There are several routes an overseas histopathologist can take to GMC registration & practicing anatomic pathology in the NHS.
All pathologists looking to secure a job in the NHS, whether you are from inside or outside of Europe, will need to satisfy certain criteria to fully register with the General Medical Council before they can practice in the NHS. As a histopathologist, the criteria you need to meet depends on where you trained, and what qualifications you hold. This article is designed to give you a snapshot of the steps you need to take to start your journey to the UK, no matter where in the world you live. We’ll be covering the following:
How do I demonstrate my knowledge and skills as an EEA histopathologist?
How do I demonstrate my knowledge and skills as a non-EEA histopathologist?
How can I demonstrate my English language skills?
What is a certificate of good standing and how do I get one?
What do I need to register with the GMC?
Will I need a visa to work in the UK?
Evidence of knowledge and skills for EEA histopathologists
For histopathologists who trained in an EEA country (all countries inside the EU, including Lichtenstein, Iceland, Switzerland & Norway), there are a number of different options potentially available to you.
Depending on the country and year you completed your residency or basic medical training, the GMC may automatically recognise your qualifications and grant you either General Registration, or Specialist Registration in the UK. To find out if your country’s qualifications will allow you to register for either general or specialist registration, check the relevant GMC page here.
Basic Medical Training: If you have met the basic medical training requirements, this would mean that you would not need to demonstrate your medical knowledge and skills to work as a doctor in the UK and would not need to complete a UK- recognised postgraduate qualification or PLAB to register with a license to practice. You would be granted full registration in this case, but not Specialist Registration.
Specialist Training / Residency: If you have met the criteria listed for your country then you once you completed your GMC application process you would be granted Specialist Registration in your Specialty and can be appointed as a substantive or permanent consultant in the NHS. So as a pathologist, if you hold a Relevent European Specialist qualification then you would be on the specialist register for histopathology, and can be appointed as a substantive histopathologist in the NHS.
So, the main hurdle that you will face is demonstrating that your English skills are of a high enough standard to practice safely as a doctor in the UK & NHS.
As a European histopathologist, this is in most cases the easiest route to becoming GMC-registered and being able to practice in the UK.
If you do not meet the GMC requirements for your training to be approved for full or specialist registration, other routes you may consider to GMC registration include PLAB or (via the postgraduate route) the Royal College exams for Histopathology (FRCPath). You can find out more about these alternative routes here.
Evidence of knowledge and skills for non-EEA histopathologists
If you qualified as a histopathologist outside the EEA, then you will have to demonstrate that both your medical knowledge and skills AND English Language capabilities meet the level required to practice safely in the UK.
Histopathologists who've trained from outside the UK and EEA must demonstrate to the GMC they have sufficient knowledge & skills to practice safely in the UK. For histopathologists this can be done through one of three main routes:
Professional & Linguistics Assessment Board (PLAB)
The PLAB exam is a two-part exam that assesses a doctor’s ability to work safely as an SHO in the NHS, as such it does not demonstrate ability in pathology specifically. For this reason, PLAB tends to be a route for junior doctors who have not already chosen their field of specialisation in medicine. That said, for some senior doctors PLAB can be an attractive option, offering a quicker route to the UK, whilst still securing competitive salaries. If taking this option, pathologists can then take up training or a more senior post once they have established themselves in the NHS. Take a look through our comprehensive guides on PLAB.
Fellowship of Royal College of Pathologists
Royal College Qualification of FRCPath: Attaining a Royal College qualification is a preferred path for doctors who have already chosen their field of specialism i.e. pathology. For senior pathologists taking this route, they will gain access to more senior, well-paid jobs in the specialism of their choice. The Royal College of Pathologists is the Professional Body that regulates the specialism of Pathology in the UK, and Membership of the Royal College of Pathologists (FRCPath) is the full qualification attainable by examination. For overseas doctors, attaining FRCPath will satisfy the knowledge & skill criteria for GMC registration and facilitate application for more senior roles in UK Pathology. Take a look at our complete guides on Fellowship of the Royal College of Pathologists as per your sub-specialty to understand more.
GMC recognised or equivalent qualifications
Some overseas qualifications and licensing exams are recognised by the GMC and accepted for registration purposes. This is to say these qualifications or licensing exams are considered as meeting the same standards as the Royal College qualifications.
To find out if your qualification is accepted by the GMC, take a look at our blog: Overseas accepted postgraduate qualifications.
English Language Testing
Both EEA and non-EEA histopathologists, regardless of experience, and country of origin, must demonstrate that they have a sufficient grasp and competence of the English language. This can be done by passing either the International English Language Testing System (IELTS) or the Occupational English Test (OET). Detailed guides to these tests can be found below:
IELTS – a guide for overseas doctors
OET – a guide for overseas doctors
Experience in English-speaking countries
For doctors who have at least two years of their most current experience in an English-speaking country, you can use a reference from your current employer or employers over these two or more years to demonstrate competence of the English language. This would exempt you from sitting an English language exam.
Certificate of Good Standing
All doctors registering with the GMC must provide a certificate of good standing from each medical regulatory authority they’ve been registered or licensed with in the last five years.
The medical regulatory authority may send you a certificate of past good standing if you're not currently registered or licensed with them. You can find out which medical regulatory authority to contact via the GMC website here.
Please note that each certificate is only valid for three months from the date it's signed and must be valid when we approve your application.
If there's no medical regulatory authority in the country to issue a certificate, the GMC will give you further advice once your application has been assessed.
GMC Registration
Once you’ve completed your English language exam, you can now apply for full GMC registration with a license to practice. For registration, you must provide evidence of:
English language capabilities - either your IELTS, OET or an approved reference from your current employer (if you have been working in an English-speaking country for the last two years).
AND
Certificate of good standing – the certificate from your medical regulatory authority which demonstrates good standing.
AND
(EEA pathologists) Sufficient skill and knowledge – as an EEA pathologist, this would either be your recognised EEA qualification.
OR
(Non-EEA pathologists) Sufficient skill and knowledge – as a non-EEA pathologist, this would either be PLAB, FRCPath or a GMC-approved qualification.
To understand the registration process more fully, read our blog on GMC registration for overseas doctors here.
Visas
If you or your family are from the EU, Switzerland, Norway, Iceland or Liechtenstein and started living in the UK by 31 December 2020, you may be able to apply to the free EU Settlement Scheme. Otherwise, you will need to apply for a visa from the UK Home Office.
A Tier 2 visa is the document given to a skilled worker by the UK Home Office following a job offer from a UK employer with a valid Tier 2 Sponsorship License. The list of valid Tier 2 Sponsors can be found here.
Understand Tier 2 visas and Certificates of Sponsorship in depth by taking a look at our article: Tier 2 Visa - how do I apply and what's the process?
Wondering whether you can relocate with your family? Take a look at our blog on the Tier 2 dependent visa below: Tier 2 Dependent visa - Can I bring my family with me to the UK?
For pathologists looking to come to the UK to work in the NHS, GMC registration and specialist registration is a crucial part of the process. Therefore, it’s important to put together a good application to present to the GMC, and IMG Connect are here to help with this. Whether it’s deciding the best options for demonstrating your skills and knowledge in histopathology, or sourcing the best English Language courses and resources, take advantage of the benefits of having a pathology recruitment specialist working with you and proving you with the best guidance and support to fit your career needs.
For regular news and updates on the Royal College and all things pathology, follow IMG Connect on social media using the links below:
To work as a doctor in the NHS (UK) you will need to register with the General Medical Council (GMC).
The GMC is the public body that maintains the official register of medical practitioners within the United Kingdom and attaining full registration is a multistep process involving a number of different documents. The purpose of this article is to help guide overseas doctors through the various stages of GMC Registration by considering the following topics:
Why do I need GMC Registration?
How much will it cost me?
What are the requirements for GMC Registration?
What is the process?
Recognised GMC qualifications
English language capabilities
Registration and licensing history
Certificates of good standing
Knowledge and skill tests
ID Check
TOP TIP: Before you start the process, we always recommend that It is worth having a read of the GMC website page on required documents. These can change, as the GMC adapts to changes in healthcare, and current issues like the coronavirus. Of course, if you have any questions have a chat with your IMG Consultant and we can help you to clear up any uncertainties.
Why do I need GMC Registration?
The GMC's main responsibility is to protect, promote and maintain the health and safety of the public and one way in which it does this is by carefully controlling entry to the register. Any doctor that wants to work in the UK must be fully registered with a license to practice with the GMC, whether working as a locum or permanent member of staff.
How much will it cost me?
Generally, GMC Registration will cost £420 but this may change depending on your circumstance. Once you are registered, you must pay an annual retention fee of £390 (which can be paid quarterly, monthly or in one lump sum). A full list of GMC Fees can be found here.
What are the requirements for GMC Registration?
These will depend on a number of factors which can be broken down into the following:
Your nationality
Where you gained your primary medical qualification
Whether or not you have completed a postgraduate training or internship
What is the process?
The registration process can be broken down into these six steps:
Check your primary medical qualification is GMC recognised
Evidence of English language capabilities
Registration and licensing history
Certificates of good standing
Knowledge and skills tests
ID checks
Recognised GMC qualifications:
If your primary medical qualification (PMQ) is from outside the UK or EEA, you need to make sure it is eligible for GMC registration. Check here to see if your PMQ is recognised or have a read through our blog on accetable overseas qualifications.
You will be required to have your PMQ independently verified before your license to practice is granted.
This is carried out by the Educational Commission for Foreign Medical Graduates (ECFMG) through their online EPIC system. For more information on verifying your PMQ and the EPIC system take a look at our blog here.
English language capabilities:
If English is not your native language, then you will need to pass an English Language Test (ELT), you can take either one of the following:
International English Language Testing System (IELTS)
Occupational English Test (OET)
Registration and licensing history:
You must provide all details for any registrations or medical licenses held in the last five years.
Certificates of good standing:
From each of your listed medical establishments, you’ll need to provide a Certificate of Good Standing (CGS). It is worth applying for these early on as they can take some time!
Knowledge and skill tests:
If you attained your Primary Medical Degree from a country outside the EEA region you'll need to demonstrate you have the necessary knowledge and skills to practice in the UK. This can be through a number of routes:
Passing the PLAB test
Providing evidence of an acceptable postgraduate qualification
Being eligible for entry onto the Specialist Register or GP Register
Gaining sponsorship by an approved sponsor
Take a look at our IMG Library, in particular our sections on Postgraduate Qualifications, PLAB and CESR for further reading. Of course, we'd be delighted to talk you through your options so either give us a call or request a call back and we'll get in touch very shortly.
To reaffirm, if you have attained your medical degree from a recognised institution from a country inside the EEA region you will not need to demonstrate evidence of appropriate knowledge or skills.
ID Check:
Once all requested information is submitted, you will need to book an ID check with the GMC. This will require you to attend in person, at the London office. At this point your IMG Consultant will always make an effort to meet you in person & buy you a coffee. We always believe it is better to put a face to a name!
However, please note at this time of uncertainty and disruption caused by the coronavirus ID checks are not necessary. You can currently be granted a full license to practice without having shown your ID to the GMC first, however this is only a temporary measure.
Get in Touch
Don’t hesitate to get in touch using the buttons above (and below) to discuss doctor job options in the NHS, including discussions regarding a typical doctor salary in the UK and the most suitable hospital locations for you.
The GMC recognise some overseas qualifications as equivalent to Royal College qualifications.
Listed below are the overseas postgraduate qualifications currently accepted by the GMC. This means to say these qualifications meet the same standards as UK postgraduate qualifications, though please note, this does not mean they are the same in every way and they do not guarantee entry to the UK Specialty training.
If your qualification is not listed as equivalent, then you will be required to complete a Royal College Postgraduate Qualification or PLAB. You can use the GMC application finder to find the application that’s right for you.
Country
Awarding Body
Qualification
America
American Board of Anaesthesiology
Certificate of the American Board of Anaesthesiology
The American Board of Radiology
The American Board of Radiology diagnostic radiology examination
Australia/New Zealand
Australian and New Zealand College of Anaesthetists
Fellowship of the Australian and New Zealand College of Anaesthetists
The Royal Australian and New Zealand College of Ophthalmologists
Fellowship of the Royal Australian and New Zealand College of Ophthalmologists (FRANZCO) awarded since January 2010
The Australasian College for Emergency Medicine
Fellowship of the Australasian College for Emergency Medicine (FACEM) awarded since 2001
The Royal Australasian College of Physicians
FRACP Adult medicine or evidence of three years of basic training (PREP) + achievement of RACP written and clinical examinations
The Royal Australian and New Zealand College of Psychiatrists
Fellowship of The Royal Australian and New Zealand College of Psychiatrists (FRANZCP) awarded since January 2012
The Royal Australian and New Zealand College of Radiologists
Fellowship of The Royal Australian and New Zealand College of Radiologists (FRANZCR) (Clinical Radiology)
Fellowship of The Royal Australian and New Zealand College of Radiologists (FRANZCR) (Radiation Oncology)
The Australian College of Rural and Remote Medicine
Fellowship of the Australian College of Rural and Remote Medicine (FACRRM) awarded since 1 January 2013
The Royal Australian College of General Practitioners
Fellowship of the Royal Australian College of General Practitioners (FRACGP) awarded since 1 January 2007
The Royal New Zealand College of General Practitioners
Fellowship of the Division of Rural Hospital Medicine (FDRHMNNZ) awarded since 1 January 2012
The Royal New Zealand College of General Practitioners
Fellowship of the Royal New Zealand College of General Practitioners (FRNZCGP) awarded since 1 January 2012
Bangladesh
Bangladesh College of Physicians and Surgeons
Fellowship in Anaesthesia or Anaesthesiology awarded between July 1999 and October 2019
Canada
The Royal College of Physicians and Surgeons of Canada
Accreditation in Psychiatry from the Royal College of Physicians and Surgeons of Canada
The Royal College of Physicians and Surgeons of Canada - Diagnostic Radiology examination
The College of Family Physicians of Canada (CFPC)
Certification in the College of Family Physicians of Canada (CCFP) awarded since 1 January 2009
Europe
European Society of Anaesthesiology and Intensive Care Medicine (previously the European Academy of Anaesthesiology or European Society of Anaesthesiology)
Diplomate of European Society of Anaesthesiology and Intensive Care (DESAIC) (previously the Diplomate of European Academy of Anaesthesiology DEAA) or Diplomate of European Society of Anaesthesiology (DESA))
European Society of Intensive Care Medicine (ESICM)
European Diploma of Intensive Care (EDIC) awarded since January 2015
Hong Kong
Hong Kong College of Physicians
Membership of the Hong Kong College of Physicians
Ireland
College of Anaesthesiologists of Ireland
Fellowship of the College of Anaesthesiologists of Ireland (previously Fellowship of the College of Anaesthetists of Ireland)
Royal College of Physicians in Ireland
Membership of the Royal College of Physicians of Ireland (MRCPI) in General Medicine, awarded after 1 January 2007
Membership of the Royal College of Physicians of Ireland (MRCPI) in Paediatrics (Medicine of Childhood), awarded after 1 January 2007
Membership of the Royal College of Physicians of Ireland (MRCPI) in Obstetrics and Gynaecology, awarded after 1 January 2007
Membership of the Faculty of Occupational Medicine (MFOM), awarded after 1 January 2007
Membership of the Faculty of Public Medicine (MFPHMI), awarded after 1 January 2007
Royal College of Surgeons in Ireland
MRCS (collegiate examination)
MRSCI (intercollegiate examination)
MRSCI (ENT) (intercollegiate examination)
Fellowship of the Royal College of Surgeons Ireland
Fellowship of the Faculty or the College of Anaesthetists of the Royal College of Surgeons in Ireland
Fellowship of the Faculty of Radiologists in Clinical Radiology of the Royal College of Surgeons in Ireland (FFR RCSI)
Malaysia
Ministry of Health
Master of Medicine (MMED) Malaysia with MRCP (UK) awarded since 1 July 2010
This must include four years of clinical experience (required to complete MMED) plus two years of training
Pakistan
College of Physicians and Surgeons Pakistan
Fellowship in Anaesthesiology awarded since 1998
Singapore
National University of Singapore
Master of Medicine (Internal Medicine) including MRCP (UK)
Joint Committee on Specialist Training Singapore
Master of Medicine (MMED) Singapore, plus MRCP (UK) awarded since 1 July 2010
College of Anaesthetists of South Africa
Fellowship of the College of Anaesthetists of South Africa FCA (SA)
South Africa
Colleges of Medicine of South Africa
Fellowship of the College of Radiologists of SA FC Rad Diag (SA) - Diag Rad awarded after 1 October 2013
College of Family Physicians of South Africa
Fellowship of the College of Family Physicians of South Africa (FCFP(SA)) awarded since 1 January 2007
Sri Lanka
University of Colombo, Sri Lanka
Doctor of Medicine or MD (Anaesthesiology)
Doctor of Medicine or MD, (Obstetrics and Gynaecology)
Doctor of Medicine or MD (medicine) awarded after January 2017
Doctor of Medicine or MD (surgery) awarded after July 2017
West Indies
University of the West Indies
Doctor of Medicine (Anaesthesia) awarded between September 2003 and May 2014
(Course title has since changed to Doctor of Medicine (Anaesthesia and Intensive care))
There are several routes a psychiatrist can take to register with the GMC and practice psychiatry in the NHS.
Psychiatrists looking to secure a job in the NHS must satisfy certain criteria before they can be fully registered with the GMC (General Medical Council) and receive a license to practice in the NHS. For psychiatry, these criteria depend on where you received your training, and the qualifications you hold.
In this blog, we’re giving you a snapshot of the steps you need to take to start your journey to the UK, as an overseas psychiatrist. We’ll be covering the following:
How do I demonstrate my knowledge and skills as an EEA Psychiatrist?
How do I demonstrate my knowledge and skills as a non-EEA Psychiatrist?
How can I demonstrate my English language skills?
What is a certificate of good standing and how do I get one?
What do I need to register with the GMC?
Will I need a visa to work in the UK?
Skip ahead to the relevant section if you know what you're looking for.
Evidence of knowledge and skills for EEA Psychiatrists
For psychiatrists who trained in an EEA country (all countries inside the EU, also Lichtenstein, Iceland, Switzerland & Norway), there are several options potentially available to you.
Depending on the country and year you completed your residency or basic medical training, the GMC may automatically recognise your qualifications and grant you either General Registration, or Specialist Registration in the UK. To find out if your country’s qualifications will allow you to register for either GMC registration, check the relevant GMC page here.
Basic Medical Training: If you have met the requirements for basic medical training, you would not need to demonstrate your medical knowledge and skills to work as a doctor in the UK, and would therefore not need to complete a Royal College postgraduate qualification or PLAB to register with a license to practice. You would be granted full registration in this case, but not Specialist Registration.
Specialist Training / Residency: Not all European Specialist qualifications are accepted by the GMC. If you have met the GMC’s criteria pertaining to your county, then you should be eligible for Specialist Registration in oncology.
So as a psychiatrist, if you hold a Relevant European Specialist qualification, you would be put on the specialist register for psychiatry and can be appointed as a substantive psychiatrist in the NHS.
Please note, the criteria that is outlined on your country’s GMC registration page must be met. If your training was undertaken prior to the dates mentioned by the GMC – your qualifications will not be accepted.
For EEA psychiatrists, the main hurdle that you will face will be demonstrating that your English skills are of a high enough standard to practice safely as a doctor in the NHS.
As a European psychiatrist, this is most likely the easiest route to becoming GMC-registered and being able to practice psychiatry in the UK.
If you do not meet the GMC requirements for your training to be approved for general or specialist registration, other routes you may consider to GMC registration include PLAB, or (via the postgraduate route) the Royal College exams for psychiatry (MRCPsych). You can find out more about these alternative routes here.
Evidence of knowledge and skills for non-EEA Psychiatrists
If you qualified as a psychiatrist outside the EEA, then you will have to demonstrate that both your medical knowledge and skills AND English Language capabilities meet the level required to practice safely in the UK.
Psychiatrists who've trained from outside the UK and EEA and must demonstrate to the GMC they have sufficient knowledge & skills to practice safely in the UK. For psychiatrists this can be done through three main routes:
Professional & Linguistics Assessment Board (PLAB)
The PLAB exam is a two-part exam that assesses a doctor’s ability to work safely as an SHO in the NHS, as such it does not demonstrate ability in psychiatry specifically. For this reason, PLAB tends to be a route for junior doctors who have not already chosen their field of specialisation in medicine. That said, for some senior doctors PLAB can be an attractive option, offering a quicker route to the UK, whilst still securing competitive salaries. If taking this option, psychiatrists can then take up training or a more senior post once they have established themselves in the NHS. Take a look through our comprehensive guides on PLAB.
Royal College of Psychiatrists
Attaining a Royal College qualification is a preferred path for doctors who have already chosen their field of specialism i.e. psychiatry. Psychiatrists taking this route will gain access to more senior, well-paid jobs in the NHS. The Royal College of Psychiatrists is the professional body that regulates the specialism of psychiatry in the UK, and Membership of the Royal College of Psychiatrists (MRCPsych) is the full qualification attainable by examination. For overseas doctors, attaining MRCPsych will satisfy the knowledge & skill criteria for GMC registration and facilitate application for more senior roles in UK psychiatry. Take a look at IMG Resources library for complete guides on MRCPsych to learn more.
GMC-recognised or Equivalent Qualifications
Some overseas qualifications and licensing exams are recognised by the GMC and accepted for registration purposes. This is to say these qualifications or licensing exams are considered as meeting the same standards as the Royal College qualifications.
To find out if your qualification is accepted by the GMC, take a look at our blog: Overseas accepted postgraduate qualifications
English Language Testing
Both EEA and non-EEA oncologists, regardless of experience, and country of origin, must demonstrate that they have a sufficient grasp and competence of the English language. This can be done by passing either the IELTS (International English Language Testing System) or the OET (OET – Occupational English Test). Detailed guides to these tests can be found below:
IELTS – a guide for overseas doctors
OET – a guide for overseas doctors
Experience in English-speaking countries
For doctors who have at least two years of their most recent experience in an English-speaking country, you can use a reference from your current employer or employers over these two or more years to demonstrate competence of the English language. This would exempt you from sitting an English language exam.
Certificate of Good Standing
All doctors registering with the GMC must provide a certificate of good standing from each medical regulatory authority they’ve been registered or licensed with in the last five years.
The medical regulatory authority may send you a certificate of past good standing if you're not currently registered or licensed with them. You can find out which medical regulatory authority to contact via the GMC website here.
If there's no medical regulatory authority in the country to issue a certificate, the GMC will give you further advice once your application has been assessed.
Please note that each certificate is only valid for three months from the date it's signed and must be valid when we approve your application.
GMC Registration
Once you’ve completed your English language exam, you can now apply for full GMC registration with a license to practice. For registration, you must provide evidence of:
English language capabilities - either your IELTS, OET or an approved reference from your current employer (if you have been working in an English-speaking country for the last two years).
AND
Certificate of good standing – the certificate from your medical regulatory authority which demonstrates good standing.
AND
(EEA psychiatrists) Skills and knowledge – as an EEA psychiatrist, this would either be your recognised EEA qualification.
(Non-EEA psychiatrist) Skills and knowledge – as a non-EEA psychiatrist, this would either be PLAB, MRCPsych or a GMC-approved qualification.
To understand the registration process more fully, read our article on GMC registration for overseas doctors here.
Visas
If you or your family are from the EU, Switzerland, Norway, Iceland or Liechtenstein and started living in the UK by 31 December 2020, you may be able to apply to the free EU Settlement Scheme. Otherwise, you will need to apply for a visa from the Home Office.
A Health & Care visa (Tier 2 visa) is the document given to a skilled worker by the UK Home Office following a job offer from a UK employer with a valid Tier 2 Sponsorship License. The list of valid Tier 2 Sponsors can be found here.
Understand Tier 2 visas and Certificates of Sponsorship in depth by taking a look at our article: Tier 2 Visa application process & documents needed.
Wondering whether you can relocate with your family? Take a look at our blog on the Tier 2 dependent visa below: Tier 2 Dependent visa - Can I bring my family with me to the UK?
So, there you have it! Hopefully this helps to clarify any worries or doubts you may have on your route to the UK as a psychiatrist planning a career in the NHS. If you have any questions or would like to know more about the psychiatry job market, then get in touch with our team.
For regular news and updates on the Royal College and all things psychiatry, follow IMG Connect on social media using the links below:
There are several routes overseas paediatricians can take to GMC registration and securing an NHS paediatrics job.
Whether you are from inside or outside of Europe, will need to satisfy certain criteria to fully register with the General Medical Council (GMC) before beginning their journey in the NHS.
The criteria you need to meet depends on where you currently live and practice, either inside the EEA (& associated countries) or outside the EEA. This article is designed to give you a snapshot of the steps you need to take to start your journey to the UK, no matter where in the world you live.
Inside the EEA – click here
Outside the EEA – click here
“Doctors from countries around the world play a vital and significant role in our NHS and in the delivery of safe patient care. This is not only welcome but is part of the continuous exchange of knowledge in healthcare and should be strongly encouraged. They make an invaluable contribution to the NHS.”
Joint statement from the Royal College of Physicians
Inside the EEA
Firstly, it is important to note that where we refer to EEA in this article this refers to all countries inside the EU, including Lichtenstein, Iceland & Norway.
If you qualified as a paediatrician inside the EEA or Switzerland, then the good news is that you don’t need to demonstrate your medical knowledge and skills to work as a doctor in the UK – you have already done this, and thanks to the EU your qualification is deemed equivalent. In addition, you will not need to apply for a visa from the UK Home Office.
So, the main hurdle that you will face is demonstrating that your English skills are of a high enough standard to practice safely as a doctor in the UK & NHS.
English Language Testing
Any international doctor, regardless of specialty, experience or country of origin, must demonstrate they have sufficient competence of the English language. You can do this by passing either of the following:
IELTS – International English Language Testing System
OET – Occupational English Test
Take a look at our helpful articles below for detailed information on both tests:
IELTS – a guide for overseas doctors
OET – a guide for overseas doctors
GMC Registration
Having passed your English Language Test, you can now apply for full registration with a licence to practice with the GMC. For full GMC registration you must provide evidence of:
Evidence of English language capabilities (IELTS or OET)
AND
Evidence of sufficient skill and knowledge (your equivalent qualifications)
Understand the registration process in full & by reading our article below: IMG resources - GMC Registration for overseas doctors
Job search
We recommend starting the job search as early as possible. Demand for European paediatricians in the NHS is ever-increasing - the NHS welcomes you with open arms!
At IMG Connect we specialise in securing jobs for European doctors in the UK and can offer you a wider range of paediatrics jobs than are readily available online.
Our network extends to Paediatrics services and HR departments across the UK, so no matter what your grade or specialty we can ensure you will be interviewing for roles well in advance of any relocation plans.
In addition, your dedicated consultant, with a speciality knowledge of paediatrics, will negotiate on your behalf ensuring you get the most competitive salary.
Our aim is to have a job offer on the table before your GMC registration is complete, giving you the peace of mind of having an agreed contract in place - leaving you to carefully plan your relocation to the UK. Take a look at our most recent jobs: Job Search
Relocation
Obviously, any doctor’s journey isn’t all exams, registrations and language tests… there’s also the small matter of relocation and settling into life in the UK.
Once you have secured your role in the UK, we focus on supporting you and your family with all your relocation plans. This can include, but is not exclusive to, securing accommodation, travel planning, setting up bank accounts & national insurance numbers – every step of the way we are here to help.
Have a read through our IMG Library and take in all the beautifully organised information on relocation and UK life to immeasurably help your first days, weeks and months in the UK.
IMG Resources – Relocation & UK Life
Outside of the EEA
If you qualified as a paediatrician outside the EEA, then you will have to demonstrate that both your medical knowledge & skills and English Language capabilities meet the level required to practice safely in the UK. In addition, you will need to apply for a visa from the UK Home Office.
Here we summarise the requirements for paediatrics doctors, looking at the following:
English Language Testing
Evidence of Knowledge & Skills - PLAB, MRCPCH or equivalents
Tier 2 Visas
Full GMC Registration
English Language Testing
Any international doctor, regardless of specialty, experience or country of origin, must demonstrate they have sufficient competence of the English language. You can do this by passing either of the following:
IELTS – International English Language Testing System
OET – Occupational English Test
Take a look at our helpful articles below for detailed information on both tests:
IELTS – a guide for overseas doctors
OET – a guide for overseas doctors
Evidence of Knowledge & Skills in Paediatrics
Overseas paediatricians must prove to the GMC they have sufficient knowledge & skills to practice safely in the UK. For paediatricians this can be done through three main routes:
PLAB
Royal College qualification of MRCPCH
GMC - recognised or equivalent qualifications
Route 1 - PLAB:
The PLAB exam is a two-part exam that assesses a doctor’s ability to work safely as an SHO in the NHS, as such it does not demonstrate ability in Paediatrics specifically. For this reason, PLAB tends to be a route for junior doctors who have not already chosen their field of specialisation in medicine.
That said, for some senior doctors PLAB can be an attractive option, offering a quicker route to the UK, whilst still securing competitive salaries. If taking this option, paediatricians can then take up training or a more senior post once they have established themselves in the NHS.
Take a look through our comprehensive guides on PLAB:
PLAB – a guide for overseas doctors
PLAB 1 – a closer look
PLAB 2 – a closer look
Route 2 - Royal College Qualification of MRCPCH:
Attaining a Royal College qualification is a preferred path for doctors who have already chosen their field of specialism i.e. Paediatrics. For senior paediatricians taking this route, they will gain access to more senior, well-paid jobs in the specialism of their choice.
The Royal College of Paediatricians is the Professional Body that regulates the specialism of Paediatrics in the UK, and Membership of the Royal College of Paediatrics and Child Health (MRCPCH) is the full qualification attainable by examination.
For overseas doctors, attaining MRCPCH will satisfy the knowledge & skill criteria for GMC registration and facilitate application for more senior roles in UK Paediatrics. Take a look at our complete guide on Membership of the Royal College of Paediatrics and Child Health to understand more: MRCPCH – a guide for overseas doctors
Route 3 - GMC Recognised or Equivalent Qualifications:
Some overseas qualifications are recognised by the GMC and accepted for registration purposes. This means to say these qualifications are considered as meeting the same standards as the Royal College qualifications. There are Paediatrics qualifications from several countries around the world that are currently accepted by the GMC.
Find out if your qualification is accepted by the GMC below: IMG Resources - Overseas accepted postgraduate qualifications
Tier 2 Visa
If you are a doctor applying from outside the EEA region you will almost certainly need to apply for a visa to work in the UK.
Applying as a doctor or nurse has never been easier and there is currently no-restriction on the Certificate of Sponsorship (CoS) applications that a hospital can make. Furthermore, the list of specialties on the shortage occupation list is due for imminent review and expansion beyond its current list of specialties, potentially widening the scope for easier immigration processes across all specialties in healthcare.
Understand Tier 2 visas and Certificates of Sponsorship in depth by taking a look at our article: IMG Resources - Tier 2 Visa application process & documents needed
Wondering whether you can relocate with your family? Take a look at our blog on the Tier 2 dependant visa below: IMG Resources - Tier 2 Dependant visa - can i bring my family with me to the UK?
GMC Registration
With everything in place, you can apply for full registration with a licence to practice with the GMC. Remember, for full GMC registration you must provide evidence of:
Evidence of English language capabilities
AND
Evidence of sufficient skill and knowledge (PLAB, MRCPCH or equivalent)
Understand the registration process in full & by reading our article below: IMG Resources - GMC Registration for overseas doctors
Job search
We recommend starting the job search as early as possible. Demand for Non-EEA paediatricians in the NHS is increasing - the NHS welcomes you with open arms!
At IMG Connect we specialise in securing jobs for overseas doctors in the UK and can offer you a wider range of jobs than is readily available online. Our network extends to paediatrics services and HR departments across the UK, so no matter what your grade or specialty we can ensure you will be interviewing for roles well in advance of any relocation plans.
In addition, your 1-1 consultant, with a speciality knowledge of paediatrics, will negotiate on your behalf, ensuring you get the most competitive salary. Giving you the peace of mind of agreeing your new contract, perhaps even before your GMC registration is complete.
Take a look at our most recent jobs: Job Search
Relocation
Obviously, any doctor’s journey isn’t all exams, registrations and language tests… there’s also the small matter of relocation and settling into life in the UK.
Once you have secured your role in the UK, we will focus on supporting you and your family with all of your relocation plans. This can include, but is not exclusive to, securing accommodation, travel planning, setting up bank accounts & national insurance numbers – every step of the way we are here to help.
Have a read through our IMG Library and take in all the beautifully organised information on relocation and UK life to immeasurably help your first days, weeks and months in the UK. Take a look here: IMG Resources – Relocation & UK Life
IMG Jobs
Search and find live NHS paediatrician jobs in the UK
IMG Resources
Read more useful articles on finding an NHS trust doctor job, pay scales & doctor’s salary in the UK, relocation and much more!
Get in Touch
Don’t hesitate to get in touch using the buttons above (and below) to discuss doctor job options in the NHS, including discussions regarding CESR, a typical doctor salary in the UK and the most suitable NHS jobs & hospital locations for you.
Overseas doctors must verify their medical qualifications before making a GMC application.
In order to work in the NHS you need full registration with the GMC. This process requires independent verification of your primary medical degrees and any other qualifications or licensures you are using to join the register. Often this will be a Royal College Qualifcation, or another recognised postgraduate qualification, but can also include an accepted licensing exam such as USMLE, MCCQE or AMCCE. The process of verification is is done by the Educational Commission For Foreign Medical Graduates (ECFMG) and applies if you:
Qualified at a medical school outside of the UK, European Economic Area (EEA) or Switzerland; OR
are an international medical graduate with a European medical qualification (not including UK qualifications) AND
do not already hold provisional registration.
Please note, only those with primary medical qualifications awarded outside of the UK and EU, and those who are not EU nationals but hold a primary medical qualification from the EU (but not the UK), need to use an Electric Portfolio of International Credentials (EPIC).
Which qualifications will I need to verify?
When registering with the GMC there will likely be two certificates you will need to verify for your GMC registration. Depending on what route you take to registration, you will need to verify both of the following:
Postgraduate route: Medical Degree (PMQ) and Accepted Postgraduate Qualification
Relevant European Qualification (REQ) route: Medical Degree (PMQ)
Specialist European Qualification route: Medical Degree (PMQ) and Specialist European Qualification
MTI or Royal College Sponsorship route: Medical Degree (PMQ)
PLAB route: Medical Degree (PMQ)
Is my Medical Degree (PMQ) accepted by the GMC?
You must have completed an acceptable medical degree to register with the GMC. Check if you’re qualification is accepted via the GMC website here. Your medical degree is commonly known as your primary medical qualification (PMQ) and it will need to be independently verified by the Educational Commission for Foreign Medical Graduates (ECFMG) via their online portal, EPIC.
Please note, if you hold refugee status in the UK and are applying to the GMC for registration with a license to practice medicine in the UK, you may be able to get help with your EPIC fees. Contact the GMC before using EPIC.
Setting up an on-line account:
Once you have established the correct documents to be verified, set up an on-line account (EPIC Account) via ECFMG EPIC
The first step to start using EPIC is to complete a request to establish an account. The request requires you to submit some basic personal information, details about your medical education, and, if applicable, details about your postgraduate medical education.
EPIC will then send you an e-mail to confirm receipt of your request to establish an EPIC Account.
Once your account request has been processed, they will send you an e-mail containing your EPIC ID and instructions on how to complete the final step in the account establishment process, completion of the EPIC Identification Form (EIF) to confirm your identity.
The GMC's instructions for EPIC verification are here however this we have outlined the steps above, so things shoud be fairly clear already.
Before you start:
Before your start the verification process, there are a couple of important steps to consider:
Create a GMC online account if you haven't already and check whether the GMC accepts your primary medical qualification and/or postgraduate qualification.
If your medical school is included on the list below then you should contact the GMC before starting the verification process.
on the GMC’s list of qualifications that are not acceptable
on the GMC’s list of qualifications that may be acceptable
not in the list of medical schools on GMC Online
General advice from IMG Connect
Start early: At IMG Connect we strongly advise that you complete this part of the process as soon as possible. There are several factors that contribute to the length of the verification process, ncluding the time it takes for the medical school to verify your qualification(s). It does not expire, so there is no reason to delay! Also consider the GMC will close your application after 90 days if you cannot submit it, so by starting EPIC too late you may cause your GMC application to be closed.
Prepare and save yourself some time: As always, at IMG Connect we advise it is best to gather your documents prior to starting any application. If you do, it should only take about 15 minutes to complete.
Before you begin, make sure you have the following available:
a full-colour photograph (passport style)
a scanned, full-colour copy of the photograph page of your current, unexpired passport
information about your medical education, including your medical school identification number (if applicable) and attendance and degree issue dates
your medical licensure information (if applicable), including any identification numbers
your ECFMG/USMLE Identification Number (if you have one)
your ECFMG International Credentials Services (EICS) Identification Number (if you have one)
Make sure you select the General Medical Council as you upload each qualification. By doing so, the GMC will automatically receive an update when your qualification has been verified. If you don’t do this, it could cause a delay.
How much does EPIC verification cost?
The fees are charged in USD and you’ll need to pay ECFMG directly. Full payment is due at the time you submit your request to establish an EPIC Account. Setting up an account currently costs $125 and as of recently, the fee to verify a credential through EPIC increased to US$90 per credential. For more information on fees and payment, see the fees section of the EPIC website.
I've got my PMQ verified, what next?
Submit your application for registration to the GMC and provide your EPIC ID to the GMC.
You won’t be able to submit your application to the GMC until you have confirmation that your PMQ has been sent for verification. ECFMG will send you confirmation via e-mail. You can also check the status by logging in to your EPIC Account. If you prefer, you can wait until after the qualification has been verified to submit your application, as it can take some time for the verification to be completed.
Once verification of a qualification has been received from the issuing institution and ECFMG has confirmed that the qualification is authentic, ECFMG will confirm this with the GMC. ECFMG will also notify you by e-mail that your qualification has been verified.
In order to apply for GMC Registration and/or take the PLAB tests, IMGs must hold a primary medical qualification acceptable to the GMC for the purpose of registration with a licence to practise.
If your primary medical qualification is from outside of the UK or EEA, the GMC will need to check that it is acceptable.
How can I check my overseas qualification is recognised by the GMC?
Your Primary Medical Qualification (PMQ) must be awarded by an institution listed in the World Directory of Medical School.
There are some qualifications that the GMC already do not accept. These are listed on their website. You should check whether your qualification meets the relevant criteria before you start an application.
As part of the GMC application, overseas doctors from outside of the EEA will need to send a copy of their primary medical qualification to the GMC.
If your primary medical qualification meets the GMC criteria, you will need to have it independently verified by the Educational Commission for Foreign Medical Graduates (ECFMG) before registration with a license to practice can be complete.
How do I verify my Primary Medical Qualification?
Verification is completed online and is a simple process. You will set up an online EPIC account (Electronic Portfolio of International Credentials), confirm your identity and upload your qualification for verification. This is then assessed by ECFMG who will communicate directly with your awarding body to confirm authenticity.
What next?
Once assessed the ECFMG will confirm the outcome with the GMC. You will receive and EPIC ID, which will be required when completing the GMC application.
At IMG we recommend that you check your primary medical qualification and start the verification process as early as possible, so that you will have your verified qualification before applying.
Once you have checked that you have a suitable overseas qualification, and your overseas primary medical qualification has been independently verified, you can complete the GMC registration online.
IMG Jobs
Search and find live NHS doctor jobs in the UK
IMG Resources
Read more useful articles on finding an NHS trust doctor job, pay scales & doctor’s salary in the UK, relocation and much more!
Get in Touch
Don’t hesitate to get in touch using the buttons above (and below) to discuss doctor job options in the NHS, including discussions regarding a typical doctor salary in the UK and the most suitable hospital locations for you.
A fitness to practice is required for overseas doctors who want to register with the GMC.
This blog will break down what the rules are, and what evidence you will need to prepare and provide by looking at the following:
What is evidence of your fitness to practice?
Declaration of your fitness to practice
Supporting evidence
Certificate of good standing
How do I request a certificate of good standing?
Remember, at IMG Connect we always advise IMGs to prepare all documents before starting applications, it will save you time, and stress!
What is evidence of your fitness to practice?
As part of your GMC application, the GMC require you to provide evidence of your fitness to practice. This is broken down into two areas from your online application:
A declaration of your fitness to practice
Your supporting evidence
Declaration of fitness to practice:
As part of your online GMC application to join the register you must complete a declaration of fitness to practice. This declaration is only valid for 3 months, so ensure you get the timing right with your application, otherwise the GMC will ask you to complete a new one.
When completing your application online, you will be asked 12 questions in the fitness to practice character declaration section. You should complete the declaration by choosing YES or NO for each question.
These cover a range of fitness to practice topics, including previous convictions, disciplinary actions, conduct and so on.
It is important to say that you should always be honest in your answers.
Supporting evidence:
The GMC will ask you to provide supporting evidence of your fitness to practice, these are broken down into the following:
details of all postgraduate medical experience for the last five years or since you graduated
details of all postgraduate non-medical experience for the last five years or since you graduated*
details of all certain other activities for the last five years or since you graduated
a certificate of good standing from each medical regulatory authority you've been registered or licensed with
*If you have worked in a non-medical capacity it is also likely that you will be asked for employer references to cover this non-medical work.
Certificate of good standing
As above, you will require a certificate from your regulatory body to be sent to the GMC to confirm your good standing with them. The GMC will need a certificate of good standing from all of the countries you've been registered with in that time, even if you haven't been practising there. You can register for a certificate of good standing from your regulatory body in your home country, which they will send directly to the GMC.
Certificates of good standing and employer references are only valid for three months from the date that they are issued and must be valid on the date your application to the GMC is approved.
What is a certificate of good standing?
A certificate of good standing will show any restrictions on your practice, your registration history, including current license status, identity information and any current proceedings. It should be issued in English.
In the European Union these documents are known as certificates of current professional status.
How do I request a certificate?
You will need to contact your regulatory body and request this from them directly. You can find out which medical regulatory authority to contact using the Certificate of good standing database.
References:
When writing this article we have taken our information from the following sources:
https://www.gmc-uk.org
IMG Jobs
Search and find live NHS doctor jobs in the UK
IMG Resources
In our IMG Resources library you can read more useful articles on finding an NHS trust doctor job, pay scales & doctor’s salary in the UK, relocation and much more!
Get in Touch
Get in touch using the buttons above (and below) to discuss doctor job opportunities in the NHS, including discussions regarding a typical doctor salary in the UK and the most suitable hospital locations for you.