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Saudi Colorectal Fellowship Exam Preparation — SCFHS Colon and Rectal Surgery

The Saudi Fellowship in Colon and Rectal Surgery (SCFHS) is examined in two steps: a 100-question written paper blueprinted by domain — colorectal cancer, anorectal disease, IBD, complications, hereditary tumours, endoscopy — and a Final Clinical and Oral Examination in SOE format with two long cases and four short cases. Practise questions mapped to that blueprint, each with a guideline-referenced explanation.

Content reviewed 25 August 2026 against current guidelines.

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Exam format

Format
Final written exam (100 MCQ, blueprinted by domain) + Final Clinical and Oral Examination (SOE): 2 long cases + 4 short cases
Duration
Written: not published by SCFHS; FCOE: 6 stations, long cases scored 30 marks each
Frequency
FCOE held once a year; the written exam gates eligibility for it
Pass rate
Set by SCFHS examination regulations; not published per cohort
Exam fee
See the Saudi Commission for Health Specialties (scfhs.org.sa)

Eligibility requirements

  • Saudi Board (or recognised equivalent) certification in General Surgery
  • Completion of the SCFHS Colon and Rectal Surgery fellowship training (F1–F3)
  • "Certification of Training Completion" is required to sit the final written exam
  • The final written exam must be passed before sitting the final clinical and oral exam

Syllabus breakdown

Colorectal cancer20%
Intraoperative & postoperative complications15%
Anorectal & sexually transmitted diseases12%
Inflammatory bowel disease10%
Stomal therapy & motility disorders10%
Basic science & pharmacology of GI medications7%
Emergency colorectal surgery5%
Hereditary tumours and genetics5%
Medical and radiation oncology5%
Research, statistics, ethics, patient safety & professionalism5%
Endoscopy3%
Rare conditions3%

Preparation tips

  • Focus your first weeks on the highest-weight syllabus areas — they account for over half the marks and offer the fastest return on study time.
  • Use active recall with timed question sessions rather than passive re-reading: the SCFHS-CRS multiple-choice paper rewards speed and precision under pressure.
  • Cross-reference every explanation with the guideline section it cites. Over a 3–6 month cycle that builds the mental index the 6-station oral demands, where you have to justify a decision rather than recognise it.

How these questions are validated

Every question is written by Pablo Lozano Lominchar, MD, PhD, and mapped to this board’s published syllabus. Before it enters the bank it has to pass an automated check: five options, a written explanation, and a citation — a named society guideline or a named trial. Benign and functional topics cannot be published without a society guideline; oncological ones cite NCCN, ESMO or AJCC, and the classification systems that govern a topic — Bethesda, TIRADS, Atlanta, Prague, Chicago — have to appear where they apply. The author has audited the full active bank against current guideline versions: what fails is re-cited, rewritten or withdrawn. 650 questions are currently withdrawn and are served to nobody.

Scope of authorship. SCFHS-CRS sits outside the author’s own subspecialty practice, which is surgical oncology — peritoneal malignancy, sarcoma, hepatopancreatobiliary and complex pelvic surgery. No diplomate of this board has signed these questions off. What they offer is traceability rather than personal authority: every answer names the current guideline or trial it rests on, so you can check it at the source before you trust it. Found an error? Tell us — it gets corrected or withdrawn.

Frequently asked questions

What is the format of the SCFHS colorectal fellowship exam?

The final written examination carries 100 questions distributed by domain, with colorectal cancer the largest block (20 questions) followed by intraoperative and postoperative complications (15) and anorectal disease (12). Passing it makes you eligible for the Final Clinical and Oral Examination, which is held once a year as six stations: two long cases and four short cases.

How do I prepare for the Saudi colorectal fellowship final exam?

Work the blueprint in proportion rather than by textbook order: cancer, complications and anorectal disease together account for almost half the paper. Then rehearse the oral out loud in the FCOE shape — two long cases on cancer, IBD, diverticular disease, bleeding or polyposis, and four short cases on emergencies, complications, anorectal and functional disorders.

How many practice questions are available for the SCFHS colorectal fellowship?

SurgBoardsQ&A provides more than 1,500 colorectal practice questions mapped to the SCFHS blueprint domains, each with a full explanation referenced to current guidelines.

Is there a free SCFHS colorectal question bank?

Yes — 50 practice questions are free, no credit card required.

Start practising for SCFHS-CRS

50 questions free, no credit card required. Filter by board, topic, or difficulty. Explanations cite current ESMO and NCCN guidelines.

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