First FRCR Examination

Purpose of assessment

The First FRCR examination expects candidates to have acquired a broad knowledge of those subjects that relate to the investigation and management of patients with cancer. Candidates are examined against the Specialty Training Curriculum for Clinical Oncology and the syllabus. The First FRCR Examination Purpose of Assessment statement details the examination's purpose, the required level of candidate training and the application of results. It is hoped that the statement will assist candidates, and those involved in their training, in understanding the scope of the FRCR examination and with relating the examination to other in-training assessments.


The First FRCR examination comprises four papers of single best answer (SBA) questions.  The written papers for the four subjects are held twice a year over two consecutive days.  Further general information on the examination shows in the guidance notes for candidates.

Entry requirements

Applicants must have completed formal courses covering the examination syllabus in order to enter; there is no requirement to have held a clinical oncology training post. Candidates may enter the examination at four sittings only. Following a regulation change in 2014, attempts do not have to be taken consecutively, for further information please read the regulation change FAQs.

How to apply

Applicants should ensure they meet the entry requirements by reading the examination regulations before applying online.

Examination and application dates, as well as a list of available venues are shown in the dates and fees document.  

Online application for the Autumn 2018 sitting is now closed.

The venues for the Autumn 2018 examination can be found here

Sample questions, guidance and examiners’ reports

The College provides a suggested reading list and candidates are expected to supplement their reading of textbooks with appropriate reviews in relevant journals. Sample SBA questions and a copy of the answer sheet are provided, as are instructions for candidates to follow during the examination. The Oncology Registrars' Forum (ORF) have prepared advice for candidates from trainees who have already sat the examination.  The document has been drafted without input from the FRCR examiners and does not necessarily represent their views. Generic examiners' reports are available as a guide to candidates and trainers preparing for future sittings of the examination – these include previous pass rate information from the First FRCR examination.