First FRCR examLearning resources, recommended books and tips for the First FRCR anatomy and physics exams, also known as FRCR Part 1The First FRCR exam comprises of two modules:. Anatomy. PhysicsExams for both modules are held 3 times a year in March, June and September. Exact exam dates can be found on the.
ST1 radiology trainees are expected to attempt both modules in the March sitting of their first year of training. Visit the RCR website to view the and get information on exam dates, fees and venues.
Tips and links to useful resources for each examination are shown below. Contents. 1.1a.1b.1c.1d.1e.1f. 2.2a.2b.2c.2d.2e.Anatomy moduleOverviewThe anatomy module covers radiological anatomy across all body systems and imaging modalities.The exam consists of a computer based image viewing session of 100 images. A single structure on each image is usually marked by one or more arrows and there will be a single question on that structure.
The majority of the questions will be 'What structure does the arrow point to?' , however there will be a number of other questions such as 'What normal anatomical variant is demonstrated?' Or 'At what age does the structure arrowed normally fuse during skeletal development?'
There may be a few questions with no arrows. In these cases it is important to read the question which may be 'name the normal variant', for example.
The exam lasts 90 minutes.Each examination paper aims to cover all areas of the curriculum. Individual modalities are given roughly equal weight as follows:. 1/3 cross-sectional.
1/3 plain radiographs. 1/3 contrast studiesSimilarly different body parts are given roughly equal weight as follows:. 1/4 head, neck and spine. 1/4 chest and cardiovascular.
1/4 abdomen and pelvis. 1/4 musculoskeletalThere will also be paediatric images and normal variants. Fetal imaging and neonatal cranial ultrasound will not be in the exam.How is the FRCR Anatomy exam marked?There are 100 image based questions and marks are awarded for precision of anatomical description on each image.
Each question is marked on a scale of 0, 1 or 2. The maximum mark for a single question is 2. As there are 100 questions, the examination is marked out of 200. The following mark scheme is used for each question:.
Answered with full accuracy = +2 marks. Answered with less accuracy, but still correctly (e.g. Omits 'left' or 'right' for a paired structure) = +1 mark.
Answered incorrectly = 0 marksA vague or imprecise answer e.g. 'liver' when the fully correct answer is 'segment VII of the liver', will also be awarded 0 marks.The exam utilises automated computer marking, which is programmed with acceptable answers. These answers are provided by a group of UK consultant radiologists. After the exam, the programmed answers are matched with candidate responses and marks awarded by the system automatically.
Any answers that do not exactly match those within the platform will be reviewed by examiners and awarded an appropriate mark.The pass mark varies for each sitting, but usually lies around 75%. If the paper is hard, the percentage pass mark can drop to around 60%, however if the paper is relatively easy, the pass mark may rise to the mid 80's.Normal anatomy - Left renal veinTop tips for the First FRCR Anatomy exam. Do lots of practise exams. Practise exams are a great way to learn anatomy and are highly recommended.
They are particularly useful for improving your exam technique (see other tips below). There are many good courses, books and online resources to help you including our own here at radiologycafe.com. Remember to say left or right.
The importance of writing the side of the patient cannot be understated. If the structure can be clearly identified as left or right it is critical that you state the side, otherwise you will lose 1 mark for that question, even if you otherwise name the structure correctly. CAUTION: There will be structures that you cannot identify as left or right so be sensible and logical with your answers. If the side is not obvious from the radiograph, just write the name of the structure. For example, if you are asked to name the angle of the mandible on a lateral facial radiograph and you put left (or right), then you will get 0 marks for that question.
Similarly do not be tempted to put left or right on cross-sectional images of the limbs. Please also remember that there are many structures that do not require a side (e.g.
Splenic artery)!. READ the question!. Not all questions are 'What structure does the arrow point to?' Some will ask you for a piece of information related to the structure.
Examples include: 'Name the structure that passes through the canal indicated by the arrow', 'Name the muscle group that attaches to the arrowed structure', 'What normal anatomical variant is demonstrated?' , 'At what age does the structure arrowed normally fuse during skeletal development?' Etc. Some questions ask for a single answer. If you write two pieces of information, you will be marked down. Don't try to be clever, just answer the question!. Do NOT use acronyms or abbreviations!.
Always avoid these. Many clinical errors have arisen from the use of acronyms and what is common in one institution may not be common elsewhere. Always write LEFT and RIGHT in full. Examples of what not to do are as follows: L, R, SMA, CCA, ACL, TP, CBD etc. The list is endless!. Learn of normal variants.
Whilst there are limitless variations of what might be considered normal, you will be tested on variations that are either common or have 'clinical significance' (i.e. May be mistaken for pathology or predispose the patient to certain diseases). Be specific, but not overly detailed!. The examiners are seeking a degree of detail that would be appropriate for a written radiology report. The arrow placement is very specific and will indicate a single structure or a specific part of a larger structure.
For example if the arrow is pointing to the 'neck of the left radius', just writing 'left radius' will not be enough to score the mark. Some questions will clearly indicate a relatively simple structure and hence excessive detail is unnecessary. The best way to learn the level of detail required is to do lots of day-to-day radiology and do practise questions/exams. Watch this short instructional video from the Royal College of Radiologists (RCR).
This short instructional video from the RCR is excellent and demonstrates how to select, view and move through examination cases using the image viewing software. Practice on the RCR examination demo site. The RCR have developed their own software for the examination and you should practice using this software on their demo website prior to the exam. You will require a PIN number to access the anatomy examination demo. Unlike in previous exams, you will NOT have the opportunity to practice immediately prior to the start of the examination at venues, so practising on this demonstration site is essential to help you become familiar with the exam format!
Here are the links:. Be careful with the spelling of similar sounding structures. The examination is not a spelling test and the examiners may overlook minor spelling mistakes, however certain structures have similar names (e.g. Coronoid/coracoid and ilium/ileum) and care should be taken over these.
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Confusion could arise in clinical practise, therefore mistakes over similar-sounding structures will be penalised. Write an answer for every question. There is no negative marking so if you are not sure of an answer then make a best guess! If you are struggling to identify the structure marked, or know what it is but can't remember the name (very frustrating!), then write something and more on. You can come back to it later.
Remember there is no negative marking. There is no pathology. If you see pathology, you probably need to spend more time reporting as the exam will only show normal anatomy and normal variants! Occasionally minor age-related degenerative changes may be present on some images, however as the features of ageing are highly variable, this will not be tested. Similarly, all arrows are only indicating anatomical structures.
The arrows will not be indicating artefacts, instruments, catheters or the contrast agent itself. Learn your paediatric radiology. Paediatric anatomy may include radiographs, fluoroscopy, ultrasound or cross sectional imaging, and comes up more frequently than expected in the examination. It is important you know the anatomy of the growing skeleton on different imaging modalities. You must be able to identify all the different parts of the growing bone and distinguish between epiphyses, apophyses and epiphyseal growth plates. If you describe an epiphysis or apophysis as a secondary ossification centre, you will lose 1 mark as your answer will be only partically correct.
You should also be able to recognise common paediatric normal variants.What are the best revision books for the First FRCR Anatomy exam? First FRCR Anatomy Courses.4 x mock exams marked held in Leicester (1 day)Discount when attending both the anatomy and physics courses.Topics covered in exam format and 1 x mock exam held in Oxford (1 day)Early registrants will receive a free copy of.Held in London.Held in PlymouthDiscount when attending both the anatomy and physics courses. Guys FRCR Part 1 Anatomy CourseHeld in LondonContact This email address is being protected from spambots. You need JavaScript enabled to view it. The physics module covers UK ionising radiation legislation, patient safety and the physical principles that underpin diagnostic medial imaging.The exam consists of 200 true or false questions. There are 40 stems (question or statement) and five statements (answers) for each stem that must be marked true or false. The paper lasts 2 hours.
The pass mark varies for each sitting, but is usually somewhere in the region of 70-75%.The physics paper can be tricky, particularly if you didn't learn physics at school or university. The key is to keep reading and learning until you have a good understanding of the key concepts. There are many good resources out there including our own here at radiologycafe.com. The e-learning sessions are also particularly well thought out.
If you have structured physics teaching, make the most of these sessions by reading in advance and asking questions. Do lots of practice questions. After understanding the basic concepts, test yourself by doing lots of mock exam multiple-choice questions (MCQ). Usually trainees in the years above have books that they no longer need and can be passed down. Just a word of caution regarding accuracy - most books have a few questions with the wrong answer! If you disagree with the book, it is always worth cross-referencing with a textbook as the book may be wrong!. Use our FRCR Physics Notes for revision.
At Radiology Cafe we have produced an incredible set of, which are based on, and cover, the entire scope of the RCR Radiology - integrated training initiative (R-ITI) e-learning upon which the first FRCR physics exams are based. They are not a replacement for studying the R-ITI modules, but hopefully make things a little more structured and easy to understand, as well as provide a reference point when you quickly need to look something up. The structured and organised nature of the notes makes them ideal for dipping into a specific topic for reference, although if you fancy reading the entire physics syllabus, you can do that! They have been separated into chapters covering, and. If you don't know the answer, make a logical guess. There is no negative marking therefore you should attempt to answer all questions!. TTTTT or FFFFF.
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There is no restriction on the number of true or false items in a question. It's possible for all five items to be true or all five to be false. Tactics won't help you!. Mark the answer sheet clearly. A computer is used to read the answer sheets so mark them clearly with a HB pencil.
If you place an incorrect mark, ensure you rub it out fully!More information including can be found at the.What are the best revision books for the First FRCR Physics exam?
The Editor,An extensive variety of learning resources are available to current radiology trainees , and in addition to traditional books and journals there now exists a wide range of electronic resources to promote further clinical education ,. Use of electronic and internet applications have increased greatly over recent years and now provide a valuable information resource for radiologists in training. Online resources include websites such as Aunt Minnie, emedicine/Medscape, RSNA online and Imaging consult, as well as more exam focused subscription multiple choice question website such as PasTest and OnExamination. Online books and journals are now available and the Royal College also provides its own Radiology Integrated Training Initiative resource.We designed and distributed an anonymous online questionnaire to all London, Kent, Surrey and Sussex radiology trainees to examine the use of various online/electronic learning resources, including use of Radiology Integrated Training Initiative, for radiology trainees versus more traditional learning methods. We also set out to assess access to information technology (IT) resources within the Deanery.We received 136 compete responses from a total of 302 trainees (an overall response rate of 45%).
18% of respondents were preparing for FRCR Part 1, 28% for Part 2A, 22% for Part 2B and 32% had completed their exams.Despite such a wide range of electronic resources being available the single most popular learning format remained the traditional book (42), followed by Radiology Integrated Training Initiative online (24), paper journals (20) and electronic journals (14). Less popular resources included Emedicine (6), Aunt Minnie Online (6), RSNA Online (6), Online MCQ sites (6) and electronic books (4). Single most preferred resource among respondents.Regarding online resources 39% of trainees used Emedicine/ Medscape weekly and 34% on a monthly basis. Only 18% had ever used Imaging Consult and two-thirds of these hardly ever used this resource. 75% had used Aunt Minnie online, with 51% using this resource monthly or more frequently.
66% had used RSNA online, with 43% using this monthly or more frequently. 46% had never used online MCQ resources ( e.g. PasTest and OnExamination) and 38% had prepared for exams using MCQs passed on from other trainees.
64% used electronic books.76% of respondents felt easier access to electronic journals would encourage online learning. 76 answered that less restrictive IT policies at their institution would encourage use of online resources. 66 felt that more time should be dedicated to online learning and 76 believed there should be more computers.Interestingly our data correlates with that of Rowell et al who reported in their cohort of respondents that for reading journal articles, 67% prefer hard copy.
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They noted that the results of their survey indicated that, despite an increase in internet use and the perception that web based information is reliable, most radiologists still prefer traditional resources for radiological information and radiology education.This is consistent with the London/KSS respondents who despite demonstrating use of a wide range of electronic and online learning resources, traditional methods, such as paper books remained the most popular.Yours etc.,C J BurkeR H ThomasD FasciaD HowlettS Heenan.