The FRCS Tr & Orth exam structure
The Intercollegiate Specialty Examination in Trauma & Orthopaedic Surgery — commonly called the FRCS (Tr & Orth) — is taken towards the end of specialty training. It is run by the Joint Committee on Intercollegiate Examinations (JCIE) and has two parts, which are taken in order. Always check the JCIE website for current dates, eligibility and regulations.
Section 1: the written paper (Part 1)
Part 1 is a computer-based written examination made up of single best answer (SBA) questions. It tests applied knowledge across the whole Trauma & Orthopaedics curriculum, including basic science, trauma and each of the subspecialties. Candidates need to pass Part 1 before they can sit Part 2.
How to prepare
Regular question practice across every syllabus area helps you identify weak topics and get used to the SBA format. Our Part 1 SBA question bank lets you practise by category and track your score.
Section 2: clinicals and vivas (Part 2)
Part 2 is a face-to-face examination with two components. The clinical component assesses history taking, examination and discussion with real patients. The oral (viva) component consists of structured discussions with examiners covering topics such as trauma, adult elective orthopaedics, hand and paediatrics, and basic science, often using radiographs and clinical images as prompts.
How to prepare
Practising concise, structured spoken answers to clinical scenarios is key. Our Part 2 Viva & Clinicals Workbook provides cases, images and ideal answers for rehearsal.