FRCR Examination Guide for Radiologists

jakubdebski7
Apr 17
3 min read

If you're a radiologist planning to work in the UK or seeking recognition of your training, the FRCR (Fellowship of the Royal College of Radiologists) is a crucial qualification. Recognised both in the UK and internationally, the FRCR exams are a key requirement for specialty registration and consultant roles in Clinical Radiology.

In this blog, we’ll break down everything you need to know—from exam format and preparation to costs and duration.

🩺 What is the FRCR?

The FRCR (Clinical Radiology) is awarded by the Royal College of Radiologists (RCR) in the UK. It consists of three parts, assessing a radiologist’s knowledge, clinical reasoning, and practical skills.

The FRCR is required for:

Radiology trainees in the UK
International radiologists seeking GMC registration via the CESR route
Progression into consultant-level roles in the UK

📘 FRCR Examination Structure

Part 1: FRCR Physics Exam

When:

Typically taken during ST1 (first year of specialty training)Format:

Two written papers (2 hours each)
- Paper 1: Basic physics
- Paper 2: Radiological equipment and safety
120 multiple-choice questions (MCQs) in total

Topics Covered:

Radiation physics
Imaging technology (X-ray, CT, MRI, ultrasound, nuclear medicine)
Radiation protection and safety

Part 2A: Clinical Radiology Exam

When:

Usually taken during ST3–ST4 training

Format:

Two separate papers, each with 120 single best answer (SBA) questions
Covers six modules:
1. Cardiothoracic and Vascular
2. Musculoskeletal and Trauma
3. Gastrointestinal
4. Genitourinary, Adrenal, Obstetrics and Gynaecology, Breast
5. Paediatric
6. Central Nervous and Head & Neck

Exam Tip: All six modules are tested in both papers.

Part 2B: Final FRCR Exam

When:

Taken towards the end of specialty training (ST4–ST5)

Format:

Rapid Reporting (RR): 30 cases in 35 minutes x 2 sets
Long Cases: 6 long-form cases requiring detailed written responses
Oral Examination (Viva): Two oral stations with real-time image interpretation and clinical discussion

(This is the most practical and clinically intensive part of the exam)

⏳ How Long Does it Take to Complete the FRCR?

Minimum Timeframe: Typically 3–5 years during radiology training
For IMGs: Duration depends on clinical exposure, preparation time, and scheduling—often 2–3 years if all parts are passed consecutively

📚 Recommended Revision Materials

Part 1: Physics

First FRCR Exam: Questions and Answers (Richard G. White)
Radiology Physics for FRCR (Philip Haslam & David Dowsett)
RCR Syllabus & Sample Questions
Online question banks: FRCR Physics Prep, Radiology Masterclass

Part 2A: Clinical Modules

Get Through FRCR Part 2A Series
Radiopaedia (excellent for images and case discussions)
ReviseRadiology.com (Qbanks & mock exams)
Clinical Radiology Journal for current practices

Part 2B: Viva and Reporting

FRCR 2B Viva: A Case-Based Approach (Chandrashekar et al.)
FRCR Long Cases: Cases for the Final FRCR (Leo Cheng)
Practice with a study group or senior radiologist
Mock vivas and rapid reporting practice (daily image review)

🛠️ Step-by-Step Guide to Completing the FRCR Examination

Step 1: Check Eligibility

GMC registration not needed for initial FRCR exams
Medical degree and proof of radiology experience required for international candidates

Step 2: Apply Online

Step 3: Prepare with Revision Materials

Start preparing at least 4–6 months before each exam
Use a structured timetable and mix question banks, textbooks, and mock exams

Step 4: Sit and Pass Each Exam

Schedule exams in line with your training or work commitments
Ensure adequate rest and mental preparation

Step 5: Apply for FRCR Certificate

Once all three parts are passed, you’ll be awarded the Fellowship of the Royal College of Radiologists (FRCR)

Step 6: Use FRCR for GMC Registration (if IMG)

Use FRCR as evidence toward GMC registration or CESR for specialist register

The approximate cost of completing the examination:

Members - £2,078 (approx)
Non Members - £2,754 (approx)