​The Final FRCR Part 2B examination is a pivotal step in a radiologist's career, assessing not only knowledge but also practical skills and decision-making abilities. Success requires meticulous preparation and an awareness of common pitfalls. Here are some frequent mistakes candidates make and strategies to avoid them:​

🧠 Understand the Exam Structure

As of June 2025, the FRCR Part 2B exam comprises three components:​

1. Short Cases: Replaces the previous Rapid Reporting module. Candidates interpret a series of imaging cases, focusing on identifying key findings and providing concise diagnoses.​

2. Long Cases: Six cases requiring detailed reports within 75 minutes.​

3. Oral Examination (Viva): Two 30-minute sessions with pairs of examiners assessing various subspecialties.​

Familiarity with the exam format is crucial. The Royal College of Radiologists provides detailed guidance notes to help candidates understand the expectations for each component. ​

📅 Create a Structured Study Plan

Allocate at least 3 to 4 months for dedicated preparation. If you're working full-time, consider extending this to 6 months.Your study plan should encompass:​

• Short Case Practice: Aim for 2–3 sets daily, increasing to 4–5 as the exam approaches.​

• Long Case Analysis: Practice one set daily, focusing on structured reporting.​

• Viva Sessions: Engage in regular mock vivas with peers or mentors to build confidence.​

Consistency and regular review are key to reinforcing knowledge and building exam readiness. ​

📚 Utilize High-Quality Resources

Selecting the right study materials can significantly impact your preparation. Recommended resources include:​

• Books:

  • Accident and Emergency Radiology: A Survival Guide by Nigel Raby

  • Final FRCR Part B Viva: 100 Cases and Revision Notes by Richard White et al.

  • Long Cases for the Final FRCR 2B by Rebecca Hanlon

  • Top 3 Differentials in Radiology by William O'Brien

  • Aunt Minnie's Atlas and Imaging-Specific Diagnosis by Thomas Pope​

• Online Platforms:

  • Revise Radiology: Provides question banks, mock exams, and structured study plans.

Engaging with these resources can enhance your understanding and provide diverse case exposures.​

🏃‍♂️ Master Short Cases

The Short Case module assesses your ability to quickly and accurately interpret a variety of imaging studies. Strategies to excel include:​

• Systematic Approach: Develop a consistent method for reviewing images to ensure no findings are overlooked.​

• Avoid Overcalling: Only mark an image as abnormal if you're certain; overcalling can negatively impact your score.​

• Regular Practice: Utilize online short case sets to build speed and accuracy.​

Remember, each abnormal case typically contains a single significant finding; focus on identifying that. ​

📝 Approach Long Cases Methodically

Long cases assess your ability to interpret complex imaging and provide structured reports. Tips for success:​

• Structured Reporting: Use a consistent format, including clinical details, imaging findings, interpretation, and recommendations.​

• Time Management: Allocate approximately 12 minutes per case to ensure all are completed within the time frame.​

• Practice Typing: Since the exam is computer-based, practice typing your reports to improve speed and clarity.​

Regularly reviewing and analyzing past cases can help identify common pitfalls and improve diagnostic accuracy. ​

🗣️ Excel in the Viva Examination

The viva assesses your ability to articulate findings and reasoning under pressure. To prepare:​

• Mock Sessions: Engage in practice vivas with colleagues to simulate exam conditions.​

• Clear Communication: Practice explaining your thought process clearly and concisely.​

• Stay Calm: Develop strategies to manage anxiety, such as deep breathing or mindfulness techniques.​

Familiarity with a wide range of cases and regular practice can build confidence and improve performance. ​

🧑‍🤝‍🧑 Join Study Groups

Collaborating with peers can provide diverse perspectives and enhance learning. Benefits include:​

• Shared Resources: Exchange study materials and case discussions.​

• Peer Feedback: Receive constructive critiques to improve your approach.​

• Motivation: Maintain accountability and motivation through group study sessions.​

Platforms like Telegram and WhatsApp host FRCR-focused study groups that can be valuable resources. ​

🧘‍♀️ Prioritize Well-being

Maintaining physical and mental health is essential during preparation:​

• Regular Breaks: Incorporate short breaks to prevent burnout.​