Final FRCR (Oncology) – guidance and resources for international doctors
- November 05, 2021
Overseas oncologists often ask us how to best prepare for the Final FRCR Part 1 and 2 exams. With so much online content geared towards UK clinical oncology trainees, it can be difficult to know what is best suited to you as an international candidate.
Here we have compiled some of the best advice and resources available to help overseas radiation oncologists prepare for their Royal College (RCR) exams. We’ll also address some of the changes to the exam, both the format, administration and availability of the exam in the wake of the COVID-19 pandemic.
In this article, we'll cover the following - skip to one of these sections if you know what you're looking for:
- What are FRCR (Oncology) CO2A and CO2B?
- How do I get started with my preparation?
- What online resources are available?
- How have the exams been affected by COVID-19?
- Consultant posts and CESR
- #IMG Tips
What are FRCR (Oncology) CO2A and CO2B?
As a quick reminder, Final FRCR (Oncology) are the final two exams in the FRCR (Oncology) examination suite. The full set, CO1, CO2A and CO2B are required by overseas clinical or radiation oncologists when applying for GMC registration through the postgraduate route.
For the final exams, candidates are expected to have a wide knowledge of subjects related to the care of patients with cancer and the investigation of malignant disease.
CO2A includes two written papers of 120 single best answer (SBA or multiple choice) questions.
CO2B has two components (clinical and oral) which are designed to test the oncological skills of the candidate which are relevant to safe and effective practice.
The clinical element is assessed in a mock clinical setting with real patients to increase authenticity.
The oral exam assesses clinical decision-making, radiotherapy planning, diagnostic imaging, and case management. It is made to mirror elements of a day-to-day clinical setting, including discussions and MDT meetings.
A full breakdown of the Final FRCR (oncology) Part 2A and 2B exams can be found on our website here.
How do I get started with my preparation?
After discussing with IMGs the best way to approach preparing for the Final FRCR (oncology) exams, most recommended beginning with the Royal College website and resources, which they have put together to aid in your preparation.
Curriculum: The FRCR (oncology) exam is based on the Specialty Training Curriculum for Clinical Oncology and the Clinical Oncology syllabus. As a rule of thumb, your revision should start here to ensure you are focusing on the exact material that will be in your exam. Knowing the curriculum is key and you can find these on the Royal College website here.
Helpful Royal College Resources include:
- Learning hub: the learning hub is available to members and contains many useful learning resources. This can be found here.
- Implementation tools: this is a range of tools which have been compiled by the College to support the new curricular which all students should have transferred to by August 2022 at the latest and can be accessed here.
- Guidance: a guidance document from trainees who have already sat the exam, on behalf of the Oncology Registrars’ Forum, found here.
- Sample questions: sample SBA and oral questions for FRCR CO2A and CO2B have been provided with answers on the RCR website, here for Part A and here for Part B.
- Examiners’ reports: this is a collection of generic reports written by examiners on the overall performance of candidates and individual questions as a guide for applicants for future sittings. These are available here.
- Trainees’ experiences: the two-part series has been compiled from the experiences of candidates in sitting their final exams, found here.
- Demonstration films: demonstrations of both parts of FRCR Part 2, providing insight into both elements of the exam and what candidates can expect on the day. These are on the RCR website here.
- Royal College YouTube: several helpful videos to be used for training and informational purposes on the RCR YouTube channel.
Other online resources
There are a couple of online courses which provide preparation for the exam, including mock exams and insight into exam technique. As with all courses, we advise that you register your interest as soon as possible to avoid disappointment as they are in very high demand.
Leeds – TMA Final FRCR Single Best Answer (SBA) Course - FRCR Part 2A
This is a four-day course aimed at clinical trainees who are preparing for their FRCR CO2A. The course offers daily mock SBA exams, question review with site specific experts, coverage of all tumour sites and a deep dive into exam technique.
The course is delivered live virtually, via Microsoft Teams.
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Duration |
4 days |
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Cost |
TBC |
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Website |
www.leedsth.nhs.uk/a-z-of-services/leeds-cancer-centre/education/events/ |
Oncopaedia – Cardiff FRCR Part 2 Course
This is a web-based revision course for the FRCR part 2. The course allows candidates to revise SBA questions by individual tumour site, timed mock exams (including a leader board), access to Cardiff Course teaching materials and lecture slides, focused tutorials and a user forum.
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Duration |
On demand |
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Cost |
£50 for 6 months’ access |
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Website |
FRCR Clinical Oncology Preparation - F.O.R.O. (The Forum of Radiation Oncology)
A handy hour-and-a-half video filled with useful information covering all aspects of the FRCR exam, from revision resources to guidance a breakdown of the format of the exam.
The YouTube video can be found here.
How have the exams been affected by COVID-19?
Final FRCR are still taking place in person, but as a result of the ongoing COVID-19 pandemic, the availability of test centres has decreased. Currently, test centres are available in Belfast, Birmingham, Crewe, Edinburgh, Glasgow, Leeds, London and Bridgend Wales. For now, the only overseas test centres for the exam are India and Malta. For advice on preparation before applying for the exams, see the Royal College website here.
Consultant Posts and CESR
FRCR Oncology forms a key part of the application for international doctors looking to attain specialist registration in Clinical Oncology through CESR. For doctors with more senior level experience, this could also allow you to work as a locum consultant clinical oncology post, whilst you are not yet accredited as a specialist in the NHS.
#IMG Tips
- Familiarise yourself with the exam content – the best way to do this is through the syllabus and curriculum
- Prepare early – the earlier you begin your revision, the more structured and relaxed the entire process can be and the more likely you are to pass!
- Join the IMG Connect study and support group – 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.
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!
For news and updates on the Royal Collges, the GMC, finding work in the NHS and relocating to the UK, join us online:
Relevant Jobs
An NHS hospital in South East England is looking for a Consultant in Clinical Oncology with an interest in Upper and Lower GI cancers. The Oncology department comprises a team of four Clinical Oncologists and a Consultant Radiographer, supported by a large team of middle-grade doctors. This Clinical Oncology job is open to both international applications and UK-based doctors, though those with European Specialist Registration, GMC Specialist Register, CCT, or CESR are most encouraged to apply.
Anyone requiring portfolio support (formally known as CESR) can have their required support discussed on a case-by-case basis.
JOB REQUIREMENTS AND DETAILS
GMC registration with a license to practice, CESR, or a GMC-recognised qualification such as FRCR is required for this role. Anyone with an interest in Upper and Lower GI cancer should apply. The salary will be between £105,504 – £139,882 dependent on experience.
CORE DUTIES OF THIS ROLE
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Provide expert oncology care for patients diagnosed with Upper and Lower GI cancers, overseeing treatment plans and managing patient care.
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Participate in multidisciplinary team (MDT) meetings across sites to coordinate treatment.
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Contribute to research and clinical trials within the Oncology department, promoting innovation in GI cancer treatment.
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Engage in teaching opportunities with medical students and junior doctors, especially in preparation for the launch of a new postgraduate medical programme.
LIFE IN SOUTH EAST ENGLAND
This hospital is located in the South East of England, a region known for its mix of lively coastal cities and peaceful countryside towns. It offers great transport links to London, top-performing schools, and diverse leisure options, including historic landmarks, nature trails, and vibrant cultural scenes. The area is rich in maritime and military history, making it a unique and engaging place to live and work.
HOW WILL IMG CONNECT SUPPORT YOU?
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CV Preparation with a bespoke session with one of our specialists
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Application support with expert knowledge of NHS specialisms & recruitment practice
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At least two video calling interview preparation sessions
-
Contract and offer negotiations for salary, relocation packages, tenure, and more
-
Once you have accepted your new role, you’ll then be supported and led throughout by one of our dedicated relocation executives who will guide you through all the way to starting your new role including:
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Document gathering and checking
-
COS and Visa Application support if applicable
-
Support sourcing short- and long-term accommodation
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Travel arrangements
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Family support for finding schools and any other aspects of pastoral care
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An NHS cancer centre in Northern Ireland is seeking a Consultant Clinical Oncologist with a specialist interest in Upper GI and Breast cancers. The department includes 11 oncology consultants and is supported by a team of middle grade doctors and specialty trainees. This position is open to both UK-based and international doctors, particularly those with FRCR or European Specialist Registration.
Anyone requiring portfolio support (formally known as CESR) can have their required support discussed on a case-by-case basis.
JOB REQUIREMENTS AND DETAILS
Applicants should have full GMC registration and at least 6 years of postgraduate experience in Clinical Oncology. The salary for this role is between £88,799 and £119,723, dependent on experience.
CORE DUTIES OF THIS ROLE
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Manage patients with Upper GI and Breast cancers across inpatient and outpatient settings.
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Engage in tumour site-specific MDTs and contribute to treatment planning and decision-making.
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Support the training and mentoring of oncology registrars and junior doctors.
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Contribute to service development, teaching, and clinical governance.
LIFE IN NORTHERN IRELAND
Based in the north-west region of Northern Ireland, this location offers both city and rural living, with access to scenic countryside, the coast, and neighbouring towns. The area features well-rated schools, convenient transport infrastructure, and rich opportunities for cultural, historical, and recreational pursuits. It’s a growing destination for healthcare professionals seeking balance between professional development and quality of life.
HOW WILL IMG CONNECT SUPPORT YOU?*
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CV Preparation with a bespoke session with one of our specialists
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Application support with expert knowledge of NHS specialisms & recruitment practice
-
At least two video calling interview preparation sessions
-
Contract and offer negotiations for salary, relocation packages, tenure and more
-
Once you have accepted your new role, you’ll then be supported and led throughout by one of our dedicated relocation executives who will guide you through all the way to starting to your new role including:
-
Document gathering and checking
-
COS and Visa Application support if applicable
-
Support sourcing short- and long-term accommodation
-
Travel Arrangements
-
Family support for finding schools and any other aspects of pastoral care
An NHS district general hospital in the South West of England is looking for a Consultant in Medical Oncology with an interest in NET and HPB cancers. The Medical Oncology department comprises a team of 11 consultants and is supported by a large team of middle grade doctors and specialist nurses.
Anyone requiring portfolio support (formally known as CESR) can have their required support discussed on a case-by-case basis.
JOB REQUIREMENTS AND DETAILS
This oncology job is open to both international applications and UK-based doctors, though those with European Specialist Registration or MRCP are most encouraged to apply.
Anyone with an interest in NET and HPB cancer should apply. The salary will be between £105,504 and £139,882 dependent on experience or grade.
CORE DUTIES OF THIS ROLE
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Take ownership of site-specific oncology services, primarily in NET and HPB cancer.
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Participate in outpatient clinics, support patients undergoing day case treatments, and assist the Acute Oncology Service.
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Contribute to education and training of junior medical staff and engage in multidisciplinary team working.
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Participate in clinical governance, audits, and contribute to ongoing research and service development.
LIFE IN THE SOUTH WEST
This role is based in a beautiful coastal region in the South West, with access to popular towns and seaside resorts perfect for both urban and rural living. The area features excellent schools, well-connected transport options, and a wide range of outdoor activities from beach days to countryside walks. With its blend of natural beauty and cultural history, the region is a top choice for medical professionals relocating to the UK.
Would you like this packaged into a downloadable file or published in a particular format next?
HOW WILL IMG CONNECT SUPPORT YOU?
-
CV Preparation with a bespoke session with one of our specialists
-
Application support with expert knowledge of NHS specialisms & recruitment practice
-
At least two video calling interview preparation sessions
-
Contract and offer negotiations for salary, relocation packages, tenure and more
Once you have accepted your new role, you’ll then be supported and led throughout by one of our dedicated relocation executives who will guide you through all the way to starting to your new role including:
-
Document gathering and checking
-
COS and Visa Application support if applicable
-
Support sourcing short- and long-term accommodation
-
Travel Arrangements
-
Family support for finding schools and any other aspects of pastoral care
An NHS district general hospital in the North of Scotland is looking for a Consultant Medical Oncologist with an interest in breast and upper GI cancers. The oncology department comprises a team of 7 consultants and is supported by a large team of middle grade doctors. This Medical Oncology job is open to both international applications and UK-based doctors, though those with European Specialist or MRCP (or equivalent) are most encouraged to apply.
Anyone requiring portfolio support (formally known as CESR) can have their required support discussed on a case by case basis.
JOB REQUIREMENTS AND DETAILS
MRCP, full GMC registration with specialist registration or within 6 months of CCT, along with broad experience in prescribing SACT, are required for this role, and anyone with an interest in breast and upper GI cancers should apply. The salary will be between £107,144 and £142,369 dependent on experience or grade.
CORE DUTIES OF THIS ROLE
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Manage a subspecialty caseload in breast and upper GI, delivering high-quality care and treatment planning.
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Participate in MDT meetings, clinical governance, research and teaching activities.
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Contribute to acute oncology on-call cover and peripheral clinics across the region.
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Lead or support the development of new services or innovations in clinical delivery within the department.
LIFE IN THE SCOTTISH HIGHLANDS
This job is based in the Scottish Highlands, a region known for both its bustling city of Inverness and rural escapes like Beauly or Fort Augustus.
The Highlands offer excellent schools, strong transport links including rail and air connections, and year-round recreational options from hiking to arts festivals. The city also has a vibrant cultural and social scene for families and professionals alike.
Rich in heritage, the Highlands are home to some of Scotland’s most renowned history—from clan culture to castles—making this region both a scenic and significant place to live and work.
HOW WILL IMG CONNECT SUPPORT YOU?
When applying with IMG Connect you’ll have the full support of an expert recruitment team who will be your recruitment and relocation partners throughout the process. We\'ll support you with:
-
CV Preparation with a bespoke session with one of our specialists
-
Application support with expert knowledge of NHS specialisms & recruitment practice
-
At least two video calling interview preparation sessions
-
Contract and offer negotiations for salary, relocation packages, tenure and more
Once you have accepted your new role, you’ll then be supported and led throughout by one of our dedicated relocation executives who will guide you through all the way to starting to your new role including:
-
Document gathering and checking COS and Visa Application support if applicable
-
Support sourcing short- and long-term accommodation
-
Travel Arrangements Family support for finding schools and any other aspects of pastoral care
An NHS district general hospital in the North of Scotland is looking for a Consultant Clinical Oncologist with an interest in Lung, Head & Neck, or Breast cancer. The oncology department comprises a team of 7 consultants and is supported by a large team of middle grade doctors. This Clinical Oncology job is open to both international applications and UK-based doctors, though those with European Specialist or FRCR (or equivalent) are most encouraged to apply.
Anyone requiring portfolio support (formally known as CESR) can have their required support discussed on a case by case basis.
JOB REQUIREMENTS AND DETAILS
FRCR, full GMC registration with specialist registration or within 6 months of CCT, along with broad experience in prescribing radiotherapy and SACT, are required for this role, and anyone with an interest in Lung, Head & Neck, or Breast radiotherapy should apply. The salary will be between £107,144 and £142,369 dependent on experience or grade.
CORE DUTIES OF THIS ROLE
-
Manage a subspecialty caseload in Lung, H&N or Breast radiotherapy, delivering high-quality care and treatment planning.
-
Participate in MDT meetings, clinical governance, research and teaching activities.
-
Contribute to acute oncology on-call cover and peripheral clinics across the region.
-
Lead or support the development of new services or innovations in clinical delivery within the department.
LIFE IN THE SCOTTISH HIGHLANDS
This job is based in the Scottish Highlands, a region known for both its bustling city of Inverness and rural escapes like Beauly or Fort Augustus.
The Highlands offer excellent schools, strong transport links including rail and air connections, and year-round recreational options from hiking to arts festivals. The city also has a vibrant cultural and social scene for families and professionals alike.
Rich in heritage, the Highlands are home to some of Scotland’s most renowned history—from clan culture to castles—making this region both a scenic and significant place to live and work.
HOW WILL IMG CONNECT SUPPORT YOU?
When applying with IMG Connect you’ll have the full support of an expert recruitment team who will be your recruitment and relocation partners throughout the process. We\'ll support you with:
-
CV Preparation with a bespoke session with one of our specialists
-
Application support with expert knowledge of NHS specialisms & recruitment practice
-
At least two video calling interview preparation sessions
-
Contract and offer negotiations for salary, relocation packages, tenure and more
Once you have accepted your new role, you’ll then be supported and led throughout by one of our dedicated relocation executives who will guide you through all the way to starting to your new role including:
-
Document gathering and checking COS and Visa Application support if applicable
-
Support sourcing short- and long-term accommodation
-
Travel Arrangements Family support for finding schools and any other aspects of pastoral care