Welcome to ST1
The first year of radiology training: what to learn and when to start FRCR
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In short: The first year of radiology training is about learning to see. Cross sectional anatomy, a systematic approach to plain films and CT, PACS fluency and the beginnings of on call work. Most schemes expect the First FRCR to be attempted from March of ST1. Start anatomy in the first month and physics by the third.
The first year at a glance
| Period | Main focus | A reasonable goal |
|---|---|---|
| Weeks 1 to 4 | PACS, reporting system, supervised plain film reporting | Navigate any study and produce a safe first draft |
| Months 2 to 6 | Core CT anatomy and common pathology, ultrasound basics | A consistent, systematic description of findings |
| Months 6 to 12 | First FRCR anatomy and physics | Daily practice, first attempt at one or both modules |
Early priorities
- PACS fluency. Learn shortcuts, hanging protocols and how to pull priors. Speed comes from familiarity.
- A reporting structure you use every time. Findings in order, then impression. Ask a registrar to review your first fifty reports.
- Anatomy from day one. Twenty images a day, typed answers, across modalities.
- Physics from month three. One concise text, then statements.
- Relationships. Radiographers, sonographers and senior registrars will teach you more than any book in year one.
What is hard, and normal
- Feeling out of depth. Every ST1 does. Ask basic questions; they are expected.
- Information overload. Normal anatomy, then common pathology, then everything else. In that order.
- First on calls. They are supervised and graduated. Escalate early and often.
Common questions
When should I start FRCR Part 1 revision as an ST1?
Anatomy in the first month. Physics by month three. Most schemes expect an attempt at one or both modules in March of ST1.
What should an ST1 radiology registrar learn first?
Cross sectional anatomy, a systematic approach to plain films and CT, and PACS fluency.
Do ST1s do on call in radiology?
Usually from later in ST1 or from ST2, supervised and graduated. It varies by scheme.