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FRCPath in Haemotology – an overview
Overseas Haematologists wanting to secure a role in the UK via the postgraduate qualificaiton route will need to attain Fellowship of the Royal College of Pathologists or FRCPath in Haematology, a sub-specialty exam of FRCPath. FRCPath is the UK qualification and a GMC Recognised postgraduate route.
International Medical Graduates (IMGs) from any country in the world can sit the sub-specialty FRCPath in Haemotology examinations, provided certain eligibility criteria are met.
These are summarised below along with a broad look at the following topics:
What is FRCPATH in Haematology?
FRCPath Haematology structure and format
FRCPATH in Haematology Part 1
FRCPATH in Haematology Part 2
Set against the Specialty Training Curriculum for Haematology, the examinations are designed to assess a trainee’s knowledge, skills and behaviours in field of Haematology. The exams recognise haematologists close to the end of their training who can demonstrate sufficient knowledge and technique for independent practice.
In other words, completion of the full set of exams (Part 1 & 2) demonstrates your ability to work at consultant level.
Part 1 is usually taken in the UK at ST5 level, with Part 2 at the end of ST6 as they enter the final year of Specialty Training – ST7.
The exam is split into 2 parts:
Part 1 – two written papers sat on the same day, comprised of essay and multiple-choice questions.
Part 2 – held over three days, the exams comprise of three written components and one oral examination
FFRCPath, along with MRCP(UK), is a mandatory requirement for Specialist Registration in Haematology. You can read our overview on MRCP(UK) here.
Eligibility for FRCPath in Haematology:
If you have the required months training in a recognised programme in your country for Haematology specifically, the chances are you will be eligible.
You are required to have trained in a recognised training programme in haematology for a period of no less than two years.
The Royal College expects you to have at least three years of specialty training specific to Haematology in your own country before applying. Furthermore, you cannot sit Part 2 examination until 12 months after successfully completing Part 1.
Structure and content for FRCPath in Haematology:
The exam is split into 2 parts with 5 individual examinations in total.
Part 1 comprises two written papers:
Paper 1 or Essay Paper – four essay questions each addressing an important area of laboratory or clinical practice in one of the four areas:
Paper 2 or MCP Paper – 125 questions of both multiple choice and extended matching format.
50 questions will be best from five whilst 75 are extended matching and examines knowledge of:
blood transfusion 25%
general haemotology 25%
haematological oncology 25%
haemostasis & thrombosis 25%
Most questions are structured around clinical or laboratory vignettes and are designed to assess clinical judgement and ability to apply, rather than just recall knowledge.
Questions map to the Haematology training curriculum.
The blueprint from which the questions are developed can be found on the Royal College website.
3 written papers and 1 oral examination:
Morphology SAQs
Morphology, Long cases
3 questions long answer
The exam is held simultaneously over 3 days in the UK only and evaluates your knowledge, skills and clinical judgement in important areas within the Haemotology. The questions in the written papers adopt a short answer format which requires you to provide a concise response, these answers can be given in short words, phrases or lists.
A series of questions may relate to ‘clinical vignette’ building on case information. Clinical vignettes are patient related cases and scenarios that have educational value for a wider audience.
Morphology: SAQs
up to 12 questions answered in 1 hour 30 minutes
each question requires you to examine 1-2 of either of the following:
Morphology: Long cases
3 questions answered in 1 hour 30 minutes
Each question will provide a case history and contains several parts which require either:
Interpretation of slides, lab results or other clinical investigations
Provide a report and make diagnosis
Recommend clinical investigations and interventions
10 questions answered in 2 hours
Each question will provide a case history or lab results requiring you to:
Recommend further investigation or treatment
8 questions answered in 2 hours
The oral examination assesses your ability to evaluate problems and demonstrate good clinical judgement whilst assessing your ability to communicate clearly and effectively. The exam covers 8 topics over 1 hour, with two 30-minute oral exams with two pairs of examiners.
First Exam - 2 topics in coagulation & 2 topics in transfusion medicine
Second Exam - 2 topics in general laboratory haematology & 2 topics in haematological oncology
As an overseas candidate where can I take the exams? And how much will they cost me?
Part 1 overseas examinations centres:
The content of the exam is set against the Haematology Training Curriculum.
Royal College - Haematology Regulations & Guidelines
Part 1 – six past papers
Blueprint for MCQ Examination:
The blueprint from which the MCQ questions are developed..
British Society of Haematology guidelines:
Compulsory reading material for exams and day-to-day clinical practice. Make sure to read them, understand them and know the recommendations made in bold. Be aware that the guidelines are a few years old and imminently due for review.
British Society for Haematology educational resources:
Click here for the British Society for Haematology educational resources.
Morphology image bank, case reports, practice essay questions, EMQs, MCQs and tutorials. Signup and login required but you don’t need to be a member to make use of the BSH’s bank of essay questions, MCQs and EMQs
Blood Journal: How I treat articles:
Click here for easy-to-read helpful overviews of most haematological conditions
Ihaematology.com:
http://www.ihaematology.com/ Revision site created by previous candidates.
Haembase:
Click here for Haembase. This is a general revision resource for those preparing for FRCPath examinations
First of all, congratulations! After you have passed all parts of FRCPath Haematology you can apply for a full registration with a license to practice. Once the GMC have approved your application, you can work as a doctor in the UK.