UK anaesthesia fellowship, from an anaesthetics and ICU background.
Final FRCA
ready.
A grounded single best answer MCQ bank modelled on the Final MCQ, a Structured Oral simulator with voice mode, spaced-repetition flashcards, and UK study notes across 340 syllabus-mapped learning objectives. Grounded in NICE, RCoA and DAS, not Australian guidance.
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Specialist unlocks every PRIMEX exam track. Accessible is limited to AMC and Medical Student. Subscribe on the website or in the iPhone app, then use the same account to keep your access and progress together.
Final FRCA exam dates 2026 to 2027
Published windows for the current sittings. Always confirm against the official RCoA Final FRCA examination pages before scheduling, as the College updates dates through the year.
- Final Written (CRQ + MCQ)CRQ 9 Sep with MCQ 11 Sep 2026; CRQ 3 Mar with MCQ 5 Mar 2027, online via TestReach
- Final SOE (structured oral)w/c 30 Nov 2026 and w/c 21 Jun 2027, in person at the College
- Written application window (Sep 2026)25 May to 15 Jul 2026 (online)
- Written pass validityValid three years; you must pass the Written before applying for the SOE
The Final Written has two papers on separate days, a Constructed Response paper and a Single Best Answer MCQ. You must pass both, and the Written overall, before you can apply for the SOE.
What the Final FRCA tests
How candidates prepare for the Final FRCA
The Final FRCA written has two papers on separate days, a Constructed Response paper and a Single Best Answer MCQ. The MCQ is 90 single best answer questions over three hours, weighted broadly towards general anaesthesia, with perioperative medicine, regional anaesthesia and the other curriculum domains. PRIMEX questions use the same five-option single best answer format across the syllabus. Every option carries a grounded explanation, so you learn why the distractors are wrong, not only which answer is right. You must pass the Written before you can apply for the SOE.
- Five-option single best answer, the current Final MCQ format
- Weighted towards general anaesthesia, as in the real paper
- Grounded per-option explanations and an examiner tip on every question
- No negative marking, one mark per correct answer, as in the real paper
- Questions written for UK practice: NICE, RCoA, DAS and UK drug names
The Final FRCA SOE is a spoken exam in two parts, SOE 1 and SOE 2, examining clinical short and long cases with linked clinical science, marked by two examiners. The PRIMEX simulator runs structured stations in that shape: a clinical case opening, prioritised management probing, and integration of the clinical science behind it. It expects consultant-level UK answers with specific drug doses and targets, and follows up on vague answers the way a real examiner would. Voice mode lets you practise speaking the answer rather than typing it.
- Structured stations modelled on the SOE 1 and SOE 2 format
- Opens on a clinical case, then probes management priorities
- Expects UK doses, targets and current guidance
- Voice mode: speak your answers, no typing needed
- Debrief flags the safety and communication points examiners look for
Study notes covering the Final FRCA syllabus, mapped across 340 learning objectives in 20 sections. Written for UK anaesthesia and grounded in NICE, the Royal College of Anaesthetists, the Difficult Airway Society and UK approved drug names throughout. Notes surface alongside MCQ and oral practice, so you move from a question to the relevant note in one step.
- A distinct note for each of the 340 mapped learning objectives
- UK guidance and drug names, not Australian or New Zealand framing
- Consistent, scannable structure rather than a wall of text
- Full-text search across every note
- Linked from MCQ and oral practice
10,182 flashcards with spaced repetition across the Final FRCA syllabus. Card types include management steps, drug dosing, clinical decisions and guideline thresholds, all in UK terms. Review what you are forgetting, not what you already know, and jump from any card to the full study note.
- 10,182 cards mapped across the Final FRCA syllabus
- Spaced repetition: review what you are forgetting, not what you know
- Card types: management step, drug dosing, clinical decision, threshold
- One tap from any card to the full study note
- Written for UK clinical anaesthesia
The Final FRCA syllabus defines the learning objectives you are examined on. PRIMEX maps the syllabus into 340 learning objectives across 20 sections, tied to the notes, flashcards and questions that cover them, with per-section progress and a countdown to your exam date. The readiness view combines coverage with accuracy, so you can see what to study next rather than guess.
- 340 learning objectives mapped across 20 sections
- Per-section progress and a days-to-exam countdown
- Readiness combines coverage with accuracy
- Study this next: the topic queued for today, one tap to open
Final FRCA format: written and SOE
The Final FRCA is the exit written and oral examination of UK anaesthesia training, set by the Royal College of Anaesthetists. It has two components: a Final Written, made up of a Constructed Response paper and a Single Best Answer MCQ sat on separate days, and a Structured Oral (SOE). You must pass the Written before you can apply for the SOE, and passing the SOE confers Fellowship. There is no OSCE at the Final. PRIMEX is built by Dr Jay Marshall, who trained in anaesthesia and intensive care.
PRIMEX currently covers the Single Best Answer MCQ and the Structured Oral, with study notes and flashcards across the full syllabus. A dedicated Constructed Response (CRQ) practice surface is on the roadmap.
- OrganiserRoyal College of Anaesthetists (RCoA), UK
- WrittenTwo papers on separate days, online via TestReach: a Constructed Response paper (12 questions, 3 hours) and a Single Best Answer MCQ (90 questions, 3 hours). Both must be passed; the Written is valid three years
- SOEA structured oral in person, SOE 1 and SOE 2, examining clinical short and long cases with linked clinical science: 12 questions, two examiners, marked 2, 1 or 0
- ProgressionPass the Written before applying for the SOE. Passing the SOE confers Fellowship and the FRCA post-nominals. There is no OSCE at the Final
- Exam feesRCoA, 2026 to 2027: Written £620 per sitting; SOE £735 (w/c 30 Nov 2026 sitting). Confirm current fees with the College
- Pass rateRCoA publishes per-sitting reports. Recent Written: UK trainees about 65% first attempt, all candidates about 54% (Mar 2026). SOE about 77% UK first attempt, 73% all candidates (Jun 2026)
Everything for the Final FRCA, in one place.
A grounded single best answer MCQ bank, a Structured Oral simulator with voice, spaced-repetition flashcards and UK study notes across 340 learning objectives. Free for 7 days, then from A$44.99/month.
Start free trial, 7 days free Cancel anytime · no commitmentCommon questions about the Final FRCA
Specialist pricing and 7-day free trial
Specialist unlocks every PRIMEX exam track: the specialist pathways, AMC and Medical Student. Every study tool is included, with no per-feature paywalls.
- ✓ Every PRIMEX exam track
- ✓ Flashcards with spaced repetition & MCQ drill
- ✓ Study notes for every curriculum topic
- ✓ Structured Oral simulator with voice
- ✓ Study plan with pace tracking
- ✓ Curriculum tracker & readiness insights
- ✓ Every PRIMEX exam track
- ✓ Flashcards with spaced repetition & MCQ drill
- ✓ Study notes for every curriculum topic
- ✓ Structured Oral simulator with voice
- ✓ Study plan with pace tracking
- ✓ Curriculum tracker & readiness insights
- ✓ Every PRIMEX exam track
- ✓ Flashcards with spaced repetition & MCQ drill
- ✓ Study notes for every curriculum topic
- ✓ Structured Oral simulator with voice
- ✓ Study plan with pace tracking
- ✓ Curriculum tracker & readiness insights
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