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[ Home ](https://mdster.com) 2. [ Blog ](https://mdster.com/blog) 3. [ Study Tips ](https://mdster.com/blog?category=study-tips) 4. Fellowship of the Hong Kong College of Anaesthesiologists (Final Fellowship Examinations): A Practical Study Plan [ Study Tips ](https://mdster.com/blog?category=study-tips) Fellowship of the Hong Kong College of Anaesthesiologists (Final Fellowship Examinations): A Practical Study Plan =================================================================================================================== Prepare for the written papers, viva and OSCE without treating them as three separate exams. [ MDster Editorial Team ](https://mdster.com/about) · Sep 25, 2026 · 6 min read · 40 [ Reviewed by Dr. Ali Ragab, MBBCH, MSc, MCAI ](https://mdster.com/medical-reviewers/dr-ali-ragab) [Editorial Policy](https://mdster.com/editorial-policy) | [Corrections Policy](https://mdster.com/corrections) [ Anesthesiology ](https://mdster.com/blog?tag=anesthesiology) [ Study Tips ](https://mdster.com/blog?tag=study-tips) [ HKCA Final Fellowship ](https://mdster.com/blog?tag=hkca-final-fellowship) [ Anaesthesiology Exam Preparation ](https://mdster.com/blog?tag=anaesthesiology-exam-preparation) [ Viva and OSCE ](https://mdster.com/blog?tag=viva-and-osce) ![Fellowship of the Hong Kong College of Anaesthesiologists (Final Fellowship Examinations): A Practical Study Plan](https://mdster.com/storage/blog/images/fellowship-of-the-hong-kong-college-of-anaesthesiologists-final-fellowship-examinations-a.png) Share this article Share this post On this page 1. [ Map Your Preparation to the Actual Examination ](#map-your-preparation-to-the-actual-examination) 2. [ Study Schedule Template ](#study-schedule-template) 3. [ Make Paper I Answers Earn Marks Quickly ](#make-paper-i-answers-earn-marks-quickly) 4. [ Train Paper II and MCQs as Different Skills ](#train-paper-ii-and-mcqs-as-different-skills) 5. [ Speak and Perform Before You Feel Ready ](#speak-and-perform-before-you-feel-ready) 6. [ Avoid These Common Pitfalls ](#avoid-these-common-pitfalls) 7. [ Key Takeaways: Act This Week ](#key-takeaways-act-this-week) 8. [ Frequently Asked Questions ](#blog-faqs) 9. [ References ](#references-heading) On this page 1. [ Map Your Preparation to the Actual Examination ](#map-your-preparation-to-the-actual-examination) 2. [ Study Schedule Template ](#study-schedule-template) 3. [ Make Paper I Answers Earn Marks Quickly ](#make-paper-i-answers-earn-marks-quickly) 4. [ Train Paper II and MCQs as Different Skills ](#train-paper-ii-and-mcqs-as-different-skills) 5. [ Speak and Perform Before You Feel Ready ](#speak-and-perform-before-you-feel-ready) 6. [ Avoid These Common Pitfalls ](#avoid-these-common-pitfalls) 7. [ Key Takeaways: Act This Week ](#key-takeaways-act-this-week) 8. [ Frequently Asked Questions ](#blog-faqs) 9. [ References ](#references-heading) You can know the physiology and still lose marks in the HKCA Final by writing a generic answer to a specific clinical scenario. The harder adjustment after the Intermediate examination is to show how you assess risk, make a defensible plan and respond when that plan changes. Practise those decisions in the format in which you will be examined. Map Your Preparation to the Actual Examination ---------------------------------------------- The Final has three sections: written, oral and OSCE. The HKCA describes written Paper I as scenario-based and standalone short answers; Paper II as critical appraisal, investigations and radiology; and Paper III as multiple-choice questions. Its notice introducing the ANZCA MCQ paper specifies 150 questions in 150 minutes. Check your own sitting instructions before relying on older descriptions of Paper III. [\[1\]](#cite-1 "Reference [1]") You must pass the written section to proceed to the oral and OSCE, then pass each of those sections individually. **Do not postpone spoken or practical practice until written results arrive:** the invitation comes comparatively close to the later assessments. [\[1\]](#cite-1 "Reference [1]") ### Study Schedule Template Use this as a rolling 12-week template for a future sitting. If you are sitting the **October 2–4, 2026** oral and OSCE, skip to the final-week row; the written papers were held on **August 10–11, 2026**. Confirm dates and instructions with HKCA. [\[2\]](#cite-2 "Reference [2]") PeriodWritten workSpoken and practical workWeeks 12–9Three timed Paper I answers and one Paper II task weekly; begin an MCQ error log.One 30-minute viva and two OSCE stations weekly.Weeks 8–5Increase to six short answers weekly; alternate investigation, imaging and appraisal drills.Two vivas and a five-station circuit weekly.Weeks 4–2Sit timed Paper I and MCQ blocks; rewrite only answers that missed the question's task.Run a full mock viva and longer OSCE circuit with feedback.Final week before each componentReview errors and practise pacing; avoid collecting new resources.Rehearse opening statements, long-case structure and station transitions. Make Paper I Answers Earn Marks Quickly --------------------------------------- HKCA specifies **12 short-answer questions in two hours** and recommends roughly **10 minutes per answer**. Its FAQ also warns that irrelevant material does not score and that leaving questions unanswered is difficult to offset. Set a timer whenever you use a past paper; finish the requested task before adding detail. [\[1\]](#cite-1 "Reference [1]") 1. Spend the first minute circling the command word: *list*, *explain*, *assess* or *manage*. 2. Identify the scenario's distinguishing risks. For example, in urgent surgery for a patient with severe aortic stenosis, make haemodynamic consequences relevant to the proposed technique rather than writing everything you know about valvular disease. 3. Write a short, prioritised answer with immediate threats and actions first. 4. Stop at 10 minutes. Afterwards, note whether you lost marks through missing content, poor prioritisation or failure to address the scenario. > **Pro Tip:** Have a colleague read only your first three lines. Can they tell what you would do for *this* patient? If not, replace your generic introduction. Train Paper II and MCQs as Different Skills ------------------------------------------- Paper II requires rapid interpretation, not another broad essay. Practise stating what an investigation or image shows, its limitations and what it changes in perioperative management. For appraisal, use the HKCA's sample material where available and ask: Does the study design answer its question? Are the results clinically applicable to this patient? [\[1\]](#cite-1 "Reference [1]") For Paper III, use an anaesthesia MCQ bank in **one-minute-per-question blocks**, matching the timing in the HKCA ANZCA-paper notice. Tag each error as knowledge gap, misread question or incorrect prioritisation. Read a reference textbook or current departmental guidance only to resolve the tagged gap; then repeat a fresh question on that concept. [\[3\]](#cite-3 "Reference [3]") Build your topic list from the HKCA curriculum, not from your favourite question bank. Rotate through obstetric, paediatric, cardiac and other specialty anaesthesia; airway and perioperative crises; pain and intensive care; and the applied sciences, research and professional issues that HKCA lists within the Final's scope. Give extra sessions to topics that repeatedly fail across more than one format. [\[1\]](#cite-1 "Reference [1]") Speak and Perform Before You Feel Ready --------------------------------------- The HKCA FAQ describes **three 30-minute oral tables**. Ask a senior colleague or study partner to interrupt, challenge an assumption and change the scenario, rather than listening to a prepared lecture. Practise a concise sequence: state priorities, offer a plan, explain a key trade-off, then say what would make you change course. [\[1\]](#cite-1 "Reference [1]") The OSCE includes variable stations covering skills such as communication, regional anaesthesia, equipment, crisis management and interpretation. The FAQ describes a **20-minute long clinical case with double weighting**. Once weekly, practise taking a focused history, examining only what informs the question, interpreting supplied results and presenting a perioperative plan within that time. [\[1\]](#cite-1 "Reference [1]") For short stations, use a timer and a partner who can observe whether you explain your actions. In a crisis drill, say what you are assessing, call for appropriate help and communicate the next step; in a communication station, check the patient's concern before explaining options. Debrief one observable improvement per station, then repeat it. Avoid These Common Pitfalls --------------------------- - **Studying only memorable cases:** Use the curriculum and recent HKCA papers to reveal gaps outside your usual caseload. [\[2\]](#cite-2 "Reference [2]") - **Using old formats uncritically:** Older Final papers help with clinical reasoning, but verify their paper structure against current HKCA instructions and the ANZCA MCQ notice. [\[2\]](#cite-2 "Reference [2]") - **Letting a study group become a seminar:** Assign each member a question, a timer and a feedback role; finish with a second attempt at the weakest answer. - **Buying more teaching than you can use:** Choose a course or mock circuit for observed feedback, then schedule time to correct the errors it identifies. HKCA lists Final-focused teaching and mock assessments. [\[4\]](#cite-4 "Reference [4]") Key Takeaways: Act This Week ---------------------------- - Download the HKCA Final FAQ, curriculum and recent papers; confirm the instructions for your sitting. [\[2\]](#cite-2 "Reference [2]") - Complete three 10-minute Paper I answers and record why each answer did or did not address the task. - Book one viva partner and one timed OSCE circuit; request feedback on decisions, not confidence. - Start a single error log spanning SAQs, interpretation tasks and MCQs. Your aim is not to recite everything you know. Make your clinical judgement visible, under time pressure, in every format the Final actually tests. Frequently Asked Questions ---------------------------- ### Should I wait for my HKCA written result before starting viva and OSCE practice? No. Begin brief, regular viva and station practice alongside written revision; progression depends on the written result, but the later components need distinct rehearsal. ### How much time should I allow for each Final Paper I short answer? Plan approximately 10 minutes per question. HKCA specifies 12 questions in two hours and advises candidates to attempt them all. ### Can I prepare for Paper III using only older HKCA Final papers? No. Check the instructions for your sitting and practise timed MCQs; HKCA's notice specifies an ANZCA paper of 150 questions in 150 minutes. ### What should I prioritise in a mock long clinical case? Practise a focused history and examination, interpret the supplied findings, and present a relevant perioperative plan within the HKCA-described 20-minute station. References (5) ------------------ 1. 1. [ Hong Kong College of Anaesthesiologists, Final Fellowship Examination FAQ, 2021 ](https://www.hkca.edu.hk/wp-content/uploads/2021/12/ANS-finalexam-FAQ_202112.pdf) [↩](#cite-ref-1-1 "Back to text") 2. 2. [ Hong Kong College of Anaesthesiologists, Anaesthesia Examinations ](https://www.hkca.edu.hk/anaesthesiology/examinations/) [↩](#cite-ref-2-1 "Back to text") 3. 3. [ Hong Kong College of Anaesthesiologists, ANZCA MCQ Paper in the Final Fellowship Examination notice ](https://www.hkca.edu.hk/wp-content/uploads/2023/05/ANS-exam-final_ANZCA_MCQ_2024.pdf) [↩](#cite-ref-3-1 "Back to text") 4. 4. [ www.hkca.edu.hk/anaesthesiology/courses ](https://www.hkca.edu.hk/anaesthesiology/courses/) [↩](#cite-ref-4-1 "Back to text") 5. 5. 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