Also known as the Final FRCR (Part A) exam
Contents
- 1. Overview
2. Top tips
3. Books
4. Courses
5. Online resources
Overview
After passing the First FRCR exams (anatomy and physics), the next step is to pass the Final FRCR (Part A) exam. The FRCR 2A exam consists of 2 papers sat on sequential days; each paper containing 120 single-best-answer questions (240 questions in total). Each paper lasts 3 hours.
Two papers, One exam
- The exam is split into two papers purely to allow for a break between sittings. The papers comprise one exam and there is no concept of passing one half. The pass mark and results issued related to the one single exam.
Candidates are examined on all aspects of clinical radiology and this exam must be passed before a candidate can attempt the Final FRCR (Part B) exam. The exam can only be attempted after passing the First FRCR exam and candidates must have acquired a minimum of 24 months formal radiology training (i.e. ST3).
The exam is made up of 40 questions from each of the following subspecialties:
- Cardiothoracic and Vascular
- Musculoskeletal and Trauma
- Gastro-intestinal
- Genito-urinary, Adrenal, Obstetrics & Gynaecology and Breast
- Paediatric
- Central Nervous and Head & Neck
Both papers will be completely mixed and contain questions from all subspecialties. The results after the exam will be broken down by subspecialty so you receive feedback on your strong and weak areas. The pass and fail will be based purely on overall percentage.
The examinations are held twice a year in November and April. Exact exam dates can be found on the RCR website here. We recommend starting revision as early as possible (mid-ST2). More information including sample questions can be found at the Royal College of Radiologists website.
Top tips for the 2A exam
Apply for the examination in good time
- Many trainees forget that the exam application deadline comes pretty early and miss out by applying too late. You must ensure that you receive confirmation that your application was received by the college BEFORE the deadline, even if submitted online. Always apply at least 2-3 weeks before the deadline.
Answer every question
- There is no ‘negative’ marking therefore candidates shoud attempt to answer all of the questions.
Do lots of practise questions
- Probably the most important tip! Practise questions get you used to the style of the exam and are a great way to learn. We recommend the following approach for each question:
- Attempt the question
- Understand the answer
- Spend time reading around each of the stems of the single best answer (SBA) question to understand why they are incorrect
- Probably the most important tip! Practise questions get you used to the style of the exam and are a great way to learn. We recommend the following approach for each question:
Invest in several question books, a general radiology textbook and a reference text
- Question books are a must. It is also worth getting a general radiology textbook such as Grainger & Allison’s Diagnostic Radiology, Fundamentals of Diagnostic Radiology (Brant & Helms) or Primer of Diagnostic Imaging (Weissleder). These are good to read through before starting practise questions to give you a good overview of the sort of topics you will need to cover in more detail.
Read Radiographics or other review articles
- A wise consultant once said that if you read all of the Radiographics articles from the last 10 years, you’ll probably pass the exam… and they’re probably right. Radiographics review articles are a great resource and will teach you a specific topic in detail. They are the perfect revision resource for the 2A exams!
Attend MDTs
- Attending MDTs can help with improving knowledge around imaging and clinical context and will help with many questions in the 2A exam.
Watch this instructional video
- Instructional video for the SBA/MCQ exams. Link here: https://www.youtube.com/watch?v=dPdBMFcxEQk
Don’t be discouraged if you fail
- The 2A exam is tough. Just remember that when you come to retake, you will have already done half of the work! You probably just need that little bit extra to pass!
What are the best revision books for the FRCR 2A exam?
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Recommended reference:
Crack the Core Exam - Volume 1 and 2
Prometheus Lionhart
A good core textbook which succinctly covers a lot of the common exam topics with many good aide memories. Lots of important facts designed to help you pass exams, but there is little extra detail and it assumes you already know a lot. This would be good to read towards the second half of your ST2 year when you’ve learned things on the job. Be warned, there’s a lot of unsavoury jokes in this book, and it isn’t for the easily offended.
Fundamentals of Skeletal Radiology
Clyde Helms
Known as "the pink book". A superb introduction to musculoskeletal radiology providing a good overview of tricky areas, particularly bone lesions. Recommend reading cover to cover before doing 2A practise questions.
Radiology Review Manual
Wolfgang Dahnert
A comprehensive radiology reference text with logical organisation, extensive lists of imaging findings and differential diagnoses. Many diagrams, but no radiology images. The 2A exams often ask you about the smallest of details straight out of this book. Do not read cover to cover (that's insane), but use as a reference while revising for the exams.
Recommended question books:
What FRCR 2A courses are there?
FRCR 2a Courses
- Midlands FRCR 2A review course
Interactive lecture based course delivered in a ‘single best answer’ format held in Leicester (3 days) - Revise Radiology FRCR 2A online course
Online 2 days of mock exams (4 full exams) followed by 40 hours of teaching over 6 days – expert led review sessions with practical tips - RadCast x Mersey FRCR 2A High Yield Revision Course
Online question focused revision sessions with mock exam and access to a community revision group and online course resources up to the exam (2 days)
What are the best online resources?
Revise Radiology FRCR 2A Question Bank and Courses
Pass the FRCR 2A first time!- 6000 FRCR 2A questions
- 4-day course with 4 mock exams
Revise Radiology FRCR 2A Question Bank and Courses
Pass the FRCR 2A first time!- 6000 FRCR 2A questions
- 4-day course with 4 mock exams
Online mock exams
- RAD exams
Paid – 360 questions across 3 exam bags - Revise Radiology
Paid – 6000 questions and 4 mock exams - The Radiology Academy
Paid – >5200 questions
Useful websites
If you have anything you would like to add to this page or know of any useful tips/resources for future exam candidates, then please contact us and we will consider adding to this page!