FRCR 2B Scoring system

It is important to have a good understanding of the mark scheme for the FRCR 2B exam


The FRCR 2B exam consists of three components:

Each of the exam components are marked out of 8.  Scores from the two viva components, long cases and rapids are combined to give a total score out of 32.  The overall pass mark is 24 and candidates must obtain a mark of 6 or above in a minimum of two components to pass.

 

FRCR 2B pass/fail flowchart

FRCR 2B pass/fail flowchart


Key points:

  • There is no concept of passing one part (e.g. viva) only
  • There is no ranking of candidates (other than for awarding the Rohan Williams medal)
  • A mark of 23½ represents a borderline fail.  Any candidate achieving this result automatically has their scores from all components reviewed.  The purpose is not to alter the marks, but revisit the reasons for the marks that have been awarded in order to ensure than failure by half a mark is appropriate.

The mark schemes are slightly different for each component of the exam and are described in more detail below along with top tips and links to useful resources.  More information from the Royal College of Radiologists.


 

What is the scoring system for the rapids?

The rapid reporting component consists of reporting 30 images in 35 minutes.  Roughly half of cases are normal and half are abnormal, however the ratio of normal to abnormal varies between sittings.

Marks are allocated as follows depending on the type of image:

Image typeCandidate responseMark
Normal image Correctly classified +1
  Incorrectly classified (appropriate false positive)
  No answer given 0
Abnormal image Correctly classified and correctly identified +1
  Correctly classified but incorrectly identified 0
  Incorrectly classified (false negative) 0
  No answer given 0

(Source: Final Examination for the Fellowship in Clinical Radiology (Part B) Scoring System. Published by: The Royal College of Radiologists)

 

Following the marking each candidate will have a score between 0-30.  An overall rapid reporting mark (out of 8) is then awarded using the table below:

Total marksOverall mark
0-24 4
24½
25-25½ 5
26-26½
27 6
27½-28
28½-29 7
29½
30 8

(Source: Final Examination for the Fellowship in Clinical Radiology (Part B) Scoring System. Published by: The Royal College of Radiologists)

More information on the rapid reporting component of the FRCR 2B exam.


 

What is the scoring system for the long cases?

The long cases component consists of reporting 6 cases in 60 minutes.

Individual cases are marked out of 8 as shown below:

Candidate responseMark
No answer offered 3
Fail: significant observations missed; correct diagnosis not made 4
Borderline: appropriate if there are two main diagnoses in the case but only one is mentioned; some observations missed 5
Pass: most observations made correctly; principal diagnoses correct 6
Good Pass: additional relevant material included in a "pass" grade answer 7
Excellent: a perfect answer, clear and confident 8

(half marks may be awarded)

(Source: Final Examination for the Fellowship in Clinical Radiology (Part B) Scoring System. Published by: The Royal College of Radiologists)

 

Following the marking each candidate will have a score between 18-48 (minimum mark for each case is 3).  An overall reporting mark (out of 8) is then awarded using the table below:

Total marksOverall mark
18-25 4
25½-28
28½-31 5
31½-34
34½-37 6
37½-40
40½-43 7
43½-46
46½-48 8

(Source: Final Examination for the Fellowship in Clinical Radiology (Part B) Scoring System. Published by: The Royal College of Radiologists)

More information on the long cases component of the FRCR 2B exam.


 

What is the scoring system for the viva?

The viva component consists of 2 x 30 minute viva sessions.  Candidates are scored on images shown by two pairs of examiners. Each pair of examiners will examine for 30 minutes. Within each pair examiner A will ask questions while examiner B marks, then after 15 minutes the examiners swap places and examiner B asks questions while examiner A marks. Candidates can obtain a maximum of 8 marks from each pair, giving a maximum total of 16 marks for the viva component.

Marks are allocated from each pair of examiners as follows:

Performance DescriptionCommentsScore
Very poor answer Key findings missed even with help
Wrong or dangerous diagnosis
4
Poor answer Slow to spot abnormality
Poor differential diagnosis
Needed help to get correct answer
5
Principal findings seen Some abnormalities seen with help
Principal diagnosis correct
Limited differential
6
Good answer Key findings spotted quickly
Correct deductions made and correct diagnosis
Good differential offered
7
Excellent answer - all findings seen Correct diagnosis and deductions
No errors
Succinct/accurate report
Excellent differential
8

(Source: Final Examination for the Fellowship in Clinical Radiology (Part B) Scoring System. Published by: The Royal College of Radiologists)

More information on the viva component of the FRCR 2B exam. 


 

 


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!

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