Final FRCR (Part 2A & 2B) – guidance and resources for IMGs
- September 02, 2022
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.
Courses
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
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
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
Books
FRCR CR2A
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
FRCR CR2B
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
#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!
- 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!
Sources
https://www.rcr.ac.uk/clinical-radiology/examinations/frcr-part-2a-radiology-cr2a
https://www.rcr.ac.uk/clinical-radiology/examinations/frcr-part-2b-radiology-cr2b
https://www.rcr.ac.uk/sites/default/files/clinical_radiology_curriculum_2020.pdf
Getting started
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!
Follow us on social media through the links below for regular news and updates on the Royal College, relocating to the UK and working in the NHS.
Relevant Jobs
An NHS general hospital in the East of England is looking for a Consultant General Radiologist with an interest in Gynaecology Imaging. The Radiology department comprises a team of 27 consultants and is supported by a large team of middle grade doctors. This Radiology job is open to both international applications and UK-based doctors, though those with NHS experience 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 (or equivalent), and completion of general radiology training and anyone with Gynaecology Imaging experience 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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Provide a consultant-led service in General Radiology and subspecialty Gynaecology imaging.
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Participate in the general radiology on-call rota (currently 1:15–1:16) and support acute inpatient and A&E CT, MRI, and ultrasound reporting.
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Contribute to the supervision, teaching, and professional development of Radiology SpRs and other junior colleagues.
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Engage in departmental governance, audit activities, and multi-disciplinary team meetings.
LIFE IN EAST OF ENGLAND
This role is based in a historic market town with easy access to urban centres and picturesque countryside. Families benefit from excellent schooling options and direct rail links to London, alongside coastal attractions and green spaces. The area is renowned for its Roman history and longstanding significance in shaping British heritage.
A leading NHS hospital in the UK is looking for a Consultant Breast Radiologist with an interest in breast imaging and intervention. The Radiology department consists of a team of experienced breast radiologists and is supported by a multidisciplinary medical team. This role is open to both international applications and UK-based doctors, with preference for those holding a European Specialist or FRCR qualification.
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 must have FRCR qualification and completed specialist training in Radiology, with subspecialty training in breast imaging. Clinical experience in breast radiology, interventional procedures, and pre-operative localisation is essential. The salary will be between £105,504 - £139,882, dependent on experience or grade.
CORE DUTIES OF THIS ROLE
Work independently in symptomatic one-stop clinics, breast screening, and assessment clinics, with a minimum of two one-stop clinics and one assessment clinic per week.
Perform ultrasound-guided and stereotactic-guided biopsies of the breast and axilla (stereotactic training can be provided if required).
Report on symptomatic and surveillance mammography, breast MRI, and support pre-operative localisation for surgical planning.
Contribute to the bi-weekly breast MDT, training of junior doctors, and general radiology reporting (optional on-call duties available).
LIFE IN THE UK
The hospital is based in a well-connected UK city, offering a mix of urban and rural living. Professionals can choose between vibrant city living or quieter countryside options, both with excellent amenities.
The area has top-rated schools, direct train links to London, and an international airport. It offers a wide range of leisure activities, including cultural festivals, outdoor sports, and a thriving social scene.
The region has historical significance, playing a key role in British maritime history and remaining a hub for medical innovation and research.
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
- 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
Anyone requiring portfolio support (formally known as CESR) can have their required support discussed on a case-by-case basis.
JOB REQUIREMENTS AND DETAILS
- Candidates must hold FRCR or equivalent, full GMC registration, and Radiology training
- Three years of Radiology speciality training is required for this role, and anyone with a experience in Vascular and Non-Vascular IR should apply.
- The salary will be between £93,666 – £126,281 per annum dependent on experience or grade.
- Perform a wide range of vascular and non-vascular interventional radiology procedures, including aneurysm repair, peripheral and visceral revascularisation, catheter-assisted thrombolysis, and embolisation procedures.
- Provide on-call interventional radiology services as part of a regional network rota, covering vascular and non-vascular cases.
- Contribute to diagnostic imaging and reporting, as well as participation in vascular and aortic aneurysm MDTs, IR clinics, and general radiology reporting.
- Support the teaching and training of junior doctors, radiographers, and medical students, with opportunities for research and development.
Located in a scenic region of South West England, this hospital serves both urban and rural communities. Candidates can choose to live in a bustling market town with easy access to major cities or opt for a more peaceful setting in the countryside, surrounded by national parks and coastal areas. The region offers excellent schools, strong transport links, and a wide range of leisure activities including hiking, cycling, and watersports.
Historically, this area is known for its rich cultural heritage, historic landmarks, and vibrant local traditions, making it an attractive 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
- 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
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