigations 
  • Identify the main treatment options 
  • Select and appropriate, safe, and sensible management plan 
  • Recommend a safe radiotherapy technique, know the likely outcomes, and side effects 
  • Recommend a safe systemic treatment schedule and know their likely outcomes and side effects 
  • Discuss a likely prognosis in the case presented 
  • Demonstrate an ability to treat the patient sensitively, ensuring their comfort and dignity 

CO2B Oral Examination:

This examination assesses in depth issues related to radiotherapy planning, diagnostic imaging and clinical decision-making, and case management. Communication skills and ethical problems are also addressed.  

This element of the FRCR Part 2B exam is designed to mirror day-to-day clinical discussions and MDT meetings which feature heavily in the workload of an oncologist. This section is designed to test the depth of a candidate’s knowledge and higher cognitive skills. There are several slides per question and a candidate’s answer may lead to further questions on subsequent slides, with each question building on from the previous ones. 

The Royal College of Radiologists states that a fair, valid and reliable assessment is made possible due to: 

  • Uniformity in the questions asked to candidates 
  • The pairing of examiners (junior and more experienced) 
  • Four independent judgments of the candidate performance 
  • Prior choosing of the competencies to be assessed 
  • The exam having been blueprinted against the curriculum and necessary skills for competent oncologists 
  • An objective marking scheme 

For more information on the components and assessment of these examinations, read the Purpose of Assessment which can be found on the College’s website in the exam section


As an international oncologist, where can I sit the exams?  

The exams are held twice a year, normally in February and in either August or September. Applications are normally open for just under two weeks, several months before the exam. Please refer to the examinations page for up-to-date information on application dates.

The current UK venues for the exams are Belfast, Birmingham, Crewe, Edinburgh, Glasgow, Leeds, London, and Bridgend Wales. Overseas centres for now are India and Malta. 


How much will the exams cost? 

The cost breakdown for each of the final exams is as follows: 

FRCR(Oncology) Part 2A: 

  • Members - £464
  • Non-members - £591

FRCR (Oncology) Part 2B: 

  • Members - £663
  • Non-members - £844

How do I apply for these exams? 

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. More detailed information can also be found here in relation to preparation for the application. 

What is the best way to prepare for the exams? 

There are many resources available online to aid in preparation for the FRCR Part 2A and 2B exams. We always recommend that the best place to start your preparation is the Royal College’s website, particularly with the Specialty Training Curriculum for Clinical Oncology and the Clinical Oncology syllabus

Using this as a blueprint for your preparation is the best way to ensure your study is focused on the most relevant and useful information as prescribed directly from teaching materials. These can be accessed here

Other useful resources to aid your studies include: 

  • Learning hub: available to members through the Royal College website and contains many useful learning resources. The learning hub can be found here.
  • Clinical Oncology Curriculum 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. Access this here.
  • Sample Questions: sample oral questions for FRCR Part 2B. These are provided with answers and can be found here
  • Examiners' Reports: a guide for candidates for future sittings, based on the experiences of examiners with previous applicants, found here
  • Trainees' experiences: a two-part audio series compiled from the experiences of candidates in preparation for and sitting the final exams which is available here
  • Demonstration films: clinical and oral demonstration videos for FRCR Part 2B which can be accessed here
  • Royal College YouTube: several helpful videos which can be used for training and informational purposes on their YouTube channel

IMG Oncologists

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 FRCR Oncology exams! What’s next? 

Firstly, congratulations - passing these exams is a massive achievement! With all parts of the FRCR Oncology complete, you can now apply for full GMC registration with a license to practice. With this application approved, you can work as a doctor in the NHS. Nice one.

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! 

Don’t forget to share your progress and successes with us using the hashtag #imgstories on social media, we love to hear from you.

            

 

Relevant Jobs

£93,666-£126,281

We are currently looking for an experienced Clinical Oncologist, who works with both chemotherapy and radiotherapy treatments for a large acute hospital in the Midlands, England.

You\'d be joining a team of 8 clinical and 2 medical oncology consultants at the modern Oncology Centre (opened in mid 2010\'s), to help support and develop site-specific services in outpatient and chemotherapy as part of the development of the centre. 

There are 3 Elekta LINACS with VMAT and IGRT, using Mosaiq and Raystation for RT planning on site, along with 35 chemo day chairs used across 3 hospitals under this NHS trust.

JOB REQUIREMENTS:

  • FRCR Clinical Oncology or equivalent
  • Excellent english language skills
  • Extensive experience as a consultant oncologist (UK or overseas experience)

LENGTH OF CONTRACT:
12 - 24 months fixed term (subject to be renewed)

Benefits:

  • Attractive salary and relocation package
  • Training and development opportunities
  • CESR support for those eligible
  • Tier 2 Health and Care Visa (sponsorship for the whole family)
  • Guidance regarding the CV and full interview preparation
  • Assistance regarding the GMC registration, visa, accommodation and transportation by an experienced onboarding specialist
  • Complete IMG Relocation service from start to finish of process

GRADE:
Locum Consultant

Specialty & Special Interests:
Clinical Oncology with primary interest in Gynaecological and Upper GI cancers

£93,666-£126,281

An exciting NHS job opportunity is open for a Consultant Clinical Oncologist specializing in Lung & Breast Cancer at an NHS Trust that has been rated \"good\" over all by the CQC. This NHS Trust has undergone significant development, emphasizing patient and community care excellence. With £58 million in national funding, the Trust boasts a University Hospital status, prioritizing research, education, and training. The Care Quality Commission (CQC) lauds the Trust\'s outstanding performance, with 992 beds and 92% patient recommendation, serving a population of 675,000.

This position aims to strengthen the Oncology team, focusing on lung cancer care and Stereotactic Ablative Body Radiotherapy (SABR). Situated at the dynamic centre within the \"good\"-rated trust, the role contributes to systemic treatment advancements and ongoing research. The Oncology Department at the Combined Haematology Oncology Centre caters to 1-1.5 million residents. Designated as a Cancer Centre since 1996, the Centre collaborates with neighboring hospitals, fostering a multidisciplinary approach. The purpose-built Cancer Centre, equipped with advanced imaging, provides nurse-led services, chemotherapy units, and home-delivered immunotherapy.

The post holder is expected to: 

  • Participate in all facets of departmental activity.

Career development at the Trust includes access to CESR support, specialty training, and opportunities for external duties. The forward-thinking Oncology department initiated SABR practices in 2021 and maintains a dynamic research team supporting various clinical trials.

Life in the area, a historic home of the Royal Navy, offers cultural richness and proximity to scenic countryside. A thriving artistic community, excellent schools, and various development projects contribute to the vibrant atmosphere. The area combines city conveniences with picturesque villages, making it an excellent place to raise a family!

This comprehensive opportunity integrates the Consultant role, SABR RT specialisation, CESR support, and coastal life in the UK, creating a fulfilling and enriching professional and personal experience. 

AM I ELIGIBLE FOR THIS ROLE? 

EEA Candidates: 

  • Recognised European Medical Degree or Specialist Qualification

Non-EEA Candidates:

  • FRCR or equivalent qualification 

UK Based Candidates: 

  • FRCR qualification

This is a great opportunity for any experienced consultant clinical oncologist working towards CESR in Clinical oncology specialist registration in the UK.

£87,354-£113,408
A Cancer Centre in Wales are looking for a Consultant or Specialist in Medical Oncology with a sub-specialty interest in AOS/Melanoma. They are considering either UK or Overseas trained doctors for a permanent or fixed term contract type. The trust will support with CESR support and/or those looking to enter specialty training in the NHS.

This is a high performing and supportive department for overseas doctors new to the NHS, or UK-based doctors looking to further careers in the UK, and a great opportunity for any overseas oncologists looking for CESR support and great career development in a beautiful part of England, filled with sandy beaches and offering vibrant city living.

What is the Welsh Health Board like?

The Health Board are one of the biggest healthcare groups in the UK, providing primary, community, mental health and acute hospital services for the population of around 390,000. They have a budget of around £1bn and employ approximately 12,500 staff. Besides their three major hospital sites, they are also responsible for community hospitals, health centres, clinics, mental health units, community teams, GP practices and other services provided by dentists, opticians and pharmacists. Their mission is to improve the health, wealth and wellbeing of the people of Wales and the rest of the world.

What is the Oncology Department like?

This Cancer Centre provides a high degree of specialisation for all the major cancers. It has one dedicated ward of 30 beds (with scope to increase to 36 beds at periods of high demand) for both oncology and haematology patients, together with a chemotherapy and haematology day unit, and an aseptic unit on site. There are also two laminar flow rooms for patients requiring bone marrow/stem cell transplantation and one dedicated room for radioactive isotope therapy.

There is a state of the art telemedicine facility allowing regular multi-professional meetings between oncologists, physicians, surgeons and AHPs in Wales. The system has the capacity to transmit and view both high quality radiological images and histopathological slides.  

The staff are highly experienced, consisting of nurses, radiographers, research officers and admin staff. The new consultant will be joining a friendly and forward-thinking consultant team of clinical and medical oncologists who are committed to delivering highest standards of cancer care, alongside a large team of other clinical and non-clinical professionals.

What Career Development and Opportunities are available?

The Cancer Centre is heavily involved in training which takes place at all levels from undergraduate lectures and clinical teaching, through to Foundation and Core Medical trainee clinical and educational supervision, and higher specialist training. They will also provide excellent CESR support.

Life in South Wales

Based in South Wales, the area is fast becoming one of the most popular places to live in the UK. This waterfront location is actually Wales’s second most populated city and county, offering all the benefits and amenities of a built-up urban environment, alongside a 5 mile stretch of a pristine, sandy coastline. 

The city is home to multiple live music venues, showcasing everything from small gigs to orchestral performances. Annually, the city hosts a number of different festivals, attracting artists from across Wales and the UK. Today, new regeneration is planned which will only increase its popularity, amenities, and modernity. The city is experiencing a period of development and a resurgence of new business and investment, with the city council focusing on creating a culture of creativity and an emphasis on attracting tech led businesses.

The area also has good travel links. It is an easy drive to Port Talbot and Cardiff and you can get to London via the M4, and around Wales on the A48. There are also regular trains to Cardiff, Newport and London. For international and domestic flights, Cardiff Airport is just 44 miles away.

Am I eligible for this role?

EEA candidates: 
•    Recognised European Medical Degree or Specialist Qualification in Medical Oncology
•    Extensive experience in AOS/Melanoma oncology
  
Non-EEA candidates: 
•    MRCP
•    Extensive experience in AOS/Melanoma oncology
 
UK-based candidates: 
•    Extensive experience in AOS/Melanoma oncology
•    Within 6-months of CESR or CCT in Medical Oncology

This is a great job for any experienced overseas Medical Oncologists working towards CESR and specialist registration in the UK.
£50,000-£126,281
A cancer centre in the South West of England are looking for a Consultant in Clinical Oncology with any sub-specialty interest. They are considering either UK or overseas-trained doctors for a permanent contract type. The trust will support with CESR support for those who are looking to attain CESR and Specialist Registration.

This is a high performing and friendly department for overseas doctors new to the NHS, or UK-based doctors looking to further careers in the UK, and a great opportunity for any overseas consultant oncologists looking for CESR support and great career development in a beautiful part of England.

What is the NHS Trust like?

This NHS Trust is the first NHS Trust on the English mainland to provide community, mental health and acute hospital services. It was formed from the merger of two trusts on the 1st April 2020. Now, they are preparing to merge with another trust so that they are better able to support the health of all the people in the area.

The trust provides a range of services from 13 community hospitals including outpatient and diagnostic services, 190 inpatient beds and seven Minor Injuries Units. They also provide specialist mental health services, healthcare for adults with learning disabilities, medical and surgical care, maternity services and cancer treatment services. The trust\'s facilities for the treatment of cancer have undergone a major expansion, culminating in the opening of the Cancer Centre in May 2009.

What is the Oncology Department like?

The Oncology Department provides Clinical and Medical Oncology inpatient and outpatient services as well as radiotherapy and chemotherapy to all common tumour sites. The new appointee will be joining an ambitious team of 12 Consultant Oncologists (8 Clinical & 4 Medical), 1 Associate Specialist (Medical Oncology), 3 Speciality Doctors, and a rotation of junior doctors who cover the inpatient ward. There are also two Clinical Oncology ST3 doctors. It is a research orientated department with a dedicated clinical trials team and are one of the highest recruiters within the South West and nationally for a number of trials. 

The new consultant will be working within the Cancer Centre which provides cancer care to a population of approximately 500,000. It has received a number of accolades since opening in 2009 for the high quality care delivered. These include CHKS ISO 9001 accreditation, Macmillan Quality Environment Mark score of 5 (out of 5) on all principles and in the 2018 National Cancer Patient Experience Survey, the Beacon Centre was ranked third overall which is an excellent reflection of the patient centred care delivered.

What Career Development and Opportunities are available?

There is real opportunity to progress through CESR at pace at this trust, with a strong desire for newly-qualified consultants to develop their specialty areas of interest and undertake in various cancer trials and research projects where possible. Research is encouraged here, particularly when this is appropriate to professional development and to the service development of the department. Opportunities are available with applications for funding co-ordinated by the Trusts Medical Directors and clinical trial recruitment to International, National and Regional trials is active in all tumour sites. This trust was also rated as an area of Outstanding Practice by CQC (2016), and with the highest GMC score in the South West for training.

Life in the area:

This area has diverse shopping, restaurants, and regularly hosts international music and sporting fixtures. It is located between various areas of outstanding natural beauty, featuring national hotspots for cycling, surfing, and climbing. There’s plenty to keep you occupied alongside the abundance of music festivals and local traditions. The area is in close proximity to both the beaches of North Devon and Cornwall, while also being less than two hours from the city of London. 

It also offers some of the best schools in the country. Ranging from public institutions to award winning state schools with one being ranked in the top 10 of A-level providers nationally for the last eight years.

Am I eligible for this role?

Non-EEA candidates: 

  • FRCR (Clinical Oncology)

EEA candidates: 

  • Recognised European Qualifications 

UK candidates: 

  • Within 6 - 12 months of completing CCT
£55,329

Are you a Clinical Oncologist looking for a rewarding opportunity in the UK? An excellent NHS Foundation Trust is seeking a talented professional to join their oncology team. With a commitment to collaborative working, this NHS Foundation Trust provides excellent oncology services and ample opportunities for training, research, and career development. The trust is supportive of CESR applications.

The Oncology Department takes a collaborative approach to cancer care, with teams in two sites working together to provide comprehensive and sustainable services. Equipped with state-of-the-art technology, the Cancer Centres offer a multidisciplinary approach, supported by Acute Oncology Teams and a skilled team of healthcare professionals. The post holder will have the opportunity to immerse themselves in an NHS Role as part of a well-equipped, modern oncology department.

The department sits within an NHS Trust that is known to be the leading healthcare provider in East Anglia, serves a population of nearly 800,000 residents across two main hospitals, six community hospitals, and various clinics. With a budget exceeding £650 million, the NHS Foundation Trust invests in enhancing their hospitals and creating an ideal working environment. They prioritise the well-being of their staff and patients, offering exciting prospects for development, innovation, research, education, and training.

Additional to the opportunity of working for a great NHS Foundation Trust, living in the area offers a diverse and vibrant lifestyle. Essex, with its stunning coastline, beaches, and countryside, provides a great environment for families. The county offers a range of housing options, urban or rural, at affordable prices. With excellent transport links to London, you can enjoy the benefits of both city and countryside living. Furthermore, Essex boasts good schools and a high quality of life, making it an ideal place to settle and explore nature\'s playground.

Join them to make a significant impact in the field of oncology while enjoying a fulfilling career and a balanced lifestyle in a beautiful region of the UK.

AM I ELIGIBLE FOR THIS ROLE?

To be eligible for this vacancy you will need the following:

EEA Candidates:

  • Recognised European Medical Degree or Specialist Qualification in Clinical Oncology
  • IELTS or OET

Non-EEA Candidates:

  • MRCP/FRCR/PLAB qualifications
  • Experience in Oncology
  • IELTS or OET

UK-Based Candidates:

  • MRCP or equivalent MD qualification
  • 2 years post-registration clinical practice

This is a great opportunity for any experienced Oncologist working towards CESR in the UK and Specialist Registration in Oncology. There will be opportunity to develop and lead on sub-specialist areas of cancer care.

Search Vacancies

Ask a question

Check your salary

error: Content is protected !!