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FRCR 1 Exam - Basic Information and Overview

Author: mukarrab, Posted on Monday, November 21 @ 01:32:35 IST by RxPG  

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FRCR

The First FRCR Examination expects candidates to have gained a knowledge of radiation physics, to understand the principles of diagnostic x-ray and radionuclide equipment and the various UK legislation affecting the use of ionising radiations in the medical environment.

No minimum period of clinical experience or clinical radiology training needs to have been completed in order to enter the examination nor is confirmation of course attendance required. The examination is held three times a year, normally in the second week of each of March, June and December.
Regulations
Fellowship of the Royal College of Radiologists [FRCR] may be obtained by examination after three years of full-time clinical radiology training.
General

Clinical Experience: No clinical (non-radiological) experience is required to enter the examinations, other than for candidates who claim exemption from the First Examination for the Fellowship who are required to have two years of acceptable clinical (non-radiological) experience (see Exemption from the First Examination for the Fellowship below for further details).

Flexible (Part-time) Training: All periods of time specified in this document are whole time equivalent (WTE). Flexible (part-time) training may not be undertaken on the basis of less than five sessions per week.

Absence from Radiology Training: Absence on sick leave or maternity leave reduces the time spent in radiology training and may affect examination eligibility. Details of any sick and/or maternity leave must be entered on the examination application form.
Exemption from the First Examination for the Fellowship

Candidates who have passed one of the examinations listed below (and provide satisfactory confirmation of their examination success) may be exempted from the First Examination for the Fellowship provided that they have two years of acceptable (non-radiological) clinical experience.

Primary Fellowship Examination of the Faculty of Radiologists of the Royal College of Surgeons in Ireland [FFRRCSI] (obtained in or before September 2002)
Part I Fellowship Examination of the College of Radiologists of South Africa [FCRad(Diag)(SA)] (obtained between October 1975 and November 2002 inclusive)
Part I Examination for the Diploma in Medical Radiodiagnosis [DMRD] of the University of Aberdeen or the University of Edinburgh or the University of Liverpool (obtained in or before September 1993)
Diploma of the American Board of Radiology [DABR] (obtained in or before November 2002)
Diploma of the Royal Australian and New Zealand College of Radiologists [DRANZCR] (obtained in or before November 2002)
Certification Examination in Diagnostic Radiology of the Royal College of Physicians and Surgeons of Canada (obtained in or before November 2002)
First Examination for the Fellowship

There is no requirement to have spent any time in a clinical radiology training post or to have attended a course of lectures covering the examination syllabus in order to enter the First FRCR Examination.

The examination covers UK ionising radiation legislation and basic clinical aspects of physics and patient safety. The examination is held three times a year, normally in March, June and December, and comprises a multiple choice question paper only.

Candidates are allowed only three attempts at the First Examination for the Fellowship. Candidates who have made 1-3 unsuccessful attempts at the First FRCR Examination prior to December 2002 (including attempts at examinations that granted exemption from it) will be permitted up to three attempts at the current examination. Candidates who made four unsuccessful attempts at the First FRCR Examination prior to December 2002 (including attempts at examinations that granted exemption from it) will not be permitted to attempt the current examination.

After two unsuccessful attempts at the First Examination for the Fellowship, the performance of a candidate who is undertaking specialist training in the UK will be reviewed and advice offered to the candidate's training supervisor about those areas where improvement is required.

Final Examination for the Fellowship

The examination is in two parts – Part A and Part B. Candidates are not permitted to attempt both Part A and Part B at the same sitting and must have passed the First FRCR Examination prior to entering the Final FRCR Part A Examination.

After three unsuccessful attempts at either part of the Final Examination for the Fellowship, the performance of a candidate who is undertaking specialist training in the UK will be reviewed and advice offered to the candidate's training supervisor about those areas where improvement is required.

Part A of the Final FRCR Examination for the Fellowship

The examination comprises the six modules listed below:

Chest and Cardiovascular
Musculoskeletal and Soft Tissue (including trauma)
Gastro-intestinal (including hepatobiliary)
Genito-urinary, Adrenal, Obstetrics & Gynaecology and Breast
Paediatrics
Neuroradiology (including spine) and Head & Neck (including eyes, ENT and dental)
Each module is examined by a separate multiple choice question paper covering all imaging modalities and including clinical anatomy, techniques and physics. The six modules are held over two consecutive days twice a year, normally at the end of March and September.

Candidates who have passed the First Examination for the Fellowship are permitted to enter the Final FRCR Part A Examination once they have completed 18 months in a clinical radiology training post. There is no limit on the number of modules that may be attempted at a single sitting nor on the number of attempts that a candidate may make at the examination. There is no requirement to resit a module once it has been passed.

There is no requirement to provide confirmation that formal training or lecture course attendance covering the examination syllabus for the modules to be entered has been undertaken. Those who enter the examination on the basis of UK training require the signature of the head of their training scheme on their application form to confirm that the number of modules to be entered is appropriate.

Part B of the Final Examination for the Fellowship

Part B of the Final Examination for the Fellowship comprises:

a reporting session
a rapid reporting session
two oral examinations
The three components of the Part B examination are held during a single week twice a year, normally in April and October. In the oral examinations, candidates are examined by two pairs of examiners, all of whom are clinical radiologists.

Candidates who have passed the Final FRCR Part A Examination are permitted to enter the Final FRCR Part B Examination upon completion of three years in a clinical radiology training post. Candidates' training supervisors are required to provide confirmation of the completion of the required duration of training and the receipt of instruction covering the examination syllabus.

Unsuccessful candidates in any component of the Final FRCR Part B Examination will be required to resit all three components.

Examination Dates and Fees

Details of the examination dates and fees may be obtained from the Examinations Office and the Royal College of Radiologists' website (www.rcr.ac.uk). If a candidate withdraws after the closing date for an examination the whole examination fee will be forfeit. The Royal College of Radiologists may waive this rule in exceptional circumstances. Cheques for examination fees, in sterling, must accompany the completed application form.

Admission to the Fellowship

Before being allowed to use the title of Fellow of the Royal College of Radiologists [FRCR], successful candidates in the Final FRCR Part B Examination must be formally admitted to the Fellowship. Those who are not already Members of the Royal College of Radiologists must become Members before admission can occur. All candidates for admission are required to pay a Fellowship fee. This is paid once only unlike the membership subscription, which is paid annually. Admission Ceremonies are held twice a year, normally in May and November. All those admitted to the Fellowship receive an invitation to be a guest of the Royal College of Radiologists at a Dinner to New Fellows on the same day as their Admission Ceremony.

In order to preserve the entitlement to use the letters FRCR after their names, those who have been admitted to the Fellowship must maintain good standing with the Royal College of Radiologists by continued payment of the annual membership subscription. Fellows in good standing may wear a Fellowship gown of black with blue facings, which is available for purchase or hire from Ede and Ravenscroft, 93 Chancery Lane, London, WC2A 1DU.

Syllabus
INTRODUCTION
It is intended that the syllabus should be delivered through approximately 30 hours of formal physics teaching. In the UK, this would usually be scheduled over an eight week period from the beginning of October with the intention for candidates to sit the First FRCR Examination at the Winter sitting in early December. Further elements of physics, as included in the revised Final FRCR Examination syllabus, should be taught later in the first year of training.

AIMS

To provide knowledge of radiation physics sufficient to understand the interaction of radiation with matter and to have an awareness of the associated radiation hazards and risks.
To understand the principles of diagnostic x-ray and radionuclide equipment sufficient to be able to describe factors affecting image quality and patient dose, to recognise artefacts and to be able to use equipment correctly.
To describe the various UK legislation affecting the use of ionising radiations in the medical environment.
OBJECTIVES

The candidate should be able to

describe the structure of the atom, the types of radiation and the modes of radioactive decay
understand the concept of half life
give a basic description of the important electron and photon interactions with matter and state how they vary with energy and properties of the material
describe attenuation in terms of absorption, scatter, HVL, and understand the inverse square law
understand the basic physics of the production of x-rays
state the radiation quantities and units: activity, exposure, absorbed dose, equivalent dose, effective dose and the relationships between these quantities
give a description of the biological effects of radiation on tissue
understand and give examples of stochastic and deterministic effects of radiation
demonstrate an awareness of the populations used to evaluate radiation risk, risk values and understand how factors such as age affect these values
communicate the concept of radiation risk from medical exposures to patients.
understand the requirements for the protection of staff and members of the public arising from their use of radiation and the extent to which they are responsible for safety within the overall radiation protection framework
demonstrate a thorough knowledge of the regulations governing the medical exposure of an individual and of their own and other people’s responsibilities
understand their own responsibilities regarding the restriction of the environmental impact of their use of radiation
describe basic measures of image quality
understand the basic physics of image receptors
have an overview of the physics of CT scanners with particular reference to factors affecting image quality and dose
have an overview of nuclear medicine physics with particular reference to factors affecting image quality and dose
SYLLABUS

Fundamental Physics of Matter and Radiation

Basic physics
Fundamental properties of matter and radiation decay
Interactions of ionising radiation with matter


Radiation Hazards and Dosimetry
Biological effects of radiations
Risks of radiation
Principles of radiation protection


Justification
Optimisation
Limitation
Absorbed dose, equivalent dose, effective dose and their units

Practical Radiation Protection

General Radiation Protection
General radiation protection
Radiation protection of the patient including pregnancy, infants and children


Medical and biomedical research
Health screening
Radiation protection of staff and members of the public Use of radiation protection devices

Statutory Requirements and Non-Statutory Recommendations

Ionising Radiations Regulations 1999
Responsibility for radiation safety
Local rules and procedures
Role of radiation protection adviser and radiation protection supervisor
Classified workers
Restriction of exposure (through design, systems of work and ppe)
Dose limits
Equipment used for medical exposures
Notification of incidents
Dose constraints for comforters and carers
Routine inspection and testing of equipment
Notification of incidents


Ionising Radiation (Medical Exposure) Regulations 2000
Responsibilities of referrer, operator, practitioner, employer and medical physics expert
Patient identification and consent
Dose recording and diagnostic reference levels
Adequate training and local entitlement
Employers procedures
Quality assurance programmes, clinical evaluation of exposure and clinical audit
Notification of incidents
Research exposures, including ethics committees and dose constraints
Health screening


Other relevant legislation

Medicines (Administration of Radioactive Substances) Regulations 1978
Radioactive Substances Act 1993

Diagnostic Radiology and Radionuclide Radiology

Diagnostic Radiology
Production of X-rays

General tubes
Mammography
Radiological image
Factors affecting radiation dose and image quality
Quality assurance and quality control
Conventional film processing

Fluoroscopy and Fluorography
Image intensification
Operator controlled variables
Measurement of image quality
Factors affecting radiation dose and image quality


Computed Tomography Scanning (Introduction)
Basic physics of CT
Factors affecting radiation dose and image quality


Patient Dosimetry
Methods
Diagnostic reference levels (including high dose techniques)
Magnitude and measurements


Radionuclide Imaging (Introduction)
Fundamentals of diagnostic use
Properties of radiopharmaceuticals
Factors affecting radiation dose and image quality
Radiation protection requirements for

Conception, pregnancy and breastfeeding
Arrangements for radioactive patients
Keeping of radioactive substances
Disposal of radioactive waste
EXAMINATION STRUCTURE


The examination is held three times a year – normally in the second week of March, June and December.
Candidates are restricted to a maximum of three attempts at the examination.
No minimum period of clinical experience or clinical radiology training needs to have been completed in order to enter the examination nor is confirmation of course attendance required. The application form does not require the signature of the head of the candidate's training scheme.
The examination comprises a single paper of 25 multiple choice questions, which is of 1Ό hours in duration.
Candidates are able to sit the examination at five UK venues (Birmingham, Bristol, Edinburgh, London and Manchester) and three non-UK venues (Dublin, Hong Kong and Singapore).
Candidates who have made 1-3 unsuccessful attempts at the First FRCR Examination prior to the Winter 2002 sitting (including attempts at examinations that grant exemption from it – see Examination Regulations for details) are permitted up to three attempts at the new format examination. Candidates who have made four unsuccessful attempts at the First FRCR Examination prior to the Winter 2002 sitting (including attempts at examinations that grant exemption from it) are not permitted to enter the new format examination.
No exemption is granted from the new format First FRCR Examination on the basis of success in any other examination.


Dates and Fees
This page gives details of the dates and fees for the First and Final FRCR Examinations in Clinical Radiology.
Application forms may be obtained from the Examinations Office (see contact details below). When requesting an application form, please give your full postal address and indicate clearly for which examination and sitting you wish to apply.

Examinations Office (Application Forms)
Telephone: 020-7636 4432 extension 1144
Email: [email protected]

First Examination for the Fellowship

2005 Spring 2005 Summer 2005 Winter 2005
Examination Date 14 March 2005 13 June 2005 12 December 2005
Application Closing Date 14 January 2005 - 5.15 pm 15 April 2005 - 5.15 pm 14 October 2005 - 5.15 pm
Examination Fee £150.00 £150.00 £160.00
Venues Birmingham, Bristol, Edinburgh, London, Manchester, Dublin, Hong Kong, Singapore


2006 Spring 2006 Summer 2006 Winter 2006
Examination Date 13 March 2006 12 June 2006 11 December 2006
Application Closing Date 13 January 2006 - 5.15 pm 13 April 2006 - 5.15 pm 13 October 2006 - 5.15 pm
Examination Fee £160.00 £160.00 to be determined
Venues Birmingham, Bristol, Edinburgh, London, Manchester, Dublin, Hong Kong, Singapore


Final Examination for the Fellowship – Part A

2005 Spring 2005 Autumn 2005
1: Cardiovascular 21 March 2005 26 September 2005
2: Musculoskeletal 21 March 2005 26 September 2005
3: Gastro-intestinal 21 March 2005 26 September 2005
4: Genito-urinary 22 March 2005 27 September 2005
5: Paediatrics 22 March 2005 27 September 2005
6: Neuroradiology 22 March 2005 27 September 2005
Application Closing Date 4 February 2005 - 5.15 pm 12 August 2005 - 5.15 pm
Examination Fee £62.00 per module £65.00 per module
Venues Birmingham, Bristol, Edinburgh, London
Manchester, Hong Kong, Singapore


2006 Spring 2006 Autumn 2006
1: Cardiovascular 20 March 2006 18 September 2006
2: Musculoskeletal 20 March 2005 18 September 2006
3: Gastro-intestinal 20 March 2006 18 September 2006
4: Genito-urinary 21 March 2006 19 September 2006
5: Paediatrics 21 March 2006 19 September 2006
6: Neuroradiology 21 March 2006 19 September 2006
Application Closing Date 27 January 2006 - 5.15 pm 28 July 2006 - 5.15 pm
Examination Fee £65.00 per module to be determined
Venues Birmingham, Bristol, Edinburgh, London
Manchester, Hong Kong, Singapore


Two modules will be examined during each morning session and one subject in the afternoon session. The modules will be scheduled so that all six may be attempted at a single sitting.


Final Examination for the Fellowship – Part B

2005 Spring 2005 Autumn 2005
Examination Dates commencing 18 April 2005 commencing 10 October 2005
Application Closing Date 18 February 2005 – 5.15 pm 19 August 2005 – 5.15 pm
Examination Fee £300.00 £310.00
Venue London only
Admission Ceremony & New Fellows' Dinner 20 May 2005 18 November 2005


2006 Spring 2006 Autumn 2006
Examination Dates commencing 10 April 2006 commencing 9 October 2006
Application Closing Date 17 February 2006 – 5.15 pm 18 August 2006 – 5.15 pm
Examination Fee £310.00 to be determined
Venue London only
Admission Ceremony & New Fellows' Dinner 19 May 2006 17 November 2006


Joint Final Examination for the Fellowship Part B


The joint examination is organised each October by the Hong Kong College of Radiologists. Further details and application forms may be obtained from:

The Hong Kong College of Radiologists
Room 909, 9/F, Jockey Club Building
The Hong Kong Academy of Medicine
99 Wong Chuk Hang Road
Aberdeen, HONG KONG
Telephone: +852-2871 8830
Facsimile: +852-2554 0739
Email: [email protected]



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