RANZCR case reporting examination

Last revised by Dr Joshua Yap on 24 Aug 2022

The RANZCR case reporting examination is part of the RANZCR Phase 2 examinations. It is one of two components comprising the clinical radiology written examinations, with the other component being the multiple choice examination

Trainees have a maximum of three consecutive opportunities to complete both clinical radiology written examinations. Both examinations must be sat together on the first attempt, however if a trainee fails one of the two examinations, they are only required to resit that failed examination at their next opportunity. The overall passing score is normally set at 60% however the passing standard for each case may vary from this percentage.

The examination is typically attempted in the third year of training after completion of (or together with) the pathology examination.

Format

The examination is 3 hours in duration and consists of:

  • 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

Each case is presented with a clinical history and relevant imaging with one or several different imaging modalities. Whereas previously the cases were presented as "hard-copy" films, since April 2013 the cases have been delivered electronically via a PACS viewer (Practique). As with any PACS viewer, there are imaging tools such as magnification, windowing, measurements, etc. All the images are downloaded locally prior to commencement of the examination to prevent slow loading times during the examination.

Answers are typed into text boxes under the following headings:

  • findings
  • likely diagnosis
  • differential
  • further investigation or management

Currently the examination is delivered via online proctoring.

Technique

This examination tends to be the most time-constrained of all the RANZCR Phase 2 written exams. A possible technique is to limit each answer to:

  • 3 minutes per short case question
  • 5 minutes per medium case question
  • 10 minutes per long case question

This leaves 20 minutes at the end to review answers.

As all the images are downloaded locally prior to commencement of the examination, it is possible for you to have a quick look at all the cases first and answer the ones you know best before tackling the more challenging cases.

The four text boxes (findings, likely diagnosis, differential, and further investigation or management) provide the structure for your answer, with subheadings not required; however subheadings may be useful when describing findings for multiple modalities in a single text box, e.g. x-ray, CT, MRI, etc. Bullet points are generally advocated, especially when describing the findings (which tends to be the "longest" of the answers and generates the most marks). In some cases, there is no differential, in which case the differential box does not need to be filled in.

As with the RANZCR Phase 1 examinations, typing skills are important, and improving your typing speed will essentially provide you with more time to complete the exam. One tip is to type, rather than dictate, a few of your reports during your day to day work.

NB: Details are correct at the time of writing. Please check with RANZCR for updated details. 

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