Passing any exam is not easy, passing the MRCEM OSCE examination, even more so.
In speaking with IMGs about their journey through the MRCEM OSCE exams, we have heard many thoughts about what it takes to pass. To help IMGs preparing to take the test, here we share some tips from past examinees and OSCE course tutors.
Firstly, it is good to know that every IMG taking the test is in the same position as you, perhaps anxious about how to prepare and worried about the exam day. We are told that the exam is just an ordinary day on the ward, so why then do so many excellent practicing EM physicians struggle to pass at first attempt?
It is perhaps important to say that we felt it was important to give advice from not just those IMGs who passed first time, but from those who had to learn from their mistakes and take the test a second or even third time.
In this article we take a broad look at some of the main reasons that good candidates have cited as contributing to their failure to pass.
The most common thing that we hear is that IMGs must adapt their skill set to the requirements of the NHS system as well as changing their mindset to be able to work under intense observation.
IMGs have told us that the main reasons they struggle are:
Nerves
Lack of practice
Lack of familiarisation with the test
Lack of understanding of the curriculum
Not being able to communicate effectively
Reading and deciphering the instructions
Anxiety
Experiencing anxiety during exams is completely natural and the fact that the OSCE stations are only 7 minutes adds to this in the Part C. The only way to combat exam anxiety is to accept that is both natural and inevitable. The best way to prepare and suppress the adrenergic surge is with practice, practice and more practice. The best way to practice is under exam conditions and if possible, this should be timed and observed by different examiners.
We are not of the opinion that this practice should be done last minute in the week before the exam, instead, your practice should start long before this point. Ask your senior colleagues in the ED to observe and comment upon your history taking and examination skills. If you can get into a routine of doing this with 3 to 5 patients per day you will be able to run through nearly all the most likely scenarios in only 12 shifts. Another great strategy is to teach OSCEs to the more junior doctors within the department. Teaching can be a powerful learning tool and has helped many aspirants with their revision.
Lack of practice
Make no mistake – the exam is very tough. Over 50% of candidates failed the 2016 sitting. Unless you are freakishly good at cramming you will need to set aside at least 3 months to prepare. IMGs will all study in different ways. Remember you have been through many exams all on your own. Whatever revision method works for you, stick to it. Once you know that you are going to study, make a revision plan and stick to it.
Practice in any way that you can. As above, be sure to ask senior colleagues to observe and offer feedback to you on a regular basis on the EM ward.
To practice out of work, form a small group of colleagues who are also taking the test and run through role plays, taking turns to be patient, doctor or examiner.
Pay careful attention to time keeping as it is very common for candidates to run out of time, particularly in history taking and communication skills stations.
Lack of familiarisation with curriculum
If you don’t know what you could be tested on, you won’t know what to prepare. The MRCEM OSCE is mapped to the competences of Year 1-3 of the Emergency Medicine 2015 Curriculum which is available on the 2015 Curriculum page. You should familiarise yourself with the Year 1-3 competences in preparation for sitting this examination.
Not being able to communicate effectively
Many IMGs have made the mistake of thinking that communication is only about what you say, not considering how you say it, and what you look like when you are saying it. Of course, you may be anxious, which can make you behave differently and say things differently. So, if you have practiced as above, make sure you incorporate practicing communicating not just focusing on what you say, but also your body language when saying it. Remember that between 70% of our communication is non-verbal!
Try to speak audibly and clearly and if at all possible, sit at the same level as the patient with an open posture. Attempt to make a connection with the patient, maintain good eye contact and give them your undivided attention. Treat actors and mannequins as if they are real patients, interact with them in the same way that you would on the EM ward.
Be direct and to the point but deliver any bad news in a sensitive and empathetic manner. Always check whether the patient has understood what you have said and ask if they have any questions.
Reading and deciphering the instructions
It is vitally important to read the instructions very carefully before entering a station. Easy marks are frequently lost by nervous or over-confident candidates that have overlooked key information or made assumptions by misreading. This is a mistake many IMGs have made, so learn from their mistakes and be sure to read everything carefully. Once read, make a plan of how you will approach the scenario. Once your minute is up… deep breath and smile!
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Many overseas doctors preparing for their FRCEM or MRCEM Emergency Medicine examinations wonder if they should take a course as part of their preparation.
In short, we advise that all IMGs should attend as many courses as possible. The knowledge gained on an MRCEM or FRCEM course goes well beyond the exam.
One issue is of course that courses cost a considerable amount of money, but if you consider that taking a course increases your chances exponentially of passing the examinations first time, the cost is offset by not having to pay to re-sit.
Finding courses can be tricky, so take some time to work out what you specifically need help with and the stage you are at in the process. Search online to find the course that will suit your needs the most.
Speak to your peers, some may have attended a course that they felt had a positive impact on the learning and preparation.
Once you think you have found a course that suits your needs, such as an MRCEM OSCE course, check reviews posted by other IMGs to be sure of the quality of the tutoring.
When purchasing the Emergency Medicine course, if you have found a course that suits your needs, has good reviews recommendations from your peers, then it will likely be worth the investment. As a direct result, you will likely pass the exams much quicker, helping you to secure the Emergency Medicine job that you want in the NHS.
If you need some advice on choosing an Emergency Medicine MRCEM or FRCEM course to help you on your journey to securing a job in the NHS, don’t hesitate to get in touch with IMG Connect.
IMG Jobs
Search and find live emergency medicine NHS doctor jobs in the UK
IMG Resources
Read more useful articles on finding an NHS trust doctor jobs, doctor salary & relocation for emergency medicine specialists
Get in Touch
Don’t hesitate to get in touch using the buttons above (and below) to discuss emergency medicine doctor job options in the NHS, including discussions regarding, CESR, a typical doctor salary in the UK and the most suitable NHS job & hospital locations for you.
One of the main reasons that overseas doctors want to work in the Emergency Medicine departments across the UK, is the excellent opportunity for access to training such as the Specialist Training Programme, career progression, including CESR, and sub-specialty development.
This short article provides useful information on the training and development available, how to access the training, the best route to becoming a consultant in the UK with entry to the specialist register, no matter what stage of your training.
Emergency Medicine Training, leading to CCT
We start with an overview of the Emergency Medicine Training in the NHS. Trainees may enter the emergency medicine training programme via:
The EM (Emergency Medicine) core training programme at ST1. This is a three-year core training programme (starting from ST1 and ending at ST3).
For the first two years, trainees will spend 6 months in EM, Intensive Care Medicine, Anaesthetics and Acute Medicine. This is followed by a further year in trauma and paediatric EM.
The start of specialty training (ST4-6) subject to having achieved the necessary competences required for completion of ST3.
Once ST6 is completed, then a doctor will be added to the specialist register for medicine and hold the title of CCT. This means that they can apply for and practice at a consultant level in the NHS.
CESR
For senior Emergency Medicine doctors (experienced specialty doctors, consultants and heads of departments) there is also the option of CESR. You can apply directly for CESR from overseas, or secure a post in the NHS with CESR support and complete your application in the UK. This is a good option for those wanting to take up their first role in the NHS as a specialty doctor (leading to consultant) or as a locum consultant.
Applying from abroad can be lengthy, and it is certainly not the quickest route towards specialist registration. Most IMGs prefer to secure a post with CESR support, so speak to your IMG Consultant to learn more about the best route to the UK for senior doctors seeking consultant jobs in Emergency Medicine.
Most senior Emergency Medicine job vacancies advertised will offer support with CESR, access to training and career progression, and senior managers will encourage you to develop your own professional interests.
Emergency medicine departments in the NHS are particularly supportive of doctors seeking to develop both personally and professionally. To find out what jobs are on offer take a look here.
If you think that a Specialty Doctor post with CESR support is suited to you, or if you are a consultant or head of department, then you can find out more information here.
For further advice on how to secure the right job for you in the NHS, take a look at our the following article.
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The MRCEM OSCE exam requires a considerable amount of revision and preparation....
And we are often asked by Emergency Medicine doctors where they should look for MRCEM OSCE resources, online revision materials, mock stations and preparation courses.
Here we compile the best advice, tips, courses and resources available for the Membership of the Royal College of Emergency Medicine (MRCEM) OSCE exam whilst also address some understandable concerns about the effect of COVID-19 on availability of test centres and upcoming exams.
What is the MRCEM OSCE?
The MRCEM OSCE consists of 18 stations (16 patient encounters & 2 rest stations), each one lasting for about 7 minutes. The MRCEM OSCE exam will not only test your theoretical knowledge, but also your resus skills and communication skills. Even candidates who are working in an emergency medicine department (ED or ER) often find these OSCEs difficult. Even if you have strong background knowledge in Emergency Medicine the exams can still be tricky due to a heavy reliance on testing your communication skills and etiquette.
Preparation is therefore vital for all doctors who intend to take the MRCEM OSCE (part C) exam. This can be broken down into the following:
Practical day-to-day work (colleague observations & feedback, peer groups, study groups)
Online revision resources (subscriptions, reading materials, tutorials, videos)
Courses (face to face, online)
In general, emergency medicine course tutors advise setting aside at least 2-3 months preparation in addition to your Emergency Medicine experience.
How has the COVID-19 coronavirus afffected MRCEM exam centres & dates?
The Royal College of Emergency Medicine took the difficult decision to cancel all events for the months of April, May and June following the escalation of the virus. As the UK and most of the world remain in some form of lockdown, the Royal College has not announced when it is expecting to open up it's centres again. Understandably this will be tied into government advice and that of the WHO whilst most examiners involved in the OSCE examinations will be tied into urgent clinical duties.
IMG Connect is keeping a very close eye on the examination schedule and will keep all our IMGs informed as soon as the College publishes some updates. You can find the updated exam schedule here.
However, this does not mean you cannot use the time to prepare for your OSCE!
So how to get started?
The first step is to ensure you are familiar enough with the Royal College of Emergency Medicine Curriculum (2015), and to use this to create your study plan covering the whole curriculum, whilst also identifying areas of weakness to strengthen.
Take a look through Mastering Emergency Medicine – a practical guide to re-enforce your solid background in Emergency Medicine knowledge before you start approaching the stations. Note that this book was first published in 2009, and some aspects may be slightly outdated.
Familiarise yourself with the stations, techniques and format by watching online videos and tutorials - you can find both free and paid tutorials online.
YouTube has many great videos available to get you started, covering basics of examination and OSCE guides through to mock OSCE scenarios:
Mcleods Examination videos (Basics of examination)
OSCE guides - Geeky Medics
Bromley webinars and tutorials
Watching these videos before you start your practice sessions (and then repeatedly throughout your study plan) will give you a huge boost.
Resources for MRCEM OSCE
General advice is to use a variety of resources, including reading materials, online subscriptions to videos and tutorials, podcasts and videos. The following have helped IMGs on their journey to successful completion of the MRCEM OSCE:
Bromley Emergency Courses online tutorials:
Revision communication videos
Revision examination videos
Revision procedure videos
MRCEM OSCE course Podcast
Geeky Medics – Emergency Medicine
Practical work - peer groups and senior colleague observations
The best way to practice and solidify what you have learnt from your studies is to organise group sessions and observations at work.
Observations at work
Ask senior colleagues to observe and offer feedback to you on a regular basis on the EM ward. Receiving quality feedback in a formal setting is widely regarded as fundamental to your advances in emergency medicine practice.
Group sessions
When organising a peer group of Emergency Medicine OSCE aspirants, advice is to have a maximum of three/four persons per group. Three works very well because you can each play a role during role play sessions.
When conducting role plays, you may want to organise yourselves as follows:
Patient (use instructions for the actor provided in the textbooks, remember each patient has a backstory and there are many aspects the actor must show, including emotion)
Exam Candidate
Examiner (takes notes, observes, marks the checklist and gives immediate and detailed feedback on all aspects of the marking sheet)
Remember to take turns and swap roles, work as the patient, exam candidate and the examiner. Stick to the exam format, for example set a time limit of about 7 minutes which will allow you to get a clear understanding of how to pace yourself and finish before 7 minutes. Remember not to be too fast, or too slow, helping you to make every second count.
Feedback is crucial to improving your practice. As you practice together, look at the checklists after you perform each station and find out if you are missing anything.
When taking up the examiner role ensure to give detailed feedback covering all marking criteria (intro, examination, body language and winding up - the four key areas that can improve your score). Once the examiner has delivered their feedback, discuss as a group, considering how to improve in all aspects of the exam criteria.
Build stamina
Once you have a routine in place for peer group practical OSCE simulations, build up towards completing a full set of stations. This should be done for each member of your group. The exam can be tiring, which can in turn affect your performance on the day of the exam. For example, if exhausted at the final stations, it can be hard to maintain your clear communication and positive body language, so a full run through will help you to understand what it will be like on the day and what you need to do to ensure that you are consistently performing.
Record sessions
Try recording your group scenarios. IMGs who have done this repeatedly informed us that this was one of the single most important methods for seeing first-hand how to improve. We are after all our own worst critics! Take notes on the way you enter the room, move, talk, express yourself, your non-verbal cues, body language and interactions.
Take a course
There are various workshops organised by expert course tutors in Emergency Medicine designed to help you pass. You can find these online and anecdotal evidence suggests that taking a face to face course improves your chances of passing the MRCEM OSCE exam.
Speak to an IMG Consultant to check what courses might be suitable for you, if there is not a course where you live, it may be possible for us to organise one for you and your peers.
Is a course necessary?
Many overseas doctors preparing for their FRCEM or MRCEM Emergency Medicine examinations wonder if they should take a course as part of their preparation. In short, we advise that all IMGs should attend as many courses as possible. The knowledge gained on an MRCEM or FRCEM course goes well beyond the exam.
One issue is of course that courses cost a considerable amount of money, but if you consider that taking a course increases your chances exponentially of passing the examinations first time, the cost is offset by not having to pay to re-sit and all the additional costs that come with it (i.e. flights & accommodation).
Finding courses can be tricky
So take some time to work out what you specifically need help with and the stage you are at in the process. Search online to find the course that will suit your needs the most.
Speak to your peers, some may have attended a course that they felt had a positive impact on the learning and preparation.
Once you think you have found a course that suits your needs, such as an MRCEM OSCE course, check reviews posted by other IMGs to be sure of the quality of the tutoring.
If you have found a course that suits your needs, has good reviews recommendations from your peers, then it will likely be worth the investment. As a direct result you will likely pass the exams much quicker, helping you to secure the Emergency Medicine job that you want in the NHS.
On the day of exam - tips from IMGs
Passing any exam is not easy, passing the Membership of the Royal College of Emergency Medicine (MRCEM) OSCE examination even more so. In speaking with IMGs about their journey through the MRCEM OSCE exams, we have heard many thoughts about what it takes to pass. To help IMGs preparing to take the test, here we share some tips from past examinees and OSCE course tutors.
Firstly, it is good to know that every IMG taking the test is in the same position as you, perhaps anxious about how to prepare and worried about the exam day. We are told that the exam is just an ordinary day on the ward, so why then do so many excellent practicing EM physicians struggle to pass at first attempt?
It is perhaps important to say that the advice below is not just from not just those IMGs who passed first time, but from those who had to learn from their mistakes and take the test a second or even third time.
The most common thing that we hear is that IMGs must adapt their skill set to the requirements of the NHS system as well as changing their mindset to be able to work under intense observation.
Further reasons they struggle are:
1. Anxiety
Experiencing anxiety during exams is completely natural and the fact that the OSCE stations are only 7 minutes adds to this in the Part C. The only way to combat exam anxiety is to accept that is both natural and inevitable. The best way to prepare and suppress the adrenergic surge is with practice, practice and more practice. The best way to practice is under exam conditions and if possible, this should be timed and observed by different examiners.
We are not of the opinion that this practice should be done last minute in the week before the exam, instead, your practice should start long before this point. Ask your senior colleagues in the ED to observe and comment upon your history taking and examination skills. If you can get into a routine of doing this with 3 to 5 patients per day you will be able to run through nearly all the most likely scenarios in only 12 shifts. Another great strategy is to teach OSCEs to the more junior doctors within the department. Teaching can be a powerful learning tool and has helped many aspirants with their revision.
2. Lack of practice
Make no mistake – the exam is very tough. Over 50% of candidates failed the 2016 sitting. Unless you are freakishly good at cramming you will need to set aside at least 3 months to prepare. IMGs will all study in different ways. Remember you have been through many exams all on your own. Whatever revision method works for you, stick to it. Once you know that you are going to study, make a revision plan and stick to it.
Practice in any way that you can. As above, be sure to ask senior colleagues to observe and offer feedback to you on a regular basis on the EM ward.
To practice out of work, form a small group of colleagues who are also taking the test and run through role plays, taking turns to be patient, doctor or examiner.
Pay careful attention to time keeping as it is very common for candidates to run out of time, particularly in history taking and communication skills stations.
3. Lack of familiarisation with curriculum
If you don’t know what you could be tested on, you won’t know what to prepare. The MRCEM OSCE is mapped to the competences of Year 1-3 of the Emergency Medicine 2015 Curriculum which is available on the 2015 Curriculum page. You should familiarise yourself with the Year 1-3 competences in preparation for sitting this examination.
4. Not being able to communicate effectively
Many IMGs have made the mistake of thinking that communication is only about what you say, not considering how you say it, and what you look like when you are saying it. Of course, you may be anxious, which can make you behave differently and say things in a different way. So, if you have practiced as above, make sure you incorporate practicing communicating not just focusing on what you say, but also your body language when saying it. Remember that between 70% of our communication is non-verbal!
Try to speak audibly and clearly and if at all possible, sit at the same level as the patient with an open posture. Attempt to make a connection with the patient, maintain good eye contact and give them your undivided attention. Treat actors and mannequins as if they are real patients, interact with them in the same way that you would on the EM ward.
Be direct and to the point but deliver any bad news in a sensitive and empathetic manner. Always check whether the patient has understood what you have said and ask if they have any questions.
5. Reading and deciphering the instructions
It is vitally important to read the instructions very carefully before entering a station. Easy marks are frequently lost by nervous or over-confident candidates that have overlooked key information or made assumptions by misreading. This is a mistake many IMGs have made, so learn from their mistakes and be sure to read everything carefully. Once read, make a plan of how you will approach the scenario. Once your minute is up… deep breath and smile!
If you have any questions about how to prepare for the MRCEM OSCE exam, including advice on courses, resources, mock scenarios, online materials and revision books, then don’t hesitate to get in touch with an IMG Consultant.
IMG Jobs
Search and find live emergency medicine NHS doctor jobs in the UK
IMG Resources
Read more useful articles on finding an NHS trust doctor jobs, doctor salary & relocation for emergency medicine specialists
Get in Touch
Don’t hesitate to get in touch using the buttons above (and below) to discuss emergency medicine doctor job options in the NHS, including discussions regarding a typical doctor salary in the UK and the most suitable hospital locations for you.
To help make your MRCEM journey a success - here we’ll take a closer look at MRCEM Primary, including eligibility, dates, fees & exam centers.
We will also provide some tips to give you the best chance of passing first time - giving you MRCEM success and moving closer towards full Membership of the Royal College of Emergency Medicine (MRCEM).
Designed to help you prepare and sit the exam, we consider the following topics:
What is the MRCEM Primary?
What is the content and structure?
Can I sit the exam more than once?
What is the curriculum?
Am I eligible?
How can I apply?
Where and when can I take the exam? How much will it cost me?
How do I prepare for each exam and what resources are available?
Passed? What next?
What is the MRCEM Primary?
The MRCEM Primary Examination is the first examination in a series of three and is mapped to the Emergency Medicine 2015 Curriculum. You can find more detailed information provided in the RCEM Basic Sciences Curriculum (June 2010) which is available here or as a downloadable PDF.
The MRCEM Part A has been replaced by the MRCEM Primary exam with effect from August 2016.
Completion of the MRCEM examinations (Primary/ Intermediate/ OSCE) results in the award of membership of the Royal College of Emergency Medicine.
The Royal College strongly advises all applicants to familiarise themselves with the Basic Sciences Curriculum when preparing to sit the MRCEM Primary Examination.
General advice is to get to know the curriculum as early as possible and use it as a road map for your study plan.
What is the content and structure?
The MRCEM Primary exam consists of one 3-hour paper of 180 multiple choice, single best answer questions (SBAQs).
You must choose one best answer from a choice of five feasible answers.
The paper will examine all the domains of knowledge in the Basic Sciences Curriculum including:
Anatomy
Physiology
Pathology
Microbiology
Pharmacology
Evidence Based Medicine
Can I sit the exam more than once?
Candidates are permitted a maximum of six attempts in which to pass the MRCEM Primary Examination.
Previous attempts at the MRCEM Part A examination prior to August 2016 do not count towards the number of available attempts.
The examination is conducted in English and candidates are advised that IELTS Level 7 is the expected standard for completion of the MRCEM examinations. Remember, you will need to have a pass of 7.5 average in all areas of IELTS to complete your GMC registration.
What is the curriculum?
The blueprint for the MRCEM Primary Examination is as follows:
Category
Sub-Category
Questions
Anatomy
Upper limb
Lower limb
Thorax
Abdomen
Head and Neck
Central Nervous System Cranial Nerve Lesions
60
Physiology
Basic cellular physiology
Respiratory physiology
Cardiovascular physiology
Gastrointestinal physiology
Renal physiology
Endocrine physiology
60
Pharmacology
Gastrointestinal pharmacology
Cardiovascular system
Respiratory system
Central Nervous System
Infections
Endocrine system
Fluids and electrolytes
Muscoskeletal system
Immunological products and vaccines Anaesthesia
27
Microbiology
Principles of microbiology
Pathogen groups
18
Pathology
Inflammatory responses
Immune responses
Infection
Wound healing
Haematology
9
Evidence Based Medicine
Statistics Study methodology
Principles of critical appraisal
6
TOTAL
180
Am I eligible?
To be eligible you must hold a Primary Medical Qualification (PMQ) that is recognised by the GMC for registration purposes.
You do not need to be registered with the GMC to enter.
Don’t forget! You may need a visa to enter a different country to sit the exam. Failure to check this could prevent you from sitting the exam and your examination fee will not be refunded.
How can I apply?
All applications are made online.
Please note, the application can take some time to complete so it is always advisable to apply well in advance of the deadlines.
Applications submitted after the application period will not be accepted.
Links to all application forms and application windows are available here.
Where and when can I take the exam? How much will it cost me?
Exam dates and locations for 2019 are currently available, these are regularly updated by the Royal College and can be found here.
Examination
Centre
Fees
MRCEM Primary
Short Answer Question Paper
London, Dublin, Edinburgh, Leeds, Cardiff
£310
Chennai, Hyderabad, New Delhi, Reykjavik, Kuala Lumpur, Muscat
£390
How do I prepare for the exam and what resources are available?
With lots of resources available online, we have discussed with IMGs the best place to start looking for materials relating to the exams. Most IMGs recommended starting with the Royal College, who have created useful resources to help you to prepare for the exams. See below:
Curriculum:
Applicants are tested on a range of common and important disorders in Emergency Medicine as set out in the Emergency Medicine Training Curriculum 2015.
Information Packs:
These provide detailed information for the relevant examination components so that you can best prepare for your studies and what to expect on the day:
MRCEM Primary
Sample questions:
Test your knowledge using example questions from the current exam syllabus provided by the Royal College, see below:
• Primary – sample questions
Glossary of Terms:
The royal college uses many terms that may cause confusion, so take plenty time to understand the terms and definitions used in this guide.
Candidates are expected to be rigorous in their use of these terms.
Glossary of terms used in RCEM exams.
Online resources:
There are lots of resources online, such as videos on YouTube, MRCEM courses and useful reading materials. We think that these are a great addition to your study plan, just be sure to check your sources.
For a useful overview of how to prepare for exams, including advice on study groups, online community support, best use of online resources & Royal College materials and courses, take a look at our blog: IMG Connects Top Tips for exam preparation
Passed? What next?
If you are completing the papers in order, the next step will be to apply for MRCEM Intermediate Certificate. For more information take a look at our blog where we explore MRCEM Intermediate and everything that you need to know about how to sit the exam, including syllabus, dates, results, fees and preparation.
IMG Jobs
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IMG Resources
Read more useful articles on finding an NHS trust doctor jobs, doctor salary & relocation for emergency medicine specialists
Get in Touch
Don’t hesitate to get in touch using the buttons above (and below) to discuss emergency medicine doctor job options in the NHS, including discussions regarding a typical doctor salary in the UK and the most suitable hospital locations for you.
FRCR (Oncology) Part 1 or CO1 is the first exam in the FRCR postgraduate qualification.
The completion of all the exams in the Fellowship of the Royal College of Radiologists (FRCR) examination suite leads to eligibility for GMC registration. The exams can be taken by IMGs from any country, provided certain criteria have been met. In this article, we’ll take a look at the following:
An overview of the FRCR (Oncology) exams
A deep dive into FRCR (Oncology) Part 1
How is the FRCR (Oncology) Part 1 exam structured?
How is the exam marked?
As an overseas oncologist, where can I sit the exam?
How much will the exam cost?
How do I apply for this exam?
What is the best way to prepare for the exam?
#IMG Tips
I’ve passed the FRCR (Oncology) Part 1 exam, what’s next?
Skip ahead to the relevant section if you know what you're looking for.
An overview of FRCR (Oncology)
FRCR (Oncology) is the set of postgraduate examinations administered by the Royal College of Radiologists to test a candidate’s knowledge and clinical understanding within the scope of the Specialty Training Curriculum for Clinical Oncology.
The exams are as follows:
Please note that only full FRCR satisfies the postgraduate requirements for overseas doctors.
You can read an overview of the full FRCR (Oncology) examination suite here via our IMG Resources section.
Alternative routes to GMC registration include PLAB or other recognised GMC qualifications or licensing exams, such as UMSLE or FRANZCR (radiation oncology) which you can find out more about here.
For doctors who are interested in securing senior roles in the NHS which are reflective of their current practice or grade, we advise that FRCR is the best route to take to GMC registration. FRCR is often a requirement for NHS locum consultant job postings where candidates are not already on the Specialist Register for Clinical or Radiation Oncology. The FRCR route allows senior candidates to better align their qualifications with the specifications of relevant jobs.
A deep dive into FRCR (Oncology) Part 1
FRCR (Oncology) Part 1 is the first in the set of FRCR (Oncology) exams. The assessment expects that candidates have a broad knowledge of subjects that relate to the investigation and management of patients with cancer.
This includes a good understanding of the sciences that underpin clinical oncology, including:
Radiobiology
Cancer biology (including molecular biology)
Physics (as applied to radiotherapy)
Pharmacology of systemic anti-cancer treatments
Medical statistics
You can find the full purpose of assessment for FRCR Part 1 on the Royal College website here.
FRCR (Oncology) Part 1 Structure
All three parts of the FRCR (Oncology) exam are assessed against the specialty training curriculum for clinical oncology and the clinical oncology syllabus. A new curriculum has been implemented as of summer 2021, and all trainees are expected to have transferred to this curriculum by August 2022. For more information on this, visit the curriculum webpages.
The First FRCR (Oncology) exam comprises four modules of 180 single best answer (SBA) questions.
Candidates can enter any number of modules per sitting, though there is a limit of six sittings per candidate within which they must pass all four modules.
Each individual SBA question has a stem (a question or statement) and five answers, and candidates must decide which of the five best represents the answer to the stem question. Essentially, this is a multiple-choice exam.
Here is a breakdown of the exam:
Cancer Biology & Radiobiology - the processes of cancer cell transformation and tumour development and how these processes may be demonstrated and the response to ionising radiation of cells both individually and grouped as tissues
Clinical Pharmacology - the structure, action, use and evaluation of drugs used in the treatment of a patient with cancer
Physics - with special reference to clinical trials and assessment of results, and the epidemiology of cancer
Medical Statistics - the application of physical principles and methods in clinical radiotherapy, physical basis of the therapeutic uses of radioactive isotopes, radiation hazards and protection
A knowledge of SI units is also expected.
Marking
The exam is marked by a computer, with one mark given for each correct answer and zero marks for incorrect answers. As the exam is not marked negatively, candidates are encouraged to provide an answer to all the questions. No marks are awarded where multiple answers have been selected or where answers are not sufficiently clear as the College does not interpret candidates’ answers.
Results and feedback
Candidates will receive details on scores and the level of performance required to pass each module. A further breakdown for each module will be provided, detailing incorrect questions numbers along with the corresponding syllabus section for each question.
For more information on the exam content and structure, read the guidance notes for candidates on the College website here.
Exam centres
The current venues for the First FRCR (CO1) exam are:
Belfast, Birmingham, Bridgend Wales, Crewe, Edinburgh, Glasgow, Leeds and London. Overseas centres for now are in Hong Kong, India and Malta.
The exam is typically held twice a year over two consecutive days, in February and either August or September.
For updates on exam dates, including the application window, keep an eye on the Royal College website here.
Exam cost
First FRCR (CO1) exam cost (per module):
Members - £168
Non-members - £213
Applications
UK trainees are given priority for examination places, followed by those who have had exams deferred over the last year due to cancellations. The remaining places are offered to all other candidates through a ballot system following the close of priority applications.
All candidates should apply for the exams through the Royal College website here.
FRCR (Oncology) Part 1 Preparation
Although there are many online materials to aid in your preparation for FRCR (Oncology) Part 1, as always, we recommend you start your preparation on the Royal College website, particularly with the Specialty Training Curriculum for Clinical Oncology and the Clinical Oncology syllabus.
In using these as a blueprint for your preparation, you will ensure your study is focused on the most relevant and useful information as prescribed directly from teaching materials.
Useful resources include:
Learning hub: available to members through the Royal College website and contains many useful learning resources and available here.
Implementation Tools: a range of tools compiled by the RCR to support the implementation of the new curricular which all candidates should have transferred to by summer of 2022 at the latest. This can be found here.
Sample Questions: sample SBA questions with answers which can be found here.
Examiners Reports: a guide for candidates for future sittings, based on the experiences of examiners with previous applicants, found here.
Speedwell instructional video: a walkthrough video of the FRCR Part 1 exam format with guidance and instructions which can be found on the College YouTube channel.
Suggested reading list: a suggested list of core texts and additional reading put together by the College which is available here.
For other great resources including videos, courses, and flashcards, check out our blog on preparation for the First FRCR (Oncology) exam here.
#IMG Tips
Prepare early – the best way to avoid stress and last-minute cramming is to get started as soon as possible.
Get familiar with the exam content – during your study (at least to start off with), the curriculum should be your guide to the FRCR (Oncology) exams.
Join the conversation – join the IMG Oncologists Facebook group for access to a community of like-minded FRCR (Oncology) aspirants and dedicated oncology recruiters.
In this group you will find tailored resources for oncology IMGs, including access to our FRCR (Oncology) crash courses, completely free to all doctors.
You can access our IMG Oncologists community here.
I’ve passed the First FRCR (Oncology) exam, what’s next?
Firstly, congratulations! This is an incredible achievement, and you deserve to treat yourself after all that hard work! With a pass in the First FRCR (Oncology) in hand, you can look ahead to the Final FRCR (Oncology) CO2A and CO2B exams. Once you have completed all parts of FRCR (Oncology), you can apply for full GMC registration with a license to practice.
The team at IMG Connect wish all First FRCR (Oncology) aspirants and IMGs the very best of luck with their exams!
Are you an overseas medical oncologist looking to move to the UK? Here you can hear first-hand the experience of an international medical oncologist who has been through the process, from completing their MRCP and GMC registration, to securing an NHS job and relocating to the UK?
IMG Stories is our series introducing you to international doctors who we have helped to relocate to the UK - sharing their personal journeys from working overseas to securing a new job as a doctor in the NHS.
Today we introduce Kishore Kumar, a brilliant consultant oncologist who relocated to the UK from India. Kishore has been living and working in the UK after receiving full GMC with license to practice. He is now working in the NHS at South Tees Hospitals NHS Foundation Trust, where he is making a positive impact on the service and the wider community.
Tell us about yourself - what should the IMG community know about Kishore Kumar?
I am a medical oncologist who moved to the UK from India. I moved to the UK later in my life than most IMGs, I'd say, having worked as a consultant medical oncologist in India for over 11 years before I decided to move to the NHS. The system I worked in was quite similar to the NHS (free medical care at the point of access), and whilst I was looking for a change, this was something I enjoyed about my previous work and was looking for that in any healthcare system I may move into.
What motivated you to move to the UK?
The NHS is arguably one of the finest healthcare systems in the world (I know many some may disagree, but having personally seen some other systems, I would definitely rate the NHS very highly). Working in the NHS was a long-held desire of mine, so the move was logical once the opportunity presented itself.
Tell us about your experience with the Royal College exams...
I passed the MRCP exams in 2005 at a time when there were no overseas centers in India. I had to travel to the UK for the exam, which was held in Glasgow and I also attended a training session in Ealing Hospital for the exam. It was very exciting process for me, especially visiting the UK for the first time.
Do you have any tips or advice for overseas doctors who are currently working towards MRCP?
I passed the exam quite a while ago, so I'm not sure how relevant my advice will be to current candidates. However, from my experience, overseas doctors need to understand the NHS system to do well, especially for the PACES exam. Practices which build on this knowledge would be helpful.
How did you manage to navigate and juggle the different aspects of registration whilst working?
Since I was working full time, I needed to set aside dedicated time to study for the MRCP exams. I roped in a friend (a very bright doctor) who would conduct mock exams for me over the weekends.
Did you have any major or unexpected issues with the GMC registration process or your visa application?
Since I was applying for GMC registration a significant amount of time after passing the MRCP, the GMC wanted evidence that I was still up-to-date in my practice. Luckily, this wasn't too complicated and the GMC advisor was very helpful.
How did you find a medical oncology job within the NHS?
Two words: IMG Connect. I was completely new to the process and I was quite unsure about locations and the general steps. Ruaidhri form the IMG Connect team was my go-to person for everything, from advice regarding locations, to job profiles, visas, and GMC registration. I don’t think I would have made it here if not for him. Most importantly, IMG Connect really listened and took into consideration all of my needs and worries. They go far beyond any of the simple questions you may have for them and cover all angles, including things you may not have considered yourself!
I would advise any IMGs hoping to relocate to the UK to find someone (like Ruaidhri) who will genuinely look after THEIR interests. It is easy to land up in the wrong role and to struggle through the complications of trying to leave soon after. If in doubt, seek advice from overseas doctors already in the UK and honest recruitment teams like IMG Connect.
Tell us about a day in the life of an NHS consultant medical oncologist...
The days are usually quite busy. They are split into two sessions (morning and afternoon), with at least one session (sometimes both) being a clinic and the other an MDT or another supportive activity. Working in the UK is very different to working in India, in some ways. At my current hospital, we see far less patients than I used to, but the amount of time spent on each patient is far greater. Of course, five-day working weeks are very welcome (it was six in India).
Tell us about your journey to the UK...
I arrived in early November 2020, when the UK had just gone into its second lockdown. COVID numbers were very high and many people advised me against traveling until things had settled. However, at this point I didn’t see COVID-19 going away anytime soon and decided there was no time like the present. The only difference was my family made sure I traveled business class to decrease the risks - this was the only time I've ever flown business class and it was nice ;-)
What has been your experience working with IMG Connect?
Absolutely fantastic! I can’t thank Ruaidhri and Marcus enough for everything. Just to give you an example, once I'd landed in the UK and reached my accommodation, I had to quarantine for two weeks. Ruaidhri drove over 3 hours (one way, at night) from Scotland to my place and brought in groceries for the next two weeks, since I would not be able to go shopping. Need I say more.
Although it’s been almost a year since my arrival in the UK, I still regularly chat with Ruaidhri and Marcus. We're like old friends at this point.
How are you settling into life in the UK?
I'd say I'm settling in quite well, and my colleagues agree. I am currently here without my family (they will join me later), so I've needed something to do at the weekends. Once the lockdown lifted, I bought a car and have traveled quite a bit. I go trekking most weekends and enjoy visiting new places.
What have you enjoyed most about living in Middlesbrough in particular?
The proximity to great places to visit. It’s just 20 minutes from the beach, or the Yorkshire Moors. London (from Darlington) is less than 3 hours away, and Scotland is a couple of hours away, as is the lake district.
What’s next for you now that you’re working in the UK?
My department has been very helpful. They are actively supporting me in my CESR application process, and I'm getting involved in research and clinical trials. I have also been given teaching opportunities, and even delivered a talk in the Royal College of Physicians CPD series.
What’s been the biggest challenge you’ve faced in moving to the UK?
I'd say the separation from my family, primarily on account of the COVID-19 pandemic.
Have you experienced any culture shocks living in the UK?
No real 'shocks', but I've found the people here quite friendly. The only shock really is how expensive things are compared to India (things like train fares, eating out etc). I've also been introduced to things I'd never done before, like filling petrol and air in a car, ironing clothes etc.
What have you missed about India the most?
Other than my family, I miss the sunny days most (where I lived in India was sunny and not very hot). I will never take the sun for granted again!
Is there anything you wish you’d known before you began your journey to live and work in the UK?
Not really. Having friends and family who already lived in the UK (as well as the power of the internet), meant that a lot of my questions had already been answered and there was a lot of information available to me.
Do you have any tips or advice for international doctors who want to move to the UK?
Moving to the UK is something to consider if you're an IMG looking for a good work-life balance. A medical oncologist might be paid better in some countries, but it would be difficult to beat the quality of work and the relatively stress-free work environment here. I'd say try to avoid landing here during the winter - it does not make a very good first impression, but if you have interests in other areas (especially travel or hiking), the summers here are really awesome!
Moving to live and work in the UK is a big decision to make but can be massively rewarding in many ways. International doctors have the chance to find a new home and the NHS presents an incredible opportunity for IMGs to secure rewarding jobs, progress within their fields and explore adjacent opportunities such as CESR, writing publications, teaching opportunities and research.
Whatever route an overseas doctor may take on their journey to the UK, IMG Connect is here to support them through every step and welcome them to the IMG family.
Join the IMG Oncologists Facebook group for access to a community of like-minded MRCP aspirants and dedicated oncology recruiters.
In this group you will find tailored resources for oncology IMGs, including access to our MRCP crash courses, completely free to all doctors.
You can access our IMG Oncologists community here.
For regular news and updates on the Royal College and all things oncology, follow IMG Connect on social media using the links below:
There are several routes overseas radiologists can take to GMC registration & securing an NHS radiology job.
Whether you are from inside or outside of Europe, all international radiologists will need to satisfy certain criteria to fully register with the General Medical Council 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 & Radiologists
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 radiologist 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 license 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: IMG Resources: GMC Registration for overseas doctors
Job search
We recommend starting the job search as early as possible. Demand for European radiologists 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 radiology jobs than are readily available online. Our network extends to Radiology 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 specialty knowledge of radiology, 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. You can browse our articles here: IMG Resources: Relocation & UK Life
Outside of the EEA
If you qualified as a radiologist 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 radiology doctors, looking at the following:
English Language Testing
Evidence of Knowledge & Skills - PLAB, FRCR or equivalent
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 Radiology
Overseas radiologists must prove to the GMC they have sufficient knowledge & skills to practice safely in the UK. For radiologists this can be done through three main routes:
PLAB
Royal College qualification of FRCR
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 radiology 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, radiologists 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
Route 2 - Royal College Qualification of FRCR:
Attaining a Royal College qualification is a preferred path for doctors who have already chosen their field of specialism i.e. radiology. For senior radiologists taking this route, they will gain access to more senior, well-paid jobs in the specialism of their choice.
The Royal College of Radiologists is the Professional Body that regulates the specialism of Radiology in the UK, and Membership of the Royal College of Radiologists (FRCR) is the full qualification attainable by examination.
For overseas doctors, attaining FRCR will satisfy the knowledge & skill criteria for GMC registration and facilitate application for more senior roles in UK Radiology.
Take a look at our complete guide on Membership of the Royal College of Radiologists to understand more: IMG Resources: FRCR – a guide for overseas radiology 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 Radiology 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 dependent visa below:
IMG Resources: Tier 2 Dependent 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 license 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, FRCR 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 Radiologists 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 Radiology 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 specialty knowledge of Radiology, 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 radiology 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.
Overseas paediatricians taking the postgraduate route to GMC Registration must attain full MRCPCH.
Membership of the Royal College of Paediatrics and Child Health (MRCPCH) can be sat by international doctors from any country in the world provided certain eligibility criteria are met. These are summarised below along with a broad look at the following topics:
What is MRCPCH?
Am I eligible?
Sponsors for the Clinical Exam
MRCPCH Theory - structure and content
MRCPCH Clinical – structure and content
Where and when can I take the exams? How much will it cost me?
How do I apply?
How to prepare and what resources are available
Passed? What next?
The Royal College of Paediatrics and Child Health is the professional body responsible for the specialty of Paediatrics throughout the UK. Amongst many other duties, its role is to set and monitor the educational curriculum for those training to enter the profession.
What is MRCPCH?
Paediatricians become full members of the Royal College of Paediatrics and Child Health and achieve the designation MRCPCH once they have passed four separate postgraduate medical exams.
The MRCPCH examinations consist of 3 theory exams and 1 clinical exam:
Foundation of Practice (FOP) - theory examination (basic child health)
Theory and Science (TAS) - theory examination (basic scientific, physiological and pharmacological principles upon which clinical practice is based)
Applied Knowledge in Practice (AKP) - theory examination (knowledge synthesis/evaluation, clinical decision-making and management)
MRCPCH Clinical examination - multi station OSCE
* Theory exams can be taken in any order of preference.
For overseas doctors relocating to the UK, the MRCPCH is one of two options to support full GMC registration (postgraduate qualification or PLAB route). For doctors who wish to take on more senior roles reflective of their current practice, IMG Connect advise that the MRCPCH would be the best route to securing their dream job in the NHS.
Am I eligible for the MRCPCH exams?
Theory Exams:
To be eligible you must hold a Primary Medical Qualification (PMQ) that is recognised by the GMC for registration purposes.
MRCPCH Clinical:
You must pass the 3 theory exams in order to be eligible for the final MRCPCH clinical examination.
All MRCPCH clinical candidates must be proposed by 2 sponsors, who will certify that you have a good period of training in paediatrics and can be considered as ready to take the exam. You can take the exams at any stage in your career, however current advice is that in order to optimise your chances of success in the MRCPCH Clinical examination you should have:
completed a period of training lasting two and a half years
spent no less than 12 months in posts involving the care of emergency paediatric patients
spent six months of your first year after graduation as a house paediatrician; if not, an additional six months in a post involving the care of emergency paediatric patients.
Sponsors for the clinical exam:
As we mentioned above, candidates for the clinical examinations must have two sponsors who will declare you have covered the required amount of training in paediatrics which matches the exam syllabus and consider you ready to take the exam. You will be asked to provide each sponsors personal and work details, and they will be notified if you receive a poor mark.
The examination is conducted in English and candidates are advised that IELTS Level 7 is the expected standard for completion of the MRCPCH examinations. Remember, you will need to have a pass of 7.5 average in all areas of IELTS to complete your GMC registration.
What is the structure and content for MRCPCH examinations?
As above, the MRCPCH examinations consists of 4 parts:
3 theory exams
1 clinical exam
Theory exams:
Candidates will sit 3 theory examinations; each test is administered on a computer and the tests can be taken in any order.
There are usually 3 sittings for each exam per year.
Each exam is 2 hours and 30 minutes, unless you have been allocated additional time.
Foundation of Practice (FOP) theory exam:
This exam assesses a candidate’s knowledge, understanding and clinical decision-making. It aims to ensure that you have reached the same standard as someone entering core training (ST1 equivalent)
Questions are typically a combination of:
Single Best Answer Questions (SBAs) – 70 questions
Extended Matching Questions (EMQs) – 10 questions
Extended Matching Questions (EMQs) require you to choose the best option from a list of ten possible options, all are feasible, but only one is completely correct.
Theory and Science (TAS) theory exam:
This tests basic scientific, physiological and pharmacological principles of clinical and evidence-based practice.
It uses the same format for questioning as the FOP exam.
Applied Knowledge in Practice (AKP):
This tests your knowledge, understanding and clinical decision-making based on a standard of someone entering their core specialist training (ST1 equivalent).
The exam uses the format N of Many - giving two or three answers that are required from a longer list.
For example, there can be more than one answer from a scenario since there may be two equally important investigations that should be complete, or three abnormalities from a scan or x-ray.
When sitting the AKP using the format N of Many, remember that each question carries its own weighting – pay attention to how many marks each question is worth in the test and answer accordingly.
Clinical examination:
The MRCPCH clinical examination forms the final part of the exams. Remember, you must have passed all 3 theory tests in order to be eligible to sit this test.
This test will be taken in a hospital setting and you will follow a circuit of 12 scenarios. You should be familiar with this type of test (OSCE) from your medical training. Examiners will assess performance during each scenario, which will include actors (children, young people and adults).
The aim of the clinical examination is to assess whether candidates have reached the standard in clinical skills expected of a newly appointed ST4 in the UK.
Candidates are expected to demonstrate proficiency in:
communication
history taking and management planning
establishing rapport with both parents and children
physical examination
child development
clinical judgement
organisation of thoughts and actions
recognition of acute illness
knowledge of paediatrics and child health
professional behaviour
ethical practice
The Clinical Exam is guided by important educational principles while holding to the considerable standards of a clinical examination, including the examination of real children.
The Clinical Exam includes 10 objective assessments of each candidate. In most circumstances’ assessment is conducted by a different examiner at each clinical station, so performance at one station does not influence the next station. The test will include six ‘short case’ assessments, emphasising clinical examination. Stations are as follows:
Station 1: Child development – clinical assessment
Station 2 & 5: Communication skills
Station 3: History taking and management planning
Station 4: Clinical video scenarios
Station 6 – 10: Clinical examinations
The order in which candidates will take the circuit will vary. There are 4-minute breaks between stations, the entire circuit takes 152 minutes in total.
Where and when can I sit the exams? And how much do they cost?
Each country fee is different, please see below current exam fees (as of April 2019).
Theory exams:
Country
Theory Exams
Exam fee 2019
India, Malaysia, KSA, UAE, Oman, Myanmar, Sudan, Singapore, Jordan, Kuwait, Malta, Qatar, Sri Lanka, Trinidad
FOP - single paper
£390
TAS - single paper
£390
FOP and TAS - both papers
£653
AKP
£750
Egypt and Nepal
FOP - single paper
£363
TAS - single paper
£363
FOP and TAS - both papers
£589
AKP
£683
Hong Kong (HK)
FOP - single paper
TBC
TAS - single paper
TBC
FOP and TAS - both papers
TBC
AKP
TBC
*Not all countries will offer the exam at each sitting. If you would like to request an exam in another country, you can contact the MRCPCH
Clinical examinations:
Country
Fee
UK
£765
Egypt
£1,145
India
£1,428
KSA
£1,479
Malaysia
£1,255
Myanmar
£1,082
Oman
£1,479
Singapore (Conjoint MMED - MRCPCH Clinical fee)
£1,428
Sudan
£1,220
UAE
£1,479
Hong Kong
TBC
How do I apply for the exams?
To apply for the MRCPCH, you first need to register online for exams. You need an RCPCH online account (with an RCPCH number). Then you can complete a short registration form – you will require evidence of your primary medical qualification.
How do I register for exams?
You can register for exams at any time throughout the year. After your registration is accepted, you can apply for an exam but only during relevant open application periods. It takes at least 10 working days to process registration.During exam application periods the Royal College are not able to process registrations.
Register three to four weeks before exam application period opens to help ensure you do not miss your preferred exam diet. The best dates to register for exams are usually January, May and September.
How do I book an exam?
Log in to your RCPCH account
Go to My Account
From your dashboard, go to the Exams panel, and from your exam dashboard, follow links to apply
What do I need to bring to the exam?
You will need to bring one of the following forms of ID:
passport with photograph and signature - this must be current or no more than six months expired
valid driving license with photograph and signature
national identity card with photograph and signature.
Please note, only original documents will be accepted as proof of identification.
How can I prepare for the exams?
With lots of materials online we have discussed with IMGs the best place to start looking for resources and materials relating to the exams. Most IMGs recommended starting with the Royal College, who have created useful resources to help you to prepare for the exams. See below:
Theory Examination:
Theory Examination Syllabi: This document outlines the syllabus for MRCPCH theory examinations - MRCPCH Theory Examination Syllabi.
Theory exams structure and syllabus: Further information on FOP, TAS and AKP can be found in the theory exams structure and syllabus. This is to be read in combination with the Royal College’s Curriculum for Paediatrics. Within the Curriculum for Paediatrics you can read about the 11 domains and are able to download assessment strategy and generic syllabi for each training level.
Sample Papers: We recommend becoming familiar with the exam format and software, and you can practice with some sample papers here.
Clinical Examination:
Clinical Examination candidate guide: This is a comprehensive guide from the Royal College specifically covering the Clinical Examination. This includes station breakdowns, clinical video scenarios, general instructions and downloads among many other resources.
Anchor Statements: The Anchor Statements outline the expected standard for each station against which candidates are marked. We recommend you familiarise yourself with the criteria points for expected standards before sitting the exam.
Clinical Exam Technique: This guide covers the clinical examination in considerable depth, including:
examination technique
specifics on clinical areas
detail on short-cases
User guide for video station: A guide for Station 4: Clinical video scenarios can be downloaded here.
Clinical Exam: hints and tipsHints and tips specific to the clinical exam can be found on the MRCPCH clinical examination candidate guide (scroll down to find them).
As ever at IMG Connect, we believe in preparation. In order to succeed in the clinical exam, IMGs have told us that it is vital that you practise your clinical examinations as frequently as possible, preferably under the supervision of a senior colleague. This will give you confidence in approaching and examining children with examiners present.
Passed? What next?
First of all, congratulations! After you have passed all four parts of your MRCPCH examinations, you can apply for a full registration with a license to practice. Once the GMC have approved your application, you can work as a doctor in the UK.
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One of the routes to GMC registration for an overseas anaesthetist is FRCA Primary.
IMGs from any country in the world can sit some, not all, of the FRCA examinations. Certain eligibility criteria must be met to sit primary whilst overseas doctors can only take the final part of the exams once they have started working in the NHS (UK). This is explained in further details below where we look at the following topics:
What is FRCA?
What is the structure and content of FRCA examinations?
As an overseas doctor am I eligible?
What is Temporary Exam Eligibility (TEE)?
What is the UK IAC?
As an overseas candidate where can I take the exam and how much will it cost me?
How to prepare and what resources are available?
Summary
The Royal College of Anaesthetists is the professional body responsible for the specialty of Anaesthetics throughout the UK. Among many other duties, its role is to set and monitor the educational curriculum for those training to enter the profession.
What is FRCA?
Anaesthetists become full members of the Royal College of Anaesthetists and attain Fellowship of the Royal College, and the designation of FRCA, once they have passed the two separate exams: the Primary and Final Examinations. Each exam consists of two parts taken separately.
FRCA is one of the many routes an anaesthetist can take when looking to satisfy the GMC postgraduate criteria for full registration with a licence to practice. It is important to note that Primary FRCA will suffice for the purposes of full registration with a license to practice, and full FRCA is not essential though of course desirable.
What is the structure and content of FRCA examinations?
Primary FRCA examinations:
Multiple Choice Question Examination (MCQ)
The Objective Structured Clinical Examination (OSCE) and Structured Oral Examination (SOE)
Final FRCA examinations:
Final Written exam consisting of; Multiple Choice Question exam (MCQ) and a Short Answer Question (SAQ) exam
The Structured Oral Examination (SOE)
The FRCA examinations form an essential component of training for anaesthetists in the UK and doctors who wish to complete the FRCA route, will be required to complete the final exam after substantial experience working in the UK.
As an overseas doctor am I eligible?
It is important to note that each of the FRCA exams have different eligibility criteria.
To sit the FRCA Primary Exams, you must be a member of the College or apply for Temporary Exam Eligibility (TEE) – see below. TEE will apply to most overseas doctors.
Primary FRCA MCQ:
You are eligible to enter the Primary FRCA MCQ paper if you:
hold national registration with an overseas Medical Council;
AND
have successfully applied for Temporary Examination Eligibility (TEE) with the College 3 months prior to the date of the examination
Primary FRCA OSCE and SOE:
You are eligible to enter the Primary FRCA OSCE and SOE if you:
meet the above criteria for the Primary FRCA MCQ paper
have passed the Primary FRCA MCQ paper
have been awarded an overseas competency in anaesthetics which is comparable to the UK IAC (see below)
Final FRCA:
You are eligible to enter the Final FRCA paper if you have:
completed 30 months of training in anaesthesia
at least 18 months must be spent in approved posts in the UK or Republic of Ireland – for international doctors a maximum of 12 months of overseas training in anaesthesia combined with 6 months working in an approved UK post will be accepted;
Evidence of having completed the required training will be needed, Core Level Training Certificate
What is Temporary Exam Eligibility (TEE)?
Non-UK Trainee applicants do not qualify for any membership category of the Royal College of Anaesthetists. As such the Royal College has introduced the TEE to allow overseas anaesthetist doctors who do not work in the UK to apply for the FRCA Primary Examinations.
Applicants must submit a Temporary Examinations Eligibility form three months before any examinations are applied for.
How do I apply for TEE?
You can apply for TEE using this application form.
Documents required on your first application are:
Proof of registration with an overseas Medical Council
Proof of attendance at or completion of anaesthetic training, including foundation training (internship)
If you intend to take the OSCE/SOE exams, you will be asked to provide further documentation to prove you have an equivalent of the UK Initial Assessment of Competency Certificate in Anaesthesia.
The TEE application costs £90, paid by bank transfer. Once payment is confirmed you will receive a TEE number, which you will use to support your application to sit the FRCA examinations.
What is the UK IAC? And how do I demonstrate equivalence?
The initial assessment of competence (IAC) is the first anaesthesia training milestone for trainees in the Anaesthesia training programme (ACCS training for anaesthesia, acute medicine, emergency medicine and intensive care).
The purpose of the IAC is to signify that the trainee has achieved a basic understanding of anaesthesia and is able to give anaesthetics at a level of supervision matching with the individual trainee’s skills and clinical cases. The IAC is not a licence for independent anaesthetic practice. The key point is that trainees are still under the supervision of a named consultant anaesthetist.
To support an application to sit the FRCA exams you must demonstrate that you have been awarded an overseas anaesthetic competency in anaesthetics which is comparable to the UK IAC.
Overseas anaesthetic competency certificates must be provided on application and prove clinical competency comparable to the UK Initial Assessment of Competency in Anaesthetics. Certificates must be accompanied by a letter of authentication in English from a senior anaesthetic consultant or notary.
The final decision on comparability of overseas IAC certificates lies with the Chair of the Primary Examination.
How do I apply for the Primary FRCA examinations?
Applications are complete online, simply click here, register, and follow the instructions for submitting documents and completing your application.
Where can I sit the FRCA exams?
Unfortunately, IMGs cannot sit the FRCA exams overseas.
Exams are held in London, Cardiff, Birmingham, Manchester, Belfast, Sheffield and Edinburgh. You can find up-to-date exam dates here.
How much do the exams cost?
Primary MCQ
£370
Primary OSCE & SOE
£685
Primary OSCE
£370
Primary SOE
£340
Final Written Exam
£545
Final SOE
£645
What is the syllabus?
The syllabus for both the primary and final exams are linked to the Training Curriculum.
The Primary FRCA Examinations are blue printed to the Core Level Training Curriculum.
The Final FRCA examinations are blue printed to both the Core Level Training Curriculum and the Intermediate Level Training Curriculum.
*both include Intensive Care Medicine
How do I prepare?
With lots of materials online we have discussed with IMGs the best place to start looking for resources and materials relating to the exams. Most successful IMGs recommended starting with the Royal College, who have created useful resources to help you to prepare for the exams.
At IMG Connect we advise overseas candidates to be fully aware that questions used in the exam are drawn from the UK Anaesthetic Basic Level Training Curriculum. We suggest that you can use the curriculum as a road map to support your study plan.
Video series:
The exam run through video series is a useful tool to help familiarise yourself with what to expect on the exam day.
The Primary SOE support videos are designed to help trainees in preparation for exams.
The Primary FRCA examination videos also support with study for the MCQ.
More videos can be found at the College's YouTube Channel
eLearning Anaesthesia (e-LA):
The e-LA supports specialty training in anaesthesia. It provided materials for professional development of specialists seeking to refresh their knowledge.
Doctors working overseas can gain access to this resource via eIntegrity which provides a portal to all specialty e-Learning platforms.
If you are working outside the NHS, then modules are available for purchase via the eIntegrity website.
There are a number of modules available, of particular note for IMGs is Module 6: Exams Preparation.
e-LA also provides MCQ questions which are an accurate reflection of the questions included in the FRCA examinations.
Virtual Exam tours:
3D virtual exam tours have been created by the Royal College to provide a virtual experience to ensure that candidates are familiar with the process on the day.
OSCE exam floor
3D Tour
Successful IMGs have found practice questions are a valuable part of exam preparation. Remember these should be used in conjunction with other forms of research and studies.
I attained Primary FRCA, what next?
You will simply need to prove your English Language capabilities to satisfy GMC criteria for full registration.
IMG Jobs
Search and find live NHS anaesthetics jobs in the UK
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Read more useful articles on finding an NHS trust doctor job, pay scales & doctor’s salary in the UK, relocation and much more!
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Get in touch using the buttons above (and below) to discuss anaesthetics 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.
As an overseas doctor, how do you find NHS job opportunities in Respiratory Medicine?
Finding the right job opportunity in the NHS can sometimes be time-consuming and confusing for IMGs. Working with IMG Connect will give you easy access to vacancies for consultants and middle grades positions across the UK.
The IMG Connect job search is a dedicated online recruitment service for overseas doctors looking to secure a job in the NHS. View out latest doctor jobs in the NHS, here.
Save time and get expert advice based on your preferences
Performing a job search online can take up a lot of your time, so at IMG Connect we are here to do the time-consuming work for you. Upon registering, you will have a dedicated consultant whose role is to find jobs that match your skills, and apply for NHS jobs on your behalf.
CLICK HERE TO RECEIVE THE LATEST RESPIRATORY MEDICINE JOBS BY EMAIL
Register & Create a profile – it takes 30 seconds
It really is that easy, so why not take advantage of our resources, time and energy to find you the right job in the NHS suited to your preferences. By providing us with some key details we can quickly assess which jobs are best suited to your preferences, and even email you job alerts for new exciting roles which we think will interest you!
CLICK HERE TO REGISTER YOUR DETAILS & PREFERENCES
We understand you, and our clients
When looking for a Respiratory Medicine job in the NHS, it can be hard to try to find out key information before applying, such as:
What specialty specific training there will be?
Am I likely to get a training post after taking this role?
Can the trust support CESR applicants and is their CESR programme established enough for my needs?
What career progression is available for me with the Respiratory Medicine Specialty?
What is the job plan and how much time will I spend on the ward?
What is it like to work and live there?
What salary will I get paid, and can I get extra pay for additional shifts?
It can be tricky to get all the answers you want before applying online, so we spend our time getting to know both our clients and you, finding out as much key information as possible to help you to make the right decisions. Including details on the Respiratory Medicine department, hospital & trust, as well as an overview of what it is like to live in the area, including housing and the cost of living, as well as access to schools for your children, childcare and finding work for spouses.
Making an impact
We will also provide you with top tips on CV writing, job applications and interviews, ensuring that your application and interview makes the most impact with our NHS clients.
Making it personal
Once registered, you can quickly search and apply for NHS jobs using our job search, and take advantage of many useful articles written to support you through your journey to the UK. In addition, when you sign up to 'job alerts' we will automatically email you each time a relevant Respiratory Medicine vacancy comes available that you may be interested in.
Once logged in, you can also save job details and make applications.
By registering with IMG Connect, you will:
Have a dedicated consultant who understands your preferences and will do the time-consuming job searches and applications for you.
Find your ideal NHS position among thousands of unadvertised vacancies - from consultant to registrar, or specialty doctor to SHO.
Be the first to hear about new vacancies – registering with IMG Connect means that your CV will gain priority with our NHS clients, and will professionally represented by international recruitment experts.
To help you find a job in the NHS simply follow these easy steps:
Register with IMG Connect
Fill in the 'Personal details' section.
Arrange a chat with your dedicated IMG Consultant
Sign up to receive 'job alerts’
Search our live Respiratory Medicine jobs
Searching for Respiratory Medicine jobs in the NHS could not be easier
If you want to find out more about the many different Respiratory Medicine roles available within the NHS - it only takes a minute to register with IMG Connect and receive expert advice and representation. We have helped many overseas Respiratory Medicine into consultant, specialty doctor, registrar, clinical fellow and staff grade NHS roles, whilst offering expert guidance to many more IMGs on NHS doctor pay, royal college qualifications and English language testing. We’d be happy to help you!
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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
Get in touch using the buttons above (and below) to discuss specialist medicine job opportunities in the NHS, including discussions regarding a typical doctor salary in the UK and the most suitable hospital locations for you.
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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.
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