The First FRCR (Fellowship of the Royal College of Radiologists) examination is a key milestone for aspiring radiologists in the UK and internationally. It is a rigorous but rewarding challenge that assesses essential knowledge in physics and anatomy.
The exam is not just a test of knowledge but a stepping stone towards a fulfilling career in radiology. With thorough preparation, the right resources, and a strategic approach, you can achieve success in this important milestone. Persistence and a positive mindset are as crucial as knowledge in this journey.
Eligibility and application process
Eligibility requirements:
- To sit the FRCR Part 1 exam, candidates must be enrolled in or have completed a recognised radiology training program.
- International candidates are encouraged to contact the Royal College of Radiologists (RCR) to verify the eligibility requirements specific to their training.
Application process:
- Applications are submitted online through the RCR website.
- Examination dates, application deadlines, and fees are announced well in advance to allow candidates ample time to prepare.
- Candidates need to create an online account with the RCR, complete the application form, and pay the relevant fee.
- It is not a requirement to be a member of the RCR to book an exam; however, priority booking is made available to members.
Exam centres:
- The FRCR Part 1 exam is conducted in multiple centres both across the UK and internationally, ensuring accessibility for candidates worldwide.
- In recent years, online proctoring has been introduced as an option for certain exam cycles, allowing candidates to sit the exam remotely under secure conditions.
For detailed instructions and updates, visit the official RCR website at RCR Clinical Radiology Exams.
Exam structure
The FRCR Part 1 exam is made up of two separate modules, both of which must be passed to complete the exam, though the modules can be completed in different sittings:
- Physics:
- This module tests candidates on the fundamental principles of imaging science, radiological physics, and radiation protection.
- The Physics module requires an in-depth understanding of imaging modalities, including their technical aspects, advantages, limitations, and applications in clinical practice.
- The syllabus includes Computed Tomography, Magnetic Resonance Imaging, Matter and Radiation, Radiography and Fluoroscopy, Radionuclide Imaging and Ultrasound. Additionally, it includes Radiation Safety to ensure that candidates are well-versed in minimising risks to patients and healthcare professionals.
- The physics paper comprises 40 stems with 5 true/false questions per stem. Each question is marked out of 1. There is no negative marking.
- Anatomy
- This module assesses candidates’ ability to identify and describe anatomical structures using various imaging modalities, including X-rays, CT, MRI, and ultrasound.
- Questions are often image-based, with annotations requiring precise and detailed answers. Candidates must demonstrate knowledge of normal anatomy as visualised through radiological techniques, as well as common variations.
- The anatomy exam is an electronically marked image-based exam comprising 100 images with one question per image (e.g. name the arrowed structure). The questions are each marked out of 2 according to the accuracy of the answer provided.
Exam preparation tips
Thorough planning and preparation are crucial to succeed in the FRCR Part 1 exam. Here are our recommended tips:
- Understand the syllabus
- Familiarise yourself with the official curriculum for both Physics and Anatomy.
- Understanding the scope of the material helps to prioritise study efforts and ensures that no topic is overlooked.
- Focus on high-yield topics such as radiation protection, image acquisition principles, cross-sectional anatomy and normal variants.
- Develop a study plan
- Create a structured and realistic study plan that allocates sufficient time for each module.
- Allocate adequate time for each module and split your study sessions between theory, image review, and MCQ practice.
- A well-organised schedule helps balance workload and reduces last-minute cramming.
- Include dedicated time for reviewing challenging topics and revisiting previously learned material.
- Use recommended resources:
- Physics textbooks: ‘Farr’s Physics for Medical Imaging’ and ‘Christensen’s Physics of Diagnostic Radiology’.
- Anatomy textbooks: ‘Gray’s Anatomy’ and online radiological atlases.
- Online platforms: Our site, FRCR Exam Prep, and other MCQ-based resources are invaluable for targeted practice. These platforms usually provide explanations for answers, which can deepen understanding.
- Practice MCQs regularly:
- Solve as many past papers and practice questions as possible. This helps familiarise you with the question style and format.
- Focus on understanding the reasoning behind correct answers, as this strengthens conceptual clarity.
- Form study groups:
- Collaborate with peers to discuss difficult concepts and share resources.
- Group discussions can provide new perspectives, clarify doubts, enhance understanding and provide mutual support.
- Peer interactions also help maintain motivation and accountability.
- Mock exams:
- Simulate exam conditions with timed mock exam practice sessions.
- This helps improve speed, accuracy, and confidence.
- Sitting mock exams is often best left to the later stages of your preparation when your knowledge base is well rounded, and the exam day is approaching
- Prioritise well-being
- Maintain a balanced lifestyle with regular exercise, nutritious meals, and adequate sleep. A healthy mind and body are essential for optimal performance.
- Incorporate short breaks into your study schedule to prevent burnout and enhance focus.
Exam day tips
Here are our tips for how to approach the day of your exam:
- Arrive early at the exam centre or ensure your online testing environment is set up well in advance.
- Bring all necessary documents, including your ID and admission letter. For online exams, confirm your internet connection and technical setup.
- Read each question carefully before selecting an answer. Manage your time effectively to ensure all questions are attempted.
- Stay calm and focused throughout the exam. If faced with a difficult question, move on and revisit it later if time permits.
Best of luck as you embark on this exciting chapter of your radiology training!
Thank you to the joint editorial team of FRCR Exam Prep for this ‘Exam Tips’ post.
