The first exam in the FRCPath Histopathology series...
International histopathologists (or cellular or anatomical pathologists as commonly known) looking to secure a job in the NHS via the postgraduate qualification route will need to attain Fellowship of the Royal College of Pathologists. This can also be commonly referred to as FRCPath Histopathology.
The completion of Part 1 and Part 2 of the Royal College of Pathology qualification for Histopathology results in eligibility for GMC registration (with the addition of the English language component). The FRCPath qualification is recommended for overseas pathologists looking to securing senior jobs in the NHS.
The exams can be taken by IMGs from all over the world, provided certain eligibility criteria have been met. Here we’ll take a closer look into these and other important questions through the following topics:
An overview of FRCPath Histopathology
What is FRCPath Part 1 and how is it structured?
Changes to FRCPath Part 1 delivery
Am I eligible to sit this exam?
How much will the exam cost and how do I apply?
What is the best way to prepare for the exam?
#IMG Tips
I’ve passed the FRCPath Part 1 exam, what’s next?
Skip ahead to the relevant section if you know what you’re looking for.
An overview of FRCPath Histopathology
The FRCPath Histopathology exams are administered by the Royal College of Pathologists to test a doctor's knowledge and ability to apply this in the practice of histopathology within the scope of the Specialty Training Curriculum for Histopathology.
The exams are as follows:
FRCPath Part 1
FRCPath Part 2
To read more about the full FRCPath examination suite via our IMG resources, please click here.
Please note that only full FRCPath satisfies the requirements for GMC registration for overseas doctors taking the postgraduate route.
Alternative routes to GMC registration include PLAB and other licensing exams such as USMLE. You can find out more about alternative routes here.
For doctors who are interested in more senior roles in the NHS that are reflective of their current practice, we advise that FRCPath is the best route to take to GMC registration. Histopathology in the UK is consultant-led specialism; and many NHS job postings will have FRCPath as a requirement for doctors who are not on the Specialist Register.
FRCPath Part 1 breakdown
FRCPath Part 1 is the first exam in the Royal College of Pathologists qualification. It is broken down into three sections as follows:
The three-hour exam is designed to assess candidates’ overall knowledge and understanding of histopathology or cytopathology, including the full range of autopsy practices undertaken in a district general hospital in the UK and the basic science underpinning pathology, including molecular biology.
FRCPath Part 1 delivery
In response to the challenges of the COVID-19 pandemic, the Royal College of Pathologists has migrated the FRCPath Part 1 exam online.
This means FRCPath Part 1 may be taken from the comfort of your own home. This development allows the College to continue to offer the FRCPath Part 1 exam to both UK trainees and overseas pathologists.
For full details about the online FRCPath Part 1 exam, please see our blog here.
Eligibility
Candidates for FRCPath Part 1 will generally require experience of Histopathology specialty training to reach the standard required to pass the exam. The Royal College advise that candidates take this exam after one year of specialty training.
Exam dates, applications and cost
The cost of the exam is £673 and the exam are usually held twice a year, in spring and in autumn/winter.
Applications for each sitting open a few months prior and close after around 6 weeks. While waiting for exam dates to be finalised the College advise that candidates should apply early and will be able to withdraw their application for a full refund should the date be unsuitable.
For up-to-date information on exam and application dates, keep an eye on the College website here.
Preparation
There are many resources available to help you prepare for your FRCPath Part 1 exam. As always, we recommend that the best starting point for your study is the Royal College website, particularly the Curriculum for Specialty Training in Histopathology. Your exam is based on this curriculum so familiarising yourself with it as soon as possible will give you the best chance of success.
Other helpful resources for your study include:
Regulations and guidelines – before applying for FRCPath exams, the College recommends you read both the general and specialty-specific regulations and guidelines, found below:
General Regulations and Guidelines
Histopathology Regulations and Guidelines
Social media study groups – there are multiple study groups available across different platforms such as Telegram, Facebook, and WhatsApp. IMG Connect hosts study groups for FRCPath Part 1 – these forums bring together overseas histopathologists in one communicative, constructive, and moderated space for learning, sharing, and support.
If you are interested in joining the IMG Connect FRCPath Part 1 study group, please email info@imgconnect.co.uk to speak to request your admission.
Online courses, videos and other resources - there are some great online courses and resources available to prepare for the FRCPath Part 1 exam. These include everything from full mock exams to flashcards and YouTube videos. We’ve compiled all these which you can access here, through our IMG Resources library.
FAQs - There is also a Frequently Asked Questions (FAQs) document which the Royal College has compiled to help applicants who have questions about online examinations. You can read this here.
#IMG Tips
Prepare early – getting your revision going as soon as possible will help you avoid those last-minute cramming sessions and increase your chances of passing first time.
Speak to your colleagues and peers – there are so many study materials to choose from - who better to ask for recommendations than histopathologists who have been through the process or are going through it with you?
Familiarise yourself with the online format – there’s no bigger headache than a bad connection – go through your IT checks well in advance to avoid (most) hiccups on the day
Join the online histopathology community – connect with like-minded histopathologists and dedicated pathology recruiters in the IMG Histopathologists Facebook group.
I’ve passed the FRCPath Part 1 exam, what’s next?
Congratulations – this is a massive achievement! After a well-deserved break, it’s time to look forward to FRCPath Part 2. For more information on the final exam in the examination suite, take a look at our blog where we explore FRCPath Part 2 and everything you need to know about how to sit the exam, including syllabus, dates, results, fees and preparation.
For more useful blogs & articles on the FRCPath exams, registrations & qualifications to help you find your dream job in the NHS - take a look at our IMG library.
Follow us on social media for news and updates on GMC registration, the Royal College and NHS through the links below:
Are you an oncology IMG looking to sit your FRCR (Oncology) Part 1 (CO1) exam?
International doctors often wonder about the best ways to prepare for the first FRCR (Oncology) exam. There are many resources available online, but with so much geared towards UK applicants and trainees, it can be difficult to decide what is best suited to you as an overseas candidate.
Here we have compiled some of the best resources and guidance for overseas FRCR CO1 applicants preparing for the exam. We will also touch on some of the recent changes to the format, delivery, and availability of the exam in response to the COVID-19 pandemic.
The topics we’ll be discussing include the following – skip ahead to one of these sections if you know what you’re looking for:
What is FRCR (Oncology) Part 1 (CO1)?
How do I get started with my preparation?
What resources are available online?
How has COVID-19 affected the exam?
#IMG Tips
I’ve passed FRCR (Oncology) Part 1, what’s next?
FRCR (Oncology) Part 1
As a reminder, FRCR (Oncology) Part 1 or CO1 is the first exam in the FRCR (Oncology) examination suite. The full set of exams, Part 1, and Part 2A and 2B, or CO1, CO2A and CO2B are the exams required by international doctors to satisfy the requirements for GMC registration through the postgraduate route.
The assessment expects that candidates have a broad knowledge of subjects that relate to the investigation and management of patients with cancer.
The exam consists of five modules which are taken through four exam papers over two days. On each day, candidates may attempt any number of modules. Altogether the FRCR CO1 exam has 180 SBA (single best answer or multiple choice) questions.
The exam structure is as follows:
For an in-depth breakdown of each of the FRCR (Oncology) Part 1 modules, see our detailed blog, FRCR (Oncology) Part 1, through the IMG resources library, where you can also read an overview of the full FRCR (Oncology) examination suite.
Please note that only full FRCR satisfies the GMC’s postgraduate requirements for overseas doctors.
Preparation
We have discussed with IMGs the best way to prepare for the first FRCR (Oncology) exam and most recommended beginning with the Royal College website and resources, which they have compiled to aid in your preparation.
Curriculum: The FRCR (Oncology) exam is based on the Specialty Training Curriculum for Clinical Oncology, and as a rule of thumb, your revision should start here to ensure you are focusing on the exact material that will be in your exam. Knowing the curriculum is key and you can find these on the Royal College website here.
Royal College resources include:
Learning hub: the learning hub is available to members and contains many useful learning resources. This can be found here.
Purpose of assessment: this will help candidates understand the examination's purpose, the required level of candidate training and the application of results, available here.
Implementation tools: this is a range of tools which have been compiled by the College to support the new curricular which all students should have transferred to by August 2022 at the latest and can be accessed here.
Guidance notes – a document with detailed guidance on exam structure, content, requirements and marking which you can find here.
Sample questions: sample SBA questions with answers which can be 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.
Examiners’ reports: this is a collection of generic reports written by examiners on the overall performance of candidates and individual questions as a guide for applicants for future sittings. These are available here.
Other helpful resources
There are several other resources available online, from flashcard-style revision materials to tips and advice from former candidates who have passed the exam:
The Clinical Oncology Registrar
This former candidate has compiled tips, guidance, and notes (including revision notes) on the First FRCR exam. These include revision advice, downloadable materials on key topics and links to good books and core materials to use. You can find the full blog here.
FRCR Oncology
A compilation of recommended books and notes shared by a former FRCR oncology candidate. There are general tips, as well as more detailed notes on the exam modules. These can be accessed here.
British Medical Journal
The BMJ has created an app-based physics revision resource with core questions on elements of the physics module, in the same multiple-choice format as will be seen in the exam. They are available at several price points depending on the duration of access, which ranges from £24.99 for one month to £139.99 for one year. This can be accessed here.
Brainscape
A set of flashcards with over 1300 questions across all modules. This free resource can be used as either revision or practice material and is located here.
FRCR Exam Prep
This website is home to exam tips, an online revision course for the physics module (including timed mock exams), sample cases and articles. The price of the physics course ranges from £25 for one month to £115 for one year. This can be found here.
How the exam has been affected by COVID-19
First FRCR (Oncology) is still taking place in person, but the number of exam centres has been reduced. For now, these are Belfast, Birmingham, Bridgend Wales, Crewe, Edinburgh, Glasgow, Leeds, and London. Overseas centres for now are in Hong Kong, India, and Malta.
For advice on preparation before applying for the exams, see the Royal College website here.
#IMG Tips
Start preparing early, but not too early – you want to avoid the misery of last-minute cramming, but not to burn out. Former candidates recommend starting about 6 months beforehand.
Get familiar with the curriculum – this is the home of the exam’s content – get to know this as well as possible to jumpstart your preparation for the exam.
Go through as many exam questions as possible – we know these are scattered all over the internet, but from those we’ve compiled in this handy guide you should have enough to keep you busy!
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. Nice one.
We hope this is helpful for any overseas doctors preparing to sit their Final FRCR exam and the team here at IMG Connect wish you the best of luck!
Don’t forget to share your progress and successes with us using the hashtag #imgstories on social media, we love to hear from you.
Are you an overseas psychiatrist looking to move to the UK? Have you always wanted to hear first-hand the experiences of an international psychiatrist who has been through the process, from receiving full 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 Francesco Spadaro, a brilliant consultant psychiatrist who relocated to the UK from Italy. Francesco has been living and working in the UK after receiving full GMC with specialist registration. He is now working in the NHS at Central and North West London 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 Francesco Spadaro?
My work is my passion. I really love the clinical aspect of it, especially talking with patients. I enjoy trying to help my patients as much as I can and giving them a hope in trying to improve their clinical condition. No matter who they are, where they come from, or how serious is their disorder may be. At the same time, studying and looking at how the mind works has always been such an important part of my life.
What motivated you to move to the UK?
I was very keen to move to the UK. London is such a special place and completely unique in my opinion. The city is so open and inclusive and really encourages you to get involved in so many ways. This was a really big motivating factor for me.
Was Brexit an issue for you at all?
It was definitely something to consider, but I was lucky enough to be able to anticipate my leave at my previous job in order to avoid any potential Brexit complications.
How did you find a general adult psychiatry job within the NHS?
I personally found IMG Connect to be a great help on this. The team really encouraged me with lots of advice and suggestions on how I could tailor my CV to specific roles I was applying to.
Most importantly, they really listened and took into consideration all of my needs and difficulties. 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!
Tell us about a day in the life of an international General Adult Psychiatrist.
I work in a secondary care, Community Services facility. We work in teams which cover several boroughs and are led by a senior practitioner, ans supported by health professionals with a range of expertise: nurses, social workers, support workers, psychologists and NGO volunteers.
We start each day with an MDT (multi-disciplinary team meeting) where we discuss our first assessments, feedback and cases with cause for concern. The great thing about these meetings is that we're all equally involved - everyone participates, sharing knowledge specific to their experience and role.
Consultants are involved in the most severe cases. They will also have slots where they will supervise trainee GPs and junior doctors. We also have lots of meetings throughout the week: scientific meetings, journal clubs and meetings concerning the organisation. Sometimes it feels like there are too many meetings, but I'm still getting used to the differences between the UK and Italian healthcare systems.
Tell us about your journey to the UK...
It was really quick! Once I'd passed had my interview and been offered the job, I just organised my affairs and hopped on the plane. Of course COVID-19 complicated things, but that was the case for everyone in almost every country at the time.
What has been your experience working with IMG Connect?
My experience with IMG Connect has been excellent. They carefully listened to my needs and requests and were always able to offer me appropriate jobs along my requests. They also prepared me in coping with any type of difficulties I would face in regard to relocation to London and my new role in the NHS. They were such a solid presence throughout this process for me and were always there to offer support, both before I had the job and afterwards.
Within the IMG Connect team, I would like to take this opportunity to thank Ruaihdri MacKay in particular, who is an excellent professional recruitment consultant. He was a wealth of guidance, advice and support for me during, and also after, my entire recruitment and relocation. He showed what I consider a unique commitment, dedication and foresight and completely kept me at ease with his justified optimism and knowlegde of the steps in my journey. I was really lucky to have him on my side.
How are you settling into life in the UK?
Things were a little difficult to begin with due to the COVID-19 restrictions, but things have really eased and I'm enjoying living here.
What’s next for you now that you’re working in the UK?
At the moment I'm still settling in, learning a lot about the UK's system and procedures. Once things have settled a little more for me, I'd like to see whether I can incorporate some teaching or lecturing work into my career path in the UK.
What’s been the biggest challenge you’ve faced in moving to the UK?
One of the challenges I've faced has been finding really affordable housing, but this was expected in moving to such a large and popular city as London.
Have you experienced any culture shocks living in the UK?
I wouldn't consider it so much of a cultural shock, instead I'm pleasantly surprised by the opportunity to work with such a diverse range of people. It really is a special experience that connects you to cultures and people all over the world.
What have you missed about Italy the most?
Most of all, I miss the lifelong friends I've made in Italy.
Do you have any tips or advice for international doctors who want to move to the UK?
I would just say, do it. Take a chance and live the experience!
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 to secure rewarding jobs, progress within their field and explore adjacent opportunities such as CESR (for non-EEA doctors), writing publications 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 Connect family.
Are you an overseas psychiatrist looking to move to the UK? Here, you can hear first-hand the experiences of an international doctor who has been through the process, from completing 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 you to Linda Granqvist, a fantastic child and adolescent psychiatrist who relocated to the UK from Sweden. Linda has been living and working in the UK since earlier this year when she received full specialist registration from the GMC. She is now working in the Lancashire and South Cumbria NHS Foundation Trust in the north west of England – where she is making a huge contribution to the NHS and wider community.
Tell us a little about yourself – what should the IMG community know about Linda Granqvist?
I’m a mum of three who comes from Sweden and I work as a child and adolescent psychiatrist, which I have done for many years. I'm also a family therapist and a certified therapy dog handler. In my free time, I really enjoy hiking and diving – I'd say those are my main interests.
What motivated you to move to the UK?
So, for a couple of years, I’d been thinking about moving to an English-speaking country. Both because I want to improve my English skills and the same for my kids – I also wanted them to learn how to speak English fluently. Also of course, to experience another country, to see how they work within CAMHS, and to be able to develop professionally in a new place.
Your journey to the UK was an adventure! Why did you decide to drive rather than fly to the UK?
In the beginning, it was just practical reasons really. I wanted to have the car with me to be able to move around easily in the UK, also, I don't like to put Iris on aeroplanes. So I decided I’d rather drive. I also have a lot of friends in the countries I’d be passing through along the way, so I thought I might be able to stop and say hi. In these strange times, this was a different way to stay in touch. To be honest, I was a little bit nervous at first - it's a long journey. And initially, it was just going to be me and Iris in the car, fully packed with all of our things. But then a very sweet friend of mine offered to join me on the trip. This made the whole trip incredibly easier and so much more fun. I'd recommend traveling with a friend to anyone thinking of coming to the UK the same way.
Tell us about your journey to get here, any issues or exciting moments along the way?
The trip took us four days, which doesn’t sound very long, but then we were on the road for long periods of time, because we needed to cross the French and English borders within 72 hours of us departing Sweden because of the COVID situation. So, we had that tight schedule to work to, but it all worked out!
Alongside taking wonderful swims in the ocean and being on the beach when we were taking a break, getting to visit friends was great. I was a little curious about the COVID restrictions, to see how they would hold up in practice. There was no one checking us at any of the check points we passed at the borders between Denmark and Germany, Germany and Belgium then on to France. The only place where they actually checked all the certificates and vaccination status was on the ferry between France and England, so that was surprising to me.
What were the best places or things you saw on your journey?
The most exciting thing for me, just off the top of my head, is when we got to Dover. It was such a beautiful moment, having these white cliffs heading towards us on such a beautiful evening. I had a moment of strong emotion when I realised this would be my home for a long time and I was finally here.
You are the first psychiatrist we have worked with who has travelled with their care dog - exciting! We can’t wait to meet Iris, what was it like travelling here with her?
Iris is so relaxed. She's very used to me taking her everywhere, to all sorts of places, so she was quite happy after around 12 hours of travelling, when she realised she could just chill out. So she's no problem at all. Even now, I think she sort of misses the car!
Was it difficult to make arrangements to come to the UK with a dog?
You have to have your shots up to date and have the all the tablets that you need. But not really, it's not really been much of a fuss and was quite easy. Also, we'd travelled abroad before, so she had a passport and things like that.
What role does Iris play in your daily practice in the NHS?
Iris is a trained Care and Therapy Dog and we have worked side by side for 4 years now.
There were no protocols in place for a care dog at first, so the situation needed some working out, but now that’s been sorted, we’re up and running and I'm working with her clinically every day. She helps me with patients so they feel emotionally supported. She can do most tricks in the book and loves children and adults and is so proud to be helping me with these sometimes very vulnerable children.
How did you manage to navigate and juggle the different aspects of registration whilst working full time in Sweden?
Without all the support from Ruaidhri, I don’t think I would have, to be honest - all the credit goes to him. There was so much paperwork and so much to consider in doing things in the right order that it would have taken me forever. But Ruaidhri has been so supportive, holding my hand all the way, always letting me know what the next step was and what I would have to do, helping me wherever he could. He's just been amazing.
Do you have any advice for international doctors hoping to find jobs in the UK?
Find IMG Connect. Seriously, it made all the difference for me. If I’d had less support, I don't think I would have gone through with the move.
From your experience so far, tell us about a day in the life of a consultant CAMHS psychiatrist in the NHS…
I'm a locum consultant, so I work together with one other senior doctor and then another part-time consultant, as well as other doctors who are training and more junior. I take part in assessments and support the team in medical issues spend time on-call.
It's a big difference from what I’ve experienced before. I've worked both privately and in the NHS in Sweden, and I'd say it's a big difference in terms of the psychiatry role, and also how we support the team. It’s understaffed in some areas, and the socio-economic factors within the area can make things more difficult. I think I was maybe a little bit naïve coming into this role. But everybody is so supportive and really welcoming.
How are you settling into life in the North West of England?
So far, we’re enjoying it very much. It's almost like a tropical environment for us compared to Sweden. The people are extremely friendly and open, and not to say the least, they're very dog oriented. Iris really gets to socialise, so the dog life here is much easier. And then the nature, I mean, it's beautiful. Preston doesn’t have the most wonderful nature, but it's so close to the Lake District and the sea, so we're taking advantage of that as well.
What’s next for you now that you’re working in the UK?
My field of interest is in using dogs as part of the work within Child and Adolescent Psychiatry. So I’d love to do more research on this, to find out who benefits the most from having a therapy dog - I think that will be my next step. I always give everyone feedback forms to comment on how they found the appointment with a therapy dog present. I've previously done a small project in Sweden related to this, but I would like to expand on that.
Have you had any culture shocks living in the UK so far?
Probably the dog culture being so friendly. It's I think a positive culture shock. I'm really happy with how things are going.
We’re vegetarians, me and my three daughters, and we’re finding that British vegetables are so much tastier than in Sweden! We talk about it at dinner all the time, wondering how they can taste so good. I'm not too keen on fish and chips and some other typical British dishes, they’re not my cup of tea, but there’s so much choice here as well.
What have you missed about Sweden the most?
I guess there's the emotional part of it - leaving your closest friends, and some family. I think that's the hardest part and what I've missed most.
Do you have any advice for international doctors who want to move to the UK?
It’s a big step, relocating with your family, so it’s good to have practical and emotional support around you. But don't be afraid to try new things. Embrace everything, be flexible and just go for it. You will have an experience you will never forget.
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 to secure rewarding jobs, progress within their field and explore adjacent opportunities such as CESR (for non-EEA doctors), writing publications 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 Connect family.
There are several routes a radiation oncologist can take to GMC registration and clinical (radiation) oncology in the NHS.
Clinical (or radiation) oncologists looking to secure a job in the NHS will need to satisfy certain criteria before they can apply for full GMC (General Medical Council) registration with license to practice in the NHS. As an oncologist, these criteria depend on where in the world you trained, 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 oncologist. We’ll be covering the following:
Will my training be recognised in the UK?
How do I demonstrate my knowledge and skills as an EEA oncologist?
How do I demonstrate my knowledge and skills as a non-EEA oncologist?
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?
Recognition of knowledge and skills
For clinical oncologists who trained in an EEA country (all countries inside the EU, including Lichtenstein, Iceland, Switzerland & Norway), there are a number of different options potentially available to you.
Depending on the country and year you completed your residency or basic medical training, the GMC may automatically recognise your qualifications and grant you either General Registration, or Specialist Registration in the UK. To find out if your country’s qualifications will allow you to register for either general or specialist registration, check the relevant GMC page here.
Knowledge and skills for EEA radiation oncologists
Basic Medical Training: If you have met the basic medical training requirements, this would mean that you would not need to demonstrate your medical knowledge and skills to work as a doctor in the UK and would not need to complete a UK- recognised postgraduate qualification or PLAB to register with a license to practice. You would be granted full registration in this case, but not Specialist Registration.
Specialist Training / Residency: If you have met the criteria listed for your country, then once you have completed the GMC application process, you would be granted Specialist Registration in oncology and can be appointed as a substantive or permanent consultant in the NHS. So as an oncologist, if you hold a Relevant European Specialist qualification, you would be put on the specialist register for medical or clinical oncology and can be appointed as a substantive oncologist in the NHS.
Therefore, the main hurdle that you will face as an EEA doctor will be demonstrating that your English skills are of a high enough standard to practice safely and proficiently as a doctor in the NHS.
As a European oncologist, this is in most cases the easiest route to becoming GMC-registered and being able to practice oncology in the UK.
If you do not meet the GMC requirements for your training to be approved for full or specialist registration, other routes you may consider to GMC registration include PLAB or (via the postgraduate route) the Royal College exams for either clinical oncology (FRCR) or medical oncology (MRCP). You can find out more about these alternative routes here.
Knowledge and skills for non-EEA radiation oncologists
If you qualified as an oncologist 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.
Oncologists 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 oncologists this can be done through one of three main routes:
Professional & Linguistics Assessment Board (PLAB)
The PLAB exam is a two-part exam that assesses a doctor’s ability to work safely as an SHO in the NHS, as such it does not demonstrate ability in oncology 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, clinical oncologists can then take up training or a more senior post once they have established themselves in the NHS. Take a look through our comprehensive guides on PLAB.
Fellowship of Royal College of Radiologists
The Royal College of Radiologists is the professional body that regulates the specialism of clinical oncologists in the UK, and Fellowship of the Royal College of Radiologists (FRCR) is the full qualification attainable by examination. For overseas doctors, attaining FRCR (Oncology) will satisfy the knowledge & skill criteria for GMC registration and facilitate application for more senior roles in UK clinical oncology. Take a look at our IMG Resources library for complete guides on Fellowship of the Royal College of Radiologists for clinical oncology 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 International English Language Testing System (IELTS) or the Occupational English Test (OET). Detailed guides to these tests can be found below:
IELTS – a guide for overseas doctors
OET – a guide for overseas doctors
Experience in English-speaking countries
For doctors who have at least two years of their most current experience in an English-speaking country, you can use a reference from your current employer or employers over these two or more years to demonstrate competence of the English language. This would exempt you from sitting an English language exam.
Certificate of Good Standing
All doctors registering with the GMC must provide a certificate of good standing from each medical regulatory authority they’ve been registered or licensed with in the last five years.
The medical regulatory authority may send you a certificate of past good standing if you're not currently registered or licensed with them. You can find out which medical regulatory authority to contact via the GMC website here.
Please note that each certificate is only valid for three months from the date it's signed and must be valid when we approve your application.
If there's no medical regulatory authority in the country to issue a certificate, the GMC will give you further advice once your application has been assessed.
GMC Registration
Once you’ve completed your English language exam, you can now apply for full GMC registration with a license to practice. For registration, you must provide evidence of:
English language capabilities - either your IELTS, OET or an approved reference from your current employer (if you have been working in an English-speaking country for the last two years).
AND
Certificate of good standing – the certificate from your medical regulatory authority which demonstrates good standing.
AND
(EEA oncologists) Sufficient skill and knowledge – as an EEA oncologist, this would either be your recognised EEA qualification.
OR
(Non-EEA oncologists) Sufficient skill and knowledge – as a non-EEA oncologist, this would either be PLAB, FRCR or a GMC-approved qualification.
To understand the registration process more fully, read our blog on GMC registration for overseas doctors here.
Visas
If you or your family are from the EU, Switzerland, Norway, Iceland or Liechtenstein and started living in the UK by 31 December 2020, you may be able to apply to the free EU Settlement Scheme. Otherwise, you will need to apply for a visa from the UK Home Office.
A Tier 2 visa is the document given to a skilled worker by the UK Home Office following a job offer from a UK employer with a valid Tier 2 Sponsorship License. The list of valid Tier 2 Sponsors can be found here.
Understand Tier 2 visas and Certificates of Sponsorship in depth by taking a look at our article: Tier 2 Visa - how do I apply and what's the process?
Wondering whether you can relocate with your family? Take a look at our blog on the Tier 2 dependent visa below: Tier 2 Dependent visa - Can I bring my family with me to the UK?
IMG Oncologists
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.
For clinical or radiation oncologists looking to come to the UK to work in the NHS, GMC registration and specialist registration is a crucial part of the process. Therefore, it’s important to put together a good application to present to the GMC, and IMG Connect are here to help with this.
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 a European oncologist can take to GMC registration and medical or clinical (radiation) oncology in the NHS.
All European oncologists looking to secure a job in the NHS will need to satisfy certain criteria before they can register for full GMC (General Medical Council) registration to practice in the NHS. As an oncologist, these criteria depend on where in the world you trained, 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 a European-qualified oncologist. We will be covering the following:
Is my training recognised as an EEA doctor?
How do I demonstrate my knowledge and skills?
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?
EEA Doctors
Firstly, it is important to note that where we refer to EEA in this article, this refers specifically to all countries inside the EU, including Lichtenstein, Iceland, Switzerland & Norway. If you trained & qualified as an oncologist inside the EEA or Switzerland, then you will have a few different options potentially available to you.
Depending on the country and year you completed your residency or basic medical training, the GMC may automatically recognise your qualifications and grant you either General Registration, or Specialist Registration in the UK. To find out if your country’s qualifications will allow you to register for either general or specialist registration, check the relevant GMC page here.
Knowledge and Skills
Basic Medical Training: If you have met the basic medical training requirements, this would mean that you would not need to demonstrate your medical knowledge and skills to work as a doctor in the UK and would not need to complete a UK- recognised postgraduate qualification or PLAB to register with a license to practice. You would be granted full registration in this case, but not Specialist Registration.
Specialist Training / Residency: If you have met the criteria listed for your country, then once you have completed the GMC application process, you would be granted Specialist Registration in oncology and can be appointed as a substantive or permanent consultant in the NHS. So as an oncologist, if you hold a Relevant European Specialist qualification, you would be put on the specialist register for medical or clinical oncology and can be appointed as a substantive oncologist in the NHS.
Therefore, the main hurdle that you will face as an EEA doctor will be demonstrating that your English skills are of a high enough standard to practice safely and proficiently as a doctor in the NHS.
As a European oncologist, this is in most cases the easiest route to becoming GMC-registered and being able to practice oncology in the UK.
If you do not meet the GMC requirements for your training to be approved for full or specialist registration, other routes you may consider to GMC registration include PLAB or (via the postgraduate route) the Royal College exams for either clinical oncology (FRCR) or medical oncology (MRCP). You can find out more about these alternative routes here.
English Language Testing
All 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
Certificate of Good Standing
All doctors registering with the GMC must provide a certificate of good standing from each medical regulatory authority they have 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 are not currently registered or licensed with them. You can find out which medical regulatory authority to contact vis the GMC website here.
Please note that each certificate is only valid for three months from the date it is signed and must be valid when the GMC approve your application.
If there is no medical regulatory authority in the country to issue a certificate, the GMC will give you further advice once your application has been assessed.
GMC Registration
Once you have 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
Sufficient skill and knowledge – as an EEA oncologist, this would either be your recognised primary medical degree, or your recognised specialist European qualification (REQ)
AND
Certificate of good standing – the certificate from your medical regulatory authority which demonstrates good standing
To understand the registration process more fully, read our on GMC registration for overseas doctors here.
So, there you have it! Hopefully any medical or radiation oncologist planning a career in the NHS should have their route to the UK clarified. If you ever have some questions or wish to know more about the oncology job market, then get in touch with our team.
Join the IMG Oncologists Facebook group for access to a community of like-minded oncologists and dedicated oncology recruiters.
In this group you will find tailored resources for oncology IMGs, completely free to all doctors.
You can access our IMG Oncologists community here.
For regular news and updates on all things oncology, follow IMG Connect on social media using the links below:
Are you a psychiatrist from Hong Kong looking to live and work in the UK? Do you want to know how to find the best jobs working in the NHS?
To be eligible to work in the NHS, psychiatrists from Hong Kong must have full GMC registration – this requires completion of the Royal College of Psychiatry exams (MRCPSych), as well as an English language exam.
From our experience, the majority of Hong Kongers are either aware of the Royal College of Psychiatry exams or have already completed these as part of their specialist psychiatrist training - great news you are more than halfway there! If you are unsure about the requirements for MRCPsych, you can find an overview of MRCPsych here and get in touch to discuss in more detail.
With recent experience of working with Hong Kong Psychiatrists on their journey to the UK, we thought that we’d share a few snippets of information to help get you started.
As a Hong Kong doctor, where do I fit into the NHS?
Psychiatrists from Hong Kong are a great fit for the NHS. And no matter what specialist training or specialist interest in psychiatry you have experience with, our NHS clients would consider you to be a high calibre candidate. Why? The training in Hong Kong is thorough, highly regarded here in the UK amongst NHS clients.
If you are not sure about how your experience will translate to working in the NHS, then we are here to help - IMG Connect are experienced working with all specialisms in psychiatry, including general adult, child and adolescent, old age, perinatal, forensic, liaison, substance misuse & addictions, eating disorders, learning and intellectual disabilities.
What kind of jobs can I find in the UK?
This all depends on your experience in Hong Kong. Whilst there are a lot of similarities between our two healthcare systems, there are also a lot of differences too.
MRCPsych typically qualifies candidates to take specialty doctor or middle grade posts. Think of it as like the FHKCPsych and the accompanying Fellowship of FHKAM (Psychiatry) examinations.
NHS clients will look out for your experience and training combined in order to work out what level you will start in. However, before you can work as a consultant, there are a few certifications that you will need to achieve when in the UK, namely Section 12, Approved Clinician (AC) and CESR.
For consultant psychiatrists who have already completed their specialist training in psychiatry in Hong Kong, you can enter the NHS as either a Specialty Doctor, or Specialist Grade, and in some cases as a consultant (dependent on experience & NHS Client). If starting in a specialist position, the aim here is that you will receive support to complete the aforementioned certifications in the UK, before quickly moving to a consultant post – this will be agreed before your arrival in the UK.
There is demand in all areas of psychiatry, covering all grades. So, it is important to understand where you fit into the NHS, and we would be delighted to guide you through the process. Send in your CV or register with us, and we will arrange an informal chat with you to discuss your job options in full.
Where can I find NHS jobs in psychiatry?
You can get full access to the most recent psychiatry job postings straight to your inbox through IMG Connect. The latest NHS psychiatry jobs cover clinical settings from inpatient and outpatient to community services.
With just a few clicks, you can create an account and customise job preferences to receive email alerts, whether you are a consultant, SHO, resident trainee or specialty doctor.
Sign up here to receive up-to-date information on NHS jobs which you can tailor to your job preferences and receive straight to your inbox.
Can I get access to CESR?
Our experience tells us that CESR is a fantastic option for Hong Kong Psychiatrists joining the NHS. So far, we have found that the quickest route for psychiatrists has been to secure a Specialist Grade or Specialty Doctor post, with CESR support. This route will ensure access to a broad range of UK experience helping you to build your evidence for a future CESR application.
It can be a little confusing, so the best advice here is to speak to us about your options for CESR and how best to prepare for a future application.
What if I haven’t taken MRCPsych?
There are two routes to GMC registration for overseas psychiatrists, PLAB and MRCPsych. Whilst MRCPsych can be more time-consuming and expensive, our advice is that it is well and truly worth the investment – especially for more experienced psychiatrists. Clients look out for it, and your CV will be moved to the top of the pile.
The MRCPsych exams can now be taken online. Sample questions as well as information about how the three parts are marked are available on the MRCPsych website and can be accessed here. We have also created a detailed guide to MRCPsych for international doctors which you can find on in our IMG Resources library here.
For more information about the online MRCPsych exams, click here.
How do I register with the GMC?
Once both the MRCPsych and English exams have been completed, Hong Kong IMGs can then apply for full GMC registration with license to practice.
There are further checks involved in the registration process, such as verification of medical licenses, however these are steps that will be taken care of with your IMG Connect recruitment specialist. However, if you’d like to learn more about these processes, you can find information in our blog breaking down the steps to GMC registration for overseas doctors here.
What visa will I need? BN(O) or Tier 2?
Honk Kong residents with British National (overseas) status can apply to travel to the UK to live for up to five years with dependent family members, through the British National (Overseas) visa.
You also have the option of securing a Skilled Worker visa, or Health & Care visa to give the most recent term. We know that securing a visa in Hong Kong is a challenge at the moment, so if you think that the Health & Care Visa is a good option for you, don’t hesitate to connect with us to discuss your options.
What are the next steps?
We are here to help with all questions big or small, whether you are starting out on your journey or ready to look explore jobs. Get in touch with us or register below.
We hope this helps and wish you the best of luck in your search!
To receive the latest news and updates on all things psychiatry, including the Royal College, GMC registration and the NHS, follow us on social media and join the conversation.
Are you an overseas psychiatrist taking the postgraduate route to GMC registration through the MRCPsych exams? Are you interested in sitting the exams in the future?
As part of IMG Stories, we introduce to you Dr Praveen Kumar, a psychiatrist who has recently sat and passed the MRCPsych Paper B exam. Praveen will be sharing with you his experiences of the second of the Royal College of Psychiatrists exams, taking you through his preparation, experience of sitting the exam and sharing some hot tips for international MRCPsych aspirants.
1. Tell us about yourself... what should the IMG Community know about Praveen Kumar?
I'm a Malaysian psychiatrist and I completed most of my training as an Ob-Gyn in Borneo. I originally came to the UK for the PLAB 2 exam, with my ultimate aim being to relocate to Australia. I had planned on spending a few weeks in the UK as a vacation, as it was my first time flying to the west. Due to the COVID-19 pandemic, I was stuck in the UK for some time.
I decided to enter the psychiatry training programme in Inverness, Scotland (CT1) just out of curiosity, because mental health was hardly spoken about in rural Malaysia, so I knew little about it. This was my main plan while I waited for restrictions to ease in Malaysia so I could return home, however plans changed, and I've been here ever since.
2. What motivated you to sit the MRCPsych exams?
I had no experience in psychiatry before starting my training in February 2021, but I felt I owed it to my patients to have at least some basic knowledge. I felt studying for MRCPsych would prepare me for the role, so I took Part A and B early on.
3. At what point in your career and training did you sit the MRCPsych Paper B exam?
I sat Paper A in December 2020 and Paper A in October 2021, so this was quite early on in my training.
4. How far in advance did you start preparing for the MRCPsych Paper B and how much time did you spend on revision?
I began preparing around 6 months before the exam. I'd have 8-20 hours of zoom study sessions weekly for the 6 months, studying around 4-6 days a week.
5. Did you benefit from speaking to senior colleagues or peers about the exam? Did you study with other candidates?
I relied on study groups via a WhatsApp group for discussions and attended weekly zoom study sessions. I formed a study group by seeking out other candidates after posting a message on MRCPsych groups on Facebook.
6. Have you already completed MRCPsych Paper A and how do you feel it prepared you for the Paper B exam?
I completed MRCPsych A on Dec 2020. By then I had already conducted many group studies and had 117 group study mates that continued with me into part B. We did the same format of group study that I hosted before.
7. How did you manage to juggle other commitments whilst studying for the exam (without panicking)?
Since I am on my own here in the UK, I was able to invest a lot of time and energy in hosting daily study sessions because at the start, it kept me grounded while I was stuck in a foreign country. It gave me the opportunity to communicate with so many people in a setting other than my workplace. It was fairly challenging initially while I moved between Airbnbs (7 in total!) while waiting for flights back home. It was only when I was accepted into a psychiatry training programme in Inverness and acquired stable accommodation that things became a lot easier.
8. What resources did you use to prepare and practice for the MRCPsych Paper B exam?
The hardest part was actually statistics which took up 1/3rd of the exam questions, so the goal was to complete the statistics syllabus, then move on to cover clinicals, repeat statistics again, then finally start mocks before the exam. This was the process that was recommended to me by some friends who passed the exam before me.
The SPMM mocks and high yield questions were most helpful for clinical and stats, but the Psychmentor notes were also really good with the questions and mocks helping to fortify our knowledge.
The Statistics and Research Methods (Cambridge Crash Course) by Dr Paul Wilkinson helped loads with statistics near the end.
I didn’t use any notes or SPMM videos, but I’ve heard they helped others quite a lot.
9. Let's face it, exams are not everyone's favourite day out... so on the day of the exam, what did you do to relax?
I prepped by reassuring myself that I did practice and study as best I could. I was ultimately looking to gather knowledge that would allow me to better help my patients. Whatever else came out of the process was secondary.
10. What was your experience like on the day?
I felt like I could hear the voices of my study mates as I did the exam. It didn't feel particularly difficult to be honest, because I'd had lots of practice sessions.
11. What was the most challenging part of the exam?
There were some tricky bits, for example being asked the percentage of patients who have a particular illness!
12. Now that the MRCPsych exam is provided online, how (if at all) was the test different to exams sat in person?
I didn't see it as much different to be honest.
13. In hindsight, would you have done anything differently?
Nothing really. I genuinely enjoyed the study sessions and I hope others did too.
14. What nugget of advice would you give to any MRCPsych Paper B aspirants?
Form or join a study group with people from various backgrounds. Mine had folks from around the globe with psychiatry experience ranging from none at all to 12 years. Their input was gold - more so since the exam is very relevant to our day-to-day practice.
15. What are your plans going forward?
I’m actually doing a couple of diplomas at the moment. I plan to collaborate with some people on some research/publication opportunities. This is mostly to bide time during CT2 as I am only allowed to sit the CASC exam during CT3 after 2 years psychiatry experience.
The postgraduate route to GMC registration, whilst not the fastest, can be the most rewarding in the long run. The MRCPsych exams are the central components of psychiatry training in the UK, and as an international psychiatrist, this is the route that allows you to most closely align your qualifications with the requirements of more senior roles in the NHS.
Join the IMG Psychiatrists Facebook group for access to a community of like-minded overseas MRCPsych aspirants and dedicated psychiatry recruiters.
For news and updates on all things psychiatry, including GMC registration, the Royal College and the NHS, follow us on social media and join the conversation.
Overseas clinical or radiation oncologists wanting to secure a role in the UK via the postgraduate qualification route will need to attain Fellowship of the Royal College of Radiologists (FRCR Oncology) in order to register with the GMC. FRCR Oncology is the UK Royal College qualification and the recommended route for oncologists looking to work in the UK as a specialist or consultant.
IMGs from any country in the world can sit the FRCR (Oncology) examinations, provided certain eligibility criteria are met.
These are summarised below along with a broad look at the following topics - skip to one of these sections if you know what you're looking for:
What is FRCR (Oncology)?
Am I eligible?
What is the content and structure?
Where and when can I sit the exams and how much will it cost me?
How do I apply?
How can I prepare for the exams?
Passed? What next?
What is FRCR Oncology?
Clincal oncologists become full members of the Royal College of Radiologists and achieve the designation, FRCR, once they have passed the three separate postgraduate medical exams that make up the FRCR (Oncology) examination suite. The FRCR (Oncology) examinations aim to test a candidate’s knowledge and clinical understanding against the Specialty Training Curriculum for Clinical Oncology and the exams are a pre-requisite for anyone looking to go into a specialty training post as an oncologist in the UK. For more senior candidates, absence of FRCR (Oncology) will make it very difficult to attain locum-consultant posts unless you have a recognised equivalent or specialist registration in clinical oncology.
The First FRCR Examination expects candidates to have acquired a broad knowledge of those subjects that relate to the investigation and management of patients with cancer. Candidates are examined against the Clinical Oncology curriculum. A new curriculum is being implemented from summer 2021, with all trainees expected to transfer to the new curriculum by August 2022 at the latest. Further details are available on the curriculum webpages. If you are unsure what curriculum you should be using for your studies in 2021 then please refer to the Royal College website page discussing the FRCR (Oncology) Part 1 exam here.
When registering via the postgraduate route, only full FRCR satisfies the GMC postgraduate requirements for registration as an overseas doctor. There are three parts to the FRCR examinations:
FRCR (Oncology) Part 1 (CO1) > comprises four papers of single best answer (SBA) questions. The written papers for the four subjects are held twice a year over two consecutive days.
FRCR (Oncology) Part 2A (CO2A) (both must be passed in one sitting in order to attain a pass)
two separate single best answer papers
FRCR (Oncology) Part 2B (CO2B)
a reporting session
a rapid reporting session
an oral examination
The FRCR (Oncology) examinations form an essential component of training for clinical or radiation oncologists in the UK. For overseas doctors relocating to the UK, FRCR is one of two options to support full GMC registration (postgraduate qualification or PLAB route). For doctors who wish to secure a senior clinical oncology job in the NHS reflective of their current practice, we advise that FRCR would be the best route to choose. FRCR is often an essential requirement for many job postings in the UK when a candidate does not already have Specialist Registration in Clinical Oncology or a recognised equivalent postgraduate qualification.
Eligibility for FRCR (Oncology):
First FRCR: To be eligible you must:
hold a Primary Medical Qualification (PMQ) that is recognised by the GMC for registration purposes.
have completed courses covering the syllabus in the subjects listed below.
Cancer Biology and Radiobiology
Clinical Pharmacology
Medical Statistics
Physics
There is no requirement to have held a clinical oncology training post in order to attempt the First FRCR Examination.
Final FRCR Part A: To be eligible you must:
have passed the First FRCR examination
must have passed the First FRCR examination and have completed three years of supervised clinical oncology training covering the examination syllabus.
In exceptional circumstances, with support from the Training Programme Director and at the discretion of the Medical Director (Education and Training), this minimum training period may be reduced to two years and six months.
Final FRCR Part B: To be eligible you must:
have passed the Final FRCR Part A, First FRCR and have completed three years of supervised clinical oncology training
Content and structure for FRCR (Oncology)
First FRCR Examination: It is delivered through a digital platform and as such is now also available at a larger number of test centres than before. The First FRCR Examination comprises four papers of single best answer (SBA) questions. The written papers for the four subjects are held twice a year over two consecutive days. Further general information on the examination shows in the guidance notes for candidates here, however it can be summarised as below:
Day One
Format
Cancer Biology & Radiobiology
50 questions over 2.5 hours
Clinical Pharmacology
40 questions over 2 hours
Day Two
Format
Physics
50 questions over 2.5 hours
Medical Statistics
40 questions over 2 hours
Each SBA question comprises a stem (a question or statement) and five items (answers) [labelled (a) to (e)]. Candidates are asked to decide which one of the five items represents the best answer to the question given in the stem. The four modules break down as below:
Cancer Biology and 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.
Medical Statistics: with special reference to clinical trials and assessment of results, and the epidemiology of cancer.
Physics: 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 expected.
Final FRCR (Part A): The examination expects candidates to have a wide knowledge of malignant disease and the management of patients with cancer. The main emphasis is on radiotherapy and drug therapy, but a good knowledge of general medicine, surgery and gynaecology is expected. You will be examined against the specialty training curriculum for clinical oncology and the clinical oncology syllabus. The Final FRCR (Part A) Examination comprises two papers of 120 single best answer (SBA) questions. It is held twice a year, normally in February and August/September and you are given three hours to answer each of the papers. Read the college's Purpose of Assessment to see this information in detail - however below we summarise the content and structure for FRCR Part A.
Paper 1
Tumour Type
No. of Questions
Respiratory
24
Urology
24
Head & Neck
24
Skin
12
CNS
12
Gynaecology
24
Paper 2
Tumour Type
No. of Questions
Breast
24
Lower Gastrointestinal
24
Upper Gastrointestinal
12
Haematology
12
Miscellaneous*
38
Image-based
10
*The miscellaneous section contains questions on thyroid cancer, sarcoma, unknown primary, regulations, palliative care and a small set of questions that do not specifically fit into a defined site specific category.
FRCR Part 2B (Oncology) (CO2B): The exam requires you to have a wide understanding of malignant disease and management of patients with cancer. The biggest emphasis here is radiotherapy and drug therapy, though a strong knowledge of general medicine, surgery and gynaecology is expected also. You will be examined against the specialty training curriculum for clinical oncology and the clinical oncology syllabus.
The exam has both a clinical and oral component. Read the Royal College's Final FRCR Purpose of Assessment to understand the format and content in more detail, however a brief summary of both part is below:
Clinical Examination: This is the practical element and will involve you rotating round five strictly timed clinical assessment 'stations' where your skills are assessed by a pair of examiners. This part is to test the skills and competencies that are essential for safe and effective clinical practice as a clinical oncologist in the NHS. Patients with real clinical signs are used throughout this examination, allowing you to demonstrate your knowledge and judgment in as a realistic a scenario possible.
The clinical examination will assess your ability to:
identify important clinical signs using effective examination techniques
give a rationale differential diagnosis
order and interpret appropriate investigations
identify the main treatment options
select an appropriate, safe and sensible management plan
recommend a safe radiotherapy technique, understanding and communicating the likely outcomes & side effects
recommend a safe systemic treatment schedule, understanding and communicating their likely outcomes and side effects
clearly discuss a likely prognosis in the case presented
clearly demonstrate an ability to treat the patient sensitively, ensuring their comfort and dignity
Oral Examination: The structured oral examination assesses in-depth issues surrounding radiotherapy planning, diagnostic imaging and clinical decision-making and case management. Communication and ethical scenarios are addressed during this examination. It will mirror day-to-day clinical discussions and MDT meetings, essential elements to a Clinical Oncologist's role in the UK. There are several slides per question, and your answers can lead to further questions on subsequent slides by the examiners. The questions build as the discussion develops, and this oral examination allows each step of the case to be assessed and discussed as it would be in a real-life clinical scenario.
The structured oral examinations allow for fair, valid and reliable assessments due to:
uniformity of questions asked
pairing of examiners (junior and senior) allowing for ongoing training and accurate data capture and marking
four independent judgments of your performance
the examination is blueprinted against both the curriculum and the range of RCR-designated skills required to be a competent oncologist in the NHS
the use of an objective marking scheme which details the essential points required to pass each question
As an overseas candidate, where & when can I sit the exams and how much will they cost me?
This link takes you to the examination updates section. Information on the dates, fees and venues for the FRCR examinations can found here.
How do I apply for the FRCR (Oncology) examinations?
UK Trainees are given priority for examination places, whilst overseas candidates are offered the remaining places via a ballot system following the application closing date. If you've had your exam deferred due to cancellations over the last year, you will be prioritised.
The Royal College urges anyone applying to read the examinations guidance before doing so. Applications are made online via the Royal College website here.
How should I prepare for the FRCR (Oncology) 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 prepare, see below:
Syllabus: The syllabus should always be your go-to for your studies. This is what you will be tested on, so it should be the foundation of your studies and preparation. As of May 2021 the new curriculum has been approved by the GMC but is pending full publication. You can find this on the Royal College website here.
Clinical Oncology Curriculum implementation tools - a variety of tools are available to support the implementation of the new curricula. This page is very useful and has many different tools within the page. You can access it here.
Remote proctoring guidance - this is a new system and as with anything techy, problems can arise! Use this section of the Royal College to familiarise yourself with the new system with the new normal. Access this page here.
First FRCR examiners' reports - a guide for candidates and trainers preparing for future sittings. Access this here.
Trainees share their experiences of the Final FRCR examination - a two-part audio series featuring trainees talking about their experiences of preparing for and taking the examination.
Final FRCR examiner reports - a guide for candidates and trainers preparing for future sittings. Access the examiner reports archive here.
Final FRCR Part B demonstration films - clinical and oral demonstration videos. Access the Part B demonstration films here.
Sample oral questions - sample questions for the oral component of the Final FRCR Part B examination. You can access the sample questions here.
Connect with the Royal College - connect with the Royal College on YouTube to see their numerous videos that can be used for training and information purposes. Their channel can be found here.
IMG Oncologists
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 passed the FRCR Oncology exams! What next?
First of all, congratulations! After you have passed all three parts of your FRCR examinations, you can apply for a full registration with a license to practice. Once the GMC has approved your application, you can work as a doctor in the UK. This exam will form an integral part of any CESR application (if that is your route to specialist registration) and in most cases, if you have previous and relevant experience, will allow you to practice as a locum consultant clinical oncologist whilst you are not an accredited specialist on the specialist register.
For regular news and updates, follow IMG Connect on social media using the links below:
There are several routes to GMC registration and securing an NHS role for Critical Care or ICU specialists.
Whether you are from inside or outside of Europe, will need to satisfy certain criteria to fully register with the General Medical Council (GMC) before beginning their journey in the NHS.
As a critical care specialist 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 & Intensive Care Medicine
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 doctor 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:
OET – Occupational English Test
IELTS – International English Language Testing System
Take a look at our helpful articles below for detailed information on both tests:
IELTS – a guide for overseas doctors
OET – a guide for overseas doctors
GMC Registration
Having passed your English Language Test, you can now apply for full registration with a licence to practice with the GMC.
For full GMC registration you must provide evidence of:
Evidence of English language capabilities (IELTS or OET)
AND
Evidence of sufficient skill and knowledge (your equivalent qualifications)
Understand the registration process in full & by reading our article: IMG Library - GMC Registration for overseas doctors
Job search
We recommend starting the job search as early as possible. Demand for European Critical Care specialists 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 CCU / ICU jobs than are readily available online.
Our network extends to clinical departments 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 critical care medicine will negotiate on your behalf ensuring you get the most competitive salary.
Our aim is to have a job offer on the table before your GMC registration is complete, giving you the peace of mind of having an agreed contract in place - leaving you to carefully plan your relocation to the UK.
Take a look at our most recent jobs:Job Search
Relocation
Obviously, any doctor’s journey isn’t all exams, registrations and language tests… there’s also the small matter of relocation and settling into life in the UK.
Once you have secured your role in the UK, we focus on supporting you and your family with all your relocation plans. This can include, but is not exclusive to, securing accommodation, travel planning, setting up bank accounts & national insurance numbers – every step of the way we are here to help.
Have a read through our IMG Library and take in all the beautifully organised information on relocation and UK life to immeasurably help your first days, weeks and months in the UK.
IMG Library – Relocation & UK Life
Brexit
Many overseas doctors have questioned how the UK’s withdrawal from the European Union (EU) will affect doctors from Europe already working in the UK, and those who may wish to work here in the future.
Whilst we are still pushing for a halt to Brexit, we've been keeping a close eye on policies and developments to ensure that we keep our doctors as up to date as possible. While we await more information from the UK Government about what our future relationship with Europe will look like, what is clear is that European doctors are most welcome in the NHS with or without Brexit.
At IMG Connect we do not see Brexit as an end to EEA doctors relocating to the UK, far from it… you are in demand and we will support with all the necessary requirements for entry to the UK, whatever the outcome.
Take a look at our Brexit articles for more information:
IMG Library - Brexit
Outside of the EEA
If you qualified as a Critical Care specialist 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 ICU doctors, looking at the following:
English Language Testing
Evidence of Knowledge & Skills - PLAB, FRCA or equivalents
Tier 2 Visas
Full GMC Registration
English Language Testing
Any international doctor, regardless of specialty, experience or country of origin, must demonstrate they have sufficient competence of the English language.
You can do this by passing either of the following:
OET – Occupational English Test
IELTS – International English Language Testing System
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 Critical Care & Intensive Care Medicine
Overseas doctors must prove to the GMC they have sufficient knowledge & skills to practice safely in the UK. In CCU this can be done through three main routes:
PLAB
EDIC
EDAIC
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 intensive care medicine 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, doctors can then take up training or a more senior post once they have established themselves in the NHS.
Take a look through our comprehensive guides on PLAB:
PLAB – a guide for overseas doctors
PLAB 1 – a closer look
PLAB 2 – a closer look
Route 2 - EDAIC or EDIC:
Attaining a EDIC or EDAIC qualification is a preferred path for doctors who have already chosen their field of specialism. For senior ICU specialists taking this route, they will gain access to more senior, well-paid jobs in the specialism of their choice.
The European Society of Intensive Care Medicine awards EDIC qualifications and the European Society of Anaesthesiology & Intensive Care award EDAIC. Read our article on EDAIC here: EDAIC - a guide for overseas doctors. An article on EDAIC will be coming soon.
Route 3 - Other GMC Recognised or Equivalent Qualifications:
Some other 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 anaesthesiology & intensive care qualifications from several countries around the world that are currently accepted by the GMC, EDAIC being one common example. Find out if your qualification is accepted by the GMC: 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: 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:Tier 2 Dependant visa - can i bring my family with me to the UK?
GMC Registration
With everything in place, you can apply for full registration with a licence to practice with the GMC. Remember, for full GMC registration you must provide evidence of:
Evidence of English language capabilities
AND
Evidence of sufficient skill and knowledge (PLAB, FRCA Primary, EDAIC or equivalent)
Understand the registration process in full & by reading our article: GMC Registration for overseas doctors
Job search
We recommend starting the job search as early as possible. Demand for Non-EEA anaesthetists 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 anaesthetics 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 ICU, 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.
IMG Library – Relocation & UK Life
Brexit
Many ICU specialists have questions about how the UK’s withdrawal from the European Union (EU) will affect doctors from outside the EEA already working in the UK, and those who may wish to work here in the future.
Whilst we are still pushing for a halt to Brexit, we've been keeping a close eye on policies and developments to ensure that we keep our doctors as up to date as possible. While we await more information from the UK Government about what our future relationship with Europe will look like, what is clear is that there are no current changes to immigration entry requirements for non-EEA doctors.
Overseas doctors are most welcome in the NHS with or without Brexit… you are in demand and we will support with all the necessary requirements for entry to the UK.
Take a look at our Brexit articles for more information: IMG Library - Brexit
Which routes can overseas specialist medicine doctors take to GMC registration & securing jobs in the NHS?
All doctors in specialist medicine areas such as respiratory, gastroenterology, dermatology, endocrinology, neurology, cardiology, geriatrics, rheumatology and stroke medicine will need to satisfy certain criteria to fully register with the General Medical Council (GMC). What these criteria are will depend on whether you are applying from inside or outside of Europe.
This article will prove relevant to all the medical specialties that fall within the various specialisms within medicine whilst also including haematology (MRCP + FRCPath is the complete set of qualifications) and other off-shoots such as infectious disease.
The criteria you must meet depends on where you currently live and practice, either inside the EEA (& associated countries) or outside the EEA. This article is designed to give you a snapshot of the steps you need to take to start your journey to the UK, no matter where in the world you live.
Inside the EEA – click here
Outside the EEA – click here
“Doctors from countries around the world play a vital and significant role in our NHS and in the delivery of safe patient care. This is not only welcome but is part of the continuous exchange of knowledge in healthcare and should be strongly encouraged. They make an invaluable contribution to the NHS.”
Joint statement from the Royal College of Physicians
Inside the EEA
Firstly, it is important to note that where we refer to EEA in this article this refers to all countries inside the EU, including Lichtenstein, Iceland & Norway.
If you qualified as a doctor 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.
As an EEA doctor, the main hurdle that you will face is demonstrating that your English skills are of a high enough standard to practice safely as a doctor in the UK & NHS.
English Language Testing
Any international doctor, regardless of specialty, experience or country of origin, must demonstrate they have sufficient competence of the English language.
You can do this by passing either of the following:
IELTS – International English Language Testing System
OET – Occupational English Test
Take a look at our helpful articles below for detailed information on both tests:
IELTS – a guide for overseas doctors
OET – a guide for overseas doctors
GMC Registration
Having passed your English Language Test, you can now apply for full registration with a licence to practice with the GMC. For full GMC registration you must provide evidence of:
Evidence of English language capabilities (IELTS or OET)
AND
Evidence of sufficient skill and knowledge (your equivalent qualifications)
Understand the registration process in full & by reading our article: IMG Library - GMC Registration for overseas doctors
Job search
We recommend starting the job search as early as possible. Demand for European doctors 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 jobs than are readily available online.
Our network extends to psychiatry 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 General Medicine, will negotiate on your behalf ensuring you get the most competitive salary.
Our aim is to have a job offer on the table before your GMC registration is complete, giving you the peace of mind of having an agreed contract in place - leaving you to carefully plan your relocation to the UK.
Take a look at our most recent jobs: Job Search
Relocation
Obviously, any doctor’s journey isn’t all exams, registrations and language tests… there’s also the small matter of relocation and settling into life in the UK.
Once you have secured your role in the UK, we focus on supporting you and your family with all your relocation plans. This can include, but is not exclusive to, securing accommodation, travel planning, setting up bank accounts & national insurance numbers – every step of the way we are here to help.
Have a read through our IMG Library and take in all the beautifully organised information on relocation and UK life to immeasurably help your first days, weeks and months in the UK.
IMG Library – Relocation & UK Life
Outside of the EEA
If you qualified as a doctor 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 General Medicine doctors, looking at the following:
English Language Testing
Evidence of Knowledge & Skills - PLAB, MRCP or equivalents
Tier 2 Visas
Full GMC Registration
English Language Testing
Any international doctor, regardless of specialty, experience or country of origin, must demonstrate they have sufficient competence of the English language. You can do this by passing either of the following:
IELTS – International English Language Testing System
OET – Occupational English Test
Take a look at our helpful articles below for detailed information on both tests:
IELTS – a guide for overseas doctors
OET – a guide for overseas doctors
Evidence of Knowledge & Skills in Medicine
Overseas doctors must prove to the GMC they have sufficient knowledge & skills to practice safely in the UK. This can be done through three main routes:
PLAB
Royal College qualification of MRCP
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 Medicine 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, international doctors can then take up training or a more senior post once they have established themselves in the NHS.
Take a look through our comprehensive guides on PLAB:
PLAB – a guide for overseas doctors
PLAB 1 – a closer look
PLAB 2 – a closer look
Route 2 - Royal College Qualification:
Attaining a Royal College qualification is a preferred path for doctors who have already chosen their field of specialism i.e. medicine. For senior medicine doctors taking this route, they will gain access to more senior, well-paid jobs in the specialism of their choice.
The Royal College of Physicians is the Professional Body that regulates the specialism of medicine in the UK, and Membership of the Royal College of Physicians (MRCP) is the full qualification attainable by examination.
For overseas doctors, attaining MRCP will satisfy the knowledge & skill criteria for GMC registration and facilitate application for more senior roles in UK medicine.
Take a look at our complete guide on Membership of the Royal College of Physicians to understand more: MRCP – a guide for overseas doctors
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 qualifications from several countries around the world that are currently accepted by the GMC.
Find out if your qualification is accepted by the GMC: 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: Tier 2 Visa application process & documents needed
Wondering whether you can relocate with your family? Take a look at our blog on the Tier 2 dependant visa: Tier 2 Dependant visa - can i bring my family with me to the UK?
GMC Registration
With everything in place, you can apply for full registration with a licence to practice with the GMC. Remember, for full GMC registration you must provide evidence of:
Evidence of English language capabilities
AND
Evidence of sufficient skill and knowledge (PLAB, MRCP or equivalent)
Understand the registration process in full & by reading our article: GMC Registration for overseas doctors
Job search
We recommend starting the job search as early as possible. Demand for Non-EEA doctors 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 general medicine 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 medicine, 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 Library – Relocation & UK Life
Follow us on social media for news and updates on GMC registration, the Royal College and NHS through the links below:
There are several routes an overseas histopathologist can take to GMC registration & practicing anatomic pathology in the NHS.
All pathologists looking to secure a job in the NHS, whether you are from inside or outside of Europe, will need to satisfy certain criteria to fully register with the General Medical Council before they can practice in the NHS. As a histopathologist, the criteria you need to meet depends on where you trained, and what qualifications you hold. This article is designed to give you a snapshot of the steps you need to take to start your journey to the UK, no matter where in the world you live. We’ll be covering the following:
How do I demonstrate my knowledge and skills as an EEA histopathologist?
How do I demonstrate my knowledge and skills as a non-EEA histopathologist?
How can I demonstrate my English language skills?
What is a certificate of good standing and how do I get one?
What do I need to register with the GMC?
Will I need a visa to work in the UK?
Evidence of knowledge and skills for EEA histopathologists
For histopathologists who trained in an EEA country (all countries inside the EU, including Lichtenstein, Iceland, Switzerland & Norway), there are a number of different options potentially available to you.
Depending on the country and year you completed your residency or basic medical training, the GMC may automatically recognise your qualifications and grant you either General Registration, or Specialist Registration in the UK. To find out if your country’s qualifications will allow you to register for either general or specialist registration, check the relevant GMC page here.
Basic Medical Training: If you have met the basic medical training requirements, this would mean that you would not need to demonstrate your medical knowledge and skills to work as a doctor in the UK and would not need to complete a UK- recognised postgraduate qualification or PLAB to register with a license to practice. You would be granted full registration in this case, but not Specialist Registration.
Specialist Training / Residency: If you have met the criteria listed for your country then you once you completed your GMC application process you would be granted Specialist Registration in your Specialty and can be appointed as a substantive or permanent consultant in the NHS. So as a pathologist, if you hold a Relevent European Specialist qualification then you would be on the specialist register for histopathology, and can be appointed as a substantive histopathologist in the NHS.
So, the main hurdle that you will face is demonstrating that your English skills are of a high enough standard to practice safely as a doctor in the UK & NHS.
As a European histopathologist, this is in most cases the easiest route to becoming GMC-registered and being able to practice in the UK.
If you do not meet the GMC requirements for your training to be approved for full or specialist registration, other routes you may consider to GMC registration include PLAB or (via the postgraduate route) the Royal College exams for Histopathology (FRCPath). You can find out more about these alternative routes here.
Evidence of knowledge and skills for non-EEA histopathologists
If you qualified as a histopathologist outside the EEA, then you will have to demonstrate that both your medical knowledge and skills AND English Language capabilities meet the level required to practice safely in the UK.
Histopathologists who've trained from outside the UK and EEA must demonstrate to the GMC they have sufficient knowledge & skills to practice safely in the UK. For histopathologists this can be done through one of three main routes:
Professional & Linguistics Assessment Board (PLAB)
The PLAB exam is a two-part exam that assesses a doctor’s ability to work safely as an SHO in the NHS, as such it does not demonstrate ability in pathology specifically. For this reason, PLAB tends to be a route for junior doctors who have not already chosen their field of specialisation in medicine. That said, for some senior doctors PLAB can be an attractive option, offering a quicker route to the UK, whilst still securing competitive salaries. If taking this option, pathologists can then take up training or a more senior post once they have established themselves in the NHS. Take a look through our comprehensive guides on PLAB.
Fellowship of Royal College of Pathologists
Royal College Qualification of FRCPath: Attaining a Royal College qualification is a preferred path for doctors who have already chosen their field of specialism i.e. pathology. For senior pathologists taking this route, they will gain access to more senior, well-paid jobs in the specialism of their choice. The Royal College of Pathologists is the Professional Body that regulates the specialism of Pathology in the UK, and Membership of the Royal College of Pathologists (FRCPath) is the full qualification attainable by examination. For overseas doctors, attaining FRCPath will satisfy the knowledge & skill criteria for GMC registration and facilitate application for more senior roles in UK Pathology. Take a look at our complete guides on Fellowship of the Royal College of Pathologists as per your sub-specialty to understand more.
GMC recognised or equivalent qualifications
Some overseas qualifications and licensing exams are recognised by the GMC and accepted for registration purposes. This is to say these qualifications or licensing exams are considered as meeting the same standards as the Royal College qualifications.
To find out if your qualification is accepted by the GMC, take a look at our blog: Overseas accepted postgraduate qualifications.
English Language Testing
Both EEA and non-EEA histopathologists, regardless of experience, and country of origin, must demonstrate that they have a sufficient grasp and competence of the English language. This can be done by passing either the International English Language Testing System (IELTS) or the Occupational English Test (OET). Detailed guides to these tests can be found below:
IELTS – a guide for overseas doctors
OET – a guide for overseas doctors
Experience in English-speaking countries
For doctors who have at least two years of their most current experience in an English-speaking country, you can use a reference from your current employer or employers over these two or more years to demonstrate competence of the English language. This would exempt you from sitting an English language exam.
Certificate of Good Standing
All doctors registering with the GMC must provide a certificate of good standing from each medical regulatory authority they’ve been registered or licensed with in the last five years.
The medical regulatory authority may send you a certificate of past good standing if you're not currently registered or licensed with them. You can find out which medical regulatory authority to contact via the GMC website here.
Please note that each certificate is only valid for three months from the date it's signed and must be valid when we approve your application.
If there's no medical regulatory authority in the country to issue a certificate, the GMC will give you further advice once your application has been assessed.
GMC Registration
Once you’ve completed your English language exam, you can now apply for full GMC registration with a license to practice. For registration, you must provide evidence of:
English language capabilities - either your IELTS, OET or an approved reference from your current employer (if you have been working in an English-speaking country for the last two years).
AND
Certificate of good standing – the certificate from your medical regulatory authority which demonstrates good standing.
AND
(EEA pathologists) Sufficient skill and knowledge – as an EEA pathologist, this would either be your recognised EEA qualification.
OR
(Non-EEA pathologists) Sufficient skill and knowledge – as a non-EEA pathologist, this would either be PLAB, FRCPath or a GMC-approved qualification.
To understand the registration process more fully, read our blog on GMC registration for overseas doctors here.
Visas
If you or your family are from the EU, Switzerland, Norway, Iceland or Liechtenstein and started living in the UK by 31 December 2020, you may be able to apply to the free EU Settlement Scheme. Otherwise, you will need to apply for a visa from the UK Home Office.
A Tier 2 visa is the document given to a skilled worker by the UK Home Office following a job offer from a UK employer with a valid Tier 2 Sponsorship License. The list of valid Tier 2 Sponsors can be found here.
Understand Tier 2 visas and Certificates of Sponsorship in depth by taking a look at our article: Tier 2 Visa - how do I apply and what's the process?
Wondering whether you can relocate with your family? Take a look at our blog on the Tier 2 dependent visa below: Tier 2 Dependent visa - Can I bring my family with me to the UK?
For pathologists looking to come to the UK to work in the NHS, GMC registration and specialist registration is a crucial part of the process. Therefore, it’s important to put together a good application to present to the GMC, and IMG Connect are here to help with this. Whether it’s deciding the best options for demonstrating your skills and knowledge in histopathology, or sourcing the best English Language courses and resources, take advantage of the benefits of having a pathology recruitment specialist working with you and proving you with the best guidance and support to fit your career needs.
For regular news and updates on the Royal College and all things pathology, follow IMG Connect on social media using the links below: