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Saudi Endocrine and Breast Fellowship Exam Preparation — SCFHS

The Saudi Fellowship final examination in Endocrine and Breast Surgery is a single paper of 80–120 single-best-answer MCQs, blueprinted not by organ but by domain: anatomy and physiology, pathology, diagnostic tests, surgical indications and technique at 17% each, complications at 10% and pharmacology at 5%. The pass score is 70%. Practise questions mapped to those domains across breast, thyroid, parathyroid and adrenal disease.

Content reviewed 25 August 2026 against current guidelines.

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Exam format

Format
One written paper of 80–120 single-best-answer MCQs (up to 10% unscored pretest items), followed by the SCFHS final clinical examination
Duration
Not published by SCFHS
Frequency
Annual, per the SCFHS examination calendar
Pass rate
Pass score 70%; if fewer than 70% of candidates pass it is lowered one mark at a time, never below 65%
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 Endocrine and Breast Surgery fellowship training
  • Eligibility and attempt limits are set by SCFHS training and examination regulations

Syllabus breakdown

Anatomy & Physiology17%
Pathology17%
Diagnostic and Investigational Tests17%
Surgical Indications17%
Techniques of Surgery17%
Surgical Complications10%
Pharmacology5%

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-EBS 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 3-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-EBS 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 endocrine and breast fellowship exam?

One written paper of 80 to 120 single-best-answer MCQs, to which up to 10% unscored pretest items may be added. The pass score is 70%; if fewer than 70% of candidates pass, SCFHS lowers it one mark at a time, but never below 65%.

What does the SCFHS endocrine and breast blueprint cover?

Anatomy and physiology, pathology, diagnostic and investigational tests, surgical indications and techniques of surgery each carry 17%, surgical complications 10% and pharmacology 5%. Each category may vary by up to five percentage points, and research, ethics, professionalism and patient safety are embedded across domains.

How do I prepare for the Saudi endocrine and breast fellowship exam?

Because the blueprint is organised by domain rather than by disease, a purely oncological revision leaves gaps: anatomy, physiology and pharmacology alone account for over a fifth of the paper. Cover breast, thyroid, parathyroid and adrenal disease through each of the seven domains in turn.

Is there a free SCFHS endocrine and breast question bank?

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

Start practising for SCFHS-EBS

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

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