Clinical Radiology Examinations

Updates

The College is continuing to monitor the restrictions in Australia, New Zealand and around the World due to the current COVID-19 outbreaks. The College is continuing to monitor the restrictions in Australia, New Zealand and around the World due to the current COVID-19 outbreaks. In S2 2020, S1 2021 and S2 2021 several written examinations were successfully delivered via online proctoring.

To maintain the safety of candidates and considering variable and unpredictable jurisdictional lockdowns and limitations on travel, the College will deliver all written examinations via online proctoring in 2022.

There are two major exams in the Clinical Radiology Training Program:  

The Part 1 exams consist of examinations in Anatomy and Applied Imaging Technology (AIT) and must be completed within two years of commencing training:

Anatomy 

 One three-hour paper to assess trainee knowledge of radiologic anatomy: 

  • Labelling

           120 labels worth ¼ mark each, across six body regions. Minimum one diagram per region and maximum of two. 

  • Multiple Choice Questions (MCQs) 

           60 MCQs worth one mark per question 

  • Very Short Answer Questions (VSAs) 

           30 VSAs worth one mark per question 

  • Short Answer Questions (SAQs) 

           20 SAQs worth three marks per question

There are six topic areas (body regions) covered in the examination. Please note, these percentages provide approximate weightings and may vary slightly between examinations: 

    1. Brain                                20%
    2. Head and neck                    15% 
    3. Spine                                   10% 
    4. Thorax                                 15% 
    5. Abdomen and pelvis            25% 
    6. Limbs                                15%

 Applied Imaging Technology

One three-hour paper to assess trainee knowledge on imaging technology, quality and safety: 

  • Constructed Response Questions (CRQs) 

           Nine CRQs worth 10 marks per question 

  • Multiple Choice Questions (MCQs) 

           60 MCQs worth one mark per question 

Trainees may apply to sit the Anatomy and AIT examinations together, or independent of each other. Irrespective of whether they sit the examinations together or separately, trainees have four consecutive opportunities to sit the Phase 1 Examinations from the date of commencement of training. This rule applies regardless of the trainee’s full-time equivalent (FTE) status or the number of examinations sat at an opportunity. Not sitting the examination at an opportunity is considered and recorded as a missed opportunity unless the trainee is on College approved remediation or interrupted training or has been approved by the College to defer or withdraw from the examination under the Consideration of Special Circumstances Policy. 

Trainees who fail to sit the first available opportunity following commencement of training (where the commencement of training date is prior to the examination application closing date) will be deemed to have lost that examination opportunity. 

Once an examination has been successfully passed, only the remaining examination needs to be completed.

For more information refer to: Phase 1 Examinations (Clinical Radiology) Policy   

The Part 2 exam consists of two examinations in Clinical Radiology and one examination in Pathology, and seven Vivas (oral exams), and is usually taken in Year 4 or 5.

  • e-Film Reading: Eight short answer questions using radiology film cases
  • e-Radiology: 100 multiple choice questions (MCQs)
  • e-Pathology: 100 multiple choice questions {(MCQs)
  • Vivas: Live oral film reading/pathological image exams. There are seven vivas topics to be passed (six body systems and one Pathology), and each viva will include multiple cases.

From 2022, all Clinical Radiology Examinations will be aligned to the 2022 Training Program Learning Outcomes, regardless of examination format. Please see Related Documents at the bottom of this page to access RANZCRs new Learning Outcomes.

For more information refer to: Part 2 Examination (Clinical Radiology) Policy 

From 2023

The Part 2 Examination structure and format will transition to Phase 2.  Trainees transitioning into the Training Program 2022 must refer to transition arrangements information provided to them and also available within The Clinical Radiology Handbook.  

Phase 2 Examinations include:

Pathology Examination

Writtens

maximum 3 opportunities

Clinical Radiology:

-        MCQ Examination

-        Case Reporting Examination

Writtens

maximum 3 opportunities

Objective Structures Clinical Examination in Radiology (OSCERs)

VIVAs

maximum 3 opportunities

Pathology Examination 

One three-hour examination to assess trainee’s core and advanced knowledge of pathology as applied to current radiological practice. 

  • Multiple Choice Questions (MCQs) 

           100 Qs, worth 1 mark per question 

  • Short Answer Questions (SAQs) 

           10 SAQs, worth 6 marks per question. There will be two general questions and one question per topic area. 

 Clinical Radiology Examination

MCQ Examination 

One two-hour examination to assess trainee’s core and advanced knowledge of diagnostic radiology as applied to current radiological practice. 

  • Multiple Choice Questions (MCQs) 

           100 MCQs, worth 1 mark per question

Case Reporting Examination 

One three-hour examination to assess trainee’s competencies in perception, interpretation, diagnosis and communication via the written report. 

  • Short Cases 

           20 questions, worth 3 marks per question 

  • Medium Cases 

           10 questions, worth 3 marks per question 

  • Long Cases 

           5 questions, worth 12 marks per question

 Objective Structured Clinical Examination in Radiology

The OSCER is a capstone assessment to assess the trainee’s competence to practice autonomously as a clinical radiologist, incorporating clinical reasoning, clinical judgement, medical skills and knowledge as well as broader intrinsic roles including communication and professionalism. 

There will be seven OSCER stations across seven topic areas. The stations are: 

  • Abdominal 
  • Neuroradiology/Head and Neck 
  • Thoracic and Cardiovascular 
  • Breast 
  • Obstetrics and Gynaecology 
  • Musculoskeletal 
  • Paediatrics 

Each question is mapped to one of the following domains: 

  • Intrinsic Roles 
  • Observation 
  • Interpretation 
  • Management 
  • Pathology 
  • Anatomy 
  • AIT/ Patient Safety 

There will be 25 minutes for each station, with 8-10 cases per station. The number of cases will be dependent on the topic area, modality and complexity. Trainees have three consecutive opportunities at the OSCERs. 

For more information refer to: Clinical Radiology Learning Outcomes and Handbook

 

To sit the Phase 1 exam, you must be in an accredited training position. You must take the whole exam at once, on your first sitting.

To sit the Part 2 exam, you must have passed the Phase 1 exam, completed 3 years of training, all Phase 1 assessments and be in an accredited training position.

International medical graduates may be permitted to sit the Part 2 examinations in certain circumstances. See International Medical Graduates.

  1. Download and print the application form for Phase 1 or Part 2 
  2. Complete the form, including payment for exam fees and any other items required such as passport photos
  3. Send the completed application form, including required signed documentation, by mail or email to the address listed on the form. We must receive the application by 4pm on the relevant closing date. Late applications are not accepted
  4. An acknowledgement of receipt of application will be emailed within 10 business days of the application being received at the College office.(where reasonably practical). Confirmation of receipt of application will NOT be provided via phone. Contact the College immediately if you have not received an acknowledgement within 10 business days.

A note for Phase 1 candidates:
At the time of the examination you must be employed as an accredited radiology trainee and you must have completed all required training program assessments at the time of applying to sit the examination. If you commence in an accredited radiology training position after the closing date for applications, in addition to submitting the examination application form, the completed and required attachments of the Approval of Course in Training Form must be submitted with your examination application prior to the closing date.

Trainees pay an examination fee to cover the costs of operating the exams. Visit the College Fees page for details on exam fees.

If you need to withdraw from an exam, you must inform the College in writing.

If you withdraw up to four weeks before the exam, there is no financial penalty.

If you withdraw within four weeks of the exam, you will be refunded 50% of the exam fee.

If you fail to attend the exam you forfeit the exam fee.