Final FRCR Radiology (Part 2A & 2B) - a guide for IMGs
- October 18, 2022
FRCR CR2A and CR2B and the final exams in the FRCR qualification.
Completions 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:
- An overview of FRCR
- How are the Final FRCR exams structured?
- How are marks awarded for CR2A and CR2B?
- Am I eligible to sit Final FRCR?
- Where can I sit the exams and how much do they cost?
- How do I apply for the exams?
- What is the best way to prepare for FRCR CR2A and CR2B?
- I’ve passed the FRCR Radiology exams, what’s next?
Skip ahead to the relevant section if you know what you’re looking for.
An Overview of FRCR Radiology
FRCR Radiology is 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 Radiology.
The exams within the exam suite are as follows:
You can read an overview of the full FRCR Radiology examination suite via our IMG Resources library.
Please note that only full FRCR satisfies the postgraduate requirements for overseas doctors.
Alternative routes to GMC registration include PLAB and other recognised GMC qualifications or licensing exams, which you can find out more about here.
A Deep Dive into FRCR Part 2A & 2B
Final FRCR Part A
The Final FRCR Part A examination assesses knowledge of the sciences that underpin clinical radiology including physics as applied to imaging including molecular biology, medical statistics, radiological findings in pathological and normal conditions together with their differential diagnosis, management pathways, and radiological interventions.
The examination comprises two single best answer papers, each containing 120 questions and covering a broad range of the core curriculum. Exams are 3 hours for each sitting.
The paper comprises a mix of questions from across a wide range of the curriculum:
- Cardiothoracic and Vascular
- Musculoskeletal and Trauma
- Gastro-intestinal
- Genito-urinary, Adrenal, Obstetrics & Gynaecology and Breast Paediatric
- Central Nervous and Head & Neck
Final FRCR Part B
The Final FRCR Part B examination assesses different aspects of a candidate’s radiological skills, all of which are considered necessary for safe and effective radiological practice.
The exam has three components:
- reporting (long cases) – 6 cases in 75 minutes
- rapid reporting – 30 plain radiographs in 35 minutes
- oral exam – 2 x 30-minutes vivas
The stations are broken down in more detail below.
Reporting Station
This component is built on the fact that A&E department is a large part a radiologist’s workload.
The station tests candidates’ ability to rapidly decide if an image is normal or abnormal and the provision of a diagnosis for the abnormality.
The images are all radiographs with the balance of normals within the images about 45-50%. Trauma cases are the majority, but some chest and abdominal radiographs are included as they would be in a typical session of A&E reporting in the workplace. Each abnormal case shows one significant diagnosable abnormality.
This part of the examination reproduces the situation of plain film reporting as a safe radiologist needs to be able to identify abnormalities when present and confidently exclude them when they aren’t.
Rapid Reporting Station
The reporting component centres around the understanding that radiologists largely communicate their findings through written reports.
This element tests the ability of the candidate to make observations, distinguish the relevance of these findings, deduce a list of differential diagnoses, suggest the most likely diagnosis and discuss further management including further imaging where appropriate.
This part of the examination mirrors a mixed list of cross-sectional and fluoroscopic imaging, and a short, structured reporting sheet is provided. Each case can include any type of radiological imaging and often involves more than one e.g. plain film, CT and isotope study.
This written element of the examination aims to test the candidate’s ability to assess and interpret a variety of clinical cases across all modalities safely, and to accurately communicate their findings, conclusions and recommendations.
Oral Examination
This mirrors the day-to-day clinical discussions and MDT meetings, which form an integral part of a radiologist’s workload.
The oral component further assesses the candidate’s powers of observation and interpretation, but in addition allows assessment of the candidate’s ability to discuss wide-ranging aspects of patient care as influenced by the radiological findings.
Candidates are expected to be able to integrate their observations with emerging clinical information to help refine their differential diagnosis. It also tests their ability to communicate effectively, their analytical and decision-making skills, and allows searching questions to explore their depth of knowledge and ensure that their practice supports patient safety.
This oral element aims to explore the candidates’ depth of knowledge and to test higher cognitive skills. The format allows for flexibility and for complexity to be built into the examiner’s questioning.
In total, the Final FRCR exam lasts 2 hours and 50 minutes.
Scoring
Final FRCR Part A
The examination is marked by the examination software Speedwell and the marking system shown below is used:
- For each item correctly answered: +1 mark
- For each item incorrectly answered: 0 marks
The examination is not negatively marked and therefore you are encouraged to provide an answer to all the questions.
You can find full information on the scoring system for the CR2A exam here.
Final FRCR Part B
Reporting
Eight marks are available for each case, with a maximum of 48 marks available.
|
Candidate response |
Mark |
|
Excellent: a perfect answer, clear and confident |
8 |
|
Good Pass: additional relevant material included in a "pass" grade answer |
7 |
|
Pass: most observations made correctly; principal diagnoses correct |
6 |
|
Borderline: appropriate for cases with two main diagnoses, but only one is mentioned; some observations missed |
5 |
|
Fail: significant observations missed; correct diagnosis not made |
4 |
|
No answer offered |
3 |
Half marks may also be awarded.
Following the marking exercise each candidate will have a score between 18-48. An overall reporting mark is then awarded on the basis of total marks achieved using the scale below:
|
Total marks |
Overall mark |
|
18 - 25 |
4 |
|
25½ - 28 |
4½ |
|
28½ - 31 |
5 |
|
31½ - 34 |
5½ |
|
34½ - 37 |
6 |
|
37½ - 40 |
6½ |
|
40½ - 43 |
7 |
|
43½ - 46 |
7½ |
|
46½ - 48 |
8 |
Rapid reporting
One mark is available per image, with a maximum of 30 marks available.
|
Image type |
Candidate response |
Mark |
|
Normal Image
|
Correctly classified |
+1 |
|
Incorrectly classified (appropriate false positive) |
+½ |
|
|
No answer given |
0 |
|
|
Abnormal Image
|
Correctly classified and correctly identified |
+1 |
|
Correctly classified but incorrectly identified |
0 |
|
|
Incorrectly classified (false negative) |
0 |
|
|
No answer given |
0 |
Following this, each candidate will have a score between 0-30. An overall rapid reporting mark is then awarded on the basis of total marks achieved using the scale below:
|
Total marks |
Overall mark |
|
0 - 24 |
4 |
|
24½ |
4½ |
|
25 - 25½ |
5 |
|
26 - 26½ |
5½ |
|
27 |
6 |
|
27½ - 28 |
6½ |
|
28½ - 29 |
7 |
|
29½ |
7½ |
|
30 |
8 |
Oral
Candidates are shown images by two pairs of examiners and can score a maximum of eight marks from each pair.
|
Performance description |
Comments |
Score |
|
Very Poor Answer |
Key findings missed even with help Wrong or dangerous diagnosis |
4 |
|
Poor Answer |
Slow to spot abnormality Poor differential diagnosis Needed help to get correct answer |
5 |
|
Principal findings seen |
Some abnormalities seen with help Principal diagnosis correct Limited differential |
6 |
|
Good Answer |
Key findings spotted quickly Correct deductions made and correct diagnosis Good differential offered |
7 |
|
Excellent answer – all findings seen |
Correct diagnosis and deductions No errors Succinct/accurate report Excellent differential |
8 |
Overall Pass Mark
Once the marks have been combined, each candidate will have a score of 4-8 in each component of the examination (two orals, the reporting session and the rapid reporting session).
The pass mark in each component is 6, making the overall pass mark 24.
In addition, candidates must obtain a mark of 6 or above in a minimum of two of the four components. If a candidate scores less than 6 in three or more components, they fail the examination even if they have achieved a score of at least 24 overall.
You can find full information on the scoring system for the CR2B exam here.
Eligibility for Final FRCR
Final FRCR Part A - to be eligible you must:
- have passed FRCR Part 1
Final FRCR Part B - to be eligible you must:
- have passed FRCR Part 1
- have passed FRCR Part 2A
- have acquired 34 months in a formal clinical radiology training post by the month of the examination (your training supervisor must provide confirmation that you have completed the required duration of training and received instruction covering the examination syllabus)
Exam Fees & Venues
Part 2A
The Part 2A exam is held twice a year, normally in spring and autumn.
You can see a breakdown of the fees for all UK and overseas centres below:
|
UK |
||
|
Venues |
Member fee |
Non-member fee |
|
Belfast, Bridgend Wales, Crewe, Edinburgh, Glasgow, Leeds, London, Plymouth |
£427 |
£545 |
|
Global |
||
|
Venues |
Member fee |
Non-member fee |
|
Egypt |
£427 |
£545 |
|
Hong Kong |
£427 |
£545 |
|
India |
£505 |
£643 |
|
Pakistan |
£427 |
£545 |
|
Singapore |
£493 |
£628 |
Part 2B
The Part 2B exam is now held four times a year.
You can see a breakdown of the fees for all UK and overseas centres below:
|
UK |
||
|
Venues |
Member fee |
Non-member fee |
|
Belfast, Bridgend Wales, Crewe, Edinburgh, Leeds, London, Plymouth |
£597 |
£759 |
|
Global |
||
|
Venues |
Member fee |
Non-member fee |
|
£427 |
£545 |
|
|
India |
£505 |
£643 |
Applications
Applications are normally open for a few weeks, several months before the exam. Please refer to the examinations page for up-to-date information on application dates.
UK trainees (members) are given priority for examination places, followed by other member bookings and finally non-members. The window for each group is usually open for around a week before it opens to the next group.
All candidates should apply for the exams through the Royal College website here for Part 2A and here for Part 2B. More detailed information can also be found here in relation to preparation for the application.
Preparation
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 Specialty Training Curriculum for Clinical Radiology.
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.
Other useful resources to aid your studies include:
- Instructional video: 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.
- Guidance notes for Part 2A: a guidance document on key elements of the exam, found here.
- Guidance notes for Part 2B: important information on the three sections of the exam, available here.
- Sample questions: sample SBA and oral questions for the exams have been provided with answers on the RCR website, here for Part A and here for Part B.
- Candidate reference sheet: a reference list of abbreviations and normal ranges for use during Part 2A, found here.
- Examiners’ reports for Part 2B: 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.
- Understand the SBA format and how to approach questions: this document also provides questions that have been used previously in the Final FRCR (Part A) Examination. You can find this here.
- TNM Staging guidance - this document explains the knowledge required to answer questions related to this topic, available 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.
- Scoring system for Part 2B: key information on how each part of the exam is marked, found here.
For a detailed guide to the best guidance preparation and courses for the exams, see our blog here.
Sources
https://www.rcr.ac.uk/clinical-radiology/examinations/frcr-part-2a-radiology-cr2a
https://www.rcr.ac.uk/sites/default/files/cr2a_purpose_of_assessment_statement_jan_22.pdf
https://www.rcr.ac.uk/clinical-radiology/examinations/frcr-part-2b-radiology-cr2b
https://www.rcr.ac.uk/sites/default/files/cr2b_purpose_of_assessment_statement.pdf
https://www.rcr.ac.uk/sites/default/files/cr2a_guidance_notes._jan_22.pdf
https://www.rcr.ac.uk/sites/default/files/docs/radiology/pdf/CR2B_scoring_system.pdf
https://www.rcr.ac.uk/clinical-radiology/exams/5faf80dd-7d45-e911-a977-002248072781/dates-fees
https://www.rcr.ac.uk/clinical-radiology/exams/a91e7f01-7e45-e911-a977-002248072781/dates-fees
I’ve passed the FRCR exams! What’s next?
Firstly, congratulations – attaining full FRCR is a massive achievement!
With all parts of the FRCR complete, you have completed the biggest component of the requirements for GMC registration. Once you have completed the English language component, you will be eligible for full GMC registration with a license to practice in the UK.
Don’t hesitate to get in touch with our team to learn more about the opportunities available to you once you’ve passed FRCR.
For the latest news and updates on all things radiology, including the Royal College, GMC registration and the NHS, follow us on social media and join the conversation.
Relevant Jobs
A private diagnostic imaging clinic in a major Canadian city is looking for a Radiologist with an interest in specialized imaging services. The radiology team comprises a motivated group of professionals, including radiologists, Ultrasound Technologists, and Medical Radiation Technologists. This radiology job is open to both international applications and Canada-based doctors, though those with CCT from the UK, Ireland, or qualifications recognised by the Royal College of Physicians and Surgeons of Canada (FRCPC) are most encouraged to apply.
JOB REQUIREMENTS AND DETAILS
A fellowship level qualification in Diagnostic Radiology from the Australasia region, South Africa, Switzerland, Singapore, Hong Kong, Ireland, UK, and the USA is required for this role, and anyone with an interest in specialized imaging services such as Breast Imaging, MSK Ultrasound, or Image-Guided Pain Management should apply. Earning potential of between $600,000 and $800,000 is available, dependent on experience.
CORE DUTIES OF THIS ROLE
- Ensure accurate and timely production of diagnostic imaging reports.
- Supervise and guide diagnostic imaging personnel during scheduled hours.
- Maintain effective communication with patients and other physicians to ensure proper care.
- Monitor and report equipment malfunctions and inventory shortages.
LIFE IN THIS REGION
This major Canadian city offers a blend of urban and suburban living options, with lively downtown areas and peaceful neighborhoods for families. The region provides excellent schools, reliable transport links, and an array of leisure activities for adults and families alike. Known for its cultural diversity and natural beauty, this area is a significant hub for commerce and education in Canada.
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 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 your new role, including:
- Document gathering and checking sponsorship and visa application support, if applicable.
- Support sourcing short- and long-term accommodation.
- Travel arrangements and family support for finding schools and any other aspects of pastoral care.
An excellent NHS job opportunity for an experienced Locum Consultant Interventional Radiologist has arisen at an excellent NHS Foundation Trust. This role offers an exciting chance to develop your medical career within the UK, working in a progressive and dynamic healthcare environment. The position involves delivering a range of interventional radiology services, including vascular and non-vascular procedures. You will be joining a highly skilled team and working alongside radiographers, nurses, and surgeons to provide the best possible care to patients. The Trust is committed to offering a supportive environment for international medical graduates (IMGs), and applications from overseas doctors are welcomed.
This NHS job provides full support for the CESR Portfolio Pathway, enabling you to achieve your Certificate of Eligibility for Specialist Registration. Whether you are looking to further develop your expertise in interventional radiology or explore sub-specialist interests, this role offers a fantastic platform for professional growth. With a focus on both patient care and career development, this is an excellent opportunity to advance your career within the NHS.
The NHS Trust
This NHS Foundation Trust is a leading healthcare provider known for its commitment to delivering high-quality patient care. Serving a population of over 657,000 people, the Trust offers a wide range of medical specialties, including vascular surgery, neonatal intensive care, and stroke services. Formed through a merger in 2020, the Trust now operates across multiple sites and has quickly established itself as a center of excellence in the region. The Trust’s state-of-the-art facilities include cutting-edge imaging and diagnostic equipment, allowing staff to provide advanced medical care to a diverse patient population. The Trust is also at the forefront of medical innovation, having introduced robotic surgery and other advanced treatment modalities in recent years. With over 9,000 staff members, the Trust places a strong emphasis on continuous professional development, ensuring all healthcare professionals have access to the latest training and education opportunities. The Trust\'s dedication to both patient care and staff development makes it an attractive employer for UK-based and international doctors?.
The Radiology Department & Team
The Radiology Department at this NHS Foundation Trust offers a comprehensive imaging service that supports both emergency and elective care. With a dedicated team of consultants, radiographers, and support staff, the department performs over 172,000 imaging examinations each year, including CT, MRI, and ultrasound scans. As a Locum Consultant Interventional Radiologist, you will be responsible for delivering a range of procedures, including biopsies, drainages, and complex hepatobiliary interventions. The department also plays a key role in supporting multidisciplinary team meetings, working closely with other specialties such as vascular surgery, gastroenterology, and urology to ensure seamless patient care.
Continued Professional Development
This NHS job offers further training and accreditation within Radiology, including CESR Portfolio Pathway Support, access to specialty training, and the opportunity to develop sub-specialist interests. The Trust is committed to professional development, offering opportunities to engage in research and teaching, ensuring you stay at the cutting edge of medical practice.
Location
This position is based in a thriving region in the UK, known for its balance of urban amenities and natural beauty. The area offers excellent transport links, making it an ideal choice for professionals and their families. The region also boasts affordable living, top-tier schools, and a wide array of recreational activities, making it a highly desirable location for both UK-based and international candidates.
ARE YOU ELIGIBLE FOR THIS ROLE?
UK based applicants:
- Consultant experience in Interventional Radiology
- Or within 6 months of completing CESR or CCT in Radiology
- Consultant experience in Radiology
- Recognised European Medical Degree or Specialist Qualification in Radiology
- FRCR
- Consultant experience in Interventional Radiology
What is the NHS Trust like?
This NHS Foundation Trust, based in Manchester, is one of Europe’s leading cancer centres, treating over 60,000 patients annually. Known for its advanced cancer care, the Trust provides a national service, with approximately 25% of its patients referred from across the UK. It is renowned for cutting-edge technologies, including the MR-linac and proton beam therapy. This NHS Trust is also a leader in research, partnering with the Manchester Cancer Research Centre and has received multiple \'Outstanding\' ratings by the Care Quality Commission (CQC) for its innovation and patient care excellence.
What is the department & team like?
The Radiology department plays a vital role in cancer care, being one of the largest radiotherapy providers in Europe. It operates 3 CT and 4 MR scanners and offers a comprehensive range of diagnostic services, performing around 60,000 examinations annually. These services include CT, MR, plain film, ultrasound, interventional radiology, and nuclear medicine, with the department also providing reports for the regional PET-CT service. The team, comprising 25 consultants, fellows, radiographers, and support staff, closely collaborates with oncological and surgical teams and supports multidisciplinary meetings. Research is central to the department, contributing significantly to clinical trials.
The post-holder will join this team to deliver high-quality cancer imaging, including cross-sectional body imaging, MR, CT, and PET-CT.
Continued Professional Development
This NHS job offers extensive training and accreditation within Radiology, including CESR Portfolio Pathway Support. You will have access to specialty training, with opportunities to develop sub-specialist interests and contribute to ongoing research within the Trust.
What is the area like?
This NHS job is based in a highly desirable region in the UK, known for its affordability, excellent schools, and quality of life. The area offers easy access to nature and cultural attractions, making it a great choice for international professionals and their families.
Am I eligible for this role?
UK based candidates:
- Experience in Radiology
- Experience in Stroke Medicine
- European Specialist Qualification
- FRCR
- Experience in Stroke Medicine
An exciting opportunity for a Consultant Breast Radiologist with expertise in breast and general radiology to work for a health board that aims to provide the best services to their patients. Ideal for overseas consultants looking to establish themselves in the NHS. The health board serves a population of 384,000 in several towns. They aim to improve healthcare by collaborating with local government and the third sector.
You will be a part of the Breast Radiology Department, which is a vital part of the healthcare service in the area, providing comprehensive diagnostic and interventional breast radiology services. Their team includes experienced consultants and junior doctors, ensuring high-quality care. The facility is well-equipped, and the successful candidate will lead and enhance the department\'s services. You will have a lot of growth opportunities as the Health Board is involved in education and research, with strong links to other universities. They aim to engage emerging clinicians in addressing Prudent Health Cares. Their Clinical Research Facility and initiatives in BioBanking and telemonitoring demonstrate their commitment to research and advancement.
It is situated in a town that offers a tranquil lifestyle with access to scenic coastal areas. It is a blend of rural and urban living. The region features quality schools and links to the University of Wales Trinity Saint David. Transportation connections are strong, and housing options are diverse, catering to different preferences. It\'s a balanced location for professionals and families.
ARE YOU ELIGIBLE FOR THIS ROLE?
EEA Candidates:
- Experience of working in Radiology
- Board Certified Specialist in Radiology
Non-EEA Candidates:
- Experience of working in Radiology
- FRCR
UK based applicants
- Experience of working in Radiology
- Within 6 - 12 months of completing CCT
An excellentHealth Board is actively seeking a Consultant Interventional Radiologist to join their innovative team. The role involves enhancing radiological services across the Health Board, reflecting their commitment to exceptional patient care. This opportunity is well-suited for overseas Consultants looking to establish themselves in the NHS or experienced IMGs seeking to complete CESR requirements.
The Health Board caters to 384,000 residents across several towns, delivering a wide spectrum of healthcare services. Their dedication to patient well-being includes a focus on continuous improvement, achieved through collaboration with local government and the third sector. The Health Board actively promotes education and research, fostering multi-profession teaching and supporting the development of up-and-coming clinicians. Their Clinical Research Facility and initiatives like BioBanking and telemonitoring reflect their commitment to advancing healthcare.
The Interventional Radiology Department is well-equipped and managed by experienced consultants and junior doctors. They provide comprehensive care, specializing in minimally invasive treatments for various conditions. Their advanced imaging technology ensures accurate diagnoses, and they handle a significant caseload of interventional radiology cases.
The hospital sits within a town that offers a balanced lifestyle with both urban conveniences and access to scenic rural areas. The region is known for its beautiful landscapes, high-quality schools, and strong transportation links to major cities and airports. Housing options are diverse, accommodating various preferences. This opportunity presents a holistic and enriching professional and personal life for healthcare professionals.
ARE YOU ELIGIBLE FOR THIS ROLE?
EEA Candidates:
- Experience of working in Radiology
- Board Certified Specialist in Radiology
Non-EEA Candidates:
- Experience of working in Radiology
- FRCR
UK based applicants
- Experience of working in Radiology
- Within 6 - 12 months of completing CCT