For Indian MBBS and MD graduates aspiring to specialize in radiology, the Fellowship of the Royal College of Radiologists (FRCR) is a prestigious and highly valued qualification. This blog post provides a comprehensive guide to understanding the FRCR pathway, its benefits, and how it compares to other options like PLAB, particularly for those seeking opportunities in the UK.
Understanding the FRCR Pathway
The FRCR is a postgraduate qualification awarded by the Royal College of Radiologists in the UK. It’s a structured pathway designed to ensure that radiologists have a comprehensive understanding of the field and the necessary skills to practice effectively. Here’s a breakdown of what the FRCR entails:
Who is it for?
- MBBS graduates (after completing 4.5 years of MBBS + 1 year of CRRI)
- MD candidates
The FRCR Exams
The FRCR exam consists of three parts:
- FRCR Part 1: Focuses on basic sciences, physics, and anatomy relevant to radiology. It consists of two modules: Anatomy (image-based) and Physics (MCQ-based).
- FRCR Part 2A: Tests applied radiological anatomy, techniques, and image interpretation through written exams using Single Best Answer (SBA) MCQs.
- FRCR Part 2B: A comprehensive practical assessment of clinical knowledge and communication skills, including oral exams, a reporting session, and a rapid reporting session.
FRCR vs. Other Pathways: A Comparative Analysis
Many Indian medical graduates consider various pathways for international practice, notably the UK. Here’s how FRCR compares to other common options like PLAB (Professional and Linguistic Assessments Board):
FRCR:
- Starting Salary: ₹2.5 to 3 Lakhs/month (can reach ₹4.5 to 5.5 Lakhs/month post-specialization)
- Pass Rate: Generally higher, especially for Part 2B (around 70-89%), but lower for the Physics module in Part 1.
- Focus: A higher-level qualification at the completion of core training, leading to specialized training in radiology.
- Exam Availability: Parts 1, 2A, and 2B available in India.
- Attempts: Up to 6 attempts allowed for each part.
- English Language Proficiency: Not required till GMC application.
- Prep Time: 3-6 months for each part.
- Career Progression: Direct pathway to higher-level training (ST3 and above), leading to consultant roles.
- Job Preference: Can be preferential to other applicants without FRCR for higher posts.
- Experience Requirement: Prior radiology experience (e.g., rotations, observerships) is highly recommended, especially for FRCR Part 2B, to ensure success.
PLAB (UK Pathway):
- Starting Salary: ₹2.5 to 3 Lakhs/month
- Pass Rate: Lower pass rate (around 72%) than some FRCR components.
- Focus: A license exam for medical graduates, after which further training and experience are required for specialization.
- Exam Availability: Only Part 1 is conducted in India, with Part 2 required in the UK.
- Attempts: Limited to 4 attempts for each part (PLAB 1 and 2).
- English Language Proficiency: IELTS/OET is required before application.
- Prep Time: Part A – 3-4 months, Part B – 3-6 months.
- Job Security: High uncertainty in securing jobs post-PLAB.
- Career Progression: Multiple Pathways after PLAB but mostly for non-training posts. Limited options for surgical pathways.
Key Differences:
| Feature | FRCR | PLAB |
| Qualification Level | Higher qualification post-core training | License exam for medical graduates |
| English Proficiency | Not required until GMC application | IELTS/OET required before application |
| Exam Availability | All parts available in India | Only Part 1 in India |
| Pass Rate | Variable (Lower in Physics Part 1, higher in Part 2B) | Generally lower (around 72%) |
| Attempts | 6 attempts each part | 4 attempts each part |
| Career Path | Direct path to ST3 and above, consultant roles | Multiple pathways, but primarily for non-training posts |
| Preference | May be preferred for higher posts over non-FRCR applicants | No preference for core training and higher non- training posts |
FRCR Exam Details
FRCR Part 1
- Modules: Anatomy (Image-based) and Physics (MCQ-based)
- Format: Online, multiple-choice questions
- Location: Conducted in India
- Fees: 409 pounds
- Time: March, June, and September for Anatomy.
FRCR Part 2A
- Format: Online, SBA (Single Best Answer) Multiple Choice Questions.
- Location: Conducted in India during (April and November)
- Fees: 1015 pounds
FRCR Part 2B
- Format: Combination of oral exams, reporting session, and rapid reporting session
- Location: Conducted in India (during April and November)
- Fees: 1015 pounds
- Scoring: Must obtain a minimum of 6 in at least two of the four components, along with a total score of 24 or above to pass.
Post-FRCR: Opportunities and Salary
- GMC Registration: After passing FRCR, the next step is to apply for GMC registration.
- ST3 Level Jobs: Apply for jobs at the ST3 level and above in the UK.
- Salary: Approximately (£49,000–£68,000) (55L – 70L INR per year).
Benefits of Choosing FRCR
- Faster Track: Can help you skip some exams, saving time.
- Higher Qualification: Demonstrates a higher level of expertise.
- Career Advancement: Faster track to higher training posts and consultant roles.
- Job Preference: Can be preferred by employers in the UK, especially for specialist roles.
- Clear Pathway: Direct route to a radiology career in the UK.
Considerations
- Career Choice: Ensure you are certain about specializing in radiology, as the FRCR is focused on this field.
- Practical Experience: You need practical experience and mentoring to pass the practical component of the exam.
- Cost: Can be slightly more expensive than PLAB initially; however, can be more cost effective in the long run if passed in the first attempt.
- Pass Rates: While overall pass rates are good, Physics in Part 1 has a low pass rate.
Building Your Portfolio
To enhance your application, focus on:
- Additional medical-related degrees.
- Prizes and awards.
- PG medical qualification.
- Clinical experience in different specialities.
- Research and publications.
- Teaching experiences.
- Presentations and posters in conferences.
- Training courses from the Royal College.
- Leadership experience.
Conclusion
For Indian MBBS and MD candidates, the FRCR pathway offers a clear, structured, and efficient route to a successful career in radiology, particularly in the UK. While it requires dedication and rigorous preparation, the benefits in terms of career prospects, professional development, and salary potential make it a highly rewarding choice.
To further enhance your preparation, we encourage you to explore our Clinical Program in Radiology with FRCR Training at OC Academy, designed to help you build a strong foundation for a successful career in radiology and provide mentorship to help you prepare for your FRCR journey.
Link to OC Academy Clinical Program in Radiology with FRCR Training
