Passing the FRCPath Part 2 exam is a significant milestone in a histopathologist’s career, marking the transition to consultant-level practice in the UK. We are proud to introduce our expert faculty member, Dr Debdeep Dey, FRCPath, who brings extensive experience and a passion for teaching to our programme.
Here are Dr Debdeep Dey’s top 10 tips to help you prepare effectively and pass the FRCPath Part 2 exam:
1. Understand the Exam Structure
Familiarise yourself with the format of the FRCPath Part 2 exam, which includes long cases, short cases, frozen sections, and a viva (oral examination). Understanding the structure and expectations for each component will help you tailor your preparation accordingly.
2. Create a Study Plan
Develop a detailed study plan that covers all aspects of the exam. Allocate time for reviewing textbooks, practising with histopathology slides, and engaging in mock exams. Consistency is key, so ensure your study plan is realistic and follows a regular schedule.
3. Use a Variety of Resources
Diversify your study materials. Utilise textbooks, online resources, and practice slide sets. Resources like the Royal College of Pathologists website, PathSoc, and IMG Connect offer valuable guidance and preparatory materials.
4. Join a Study Group
Consider joining a study group or finding a study partner. Discussing cases and sharing insights with peers can provide new perspectives and enhance your understanding. Study groups also offer mutual support and motivation. If you haven't already, join the IMG Histopathology group to find a study partner and stay updated on our free educational webinars!
5. Practise, Practise, Practise
Hands-on practice with histopathology slides is crucial. Review as many cases as possible, covering a wide range of pathologies. Practise interpreting slides under timed conditions to simulate the exam environment and improve your speed and accuracy.
6. Attend Courses and Workshops
Participate in courses and workshops tailored to the FRCPath Part 2 exam. These courses provide invaluable insights into exam techniques, common pitfalls, and key focus areas. They also offer opportunities to interact with experienced pathologists and examiners. Join the IMG Histopathology group to join our free educational webinars!
7. Focus on High-Yield Topics
Identify and prioritise high-yield topics frequently tested in the exam. Common areas include neoplastic and non-neoplastic pathology, dermatopathology, gastrointestinal pathology, and gynaecological pathology. Ensure you have a thorough understanding of these topics.
8. Develop Your Diagnostic Skills
Sharpen your diagnostic skills by practising with unknown cases. Aim to provide comprehensive differential diagnoses and consider the clinical context. Focus on formulating concise, accurate reports that demonstrate your ability to manage real-life diagnostic challenges.
9. Prepare for the Viva
The viva component assesses your ability to discuss cases, defend your diagnoses, and demonstrate your clinical reasoning. Practise articulating your thought process clearly and confidently. Engage in mock vivas with colleagues or mentors to gain experience and receive constructive feedback.
10. Take Care of Yourself
Ensure you maintain a healthy balance between study and personal well-being. Rest, nutrition, and exercise are essential for optimal cognitive function and stress management. Avoid burnout by scheduling regular breaks and leisure activities.
Conclusion
Passing the FRCPath Part 2 exam requires dedication, thorough preparation, and a strategic approach. By following these tips and leveraging available resources, you can enhance your readiness and increase your chances of success. Persistence and perseverance are key, and each step brings you closer to becoming a consultant histopathologist.
Best of luck with your preparation, from all at IMG Connect!
FRCPath Part 1 Online
In response to the ongoing challenges posed by the COVID-19 pandemic, the Royal College of Pathologists has continued to offer the FRCPath Part 1 exams online. This includes FRCPath Part 1 in Histopathology, Haematology, and Microbiology.
This means that FRCPath Part 1 can be taken from the comfort of your own home. This development allows the College to continue offering the FRCPath Part 1 exam to both UK trainees and overseas pathologists.
Please note that the delivery of FRCPath Part 2 remains offline, with examinations being conducted in person.
FRCPath Part 1 Delivery
The format of the Part 1 exam remains unchanged – 125 SBA (single best answer) and EMQs (extended matching questions) which aim to assess the candidate's overall knowledge and understanding of histo/cytopathology, basic science underpinning pathology (including microbiology), and full understanding of autopsy practices undertaken in an NHS District General Hospital.
FRCPath Part 2 is available in multiple overseas centres; in Irbid, Jordan, Cairo, Egypt or Dubai, UAE. These centres will be offered on an annual basis in either Spring or Autumn session subject to there being sufficient candidates to run the centre.
All other Diploma practical, Part 1 practical and Part 2 examinations can only be taken in the UK
The online exam is delivered through a company called TestReach.
Candidates will have the opportunity to trial the examination software before the exam to familiarise themselves with it ahead of time. The TestReach system is fully proctored, and candidates will need to complete both an IT systems and environment check before the exam. These checks will ensure that candidates' devices are suitable for the exam and that they are in an environment that satisfies exam conditions, i.e., where they do not have access to textbooks or other revision materials.
For more information on the online examination, see the College website here, or read their FAQs here.
How to Apply
The application window for the Autumn 2024 sitting of the FRCPath Part 1 exam will open at the end of July and close in mid-September. While the examination date has yet to be finalized, candidates are advised to apply early and may withdraw their place for a refund if the examination date is unsuitable.
The cost of the exam is £700. For up-to-date information on exam and application dates, keep an eye on the College website here.
For more information on FRCPath in Histopathology, take a look at our collection of articles and blogs here, where we explore the full examination suite, including a detailed look at the structure and format, fees, preparation, and resources.
If you are looking for general information that any overseas doctors might need to know, check out our IMG Resources library.
We hope this is helpful for any overseas doctors preparing to sit their FRCPath Part 1 exam, and the team here at IMG Connect wish you the best of luck!
Don’t forget to share your progress and successes with us using the hashtag #imgstories on social media. We love to hear from you.
Join the online histopathology community – connect with like-minded histopathologists and dedicated pathology recruiters in the IMG Histopathologists Facebook group.
For regular news and updates on the Royal College and all things histopathology, follow IMG Connect on social media using the links below:
The first exam in the FRCPath Histopathology series...
Overseas histopathologists may have questions about the best ways to prepare for the FRCPath Part 1 exam. With so many resources available online, but many of them geared towards UK trainees, it can be difficult to know what is best suited to you as an international candidate.
In this blog we have compiled some of the best resources and guidance for FRCPath Part 1 aspirants. We will also quickly cover some of the recent changes to the exam regarding its delivery and availability in response to the COVID-19 pandemic.
Here we’ll take a closer look into these and other important questions through the following topics:
What is FRCPath Part 1?
How do I get started with my preparation?
What resources are available online?
How has COVID-19 affected the exam?
#IMG Tips
I’ve passed FRCPath Part 1, what’s next?
Skip ahead to the relevant section if you know what you’re looking for.
FRCPath Part 1
FRCPath Histopathology Part 1 is the first exam in the two-part examination series, administered by the Royal College of Pathologists. The content of the exam can be broken down into three sections:
The three-hour exam is designed to assess candidates’ overall knowledge and understanding of histopathology or cytopathology, including the full range of autopsy practices undertaken in a district general hospital in the UK and the basic science underpinning pathology, including molecular biology.
For an in-depth guide to the FRCPath Part 1 exam, or for a breakdown of the full FRCPath Histopathology exam suite, visit our IMG resources library.
Please note that only full FRCPath satisfies the GMC’s postgraduate requirements for overseas doctors.
How to get started with preparation for FRCPath Part 1
The best way for IMGs to begin their exam preparation is with the Royal College website and resources. The FRCPath Histopathology exams are based on the Curriculum for Specialty Training in Histopathology and as a rule, this should always be the starting point for your revision. This will ensure you are focusing on the exam material that will feature in your exam – knowing the curriculum is key! You can find this on the Royal College website here.
Royal College resources include:
Regulations and guidelines – before applying for FRCPath exams, the College recommends you read both the general and specialty-specific regulations and guidelines, found below:
General Regulations and Guidelines
Histopathology Regulations and Guidelines
FAQs - There is also a Frequently Asked Questions (FAQs) document which the Royal College has compiled to help applicants who have questions about online examinations. You can read this here.
Other helpful resources include:
Oxbridge Medica - FRCPath Part 1 Revision Course
This is a 4-day, exam-oriented online revision course. The course includes live-streamed lectures across four days and covers all the major topics of the examination syllabus. The speakers have knowledge of the Royal College exam - some of them are examiners, and all are experienced teachers. The course can be found here.
Duration
4 days
Cost
£300 (£75 deposit)
Next start date
TBC
Pathology Online Hub - FRCPath Part 1 Orientation Course
This is a preparatory course aimed at overseas candidates. The course includes an introduction to the exam, including a mock exam with a detailed discussion of answers and exam tips. The course can be found here.
Duration
1 day
Cost
£40
Next start date
TBC
Pathology Online Hub - FRCPath Part 1 Comprehensive Course
This is a preparatory course aimed at non-UK candidates, including particularly basic and extended questions on the UK system. The course covers topics which are unique to the UK system and includes a one-hour practice mock similar to the exam format and a detailed discussion of the answers with feedback. The course can be found here.
Duration
1 day
Cost
£45
Next start date
TBC
Reading materials
There is no set reading list or official course for FRCPath Part 1 in Histopathology, however the following books come highly recommended by IMGs who have passed the Part 1 exam:
Practical Applications in Histopathology, Cytopathology & Autopsy – Dr Limci Gupta (£78)
FRCPath, Part 1: Examination Preparation Guide – S. Steele (£22.18)
Sternberg's Diagnostic Surgical Pathology Review - Pier Luigi Di Patre, Darryl Carter (£91.95)
Wheater’s Functional Histology – Barbara Young, Phil Woodford, Geraldine O’Dowd (£44.95)
Robbins and Cotran Atlas of Pathology - Edward Klatt (+/- £45)
(Designed to complement Robbins and Cotran Pathologic Basis of Disease, 8th Edition and Robbins Basic Pathology, 8th Edition)
How have the exams been affected by COVID-19?
In response to the challenges of the COVID-19 pandemic, the Royal College of Pathologists has migrated the FRCPath Part 1 exam online.
Candidates all over the world are now able to take the exam from their home countries. This development allows the College to continue to offer the FRCPath Part 1 exam to both UK trainees and overseas pathologists, with minimal disruptions to the exam schedule.
For full details about the online FRCPath Part 1 exam, please see our blog here.
#IMG Tips
Prepare early – getting your revision going as soon as possible will help you avoid those last-minute cramming sessions and increase your chances of passing first time.
Speak to your colleagues and peers – there are so many study materials to choose from - who better to ask for recommendations than histopathologists who have been through the process or are going through it with you?
Familiarise yourself with the curriculum – we cannot stress this enough! Every country’s qualification and practice differ, so being well-versed in the curriculum is the first step on your path to success in the exam.
Prepare for the online format in advance – make sure to fully complete your IT checks well in advance to avoid tech issues on the day (and save yourself an unnecessary headache).
Find a support network – a great way to do this is to join IMG Histopathologists, an online pathology community of UK and NHS histopathology aspirants and dedicated histopathology recruiters. You’ll find advice, guidance and updates about all things histopathology for IMGs. Join the conversation here.
I’ve passed the FRCPath Part 1 exam, what’s next?
Great stuff! This is a massive achievement, and you deserve to treat yourself after all your hard work. With a pass in hand, it's time to look ahead to FRCPath Part 2. For more information on the final exam in the examination series, take a look at our blog where we explore the FRCPath Part 2, including how to sit the final exam, fees and preparation and results.
Head to our IMG library for more useful articles on the FRCPath exams, GMC registration and qualifications you need to help you find your dream job in the NHS.
For regular news and updates, follow IMG Connect on social media using the links below:
Overseas histopathologists wanting to secure a job in the UK via the postgraduate qualification route will need to attain Fellowship of the Royal College of Pathologists in Histopathology or FRCPath in Histopathology, a sub-specialty exam of FRCPath. FRCPath is the UK qualification and a GMC-recognised postgraduate route.
International Medical Graduates (IMGs) from any country in the world can sit the sub-specialty FRCPath in Histopathology examinations, provided certain eligibility criteria are met. These are summarised below along with a broad look at the following topics:
What is FRCPath in Histopathology?
Eligibility for overseas doctors
FRCPath in Histopathology structure and format
FRCPath in Histopathology: Part 1 - MCQ/EMQ
FRCPath in Histopathology: Part 2 - Practical Examination
As an overseas candidate where can I take the exams and how much will it cost me?
How do I apply?
How to prepare and what resources are available?
Passed? What next?
What is FRCPath in Histopathology?
Set against the Curriculum for Specialty Training in Histopathology, the examinations are designed to recognise histopathologists close to the end of their training who can demonstrate sufficient knowledge and technique for independent practice. In other words, completion of the full set of exams (Part 1 & 2) demonstrates your ability to work at consultant level.
Eligibility for overseas doctors:
Below we outline the eligibility for overseas doctors looking to sit both FRCPath Histopathology exams. For international candidates, the eligibility criteria for FRCPath specialty examinations can be a little confusing when looking online so IMG Connect spoke to the Royal College directly in an effort to clarify this.
Time spent in histopathology training is stated as a requirement of eligibility and the Royal College do consider equivalents to NHS training programmes though there is no list of countries with accepted or unaccepted training programmes. The royal college advises you should speak to your Educational Supervisor or Sponsor (if you have one) who can advise you if you are ready or eligible to sit the Examinations if you are unsure. Remember, there are many overseas doctors applying for all parts of the FRCPath exams so don’t be put off applying!
Top Tip: If you have the required months training in a recognised programme in your country for Histopathology specifically, the chances are you will be eligible.
Eligibility for Part 1:You are required to have trained in a recognised training programme in Histopathology for a period of no less than 12 months.
Did you know? Candidates who have passed the FRCPath Part 1 examination in Histopathology who, after appropriate training, can attempt the Part 2 examination in one of the following: Forensic Pathology, Neuropathology or Paediatric Pathology.
Eligibility for Part 2: The Royal College expects you to have at least three years of specialty training specific to Histopathology in your own country. Furthermore, the Royal College strongly advises candidates to attempt Part 2 at least 12 months after passing Part 1.
FRCPath in Histopathology structure and format:
The FRCPath examinations consist of two parts:
Part 1 – One paper comprised of 125 multiple choice questions (SBAs and EMQs)
Part 2 – six-part practical examination held over two consecutive days.
Part 1 examination:
FRCPath Histopathology Part 1 One comprises of 125 multiple choice questions in both single-best-answer (SBAs) and extended-matching-questions (EMQs).
The exam is orientated towards assessing your overall knowledge and understanding of:
histopathology/ cytopathology
basic science underpinning pathology (inc. molecular biology)
full range of autopsy practices undertaken in an NHS District General Hospital
Part 2 Practical Examinations:
The exams consists of six components taken over two days, summarised below:
Part 2 Practical examinations
Surgical history
20 cases in 20-minute slots
Cytopathology
8 cases in 20-minute slots
Macroscopic pathology
4 cases with 20-minute reviews followed by 20-minute discussions
OSPEs
2 20-minute stations
Long cases
4 20-minute stations
Frozen sections
6 cases in 2, 20-minute stations.
One meeting with examiners in separate 20-minute station.
Surgical history: 20 cases are provided in 10 pairs of haematoxylin and eosin (H&E) stained slides in 20-minute slots over 3-hours 20 minutes of the second morning. The cases will represent a range of difficulties, with some proving complex cases requiring detailed description, differential diagnosis and special techniques or cases not diagnosable on a single H&E.
Cytopathology: Held on the first morning of the exam. Eight non-gynaecological cytology cases will be provided in pairs in 20-minute slots.
Macroscopic Pathology: This part is designed to allow candidates to demonstrate their capabilities in discussing gross pathology and familiarity with block selection in the context of the RCPath Minimum Datasets. Four cases provided in the form of photographs of gross pathology specimens. Two 20-minute slots will be provided for 2 cases, followed by 20-minute discussions with 2 examiners.
OSPEs: 2 x 20-minute stations. One of which is conducted face-to-face with 2 examiners while the other is a written exercise only. Possible topics can include management/clinical governance type and MDT type cases.
Long Cases: 4 x 20-minutes stations provided on the first afternoon including cases which cannot conventionally be covered in a single H&E stained section.
Frozen Sections: 6 cases viewed in 2 x 20-minutes stations (3 cases per station) before meeting with a pair of examiners in a 20-minute station. You need to take notes and be able to provide the examiners with a bottom-line diagnosis only, to form basis for discussion in face to face meetings.
Where can I take the exams and how much will they cost me?
The COVID-19 pandemic has caused disruption to Royal College exams across all specialties, and unfortunately the RCPath exams have been affected also. For the most up-to-date news on the RCPath examinations please refer to their website here.
FRCPath Part 1 (current COVID-19 arrangements): In 2022, the Part 1 examination will be offered using online delivery to candidates. This means you can take the exam remotely and will not need to travel overseas to sit the exam, or attend an examination centre. The College will deliver the written components of these examinations through a company called TestReach, the Oral components (including oral OSPE stations) will be delivered using a video-conferencing platform such as Zoom or Microsoft Teams and for the written examinations, candidates will be given the opportunity to trial the TestReach system to familiarise themselves with it ahead of the examination. You can read more about the new, remote examination process further here on our website.
Previously, the Part 1 examination was sat in multiple overseas centres and once the pandemic is under better control globally, it is highly anticipated the Royal College will return to previous set-ups.
The FRCPath Part 1 exam costs £622. You can see how the Royal College breaks down the cost here on their website.
FRCPath Part 2 (current COVID-19 arrangements): Part 2 exams will be held in person in the UK in 2022. There will be no online delivery for the exam.
Keep an eye on the RCPath website for the most up-to-date news on the exams.
The FRCPath Part 2 exam costs £1,308. You can see how the Royal College breaks down the cost here on their website.
How do I apply?
Applications must be made via the Royal College of Pathologists website, with applications only available once an application window is opened by the Royal College. This is usually twice a year, in SPrin and in Autumn.
How do I prepare for RCPath exams and what study resources are available?
With lots of resources available online, we have discussed with consultants the best place to start looking for materials relating to the exams. Most recommended starting with the Royal College, who have created useful resources to help you to prepare for the exams.
Curriculum: Questions are set against the Curriculum for Specialist Training in Histopathology We recommend getting to know the curriculum as early as possible and using it as a road map for your study plan.
Regulations and Guidelines: Before applying for FRCPath examinations, the Royal College recommends you read both the General & Specialty Specific regulations and guidelines:
General Regulations and Guidelines
Royal College - Histopathology Regulations & Guidelines
Sample Questions:Testing yourself against previous exam questions is always a recommended way to prepare. Histopathology Part 1 sample questions
Cancer Datasets and Tissue Pathways: The College’s datasets for Histopathological Reporting on cancers have been written to help pathologists work towards a consistent approach for the reporting of the more common cancers and to define acceptable practices in handling pathology specimens. Whilst these are not specific to FRCPath examinations they are certainly relevant to the wider practice in histopathology.
IMG Connect advice:
Part 2 – food and drink:With multiple exams taking place for Part 2 in one day bring supplies! It will be a long day and there may not be access to food.
Hiring a microscope: For Part 2 you will be required to sit examinations in the UK and will require a microscope. The examination centres will not provide equipment for any applicants so you will need to hire a microscope in advance. There are a few companies easily accessible through a web search, find a microscope and book well in advance of the exam. You can arrange for the company to drop off and pick up the microscope from the exam centre, don’t worry!
I passed the FRCPath exams! What next?
First of all, congratulations! After you have passed both parts of FRCPath in Histopathology you can apply for a full registration with a license to practice. Once the GMC have approved your application, you can work as a histopathologist in the UK.
Don’t hesitate to get in touch with an IMG Consultant to discuss UK job options in Histopathology, including discussions regarding a typical doctor salary in the UK and the most suitable locations for you.
The Royal College makes it clear that individuals who reach the standard required to pass the FRCPath examination in their chosen specialty are deemed to have the necessary professional competence to practice unsupervised. FRCPath also greatly contributes to the Certificate Confirming Eligibility for Specialist Registration (CESR), the alternative route to the Specialist Register for doctors who do not complete their training in an approved UK training programme.
Follow us on social media through the links below for regular news and updates on the Royal Colleges, relocating to the UK and working in the NHS:
In response to the high number of inquiries we've had from overseas pathologists about the arrangements for the Autumn sitting of the FRCPath Histopathology Part 2 exam, we've been in contact with the Royal College of Pathologists and have summarised these updates under the headings below.
When will the FRCPath Histopathology Part 2 exam be held?
The publicised dates for the exam are Tuesday 11 and Wednesday 12 October 2022, although these are subject to change due to the ongoing COVID-19 pandemic.
The withdrawal deadline for the exams is Friday 15 July 2022.
Can I sit the FRCPath Histopathology Part 2 exam in Autumn 2022?
The RCPath guidance which asks candidates to wait to sit the Part 2 exam the year after passing the Part 1 exam was in place to avoid overwhelming the limited capacity of the exam centres. Those who were successful in the Spring 2021 Part 1 exam are able to sit the Part 2 exam in Spring 2022. If the College needs to prioritise bookings, it will be done in the same way as previously. Therefore, if there is a requirement for candidates who have passed in Spring 2022 to wait until Spring 2023 to apply, a notice will be put on the News section of the examinations page around the end of May/ beginning of June.
It is therefore important to check regularly for updates to the examinations page, which you can do here.
Where can I sit the FRCPath Histopathology Part 2 exam in Autumn 2022?
Details on the Autumn 2022 sitting of FRCPath Part 2 have yet to be finalised, however, unlike Spring 2022, it may be possible to arrange to sit the exam in Irbid (Jordan), Dubai (UAE) or Cairo (Egypt) if there are sufficient applicants. The availability of FRCPath Part 2 examination centres outside the UK will be indicated on the Royal College website (when the application window opens for Autumn 2022 at the end of May) and candidates should contact the Examinations Department to express their interest in taking the exam in the available centre when they make their application.
We therefore advise that you keep an eye on the RCPath application page here.
Will the College have any microscopes available for me to use for the exam?
The College's overall policy is that the College and centres have no obligation to provide microscopes. Candidates can bring their own as this is equipment they are familiar with, or can hire a microscope. Some overseas centres may be more able to provide microscopes and if that is the case it would be stated on the letter sent to candidates with their centre confirmation.
If you would like to borrow a microscope for your FRCPath Histopathology Part 2 exam, we advise that you check well in advance what the options are for your chosen centre, or are available to you online.
If you have any further questions about the FRCPath exams, your route to the UK as an overseas histopathologist, or any other aspect of GMC Registration, the NHS or relocating to the UK, please get in touch with us here.
We'd also like to invite you to join the IMG Histopathologists online community - as well as support on Royal College exams, our Facebook group of international pathologists and dedicated pathology recruiters offers guidance on other aspects of working in the UK, including finding NHS posts and CESR.
Follow us on social media through the links below for regular news and updates on the Royal Colleges, relocating to the UK and working in the NHS:
Are you an overseas histopathologist looking to sit the FRCPath exams?
Today we’re bringing you a guide on how to prepare for the FRCPath Histopathology Part 1 exam from Dr Maria, clinical fellow in cellular pathology in London. Maria passed the FRCPath Part 1 exam in March 2021 and is sharing her top tips for FRCPath aspirants, including study planning, revision materials and what you should know about the Part 1 exam.
1. Create a plan and schedule for your study (this is most important!)
I started studying around 3 months before the exam, spending 2-3 hours per day on weekdays and around 5-7 hours on study at the weekend.
REMINDER: This all depends on how much you know already. You cannot focus constantly for hours, so you should schedule your studying time around the way that you know you work best.
Leading up to the exam
Try to keep at least 2 weeks free prior to the exam to re-revise problematic topics and genetics.
The day before exam
Be kind to yourself. Have a good meal, try to relax if you can and avoid stressing too much. Go to bed early and have a good, long sleep.
2. Revision materials
I had been revising using my old notes, where I studied from these books (the best for trainees in my opinion):
Foundation in Diagnostic Pathology series
Dermatopathology
Pulmonary Pathology
Hematopathology
Head and Neck Pathology
Gynecologic Pathology
Bone and Soft Tissue Pathology
Cell and Tissue Based Molecular Pathology
Pulmonary Pathology
Fine Needle Aspiration Cytology
Genitourinary Pathology
Breast Pathology
Neuropathology
Gastrointestinal and Liver Pathology
Diagnostic Pathology series
Diagnostic Pathology: Head and Neck
Diagnostic Pathology: Genitourinary
Diagnostic Pathology: Spleen
Diagnostic Pathology: Thoracic
Diagnostic Pathology: Neuropathology
Diagnostic Pathology: Hepatobiliary and Pancreas
Diagnostic Pathology: Nonneoplastic Dermatopathology
Diagnostic Pathology: Neoplastic Dermatopathology
Diagnostic Pathology: Bone
Diagnostic Pathology: Breast
Diagnostic Pathology: Familial Cancer Syndromes
Diagnostic Pathology: Molecular Oncology
Diagnostic Pathology: Infectious Diseases
Diagnostic Pathology: Gastrointestinal
Diagnostic Pathology: Kidney Diseases
Diagnostic Pathology: Placenta
Diagnostic Pathology: Gynaecological
Diagnostic Pathology: Transplant Pathology
Diagnostic Pathology: Cardiovascular
Diagnostic Pathology: Intraoperative Consultation
Diagnostic Pathology: Cytopathology
Diagnostic Pathology: Paediatric Neoplasms
Diagnostic Pathology: Endocrine
Diagnostic Pathology: Normal Histology
Diagnostic Pathology: Lymph Nodes and Extra-nodal Lymphomas
Diagnostic Pathology: Blood and Bone Marrow
Diagnostic Pathology: Vascular
Diagnostic Pathology: Hospital Autopsy
There are so many books, and it would be too expensive to purchase them all, so stick to what you've got in your department or can borrow from friends or colleagues.
The Pathology Outlines website is also excellent for quick review and genetics! There are also MCQs.
Some trainees study from the Robbins Pathology books, however, in my opinion, this book alone is not enough for the Part 1 exam.
For the MCQs, I used the following resources:
Practical Applications in Histopathology, Cytopathology and Autopsy: an MCQ/ EMQ Resource – Limci Gupta, Jayson Wang, Val Thomas
Anatomic Pathology Board Review – Jay H. Lefkowitch
Robbins Review of Pathology - Edward Klatt, Vinay Kumar
Sternberg's Diagnostic Surgical Pathology Review – Pier Luigi Di Patre, Darryl Carter
Various past papers I found within my network
If you have access to old presentations from FRCPath Part 1 courses, I’d suggest having a look at them. It’s a good idea to use them to review and revise a topic, followed by some MCQs on that topic.
TOPIC
START DATE
DURATION
Breast
27 October 2020
6 days
GIT
2 November
8 days
Liver, GB, Pancreas
10 November
8 days
Skin
18 November
6 days
Endocrine System
24 November
7 days
CNS
1 December
7 days
Renal & Urinary
8 December
9 days
Bone
17 December
5 days
Soft Tissue
22 December
9 days
CVS
31 December
5 days
Thoracic Pathology (Lung & Mediastinum)
5 January 2021
7 days
Lymph Node
12 January
7 days
MGT
19 January
7 days
FGT & Placenta
26 January
8 days
Oral & Nasal
3 February
7 days
Autopsy & Forensic
10 February
7 days
General
17 February
7 days
Cytopathology
24 February
5 days
Clinical Governance
1 March
5 days
Syndromes & Paediatric
6 March
5 days
General Revision
11 March onwards
-
This is a guide to the revision schedule I used for my FRCPath preparation. I actually started studying in December, so I had less time to fit this all in, but I was able to revise faster to cover everything.
3. FRCPath Part 1 Exam
The questions in the FRCPath Part 1 exam are usually quite straightforward, so you either know the answer or you don't, nothing misleading or tricky.
Some key topics you’ll need to know for the exam:
Genetics and the mutation of tumours (and yes...you'll need to learn each tumour that has any typical mutation and its name)
Immunohistochemistry of lesions
Microscopic pictures (all the micro images I had in the test depicted typical morphology)
Genetic syndromes, the mutations behind them and what lesions are most common
Datasets - they are quite wordy, so focus only on pTN, and the stage of each organ system
Audit
Parts of a microscope
There were some questions from general pathology (necrosis, inflammation, etc.), but I’d say most of the questions were from GI, breast, gynae, skin, soft tissue and kidney.
However, you'll have at least a few questions from each of the other organ systems, so it's better to study everything rather than focus on the most common ones only.
#IMG Tips
Prepare early – try to start your preparation early to give yourself enough time to cover all the relevant sections on the Royal College curriculum.
Find the right materials to support your study – it's good to use a combination of resources for your study to reinforce existing knowledge and benchmark your progress. Try to find the right materials for you as early as possible to hit the ground running with your revision.
Familiarise yourself with the Royal College curriculum – we cannot stress this enough! All countries have different training programmes, so being well versed in what the RCPath will be looking for is key.
Join the IMG Histopathologists community – as well as support on Royal College exams, our online community of international pathologists and dedicated pathology recruiters offers guidance on other aspects of working in the UK, including finding NHS posts and CESR.
Getting started
Attaining FRCPath Histopathology is a great first step for histopathologists wanting to find senior roles in the NHS. It can be difficult for overseas trainees to prepare for the first exam in the Royal College examination suite, but this quick guide from a successful FRCPath pathologist is a great start for pathologists pursuing the postgraduate route to GMC registration and finding work in the UK.
For more information on the FRCPath exams, take a look at our IMG Resources library.
If you have any further questions about FRCPath, your route to the UK as an overseas histopathologist, or any other aspect of GMC Registration, please get in touch with us here.
Follow us on social media through the links below for regular news and updates on the Royal Colleges, relocating to the UK and working in the NHS:
GMC Registration is a complex process. For histopathologists who’ve qualified outside the EEA region there are two main pathways to consider – FRCPath and PLAB.
Whilst these are the most common routes to GMC registration, this is not an exahaustive list. There are other options such as Royal College sponsorship and GMC-approved qualifications or licensing exams, and you can read more about these here.
Here we will give a summary of both of the main routes and briefly consider their benefits.
PLAB for GMC Registration
FRCPath for GMC Registration
Which is better for me as an overseas pathologist, PLAB or FRCPath?
#IMG Tips
How do I get started?
Professional & Linguistics Assessment Board (PLAB)
The first and most popular route with most junior doctors is PLAB.
PLAB is a two-part exam (one written one practical), and which assesses whether you are at least as capable as a doctor starting the second year of their Foundation Programme Training and can therefore work safely as an SHO in the NHS.
The GMC have created a video summary of the PLAB exams which you can watch here, or for a more detailed overview, see our IMG Resources library.
FRCPath - UK Postgraduate Qualification
The UK postgraduate qualification for histopathology – FRCPath Histopathology - is the most popular and recommended route for overseas doctors who have completed a training or residency programme, and will be looking for senior pathology positions in the NHS.
By completing both parts of the FRCPath you are awarded Fellowship of the Royal College of Pathologists. The Royal College of Pathologists is the professional body that regulates the pathology specialties in the UK. Take a look at our IMG Resources library for complete guides on FRCPath for histopathology to learn more.
PLAB vs FRCPath
Both are legitimate routes and will allow you to register with the GMC and work in the UK. To decide which route is best for you, you’ll need to consider the benefits of each and how they align with your priorities and needs in moving to the UK.
Seniority of Positions in the NHS
Histopathology is a consultant led specialty in the UK, and it would be difficult for an overseas pathologist to obtain a more senior post without FRCPath, or extensive experience from a similar, English speaking healthcare system. PLAB alone will not give overseas doctors access to senior posts in the NHS.
Time
PLAB has two stages and can take anywhere between 3-9 months to prepare from start to finish.
FRCPath has two stages and can take anywhere between 18-30 months to prepare from start to finish.
Cost
FRCPath costs just under £1,930 and whilst the Part 2 exam is an in-person exam, the Part 1 exam can be taken online. You can read about the changes to the FRCPath 1 delivery here.
PLAB costs £1,189, and both exams are sat in person. PLAB 1 can be taken in the UK or several overseas centres, which you can find here. PLAB 2 must be taken in the UK.
For both FRCPath Part 2 and PLAB 2, candidates will have to travel to the UK, meaning that the additional cost of visas, accommodation and flights must be factored in.
It’s important to note that these costs can rise if re-sits of the exams are necessary.
Summary
PLAB, as an exam which assesses a doctor’s ability to work safely in the UK, does not demonstrate ability in histopathology specifically. For this reason, PLAB tends to be a route for junior doctors who have not already chosen their field of specialisation in medicine.
Additionally, PLAB can facilitate GMC registration much faster than other routes – so if you feel you can attain an offer of employment in the UK with your overseas experience only – but GMC registration is the one thing standing in your way – PLAB may be a good option for you.
FRCPath involves two more difficult examinations and takes more time to prepare for. Attaining FRCPath in Histopathology will allow you to jumpstart your career in the UK, you’ll most likely be able to take a consultant role. You would not need PLAB or Core Training in addition to FRCPath.
Additionally, histopathology in the UK is also a consultant-led specialism, and FRCPath demonstrates competency to practice unsupervised as a consultant.
#IMG Tips
Determine your priorities – your goals and timeline for relocating to the UK are important in deciding which route is best for, and this is different for everyone.
Plan well ahead – depending on the route you choose, you may be embarking on a long journey through these exams, so plan how you will fit them into your life and how best to prepare to maintain a good work-life balance at the same time.
Find a support network – once you know which exams you will sit, find a support network of others who are also preparing for the exam. A great way to do this is to join IMG Histopathologists, an online pathology community of UK and NHS histopathology aspirants and dedicated histopathology recruiters. You’ll find advice, guidance and news and updates about all things histopathology for IMGs. Join the conversation here.
Getting started
Once you’ve decided which exams are best for you, it’s time to delve deeper into the exams and what they entail. For more useful blogs and articles on PLAB or FRCPath exams, registrations and qualifications to help you find your dream job in the NHS - take a look at our IMG Resources library.
Or if you have any questions on PLAB or Postgraduate qualifications, feel free to get in touch with our histopathology consultants here.
For regular news and updates, follow IMG Connect on social media using the links below.
The first exam in the FRCPath Histopathology series...
International histopathologists (or cellular or anatomical pathologists as commonly known) looking to secure a job in the NHS via the postgraduate qualification route will need to attain Fellowship of the Royal College of Pathologists. This can also be commonly referred to as FRCPath Histopathology.
The completion of Part 1 and Part 2 of the Royal College of Pathology qualification for Histopathology results in eligibility for GMC registration (with the addition of the English language component). The FRCPath qualification is recommended for overseas pathologists looking to securing senior jobs in the NHS.
The exams can be taken by IMGs from all over the world, provided certain eligibility criteria have been met. Here we’ll take a closer look into these and other important questions through the following topics:
An overview of FRCPath Histopathology
What is FRCPath Part 1 and how is it structured?
Changes to FRCPath Part 1 delivery
Am I eligible to sit this exam?
How much will the exam cost and how do I apply?
What is the best way to prepare for the exam?
#IMG Tips
I’ve passed the FRCPath Part 1 exam, what’s next?
Skip ahead to the relevant section if you know what you’re looking for.
An overview of FRCPath Histopathology
The FRCPath Histopathology exams are administered by the Royal College of Pathologists to test a doctor's knowledge and ability to apply this in the practice of histopathology within the scope of the Specialty Training Curriculum for Histopathology.
The exams are as follows:
FRCPath Part 1
FRCPath Part 2
To read more about the full FRCPath examination suite via our IMG resources, please click here.
Please note that only full FRCPath satisfies the requirements for GMC registration for overseas doctors taking the postgraduate route.
Alternative routes to GMC registration include PLAB and other licensing exams such as USMLE. You can find out more about alternative routes here.
For doctors who are interested in more senior roles in the NHS that are reflective of their current practice, we advise that FRCPath is the best route to take to GMC registration. Histopathology in the UK is consultant-led specialism; and many NHS job postings will have FRCPath as a requirement for doctors who are not on the Specialist Register.
FRCPath Part 1 breakdown
FRCPath Part 1 is the first exam in the Royal College of Pathologists qualification. It is broken down into three sections as follows:
The three-hour exam is designed to assess candidates’ overall knowledge and understanding of histopathology or cytopathology, including the full range of autopsy practices undertaken in a district general hospital in the UK and the basic science underpinning pathology, including molecular biology.
FRCPath Part 1 delivery
In response to the challenges of the COVID-19 pandemic, the Royal College of Pathologists has migrated the FRCPath Part 1 exam online.
This means FRCPath Part 1 may be taken from the comfort of your own home. This development allows the College to continue to offer the FRCPath Part 1 exam to both UK trainees and overseas pathologists.
For full details about the online FRCPath Part 1 exam, please see our blog here.
Eligibility
Candidates for FRCPath Part 1 will generally require experience of Histopathology specialty training to reach the standard required to pass the exam. The Royal College advise that candidates take this exam after one year of specialty training.
Exam dates, applications and cost
The cost of the exam is £673 and the exam are usually held twice a year, in spring and in autumn/winter.
Applications for each sitting open a few months prior and close after around 6 weeks. While waiting for exam dates to be finalised the College advise that candidates should apply early and will be able to withdraw their application for a full refund should the date be unsuitable.
For up-to-date information on exam and application dates, keep an eye on the College website here.
Preparation
There are many resources available to help you prepare for your FRCPath Part 1 exam. As always, we recommend that the best starting point for your study is the Royal College website, particularly the Curriculum for Specialty Training in Histopathology. Your exam is based on this curriculum so familiarising yourself with it as soon as possible will give you the best chance of success.
Other helpful resources for your study include:
Regulations and guidelines – before applying for FRCPath exams, the College recommends you read both the general and specialty-specific regulations and guidelines, found below:
General Regulations and Guidelines
Histopathology Regulations and Guidelines
Social media study groups – there are multiple study groups available across different platforms such as Telegram, Facebook, and WhatsApp. IMG Connect hosts study groups for FRCPath Part 1 – these forums bring together overseas histopathologists in one communicative, constructive, and moderated space for learning, sharing, and support.
If you are interested in joining the IMG Connect FRCPath Part 1 study group, please email info@imgconnect.co.uk to speak to request your admission.
Online courses, videos and other resources - there are some great online courses and resources available to prepare for the FRCPath Part 1 exam. These include everything from full mock exams to flashcards and YouTube videos. We’ve compiled all these which you can access here, through our IMG Resources library.
FAQs - There is also a Frequently Asked Questions (FAQs) document which the Royal College has compiled to help applicants who have questions about online examinations. You can read this here.
#IMG Tips
Prepare early – getting your revision going as soon as possible will help you avoid those last-minute cramming sessions and increase your chances of passing first time.
Speak to your colleagues and peers – there are so many study materials to choose from - who better to ask for recommendations than histopathologists who have been through the process or are going through it with you?
Familiarise yourself with the online format – there’s no bigger headache than a bad connection – go through your IT checks well in advance to avoid (most) hiccups on the day
Join the online histopathology community – connect with like-minded histopathologists and dedicated pathology recruiters in the IMG Histopathologists Facebook group.
I’ve passed the FRCPath Part 1 exam, what’s next?
Congratulations – this is a massive achievement! After a well-deserved break, it’s time to look forward to FRCPath Part 2. For more information on the final exam in the examination suite, take a look at our blog where we explore FRCPath Part 2 and everything you need to know about how to sit the exam, including syllabus, dates, results, fees and preparation.
For more useful blogs & articles on the FRCPath exams, registrations & qualifications to help you find your dream job in the NHS - take a look at our IMG library.
Follow us on social media for news and updates on GMC registration, the Royal College and NHS through the links below:
The final exam in the FRCPath Histopathology series...
International specialists in histopathology, cellular pathology or anatomic pathology looking to secure a job in the UK via the postgraduate qualification route will need to obtain Fellowship of the Royal College of Pathologists or FRCPath Histopathology by examination only.
The completion of Part 1 and Part 2 of the Royal College of Pathology qualification for Histopathology results in eligibility for GMC registration (with the addition of the English language component). The FRCPath qualification is recommended for international pathologists looking to securing senior jobs in the NHS.
The exams can be taken by IMGs from all over the world, provided certain eligibility criteria have been met.
Here we’ll take a closer look into these and other important questions through the following topics - skip to one of these sections if you know what you're looking for:
An overview of FRCPath Histopathology
What is FRCPath Part 2?
Am I eligible to sit this exam?
How is the exam structured and marked?
As an international histopathologist, where can I sit the exam?
How much will the exam cost?
How do I apply for the exam?
What is the best way to prepare for the exam?
#IMG Tips
I’ve passed the FRCPath exams, what’s next?
An overview of FRCPath Histopathology
The FRCPath Histopathology exams are administered by the Royal College of Pathologists to test a doctor's knowledge and ability to apply this in the practice of histopathology within the scope of the Specialty Training Curriculum for Histopathology.
The exams are as follows:
FRCPath Part 1
FRCPath Part 2
To read more about the full FRCPath examination suite via out IMG resources, please click here.
Please note that only full FRCPath satisfies the requirements for GMC registration for overseas doctors taking the postgraduate route. Alternative routes to GMC registration include PLAB and licensing exams such as USMLE. You can find out more about alternative routes here.
For doctors who are interested in more senior roles in the NHS that are reflective of their current practice, we advise that FRCPath is the best route to take to GMC registration. Histopathology in the UK is consultant-led specialism; and many NHS job postings will have FRCPath as a requirement for doctors who are not on the Specialist Register. In most cases, and FRCPath qualification will help you to attain a locum consultant role.
What is FRCPath Part 2?
FRCPath Part 2 is the last exam in the FRCPath qualification. It is designed to recognise candidates who are close to the end of their training who can demonstrate an appropriate approach to independent practice. The assessment consists of six components which are take over a period of two days. The components include both written and face-to-face elements with an examiner where candidates are expected to demonstrate both clinical and practical knowledge as well as special techniques and complex diagnoses. Every section assesses a distinct set of professional skills which are all essential to effective performance ad an independent histopathologist and cytopathologist.
Am I eligible to sit this exam?
The FRCPath Part 2 Histopathology exam is open to candidates from every country, provided they have met certain criteria. This includes the expectation that most trainees will sit the Part 2 exam after at least 3 years of specialty training in Histopathology. There should also normally be a 12-month wait between passing the Part 1 exam and attempting Part 2.
For full details, please see the Royal College website here.
How is the exam structured and marked?
The six stations of FRCPath Part 2 are detailed below:
Surgical Histology
Format: 20 x 20 mins stations, 20 cases over 3 hours and 20 minutes.
This will include twenty cases presented in H&E stained slides in 20-minute slots over 3 hours and 20 minutes. The cases are selected according to a blueprint and include a balanced mix of neoplastic and non-neoplastic material, drawn from a wide range of organ systems. The cases will vary in difficulty from straightforward cases to cases not capable of diagnosis through a single H&E, prompting the use of further techniques and specialist opinions.
Cytopathology
Format: 8 x 20 mins stations, 16 cases
Eight non-gynaecological cases in pairs, in 20-minute slots and will be marked according to pre-determined criteria.
Macroscopic Pathology
Format: 2 x 20 mins stations, 4 cases; 20 mins discussion
Candidates will be provided with photos of 4 cases in the form of gross pathology specimens. Candidates will be provided with clinical information and asked to prepare responses to specific questions and mark on the photos where they would take blocks. There will be two 20-minute slots given to view two cases per slot, followed by a 20-minute discussion with two examiners. The exercise is designed for candidates to show their capabilities in discussing gross pathology and familiarity with block selection in relation to the RCPath Minimum datasets.
OSPEs
Format: 2 x 20 mins stations
The objective structured practical examination (OPSE) includes two 20-minute stations, one of which is a written exercise and the other is conducted face-to-face with two examiners. Topics may include management/ clinical governance type and MDT-type cases, amongst other topics.
Long Cases
Format: 4 x 20 mins stations
Four 20-minute stations of cases which cannot usually be covered by a single H&E section, requiring additional stains. These may include histochemistry, immunohistochemistry and immunofluorescence, among other cases.
Frozen Sections
Format: 2 x 20 mins stations, 6 cases; 20 mins discussion
Six cases for review in two 20-minute stations where candidates should make notes, including a ‘bottom line’ diagnosis only, before discussing these with a pair of examiners in a face-to-face 20-minute station.
Exam marking
Each section of the exam is marked against a pre-determined specimen answer with a pass or fail awarded per section. Due to the importance of cellular pathology in medical practice, only a small margin of inaccuracy is allowed. Failure to distinguish across the benign/ malignant boundary (or other similar errors of equal significance in terms of affecting patient outcome) in 15-25% of cases in any section of the exam will result in a failure of the entire exam, regardless of performance in other areas with no leeway to compensate. Final marks will be approved by the Examinations Committee.
Candidates attempting the FRCPath Part 2 exam have four attempts within which to pass the exam, and 7-years between each sitting to pass the full qualification.
As an international histopathologist, where can I sit the exam?
The exam currently takes place twice a year in Spring and Autumn and are held in the UK and in one overseas centre in Irbid, Jordan.
For up-to-date information on exam centres, visit the Royal College website here.
How much will the exam cost?
The FRCPath Part 2 exam costs £1,416. A breakdown of the cost of the 2019 sitting of the exam can be found on the Royal College website here.
How do I apply for the exam?
Applications for each sitting of the exam open months in advance and are currently closed for the Autumn 2021 sitting. Applications for the Spring 2022 sitting will open in late 2021. Late applications are not accepted. Keep an eye on the Royal College website for up-to-date information on applications here.
What is the best way to prepare for the exam?
There are several resources available to help you prepare for your Histopathology FRCPath exam. As always, we recommend that the best starting point for your study is the Royal College website, particularly the Curriculum for Specialty Training in Histopathology. Your exam is based on this curriculum so familiarising yourself with it as soon as possible will give you the best chance for success.
Other helpful resources for your study include:
Regulations and guidelines – before applying for FRCPath exams, the College recommends you read both the general and specialty-specific regulations and guidelines, found below:
General Regulations and Guidelines
Histopathology Regulations and Guidelines
Social media study groups – there are multiple study groups available across different platforms such as Telegram, Facebook, and WhatsApp. IMG Connect hosts study groups for FRCPath Part 2 – these are forums that bring together international doctors from all over the world in one communicative, constructive, and moderated space for learning, sharing, and supporting international histopathologists.
If you are interested in joining the IMG Connect FRCPath Part 2 study group, please email info@imgconnect.co.uk to speak to our histopathology specialist and request your admission.
Online courses, videos and other resources - there are some great online courses and resources available to prepare for the FRCPath Part 2 exam. These include everything from full mock exams to mock exams targeting specific sections of FRCPath Part 2 and YouTube videos. You can find a full list of these here, through our IMG resources library.
FAQs - there is also a Frequently Asked Questions (FAQs) document which the Royal College have compiled to help applicants who have questions about online examinations. You can read this here.
#IMG Tips
Prepare early – getting your revision going as soon as possible will help you avoid those last-minute cramming sessions and increase your chances of passing first time.
Speak to your senior colleagues and peers – there are so many study materials to choose from - who better to ask for recommendations than histopathologists who have been through the process or are going through it with you?
Food and drink – there are multiple stations on both days of the exams so make sure you’re prepared with lots of fuel for the day as there may be no access to food.
Hire a microscope – for applicants for the UK sitting, examination centres will not have microscopes for you to use so you will need to hire one in advance. There are a few companies who rent microscope and you can find these through a quick web search!
Join the conversation – for news and updates on all things histopathology for IMGs, click here follow IMG Connect on social media and join the conversation.
I’ve passed the FRCPath exams, what’s next?
Firstly, congratulations! The FRCPath exams are not easy so this is an incredible achievement. Once you have passed both passed of the FRCPath in Histopathology, your postgraduate qualifications satisfy the requirements for GMC registration. You can now apply for full registration with license to practice.
Get in touch with our IMG Connect histopathology specialist to discuss your options for specialist jobs in the UK or to find out more about where you fit into the NHS as a histopathology specialist with FRCPath.
FRCPath also plays a big part in the Certificate of Eligibility for Specialist Registration (CESR) application, the alternative route to the Specialist Register for overseas doctors who did not complete their training in an approved UK training programme. You can find out more about CESR in our guide for international doctors here.
The team at IMG Connect hope you find this article helpful and wish you the best of luck in your FRCPath Histopathology Part 2 exam!
Follow us on social media through the links below for regular news and updates on the Royal Colleges, relocating to the UK and working in the NHS:
Are you an overseas pathologist preparing for FRCPath Histopathology Part 2 exam?
Overseas doctors often wonder how to prepare for the FRCPath Part 2 examination, especially when so much content and advice online appears geared towards UK applicants and trainee. So what study courses, resources and support is available to an overseas histopathologists looking to take the test?
Here we have compiled some of our advice and resources available to help you prepare for the exam, whilst we also address some of the changes in availability of test centres and upcoming exams as a result of COVID-19 pandemic.
What is FRCPath Part 2?
First a quick reminder of what the FRCPath Histopathology Part 2 is. The Part 2 exam consists of six components which are taken over two days. Each component comprises a different number of cases provided in 20-minute stations or slots. The components include both written and face-to-face elements with the examiner where candidates should demonstrate and discuss both clinical & practical knowledge as well as complex diagnoses and special techniques. This is done through elements of interpreting and writing reports, interpretation and OSPE. If you want to have a more detailed overview of the FRCPath exam then take a look through the article published in our online IMG Library here, or take a look through the Royay College of Pathologists website here.
So how do I get started with my preparation?
Starting is often the hardest thing to do, and as there are many resources available online, it's hard to tell where the best place is to start. After discussing this with consultants who've passed (both UK trainees and IMGs), most recommended starting with the Royal College, who have posted some useful resources on their website to aid in your preparation.
Curriculum: The exam questions are based on the Curriculum for Specialist Training in Histopathology. As a first step, we recommend becoming familiar with this curriculum as early as possible to reinforce your knowledge and to provide a solid foundation for your study plan. Knowing the curriculum is key - as this is what you will be tested on.
Regulations and guidelines: Ensure you have read both the general regulations and guidelines and the specialty specific regulations and guidelines.
Social Media study groups: There are many social media study groups available across various platforms. These include Telegram, Facebook, WhatsApp and to a lesser extent LinkedIn. IMG Connect hosts study groups for FRCPath Part 1 and 2 exams - these are forums that bring together international doctors from all over the world into one constructive, communicative and moderated space where you can share exam tips, stories and woes, and the opportunity to buddy-up with similar colleagues looking to pass the test.
If you think you would be interested in joining either the IMG Connect FRCPath 1 or Part 2 Study groups, please email info@imgconnect.co.uk to speak to the histopathology specialist and request your admission.
Online Courses for FRCPath Histopathology: There are a few online courses which provide preparation, from full mock exams to individual component courses. We've spoken with some IMGs to understand which courses they favoured, and below we have summarised a few of these. With all courses, it is advised that you register your interest as early as possible as they are in high demand.
Pathology Online Hub - FRCPath Part 2 Histopathology Full Mock Exam
This is a complete mock exam course with interactive live discussion sessions and individual feedback for each participant. Sessions will be delivered by UK based pathologists with extensive experience of teaching for the FRCPath exam. Participants will be provided with the mock exam for all the 7 components of FRCPath 2 under strict timed conditions closely simulating the real exam.
Mock exam will include: Cytology, Short surgical cases, Long cases, Frozen section, Macroscopic examination, OSPE 1 Viva and OSPE 2 Written.
Live sessions will include: Exam format and tips on how to prepare with a structured study plan, Review and discussion of all mock exam answers, Group performance summary, Common pitfalls in exam and how to avoid them, and Tips on answering technique for exam.
Duration
3 days
Cost
£270 (£70 registration fee and £200 payable 8 weeks prior to course start date)
Next start date
TBC
Website
www.pathologyonlinehub.com/full-mock-course
Oxbridge Medica - FRCPath Part 2 Mock Course
This is an online 2-day practical course with both a mock examination and seminars preparing trainees for the FRCPath Part 2 Examination. This is a unique course giving trainees that all important pre-exam Mock (under exam conditions) with the papers individually marked and scored in line with the actual exam. The course speakers have knowledge of the Royal College exam - some of them are examiners, and all are experienced teachers.
Duration
2 days (Day 1 = mock exam | Day 2 = review and preparation)
Cost
£300 (£75 registration fee and £225 payable 4 weeks prior to course start date)
Next start date
TBC
Website
http://oxbridgemedica.org/product/frcpath-part-2-mock-course-20th-21st-september-2021/
Oxbridge Medica - FRCPath Part 2 Surgical Course
This is an online 2-week Surgical Revision Course preparing trainees for the FRCPath Part 2 Examination and is exam oriented and includes surgical and cytology mock tests, live-streamed lectures and feedback. The course aims to provide an approach to the part 2 examination, and to cover common exam cases, whilst the trainers have been selected for their expertise within their disciplines, both in their clinical acumen but also their teaching skills. The format of the course is intense and demanding but also rewarding.
Duration
2 weeks, intensive
Cost
£800 (£75 registration fee and £725 payable 4 weeks prior to course start date)
Next start date
TBC
Website
oxbridgemedica.org/product/frcpath-part-2-surgical-course-1st-14th-september-2021
IMG Histopathologists FRCPath Part 2 Course
This is a tailored FRCPath Histopathology course for overseas pathologists sitting the Part 2 exam. This course offers weekly sessions which provide an approach to the FRCPath exams for IMGs specifically, guiding them through the preparation for the exam, delivered by an experienced NHS consultant pathologist and specialist histopathology recruiters. These sessions are completely free to all doctors.
The course is supplemented by additional advice and guidance on FRCPath and other registrations, GMC registration support, as well as guidance and webinars on other topics such as finding work in the NHS, relocation support and specialist registration.
You can access our IMG Histopathologists FRCPath Part 2 Course by joining the Facebook group here.
What other helpful FRCPath 2 resources are out there?
1. What I wish I'd known - A series of YouTube videos produced by the Royal College of Pathologists. The videos are interviews and advice from four pathologists sharing their experiences of the FRCPath Part 2 exam and what they wish they’d known before taking the exam.
2. FRCPath Part 2 Past Examination Surgical Cases – These are from Virtual Pathology at the University of Leeds. The slides can be magnified, and each case comes with a diagnosis.
3. How to Survive and Thrive in the FRCPath Part 2 - This is a detailed breakdown of the complete exam with advice and marking guidance, created by Dr James Henry, Consultant Cellular Pathologist at Queen Elizabeth Hospital.
How has COVID-19 affected FRCPath UK and Overseas test centres & upcoming exams?
The Spring session was postponed for international candidates in response to the pandemic, but discussions are taking place on the possibility of the FRCPath exam taking place at an overseas centre in Autumn 2021. Whilst the Royal College will try to accommodate as many international candidates as possible, priority will be given to candidates entering for the January sitting.
IMG Advice to FRCPath 2 Aspirants
Finding courses can be tricky and mock exams can cost a lot of money, so take your time to consider your options and what best suits your needs, whether that is a paid short course, or free materials which you can access whenever you need them. Speak to peers and supervisors - they may be able to offer advice based on first-hand experience of the courses or general preparation.
Of course, if you need further advice on choosing an FRCPath Part 2 online course, or on this stage of qualifying to work for the NHS, don’t hesitate to get in touch with IMG Connect and request to speak to our Histopathology specialist, Marcus Anderson. He'll be happy to help.
The team at IMG Connect hopes that this article and has been useful for any overseas histopathologists looking to take the FRCPath Part 2 exam. Good luck IMGs!
Follow us on social media through the links below for regular news and updates on the Royal Colleges, relocating to the UK and working in the NHS:
Overseas Microbiologists wanting to secure a job in the UK via the postgraduate qualificaiton route will need to attain Fellowship of the Royal College of Pathologists or FRCPath in Medical Microbiology, a sub-specialty exam of FRCPath.
International Medical Graduates (IMGs) from any country in the world can sit the sub-specialty FRCPath in Medical Microbiology examinations, provided certain eligibility criteria are met. These are summarised below along with a broad look at the following topics:
What is FRCPATH in Medical Microbiology?
Eligibility for overseas doctors
FRCPath in Medical Microbiology structure and format
FRCPath in Medical Microbiology: Part 1
FRCPath in Medical Microbiology: Part 2
As an overseas candidate where can I take the exam and how much will it cost me?
How do I apply?
How to prepare and what resources are available
Passed? What next?
What is FRCPath in Medical Microbiology?
Set against the Medical Microbiology incorporating CIT curriculum, the examinations act as an early assessment of your understanding of the scientific basis of medical microbiology, virology and infectious diseases. The exams recognise microbiologists close to the end of their training who can demonstrate sufficient knowledge and technique for independent practice. In other words, completion of the full set of exams (Part 1 & 2) demonstrates your ability to work at consultant level.
The examinations are split into two parts:
Part 1 – single 3-hour paper with Multiple Choice Questions (MCQ)
Part 2 – four paper examination sat over two days
Eligibility for overseas doctors:
Below we outline the eligibility for overseas doctors looking to sit both FRCPath Microbiology exams. For international candidates, the eligibility criteria for FRCPath specialty examinations can be a little confusing when looking online so IMG Connect spoke to the Royal College directly to clarify this.
Time spent in microbiology training is stated as a requirement of eligibilty and the Royal College do consider equivalents to NHS training programmes though there is no list of countries with accepted or unaccepted training programmes. The royal college advises you should speak to your Educational Supervisor or Sponsor (if you have one) who can advise you if you are ready or eligible to sit the Examinations if you are unsure. Remember, there are many overseas doctors applying for all parts of the FRCPath exams so don’t be put off applying!
Top Tip: If you have the required months training in a recognised programme in your country for Histopathology specifically, the chances are you will be eligible.
Eligibility for Part 1: You are required to have trained in a recognised training programme in microbiology for a period of no less than 12 months.
Eligibility for Part 2: You must have passed the Part 1 examination and have had at least 3 years microbiology training in a recognised training programme in your country.
FRCPath Part 1 in Microbiology - structure and format:
The exam focuses in particular on the scientific basis of virology, microbiology and infection. The exam is set against both the medical microbiology and virology curriculum. It is a single three-hour objective MCQ examination, with computerised marking sat over one one day. Questions are in two formats:
One-best answer
Extended-matching-question
FRCPath Part 2 in Microbiology - structure and format:
Part 2 consists of four paper examinations sat over two days. The exam will be ‘closed book’ (i.e. NO textbooks, manuals, other written material or equipment
belonging to candidates may be used). Only reference material provided by the examiners may be used. These are as follows:
Paper 1 – two parts, 2.5 hours in total:
One essay from a choice of two questions, usually including laboratory management issues, antimicrobial stewardship, infection prevention or a combinatino of all.
One SAQ paper focused on clinical scenarios, infection prevention, laboratory practice and safety.
The essay is allocated one third of available marks for this paper. A closed marking scheme is used for the essay question.
Top Tip: A brief vignette with interpretation of clinical, laboratory or infection control data is a common format for SAQs.
Paper 2 - two parts, 2.5 hours in total:
Critical appraisal of a journal article
SAQ paper with similar content as Paper 1
The journal article is allocated one third of available marks for this paper
Paper 3 – one part in laboratory scenarios, 3 hours in total
Complex clinical and laboratory scenarios in microbiology and infection prevention.
Top Tip: Questions cover similar content to Paper 1&2 SAQs though the question format is longer, allowing for progression within each scenario to reflect evolving information encountered in clinical practice. Clinical and laboratory data and images may be presented, however there will be no practical manipulation of laboratory material.
Paper 4 – one part, 3 hours in total
Objective Structured Pathology Examination (OSPE) format.
Comprises of 15 stations, each of 9 minutes duration with variable rest stations.The exam allows for broad sampling of the curriculum and involves two face-to-face stations with a pair of examiners. The OSPE facilitates assessment of knowledge, application of knowledge, laboratory skills, and communication in scenarios encountered by microbiologists in clinical practice.
Pass criteria for FRCPath Microbiology Part 2 Exams:
In order to achieve an overall pass, you must achieve a pass in both combined scores for:
Papers 1+ 2
Papers 3 + 4
Failure of either of the two components will result in an overall fail. If you fail either of these two components, an overall fail result will be obtained and the entire examination will need to be taken at a future date. In other words, you cannot carry forward a pass in any part of the exam into subsequent sittings.
Where can I take the exams and how much will they cost me?
FRCPath in Medical Microbiology - Part 1:
In Spring 2021, the Part 1 examination will be offered using online delivery to candidates. This means you can take the exam remotely and will not need to travel overseas to sit the exam, or attend an examination centre. The College will deliver the written components of these examinations through a company called TestReach, the Oral components (including oral OSPE stations) will be delivered using a video-conferencing platform such as Zoom or Microsoft Teams and for the written examinations, candidates will be given the opportunity to trial the TestReach system to familiarise themselves with it ahead of the examination. You can read more about the new, remote examination process further here on our website. Previously, the Part 1 examination was sat in multiple overseas centres and once the pandemic is under better control globally, it is highly anticipated the Royal College will return to previous set-ups.
The FRCPath Part 1 exam costs £622. You can see how the Royal College breaks down the cost here on their website.
FRCPath in Medical Microbiology - Part 2:
Currently it can only be sat in the UK. Availability of overseas Part 2 examination centres will be indicated on the website and candidates should contact the Examinations Department to express their interest in taking the examination in the available centre. In 2021 no overseas Part 2 examinations will take place in the Spring session, and it is highly unlikely an overseas centre will be available for Microbiology in 2021.
The FRCPath Part 2 exam costs £1,308. You can see how the Royal College breaks down the cost here on their website.
How do I apply?
Applications must be made via the Royal College of Pathologists website, with applications only available once an application window is opened by the Royal College.
How to prepare and what resources are available?
With lots of resources available online, we have discussed with consultants the best place to start looking for materials relating to the exams. Most recommended starting with the Royal College, who have created useful resources to help you to prepare for the exams.
Below we have included resources available through the Royal College and a few other resources recommend by doctors that have passed.
Curriculum: The content of the exam is set against the Curriculum for Specialty Training in Medical Microbiology. This curriculum incorporates the Combined Infection Training developed in conjunction with the Joint Royal Colleges of Physicians Training Board. Part A is set against both the medical microbiology and virology curriculum.
TOP TIP: We recommend getting to know the curriculum as early as possible and using it as a road map for your study plan. This advice comes directly from one of the RCPath examiners/
Regulations and Guidelines: Before applying for FRCPath examinations, the Royal College recommends you read both the General & Specialty Specific regulations and guidelines:
General Regulations and Guidelines
Royal College - Medical Microbiology Regulations & Guidelines
Past papers: Test your knowledge using example questions from the current exam syllabus provided by the Royal College:
Medical Microbiology and Virology - Part 1 MCQ & EMQ
Medical Microbiology Part 2 – OSPE
Medical Microbiology Part SAQ
Medical Microbiology Part 2 – Paper 3
Medical Microbiology Part 2 – Essay
Medical Microbiology Part 2 - Journal
On-the-day Exam Advice:
Part 2 – food and drink: With multiple exams taking place for Part 2 in one day bring supplies! It will be a long day and there may not be access to food.
Hiring a microscope: For Part 2 you will be required to sit examinations in the UK and will require a microscope. The examination centres will not provide equipment for any applicants so you will need to hire a microscope in advance.
There are a few companies easily accessible through a web search, find a microscope and book well in advance of the exam. You can arrange for the company to drop off and pick up the microscope from the exam centre, don’t worry!
Top Tip: At IMG Connect we recommend speaking to anyone you know who has sat and passed the exam and get their personal hints and tips. We would also be happy to help you arrange anything you need for the exam day.
I passed the FRCPath Medical Microbiology exam! What next?
First of all, congratulations! After you have passed all parts of FRCPath in Medical Microbiology you can apply for full registration with a license to practice. Once the GMC have approved your application, you can work as a doctor in the UK.
Searching for Medical Microbiology & Virology jobs in the NHS could not be easier
If you want to find out more about the many different Microbiology roles available within the NHS - it only takes a minute to register with IMG Connect and receive expert advice and representation. We have helped many overseas Medical Mircobiologists secure consultant, specialty doctor, registrar, clinical fellow and staff grade NHS jobs, whilst offering expert guidance to many more IMGs on NHS doctor pay, FRCPath exams and English language testing. We’d be happy to help you!
Overseas Haematologists wanting to secure a role in the UK via the postgraduate qualificaiton route will need to attain Fellowship of the Royal College of Pathologists or FRCPath in Haematology, a sub-specialty exam of FRCPath. FRCPath is the UK Royal College qualification and the recommended route for histopathologists looking to work in the UK as a specialist or consultant.
International Medical Graduates (IMGs) from any country in the world can sit the sub-specialty FRCPath in Haemotology examinations, provided certain eligibility criteria are met. These are summarised below along with a broad look at the following topics:
What is FRCPATH in Haematology?
Eligibility for overseas doctors
FRCPath Haematology structure and format
FRCPATH in Haematology Part 1
FRCPATH in Haematology Part 2
As an overseas candidate where can I take the exams and how much will they cost me?
How do I apply?
How to prepare and what resources are available?
Passed? What next?
What is FRCPath in Haematology?
Set against the Specialty Training Curriculum for Haematology, the examinations are designed to assess a trainee’s knowledge, skills and behaviours in field of Haematology. The exams recognise haematologists close to the end of their training who can demonstrate sufficient knowledge and technique for independent practice. In other words, completion of the full set of exams (Part 1 & 2) demonstrates your ability to work at consultant level.FFRCPath, along with MRCP(UK), is a mandatory requirement for Specialist Registration in Haematology. You can read our overview on MRCP(UK) here.
The FRCPath exam is split into 2 parts:
Part 1 – two written papers sat on the same day, comprised of essay and multiple-choice questions.
Part 2 – held over three days, the exams comprise of three written components and one oral examination
Eligibility for FRCPath in Haematology:
Below we outline the eligibility for overseas doctors looking to sit both FRCPath Haematology exams. For international candidates, the eligibility criteria for FRCPath specialty examinations can be a little confusing when looking online so IMG Connect spoke to the Royal College directly to clarify this.
Time spent in haematology training is stated as a requirement of eligibilty. The Royal College do consider equivalents to NHS training programmes though there is no definitive list of countries with accepted or unaccepted training programmes. The royal college advises you should speak to your Educational Supervisor or Sponsor (if you have one) who can advise you if you are ready or eligible to sit the Examinations if you are unsure. Remember, there are many overseas doctors applying for all parts of the FRCPath exams so don’t be put off applying!
Top Tip: If you have the required months training in a recognised programme in your country for Haematology specifically, the chances are you will be eligible.
Eligibility for Part 1: You are required to have trained in a recognised training programme in haematology for a period of no less than two years.
Eligibility for Part 2: The Royal College expects you to have at least three years of specialty training specific to Haematology in your own country before applying. Furthermore, you cannot sit Part 2 examination until 12 months after successfully completing Part 1.
Structure of FRCPath Haematology:
The exam is split into 2 parts with 5 individual examinations in total. This makes it one of the more complex examinations
Structure and content for FRCPath Haematology Part 1:
The exam is split into 2 parts with 5 individual examinations in total.
Part 1 comprises two written papers, Paper 1 (Essay Paper) and Paper 2 (MCP Paper)
Part 2 comprises three written papers, and one Oral exam
Part 1, Paper 1 (essay paper) – four essay questions each addressing an important area of laboratory or clinical practice in one of the four areas:
Blood transfusion
General haematology
Haematological oncology
Haemostasis & thrombosis
Part 1, Paper 2 (MCP paper) – 125 questions of both multiple choice and extended matching format. 50 questions will be best from five whilst 75 are extended matching and examines knowledge of:
blood transfusion 25%
general haemotology 25%
haematological oncology 25%
haemostasis & thrombosis 25%
Most questions are structured around clinical or laboratory vignettes and are designed to assess clinical judgement and ability to apply, rather than just recall knowledge. Questions map to the Haematology training curriculum. The blueprint from which the questions are developed can be found on the Royal College website.
Structure and content for FRCPath Haematology Part 1:
3 written papers and 1 oral examination as below.
Morphology SAQs
Morphology, Long cases
1.5 hour
1.5 hour
12 short answer questions
3 questions long answer
Transfusion
2-hour
10 questions
Coagulation
2-hour
8 questions
Oral Examination
1 hour
8 topics
The exam is held simultaneously over 3 days in the UK only and evaluates your knowledge, skills and clinical judgement in important areas within the Haemotology. The questions in the written papers adopt a short answer format which requires you to provide a concise response, these answers can be given in short words, phrases or lists.
Top Tip: A series of questions may relate to ‘clinical vignette’ building on case information. Clinical vignettes are patient related cases and scenarios that have educational value for a wider audience.
Morphology - SAQs: This section is up to 12 questions answered in 1 hour 30 minutes. Each question requires you to examine 1-2 of either of the following:
microscope slides
flow cytometry plots
additional laboratory data
quality assurance
Morphology - Long cases: This sections comprises 3 questions answered in 1 hour 30 minutes. Each question will provide a case history and contains several parts which require either:
Interpretation of slides, lab results or other clinical investigations
Provide a report and make diagnosis
Recommend clinical investigations and interventions
Transfusion: This section consists of 10 questions answered in 2 hours. Each question will provide a case history or lab results requiring you to:
Interpret data
Make diagnosis
Recommend further investigation or treatment
Coagulation: This section consists of 8 questions answered in 2 hours. Each question will provide a case history or lab results requiring you to:
Interpret data
Make diagnosis
Recommend further investigation or treatment
Oral Examination: The oral examination assesses your ability to evaluate problems and demonstrate good clinical judgement whilst assessing your ability to communicate clearly and effectively. The exam covers 8 topics over 1 hour, with two 30-minute oral exams with two pairs of examiners.
First Exam - 2 topics in coagulation & 2 topics in transfusion medicine
Second Exam - 2 topics in general laboratory haematology & 2 topics in haematological oncology
Where can I take the exams and how much will they cost me?
FRCPath in Haematology - Part 1: In Spring 2021, the Part 1 examination will be offered using online delivery to candidates. This means you can take the exam remotely and will not need to travel overseas to sit the exam, or attend an examination centre. The College will deliver the written components of these examinations through a company called TestReach, the Oral components (including oral OSPE stations) will be delivered using a video-conferencing platform such as Zoom or Microsoft Teams and for the written examinations, candidates will be given the opportunity to trial the TestReach system to familiarise themselves with it ahead of the examination. You can read more about the new, remote examination process further here on our website. Previously, the Part 1 examination was sat in multiple overseas centres and once the pandemic is under better control globally, it is highly anticipated the Royal College will return to previous set-ups.
The FRCPath Part 1 exam costs £622. You can see how the Royal College breaks down the cost here on their website.
FRCPath in Haematology - Part 2: Haematology Part 2 is one of the few exams that can be sat overseas. Availability of overseas Part 2 examination centres will be indicated on the website and candidates should contact the Examinations Department to express their interest in taking the examination in the available centre. In 2021 no overseas Part 2 examinations will take place in the Spring session, and it is highly unlikely an overseas centre will be available for Haematology in 2021.
The FRCPath Part 2 exam costs £1,308. You can see how the Royal College breaks down the cost here on their website.
How do I apply?
Applications must be made via the Royal College of Pathologists website, with applications only available once an application window is opened by the Royal College.
How to prepare and what resources are available?
With lots of resources available online, we have discussed with consultants the best place to start looking for materials relating to the exams. Most recommended starting with the Royal College, who have created useful resources to help you to prepare for the exams.
Curriculum: The content of the exam is set against the Haematology Training Curriculum. We recommend getting to know the curriculum as early as possible and using it as a road map for your study plan.
Regulations and Guidelines: Before applying for FRCPath examinations, the Royal College recommends you read both the General & Specialty Specific regulations and guidelines:
General Regulations and Guidelines
Royal College - Haematology Regulations & Guidelines
Past papers: Test your knowledge using example questions from the current exam syllabus provided by the Royal College, see below:
Part 1 – six past papers
Part 2
MCQ/EMQ
Blueprint for MCQ Examination: The blueprint from which the MCQ questions are developed..
British Society of Haematology guidelines: Compulsory reading material for exams and day-to-day clinical practice. Make sure to read them, understand them and know the recommendations made in bold. Be aware that the guidelines are a few years old and imminently due for review.
British Society for Haematology educational resources: Click here for the British Society for Haematology edcuational resources. Morphology image bank, case reports, practice essay questions, EMQs, MCQs and tutorials. Signup and login required but you don’t need to be a member to make use of the BSH’s bank of essay questions, MCQs and EMQs
Blood Journal: How I treat articles: Click here for easy-to-read helpful overviews of most haematological conditions
Ihaematology.com: http://www.ihaematology.com/ is a great revision site created by previous candidates.
Haembase: Click here for Haembase. This is a general revision resource for those preparing for FRCPath examinations
Our on-the-day exam advice:
Part 2 – food and drink: With multiple exams taking place for Part 2 in one day bring supplies! It will be a long day and there may not be access to food.
Hiring a microscope: For Part 2 you will be required to sit examinations in the UK and will require a microscope. The examination centres will not provide equipment for any applicants so you will need to hire a microscope in advance. There are a few companies easily accessible through a web search, find a microscope and book well in advance of the exam. You can arrange for the company to drop off and pick up the microscope from the exam centre, don’t worry!
Top Tip: At IMG Connect we recommend speaking to anyone you know who has sat and passed the exam and get their personal hints and tips. We would also be happy to help you arrange anything you need for the exam day.
I passed the FRCPath Heamatology exams! What next?
First of all, congratulations! After you have passed all parts of FRCPath Haematology you can apply for a full registration with a license to practice. Once the GMC have approved your application, you can work as a doctor in the UK and given the high standards of the FRCPath Haematology examinations, you will most likely be eligible to practice as a consultant in the NHS.