Key Changes in the FRCR 2B Short Cases

The 2025 FRCR 2B exam will look different than previous years, and understanding these updates is essential for exam success:

• 25 Cases in 2 Hours: Candidates will now report on 25 short cases within a strict two-hour time limit. While this may seem like ample time, appropriate time management is crucial to ensure thorough and efficient reporting.
• Abnormal Cases Only: The exam will now only feature abnormal cases, eliminating normal cases entirely. You'll need to be adept at identifying a wide range of different pathologies in various regions.
• Complex Imaging Integration: The exam now requires you to link complex findings and consider next steps. For example, a patient with a mastectomy and lung nodules due to breast cancer metastases may require oncological referral or further staging. Connecting findings and planning management is key.
• Structured Reporting: Ensure your reports are clear and concise, including all essential findings, relevant minor findings, any pertinent negatives, your diagnosis or differential when appropriate, and further recommendations.
• Updated Case Demographics: Expect a greater proportion of adult cases (75%) compared to pediatric cases (25%). Cases will cover a variety of difficulty levels, ranging from obvious abnormalities to subtle findings.
• Updated Region Coverage: Chest X-rays will make up the majority of the cases, representing 50-60% (12-15 cases). MSK cases will account for 40-50% (10-13 cases), and AXR cases will make up 4% (1 case).