RCOphth exam regulations

FRCOphth eligibility and number of attempts

You can sit FRCOphth Part 1 with a medical qualification approved by the General Medical Council or the Irish Medical Council, and no ophthalmology experience. The College allows six attempts at Part 1, six at the Refraction Certificate, four at Part 2 Written and four at the Part 2 Oral. The Part 2 Oral comes last: it needs a pass in each of the other three.

Last updated 4 October 2026 · AuroPrep editorial team · checked against the RCOphth exam pages and information packs

Who can sit each exam

Who can sit each exam, the attempts allowed and the deadline in UK training
ExamWho can sit itAttemptsDeadline in UK training
Part 1A medical qualification approved by the GMC or the Irish Medical Council. No ophthalmology experience needed.6Before entering year 3
Refraction CertificateA GMC- or IMC-approved medical qualification, or an attested degree from a school in the World Directory of Medical Schools; or an optometrist with a medical degree, MCOptom or equivalent.6Before entering year 4
Part 2 WrittenYears 4 to 7 of ophthalmic specialist training, or equivalent training and experience, with a Part 1 pass.4A pass is needed to enter the Oral, and expires after seven years
Part 2 OralPasses in Part 1, the Refraction Certificate and, within the last seven calendar years, Part 2 Written.4See the note below
Duke ElderMedical undergraduates, entered through their medical school. Final-year students may sit if they are still undergraduates when they apply. It can be taken more than once by anyone who has not won it.Not an FRCOphth exam

"Training" here is UK ophthalmic specialist training (OST); ST6 is its sixth year. The College states the Part 2 Oral deadline two ways. Its June 2026 information pack says candidates in OST must pass by the middle of ST6. Its page for the November 2026 sitting says by the end of year seven. If the deadline matters to you, ask the College or your training programme director which applies.

Sources: Part 1, Refraction Certificate, Part 2 Written and Part 2 Oral exam pages; the November 2026 Part 2 Oral sitting; Part 2 Oral information pack, June 2026; Additional Examination Attempt information, June 2026; Duke Elder candidate information pack, 2026.

The order the exams are taken in

Part 1 must be passed before Part 2 Written, and Part 1, the Refraction Certificate and Part 2 Written must all be passed before the Part 2 Oral.

The College's exams page says the Refraction Certificate can be taken before or after Part 1. Its Part 1 information pack says Part 1 must be the first exam taken. If you plan to sit the Refraction Certificate first, confirm with the College before you apply.

Can I sit FRCOphth Part 1 without a training post?

Yes. Part 1 can be sat before you enter ophthalmic specialist training, or outside it, and no previous ophthalmology experience is required.

Candidates registered with the GMC or the Irish Medical Council give their registration number. Everyone else uploads an attested copy of their medical degree through the online application form; the College does not accept it by email. The exams are held in English. The College does not ask for an IELTS or PLAB result, but expects English equivalent to IELTS level 7.

For UK training purposes, a pass taken before or outside training stays current as long as you enter, or re-enter, the training programme within seven years of passing and meet any other currency requirements the College sets. This applies to Part 1 and to the Refraction Certificate.

For the Refraction Certificate, the College says candidates are more likely to be ready after around 50 to 100 full clinical refractions. Optometrists registered with the General Optical Council within the last five years can be exempted from the certificate, but the exemption is not automatic: they apply to the GOC for a letter of good standing and send it to the College's Director of Examinations for approval.

How many attempts are allowed

Six attempts at FRCOphth Part 1 and at the Refraction Certificate; four at Part 2 Written and four at the Part 2 Oral.

Part 1 and Refraction Certificate attempts made before August 2013 do not count, and nor do Part 2 Written and Oral attempts made before 1 August 2014. A Part 2 Oral you begin and cannot finish counts as an attempt. For the online exams, the College will consider removing an attempt from your record if an unforeseen event, backed by written evidence, stopped you finishing.

After the limit, the College will consider one further attempt, and only one. Its criteria are:

  • scores that improved with each attempt, preferably to within one standard error of measurement of the pass mark (this varies by exam and is commonly about 3%);
  • a letter from your educational supervisor, or your department's education or training lead if you are outside UK training, confirming further educational experience and an improvement in knowledge and skill;
  • a personal development plan aimed at your persistent weak areas, signed by your educational supervisor or training programme director where you have one;
  • a last attempt within the past seven calendar years.

The plan is proposed on the application form, and the application goes to the College before the plan is finished. The attempt is approved once you send evidence that the plan is complete. Applying does not guarantee the attempt, and there is no appeal against the decision.

A pass in FRCOphth Part 2 Written is valid for seven calendar years.

If you have not passed the Part 2 Oral by then, you may re-sit the Written, provided you have not used all four Written attempts and still have at least one Oral attempt left.

These are the College's rules, and it can change them. Where two College documents disagree, this page says so; check with the College before you rely on one of those lines.

Sources. RCOphth exams · Part 1 information pack · Refraction Certificate information pack · Part 2 Oral information pack, June 2026 · Additional Examination Attempt information · Examinations Terms and Conditions · Duke Elder candidate information pack, 2026

See also: FRCOphth pass rates · FRCOphth exam fees · FRCOphth exam dates

Exam guides: FRCOphth Part 1 · FRCOphth Part 2 Written · Refraction Certificate · Duke Elder prize exam

Six attempts at Part 1. Aim to need one.

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