Medical Oncology SCE – a closer look
- April 11, 2022
The Medical Oncology SCE is a postgraduate qualification delivered by the Royal College of Physicians as a higher specialist qualification for medical oncologists. It is one of 11 SCEs offered by the Royal College and offers physicians a postgraduate qualification which demonstrates achievement of a high standard (equivalent to UK specialist trainees) to prospective employers.
Here we take a closer look at the MRCP (UK) Medical Oncology Specialty Certificate Examination for doctors who have chosen to specialise in medical oncology. We cover the exam content, fees and eligibility, summarised below along with a broad look at the following topics:
- What is the medical oncology SCE?
- Where does the SCE fit into my oncology training?
- What is the structure of the SCE?
- How do I apply for the exams and what do they cost?
- Where can I sit the exams as an overseas medical oncologist?
- How should I prepare for the exams as an IMG?
- I’ve passed? What’s next?
Skip ahead to the relevant section if you know what you're looking for.
MRCP (UK) Medical Oncology SCE
The Royal College of Physicians is the professional body responsible for the specialty of medicine throughout the UK.
The medical oncology specialty certificate exams are administered as a compulsory component of assessment for Certificate of Completion of Training (CCT) in medical oncology for all UK trainees.
The purpose of an SCE is to:
- ensure that certified specialists have sufficient knowledge of their specialty to practice safely and competently as consultants
- complement workplace-based assessments
- provide a rigorous national assessment to establish public confidence
- offer a challenge similar to sub-specialty certification examination in North America
For in-depth information on each of the MRCP exams, see our IMG Resources library here.
Medical Oncology SCE as Part of Training in Oncology
As the MRCP exams are taken during the Internal Medicine Training years (CT1-CT3), an SCE allows medical oncologists to demonstrate that they are able to practice independently.
The SCE has no official entry requirements (both for UK and overseas candidates), however, UK trainees would normally take the SCE in their penultimate year of higher specialty training (ST5).
To find out more about the medical oncology training pathway in the UK, see our blog on this topic here.
Exam Structure
The SCE assesses candidates on a wide range of common and important disorders, as set out in the syllabus of the curriculum:
|
Topic |
Number of questions |
|
Breast cancer |
14 |
|
Colorectal and anal cancer |
14 |
|
Lung and thoracic cancer |
14 |
|
Carcinoma of unknown origin |
7 |
|
Ovarian cancer |
7 |
|
Germ cell tumours |
7 |
|
Oesophagogastric cancer |
6 |
|
Lymphoma |
3 |
|
Uterine cancer |
3 |
|
Hepatobiliary cancer |
5 |
|
Skin cancer |
5 |
|
Sarcoma |
5 |
|
Leukaemia |
1 |
|
Prostate cancer |
3 |
|
Urothelial cancer |
3 |
|
Cervical cancer |
3 |
|
Head and neck cancer |
2 |
|
CNS cancer |
2 |
|
Renal cell cancer |
3 |
|
Endocrine cancer |
2 |
|
Scientific basis of malignancy |
18 |
|
Professional skills |
14 |
|
Acute oncology |
20 |
|
Clinical research, ethics and economics |
8 |
|
Systemic anticancer therapy |
18 |
|
Supportive therapies and palliative care |
10 |
|
Standard operating procedures |
3 |
|
200 |
All SCEs are computer-based and are administered by Pearson VUE at a test centre in the UK or internationally.
Medical Oncology SCE Applications
SCEs are held once a year and applications are made online through My MRCP(UK) account, within the Upcoming Exams section of the Royal College website.
The application process is as follows:
- Register online through My MRCP(UK) (candidates have the opportunity at this point to register any special arrangements)
- Request a preferred test country and city
- Pay applicable examination fee
- Application is confirmed via an automatically generated email
- Receive test centre confirmation email from Pearson VUE within four weeks of the examination date.
The Royal College has created a helpful video guide on SCE applications which you can watch here.
Cost
The cost of the MRCP exams are as follows:
- UK centres: £665
- International centres: £833
Exam Centres
UK Centres
Candidates choosing to sit the exam in the UK must contact Pearson VUE to book their test. There are up to 137 test centres throughout the UK for each SCE, and the Royal College advise that candidates should book their exam as early as possible to secure their preferred test centre, as bookings operate on a first come, first served basis.
International Centres
Candidates are given a choice of regions and are then asked to nominate a particular city in that region as their desired test location. MRCP (UK) will pass this request to Pearson VUE once the application period has closed, and Pearson VUE will confirm final test centre details to candidates via email at least three weeks before the date of the examination. If the exam is not available in a requested location, candidates will be offered a choice of the nearest available test centres.
Please note, international candidates should not book their own test centre with Pearson VUE, and attempting to do so may delay a candidate's application.
The full list of international SCE test centres can be found here.
Preparation and resources for the Medical Oncology SCE
With lots of resources available online, it can be difficult for IMGs to know where to start with their preparation and revision. This list should provide a good starting point for any international medical oncologists preparing to sit the SCE:
Curriculum - Applicants are tested on a range of common and important disorders in Medical Oncology as set out in the Joint Royal Colleges Specialty Training Curriculum for Core Medical Training. We recommend getting to know the curriculum as early as possible and using it as a roadmap for your study.
Guidelines - These resources are helpful for supplementing your knowledge:
- British Journal of Cancer 2009 March 100 (5) 684–692 Jones et al. – guidelines for Herceptin modification
- British Thoracic Society (BTS) - pleural disease guidelines
- International Prognostic Index score for non-Hodgkin's lymphoma
- National Comprehensive Cancer Network (NCCN) - guidelines for follicular lymphoma
- NHS Cancer Screening – guidelines for bowel and other cancers
Books
Candidates can find information on genetics and some basic science in the Oxford Desk Reference of Oncology 2011.
It is a good idea to regularly benchmark your knowledge by testing your knowledge and progress throughout your preparation using example questions from the current exam syllabus. You can find these here.
For an overview of how to prepare for exams, including advice on study groups, online community support, the best use of online resources & Royal College materials and courses, take a look at our blog: IMG Connect's Top Tips for exam preparation.
IMG Oncologists
Join the online community - join the IMG Oncologists Facebook group for access to a community of like-minded oncology SCE aspirants and dedicated oncology recruiters.
In this group you will find tailored resources for oncology IMGs, including access to our MRCP crash courses, completely free to all doctors.
You can access our IMG Oncologists community here.
I’ve passed? What’s next?
First, congratulations - this is a fantastic achievement! Armed with your MRCP and medical oncology SCE qualifications, you can apply for a full GMC registration with a license to practice. Once the GMC has approved your application, you can work as a doctor in the UK. Nice one!
Don’t hesitate to get in touch with an IMG oncology recruitment specialist to discuss GMC registration, oncology positions in the NHS, including typical NHS salaries, the most suitable UK locations and hospitals for you, and relocation.
To receive the latest news and updates on all things oncology, including the Royal College, GMC registration and the NHS, follow us on social media and join the conversation.
Relevant Jobs
An NHS teaching hospital in Kent is looking for a Consultant in Clinical Oncology with an interest in urology. The Oncology department comprises a team of over 40 Clinical and Medical Oncology consultants and is supported by a large team of middle-grade doctors, fellows, and trainees.
Anyone requiring portfolio support (formally known as CESR) can have their required support discussed on a case-by-case basis.
JOB REQUIREMENTS AND DETAILS
-
This Clinical Oncology job is open to both international applications and UK-based doctors, though those with European Specialist qualifications or FRCR are most encouraged to apply.CCT in Clinical Oncology or equivalent experience, including CESR pathway candidates.
-
The salary will be between £105,504 and £139,882 dependent on experience or grade.
CORE DUTIES OF THIS ROLE
-
Provide high-quality specialist care to melanoma patients attending the Kent Oncology Centre.
-
Attend relevant MDT meetings and coordinate treatment planning with other specialists.
-
Participate in departmental research initiatives and contribute to national and local clinical trials.
-
Contribute to training and supervision of junior doctors and participate in clinical governance activities.
Life in Kent
The area offers the best of both worlds: urban living in towns like Maidstone and Tunbridge Wells, and tranquil countryside villages such as Lenham or Goudhurst.
Kent boasts a wide range of excellent primary and secondary schools, including several grammar schools, and is well connected to London via high-speed rail and road. Residents enjoy easy access to historic castles, the coast, national parks, shopping, and outdoor activities—perfect for both adults and families.
Known as the “Garden of England,” Kent holds historical significance with its Roman heritage, medieval cathedrals, and coastal defense legacy, offering a unique blend of culture and natural beauty.
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
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 all the way to starting your new role, including:
-
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
This oncology job is open to both international applications and UK-based doctors, though those with European Specialist registration or FRCR are most encouraged to apply.
Anyone with an interest in gynae and upper GI oncology should apply.
The salary will be between £105,504 and £139,882 dependent on experience or grade.
CORE DUTIES OF THIS ROLE
Provide systemic therapy services for patients across UHMB sites.
Participate in multidisciplinary team meetings and support associated administrative duties.
Lead and contribute to acute oncology services across the Trust (no on-call required).
Support teaching, supervision, and mentorship for junior medical staff and trainees.
LIFE IN LANCASHIRE AND SOUTH CUMBRIA
The area is rich with excellent schools, convenient rail and road links, and beautiful scenery for outdoor enthusiasts. Historically, the region has played a key role in British shipbuilding and industrial development and today combines coastal charm with cultural heritage and modern living.
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
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 to your new role including:
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
An NHS teaching hospital, in Kent is looking for a Consultant in Medical Oncology with an interest in Melanoma. The Oncology department comprises a team of over 40 Clinical and Medical Oncology consultants and is supported by a large team of middle-grade doctors, fellows, and trainees.
Anyone requiring portfolio support (formally known as CESR) can have their required support discussed on a case-by-case basis.
JOB REQUIREMENTS AND DETAILS
-
This Medical Oncology job is open to both international applications and UK-based doctors, though those with European Specialist qualifications or MRCP are most encouraged to apply.CCT in Medical Oncology or equivalent experience, including CESR pathway candidates.
-
The salary will be between £105,504 and £139,882 dependent on experience or grade.
CORE DUTIES OF THIS ROLE
-
Provide high-quality specialist care to melanoma patients attending the Kent Oncology Centre.
-
Attend relevant MDT meetings and coordinate treatment planning with other specialists.
-
Participate in departmental research initiatives and contribute to national and local clinical trials.
-
Contribute to training and supervision of junior doctors and participate in clinical governance activities.
Life in Kent
The area offers the best of both worlds: urban living in towns like Maidstone and Tunbridge Wells, and tranquil countryside villages such as Lenham or Goudhurst.
Kent boasts a wide range of excellent primary and secondary schools, including several grammar schools, and is well connected to London via high-speed rail and road. Residents enjoy easy access to historic castles, the coast, national parks, shopping, and outdoor activities—perfect for both adults and families.
Known as the “Garden of England,” Kent holds historical significance with its Roman heritage, medieval cathedrals, and coastal defense legacy, offering a unique blend of culture and natural beauty.
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
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 all the way to starting your new role, including:
-
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
An NHS specialist cancer centre in Lancashire and South Cumbria is looking for a Consultant in Medical Oncology with an interest in upper and lower GI cancers. The oncology department comprises a team of 8 consultants and is supported by a large team of middle grade doctors.
Anyone requiring portfolio support (formally known as CESR) can have their required support discussed on a case by case basis.
JOB REQUIREMENTS AND DETAILS
This oncology job is open to both international applications and UK-based doctors, though those with European Specialist registration or MRCP are most encouraged to apply.
Anyone with an interest in upper and lower GI oncology should apply.
The salary will be between £105,504 and £139,882 dependent on experience or grade.
CORE DUTIES OF THIS ROLE
-
Provide systemic therapy services for patients with upper and lower GI cancers across UHMB sites.
-
Participate in multidisciplinary team meetings for lung and upper GI cancer and support associated administrative duties.
-
Lead and contribute to acute oncology services across the Trust (no on-call required).
-
Support teaching, supervision, and mentorship for junior medical staff and trainees.
LIFE IN LANCASHIRE AND SOUTH CUMBRIA
The area is rich with excellent schools, convenient rail and road links, and beautiful scenery for outdoor enthusiasts. Historically, the region has played a key role in British shipbuilding and industrial development and today combines coastal charm with cultural heritage and modern living.
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
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 to your new role including:
-
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
This Oncology job is open to both international applications and UK-based doctors, though those with European Specialist or FRCR (UK) qualifications are most encouraged to apply.
Anyone with an interest in breast cancer should apply.
The salary will be between £106,000 to £154,760dependent on experience or grade.
CORE DUTIES OF THIS ROLE
-Contribute to outpatient and inpatient clinical care, including the Acute Oncology Service at Velindre Cancer Centre and providing advice to Health Board colleagues when on call.
-Participate in the Assessment Unit services
-Latest news & breaking headlines
-Engage in multidisciplinary team decision-making processes.
-Opportunities to deliver services at the new Velindre Cancer Centre (VCC) in Cardiff, scheduled to open in Spring 2027
LIFE IN CARDIFF
The hospital is based in Cardiff, the capital city of Wales, offering a vibrant urban lifestyle. For those seeking a more rural living environment, the surrounding areas such as the Vale of Glamorgan provide picturesque countryside settings.
Cardiff boasts a range of educational institutions, excellent transport links including a comprehensive bus and train network, and leisure activities suitable for both adults and families. The city offers numerous parks, cultural venues, and sporting facilities.
Historically, Cardiff played a significant role during the Industrial Revolution, with its coal exports powering much of the world\'s industries. The city\'s docks were once among the busiest in the world, underscoring its importance in British history
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
-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
-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