Quick Summary
A comprehensive 6-month study timeline for the FRCS (Tr & Orth) Clinical Examination. Learn how to structure your revision, choose the right courses, and peak at the right time.
Mastering the FRCS (Tr & Orth) Clinicals: A 6-Month Roadmap
The FRCS (Tr & Orth) Clinical Examination is widely regarded as one of the toughest surgical exit exams in the world. It doesn't just test your knowledge; it tests your performance, your decision-making, and your ability to act like a consultant under pressure.
The Golden Rule
You cannot read your way to passing the clinicals. You must practice your way there. This exam is a performance art.
Phase 1: The Foundation (Months 1-2)
In the first two months, your goal is to transition from "book knowledge" to "clinical application".
Form a Study Group
Find 2-3 reliable peers taking the exam at the same time. You need practice partners who will be brutally honest with their feedback.
Mapping the Curriculum
Review the ISCP curriculum. Identify your weak spots. If you're a hip surgeon, your hand surgery knowledge likely needs work.
Examination Practice
Go back to basics. Examine normal limbs. Perfect your routine so it becomes muscle memory. You shouldn't have to think about how to examine a knee; you should only be thinking about what you are finding.
The 'Standard' Examination
Develop a standard routine for every joint. Do it the same way, every single time.
- Look (Standing, Walking, Lying)
- Feel (Temperature, Landmarks, Effusion)
- Move (Active, Passive)
- Special Tests
- Neurovascular Status
Phase 2: The Acceleration (Months 3-4)
Now you ramp up the intensity. This is where you introduce high-yield clinical cases.
What to Focus On
50+
Target Short Cases
20+
Target Long Cases
Daily
Viva Practice
100%
Anatomy Review
You should be seeing patients on the wards and in clinics. Ask your consultants to grill you.
Use Every Opportunity
Don't just examine the patient. Present the case. Practice your "killer opening statement" for every patient you see.
Phase 3: The Peak (Months 5-6)
The final stretch. This is about refinement and stress testing.
- Mock Exams: Attend at least 2 formal clinical revision courses. The more uncomfortable you feel now, the better you will perform later.
- Video Yourself: Record your examination technique. You'll be surprised at your own bad habits (fidgeting, blocking the examiner's view).
- Rest: In the final week, taper down. Mental fatigue is your enemy.
Action Plan for Today
Download the Checklist
Get our printable 6-week clinical revision planner.
Join a Study Group
Connect with other candidates in the OrthoVellum community.
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