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
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