How to prepare for FRCPath Part 1 with Dr Maria

  • March 09, 2023
 

Are you an overseas histopathologist looking to sit the FRCPath exams? 

Today we’re bringing you a guide on how to prepare for the FRCPath Histopathology Part 1 exam from Dr Maria, clinical fellow in cellular pathology in London. Maria passed the FRCPath Part 1 exam in March 2021 and is sharing her top tips for FRCPath aspirants, including study planning, revision materials and what you should know about the Part 1 exam. 

1. Create a plan and schedule for your study (this is most important!) 

I started studying around 3 months before the exam, spending 2-3 hours per day on weekdays and around 5-7 hours on study at the weekend. 

REMINDER: This all depends on how much you know already. You cannot focus constantly for hours, so you should schedule your studying time around the way that you know you work best. 

Leading up to the exam 

Try to keep at least 2 weeks free prior to the exam to re-revise problematic topics and genetics. 

The day before exam 

Be kind to yourself. Have a good meal, try to relax if you can and avoid stressing too much. Go to bed early and have a good, long sleep. 

2. Revision materials 

I had been revising using my old notes, where I studied from these books (the best for trainees in my opinion): 

Foundation in Diagnostic Pathology series

  • Dermatopathology 
  • Pulmonary Pathology 
  • Hematopathology 
  • Head and Neck Pathology 
  • Gynecologic Pathology 
  • Bone and Soft Tissue Pathology 
  • Cell and Tissue Based Molecular Pathology 
  • Pulmonary Pathology 
  • Fine Needle Aspiration Cytology 
  • Genitourinary Pathology 
  • Breast Pathology 
  • Neuropathology 
  • Gastrointestinal and Liver Pathology 

Diagnostic Pathology series

  • Diagnostic Pathology: Head and Neck 
  • Diagnostic Pathology: Genitourinary 
  • Diagnostic Pathology: Spleen 
  • Diagnostic Pathology: Thoracic 
  • Diagnostic Pathology: Neuropathology 
  • Diagnostic Pathology: Hepatobiliary and Pancreas 
  • Diagnostic Pathology: Nonneoplastic Dermatopathology 
  • Diagnostic Pathology: Neoplastic Dermatopathology 
  • Diagnostic Pathology: Bone 
  • Diagnostic Pathology: Breast 
  • Diagnostic Pathology: Familial Cancer Syndromes 
  • Diagnostic Pathology: Molecular Oncology 
  • Diagnostic Pathology: Infectious Diseases 
  • Diagnostic Pathology: Gastrointestinal 
  • Diagnostic Pathology: Kidney Diseases 
  • Diagnostic Pathology: Placenta 
  • Diagnostic Pathology: Gynaecological 
  • Diagnostic Pathology: Transplant Pathology 
  • Diagnostic Pathology: Cardiovascular 
  • Diagnostic Pathology: Intraoperative Consultation 
  • Diagnostic Pathology: Cytopathology 
  • Diagnostic Pathology: Paediatric Neoplasms 
  • Diagnostic Pathology: Endocrine 
  • Diagnostic Pathology: Normal Histology 
  • Diagnostic Pathology: Lymph Nodes and Extra-nodal Lymphomas 
  • Diagnostic Pathology: Blood and Bone Marrow 
  • Diagnostic Pathology: Vascular 
  • Diagnostic Pathology: Hospital Autopsy 

There are so many books, and it would be too expensive to purchase them all, so stick to what you've got in your department or can borrow from friends or colleagues. 

The Pathology Outlines website is also excellent for quick review and genetics! There are also MCQs. 

Some trainees study from the Robbins Pathology books, however, in my opinion, this book alone is not enough for the Part 1 exam. 

For the MCQs, I used the following resources: 

  • Practical Applications in Histopathology, Cytopathology and Autopsy: an MCQ/ EMQ Resource – Limci Gupta, Jayson Wang, Val Thomas 
  • Anatomic Pathology Board Review – Jay H. Lefkowitch 
  • Robbins Review of Pathology - Edward Klatt, Vinay Kumar 
  • Sternberg's Diagnostic Surgical Pathology Review – Pier Luigi Di Patre, Darryl Carter 
  • Various past papers I found within my network 

If you have access to old presentations from FRCPath Part 1 courses, I’d suggest having a look at them. It’s a good idea to use them to review and revise a topic, followed by some MCQs on that topic. 

TOPIC 

START DATE 

DURATION 

Breast 

27 October 2020 

6 days 

GIT 

2 November 

8 days 

Liver, GB, Pancreas 

10 November 

8 days 

Skin 

18 November 

6 days 

Endocrine System 

24 November 

7 days 

CNS 

1 December 

7 days 

Renal & Urinary 

8 December 

9 days 

Bone 

17 December 

5 days 

Soft Tissue 

22 December 

9 days 

CVS 

31 December  

5 days 

Thoracic Pathology (Lung & Mediastinum) 

5 January 2021 

7 days 

Lymph Node 

12 January 

7 days 

MGT 

19 January 

7 days 

FGT & Placenta 

26 January 

8 days 

Oral & Nasal 

3 February 

7 days 

Autopsy & Forensic 

10 February 

7 days 

General 

17 February 

7 days 

Cytopathology 

24 February 

5 days 

Clinical Governance 

1 March 

5 days 

Syndromes & Paediatric 

6 March 

5 days 

General Revision 

11 March onwards 

This is a guide to the revision schedule I used for my FRCPath preparation. I actually started studying in December, so I had less time to fit this all in, but I was able to revise faster to cover everything. 

3. FRCPath Part 1 Exam 

The questions in the FRCPath Part 1 exam are usually quite straightforward, so you either know the answer or you don't, nothing misleading or tricky. 

Some key topics you’ll need to know for the exam: 

  • Genetics and the mutation of tumours (and yes...you'll need to learn each tumour that has any typical mutation and its name) 
  • Immunohistochemistry of lesions 
  • Microscopic pictures (all the micro images I had in the test depicted typical morphology) 
  • Genetic syndromes, the mutations behind them and what lesions are most common 
  • Datasets - they are quite wordy, so focus only on pTN, and the stage of each organ system 
  • Audit 
  • Parts of a microscope 

There were some questions from general pathology (necrosis, inflammation, etc.), but I’d say most of the questions were from GI, breast, gynae, skin, soft tissue and kidney. 

However, you'll have at least a few questions from each of the other organ systems, so it's better to study everything rather than focus on the most common ones only. 

#IMG Tips 

  1. Prepare early – try to start your preparation early to give yourself enough time to cover all the relevant sections on the Royal College curriculum. 
  2. Find the right materials to support your study – it's good to use a combination of resources for your study to reinforce existing knowledge and benchmark your progress. Try to find the right materials for you as early as possible to hit the ground running with your revision. 
  3. Familiarise yourself with the Royal College curriculum – we cannot stress this enough! All countries have different training programmes, so being well versed in what the RCPath will be looking for is key. 
  4. Join the IMG Histopathologists community – as well as support on Royal College exams, our online community of international pathologists and dedicated pathology recruiters offers guidance on other aspects of working in the UK, including finding NHS posts and CESR. 

Getting started 

Attaining FRCPath Histopathology is a great first step for histopathologists wanting to find senior roles in the NHS. It can be difficult for overseas trainees to prepare for the first exam in the Royal College examination suite, but this quick guide from a successful FRCPath pathologist is a great start for pathologists pursuing the postgraduate route to GMC registration and finding work in the UK.

For more information on the FRCPath exams, take a look at our IMG Resources library.


If you have any further questions about FRCPath, your route to the UK as an overseas histopathologist, or any other aspect of GMC Registration, please get in touch with us here.  

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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