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[ Home ](https://mdster.com) 2. [ Anesthesiology ](https://mdster.com/speciality/anesthesiology) 3. FCA(SA) FCA(SA) Exam Preparation ========================== Fellowship of the College of Anaesthetists of South Africa Colleges of Medicine of South Africa (CMSA) South Africa The Colleges of Medicine of South Africa (CMSA) administers the Fellowship of the College of Anaesthetists of South Africa (FCA(SA)), a major specialist qualification in Southern Africa. The fellowship examinations are delivered as Part I (integrated basic sciences) and Part II (written + OSCE) for trainees progressing toward specialist practice. Part I Part II 2,801+ Questions 1,986+ Flashcards 64+ Podcasts About the FCA(SA) Exam ------------------------ The Fellowship of the College of Anaesthetists of South Africa (FCA(SA)) is the premier specialist qualification administered by the Colleges of Medicine of South Africa (CMSA). It evaluates candidates across two rigorous stages, integrating basic sciences in Part I and advanced clinical problem-solving in Part II. Achieving this fellowship is a critical milestone for trainees progressing toward independent specialist anaesthesiology practice in Southern Africa. ### Eligibility Candidates must hold a medical qualification registered with the Health Professions Council of South Africa (HPCSA). Part I generally requires completion of internship and community service, while Part II requires passing Part I, completing a specified duration (typically at least 36 months) in an HPCSA-accredited anaesthesia registrar training post, and submission of an approved clinical portfolio or logbook. ### Exam Format The exam is delivered in two main parts. Part I is an integrated basic sciences assessment comprising four papers (two Short Answer Questions \[SAQ\] and two Single Best Answer \[SBA\] papers). Part II encompasses written papers (MCQ/SBA and SAQ/data-interpretation formats) followed by an Objective Structured Clinical Examination (OSCE) with multiple clinical and viva stations. ### Duration Part I consists of four 3-hour written papers spread over several days. Part II typically involves multiple 3-hour written papers followed by an OSCE circuit lasting approximately 2 to 3 hours, scheduled on a separate date. ### Passing Criteria Candidates must achieve a minimum overall aggregate (typically around 50% to 55%) with no sub-minimum failures in critical safety domains. The OSCE phase in Part II usually employs standard-setting methodologies like the Angoff method and is a mandatory must-pass component to achieve the fellowship. ### Exam Fees Approximately ZAR 12,000 to ZAR 18,000 per part, depending on the examination phase and current CMSA fee structures. Candidates must verify exact current fees on the official CMSA portal. ### Exam Frequency The CMSA conducts the FCA(SA) examinations twice yearly during the standard examination semesters, typically in the First Semester (February to May) and Second Semester (July to October). ### Registration Process Registration is conducted entirely online via the CMSA website. Candidates must create an account, complete the application during the designated open window, upload necessary documentation such as HPCSA registration and training letters, and pay the fee via the secure gateway. FCA(SA) Key Syllabus Topics ----------------------------- Core topics and subject areas covered in the FCA(SA) examination ### Applied Physiology and Anatomy In-depth knowledge of human physiology and relevant anatomy, focusing on the cardiovascular, respiratory, nervous, and renal systems as they relate to anaesthesia. ~High yield (Part I core) ### Pharmacology and Therapeutics Pharmacokinetics, pharmacodynamics, and clinical application of anaesthetic agents, analgesics, muscle relaxants, and vasoactive drugs. ~High yield (Part I core) ### Physics, Clinical Measurement and Equipment Principles of medical physics, functioning of anaesthetic machines, vaporizers, breathing circuits, and patient monitoring technologies. ~15-20% (Part I) ### General Anaesthesia and Airway Management Preoperative assessment, induction, maintenance, emergence, and advanced airway management techniques including difficult airway algorithms. ~High yield (Part II) ### Obstetric Anaesthesia Maternal physiology, labour analgesia, anaesthesia for operative delivery, and management of obstetric emergencies such as pre-eclampsia and postpartum haemorrhage. ~10-15% (Part II) ### Paediatric Anaesthesia Neonatal and paediatric physiology, fluid management, congenital anomalies, and specialized paediatric airway management. ~10-15% (Part II) ### Cardiothoracic and Vascular Anaesthesia Anaesthesia for cardiac surgery, cardiopulmonary bypass, one-lung ventilation, and major vascular procedures. ~Moderate (Part II) ### Neuroanaesthesia Management of intracranial pressure, traumatic brain injury, neuro-monitoring, and anaesthesia for neurosurgical procedures. ~Moderate (Part II) ### Intensive Care Medicine Management of critically ill patients, mechanical ventilation, sepsis, ARDS, and renal replacement therapies. ~15-20% (Part II) ### Regional Anaesthesia and Pain Management Anatomy, techniques, and complications of neuraxial blocks, peripheral nerve blocks, and acute/chronic pain management. ~10-15% (Part II) ### Resuscitation, Trauma and Transfusion Advanced life support, massive transfusion protocols, coagulation management, and anaesthetic care for major trauma and burns. ~High yield (Part II) ### Professional Practice and Local Guidelines Ethics, professionalism, patient safety, and adherence to South African Society of Anaesthesiologists (SASA) practice guidelines. ~Integrated across Part I and II **12** key topics covered Start Your FCA(SA) Preparation Today -------------------------------------- Comprehensive study materials designed to help you pass the FCA(SA) with confidence [ Get Started Free ](https://mdster.com/user/dashboard) No credit card required • 5-day free trial Everything You Need to Pass the FCA(SA) ----------------------------------------- A complete preparation platform with tools designed for Anesthesiology professionals ### Practice Questions 2,801+ questions across MCQ, SAQ, SOE formats with detailed explanations and references ### Flashcards 1,986+ flashcards for active recall — mark known and unknown cards to focus on weak areas ### Audio Podcasts 64+ audio episodes — learn on the go during commutes, workouts, or ward breaks ### Timed Mock Exams Simulate real exam conditions with timed sessions, customisable question counts, and topic filters ### AI-Powered Q&A Ask follow-up questions on any topic and get instant, contextual answers with references ### Performance Analytics Track your progress, identify weak areas, and monitor your exam readiness with detailed analytics FCA(SA) Exam Structure ------------------------ Our materials cover all parts of the FCA(SA) examination ### Part I The FCA(SA) Part I is an integrated basic-sciences assessment for aspiring anesthesiologists in South Africa. It evaluates foundational knowledge essential for safe anesthetic practice by integrating pharmacology, physiology, anatomy, biochemistry, pathology, physics, and clinical measurement. Four written papers: two Short Answer Question (SAQ) papers and two Single Best Answer (SBA) papers. Four papers, typically requiring 3 hours per paper. Pass: An overall average of 50% is required to pass, often with specific sub-minimum requirements across the integrated papers. Key Topics Pharmacology Physiology Physics and Clinical Measurement Applied Anatomy Pathology and Biochemistry ### Part II The FCA(SA) Part II is the final exit examination required for specialist registration as an anaesthesiologist in South Africa. It evaluates a candidate's advanced clinical knowledge, critical care management, and applied problem-solving skills in complex perioperative scenarios. The assessment ensures candidates possess the consultant-level clinical reasoning required for safe and independent anaesthetic practice. Written examination comprising MCQ/SBA papers and Short Answer Question (SAQ)/Data Interpretation papers, followed by a multi-station Objective Structured Clinical Examination (OSCE). Multiple 3-hour written papers, followed by a multi-station OSCE typically conducted over 1 to 2 days. Pass: Candidates must achieve a minimum of 50% overall, with strictly enforced sub-minimums in the written papers in order to be invited to the OSCE component. Key Topics General and Subspecialty Clinical Anaesthesia Intensive Care Medicine and Resuscitation Internal Medicine for Anaesthetists Applied Pharmacology and Physiology Pain Management Clinical Measurement and Data Interpretation How to Prepare for the FCA(SA) -------------------------------- A practical guide to help you plan your FCA(SA) preparation effectively ### Recommended Timeline 12 to 18 months of structured, consistent study per part, balancing clinical registrar duties with academic preparation. ### Study Tips - Form small study groups with fellow registrars to practice OSCE stations and viva questions. - Focus heavily on the South African Society of Anaesthesiologists (SASA) guidelines, as local protocols are frequently tested. - Practice writing SAQs under strict timed conditions to improve speed and conciseness. - For Part I, focus on the integration of basic sciences rather than studying subjects in isolated silos. - Regularly review past papers available through the CMSA to identify recurring themes and examination styles. - Utilize your daily clinical cases as study opportunities by linking them to syllabus topics and discussing them with consultants. - Keep an organized portfolio of learning from day one of registrar time to ensure smooth registration for Part II. ### High-Yield Topics - SASA airway and CPR guidelines - Pharmacokinetics of intravenous induction agents and volatile anaesthetics - Maternal physiological changes and management of pre-eclampsia - Mechanical ventilation modes and ARDS management - Cardiovascular physiology and vasopressor pharmacology - Complications of neuraxial and regional anaesthesia - Equipment safety checks and capnography interpretation ### Common Pitfalls - Underestimating the depth of basic sciences required for Part I, particularly physics and clinical measurement. - Poor time management during SAQ papers, leading to incomplete answers and lost marks on easy questions. - Failing to integrate basic science principles with clinical scenarios in the integrated Part I format. - Neglecting communication skills and structured approaches during the Part II OSCE. - Relying exclusively on international textbooks without understanding local South African contexts and SASA guidelines. - Starting intensive exam preparation too late, leading to burnout alongside demanding clinical call schedules. ### Recommended Resources - Miller's Anesthesia (for comprehensive Part II reference) - Stoelting's Pharmacology and Physiology in Anesthetic Practice - Nunn and Lumb's Applied Respiratory Physiology - South African Society of Anaesthesiologists (SASA) Practice Guidelines - BJA Education (Continuing Education in Anaesthesia, Critical Care & Pain) - Equipment in Anaesthesia and Critical Care (Aston and Rivers) Study Pathways ---------------- Choose the pathway that matches your FCA(SA) preparation stage ### Anesthesiology Core Pathway Core pathway for Anesthesiology covering foundational exams and initial certification steps. #### What's Included 952 MCQ Questions 405 SAQ Questions 1,391 Flashcards 32 Podcasts 2,780 total study resources #### Exam Coverage FCA(SA) Part I [ Start Learning ](https://mdster.com/user/dashboard) ### Anesthesiology Advanced Pathway Advanced pathway for Anesthesiology covering final exams, oral assessments, and advanced clinical evaluations. #### What's Included 742 MCQ Questions 600 SAQ Questions 102 SOE Questions 595 Flashcards 32 Podcasts 2,071 total study resources #### Exam Coverage FCA(SA) Part II [ Start Learning ](https://mdster.com/user/dashboard) Last refreshed: May 2026 Flexible Pricing Plans ------------------------ Choose the plan that fits your FCA(SA) study schedule ### Try Risk-Free for 5 Days Start your free trial today and get full access to all FCA(SA) features. **No credit card required**. Cancel anytime. No Commitment! Full platform access All study materials Analytics & tracking Cancel anytime ### Anesthesiology Core Pathway Core pathway for Anesthesiology covering foundational exams and initial certification steps. #### Monthly Flexible month-to-month $12.00 /month Cancel anytime Immediate access Save 8% #### 3 Months Popular Great for exam cycles $11.00 /month Billed $33.00 every 3 months Save 8% vs monthly Perfect for exam cycles Save 17% #### 6 Months Maximum savings $10.00 /month Billed $60.00 every 6 months Save 17% vs monthly Best value for serious learners ### Anesthesiology Advanced Pathway Advanced pathway for Anesthesiology covering final exams, oral assessments, and advanced clinical evaluations. #### Monthly Flexible month-to-month $15.00 /month Cancel anytime Immediate access Save 13% #### 3 Months Popular Great for exam cycles $13.00 /month Billed $39.00 every 3 months Save 13% vs monthly Perfect for exam cycles Save 20% #### 6 Months Maximum savings $12.00 /month Billed $72.00 every 6 months Save 20% vs monthly Best value for serious learners ### Anesthesiology Bundle (Core + Advanced) Bundle subscription for Anesthesiology: Core + Advanced pathways with all features included. #### Monthly Flexible month-to-month $20.00 /month Cancel anytime Immediate access Save 15% #### 3 Months Popular Great for exam cycles $17.00 /month Billed $51.00 every 3 months Save 15% vs monthly Perfect for exam cycles Save 25% #### 6 Months Maximum savings $15.00 /month Billed $90.00 every 6 months Save 25% vs monthly Best value for serious learners Latest FCA(SA) Updates ------------------------ Recent changes and developments for the FCA(SA) examination Recent Update ### Part I Integrated Format Transition The CMSA successfully transitioned FCA(SA) Part I from the traditional six-paper format to an integrated four-paper structure (two SAQ and two SBA) to better assess clinical application of basic sciences. Candidates should verify the latest syllabus document on the CMSA portal. Recent Update ### Digital Examination Implementation Written components for many CMSA examinations, including the FCA(SA), have increasingly shifted to digital platforms (computer-based testing) at approved testing centres. Candidates should familiarize themselves with the testing software interface. Recent Update ### OSCE Format Adjustments The Part II clinical component continues to refine its OSCE structure, placing greater emphasis on data interpretation, communication, and crisis resource management. Candidates should verify the specific number of stations with the Colleges of Medicine of South Africa (CMSA). Updates are based on publicly available information and may not reflect the very latest changes. Always verify with the official Colleges of Medicine of South Africa (CMSA) website. Related Anesthesiology Exams ------------------------------ Other examinations in Anesthesiology you may be interested in [ ### ABA American Board of Anesthesiology USA ](https://mdster.com/speciality/anesthesiology/aba) [ ### ABPS American Board of Physician Specialties USA ](https://mdster.com/speciality/anesthesiology/abps) [ ### AOBA American Osteopathic Board of Anesthesiology USA ](https://mdster.com/speciality/anesthesiology/aoba) [ ### EDAIC European Diploma in Anaesthesiology and Intensive Care Europe ](https://mdster.com/speciality/anesthesiology/edaic) [ ### FANZCA Fellowship of the Australian and New Zealand College of Anaesthetists Australia/New Zealand ](https://mdster.com/speciality/anesthesiology/fanzca) [ ### FCAI Fellowship of the College of Anaesthesiologists of Ireland Ireland ](https://mdster.com/speciality/anesthesiology/fcai) Frequently Asked Questions ---------------------------- Everything you need to know about FCA(SA) preparation ### What is the FCA(SA) exam? The Fellowship of the College of Anaesthetists of South Africa (FCA(SA)) is the final specialist qualification for anaesthesiologists in South Africa. It is administered by the CMSA and is a requirement for registration as an independent specialist. The exam ensures candidates have the necessary basic science knowledge and advanced clinical skills for safe practice. ### Who is eligible to write the FCA(SA) Part I? Candidates must be registered medical practitioners with the HPCSA. Generally, they must have completed their medical internship and community service. While some medical officers write Part I, it is highly recommended to have foundational clinical anaesthesia exposure before attempting the exam. ### What are the prerequisites for FCA(SA) Part II? To sit for Part II, candidates must have successfully passed FCA(SA) Part I. Additionally, they must have completed a minimum specified period (typically 36 months) in an HPCSA-approved registrar training post and submit a comprehensive clinical logbook approved by their Head of Department. ### How is the FCA(SA) Part I structured? The Part I exam uses an integrated basic sciences approach, departing from the old six-paper format. It currently consists of four papers: two Short Answer Question (SAQ) papers and two Single Best Answer (SBA) papers. These integrate pharmacology, physiology, anatomy, pathology, physics, and clinical measurement. ### What is the format of the FCA(SA) Part II clinical exam? The clinical component of Part II is an Objective Structured Clinical Examination (OSCE). It consists of multiple stations evaluating advanced clinical reasoning, data interpretation (e.g., ECGs, X-rays, lab results), equipment checks, and communication skills. It is a mandatory must-pass section of the fellowship. ### Are local South African guidelines important for this exam? Yes, local guidelines are critically important. Examiners expect candidates to be highly familiar with the South African Society of Anaesthesiologists (SASA) practice guidelines. While international knowledge is required, clinical management answers should reflect safe practice within the South African healthcare context. ### How much does it cost to take the FCA(SA) exams? Examination fees typically range between ZAR 12,000 and ZAR 18,000 per part. The exact cost fluctuates based on annual CMSA fee adjustments and whether the candidate is taking written or clinical components. Candidates should consult the CMSA website for the exact pricing during their target exam window. ### What happens if I fail the clinical component of Part II? If a candidate passes the written component of Part II but fails the clinical OSCE, they may be allowed to carry over their written results to the next immediate examination semester, depending on CMSA regulations. However, candidates should verify current carry-over rules directly with the CMSA, as policies are subject to change. ### How long does it take to prepare for the FCA(SA)? Most successful candidates dedicate 12 to 18 months of intensive, structured study for each part of the exam. Balancing demanding registrar call rosters with consistent study requires excellent time management and early preparation. ### Can international medical graduates take the FCA(SA)? Yes, international medical graduates can sit for the CMSA examinations, provided they meet all training and eligibility criteria. 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May 04, 2026 Read article ](https://mdster.com/blog/how-to-pass-the-fellowship-of-the-royal-college-of-anaesthetists-final-frca) Ready to Pass the FCA(SA)? ---------------------------- Join medical professionals who are preparing for the Fellowship of the College of Anaesthetists of South Africa with MDster [ Get Started Free ](https://mdster.com/user/dashboard) No credit card required • Cancel anytime [ MDster home ](/ "MDster home") Master your medical exams with evidence-based learning. 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