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International Fellowship Examination (JSCFE)

Exam overview

The Joint Surgical Colleges’ Fellowship Examination (JSCFE) is offered by the four royal surgical colleges (England, Edinburgh, Glasgow and Ireland) to the international surgical community.

On passing the JSCFE, you will be awarded the international qualification FRCS (College) and are eligible to apply for election as a fellow to any of the four royal colleges. You will then be entitled to use the colleges’ associated post-nominals FRCS (College).


Full details on candidate eligibility can be found on the JSCFE website. An overview is provided below.

  • The exam will assess at the standard of the UK and Ireland fellowship examinations - applicants will be therefore be required to provide verification that this level has been reached in their training and/or clinical experience prior to sitting the exam. The supporting endorsement would normally be provided by the trainers or senior colleagues.

  • The final decision on eligibility for admission to the exam will lie with the Joint Surgical Colleges Fellowship Examinations Subcommittee.

Exam format

The JSCFE comprises two sections:

Section 1: Paper 1 (2 hours): Single Best Answer (SBA) and Paper 2 (2h 30min): Extended Matching Items (EMI). These papers are carefully prepared to cover the curriculum content. Section 1 exams are delivered via computer-based testing at pre-selected worldwide Pearson VUE Test Centres. 

Section 2: Clinical component consisting of a series of carefully designed and structured interviews on clinical topics, some being scenario based (structured orals) and some being patient based. The Section 2 exams will be held in pre-selected worldwide host centres.

Success in Section 1 is a pre-requisite for entry to Section 2.


The syllabus for each specialty is available at the JSCFE website.

More information

For full details about the international fellowship exam and how to apply please visit the JSCFE website.