As an overseas doctor where should you start with your PACES exam preparation? With lots of resources available online, we discussed with successful candidates for them the best place to start looking for exam materials. Whilst there are lots of fantastic courses available for IMGs to help pass their PACES exam first time, most IMGs recommended starting their preparation with free resources from the Royal College of Physicians. Using these will give you strong foundations to further supplement with any further studies or courses which you may decide to invest in. We have provided the Royal College's official resources below: Curriculum PACES station 4 examiner guidance examples PACES sample scenarios Videos - what to expect on the day PACES candidate videos Candidate guidenotes PACES marksheets General Exam Tips & Preparation  Passed? What next? It is recommended that to give yourself the best chance, you gain clinical experience involving care of emergency patients, adults and children. We advise you to regularly invite senior colleagues to observe and provide feedback on your clinical assessments, so you will be comfortable with the PACES format and give you confidence in approaching and examining patients with examiners present. Curriculum: Applicants are tested on a range of common and important disorders in General Medicine as set out in the Joint Royal Colleges Specialty Training Curriculum for Core Medical Training. We recommend getting to know the curriculum as early as possible, using it as a road map for your study plan.  PACES station 4 examiner guidance examples: This useful guide contains examples of the types of statements found in the examiner guidance section of station 4 scenarios. This will help you to understand what the examiner is looking for.  PACES sample scenarios: These will provide you with the most accurate and relevant scenarios to prepare you for the real thing. Sample scenarios cover Station 2, 4 & 5 (‘history taking’, ‘communication skills and ethics’ and ‘clinical consultations’ respectively. Most of these have been previously used in a recent exam, but please note that during the exam you will only receive the section marked ‘information for the candidate’. Videos - what to expect on the day: These helpful videos will give you a true reflection of what to expect on the day of the exam, easing some of the pressure and ensuring you can focus on the task at hand.  PACES candidate video: Whilst there are lots of useful videos online that are easy to find, the PACES candidate video contains important information about the exam, and practical examples of how the exam will run.  Candidate guidenotes: These guidenotes created by the Royal College help IMGs to understand what to expect on the day, from your arrival to the completion of the test.  PACES Marksheets: To help you understand how PACES is marked here are some examples of full marksheets. It can also be useful to understand how IMGs have failed the exam in the past, as this will give you the best chance to pass first time. The ‘how I failed PACES’ guide provides tips to help you to identify where you might be going wrong, along with practical advice to help you to improve.  General Exam Tips & Preparation: For a useful overview of how to prepare for exams, including advice on study groups, online community support, best use of online resources & Royal College materials and courses - take a look at our blogs on exam tips and preparation.  Passed? What next?  First of all, congratulations! After you have passed all parts of MRCP(UK) you can apply for a full registration with a license to practice. Once the GMC have approved your application, you can work as a doctor in the UK.  IMG Jobs  Search and find live NHS doctor jobs in the UK IMG Resources Read more useful articles on finding an NHS trust doctor job, pay scales & doctor’s salary in the UK, relocation and much more!   Get in Touch Don’t hesitate to get in touch using the buttons above (and below) to discuss doctor job options in the NHS, including discussions regarding CESR, a typical doctor salary in the UK and the most suitable NHS jobs & hospital locations for you. Follow us on social media for news and updates on GMC registration, the Royal College and NHS through the links below:             

Overseas radiologists often ask us how to best prepare for the Final FRCR Part 2A and 2B exams. With so much online content geared towards UK trainees, it can be difficult to know what is best suited to you as an international candidate.  Here we have compiled some of the best advice and resources available to help overseas radiologists prepare for their Royal College (RCR) exams. We’ll also address some of the changes to the exam, both the format, administration and availability of the exam for IMGs.  The topics we’ll cover are as follows:  A recap of FRCR CR2A and CR2B What resources are available for IMGs?  Royal College Resources Courses Books #IMG Tips Skip ahead to the relevant section if you know what you’re looking for.  An Overview of FRCR CR2A and CR2B As a quick reminder, Final FRCR refers to the final two exams in the Royal College of Radiologists examination suite for clinical and diagnostic radiologists. The full series - Part 1, Part 2A and 2B – is required by overseas radiologists when applying for GMC registration through the postgraduate route.  FRCR CR2A assesses knowledge of the pathology, imaging techniques, congenital abnormalities and radiological findings that underpin clinical radiology practice.   The FRCR 2A exam consists of 2 papers sat on the same day; each paper containing 120 single-best-answer questions (240 questions in total). Each paper lasts 3 hours.  CR2B is not an exit exam but is a key step in a trainee's progress towards independent reporting. The exam assesses several aspects of the candidate's radiological skills, all of which are considered necessary for safe and effective radiological practise.  Part 2B has 3 separate sections as below:  Rapid reporting - 30 plain radiographs in 35 minutes  Reporting (long cases) - 6 cases in 75 minutes  Oral (viva) - 2 x 30-minute vivas  In total, the exam lasts 2 hours and 50 minutes.  For a full overview of the FRCR exam series, see our blog here. Preparation & Revision Resources After discussing with IMGs the best way to approach preparing for the Final FRCR exams, most recommended beginning with the Royal College website and resources, which they have put together to aid in your preparation.  Curriculum: The FRCR exams are based on the Specialty Training Curriculum for Clinical Radiology. 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 Instructional video: demonstrations of both parts of FRCR Part 2, providing insight into both elements of the exam and what candidates can expect on the day. These are on the RCR website here.  Guidance notes for Part 2A: a guidance document on key elements of the exam, found here.  Guidance notes for Part 2B: important information on the three sections of the exam, available here.  Sample questions: sample SBA and oral questions for the exams have been provided with answers on the RCR website, here for Part A and here for Part B.  Candidate reference sheet: a reference list of abbreviations and normal ranges for use during Part 2A, found here.  Examiners’ reports for Part 2B: 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.  Understand the SBA format and how to approach questions: this document also provides questions that have been used previously in the Final FRCR (Part A) Examination. You can find this here.  TNM Staging guidance - this document explains the knowledge required to answer questions related to this topic, available here.  Demonstration films: demonstrations of both parts of FRCR Part 2, providing insight into both elements of the exam and what candidates can expect on the day. These are on the RCR website here.  Scoring system for Part 2B: key information on how each part of the exam is marked, found here.  Courses There are several online courses which provide preparation for the exams, including mock exams and insight into exam technique. As with all courses, we advise that you register your interest as soon as possible to avoid disappointment as they are in very high demand.  Please note these courses are subject to change and candidates are advised to book early (up to one year in advance in some cases), as spaces are often limited. Places may become available at the last minute, so make sure you add your name to a waiting list if possible.  Midlands FRCR 2A Review Course This is an in-person revision course for the FRCR Part 2A exam held in Leicester. The course provides a refresher course covering a range of important topics, an interactive lecture-based course delivered in a ‘single best answer format’ and tips and tricks from trainees with recent experience of the exam. Duration - 3 days Cost - £350 London Heathrow FRCR 2B Preparation Course This is a two-day course aimed at clinical trainees who are preparing for their FRCR CR2B. The course offers a minimum of 4 viva sets, 4 long case sets along with 4 rapid reporting packets. A further 2 lectures would also be included during the 2 days.  The course is delivered live virtually.  Duration - 2 days Cost - £500 Red Dot Radiology Courses These are in-person revision courses for Part 2B which cover rapid reporting as well as focused days on chest x-rays. The courses are live online via an interactive video and are led by FRCR qualified UK-based radiologists.   Duration - 1 day Cost - £165 Aunt Minnie Courses This is an online two-day course that runs twice a year and concentrates on Aunt Minnie cases that you may encounter in your FRCR 2B exam. The course is split into mini tests, workshops and exam tips to ensure candidates remain refreshed and stimulated.   Duration - 2 days Cost - £350 Books FRCR CR2A  Grainger & Allison’s Diagnostic Radiology  Fundamentals of Diagnostic Radiology - Brant & Helms  Primer of Diagnostic Imaging - Weissleder  Radiology Review Manual - Wolfgang Dahnert  Crack the Core Exam – Prometheus Lionhart  Fundamentals of Skeletal Radiology – Clyde A. Helms  Get Through Final FRCR 2A: SBAs - Teck Yew Chin, Susan Cheng Shelmerdine  RSBAs for the FRCR Part 2A - Richard Lindsay    FRCR CR2B  Rapid Review of Radiology - Shahid Hussain, Sherif Latif, Adrian Hall  Top 3 Differentials in Radiology - William O'Brien  Long Cases for the Final FRCR 2B - Rebecca Hanlon  Aunt Minnie's Atlas and Imaging-specific Diagnosis - Thomas Pope  Final FRCR Part B Viva: 100 Cases - Richard White, Robin Proctor, Ian Zealley  Chapman & Nakielny's Aids to Radiological Differential Diagnosis – Stephen Davies  #IMG Tips  Familiarise yourself with the exam content – the best way to do this is through the syllabus and curriculum  Prepare early – the earlier you begin your revision, the more structured and relaxed the entire process can be and the more likely you are to pass!  Invest in the right resources and courses – many resources from books to courses come at a cost – think about your own preferred style of learning and choose the resources that best suit you! Have any colleagues going through the exams or already passed? See if you can borrow or split the cost of resources.  Practise, practise, practise – this is of course a given...practise makes perfect and getting used to the format and being able to go through many sample questions will set you up well for the exam!  Sources  https://www.rcr.ac.uk/clinical-radiology/examinations/frcr-part-2a-radiology-cr2a   https://www.rcr.ac.uk/clinical-radiology/examinations/frcr-part-2b-radiology-cr2b  https://www.rcr.ac.uk/sites/default/files/clinical_radiology_curriculum_2020.pdf  Getting started  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!  Follow us on social media through the links below for regular news and updates on the Royal College, relocating to the UK and working in the NHS.             

FRCEM is a crucial step when working towards either CCT or CESR in Emergency Medicine.  International Medical Graduates (IMGs) from any country in the world can sit some FRCEM examinations, provided certain eligibility criteria are met. For overseas doctors attaining FRCEM is not a route to GMC registration and you are better suited to the MRCEM pathway. These are summarised below along with a broad look at the following topics: What is FRCEM? FRCEM Route Eligibility for overseas doctors FRCEM Primary Examination FRCEM Intermediate Certificate FRCEM Final Examination As an overseas candidate where can I take the exam and how much will it cost me? How do I apply? How to prepare and what resources are available Passed? What next? What is FRCEM? Fellowship of the Royal College is awarded to candidates who pass three examination components.  There have been a few changes to the MRCEM and FRCEM examination structure over the last few years, as such there are currently two routes to an accreditation in Emergency Medicine, both leading to RCEM Membership. These two routes are: Membership of the Royal College of Emergency Medicine (MRCEM) Fellowship of the Royal College of Emergency Medicine (FRCEM) As of August 2018, applicants beginning the process will be able to sit one set of exams leading to the award of Fellowship of the Royal College of Emergency Medicine (FRCEM). FRCEM is one of several routes an overseas emergency medicine doctor can take full GMC registration. Read our blogs on acceptable postgraduate qualifications and PLAB if you are unsure what route to take. For doctors who wish to take more senior roles reflective of their current practice, IMG Connect advise that MRCEM or FRCEM would be the best route to take. Understand the MRCEM pathway in this article above. FRCEM Examination route: The Fellowship Examinations consists of the following components: FRCEM Primary Examination one, three-hour written paper FRCEM Intermediate Certificate Short Answer Question Paper (SAQ) Situations Judgement Paper (SJP) FRCEM Final Examination  Critical Appraisal (Short Answer Question Paper) Quality Improvement Project (QIP) Clinical Short Answer Question Paper Objective Structured Clinical Examination (OSCE)  Eligibility for overseas doctors: FRCEM Primary: To be eligible you must hold a Primary Medical Qualification (PMQ) that is recognised by the GMC for registration purposes. FRCEM Intermediate: To be eligible you must hold a PMQ recognised by the GMC, have completed an equivalent to the UK Foundation Programme and have passed FRCEM Primary Examination after 1st August 2016. You will also be eligible if you have been granted exemption from the FRCEM Primary as a result of obtaining MRCS or MRCSI after 1st January 2012. FRCEM Final Examination: To be eligible you must have FRCEM Primary and FRCEM Intermediate Certificate, attained after 1st August 2016. However, the requirements make it incredibly dififcult to attain outside of the UK - so you are best advised to attain MRCEM, work in the UK and then work towards FRCEM whilst practicing in the NHS. The examination is conducted in English and candidates are advised that IELTS Level 7 is the expected standard for completion of the FRCEM examinations. Remember, you will need to have a pass of 7.5 average in all areas of IELTS to complete your GMC registration. FRCEM Primary Examination: The FRCEM Primary Examination is mapped to the Emergency Medicine 2015 Curriculum. More detailed information is provided in the RCEM Basic Sciences Curriculum (June 2010). The exam consists of one 3-hour paper of 180 single best answer questions (SBAQs) so you must choose one best answer from a choice of five feasible answers.  The paper will examine all the domains of knowledge in the Basic Sciences Curriculum including: Anatomy Physiology Pathology Microbiology Pharmacology Evidence Based Medicine FRCEM Intermediate Certificate: FRCEM Intermediate Certificate is comprised of two papers: Short Answer Question paper (SAQ): A single 3-hour paper of 60 questions, each worth 3 marks.  Unlike single best answer questions (SBAQs) you will not have the advantage of having a list of options to choose from. Instead you will have to compose your answer independently. The blueprint for the FRCEM intermediate is as follows: Curriculum Category Questions Common Competences 7 Clinical Presentations – Core Major & Acute Presentations  18 Anaesthetic Competences CT1&2 4 ICM within ACCS 2 Acute Presentations – Additional Adult ST3 6 Paediatric Presentations – Makor & Acute Presentations  11 Practical Procedures (ACCS) 12 Total  60 Situational Judgement Paper (SJP): A two-hour paper of 120 single best answer questions. This written paper is designed to test your ability to understand & respond appropriately to real world clinical situations, assessing you against the Common Competencies in the Emergency Medicine Training Curriculum 2015.  FRCEM Final Examination: From August 2018 the FRCEM Final consists of the following components: FRCEM Critical Appraisal (Short Answer Question Paper)  FRCEM Quality Improvement Project (QIP)  FRCEM Final Clinical Short Answer Question Paper  FRCEM OSCE  Each component tests individual skill sets and as such may be sat independently. FRCEM Critical Appraisal: A 90-minute Short Answer Question Paper. FRCEM Quality Improvement Project (QIP): This replaced the CTR from 1st August 2016. The QIP is a written submission that should be completed whilst working in Emergency Medicine at a level above ST3 or SHO. It should focus on quality improvement in Emergency Medicine, and may focus on either adult or paediatric Emergency Medicine. Any candidates who have not been awarded FRCEM by 31st July 2018, irrespective of any previous passes in CTR, are required to pass the new FRCEM QIP. Clinical Short Answer Question paper (SAQ): The SAQ is a 3-hour paper consisting of 60, 3-mark questions. A summarised blueprint for the FRCEM Final SAQ is as follows.  A fuller version can be found on the RCEM website here. HST Major and Acute Presentations 25 questions Additional Paediatric Practical Procedures 3 questions Practical Procedures (HST) 11 questions Ultrasound 3 questions Clinical Presentations - Core Major & Acute Presentations 6 questions Common Competencies 2 questions Anaesthetic Competences CT1&2 1 question ICM within ACCS 1 question Acute Presentations - Additional Adult ST3 2 questions Paediatric Presentations - Major & Acute Presentations 3 questions Practical Procedures (ACCS) 3 questions FRCEM Final OSCE: The exam is set in a practical setting and tests your ability to apply knowledge & experience directly to patients – rather than reciting learned knowledge. The exam consists of 16, 8-minute stations with one minute provided in between stations for reading time. As with many other final stages to Royal College exams – FRCEM Final OSCE will make use of manikins or actors and you will be observed by an examiner after being presented with a clinical case to assess. Examiners will not engage with you – only observe and mark. A brief summary of the curriculum for OSCE is found below: Stations Curriculum 1 Core Acute 2a Resuscitation 2b 3 Core Major 4 Common Competencies 5 Common Competences 6 Anaesthetic Competences 7a Paediatric Resuscitation 7b 8 Paediatric Acute 9 Paediatric Major 10 HST Major 11 HST and Adult Acute 12 Practical Skills 13 Paediatric Practical Skills 14 Non-technical Skills  As an overseas candidate where can I take the exam and how much will it cost me? Examination and application dates are regularly updated by the Royal College and can be found here.  Please remember, applications made outside the application period will not be accepted. Examination Location Fees FRCEM Primary Short Answer Question Paper UK £310 Iceland, Malaysia, Oman, India £390 FRCEM Intermediate Certificate SAQ UK £305 Iceland, Malaysia, Oman £385 FRCEM Intermediate Cert. (SJP) UK £200 Kuala Lumpur £200 FRCEM Final Clinical SAQ UK £300 FRCEM Final Critical Appraisal SAQ UK £240 FRCEM Final QIP N/A £150 FRCEM Final OSCE London £420 How can I apply? All applications are made online and links to all application forms and windows are available here. It is worth noting, the application can take some time to complete so it is always advisable to apply well in advance of the deadlines. Please remember, applications submitted after the application period will not be accepted.  How do I prepare for each exam and what resources are available? With lots of resources available online, we have discussed with IMGs the best place to start looking for materials relating to the exams. Most IMGs recommended starting with the Royal College, who have created useful resources to help you to prepare for the exams.  Curriculum:  Applicants are tested on a range of common and important disorders in Emergency Medicine as set out in the Emergency Medicine Training Curriculum 2015. We recommend getting to know the curriculum as early as possible and using it as a road map for your study plan.  Information Packs: These provide detailed information for the relevant examination components so that you can best prepare for your studies and what to expect on the day: FRCEM Primary FRCEM Intermediate FRCEM Final Examination SAQ Blueprint: The blueprint for the new Intermediate SAQ exam can be found on page 8 of the FRCEM Intermediate examination pack, downloaded from the RCEM website here. SJP Blueprint: A blueprint of the new Intermediate SJP exam can be found on page 11 FRCEM Intermediate examination pack, downloaded from the RCEM website here. Sample questions:  Test your knowledge using example questions from the current exam syllabus provided by the Royal College, see below: Primary – sample questions Intermediate Certificate – sample SJP questions Final – successful QIP Reducing referral rates of paediatric patients to plastic surgery Management of fractured neck of femurs in the ED Final – unsuccessful QIP Critical Appraisal Questions – Advice to Candidates  Critical Appraisal – Most Frequently Offered Answers Glossary of Terms:  The royal college uses many terms that may cause confusion, so take plenty time to understand the terms and definitions used in this guide. Candidates are expected to be rigorous in their use of these terms. Glossary of terms used in RCEM exams. Examination Report: The Royal College recently began to publish reports on the performance of those sitting FRCEM examinations. Below is the first report published and helps to break down results for those in training and those out of training.  2018 Examination report. Online resources:  There are lots of resources online, such as videos on YouTube, FRCEM courses and useful reading materials. We think that these are a great addition to your study plan, just be sure to check your sources.  For a useful overview of how to prepare for exams, including advice on study groups, online community support, best use of online resources & Royal College materials and courses, take a look at our blog: IMG Connects Top Tips for exam preparation. As ever at IMG Connect we believe in preparation. In order to succeed in the clinical exam, IMGs have told us that it is vital that you practice your clinical examinations as frequently as possible, preferably under the supervision of a senior colleague. This will give you confidence in approaching and examining patients with examiners present. Should I take a course to prepare for the OSCE? Whilst it is not essential to take a course when preparing for the MRCEM or FRCEM OSCE - there is no doubt it will help your preparations both technically and mentally, and should be considered an investment towards your future career plans. Have a read of our blog on recommended MRCEM courses for Emergency Medicine doctors. Passed? What next?  First of all, congratulations! After you have passed all parts of FRCEM, you will be on a firm path towards attaining your Specialist Registration in Emergency Medicine. FRCEM is not a route for GMC registration as doctors will already be in the UK, however those attaining MRCEM can do so from outside the UK, and use MRCEM as a route to GMC registration. For the latest news and updates on all things emergency medicine, including the Royal College, GMC registration and the NHS, follow us on social media and join the conversation.              

For overseas psychiatrists looking to register with the GMC and find a psychiatry job in the NHS, one option is to complete the Membership of the Royal College of Psychiatrists examinations - MRCPsych. Here we will take a detailed look at the MRCPsych exams, fees and centres.  International Medical Graduates (IMGs) from any country in the world can sit the MRCPsych examinations, provided certain eligibility criteria are met. These are summarised below along with a broad look at the following topics: What is MRCPsych? What is the exam content and format? Eligibility for overseas doctors Assessment Portfolio Sponsorship Requirements How do I apply? How much will it cost me? Where can I sit the exams? How can I prepare for the MRCPsych examinations Passed? What next? The Royal College of Psychiatrists is the professional body responsible for the specialty of Psychiatry throughout the UK. Among many other duties, its role is to set and monitor the educational curriculum for those training to enter the profession. What is MRCPsych?  The MRCPsych examinations are the central component of training for psychiatrists in the UK and the examinations are designed to test your knowledge of basic medical sciences as well as the clinical skills required for diagnosis and management within psychiatry.  For international doctors, MRCPsych is one of the two main routes IMGs can take to full GMC registration - you can find a range of articles covering these routes in our resource library here: Royal College or PLAB route.  For doctors who wish to take more senior roles reflective of their current practice, IMG Connect advise that MRCPsych would be the best route to take. Overseas doctors must be registered with a recognised medical board in their country of residence and should have undertaken 3 years of training and MRCPsych (UK) is a prerequisite to anyone wishing to go on to a specialist training post as a physician in the UK What is the exam content and format?  The MRCPsych examinations consist of two written papers (Paper A + Paper B) and one clinical examination (CASC).  Typically, a UK Psychiatrist would sit Paper A from FY2. Candidates will then progress through MRCPsych examinations from CT1 – CT3, before going on to specially training for CCT.  Paper A – The scientific and theoretical basis of psychiatry – 3 hours This is a written paper, worth 150 marks and comprising 150 questions made up of approximately two thirds multiple choice questions (MCQ) and one third extended matching item questions (EMI).  It covers the following sections of the syllabus:  Paper A is now taken online.  Paper B - Critical review and the clinical topics in psychiatry – 3 hours This is a written paper, worth 150 marks and comprising 150 questions made up of approximately one third covering critical review and two thirds covering clinical topics.  It covers the following sections of the syllabus:  Paper B is now taken online.  CASC - Clinical Assessment of Skills and Competencies The CASC is based on a format that is similar to OSCEs. Specifically, the examination consists of two circuits which must be completed on the same day. In total, the circuit includes 16 stations, made up of:  five stations on history taking, including risk assessment five stations on examination, including physical and mental state six stations on patient management  Stations consist of several elements with instructions provided to all candidates, marked against the examiners construct.  These have a standardised format with elements in common between stations of a similar type. Find out more here. The CASC exam is taken in person. Eligibility for overseas doctors The MRCPsych examinations can be taken by both:   Doctors from the EU, who are working overseas Non-Eu doctors who are working overseas Each examination has different criteria, to complete the full MRCPsych, an overseas doctor must be registered with a recognised medical board in their country of residence and complete the Assessment Portfolio for Overseas Candidates demonstrating that they have complete 3 years of equivalent training.  Furthermore, prior to taking CASC, overseas candidates must demonstrate competencies in Psychotherapy AND Child & Adolescent Psychiatry or Learning Disability. For each part of the exam the Royal College suggest the following eligibility criteria:  MRCPsych Paper A You are eligible for Paper A if you are a fully registered medical practitioner.  MRCPsych Paper B It is a recommended to have at least 12 months experience in psychiatry before taking this examination.  Clinical Assessment of Skills and Competencies (CASC): You are eligible to take CASC if you have 24 months post internship experience in Psychiatry, by the time of sitting the CASC AND You have a pass in both Paper A and B AND You can demonstrate you have sponsorship in place. Sponsorship forms must be submitted by an appropriate medical education lead confirming that the eligibility requirements to sit the MRCPsych examinations have been met.  In addition, overseas candidates must show their sponsor evidence of having achieved equivalent competencies at appropriate competency levels (year 1, 2, 3) for each component of the examination. Assessment Portfolio for Overseas Candidates: As above, one aspect of eligibility for CASC as to complete an Assessment Portfolio. This must demonstrate achievement of equivalent competencies to those defined in the ARCP documented on the application form, this must include competencies in Psychotherapy AND Child and Adolescent Psychiatry, or Learning Disability have been achieved by the time of applying for the MRCPsych CASC. In addition, overseas candidates must demonstrate that they undertake the following activities as part of their structured job plans: be observed interviewing patients in ward rounds for specified reasons  be observed interviewing patients in out-patient or community settings or other contexts for specified reasons  be assessed via formal presentation of cases with their medical notes; discuss management of cases with their Clinical or Educational Supervisor be assessed formally in having achieved competencies in Child and Adolescent Psychiatry or Learning Disability AND Psychotherapy Assessments and achievement of competencies should take place in a range of settings and psychiatric specialties with structured, documented feedback on performance having been provided.   Whilst there is not an assessment criteria form available as this is incorporated into the online submission, take a look at the ARCP assessment portfolio form for CT1-3 in the UK, which should help give you a starting point for your own portfolio.  Sponsorship requirements International candidates must have a sponsor in place in order to support evidence that their three years of training satisfy Royal College criteria of having achieved equivalent competencies at appropriate competency levels (year 1, 2, 3) for each component of the examination.  Sponsorship is required by all applicants for entry to the CASC examination and your sponsor should be an appropriate medical education lead confirming you have met the requirements to sit the MRCPsych examinations. Acceptable sponsors are:  College Tutor Training Programme Director Educational Supervisor Head of School Director of Medical Education (or equivalent) Head of Department of Psychiatry Consultant responsible for employee/trainee appraisal Once your sponsor has authorised your application, you will receive a confirmation email from the Royal College, and you will be asked to complete your application and proceed to payment. How do I apply?  To apply you will need to complete an online application form. It takes about 15 – 20 minutes. You can sit Paper A and B in any order. You will be required to enter contact details and training history, including your medical registration. Payment is made by credit/debit card.  If applying for the CASC, you will also need to provide the contact details of your sponsor. It is important to note that the online form for Paper A, B and CASC will only be available during the published application dates and must be submitted before the closing date and time. Applications submitted after, will not be accepted. How much will it cost me? Candidate Paper A Paper B CASC PMPT Trainees and Affiliates (UK & Ireland Centres) £496 £446 £1,024 Non-PMPT Trainees and Affiliates (UK & Ireland Centres) £550 £495 £1,137 Where and when can I sit the examinations? The good news is that changes have been made in response to the COVID-19 pandemic, and Paper A and B can be taken online, making it much easier for IMGs to complete the MRCPsych examinations and work towards their GMC registration in a normal time frame. To maintain the integrity fo the CASC exam, delivery will be in-person only from September 2023. You can sit the examination from your home country with details on submissions and preparation for an online exam available on the Royal College website. For up-to-date information on application and exam dates, please see the Royal College website here. How do I prepare for the MRCPsych examinations?  With lots of materials online we have discussed with IMGs the best place to start looking for resources and materials relating to the exams. Most IMGs recommended starting with the Royal College, who have created useful resources to help you to prepare for the exams. See below:  Syllabus: We always suggest that this is the best place to start – plan your study around the curriculum topics and make a road map to your success in the exams.  Syllabus: summary of areas of core medical knowledge underpinning specialist training in psychiatry  Current critical review syllabus: For Paper B candidates will need to ensure that they make optimal use of the MRCPsych Paper B Critical review Evidence Based Practice Syllabic Content.  Sample Papers: These will help you prepare and polish your exam techniques and are a good idea to regularly benchmark your knowledge against the syllabus. In addition sample questions will help you work quickly on the day, you will already know what to expect. Please note: you may be required to be a member to access these.  Paper A sample questions Paper B sample questions  Marking schemes (Paper A and B): Candidates pass or fail the written papers based on their performance, and not how well you perform against other candidates. As such, it is a good idea to understand how the exam is worked, so you can maximise your exam skills, giving you the best chance of a pass.  Marking schemes can be found here.  Marking scheme (CASC): A good start with CASC preparation is to get to know how you will be assessed, take a look at the criteria for scoring a pass mark in CASC, as well as the History Marksheet, Management Marksheet and Examination Marksheet.  Written papers marksheet example: Again, this is a useful tool to help you familiarise yourself with the exam format and improve your test skills. An example marksheet can be found here.  CASC examination guide: The Royal College have produced a helpful guide for candidates which provides information on stations, role plays and assessment.  CASC preparation videos: Here you will have the opportunity to see CASC stations in action. This will give you a good idea of what to expect and help you prepare.  CASC Blueprint: This helpful summary details stations in some detail and gives a useful overview of the exam format.  The Royal College also suggest taking a look at Passing the MRCPsych - an insider’s guide - a useful guide to help you to get over the first steps.  As ever at IMG Connect, we believe in preparation. In order to succeed in the clinical exam, IMGs have told us that it is vital that you practise your clinical examinations as frequently as possible, preferably under the supervision of a senior colleague. This will give you confidence in approaching and examining children with examiners present. Passed? What's next?  First of all, congratulations! After you have passed all parts of MRCPsych you can apply for a full registration with a license to practice. Once the GMC have approved your application, you can work as a doctor in the UK. Don’t hesitate to get in touch using the buttons above (and below) and chat with an IMG Consultant to discuss your options for NHS roles with CESR support and start your journey towards Specialist Registration with IMG Connect.  For access to a community of like-minded psychiatry IMGs and dedicated psychiatry recruiters, join the IMG Psychiatrists Facebook group.    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.               

The first exam in the FRCPath Histopathology series...  Overseas histopathologists may have questions about the best ways to prepare for the FRCPath Part 1 exam. With so many resources available online, but many of them geared towards UK trainees, it can be difficult to know what is best suited to you as an international candidate.  In this blog we have compiled some of the best resources and guidance for FRCPath Part 1 aspirants. We will also quickly cover some of the recent changes to the exam regarding its delivery and availability in response to the COVID-19 pandemic.  Here we’ll take a closer look into these and other important questions through the following topics:  What is FRCPath Part 1? 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 FRCPath Part 1, what’s next? Skip ahead to the relevant section if you know what you’re looking for.  FRCPath Part 1  FRCPath Histopathology Part 1 is the first exam in the two-part examination series, administered by the Royal College of Pathologists. The content of the exam can be broken down into three sections:  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.  For an in-depth guide to the FRCPath Part 1 exam, or for a breakdown of the full FRCPath Histopathology exam suite, visit our IMG resources library.  Please note that only full FRCPath satisfies the GMC’s postgraduate requirements for overseas doctors.  How to get started with preparation for FRCPath Part 1  The best way for IMGs to begin their exam preparation is with the Royal College website and resources. The FRCPath Histopathology exams are based on the Curriculum for Specialty Training in Histopathology and as a rule, this should always be the starting point for your revision. This will ensure you are focusing on the exam material that will feature in your exam – knowing the curriculum is key! You can find this on the Royal College website here.  Royal College resources 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 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.  Other helpful resources include:  Oxbridge Medica - FRCPath Part 1 Revision Course  This is a 4-day, exam-oriented online revision course. The course includes live-streamed lectures across four days and covers all the major topics of the examination syllabus. The speakers have knowledge of the Royal College exam - some of them are examiners, and all are experienced teachers. The course can be found here.  Duration  4 days  Cost  £300 (£75 deposit)  Next start date  TBC   Pathology Online Hub - FRCPath Part 1 Orientation Course This is a preparatory course aimed at overseas candidates. The course includes an introduction to the exam, including a mock exam with a detailed discussion of answers and exam tips. The course can be found here.  Duration  1 day  Cost  £40   Next start date  TBC   Pathology Online Hub - FRCPath Part 1 Comprehensive Course This is a preparatory course aimed at non-UK candidates, including particularly basic and extended questions on the UK system. The course covers topics which are unique to the UK system and includes a one-hour practice mock similar to the exam format and a detailed discussion of the answers with feedback. The course can be found here.  Duration  1 day  Cost  £45   Next start date  TBC    Reading materials  There is no set reading list or official course for FRCPath Part 1 in Histopathology, however the following books come highly recommended by IMGs who have passed the Part 1 exam:  Practical Applications in Histopathology, Cytopathology & Autopsy – Dr Limci Gupta (£78)  FRCPath, Part 1: Examination Preparation Guide – S. Steele (£22.18)  Sternberg's Diagnostic Surgical Pathology Review - Pier Luigi Di Patre, Darryl Carter (£91.95)  Wheater’s Functional Histology – Barbara Young, Phil Woodford, Geraldine O’Dowd (£44.95)  Robbins and Cotran Atlas of Pathology - Edward Klatt (+/- £45)  (Designed to complement Robbins and Cotran Pathologic Basis of Disease, 8th Edition and Robbins Basic Pathology, 8th Edition)  How have the exams been affected by COVID-19?  In response to the challenges of the COVID-19 pandemic, the Royal College of Pathologists has migrated the FRCPath Part 1 exam online.  Candidates all over the world are now able to take the exam from their home countries. This development allows the College to continue to offer the FRCPath Part 1 exam to both UK trainees and overseas pathologists, with minimal disruptions to the exam schedule.  For full details about the online FRCPath Part 1 exam, please see our blog 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 curriculum – we cannot stress this enough! Every country’s qualification and practice differ, so being well-versed in the curriculum is the first step on your path to success in the exam. Prepare for the online format in advance – make sure to fully complete your IT checks well in advance to avoid tech issues on the day (and save yourself an unnecessary headache). Find a support network – a great way to do this is to join IMG Histopathologists, an online pathology community of UK and NHS histopathology aspirants and dedicated histopathology recruiters. You’ll find advice, guidance and updates about all things histopathology for IMGs. Join the conversation here.  I’ve passed the FRCPath Part 1 exam, what’s next?  Great stuff! This is a massive achievement, and you deserve to treat yourself after all your hard work. With a pass in hand, it's time to look ahead to FRCPath Part 2. For more information on the final exam in the examination series, take a look at our blog where we explore the FRCPath Part 2, including how to sit the final exam, fees and preparation and results.   Head to our IMG library for more useful articles on the FRCPath exams, GMC registration and qualifications you need to help you find your dream job in the NHS.  For regular news and updates, follow IMG Connect on social media using the links below:             

Attaining Membership of the Royal College of Emergency Medicine or MRCEM is required to attain GMC Registration and start your Emergency Medicine career in the NHS. International Medical Graduates (IMGs) from any country in the world can sit the MRCEM examinations, provided certain eligibility criteria are met. These are summarised below along with a broad look at the following topics: What is MRCEM? MRCEM Route Eligibility for overseas doctors Where can I take the exams & how much will they cost me? How do I apply? How to prepare and what resources are available Should I take an MRCEM course? Passed? What next? What is the Royal College of Emergency Medicine? The Royal College of Emergency Medicine is the professional body responsible for the specialty of Emergency Medicine throughout the UK. Among many other duties, its role is to set and monitor the educational curriculum for those training to enter the profession in the UK. What is MRCEM? Membership of the Royal College is awarded to candidates who pass three examination components.  There have been a few changes to the MRCEM and FRCEM examination structure over the last few years, as such there are currently two routes to an accreditation in Emergency Medicine, both leading to RCEM Membership. These two routes are: Membership of the Royal College of Emergency Medicine (MRCEM) Fellowship of the Royal College of Emergency Medicine (FRCEM) MRCEM & FRCEM are one several routes an overseas emergency medicine doctor can take full GMC registration. Read our blogs on acceptable postgraduate qualifications and PLAB if you are unsure what route to take. For doctors who wish to take more senior roles reflective of their current practice, IMG Connect advise that MRCEM or FRCEM would be the best route to take. Please note, applicants that pass a specific combination of MRCEM and FRCEM examinations can still be awarded Membership of the Royal College by Examination (MRCEM). This would still satisfy postgraduate requirements for GMC registration. MRCEM Examination route: The alternative route, Membership by Examination (MRCEM), is offered to candidates who have passed all the following components: FRCEM Primary or (MRCEM Part A) One written paper, three-hours total FRCEM Intermediate SAQ (replaces MRCEM Part B) Short Answer Question paper - 3 hour paper comprised of 60, 3-mark questions MRCEM OSCE Practical examination setting with 18, seven-minute stations  Eligibility for MRCEM Examinations: Eligibility for FRCEM Primary: To be eligible you must hold a Primary Medical Qualification (PMQ) that is recognised by the GMC for registration purposes. Eligibility for FRCEM Intermediate: To be eligible you must hold a PMQ recognised by the GMC, have completed an equivalent to the UK Foundation Programme and have passed FRCEM Primary Examination after 1st August 2016. You will also be eligible if you have been granted exemption from the FRCEM Primary as a result of obtaining MRCS or MRCSI after 1st January 2012. Eligibility for MRCEM OSCE: To be eligible to enter the MRCEM OSCE (Part C) you must meet the following requirements: Hold a medical qualification approved by the GMC and Have completed the UK Foundation Programme of equivalent (electronic evidence required at point of application) and Have passed the FRCEM Primary examination after 1st August 2016 or Have passed the MRCEM Part A examination after 1st August 2012 and prior to 31st July 2016 and Have passed the FRCEM Intermediate SAQ after 1st August 2016 or Have passed the MRCEM Part B examination after 1st August 2012 and prior to 31 July 2016 and Have 36 months experience including 6 months experience in Emergency Medicine at a level above Foundation Year 1 (post full registration) Where can I take the exams & how much will they cost me? Examination and application dates are regularly updated by the Royal College and can be found here.  Please remember, applications made outside of the application period will not be accepted. Examination Location Fees FRCEM Primary Short Answer Question Paper UK £310 Iceland, Malaysia, Oman, India £390 FRCEM Intermediate Certificate SAQ UK £305 Iceland, Malaysia, Oman £385 MRCEM OSCE UK £450 India £450 How can I apply? All applications are made online and links to all application forms and windows are available here. It is worth noting, the application can take some time to complete, so it is always advisable to apply well in advance of the deadlines. Please remember, applications submitted after the application period will not be accepted.  How do I prepare for each exam and what resources are available? With lots of resources available online, we have discussed with IMGs the best place to start looking for materials relating to the exams. Most IMGs recommended starting with the Royal College, who have created useful resources to help you to prepare for the exams. Curriculum: Applicants are tested on a range of common and important disorders in Emergency Medicine as set out in the Emergency Medicine Training Curriculum 2015. We recommend getting to know the curriculum as early as possible and using it as a road map for your study plan.  Information Packs: These provide detailed information for the relevant examination components so that you can best prepare for your studies and what to expect on the day: FRCEM Primary FRCEM Intermediate MRCEM OSCE SAQ Blueprint: The blueprint for the new Intermediate SAQ exam can be found on page 8 of the FRCEM Intermediate examination pack, downloaded from the RCEM website here. Sample questions:  Test your knowledge using example questions from the current exam syllabus provided by the Royal College, see below: Primary – sample questions Intermediate - Sample SAQs are included in the Information Pack Glossary of Terms:  The royal college uses many terms that may cause confusion, so take plenty time to understand the terms and definitions used in this guide. Candidates are expected to be rigorous in their use of these terms. Glossary of terms used in RCEM exams. Examination Report: The Royal College recently began to publish reports on the performance of those sitting FRCEM examinations. Below is the first report published and helps to break down results for those in training and those out of training.  2018 Examination report. Online resources:  There are lots of resources online, such as videos on YouTube, FRCEM courses and useful reading materials. We think that these are a great addition to your study plan, just be sure to check your sources.  For a useful overview of how to prepare for exams, including advice on study groups, online community support, best use of online resources & Royal College materials and courses, take a look at our blog: IMG Connects Top Tips for exam preparation. As ever at IMG Connect we believe in preparation. In order to succeed in the clinical exam, IMGs have told us that it is vital that you practice your clinical examinations as frequently as possible, preferably under the supervision of a senior colleague. This will give you confidence in approaching and examining patients with examiners present. Should I take a course to prepare for the OSCE? Whilst it is not essential to take a course when preparing for the MRCEM or FRCEM OSCEs - there is no doubt it will help your preparations both technically and mentally, and should be considered an investment towards your future career plans. Have a read of our blog on recommended MRCEM courses for Emergency Medicine doctors. Passed? What next?  First of all, congratulations! After you have passed all parts of FRCEM or MRCEM you can apply for a full registration with a license to practice. Once the GMC have approved your application, you can work as a doctor in the UK.  IMG Jobs  Search and find live emergency medicine NHS doctor jobs in the UK IMG Resources Read more useful articles on finding an NHS trust doctor jobs, doctor salary & relocation for emergency medicine specialists Get in Touch Don’t hesitate to get in touch using the buttons above (and below) to discuss emergency medicine doctor job options in the NHS, including discussions regarding, CESR, a typical doctor salary in the UK and the most suitable NHS job & hospital locations for you. For the latest news and updates on all things emergency medicine, including the Royal College, GMC registration and the NHS, follow us on social media and join the conversation.              

The Occupational English Test (OET) medicine version is specifically designed for healthcare professionals. The exam tests your ability in reading, writing, speaking and listening and it is used by overseas doctors to demonstrate their ability to communicate effectively in English to support their application to register and practice medicine in the UK.  For doctors who prefer OET, compared to IELTS, the good news is that OET is now accepted by both the GMC and the UK Home Office - meaning that only one test now required for both UK registration and visa purposes As an IMG coming to work in the UK, there are different scenarios in which you’ll need to provide a pass in an English test. In this article, we outline the key facts about OET, including the following topics:  What is the OET?  Content and structure  Listening Reading Writing Speaking What scores do I need?  Does time matter?  When and where can I sit the test?  How can I prepare?  What resources are available online for each subtest?  Passed? What next? CLICK HERE & REGISTER FOR 10-20% DISCOUNT ON ENGLISH LANGUAGE COURSES What is the OET?  The OET tests communication in English with an emphasis in medical and healthcare professional settings.  It is recognised by the General Medical Council (GMC), and is fast becoming a common choice to prove a candidate’s ability to communicate in a healthcare environment, such as the NHS. As an overseas doctor you must select and sit the medicine version of the test, this is the only one accepted by the GMC for the purposes of registration for a license to practice.  Content and structure:  The OET tests your ability in four areas of English language communication:  Reading (45 minutes) Writing (60 minutes)  Speaking (45 minutes) Listening (20 minutes) Listening:  This section consists of three parts and tests a candidate’s ability to understand a range of materials, such as lectures or consultations.  Part A – consultation extracts (5 minutes each) You will listen to two recorded patient consultations and will be assessed on identifying specific information. You will also complete the healthcare professionals’ notes using the information that you have heard during the consultation.  Part B – Short extract of workplace discussion (1 minute each) Here, you are tested on your ability to identify detail, understand conversation, meaning and reasons or purpose contained in the discussion. You will hear 6 short extracts and answer multiple-choice questions on each. Example extracts could be a consultation dialogue, team meetings or professional handovers.  Part C – presentation extracts (5 minutes each) This tests your ability to follow a recorded healthcare related presentation or interview. You will listen to two extracts covering different topics and will then answer 6 multiple choice questions on each extract.  What does the listening sub-test assess?  The listening sub-test assesses your ability to identify specific information and details, to understand conversations, reasons for comments and the opinions of the speakers.  Reading:  In this section you are expected to demonstrate your ability to read and understand texts related to healthcare. This sub-test consists of three parts. Part A – expeditious reading task (15 minutes) This tests your ability to quickly and efficiently locate specific information from short texts. The texts will all relate to the same topic, and you will answer 20 questions in total.  Part B and C (45 minutes) Part B consists of 6 short text extracts from a healthcare setting, sourced from the workplace. It assesses your ability to identify detail, understand context, main points and overall gist of a text. Example texts are hospital policies or guidelines, manuals, instruction guides, internal communications between staff.  Answers are multiple-choice, and you will be asked three questions per text.  Part C consists of two texts on topics of interest to healthcare professionals. Each text is 800 words in total. Here you will be tested on your ability to identify detailed meaning and opinion. Each text has eight multiple choice questions.  What does the Reading sub-test assess? Each reading sub-test assesses different skills:  Part A, to read quickly, skim and scan across a variety of texts, in order to identify specific information.  Top tip, familiarise yourself with the conventions of medical texts, the structures, presentation of both numerical and textual content.  Part B, to understand detail and main points.  Top tip for Part B is to excel at identifying ideas or points within paragraphs, or sentences.  Part C, to understand meaning and opinion presented to you. This covers a longer text.  Top tip, the focus here is to understand the wider context, from sentence to paragraph level.  Writing:  This tests your ability to communicate effectively in a healthcare context, such a writing a referral letter. You will be given one task with a healthcare focus relating to the usual demands in the medical workplace.  The task is to write a letter, usually a referral. However, this can on occasion be a letter of discharge or advice for a patient. You will be provided with some materials to assist with context, and information to use in your writing.  How is the writing assessed?  overall execution and completion use of the correct and most suitable language overall comprehension and use of the materials provided grammar, punctuation & spelling cohesion, presentation, structure and layout Top tip, reading more will considerably improve your writing skills.  Speaking:  This section tests your ability to communicate effectively in a role-play based on a typical healthcare scenario. Each role-play takes about five minutes each.  The test will start with an introduction and short warm up conversation. Then the role-play will begin one-by-one and you have three minutes to prepare for each.  How is the speaking assessed?  intelligibility (pronunciation) appropriate use of language relationship building understanding and incorporating the patient’s language providing structure information gathering information giving What scores do I need?  For the GMC to accept your Occupational English Test (OET) certificate you will need to score a grade B or above in each test area. These scores must be achieved in the same test, and this must be your most recent sitting of the OET.  Remember, for the GMC to accept your OET certificate, you must take the medicine version of the test.  Does time matter?  Each sub-test is timed, and you will need to practice how to give each section the right amount of time. You will have to be efficient and work quickly, dedicating the right amount of time to each question and text.  When and where can I sit the test?  You can sit the OET in test venues around the world and they offer the tests 14 times per year. To find out if there is a test venue that suits you take a look at the official website. How can I prepare?  OET can be challenging. So, make sure you are as prepared as possible before sitting the exam.  OET involves learning a wide range of healthcare related and profession specific language.  To get the right score, this must be at an advanced level.  CLICK HERE & REGISTER FOR 10-20% DISCOUNT ON ENGLISH LANGUAGE COURSES You don’t need to pay take a course. However, it is highly advisable to attend a course, and/or language classes, successful IMGs have advised that this helped them improve their standards in all areas of the test, including improved general levels of English.  Most overseas doctors advise that they improved by attending specific OET courses, and this also helps you to get used to the test format and timings. We strongly recommend that you start preparing for the exams as far in advance as you possibly can.  Establish your level of English, and work out what areas you will need to focus on. Identify your weaknesses, set goals for yourself and plan a revision timetable. What resources are available online for each subtest?  Listening online resources:  A good start would be to watch and listen to extracts online, here are a few options: BBC Factual Podcasts BBC Health Matters  OET Listening Subtests Reading online resources:  Read short, medium and long extracts online. Why not try the following resources:  British Medical Journal ABC health newsletter OET Reading sub-test Writing online resources:  To improve writing skills, we recommend reading and writing! Read short, medium and long extracts online. Write short extracts, re-write articles and write on your own journal.  Why not try the following resources:  British Medical Journal  Free Medical Journals OET Writing sub-test Speaking online resources:  To improve speaking skills, we recommend speaking! Speak with colleagues and friends in English as much as you can. You can also record yourself reading aloud or speaking and then play back your recording, assessing yourself.  Why not try the following resources:   British Medical Journal Free Medical Journals OET Sample Test Video We have also created a useful blog series on Exam Tips and Revision Guidance, which includes tips for studying at home.  Passed? What next? If you have your OET in place you are in a prime position to apply and interview for jobs. IMG Jobs  Search and find live NHS doctor jobs in the UK IMG Resources Read more useful articles on finding an NHS trust doctor job, pay scales & doctor’s salary in the UK, relocation and much more!   Get in Touch Don’t hesitate to get in touch using the buttons above (and below) to discuss doctor job options in the NHS, including discussions regarding a typical doctor salary in the UK and the most suitable hospital locations for you. Follow us on social media for news and updates on GMC registration, the Royal College and NHS through the links below:             

Overseas Radiologists wanting to secure a role in the UK via the postgraduate qualification route will need to attain Fellowship of the Royal College of Radiologists or FRCR in order to register with the GMC. FRCR is the UK Royal College qualification and the recommended route for radiologists looking to work in the UK as a specialist or consultant.  IMGs from any country in the world can sit the FRCR examinations, provided certain eligibility criteria are met. These are summarised below along with a broad look at the following topics: What is FRCR? 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?  Radiologists become full members of the Royal College of Radiology and achieve the designation FRCR once they have passed the three separate postgraduate medical exams that make up the FRCR examination suite. The FRCR examinations aim to test a candidate’s knowledge and clinical understanding against the Specialty Training Curriculum for Clinical Radiology and the exams are a pre-requisite for anyone looking to go into a specialty training post as a radiologist in the UK. For more senior candidates, absence of FRCR will make it very difficult to attain a locum-consultant posts unless you have a recognised equivalent or specialist registration.   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: First FRCR - two-part exam, each held on separate days, over a two-day period Final FRCR Part A (both must be passed in one sitting in order to attain a pass) two separate single best answer papers Final FRCR Part B  a reporting session a rapid reporting session an oral examination The FRCR examinations form an essential component of training for Radiologists in the UK. For overseas doctors relocating to the UK, the 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 radiology 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 jobs in radiology such as breast, cardiac, interventional, musculoskeletal and so on.  Eligibility for FRCR in Radiology:  First FRCR: To be eligible you must: hold a Primary Medical Qualification (PMQ) that is recognised by the GMC for registration purposes. hold a formal clinical radiology post in which they are actively receiving clinical radiology training.  no minimum period of clinical experience or training is required to enter the exams Final FRCR Part A: To be eligible you must:  have passed the First FRCR examination have acquired 24 months in a formal clinical radiology training post by the month which the examination is taken  Final FRCR Part B: To be eligible you must:  have passed the Final FRCR Part A have acquired 34 months in a formal clinical radiology training post by the month which the examination is taken  Content and structure for FRCR - Diagnostic Radiology First FRCR Examination: It is delivered on a digital platform and as such is now also available across a larger number of test centres than before. The First FRCR examination expects candidates to have sufficient knowledge of two modules:  the physical principles that are the foundation of diagnostic medical imaging the anatomy needed to perform and interpret radiological studies. The test is divided into two parts:  Anatomy - image viewing session delivered on an individual workstation Physics - multiple choice written question (MCQ) paper Final FRCR Part A: The Final FRCR Part A examines candidates on all aspects of clinical radiology and the basic sciences of physics, anatomy and the techniques as per the Specialty Training Curriculum for Clinical Radiology syllabus. The examination comprises two single best answer papers, each containing 120 questions and covering a broad range of the core curriculum. Exams are 3 hours for each sitting. The paper comprises a mix of questions from across a wide range of the curriculum: Cardiothoracic and Vascular Musculoskeletal and Trauma Gastro-intestinal Genito-urinary, Adrenal, Obstetrics & Gynaecology and Breast Paediatric  Central Nervous and Head & Neck  Final FRCR Part B: This part to the assessment examines candidates on all aspects of clinical radiology against the curriculum and consists of three components. All components are examined by an image viewing session delivered on individual workstations. a reporting station rapid reporting session an oral examination Updates to the exam formats in light of COVID-19: Given the disruption caused by COVID-19 it is advised to keep updating yourself of the RCR examination changes and updates posted on their website. This link here specifically takes you to the examination updates section. Information on the dates, fees and venues for the FRCR examinations are found within. In light of the COVID-19 pandemic most exams have now moved online in some form or another, with remote proctering (invigilation) in place to prevent cheating and ensure continuation of exam settings.  First FRCR Examination in Clinical Radiology: An online invigilation (proctoring) element will be introduced for both modules from June 2021. This will enable you to sit both modules at a location of their choosing rather than attending an RCR exam venue. You will need to ensure minimum software, a stable internet connection and an appropriate examination environment. The third-party proctoring service – Examity – provides a computer-readiness check prior to the examination to enable candidates to check suitability of their set-up. On the RCR page here you'll find a number of instruction and technical support guides and videos - it is highly recommended to read through all of these before applying. FRCR Part 2A (Radiology) - CR2A: This examination will be proctored online. The examination is delivered by a software (Speedwell) which can now be integrated with Examity’s examination proctoring system, allowing candidates to take secure high-stake examinations at home or at a place of the candidate’s choosing where they should have a stable internet connection, a quiet working atmosphere and must be on their own. See our remote invigilation (proctoring) guidance for further information. FRCR Part 2B (Radiology) - CR2B: The reporting component of this examination will be computed based at the venue candidates have chosen. Candidates will receive a username and password to access the examination. The reporting instructional video and accompanying demonstration site should be viewed prior to the examination. The oral component will also be delivered to candidates in venues, via video conference, and further detail shows in the orals guidance video. Examination content will be shared via MS Teams and candidates will be able to take control of the mouse and access functionality to manipulate images. After 30 minutes candidates will move to the second room and complete the second 30-minute session of the oral exam with different examiners. As an overseas candidate, where & when can I sit the exams and how much will they cost me?  This link here specifically takes you to the examination updates section. Information on the dates, fees and venues for the FRCR examinations are found within.  How do I apply for the FRCR examinations? UK Trainees are given priority for examination places, whilst overseas candidates are offered those places not taken through a priority 2 window date after the earlier application date. How should I prepare for the FRCR 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 for these examinations can be found in the Specialty Training Curriculum for Clinical Radiology. Instructional videos and demonstrations: The Royal College recommends that applicants familiarise themselves with the platform via the instructional videos and accompanying demonstration site found here. Sample questions: The Royal College created useful sample questions and answer sheets to help you prepare for each exam:  FRCR Part 1 sample questions & answer sheet Final FRCR Part A & answer sheets Final FRCR Part B – sample image General FRCR exam advice: There are also many useful resources to offer more general advice for each section of the FRCR examinations, including:  Anatomy examination advice First FRCR instructions for candidates Final FRCR Part A format and question advice TNM Staging – required knowledge to answer questions Final FRCR Part B – instructions for candidates Examiners report – to help prepare for future sittings I passed the FRCR 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 have approved your application, you can work as a doctor in the UK. Don't hesitate to get in touch once you have completed FRCR radiology to discuss opportunities available to you in the NHS. For the latest news and updates on all things radiology, including the Royal College, GMC registration and the NHS, follow us on social media and join the conversation.              

For overseas doctors, there are several routes you can use to apply for GMC registration in the UK. The route that is right for you, depends on your qualification and experience.  GMC registration is essential for doctors practicing in the NHS, therefore it is important for overseas doctors to determine the most suitable route before securing a role.  This article will help you to identify the appropriate GMC application route for you as an IMG and will give you guidance on the steps you need to take, covering key areas including the following:  What is the GMC? What do I need for GMC registration? Routes to GMC registration: PLAB Accepted Postgraduate Qualifications / Licensing Exams Relevant European Qualifications Sponsorship & MTI Specialist Registration – CESR, CESR-CP & CEGPR #IMG Tips How do I get started? Please skip ahead to the relevant section if you know what you’re looking for.  The General Medical Council  The GMC is the body in the UK which is responsible for licensing and revalidating every doctor. Therefore, for every doctor practicing in the UK, GMC registration is essential – you cannot practice in the UK without full GMC registration with a license to practise.  The primary responsibility of the General Medical Council is to ‘protect, promote and maintain the health and safety of the public’ in addition to improving medical education and practice across the UK.  Requirements for GMC Registration  Registering with the GMC is a multi-stage process, including key timings, actions and documents. For full GMC registration, international doctors must provide evidence of:   1. (EEA doctors) Sufficient skill and knowledge – as an EEA physician, this would be your recognised EEA qualification.   OR   1. (non-EEA doctors) Sufficient skill and knowledge – as a non-EEA physician, this would either be PLAB, your Royal College postgraduate qualification (e.g. MRCP) or a GMC-approved qualification.   AND  2. 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   3. Certificate of good standing – the certificate from your medical regulatory authority which demonstrates good standing.  There are several steps involved in the registration process, but these are the three main components required in order to be eligible.  To understand the registration process more fully, read our blog on GMC registration for overseas doctors here.  PLAB  The PLAB exam is a two-part licensing exam that assesses a doctor’s ability to work safely as an SHO in the UK. As such, it does not demonstrate ability in any particular medical specialty.   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 at our comprehensive guides on PLAB for more information.  Is PLAB suitable for me?  The PLAB route may be suitable for you if:  You have not completed an internship, or your internship does not meet the acceptable pattern OR; You have completed an acceptable pattern of internship, but have no other clinical postgraduate experience OR; You are currently in or have completed postgraduate training (residency), and you want a faster route to full GMC registration.  Acceptable Postgraduate Qualifications or Licensing Exams  The GMC has produced a list of postgraduate qualifications which are accepted as sufficient evidence of the necessary knowledge, skills and experience required for full registration.  If these postgraduate qualifications are more than 3 years old when your application is made, you will have to provide further evidence of your recent medical experience.  UK Postgraduate Qualifications  Attaining a Royal College qualification is a preferred path for doctors who have already chosen their field of specialism i.e., pathology.   For senior doctors taking this route, they will gain access to more senior, well-paid jobs in the specialism of their choice.  For example, the Royal College of Physicians is the professional body that regulates all medicine specialties in the UK, and Membership of the Royal College of Physicians (MRCP UK) is the qualification attainable by examination. For overseas doctors, attaining full MRCP (UK) will satisfy the knowledge & skill criteria for GMC registration and facilitate application for more senior medicine roles in the UK.  Take a look at our complete guides on the Royal Colleges in the UK through our IMG Resources library to understand more.   The full list of UK postgraduate qualifications can be found here.  Overseas Postgraduate Qualifications  There are also some overseas qualifications that meet the same standards as UK postgraduate qualifications, although they are not necessarily the same in every aspect.  You can find the full list of UK and overseas qualifications here.  Licensing Exams  Doctors who have passed an acceptable overseas registration exam can apply for full GMC registration.   You are eligible for to apply via this route if you:  graduated from a medical school outside the UK or Switzerland  and you:  hold an acceptable primary medical qualification  have completed an internship  have passed one of the following overseas registration exams:  United States Medical Licensing Exam (USMLE): Step 1, Step 2 clinical knowledge and Step 2 clinical skills; For Step 2 clinical skills, your pass must be between 16 April 2004 and 13 March 2020.  Medical Council of Canada Qualification Examination 2 (taken in English) on or before 27 October 2020  The Australian Medical Council Clinical Examination on or before 5 March 2020  have passed each part of the exam including the knowledge tests and clinical skills components in four attempts or less. If you sat any part of the exam more than four times before passing, you will not be eligible for this application.  Is the postgraduate/ licensing exam route suitable for me?  The postgraduate route to GMC registration is a popular one and facilitates the attainment of more senior roles in the NHS than for example PLAB (when combined with the relevant experience).  If you have already completed an acceptable postgraduate qualification in your home country, this is the most suitable pathway for you, as you will not have to sit additional exams.  The same goes for acceptable licensing exams, which also exempts overseas physicians from PLAB.  If you have not passed an acceptable overseas postgraduate qualification or licensing exam, you would have to complete the relevant UK postgraduate qualification.  Relevant European Qualification  If you hold a medical qualification awarded in the EEA or Switzerland, it may be classed as a Relevant European Qualification (REQ). You can find out whether your qualification is classed as a REQ by selecting your country through this link. Each country’s page covers the qualifications you would need to send to the GMC to support your application for entry onto the Medical Register, GP and Specialist Registers, and where appropriate, provisional registration with a licence to practice.  Is the REQ route suitable for me?  The Relevant European Qualification route to GMC registration is suitable for you if you hold a specialist certification that is recognised by the GMC. You can verify this through your country’s GMC page here.  Sponsorship & MTI  Some institutions can provide sponsorship for GMC registration. Doctors who receive sponsorship are therefore exempted from PLAB or the need to have an acceptable postgraduate qualification or licensing exam.  MTI  The Medical Training Initiative (MTI) is a training programme that provides junior doctors from all over the world the opportunity to gain clinical training and development in the UK for a maximum of 24 months.   Although doctors practicing in the UK must be registered with the GMC, for MTI candidates, registration is typically supported by the Royal College, some NHS Trusts also have the right to register MTI doctors.  You can read more about the MTI scheme here.  Sponsorship  There are several types of sponsorship available to overseas doctors, such as sponsorship offered by NHS Trusts through International Fellowships or sponsorships for specific posts.   If you apply for GMC registration through sponsorship, you’ll have to satisfy the sponsor that you possess the knowledge, skills and experience required for practising as a fully registered medical practitioner in the UK.  Each sponsor may have their own scheme which has been pre-approved by the GMC, and since each scheme differs from the next, we advise that you check the sponsor’s official website and contact them for more information.  A key aspect of all sponsors' criteria is that a doctor applying for GMC sponsorship must have been engaged in medical practice for three out of the last five years including the most recent 12 months. It is important to meet these minimum criteria for the best chance of providing sufficient evidence to support your application.  The complete list of GMC-approved sponsors, including NHS Trusts and Royal Colleges, can be found here.  Is the sponsorship route suitable for me?  MTI is best suited to junior doctors and those who wish to return to their home country after the training period, whereas the criteria for other types of sponsorship can be more varied.  Specialist Registration  The Specialist Register is a register of doctors who can take up substantive consultant (permanent) posts in the UK. All doctors who wish to work as substantive consultant in the UK must show evidence of skills, knowledge, and experience in order to apply for Specialist Registration.   Specialist Registration is additional to full registration with the GMC. You can read more about the types of GMC registration here.  Doctors eligible for Specialist Registration apply directly to the GMC to demonstrate that their specialist training, qualifications, skills, knowledge and experience are equivalent to the requirements for CCT in the UK.   Doctors who have completed their specialist training in the EEA or Switzerland may be eligible for direct entry onto the Specialist Register through their Relevant European Qualification (REQ) and are awarded a CCT after a successful application.  CESR is the route to Specialist Registration for doctors who have not completed a GMC-approved specialty training programme i.e. doctors who have trained outside of the UK, Switzerland, and EEA countries. This is often the preferred route of IMGs.   For an in-depth guide to CESR, look at our blog for overseas doctors here.  Is Specialist Registration suitable for me?  Specialist Registration may be suitable for you if you (at minimum):  1. Hold a specialist qualification in the specialty you’re applying in  OR  2. Have at least six months of continuous specialist training in the specialty you’re applying in  You will have to provide evidence of your eligibility as part of your application, as well as evidence that you meet the requirements of the CCT curriculum in your specialty.  The indicative period of training to be awarded a CCT ranges from 5 years to 9 years in the UK (depending on the specialty), so if you have less training than this, it is unlikely that you will have the full evidence required for a successful application for Specialist Registration.  #IMG Tips  In short, there are routes that depend on qualifications or exams from countries you’ve trained in: licensing exams, acceptable postgraduate qualifications, or REQs; or if you do not hold any of these: MTI, UK postgraduate exams or PLAB.  Use the GMC route finder to double-check you are pursuing a route to registration that you are eligible for.  If your route requires additional exams, begin your preparation for these well in advance and always start with the syllabus or curriculum for your exam!  Read through the GMC’s page on required documents – the necessary documents can change, as the GMC adapts to changes in healthcare and current issues such as the COVID-19 pandemic.  If you’ll be completing exams to register with the GMC, complete these or begin the process before you focus on English language testing – your IELTS or OET only have a 2-year validity period!  Getting started  So, there you have it, the main routes to GMC registration for IMGs. Once you have determined your route to GMC registration, it’s time to either begin gathering the required documents for your application or begin your preparation for any exams you’ll need to sit.  Have you already registered with the GMC, or looking to get started? Get in touch with us here to discuss finding an NHS post. If you have any other questions, please feel free to get in touch with our team.  For advice, guidance and news and updates for IMGs, join the conversation through the links below.             

Acute medicine SCE is the higher postgraduate qualification delivered by the Royal College of Physicians as a specialist qualification for acute medicine doctors. It is one of 11 SCEs offered by the Royal College and offers physicians a postgraduate qualification which demonstrates to prospective employers the achievement of a standard equivalent to UK specialist doctors.  Here we take a closer look at the MRCP (UK) Acute Medicine Specialty Certificate Examination for doctors who have chosen to specialise in acute medicine. We cover the content of the exam, as well as fees and the eligibility criteria, all summarised below along with a broad look at the following topics:  What is the acute medicine SCE? Where does the SCE fit into my training? What is the structure of the acute medicine SCE? How do I apply for the exams and what do they cost? Where can I sit the exams as an overseas acute medicine doctor? How should I prepare for the exams as an IMG? I’ve passed, what’s next? Skip ahead to the relevant section if you know what you're looking for.  MRCP (UK) Acute Medicine SCE  The acute medicine specialty certificate exams are administered as a compulsory component of assessment for Certificate of Completion of Training (CCT) in acute medicine for all UK trainees.   The purpose of an SCE is to:  ensure that certified specialists have sufficient knowledge of their specialty to practice safely and competently as consultants  complement workplace-based assessments  provide a rigorous national assessment to establish public confidence  offer a challenge similar to sub-specialty certification examination in North America  SCE as Part of Training in Acute Medicine  Since the MRCP(UK) exams are taken during the Internal Medicine Training years (ST1-ST3), the acute medicine SCE allows physicians to demonstrate that they are able to practice independently at a consultant level.  The SCE has no official entry requirements (both for UK and overseas candidates); however, UK trainees would normally take the SCE in their penultimate year of higher specialty training (ST6). UK trainees should have made at least one attempt by the time of their penultimate year assessment.  For in-depth guide to the MRCP exams, see our IMG Resources library here.  Exam Structure  The SCE assesses candidates on a wide range of common and important disorders, as set out in the syllabus of the curriculum. This should be taken as an indication of the likely number of questions – the actual number may vary:  Topic  Number of questions  Cancer and palliative care and haematology  10  Cardiovascular medicine  20  Clinical pharmacology and poisoning  10  Critical care medicine  10  Diabetes and endocrine medicine  14  Gastroenterology and hepatology  20  Infectious diseases   14  Medicine in the elderly  18  Musculoskeletal system  12  Neurology and ophthalmology  20  Renal medicine  10  Respiratory medicine  20  Other*  22  Total  200  *Other: Allergy; Clinical genetics; Dermatology; Immunology; Patient safety and risk management; Psychiatry; Public health and health promotion  The questions in each category are distributed across both papers.  All SCEs are computer-based and are administered by Pearson VUE at a test centre in the UK or internationally.  Acute Medicine SCE Applications  SCEs are held once a year and applications are made online through My MRCP(UK) account, within the Upcoming Exams section of the Royal College website.   The application process is as follows:  Register online through My MRCP(UK) (candidates have the opportunity at this point to register any special arrangements)  Request a preferred test country and city  Pay applicable examination fee  Application is confirmed via an automatically generated email  Receive test centre confirmation email from Pearson VUE within four weeks of the examination date.  The Royal College of Physicians has created a helpful video guide on SCE applications which you can watch here.  Cost  The cost of the SCE exams are as follows:  UK centres: £665  International centres: £833  Exam Centres  UK Centres  Candidates who choose to sit the acute medicine SCE in the UK must contact Pearson VUE to book their test. There are up to 137 test centres throughout the UK for each SCE, and the Royal College of Physicians advise that candidates should book their exam as early as possible to secure their preferred test centre, as bookings operate on a first come first served basis.  International Centres  Candidates are given a choice of regions and are then asked to nominate a particular city in that region as their desired test location. The Royal College of Physicians will pass this request to Pearson VUE once the application period has closed, and Pearson VUE will confirm final test centre details to candidates via email at least three weeks before the date of the examination. If the exam is not available in a requested location, candidates will be offered a choice of the nearest available test centres.  Please note, international candidates should not book their own test centre with Pearson VUE - attempting to do so may delay a candidate's application.  The full list of international SCE test centres can be found here.  Preparation and Resources for the Acute Medicine SCE  It can be difficult for IMGs to know where to start with their preparation and revision. This list should provide a good starting point for any international acute medicine doctors preparing to sit the SCE:  Curriculum - Applicants are tested on a range of common and important disorders in Acute Medicine as set out in the Joint Royal Colleges’ Curriculum for Acute Medicine Specialist Training. We recommend getting to know the curriculum as early as possible and using it as a blueprint for your study.   Guidelines - These tools are helpful for supplementing your knowledge:  National Institute for Health and Clinical Excellence (NICE) Scottish Intercollegiate Guidelines Network (SIGN) The Society for Acute Medicine (SAM) Textbooks  Oxford Textbook of Medicine (Eds David A. Warrell, Timothy M. Cox, John D. Firth. Published by Oxford University Press) Oxford Handbook of Acute Medicine (Eds Punit Ramrakha, Kevin Moore, Amir Sam. Published by Oxford University Press) Journals  Acute Medicine (Published by Rila) Clinical Medicine (Journal of the Royal College of Physicians of London) Journal of the Royal College of Physicians of Edinburgh Sample questions: It is a good idea to regularly assess your knowledge and progress using example questions from the current exam syllabus. You can find these here.  For an overview of how to prepare for exams, including advice on study groups, online community support, best use of online resources & Royal College materials and courses, check out our blog: IMG Connects Top Tips for exam preparation.  I’ve passed! What’s next?  First of all, congratulations - this is a massive achievement! With your MRCP(UK) and acute medicine SCE in hand, you can apply for a full GMC registration with a license to practice. Once the GMC has approved your application, you can work as a doctor in the UK. Great stuff!   Don’t hesitate to get in touch with an IMG medicine recruitment specialist to discuss GMC registration, acute medicine positions in the NHS, including typical NHS salaries, the most suitable UK locations and hospitals for you, and relocation.  To receive the latest news and updates, including the Royal Colleges, GMC registration and the NHS, follow us on social media and join the conversation.              

Many physicians trained in the USA can now register to work in the UK using their USMLE licensure. Whilst it is not a qualification, the GMC now accepts the United States Medical Licensing Exam (USMLE) as evidence of the appropriate skills and knowledge required to be granted registration with a license to practice.  In this blog we will outline some key points in this process, and briefly explain how to apply for full registration, including the following: Are you eligible for GMC registration? What are the requirements for GMC registration using the USMLE? How to provide evidence of your Primary Medical Qualification How to provide evidence of your internship How to request evidence from the USMLE for the GMC How to provide evidence of English language proficiency How to obtain a Certificate of Good Standing What other information will you need to provide? Getting started Please note, the full process is a lengthy one, so for detailed guidance on registering with the GMC using your USMLE, we suggest you get in touch with us to learn more. Eligibility for GMC Registration You are eligible for this application if you:  graduated from a medical school outside the UK or Switzerland  and you:  hold an acceptable primary medical qualification  have completed an internship  have passed the United States Medical Licensing Exam:  Step 1  Step 2 Clinical Knowledge AND  Step 2 Clinical Skills  Some important things to note:  Your pass for Step 2 Clinical Skills must be on or before 13 March 2020. This is because the in-person aspect of Step 2 Clinical Skills allows the USMLE to be comparable to the PLAB exam. Without this, the USMLE does not meet the GMC requirements for demonstration of skills and knowledge. If you attained the USMLE before 16 April 2004, you may have passed the former ECFMG Clinical Skill Assessment (CSA). This will not be accepted by the GMC for registration. Whilst we understand there are a lot of similarities between the two assessments (CSA and Step 2 CS) - only the Step 2 CS will be accepted.  You must have passed each part of the exam including the knowledge tests and clinical skills components in four attempts or less. If you have taken and failed PLAB Part 1 or 2 after you passed any component of an overseas registration exam, either a knowledge or clinical skills test, you will not be eligible for this application.  If your pass in the clinical skills component is more than two years old, you will need to have carried out medical practice for three of the last five years, including at least six out of the most recent 12 months before you submit your application. If your pass is over two years old and you haven’t completed this pattern of medical practice you will not be eligible to use the USMLE for GMC registration. If you do not meet these criteria, your application may be rejected and you may need to find an alternative route to GMC registration. Depending on your specialty, you may have an overseas accepted qualification, or PLAB may be another alternative for you.  GMC Registration Requirements To gain full GMC registration with a license to practice in the UK, you must provide evidence of:  Evidence of skills and knowledge - this would be your full USMLE (Step 1, Step 2 - CK & CS) AND 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.   Evidence of Primary Medical Qualification (PMQ) As part of your application with the GMC, you’ll need to send a copy of your Primary Medical Qualification. Some overseas medical degrees are not accepted by the GMC – if you are not sure – take a read of our blog on accepted primary medical qualifications here.  Once you have checked your primary medical qualification meets the acceptability criteria, you’ll need to have it independently verified before you can be granted your registration with a licence to practise. You will need to do this if you qualified from a medical school outside the UK and are not already provisionally registered with the GMC.  Read our article on verifying your medical degree here – or for a full and detailed guide on the steps required, contact the team via email at info@imgconnect.co.uk   Evidence of an Acceptable Internship An internship is formal training and experience after you've completed your primary medical qualification. An acceptable internship must include at least 12 months' continuous medical practice in an approved training post in a public hospital. You must have done this either immediately before or after you graduated. Your internship must have been at least 12 months in duration. If your internship was completed over a 12 - 18-month period, it must have included at least three months in medicine and three months in surgery. If your internship was completed in over 18 months, it must have included at least six months in medicine and six months in surgery. You'll need to send the GMC a certificate or letter of completion from your institution, which gives details of the dates and specialties of your rotations. If you completed an internship in the UK, you’ll need to read the online guidance for moving from provisional registration to full registration.  I haven't competed an internship If you didn't complete an internship, the GMC will accept evidence that you practised for two years continuously after you graduated. The GMC will check that your experience: was undertaken in a public hospital that meets the standards for regulation within its jurisdiction and has established supervision, safety and governance systems in place includes at least three months of practising medicine, continuously and without interruption includes at least least three months practising surgery, continuously and without interruption was completed under supervision.  You'll need to provide a letter from the hospital on letter headed paper, which gives details of the dates and specialties of your practice. Evidence of your pass in the USMLE  As part of your application, you'll need to:  Email the GMC to express your interest in applying for registration through this route at img@gmc-uk.org. Complete the application form the GMC send you and return it by email. Send them evidence which demonstrates you’ve passed an acceptable overseas registration exam. You can request this from the USMLE as per the instructions below.  Requesting evidence from USMLE for the GMC  First you should check that your college is listed on the World Directory of Medical Schools (WDOMS) - this is likely if you've completed the USMLE You can request and download a transcript from the Federation of State Medical Boards You need to select General Medical Council (UK) from the drop-down list  If you are unable to access your account, call (817) 868-4041 or email transcripts@fsmb.org   Evidence of English Language Proficiency All physicians, regardless of experience and country of origin, must demonstrate that they have sufficient grasp of the English language. This can be done by passing either the International English Language Testing System (IELTS) or 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 spent the last two years of their clinical experience in an English-speaking country, you can use a reference from your current employer(s) 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. 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. 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 the GMC approves your application.  Other information you may need to provide There are various other bits of information you will need to provide which includes your activities for the last five years, translations of any documents not in English, and any additional evidence the GMC may request when reviewing your application.   Often this is different, dependent on each case, so our advice is to start the application and respond to the GMC’s queries as and when they come.  Getting started You will need to create a GMC Online account for the GMC to be able to send you an application form. Once you've read and understood the evidence needed to support your application, you’re ready to apply. To start, contact the GMC where they will be able to check your eligibility and send you an application form to complete as mentioned above.  Once you've gathered all the required evidence and started the process to have your PMQ verified by the ECFMG, send your completed application form by email to img@gmc-uk.org. Once received, the GMC will ask you to call their contact centre to make payment. If you are still unsure about the application process and wish to discuss your application with IMG Connect, feel free to get in touch. We understand the GMC registration process can be complicated, and IMG Connect are experts on the matter. Rest assured, we are always delighted to help overseas physicians through the GMC registration process and to find jobs in the NHS!  For regular news and updates on the UK, including GMC registration, the royal colleges and the NHS, follow IMG Connect on social media using the links below.             

Recognised postgraduate qualifications are essential to work in the NHS with full GMC registration. The GMC must be satisfied you have sufficient knowledge and skills before it grants you a license to practice, and for international doctors there are various routes to be considered. Your experience and desired role in the NHS should help shape the route you take option for you. The following postgraduate routes are available to you: PLAB UK Postgraduate Qualification (Royal College Qualification) Recognised or Equivalent Postgraduate Qualification PLAB The first and most popular route for more junior doctors is the Professional and Linguistic Assessments Board or PLAB as its commonly known. It is a two-part exam, with Part 1 taken all over the world and the second part taken in the UK only. It is a quick and relatively simple set of examinations for overseas doctors to work in the NHS. Have a read through our detailed and helpful blog series on the PLAB for more information. UK Postgraduate Qualifications / Royal College Qualifications One of the most popular routes for overseas doctors is to attain a UK Postgraduate Qualification through one of the UK's Royal Colleges. There are twenty-four Royal Colleges in existence in the UK, and they are the professional bodies responsible for the individual medical specialties they cover. Among their many duties, their role is to set and monitor the educational curriculum for those training to enter their respective professions. UK trainees will sit a series of examinations set by their Royal College depending on what medical specialty they have chosen and these generally are set to a higher level of specialism and training when compared to the PLAB examinations. Attaining a Royal College Qualification will of course satisfy GMC postgraduate criteria for full registration and are often the route for more senior international candidates looking to work in the UK. Certainly, if you want to  Have a read through our Postgraduate Qualification section to find the qualification set against your specialty. The entire list of Royal College examinations can be found below. Alternatively, have a look through our blog on PLAB v Royal College to help you decide. CLICK ON THE QUALIFICATION BELOW TO READ A USEFUL GUIDE FOR IMGs. Awarding Body  Qualification Royal College of Anaesthetists Primary FRCA examination Royal College of Emergency Medicine Membership of the College of Emergency Medicine (MCEM/MRCEM) Royal College of Obstetricians and Gynaecologists Membership of the Royal College of Obstetricians and Gynaecologists (MRCOG) Royal College of Paediatrics and Child Health Membership of the Royal College of Paediatrics and Child Health Royal College of Pathologists Fellowship of the Royal College of Pathologists (FRCPath) by examination only Haematology, Histopathology, Medical Microbiology Royal College of Physicians and Surgeons of Glasgow Fellowship of the Royal College of Physicians and Surgeons of Glasgow (FRCS Glasg Ophthalmology) Royal College of Physicians London  Royal College of Physicians Edinburgh Royal College of Physicians and Surgeons of Glasgow Membership of the Royal College of Physicians MRCP (UK) Royal College of Psychiatrists Membership of the Royal College of Psychiatrists (MRCPsych) Royal College of Radiologists  Fellowship of the Royal College of Radiologists (FRCR) Royal College of Surgeons Edinburgh  Membership of the Royal College of Surgeons of Edinburgh (MRCS Ed Opthalmology) Royal College of Surgeons of England Royal College of Surgeons of Edinburgh Royal College of Physicians and Surgeons of Glasgow Any of the following: Intercollegiate Membership of the Royal College of Surgeons - MRCS Intercollegiate Membership of the Royal College of Surgeons - (MRCS (ENT)) Collegiate Membership of the Royal College of Surgeons - (MRCS) Fellowship of the Royal College of Surgeons - (following examination) (FRCS) Recognised or Equivalent Postgraduate Qualifications Another option is to attain a GMC recognised overseas qualification. These overseas qualifications are recognised by the GMC as equivalent and will be accepted as evidence that you have the necessary knowledge, skills and experience to apply for full registration with a licence to practise. Have a read through our blog on GMC Recognised Postgraduate Qualifications to find out if your qualification is on the list and recognised by the GMC.  Please note, you must be granted full registration with a license to practice within three years of passing your postgraduate qualification. Recognised Equivalent Qualifications Country Awarding Body Qualification    America American Board of Pediatrics (ABP) Diplomate of the American Board of Pediatrics - General Pediatrics American Board of Anaesthesiology Certificate of the American Board of Anaesthesiology The American Board of Radiology  The American Board of Radiology diagnostic radiology examination Australia/New Zealand Australian and New Zealand College of Anaesthetists Fellowship of the Australian and New Zealand College of Anaesthetists Royal Australasian College of Physicians  FRACP Adult medicine or evidence of three years of basic training (PREP) + achievement of RACP written and clinical examinations OR FRACP Paediatrics or evidence of three years basic training (PREP) + achievement of RACP written and clinical examinations The Royal Australian and New Zealand College of Psychiatrists Fellowship of The Royal Australian and New Zealand College of Psychiatrists (FRANZCP) awarded since January 2012 The Royal Australian and New Zealand College of Radiologists  Fellowship of The Royal Australian and New Zealand College of Radiologists (FRANZCR) (Clinical Radiology) Fellowship of The Royal Australian and New Zealand College of Radiologists (FRANZCR) (Radiation Oncology) Bangladesh  Bangladesh College of Physicians and Surgeons Fellowship in Anaesthesia or Anaesthesiology awarded since July 1999 Canada  The Royal College of Physicians and Surgeons of Canada The Royal College of Physicians and Surgeons of Canada - diagnostic radiology examination Europe European Academy of Anaesthesiology or European Society of Anaesthesiology European Diploma in Anaesthesiology and Intensive Care  Hong Kong Hong Kong College of Physicians Membership of the Hong Kong College of Physicians Ireland College of Anaesthetists of Ireland  Fellowship of the Faculty or the College of Anaesthetists Royal College of Physicians in Ireland  MRCP Medicine (Medicine of Childhood) Royal College of Surgeons in Ireland   MRCS (collegiate examination) MRSCI (intercollegiate examination) Fellowship of the Royal College of Surgeons Ireland Fellowship of the Faculty or the College of Anaesthetists of the Royal College of Surgeons in Ireland Malaysia  Ministry of Health Master of Medicine (MMED) Malaysia with MRCP (UK) awarded since 1 July 2010 This must include four years of clinical experience (required to complete MMED) plus two years of training Pakistan  College of Physicians and Surgeons Pakistan FCPS Paediatrics Pakistan Fellowship in Anaesthesiology awarded since1998 Singapore National University of Singapore Master of Medicine (Paediatrics)  Master of Medicine (Internal Medicine) including MRCP (UK)  Joint Committee on Specialist Training Singapore  Master of Medicine (MMED) Singapore, plus MRCP (UK) awarded since 1 July 2010 South Africa College of Anaesthetists of South Africa Fellowship of the College of Anaesthetists of South Africa FCA (SA) Colleges of Medicine of South Africa  Fellowship of the College of Radiologists of SA FC Rad Diag (SA) - Diag Rad awarded after 1 October 2013 Sri Lanka  University of Colombo, Sri Lanka Doctor of Medicine or MD (Anaesthesiology) Doctor of Medicine or MD, (Obstetrics and Gynaecology) Doctor of Medicine or MD, (Paediatrics) Doctor of Medicine or MD (medicine) awarded after January 2017 Doctor of Medicine or MD (surgery) awarded after July 2017 West Africa  West African College of Physicians Fellowship of the West African College of Physicians (Paediatrics) West Indies  University of the West Indies Doctor of Medicine (Anaesthesia) awarded since September 2003 (Course title has since changed to Doctor of Medicine (Anaesthesia and Intensive care) IMG Jobs  Search and find live NHS doctor jobs in the UK IMG Resources Read more useful articles on finding an NHS trust doctor job, pay scales & doctor’s salary in the UK, relocation and much more!   Get in Touch Get in touch using the buttons above (and below) to discuss doctor job options in the NHS, including discussions regarding a typical doctor salary in the UK and the most suitable hospital locations for you.