FRCOphth

The Fellowship of the Royal College of Ophthalmologists (FRCOphth) is an essential qualification for applying for consultant posts in the UK. It is required to complete the Certificate of Completion of Training (CCT) for trainees or the CESR/portfolio pathway for overseas/non-trainee candidates.

All you need to know about FRCOphth

Eligibility

Exam Details and Pattern

Recent Changes

Exam Preparation

To become a Fellow of the RCO there are 4 examinations to pass

01

Part 1 Fellowship exam

02

Part 2 Fellowship written exam

03

Refraction Certificate exam

04

Part 2 Fellowship oral exam

How is FRCOphth different from FRCS Glasgow?
  • FRCS Glasgow includes an emergency medicine station in the final viva, while FRCOphth does not
  • The overall pass rate for FRCS Glasgow is said to be higher
  • Passing FRCS Glasgow allows GMC registration, but to become a consultant in the UK, one must pass all FRCOphth exams
Who is this exam for?

These exams are for ophthalmology trainees in the UK’s Ophthalmic Specialist Training (OST) program, which lasts for seven years. Trainees take these exams at various stages of their training.

What are the eligibility requirements for candidates taking the Part 1 FRCOphth exam?
  • UK trainees take it by the end of year two as a curriculum requirement to progress
  • No prior ophthalmology experience is required for overseas candidates
  • Candidates must have a verified MBBS qualification
  • Candidates must submit an attested copy of their medical degree or GMC registration evidence
What are the eligibility requirements to take the Part 2 FRCOphth written exam?

Candidates who have successfully passed the Part 1 FRCOphth exam are eligible to take the Part 2 written exam.

When should the Refraction Certificate exam be taken?
  • It can be taken before or after the Part 2 written exam
  • Passing this exam is mandatory before appearing for the Part 2 oral exam
  • OST trainees must pass this exam before entering year four of training
  •  
Who is eligible for the Part 2 FRCOphth oral exam?
  • Candidates must have passed both the Part 2 written exam and the Refraction Certificate exam
  • The Royal College recommends a minimum of four years of ophthalmology experience before taking the Part 2 written and oral exams
Where are these exams conducted?
  • Part 1 FRCOphth and Part 2 Written Exam – Conducted online via remote proctoring, allowing candidates to sit for them from any country
  • Part 2 FRCOphth Oral and Refraction Certificate Exams – Conducted in the UK, India, Trinidad and Tobago, Egypt, Singapore, and Malaysia
What is the format of the Part 1 FRCOphth exam?
  • Tests basic sciences, optics, and refraction
  • Consists of two multiple-choice papers (each with 90 single best answer questions)
  • Total of 180 questions over two 2-hour papers

     

What is the format of the Part 2 FRCOphth written exam?
  • Consists of two multiple-choice papers with 90 single best answer questions in each.
  • Total of 180 questions.
  • Conducted twice a year and can be taken as an online proctored examination from home.
What does the Refraction Certificate examination involve?

A timed skill-based Objective Structured Clinical Examination (OSCE) with 10 stations

What does the Part 2 FRCOphth oral exam consist of?
  • Structured Viva – Assesses clinical decision-making
  • OSCE (Objective Structured Clinical Examination) – Evaluates clinical and communication skills
How many attempts are allowed for each exam?
  • Part 1 FRCOphth and Refraction Certificate Exam: Maximum six attempts. Attempts before August 2013 are not counted
  • Part 2 FRCOphth Written and Oral Exams: Maximum four attempts
What is the examination fee for each of these?

 

Examination2024 Fee
Part 1 Fellowship Examination£650
Refraction Certificate£830 (UK)
£1385 (Singapore)
£1385 (Malaysia)
£1330 (Trinidad and Tobago)
£1040 (India)
£1040 (Egypt)
£1040 (Pakistan)
Part 2 Fellowship Written Examination£650
Part 2 Fellowship Oral Examination£875 (UK)
£2900 (Singapore)
£2780 (Trinidad and Tobago)
£2295 (India)
£2295 (Egypt)
£2295 (Pakistan)
£1725 (Athens)
Is MRCOphth still an acceptable qualification for OST3 entry?

MRCOphth no longer qualifies for OST3 entry, which is equivalent to post-MS in India, Pakistan, Egypt, and Malaysia.

Are there exemptions for candidates holding ICO, FRCS Glasgow, or FRCS Edinburgh?

No, the Royal College does not offer exemptions for these qualifications. All candidates must pass Part 1 FRCOphth and the Refraction Certificate exam to proceed to Part 2 FRCOphth.

A preparation period of three months per part is recommended and may vary depending on individual study habits and the materials used.

Which resources are widely used for the Part 1 FRCOphth exam?
Where can candidates find resources for the Refraction Certificate examination?
Where can candidates find information for the Part 2 oral exam?
Where can candidates find pass percentages and weightage of topics?

Meet our Faculty

Ms Shruthy Vaishali Ramesh

MS, DNB, FRCOphth, FAICO

Ms Swetha Ravichandran

MS, FMRF (cornea), FRCOPHTH

Announcement

FRCS Ophthalmology Course

Dates: 20-09-2025 to 02-11-2025 

Time: 1800 – 2100 BST

Course Schedule

Surgical Training Schedule
Date Day Session Time (BST)
20-09-2025 Saturday Introduction to course 1800 - 2100
21-09-2025 Sunday Study plan of revision topics - SGT 1800 - 2100
28-09-2025 Sunday Ant segment, glaucoma and lids osce + communication SGT 1800 - 2100
05-10-2025 Sunday Orbit and strabismus + Attitudes ethics, health promotion SGT 1800 - 2100
12-10-2025 Sunday Neuro ophthalmology osce and investigations 1 SGT 1800 - 2100
19-10-2025 Sunday Posterior segment osce and investigations 2 SGT 1800 - 2100
26-10-2025 Sunday Full mock 1 with feedback 2.5 hours 1800 - 2100
02-11-2025 Sunday Full mock 2 with feedback 2.5 hours 1800 - 2100

Free sessions

July 13: FRCS Ophth Refraction Certificate Webinar
Aug 3: Free Taster Mock 

Timing: 1400–1600 BST

1-1 Mentoring​