Applications and Structures

Applying for FFPMRCA Examinations

Applicants should complete the appropriate application form (see related downloads) and submit to the RCoA examinations department, along with the appropriate exam fee, within the application window set out in the examinations calendar (see related downloads). Applications will not be accepted after 5pm on the published closing date.

Application fees (given below) should be submitted by cheque drawn on a UK clearing bank, stirling draft or postal order, made payable to 'The Royal College of Anaesthetists'.

  • FFPMRCA MCQ: 30 January 2019  - £520
  • FFPMRCA SOE: 02 April 2019 - £730

We are now able to accept online bookings for FFPMRCA exams; to do so, simply click here, register, and follow the instructions. Please note currently online booking is only available for UK trainees. All other routes will still have to apply using paper applications. 

Please be aware that your eligibility is based on information that you must provide to the college in advance of an application and so, if we have not received copies of certain documents you will be unable to complete an online application. The documents that should be submitted in advance are outlined in the exam regulations.

If you have any other query, then please don’t hesitate to contact the Online Services Exams Team at

For further information about online exam applications please visit the RCoA FAQs page.

The College cannot be held responsible for late/non receipt of applications caused by delays/problems in the postal system. Applicants will receive an e-mail to notify them when their application has been booked on to the exam. Further admission documents will follow by post. The address on your application form will be used for all correspondence relating to the current exam.

Note: When applying for the SOE examination, Sections 5.1.3 and 6.1.3 of the Regulations require a trainee applicant to have completed their Higher as well as 6 months of their Advanced assessments (not applicable to MCQ applicants). This is only expected of those on the 2010 Curriculum who were required to complete Higher before Advanced. For applicants who preceded this arrangement, the Higher assessments are not required for entry. Candidates whose RAPM does not attend at the same hospital may get their RAPM to confirm approval of their application form by email to application forms should be annotated in the RAPM signature box as "email confirmation". The College will match the email confirmation with the application form.


A candidate who withdraws his/her application in writing before the closing date may be refunded the exam fee, subject to the deduction of an administration fee. Refunds are not normally given after the closing date. Those candidates who wish to withdraw after the closing date should contact the RCoA Examinations Manager via .

Examination Guidance Interviews

The rules regarding Examinations Guidance are at Section 10 of the FFPMRCA Regulations and Appeals. An Information for candidates document is available below (see related downloads). Candidates are advised to read this document before applying for and attending guidance interviews. 

Examination centres

All FPM examinations are held at The Royal College of Anaesthetists, 35 Red Lion Square, London, WC1R 4SG. The MCQ exam runs from 1400 - 1700, with the candidate briefing commencing at 1345.  Candidates should register at the College no later than 1330.

Examination structures and marking systems

The FFPMRCA/DFPMRCA examination structures and marking systems are available in Appendices 1 and 2 of the examinations regulations (see related downloads).

Independent resources

There are numerous independent resources available to assist candidates with exam preparation, many of which use in their title or advertising literature the post nominals FFPMRCA. We wish to make it clear that these are independent resources and are not affiliated with the Faculty of Pain Medicine and consequently the Faculty accepts no liability for the accuracy of any examination related content which they contain.

Frequently Asked Questions

In order to answer some of the most common questions and concerns regarding the FFPMRCA Examination, the Faculty of Pain Medicine and RCoA Examinations department have published the Examination FAQ document (see related downloads).