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The FRCA examinations

  • The FRCA examinations provide anaesthetists in training with the opportunity to demonstrate the required outcomes of the curriculum and determine satisfactory progression at each critical progression point within their training programme.
  • The FRCA examinations are also open to anaesthetic doctors who are not in an approved training programme (conditions apply).
  • As an exams candidate, you will sit the FRCA in two parts:
  • Each examination tests different outcomes and competencies using validated assessment methods to test a broad-spectrum of knowledge, understanding, skills, behaviours and attitudes. The exams are approved by the General Medical Council (GMC) for UK postgraduate medical training and follow the UK curricula and guidelines.
  • On successful completion of both Primary and Final FRCA examinations, you would become a fellow of the Royal College of Anaesthetists by examination and can use the letters FRCA after your name.
  • Fellowship is also a valued professional distinction for the many international students who come to the UK to sit the FRCA exams.

FRCA Primary examinations (FRCR Part 1)

  • The Primary examination is the first part of the Fellowship of the Royal College of Anaesthesia (FRCA) examination and comprises three separate summative examinations. 
    • To achieve an overall pass in the FRCA Primary, a candidate must pass all three components.
    • A pass in the Primary FRCA is valid for seven years as part eligibility towards the Final FRCA examinations.
  • The Primary FRCA examination consists of three components:
  • The purpose of the Primary FRCA examinations is to assess a candidate’s competency across a range of disciplines through examinations that act in a mutually complementary way.
    • All Primary examination content is aligned to the core level anaesthetic training curriculum.
    • Questions used in each exam component are checked and verified by FRCA examiners and mapped to the relevant competencies set out in the core level curriculum.
    • Successful completion of all three Primary examination components is required to complete core level training and proceed to the intermediate level of the anaesthetic training curriculum.

Preparing for the FRCA Primary examinations

  • Always practice as many MCQs as you can. Reading is important but practice is essential.
  • There are many questions in the public domain. 
    • Mock exams can be found on e-Learning Anaesthesia (e-LA), the FRCA guide to the Primary and there are a number of MCQs examples on the website.
    • Most candidates prepare well for the MCQ and practice hundreds of question.
    • This will help considerably to improve the chance of success.
  • It is important that the same meticulous preparation goes into the oral exam. 
    • If you attend tor the day poorly prepared and with little knowledge of what is required you will not do yourself justice.
    • The SOEs require certain skills, practice answering questions under exam conditions allowing five minutes for each question, ensure you answer concepts in depth showing clear thinking and understanding, try and practice with tutors and educational supervisors, they will have knowledge of the process and will be able to guide you.
    • The earlier candidates start preparing the more confident and competent they will appear on the day
  • For the OSCE try to practice the key aspects of performance for each station, watch the OSCE videos and try to attend at least one full practice session of OSCE.
    • It is hard work and tiring to complete 16 to 18 stations in a row and prior experience of this will help.



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