FRCR (Oncology) Part 1 – a detailed guide for international oncologists 

  • November 05, 2021
 

FRCR (Oncology) Part 1 or CO1 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 (Oncology) 

FRCR (Oncology) 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 Oncology

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 (Oncology) examination suite here via our IMG Resources section. 

Alternative routes to GMC registration include PLAB or other recognised GMC qualifications or licensing exams, such as UMSLE or FRANZCR (radiation oncology) which you can find out more about here

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 Clinical or Radiation Oncology. The FRCR route allows senior candidates to better align their qualifications with the specifications of relevant jobs. 

A deep dive into FRCR (Oncology) Part 1 

FRCR (Oncology) Part 1 is the first in the set of FRCR (Oncology) exams. The assessment expects that candidates have a broad knowledge of subjects that relate to the investigation and management of patients with cancer. 

This includes a good understanding of the sciences that underpin clinical oncology, including:  

  • Radiobiology 
  • Cancer biology (including molecular biology) 
  • Physics (as applied to radiotherapy) 
  • Pharmacology of systemic anti-cancer treatments 
  • Medical statistics 

You can find the full purpose of assessment for FRCR Part 1 on the Royal College website here

FRCR (Oncology) Part 1 Structure 

All three parts of the FRCR (Oncology) exam are assessed against the specialty training curriculum for clinical oncology and the clinical oncology syllabus. A new curriculum has been implemented as of summer 2021, and all trainees are expected to have transferred to this curriculum by August 2022. For more information on this, visit the curriculum webpages

The First FRCR (Oncology) exam comprises four modules of 180 single best answer (SBA) questions. 

Candidates can enter any number of modules per sitting, though there is a limit of six sittings per candidate within which they must pass all four modules. 

Each individual SBA question has a stem (a question or statement) and five answers, and candidates must decide which of the five best represents the answer to the stem question. Essentially, this is a multiple-choice exam. 

Here is a breakdown of the exam: 

Cancer Biology & Radiobiology - the processes of cancer cell transformation and tumour development and how these processes may be demonstrated and the response to ionising radiation of cells both individually and grouped as tissues 

Clinical Pharmacology - the structure, action, use and evaluation of drugs used in the treatment of a patient with cancer 

Physics - with special reference to clinical trials and assessment of results, and the epidemiology of cancer 

Medical Statistics - the application of physical principles and methods in clinical radiotherapy, physical basis of the therapeutic uses of radioactive isotopes, radiation hazards and protection 

A knowledge of SI units is also expected. 

Marking 

The exam is marked by a computer, with one mark given for each correct answer and zero marks for incorrect answers. As the exam is not marked negatively, candidates are encouraged to provide an answer to all the questions. No marks are awarded where multiple answers have been selected or where answers are not sufficiently clear as the College does not interpret candidates’ answers.  

Results and feedback 

Candidates will receive details on scores and the level of performance required to pass each module. A further breakdown for each module will be provided, detailing incorrect questions numbers along with the corresponding syllabus section for each question. 

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

Exam centres

The current venues for the First FRCR (CO1) exam are: 

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

The exam is typically held twice a year over two consecutive days, in February and either August or September.  

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

Exam cost

First FRCR (CO1) exam cost (per module): 

  • Members - £168
  • Non-members - £213 

Applications

UK trainees are given priority for examination places, followed by those who have had exams deferred over the last year due to cancellations. The remaining places are offered to all other candidates through a ballot system following the close of priority applications. 

All candidates should apply for the exams through the Royal College website here.  

FRCR (Oncology) Part 1 Preparation

Although there are many online materials to aid in your preparation for FRCR (Oncology) Part 1, as always, we recommend you start your preparation on the Royal College website, particularly with the Specialty Training Curriculum for Clinical Oncology and the Clinical Oncology syllabus

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. 

Useful resources include: 

Learning hub: available to members through the Royal College website and contains many useful learning resources and available here.

Implementation Tools: a range of tools compiled by the RCR to support the implementation of the new curricular which all candidates should have transferred to by summer of 2022 at the latest. This can be found here.

Sample Questions: sample SBA questions with answers which can be found here

Examiners Reports: a guide for candidates for future sittings, based on the experiences of examiners with previous applicants, found here

Speedwell instructional video: a walkthrough video of the FRCR Part 1 exam format with guidance and instructions which can be found on the College YouTube channel

Suggested reading list: a suggested list of core texts and additional reading put together by the College which is available here

For other great resources including videos, courses, and flashcards, check out our blog on preparation for the First FRCR (Oncology) exam 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 (Oncology) exams. 
  3. Join the conversation – join the IMG Oncologists Facebook group for access to a community of like-minded FRCR (Oncology) aspirants and dedicated oncology recruiters.

In this group you will find tailored resources for oncology IMGs, including access to our FRCR (Oncology) crash courses, completely free to all doctors.

You can access our IMG Oncologists community here.

 


I’ve passed the First FRCR (Oncology) 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 (Oncology) in hand, you can look ahead to the Final FRCR (Oncology) CO2A and CO2B exams. Once you have completed all parts of FRCR (Oncology), you can apply for full GMC registration with a license to practice. 

The team at IMG Connect wish all First FRCR (Oncology) aspirants and IMGs the very best of luck with their exams!

            

 

Relevant Jobs

105,504- 139,882

An NHS district general hospital in the North of Scotland is looking for a Consultant Clinical Oncologist with an interest in Lung, Head & Neck, or Breast cancer. The oncology department comprises a team of 7 consultants and is supported by a large team of middle grade doctors. This Clinical Oncology job is open to both international applications and UK-based doctors, though those with European Specialist or FRCR (or equivalent) 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, full GMC registration with specialist registration or within 6 months of CCT, along with broad experience in prescribing radiotherapy and SACT, are required for this role, and anyone with an interest in Lung, Head & Neck, or Breast radiotherapy should apply. The salary will be between £107,144 and £142,369 dependent on experience or grade.

CORE DUTIES OF THIS ROLE

  • Manage a subspecialty caseload in Lung, H&N or Breast radiotherapy, delivering high-quality care and treatment planning.

  • Participate in MDT meetings, clinical governance, research and teaching activities.

  • Contribute to acute oncology on-call cover and peripheral clinics across the region.

  • Lead or support the development of new services or innovations in clinical delivery within the department.

LIFE IN THE SCOTTISH HIGHLANDS

This job is based in the Scottish Highlands, a region known for both its bustling city of Inverness and rural escapes like Beauly or Fort Augustus.

The Highlands offer excellent schools, strong transport links including rail and air connections, and year-round recreational options from hiking to arts festivals. The city also has a vibrant cultural and social scene for families and professionals alike.

Rich in heritage, the Highlands are home to some of Scotland’s most renowned history—from clan culture to castles—making this region both a scenic and significant 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

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

105,504- 139,882

An NHS teaching hospital in the North of England is looking for a Consultant in Medical Oncology with all interests considered. The oncology department comprises a team of consultants and is supported by a large team of middle grade doctors. This Medical Oncology job is open to both international applications and UK-based doctors, though those with European Specialist Registration or MRCP (UK) 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

Full GMC registration with a licence to practise and inclusion (or eligibility within 6 months) on the Specialist Register in Medical Oncology are required for this role. The salary will be between £105,504 and £139,882 dependent on experience or grade.

CORE DUTIES OF THIS ROLE

  • Manage and treat patients with cancers as part of the site-specific MDTs.

  • Provide on-call and acute cover for oncology inpatients and new inpatient referrals on a rotational basis (1 week out of 8).

  • Attend weekly multi-disciplinary meetings.

  • Hold an honorary lecturer position at a local medical school and participate in undergraduate teaching.

  • Participate in clinical research as appropriate.

  • Train and teach specialty trainees in medical oncology.

LIFE IN THE NORTH OF ENGLAND

This role is based in the North of England, a region that offers the perfect balance of urban convenience and rural charm. Residents can enjoy city living in York or find quieter settings in the nearby countryside and villages. The area boasts outstanding schools, excellent transport links, and a wide variety of cultural, sporting, and outdoor activities. With its strong ties to Britain’s industrial heritage and the beautiful countryside on its doorstep, the North of England is a popular choice for healthcare professionals relocating to the UK.

HOW WILL IMG CONNECT SUPPORT YOU?

  • 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

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105,504- 139,882

An NHS teaching hospital in the East Midlands of England is looking for a Consultant Clinical Oncologist with an interest in Upper Gi, HPB, and Breast cancers. The Oncology department comprises of a large team of Medical Oncology Consultants and Clinical Oncology Consultants, supported by prescribing Clinical Nurse Specialists (CNS) and rotational specialist registrars (SPRs).

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 registration or FRCR qualifications are most encouraged to apply.

Full GMC registration and FRCR (or equivalent) are required for this role, and anyone with an interest in Upper Gi, HPB, and Breast cancers should apply. The salary will be between £105,504 and £139,882 per annum, dependent on experience or grade.

CORE DUTIES OF THIS ROLE

  • Provide outpatient and inpatient care for patients with Upper Gi, HPB, and Breast cancers
  • Participate in multidisciplinary team (MDT) meetings for skin and urology.
  • Supervise and support Clinical Nurse Specialists (CNS), specialist registrars (SPRs), and ward resident doctors.
  • Prescribe and manage radiotherapy and systemic treatments.

LIFE IN THE EAST MIDLANDS

The hospital is based in a vibrant city offering both urban living in the city center and rural living in surrounding villages like West Bridgford. The area boasts excellent schools, efficient public transport links, and a variety of leisure activities, including theaters, sports venues, and parks. Nottingham holds historical significance as the legendary home of Robin Hood and played a pivotal role in the UK\'s industrial 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 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.
105,504- 139,882

An NHS hospital in South East England is looking for a Consultant in Medical Oncology with an interest in Lung Cancer. The Oncology department comprises a team of four Clinical Oncologists and a Consultant Radiographer, supported by a large team of middle-grade doctors. This Medical Oncology job is open to both international applications and UK-based doctors, though those with European Specialist or GMC Medical Oncology Specialist Register, CCT, or CESR 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

Full GMC registration with a license to practice and entry on the GMC Medical Oncology Specialist Register (or within six months at the time of interview), CESR, or a GMC-recognised equivalent training are required for this role. Anyone with an interest in Lung Cancer should apply. The salary will be between , dependent on experience or grade.

CORE DUTIES OF THIS ROLE

  • Provide expert oncology care for patients diagnosed with Lung Cancer, including overseeing treatment plans and managing patient care.
  • Participate in multidisciplinary team (MDT) meetings across hospital sites to discuss patient cases and coordinate treatment.
  • Contribute to research and clinical trials within the Oncology department, encouraging innovation in lung cancer and melanoma treatment.
  • Engage in teaching opportunities with medical students and junior doctors, particularly as Portsmouth prepares to launch its postgraduate medical school.

LIFE IN PORTSMOUTH

A vibrant coastal city in South East England, with popular residential areas including Southsea for urban living and nearby countryside towns such as Petersfield for a more rural lifestyle. The area is well connected, with direct train links to London, excellent schools, and a wide range of leisure activities, from watersports to historic naval attractions. As one of Britain’s most historically significant naval cities, Portsmouth is home to the famous HMS Victory and the historic dockyard, making it a fascinating 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

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
105,504- 139,882

An NHS district general hospital in the South West of England is looking for a Consultant in Clinical Oncology with an interest in breast and skin cancers. The Clinical Oncology department comprises a team of 11 consultants and is supported by a large team of middle grade doctors and specialist nurses.

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 breast and skin cancer should apply. The salary will be between £105,504 and £139,882 dependent on experience or grade.

CORE DUTIES OF THIS ROLE

  • Take ownership of site-specific oncology services, primarily in breast and skin cancer.

  • Participate in outpatient clinics, support patients undergoing day case treatments, and assist the Acute Oncology Service.

  • Contribute to education and training of junior medical staff and engage in multidisciplinary team working.

  • Participate in clinical governance, audits, and contribute to ongoing research and service development.

LIFE IN THE SOUTH WEST

This role is based in a beautiful coastal region in the South West, with access to popular towns and seaside resorts perfect for both urban and rural living. The area features excellent schools, well-connected transport options, and a wide range of outdoor activities from beach days to countryside walks. With its blend of natural beauty and cultural history, the region is a top choice for medical professionals relocating to the UK.

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HOW WILL IMG CONNECT SUPPORT YOU?

  • 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


 

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