FRCR Part 1 – a detailed guide for international radiologists 

  • November 07, 2022
 

FRCR Part 1 or CR1 is the first exam in the FRCR postgraduate qualification.

The completion of all the exams in the Fellowship of the Royal College of Radiologists (FRCR) examination suite leads to eligibility for GMC registration. The exams can be taken by IMGs from any country, provided certain criteria have been met. In this article, we’ll take a look at the following: 

Skip ahead to the relevant section if you know what you’re looking for. 

An Overview of FRCR

FRCR is the set of postgraduate examinations administered by the Royal College of Radiologists to test a candidate’s knowledge and clinical understanding within the scope of the Specialty Training Curriculum for Clinical Radiology

The exams are as follows: 

Please note that only full FRCR satisfies the postgraduate requirements for overseas doctors. 

You can read an overview of the full FRCR examination suite via our IMG Resources library. 

For doctors who are interested in securing senior roles in the NHS which are reflective of their current practice or grade, we advise that FRCR is the best route to take to GMC registration. FRCR is often a requirement for NHS locum consultant job postings where candidates are not already on the Specialist Register for radiology. The FRCR route allows senior candidates to better align their qualifications with the specifications of relevant jobs. 

FRCR Part 1 - Anatomy & Physics

FRCR Part 1 is the first in the set of FRCR exams. This exam expects candidates to have gained knowledge of the physical principles that underpin diagnostic medical imaging and of the anatomy needed to perform and interpret radiological studies. 

The exam is designed to assess whether candidates have an appropriate knowledge of the anatomy that underpins all radiological imaging including radiography, fluoroscopy, angiography, computed tomography (CT), ultrasound imaging and magnetic resonance imaging (MRI). 

The two components of the exam are Anatomy and Physics.

Anatomy

The exam features an electronic image viewing session, mimicking what radiologists would encounter in clinical practice in order to be valid, thus the questions consist of radiological images on a computer screen as this is the normal medium, as opposed to film or printed on paper. 

The exam includes 100 questions - most of these are quite straightforward with an arrow indicating a specific anatomical structure as shown by a specific modality. These are typically “name the arrowed structure” questions, with space provided for a free text answer.  

The exam lasts 90 minutes and individual modalities are given roughly equal weight as follows: 

  • cross-sectional 
  • plain radiographs 
  • contrast studies 

Different body parts are also given roughly equal weight covering the following areas:  

  • head, neck and spine 
  • chest and cardiovascular 
  • abdomen and pelvis 
  • musculoskeletal 

Recognising a radiological anatomical structure and unprompted recall of its precise name is a key aspect of the everyday work of clinical radiologists, and doing so in a timely manner without routine recourse to reference material reflects real-life clinical practice. 

Physics

The purpose of the physics exam is to assess whether candidates understand the underlying principles that underpin the generation of images in the various modalities, such that they:  

  • select the most appropriate imaging technique for a clinical scenario from the intrinsic properties of the method of image generation 
  • understand the risk, safety and quality consideration that are inherent in image generation to allow an informed choice of the appropriate modality and any alteration in technique 
  • demonstrate the requirements of legislation that require the use of those techniques that require ionising radiation to be justified by a professional had been met 

This exam lasts two hours and comprises 40 questions. Each question includes a stem (a question or statement) and five items (answers). The answers must be marked true or false and it is possible for all five items to be true or for all to be false. 

The question distribution of the physics paper is as follows: 

  • matter and radiation – 3 
  • radiography & fluoroscopy – 6 
  • radionuclide imaging – 6 
  • radiation safety – 6 
  • computed tomography – 6 
  • magnetic resonance imaging – 6 
  • ultrasound – 6 
  • other – 1 

Marking 

Both exams are marked by a delivery platform which is programmed with the correct answers. 

Marks are awarded for each exam as follows: 

The anatomy examination is marked out of 200, and answers are marked as follows: 

  • full accuracy = 2 marks 
  • less accuracy, but still correct (e.g. omits ‘left’ or ‘right’ for a paired structure) = 1 mark 
  • incorrect = 0 marks 

The physics examination is marked out of 40, and answers are marked as follows: 

  • correct = 1 mark 
  • incorrect = 0 marks 

The standard for success is determined based on the difficulty of the questions in each sitting and may therefore vary between sittings and sets of images. 

For more information on the exam content and structure, read the guidance notes for candidates on the College website. 

Eligibility

The eligibility criteria for FRCR Part 1 is:

  • holding a Primary Medical Qualification (PMQ) that is recognised by the GMC for registration purposes.
  • holding a formal clinical radiology post in which they are actively receiving clinical radiology training. 
  • no minimum period of clinical experience or training is required to enter the exams

Exam Centres

The current venues for the First FRCR (CR1) exam are: 

Belfast, Birmingham, Bridgend Wales, Crewe, Edinburgh, Glasgow, Leeds, London and Plymouth. Overseas centres for now are in Hong Kong, Singapore, India, Egypt and Malta. 

The exam is typically held three times a year over two consecutive days. 2023 exam dates are as follows: 

February 2023

  • Physics – Thursday 9 February 
  • Anatomy – Friday 10 February 

June 2023

  • Physics – Thursday 8 June 
  • Anatomy – Friday 9 June 

September 2023

  • Physics – Thursday 14 September 
  • Anatomy – Friday 15 September 

For updates on exam dates, including the application window, keep an eye on the Royal College website here

Applications & Cost

First FRCR (CR1) 2023 exam cost: 

  • Members - £319 
  • Non-members - £406 

Please note that these costs vary slightly for some overseas centres.

UK trainees are given priority for examination places, followed by members of the Royal College and finally non-members. Each window lasts around a week and all candidates should apply for the exams through the Royal College website here.  

Preparation

Although there are many online materials to aid in your preparation for FRCR Part 1, as always, we recommend you start your preparation on the Royal College website, particularly with the Specialty Training Curriculum for Clinical Radiology. In using these as a blueprint for your preparation, you will ensure your study is focused on the most relevant and useful information as prescribed directly from teaching materials.  

Instructional video and demonstration site: a walkthrough video of the FRCR Part 1 exam format with guidance and instructions which can be found here for the physics component and here for anatomy.  

Anatomy module guidance: advice for the anatomy module has been compiled by the College here

Specimen questions: sample questions and answers have been put together by the College and are available here

#IMG Tips

  1. Prepare early – the best way to avoid stress and last-minute cramming is to get started as soon as possible. 
  2. Get familiar with the exam content – during your study (at least to start off with), the curriculum should be your guide to the FRCR exams. 
  3. Practise, practise, practise – go through as many practice questions as you can and regularly review your progress using mock exams.

Sources

https://www.rcr.ac.uk/clinical-radiology/examinations/frcr-part-1-radiology-cr1 

https://www.rcr.ac.uk/sites/default/files/cr1_anatomy_purpose_of_assessment_statement.pdf 

https://www.rcr.ac.uk/sites/default/files/cr1_physics_purpose_of_assessment_statement.pdf  

https://www.rcr.ac.uk/sites/default/files/clinical_radiology_curriculum_2020.pdf  


I’ve passed the First FRCR exam, what’s next?

Firstly, congratulations! This is an incredible achievement, and you deserve to treat yourself after all that hard work! With a pass in the First FRCR in hand, you can look ahead to the Final FRCR CR2A and CR2B exams. Once you have completed all parts of FRCR, you can apply for full GMC registration with a license to practice. 

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

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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
EEA based applicants:
  • Consultant experience in Radiology
  • Recognised European Medical Degree or Specialist Qualification in Radiology
Non EEA based applicants:
  • FRCR
  • Consultant experience in Interventional Radiology
93,666-126,281
An excellent NHS job opportunity for an experienced Consultant Radiologist to join an established Radiology department in the UK. This NHS job offers CESR Portfolio Pathway support, and international applications from IMGs are encouraged.

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
EEA candidates: 
  • Experience in Stroke Medicine
  • European Specialist Qualification
Non-EEA candidates:
  • FRCR
  • Experience in Stroke Medicine
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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
101382

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
88,364 - 119,133

An excellent opportunity for an experienced Consultant in Radiology to join a Health Board in North Wales that promotes equality and diversity. If you love a challenge, have a passion to help others or simple fancy a fresh start, then this Health Board has all the ingredients. The post if suitable for overseas consultants, including candidates who are pursuing CESR. Specialists in Radiology holding a specialist certification would be suitable for this post, based on experience entering at either Specialty Doctor or Consultant grade. 

Overseas applications from experienced Specialty Doctors and Consultants are welcomed. 

WHAT IS HEALTH BOARD LIKE? 

The Health Board is largest health organisation in Wales, that are developing an integrated health service which provides excellent care delivered in partnership with the public and other statutory and third sector organisations.

The Health Board have a budget of £1.3 billion and a workforce of over 17,000 staff. Providing primary, community, mental health and acute hospital services for the population of around 700,000 across of North Wales. They continuously develop their workforce so that it has the right skills and operates in a research-rich learning culture.

Besides their three main hospital sites, they are also responsible for community hospitals, health centres, clinics, mental health units, community teams, GP practices and other NHS services provided by dentists, opticians and pharmacists. They plan to improve the health of the population, with particular focus upon the most vulnerable in our society.

WHAT IS THE DEPARTMENT & TEAM LIKE? 

The Department is a group of people who are truly hard-working, highly motivated and committed. They focus on the quality care that they provide for their patients. The Department is responsible for the CT scanning, DXA scanning, Interventional Radiology, MRI, Nuclear Medicine & PET/CT scanning, Ultrasound, Vascular Laboratory and X-ray. The Department cares for their patient in such a way that during the pandemic, they trialled a clear mask to support better communication for people with conditions such as hearing loss, or dementia.


WHAT IS LIFE LIKE IN NORTH WALES? 

North Wales has a vast national park, purpose built mountain biking trails, a breath taking coastal path, soaring zip wire, food festivals and world class sport and adventure around every corner. The North Wales is equipped with sport and leisure centres that provide opportunities for a wide variety of sporting, fitness and recreational activities. Not only does it have lots of activities for you, it also has a wide selection of private housing is available, both traditional and modern in towns, villages and rural settings.

For doctors with family, the educational standards are consistently high in both the primary and secondary sectors. There are several well established independent schools within North Wales and the surrounding area that cater for both day pupils and boarders. The regional University with its excellent scholastic reputation has a thriving student community.

You can say goodbye to heavy inner city commuter traffic, and enjoy a breath-taking commute across North Wales.

WHAT OPPORTUNITIES ARE AVAILABLE TO YOU AT THIS HEALTH BOARD?

With an extremely active education/teaching programme supported by the consultant team, there is opportunity to work towards and complete CESR, exams, get involved in active research and many aspects of CPD. 

Participation in research and educational activities will be encouraged.

ARE YOU ELIGIBLE FOR THIS ROLE?

EEA Candidates:

  • Experience of working in Radiology
  • European Specialist Qualification in Radiology

Non-EEA Candidates:

  • Experience of working in Radiology

UK based applicants

  • Experience of working in Radiology
  • Within 6 - 12 months of completing CCT

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