About the OSCE

The Primary FRCA Objective Structured Clinical Examination (OSCE) is a summative assessment of a candidate’s clinical and communication skills together with applied technical knowledge of anaesthetic equipment, clinical monitoring and measurement.  The OSCE is taken together with the SOE and is aligned to the core level training curriculum. 

The Primary FRCA Structured Oral Examination (SOE) and Objective Structured Clinical Examination (OSCE) is delivered in person at the College.  

A successful candidate in the OSCE will have demonstrated the clinical skills and applied technical knowledge required of a competent core level anaesthetic trainee across multiple clinical scenarios.

The OSCE is the only component of the examination where the candidate is tested in a simulated clinical environment including communication with simulated patients. The OSCE complements the Primary SOE and the candidate is required to pass both parts before they can be awarded the FRCA Primary. These components, together with a portfolio of workplace-based assessments are required for a core level trainee to progress to intermediate level anaesthetic training.

Structure of the Primary OSCE

The Primary FRCA OSCE will comprise up to 16 live exam stations in a circuit.  Candidates must complete each station in succession. For example, if there are 16 stations, a candidate starting at station one will rotate through the circuit, finishing at station 16.

Before each station, you will read the guidance displayed outside of the cubicle. You have one minute to read this guidance after which a bell will sound and you will enter the station.   Each station takes five minutes. In the station,  an examiner may ask questions on a subject or you may be required to interact with a patient, played by an actor. A bell will sound at the end of the 5 minutes and you will move to the next station. 

If there is a rest station in the circuit, you will be seated in the station and be provided ear defenders to wear. The floor leads will indicate to you when it is time to move to the next station. 

You may have a water bottle with you when moving around the circuit but you are not permitted note paper or any other resources or electronic devices. 

How it is marked

Each station is marked out of 20 with the pass mark (the Angoff score) for each station/question being determined by the examiners before the examination using modified Angoff referencing. The Angoff score for each of the live stations are summed to obtain the pass mark for the whole examination.

OSCE Infographic

Primary OSCE SOE – maximum six attempts – component pass valid for three years
Registered with the GMC or other National Medical Council


  • Currently registered with the College as a UK trainee in Anaesthesia or ACCS or registered with the Faculty as a trainee in ICM, OR
  • An Anaesthetist who is registered with the College in a recognised membership category (not affiliated) (see Related Information) OR
  • Has previously successfully applied for Temporary Examination Eligibility (TEE) AND
Passed the Primary FRCA MCQ in the last three years

Awarded the Initial Assessment of Competence in Anaesthesia or recognised equivalent.

Has not exceeded the number of attempts allowed for each component (six).  Has submitted an Additional Educational Training form (AET1 form).  Paragraph 8, Appendix 8 of the Primary and Final FRCA examinations regulations provides full details and a copy of the AET1 form.

The full eligibility for this exam is listed at Section 6 Paragraph 15 of the Examination Regulations.


All FRCA examinations are conducted in English. Where a candidate’s first language is not English, the College recommends that an applicant’s communication and written skills in English are at least equivalent to the level at which a doctor could successfully pass the PLAB (Professional Linguistics Assessment Board) tests or at a level where they would expect to gain an average score of approximately 7.5/9 across all bands of the IELTS (International English Language Testing System). However we do not require you to provide us with a certificate proving competency in English.

Primary OSCE/SOE Examinations Calendar; 2023-2024

Application opening date

Monday, 16 October 2023

Monday, 5 February 2024 Monday, 12 August 2024

Application closing date

Sunday, 10 December 2023 Wednesday, 20 March 2024 Thursday, 26 September 2024

Examination date
(week commencing)

Monday, 22 January 2024 Monday, 13 May 2024 Monday, 4 November 2024

Examination fees





Apply and pay online

The online application process will be open for each exam from 0900 on the exam opening date to 1700 on the exam closing date (see dates and fees in the section above).  Applications are not accepted outside the application window. We do not confirm a place on an examination until after the booking window has closed.  Prioritisation: Where exams are oversubscribed, we will apply our policy for the Prioritisation of Applications. Please read our prioritisation policy before booking your exam.   

Reasonable adjustments: Any applicant who has a physical or mental disability, specific learning difficulty (SpLD) or on-going or fluctuating medical condition may be entitled to reasonable adjustments. To apply for reasonable adjustments, please complete the relevant section on the online examination application form. Applicants requiring reasonable adjustments should book as early as possible to ensure that there is sufficient time to put in place any specific requirements.  For more information on reasonable adjustments, please refer to the Examination Regulations.

Withdrawals: If withdrawing an application for admission to an examination before the closing date for applications, you may receive back the full amount of the fee paid, providing the withdrawal request is within 14 days of booking the exam.

If greater than 14 days or after the booking window has closed, the refund is subject to an administration fee (the 14-day rule). 

If withdrawing in any other circumstances within 7 working days of an exam date, including non-issue of entry visas (with the exception of those described in Section 9, Special Arrangements), you will not be entitled to any refund of fee. This rule also applies to candidates who do not appear for an exam on the exam day.

Fees cannot be deferred from one exam to another and candidates must prove their eligibility for each exam sitting they apply for.

Tax deductibility.  The College and faculties are aware that trainees who sit examinations as part of a training programme can claim tax relief on their exam fees. Whilst in a training programme trainees can also claim tax relief on membership fees.  Please visit HMRC for further information on how to claim. 

Results from the January 2024 Primary OSCE/SOE exam will be released by email by 5pm on Tuesday, 13 February 2024. 

No results will be given or confirmed by telephone.


All candidates who pass or fail FRCA exams will receive the same feedback, which will be sent out with  the result letters.
Full details of the type of feedback provided for each exam component is set out in the Primary and Final FRCA examinations regulations - appendix 9 - feedback policy.

There are no mandatory requirements for candidates to attend Guidance Interviews up to the fifth attempt for each component.  At the sixth attempt candidates must have attended a Guidance Interview.

A candidate who has failed any of the following components more than once may request a guidance interview.  Guidance is limited to one per examination component:

  • Primary OSCE/SOE

Please note that no special consideration will be given in respect of refunds following guidance interviews.

Interviews are arranged locally wherever possible although interviews can be arranged virtually if local trainers and examiners are not available. To arrange a guidance interview, please contact the exams office,

Guide to sitting the OSCE and SOE in person at the RCoA

Getting to Churchill House: Map and Directions 

Arrival at the College. Please arrive at the Royal College of Anaesthetists at least 30 minutes before the first call time on your Admission Notice. The timetable and marking system do not allow late admissions. Please note that the earliest time you will be admitted to the College is 07.30.   

Dress Code:  The same dress code for day-to-day clinical practice/contact with patients applies to the FRCA examination e.g. suit and tie.  The form of dress should not constrain a candidate’s ability to demonstrate recognised skills including effective communication with simulated patients or examiners. There is no requirement to wear clinical/theatre clothing during any of the examinations.

Candidates are requested not to wear forms of dress that cover the face to ensure easy verification of the candidate’s identity.

Water bottles: Help us to reduce the use of single-use plastic in the College by bringing a water bottle to your exam. Water bottles may be taken onto the OSCE and SOE exam floors and refilled at points around the College.  

On arrival at the College. Please report to the reception desk and present your Admission Notice and ID. You will be given clear instructions on when and where to report for each examination component. We will issue you with a label bearing your candidate number. Your candidate number must be visible at all times when you are in the College. You must sign in and out at reception when leaving/returning throughout the day.

Mobile phones and other electronic devices. Switch off your phone and store in secure locker/luggage for duration of time in College. A Pound coin is needed for the lockers.
Under no circumstances should mobile phones or smart watches be taken to the exam floor. Candidates will be disqualified if phones or smart watches are found on their person once they have entered the exam floor.

Changes: We do not envisage making changes to exam dates and times set out in admission notices but if there is a ‘National Emergency Situation’ that is likely to affect a majority of College examiners or candidates, there may be a need to implement a contingency plan to deal with the situation.  If this happens and there is sufficient time available to us, we will inform you personally. In the unlikely event of this happening at short notice, then an urgent announcement will be published on the College website – homepage (

For a more detailed look at each individual station please visit Primary OSCE Video Resources.