Membership examinations

The MRCS (Membership of the Royal College of Surgeons) and FRCS (Fellowship of the Royal College of Surgeons) are key qualifications for surgeons in the UK and other countries. They signify different levels of surgical training and expertise.

Membership of the Royal College of Surgeons (MRCS)

Overview:

  • Purpose: The MRCS is an entry-level qualification for surgeons who have completed their basic surgical training and wish to progress to higher specialty training.

  • Eligibility: Medical graduates who have completed at least one year of postgraduate clinical experience can apply for the MRCS exams.

  • Exam Structure: The MRCS exam assesses the knowledge, skills, and attributes required for the early years of surgical training. It is divided into two parts:

    • MRCS Part A: A written exam with multiple-choice questions (MCQs) testing applied basic sciences and principles of surgery in general.

    • MRCS Part B: An Objective Structured Clinical Examination (OSCE) that assesses clinical skills, communication, and procedural knowledge through practical scenarios.

Royal Colleges:

  • There are four Royal Colleges of Surgeons in the UK and Ireland that administer the MRCS exams:

    • The Royal College of Surgeons of England (RCS Eng)

    • The Royal College of Surgeons of Edinburgh (RCSEd)

    • The Royal College of Physicians and Surgeons of Glasgow (RCPSG)

    • The Royal College of Surgeons in Ireland (RCSI)

Benefits:

  • Credential: The MRCS qualification demonstrates that the holder has the essential knowledge and skills to progress in their surgical training.

  • Progression: It is a prerequisite for entering specialty training (ST3) in surgery.

Fellowship of the Royal College of Surgeons (FRCS)

Overview:

  • Purpose: The FRCS is an advanced qualification for surgeons who have completed their higher specialty training and wish to achieve consultant status.

  • Eligibility: Surgeons who are undertaking their specialty training and have substantial experience in their field can apply for the FRCS exams.

  • Exam Structure: The FRCS exam assesses the higher-level clinical knowledge and skills required to practice as a consultant surgeon. It includes:

    • Written Exam: Tests advanced surgical knowledge specific to the candidate’s specialty.

    • Clinical Exam: An OSCE or viva exam that assesses clinical decision-making, operative skills, and the ability to manage complex surgical cases.

Royal Colleges:

  • The FRCS is awarded by the same four Royal Colleges as the MRCS:

    • The Royal College of Surgeons of England

    • The Royal College of Surgeons of Edinburgh

    • The Royal College of Physicians and Surgeons of Glasgow

    • The Royal College of Surgeons in Ireland