The Primary FRCA consists of three separate components: the Multiple Choice Question (MCQ) examination, the Objective Structured Clinical Examination (OSCE), and the Structured Oral Examination (SOE). Candidates must successfully pass all three components to achieve an overall pass in the Primary FRCA.

The Primary FRCA MCQ is a three-hour written examination containing 90 Single Best Answer (SBA) questions. The questions are broadly divided into pharmacology, physiology (including anatomy and biochemistry), and physics, clinical measurement, statistics, and data interpretation.

A completed pass in the Primary FRCA remains valid for seven years as eligibility towards the Final FRCA examination. Individual components such as the written examination may also have separate validity periods depending on progression through the examination pathway.

The Royal College of Anaesthetists recommends a combination of structured reading and extensive question practice. Candidates are encouraged to complete hundreds of SBA questions, use mock examinations, practise SOE techniques under timed conditions, and attend OSCE practice sessions where possible. The College advises beginning revision at least three to four months before each examination component.

No. Candidates must first pass the Primary FRCA examination, or hold a recognised exemption, before being eligible to apply for the Final FRCA examination. The Final FRCA itself consists of a written examination followed by the Structured Oral Examination (SOE), and candidates must pass the written component before progressing to the oral examination. For official examination regulations, curriculum blueprints, examination dates and candidate guidance, refer to the Royal College of Anaesthetists FRCA Examinations and the Primary FRCA Examination Page.