Final FRCR (Part 2A & 2B) – guidance and resources for IMGs
Overseas radiologists often ask us how to best prepare for the Final FRCR Part 2A and 2B exams. With so much online content geared towards UK 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 radiologists 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 for IMGs.
The topics we’ll cover are as follows:
Skip ahead to the relevant section if you know what you’re looking for.
An Overview of FRCR CR2A and CR2B
As a quick reminder, Final FRCR refers to the final two exams in the Royal College of Radiologists examination suite for clinical and diagnostic radiologists. The full series - Part 1, Part 2A and 2B – is required by overseas radiologists when applying for GMC registration through the postgraduate route.
FRCR CR2A assesses knowledge of the pathology, imaging techniques, congenital abnormalities and radiological findings that underpin clinical radiology practice.
The FRCR 2A exam consists of 2 papers sat on the same day; each paper containing 120 single-best-answer questions (240 questions in total). Each paper lasts 3 hours.
CR2B is not an exit exam but is a key step in a trainee's progress towards independent reporting. The exam assesses several aspects of the candidate's radiological skills, all of which are considered necessary for safe and effective radiological practise.
Part 2B has 3 separate sections as below:
- Rapid reporting - 30 plain radiographs in 35 minutes
- Reporting (long cases) - 6 cases in 75 minutes
- Oral (viva) - 2 x 30-minute vivas
In total, the exam lasts 2 hours and 50 minutes.
For a full overview of the FRCR exam series, see our blog here.
Preparation & Revision Resources
After discussing with IMGs the best way to approach preparing for the Final FRCR exams, most recommended beginning with the Royal College website and resources, which they have put together to aid in your preparation.
Curriculum: The FRCR exams are based on the Specialty Training Curriculum for Clinical Radiology. 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.
Royal College Resources
- 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.
There are several online courses which provide preparation for the exams, 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.
Please note these courses are subject to change and candidates are advised to book early (up to one year in advance in some cases), as spaces are often limited. Places may become available at the last minute, so make sure you add your name to a waiting list if possible.
Midlands FRCR 2A Review Course
This is an in-person revision course for the FRCR Part 2A exam held in Leicester. The course provides a refresher course covering a range of important topics, an interactive lecture-based course delivered in a ‘single best answer format’ and tips and tricks from trainees with recent experience of the exam.
- Duration - 3 days
- Cost - £350
London Heathrow FRCR 2B Preparation Course
This is a two-day course aimed at clinical trainees who are preparing for their FRCR CR2B. The course offers a minimum of 4 viva sets, 4 long case sets along with 4 rapid reporting packets. A further 2 lectures would also be included during the 2 days.
The course is delivered live virtually.
- Duration - 2 days
- Cost - £500
Red Dot Radiology Courses
These are in-person revision courses for Part 2B which cover rapid reporting as well as focused days on chest x-rays. The courses are live online via an interactive video and are led by FRCR qualified UK-based radiologists.
- Duration - 1 day
- Cost - £165
Aunt Minnie Courses
This is an online two-day course that runs twice a year and concentrates on Aunt Minnie cases that you may encounter in your FRCR 2B exam. The course is split into mini tests, workshops and exam tips to ensure candidates remain refreshed and stimulated.
- Duration - 2 days
- Cost - £350
Grainger & Allison’s Diagnostic Radiology
Fundamentals of Diagnostic Radiology - Brant & Helms
Primer of Diagnostic Imaging - Weissleder
Radiology Review Manual - Wolfgang Dahnert
Crack the Core Exam – Prometheus Lionhart
Fundamentals of Skeletal Radiology – Clyde A. Helms
Get Through Final FRCR 2A: SBAs - Teck Yew Chin, Susan Cheng Shelmerdine
RSBAs for the FRCR Part 2A - Richard Lindsay
Rapid Review of Radiology - Shahid Hussain, Sherif Latif, Adrian Hall
Top 3 Differentials in Radiology - William O'Brien
Long Cases for the Final FRCR 2B - Rebecca Hanlon
Aunt Minnie's Atlas and Imaging-specific Diagnosis - Thomas Pope
Final FRCR Part B Viva: 100 Cases - Richard White, Robin Proctor, Ian Zealley
Chapman & Nakielny's Aids to Radiological Differential Diagnosis – Stephen Davies
- 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!
- Invest in the right resources and courses – many resources from books to courses come at a cost – think about your own preferred style of learning and choose the resources that best suit you! Have any colleagues going through the exams or already passed? See if you can borrow or split the cost of resources.
- Practise, practise, practise – this is of course a given...practise makes perfect and getting used to the format and being able to go through many sample questions will set you up well for the exam!
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!
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