Final FRCA examinations

About the exam

The Final FRCA examination is the second part of the Fellowship of the Royal College of Anaesthesia (FRCA) examination and consists of two separate summative assessments.  To achieve an overall pass in the FRCA Final, a candidate must pass both examination components. 

The Final FRCA examination comprises two exam components:  the Final FRCA Written examination and the Structured Oral Examination (SOE). Candidates must pass the Primary FRCA or have a recognised exemption before applying to the Final FRCA. 

Candidates must pass the written component before applying for the Final SOE. The written component is valid for three years during which time candidates can prepare for the SOE.

Final examinations are aligned to the core and intermediate levels of the UK anaesthetic training curriculum. The questions used in the examinations are tagged to the FRCA Primary and Final examinations syllabuses. Passing the Final examination allows candidates to progress to high level training. Successful completion means that candidates become Fellows of the Royal College of Anaesthetists and can use the letters FRCA after their name. 

Preparing for the Final FRCA exams

Candidates who have prepared thoroughly and have adequate experience of anaesthesia, intensive care medicine and pain management, together with a solid knowledge of basic sciences, will have the best chance of performing well. Most of the questions relate to subject areas covered in the intermediate curriculum, however, candidates are reminded that the Final exam may also include questions related to the core level curriculum (including basic sciences) and professionalism in medical practice (Annex A of the CCT document). Therefore, candidates will need a broad knowledge of the core and intermediate level curriculums to pass the examination.  Candidates are also expected to be familiar with recent important reports and guidelines. 

The most common mistake made by candidates attending the SOEs is failure to practise speaking aloud coherently in answer to a question. It is a different skill from providing written answers. When sat in front of your examiners for your oral exam, stay calm, listen carefully to the questions and make sure you answer the question that was asked in a careful but considered manner.

Dr Kevin O'Hare
Chair, Final FRCA examination (2019 - 2022)

Guide to the Final FRCA examination

The College provides an essential study guide to help you prepare for the Final FRCA examination. 

Buy your guide at the RCoA shop.