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Specialty Certificate Examination in Medical Oncology — Information & Free Practice

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About Specialty Certificate Examination in Medical Oncology

Specialty Certificate Examination in Medical Oncology · GB

Key exam facts

Provider
Developed by the Federation of Royal Colleges of Physicians in conjunction with the Association of Cancer Physicians. Computer-based delivery administered by Surpass at test centres.
Format
Computer-based examination at a test centre; two papers of best-of-five single best answer multiple-choice questions. One mark per correct answer, no negative marking.
Exam questions
Total questions: 200.
Time limit
Two papers, each with 3 hours of answering time (6 hours total); this is answering time, not check-in or total attendance time.
Passing score
Specialty-specific equated pass standard; the raw percentage required can vary by sitting. The latest linked Medical Oncology report (2025) states an equated pass mark of 371, corresponding in that sitting to 122/197 (61.9%). This is not a guaranteed raw threshold for later sittings.
Exam fee
GBP £700 for UK centres; GBP £875 for international centres. A UK-to-international transfer incurs the £175 difference. The €800 ESEGH/ESENeph member-country fee is for other examinations.

Topics covered

  • Breast cancer (7%)

  • Colorectal and anal cancer (7%)

  • Lung and thoracic cancer (7%)

  • Carcinoma of unknown origin (3.5%)

  • Ovarian cancer (3.5%)

  • Germ cell tumours (3.5%)

  • Oesophagogastric cancer (3%)

  • Lymphoma (1.5%)

  • Uterine cancer (1.5%)

  • Hepatobiliary cancer (2.5%)

  • Skin cancer (2.5%)

  • Sarcoma (2.5%)

  • Leukaemia (0.5%)

  • Prostate cancer (1.5%)

  • Urothelial cancer (1.5%)

  • Cervical cancer (1.5%)

  • Head and neck cancer (1%)

  • CNS cancer (1%)

  • Renal cell cancer (1.5%)

  • Endocrine cancer (1%)

  • Scientific basis of malignancy (9%)

  • Professional skills (7%)

  • Acute oncology (10%)

  • Clinical research, ethics and economics (4%)

  • Systemic anticancer therapy (9%)

  • Supportive therapies and palliative care (5%)

  • Standard operating procedures (1.5%)

How to prepare

Work through the topics, read the explanation after each answer, and revisit the areas where you miss questions. Use the official outline and reference materials below to guide your study.

These independent practice questions are not actual exam items and do not guarantee a passing result.

Frequently asked questions

What is the exam format?

Computer-based examination at a test centre; two papers of best-of-five single best answer multiple-choice questions. One mark per correct answer, no negative marking.

How many questions are on the exam?

Total questions: 200.

How long is the exam?

Two papers, each with 3 hours of answering time (6 hours total); this is answering time, not check-in or total attendance time.

What is the passing score?

Specialty-specific equated pass standard; the raw percentage required can vary by sitting. The latest linked Medical Oncology report (2025) states an equated pass mark of 371, corresponding in that sitting to 122/197 (61.9%). This is not a guaranteed raw threshold for later sittings.

How much does the exam cost?

GBP £700 for UK centres; GBP £875 for international centres. A UK-to-international transfer incurs the £175 difference. The €800 ESEGH/ESENeph member-country fee is for other examinations.

Official sources and references

Confirm current exam arrangements with the exam provider.