Are you an overseas psychiatrist taking the postgraduate route to GMC registration through the MRCPsych exams? Are you interested in sitting the exams in the future? As part of IMG Stories, we introduce to you Dr Praveen Kumar, a psychiatrist who has recently sat and passed the MRCPsych Paper B exam. Praveen will be sharing with you his experiences of the second of the Royal College of Psychiatrists exams, taking you through his preparation, experience of sitting the exam and sharing some hot tips for international MRCPsych aspirants. 1. Tell us about yourself... what should the IMG Community know about Praveen Kumar? I'm a Malaysian psychiatrist and I completed most of my training as an Ob-Gyn in Borneo. I originally came to the UK for the PLAB 2 exam, with my ultimate aim being to relocate to Australia. I had planned on spending a few weeks in the UK as a vacation, as it was my first time flying to the west. Due to the COVID-19 pandemic, I was stuck in the UK for some time. I decided to enter the psychiatry training programme in Inverness, Scotland (CT1) just out of curiosity, because mental health was hardly spoken about in rural Malaysia, so I knew little about it. This was my main plan while I waited for restrictions to ease in Malaysia so I could return home, however plans changed, and I've been here ever since. 2. What motivated you to sit the MRCPsych exams? I had no experience in psychiatry before starting my training in February 2021, but I felt I owed it to my patients to have at least some basic knowledge. I felt studying for MRCPsych would prepare me for the role, so I took Part A and B early on. 3. At what point in your career and training did you sit the MRCPsych Paper B exam? I sat Paper A in December 2020 and Paper A in October 2021, so this was quite early on in my training.  4. How far in advance did you start preparing for the MRCPsych Paper B and how much time did you spend on revision? I began preparing around 6 months before the exam. I'd have 8-20 hours of zoom study sessions weekly for the 6 months, studying around 4-6 days a week. 5. Did you benefit from speaking to senior colleagues or peers about the exam? Did you study with other candidates? I relied on study groups via a WhatsApp group for discussions and attended weekly zoom study sessions. I formed a study group by seeking out other candidates after posting a message on MRCPsych groups on Facebook. 6. Have you already completed MRCPsych Paper A and how do you feel it prepared you for the Paper B exam? I completed MRCPsych A on Dec 2020. By then I had already conducted many group studies and had 117 group study mates that continued with me into part B. We did the same format of group study that I hosted before. 7. How did you manage to juggle other commitments whilst studying for the exam (without panicking)? Since I am on my own here in the UK, I was able to invest a lot of time and energy in hosting daily study sessions because at the start, it kept me grounded while I was stuck in a foreign country. It gave me the opportunity to communicate with so many people in a setting other than my workplace. It was fairly challenging initially while I moved between Airbnbs (7 in total!) while waiting for flights back home. It was only when I was accepted into a psychiatry training programme in Inverness and acquired stable accommodation that things became a lot easier. 8. What resources did you use to prepare and practice for the MRCPsych Paper B exam? The hardest part was actually statistics which took up 1/3rd of the exam questions, so the goal was to complete the statistics syllabus, then move on to cover clinicals, repeat statistics again, then finally start mocks before the exam. This was the process that was recommended to me by some friends who passed the exam before me. The SPMM mocks and high yield questions were most helpful for clinical and stats, but the Psychmentor notes were also really good with the questions and mocks helping to fortify our knowledge. The Statistics and Research Methods (Cambridge Crash Course) by Dr Paul Wilkinson helped loads with statistics near the end. I didn’t use any notes or SPMM videos, but I’ve heard they helped others quite a lot. 9. Let's face it, exams are not everyone's favourite day out... so on the day of the exam, what did you do to relax? I prepped by reassuring myself that I did practice and study as best I could. I was ultimately looking to gather knowledge that would allow me to better help my patients. Whatever else came out of the process was secondary. 10. What was your experience like on the day? I felt like I could hear the voices of my study mates as I did the exam. It didn't feel particularly difficult to be honest, because I'd had lots of practice sessions. 11. What was the most challenging part of the exam? There were some tricky bits, for example being asked the percentage of patients who have a particular illness! 12. Now that the MRCPsych exam is provided online, how (if at all) was the test different to exams sat in person? I didn't see it as much different to be honest. 13. In hindsight, would you have done anything differently? Nothing really. I genuinely enjoyed the study sessions and I hope others did too. 14. What nugget of advice would you give to any MRCPsych Paper B aspirants? Form or join a study group with people from various backgrounds. Mine had folks from around the globe with psychiatry experience ranging from none at all to 12 years. Their input was gold - more so since the exam is very relevant to our day-to-day practice. 15. What are your plans going forward? I’m actually doing a couple of diplomas at the moment. I plan to collaborate with some people on some research/publication opportunities. This is mostly to bide time during CT2 as I am only allowed to sit the CASC exam during CT3 after 2 years psychiatry experience. The postgraduate route to GMC registration, whilst not the fastest, can be the most rewarding in the long run. The MRCPsych exams are the central components of psychiatry training in the UK, and as an international psychiatrist, this is the route that allows you to most closely align your qualifications with the requirements of more senior roles in the NHS. Join the IMG Psychiatrists Facebook group for access to a community of like-minded overseas MRCPsych aspirants and dedicated psychiatry recruiters. For news and updates on all things psychiatry, including GMC registration, the Royal College and the NHS, follow us on social media and join the conversation.             

Here we look briefly at the CESR route available to overseas consultants and exerienced senior doctors who wish to secure a job in the NHS and relocate to the UK. Many IMGs have recently asked if they would be eligible for the CESR route to Specialist registration. International Medical Graduates (IMGs) from any country in the world can apply for CESR, provided certain eligibility criteria are met. To help answer this question we have put together a short article to explain further, including the following topics:  What is CESR? What is the Equivalence process? Who is the CESR for? Who can apply? What does the CESR route involve? Are there other senior NHS positions available? Legal requirement before taking a substantive, honorary or fixed term NHS consultant post in the UK What are the achieved standards? How can I prepare my evidence for CESR applications? What if my application is not successful?  CESR is suitable for those who have already been practising overseas for many years.  What is CESR?  The CESR is for doctors who wish to join the GMC (General Medical Council) Specialist Register, and whose specialist training, qualifications or experience was partly or completely acquired outside an approved CCT (Certificate of Completion of Training) programme in the UK. It is equivalent to a CCT and certifies that the recipient has all the competences defined in the CCT curriculum, known as specialist registration.  What is the Equivalence process? Equivalence describes the process of assessing an overseas applicant’s training and experience against the current training programme requirements, in order to gain a Certificate of Eligibility for Specialist Registration (CESR) for the Specialist Register held by the General Medical Council. The process involves submitting a written body of evidence to the GMC of: training and/or competence skills and knowledge Each Royal College will assess the application against the relevant Curriculum before providing a recommendation to the GMC, who will then make a decision. Please note that Equivalence procedures are the responsibility of the GMC.  Applications are made through their Certification Department and initial enquiries should be directed there. Who is the CESR for? Who can apply?  If you have training, qualifications and experience in a CCT specialty but have gained these partly or completely outside an approved CCT training programme (for example, you have trained outside the UK or EEA), you may apply for a CESR in a CCT specialty. What does the CESR route involve?  In a nutshell, you will need to compile a portfolio of evidence to prove you have achieved the equivalent skills and experience of a doctor who has completed a full GMC-approved training programme.  You can collect this evidence prospectively through non-training jobs. Is it the right route for me? Yes, if… You have already completed specialty training back home If you have already completed Specialty Training, then you’re unlikely to want to repeat it.  You haven’t completed training, but you have too much experience in your specialty to apply for training posts.  In both scenarios, even if you are willing, you may be overqualified to apply for training. Doctors who have complete specialist training overseas or via a non-CCT pathway may be eligible for entry without further training. You can check using the guidelines below:  GMC CESR Guidance Specialty Specific Guidance You will need to demonstrate all specialty learning outcomes specified in the relevant CCT curriculum. Are there other senior NHS positions available? It is important to note that you can apply for more senior roles such as a SAS doctor, specialty doctor or a locum consultant (locum consultants are not required to be on the Specialist Register).  This way you will have better pay and the roles and responsibilities are more appropriate to your level of experience compared to a junior trainee. While working in these jobs you can collect evidence of your competences.  This is also a quicker route to the UK than the CESR route, which can take a substantial amount of time.  Legal requirement before taking a substantive, honorary or fixed term NHS consultant post in the UK:  It is a legal requirement that doctors must have their names entered on the General Medical Council's (GMC's) Specialist Register before taking up substantive NHS consultant posts in the UK.  What are the achieved standards?  To apply you will need to have either a specialist qualification or have undertaken a period of specialist training (not less than 6 months anywhere in the world). Your application is measured against the GMC standard.  The GMC break down the standard into four domains mirroring the headings of Good Medical Practice.  The GMC recommend that you allocate the evidence you provide with your application in the following way: Domain 1: Knowledge, Skills and Performance - 75% Domain 2: Safety and Quality - 20% Domain 3: Communication, Partnership and Teamwork - 5% (combined for both domains 3 & 4) Domain 4: Maintaining Trust - 5% (combined for both domains 3 & 4) The full list of evidence needed for each specialty is provided here. How can I prepare my evidence for CESR applications?  As CESR applications are currently a completely paper-based process it is important to think about the evidence you present. You should: Research/think about the types of evidence you will need and begin to gather your evidence well in advance of making your application. Make sure that your evidence is current and of the highest possible quality. Always note any curriculum changes – you will be assessed against the most recent one  Ensure that the evidence you collect demonstrates your competence across the whole of the curriculum, not just your sub-specialty.   Throughout your application you should refer to the Specialty Specific Guidance in your specialty (or the most relevant if applying in a non-CCT specialty).  You should also refer to the relevant CCT curriculum in your specialty; as this is the standard that all CCT applicants will be measured against. Look thoroughly at the GMC guidance available and get advice on your application from the GMC before you apply. Remember to refer to the relevant CCT Curriculum and Specialty Specific Guidance for the evidence requirements in your specialty.     The GMC has strict guidelines for presenting evidence, including verification, anonymising and translating documents. We strongly advise all IMGs to take a look here and familiarise themselves with the criteria. What if my application is not successful?  Following an unsuccessful application, you can apply for a review within 12 months of receiving your decision from the GMC. You can apply for a review of the GMC’s decision on the grounds that:  You now have additional evidence to submit that addresses the areas of your application in which you were previously unsuccessful  You believe that there has been a procedural error or unfairness in the processing of your original application.  Please refer to the GMC guidance for further information on applying for a review.  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, CESR and the most suitable hospital locations for you.

Overseas clinical or radiation oncologists wanting to secure a role in the UK via the postgraduate qualification route will need to attain Fellowship of the Royal College of Radiologists (FRCR Oncology) in order to register with the GMC. FRCR Oncology is the UK Royal College qualification and the recommended route for oncologists looking to work in the UK as a specialist or consultant. IMGs from any country in the world can sit the FRCR (Oncology) examinations, provided certain eligibility criteria are met. These are summarised below along with a broad look at the following topics - skip to one of these sections if you know what you're looking for: What is FRCR (Oncology)? Am I eligible? What is the content and structure? Where and when can I sit the exams and how much will it cost me? How do I apply? How can I prepare for the exams? Passed? What next? What is FRCR Oncology?  Clincal oncologists become full members of the Royal College of Radiologists and achieve the designation, FRCR, once they have passed the three separate postgraduate medical exams that make up the FRCR (Oncology) examination suite. The FRCR (Oncology) examinations aim to test a candidate’s knowledge and clinical understanding against the Specialty Training Curriculum for Clinical Oncology and the exams are a pre-requisite for anyone looking to go into a specialty training post as an oncologist in the UK. For more senior candidates, absence of FRCR (Oncology) will make it very difficult to attain locum-consultant posts unless you have a recognised equivalent or specialist registration in clinical oncology.  The First FRCR Examination expects candidates to have acquired a broad knowledge of those subjects that relate to the investigation and management of patients with cancer. Candidates are examined against the Clinical Oncology curriculum. A new curriculum is being implemented from summer 2021, with all trainees expected to transfer to the new curriculum by August 2022 at the latest. Further details are available on the curriculum webpages. If you are unsure what curriculum you should be using for your studies in 2021 then please refer to the Royal College website page discussing the FRCR (Oncology) Part 1 exam here.  When registering via the postgraduate route, only full FRCR satisfies the GMC postgraduate requirements for registration as an overseas doctor. There are three parts to the FRCR examinations: FRCR (Oncology) Part 1 (CO1) > comprises four papers of single best answer (SBA) questions. The written papers for the four subjects are held twice a year over two consecutive days. FRCR (Oncology) Part 2A (CO2A) (both must be passed in one sitting in order to attain a pass) two separate single best answer papers FRCR (Oncology) Part 2B (CO2B)  a reporting session a rapid reporting session an oral examination The FRCR (Oncology) examinations form an essential component of training for clinical or radiation oncologists in the UK. For overseas doctors relocating to the UK, FRCR is one of two options to support full GMC registration (postgraduate qualification or PLAB route). For doctors who wish to secure a senior clinical oncology job in the NHS reflective of their current practice, we advise that FRCR would be the best route to choose. FRCR is often an essential requirement for many job postings in the UK when a candidate does not already have Specialist Registration in Clinical Oncology or a recognised equivalent postgraduate qualification. Eligibility for FRCR (Oncology):  First FRCR: To be eligible you must: hold a Primary Medical Qualification (PMQ) that is recognised by the GMC for registration purposes. have completed courses covering the syllabus in the subjects listed below. Cancer Biology and Radiobiology Clinical Pharmacology
 Medical Statistics Physics There is no requirement to have held a clinical oncology training post in order to attempt the First FRCR Examination. Final FRCR Part A: To be eligible you must:  have passed the First FRCR examination must have passed the First FRCR examination and have completed three years of supervised clinical oncology training covering the examination syllabus. In exceptional circumstances, with support from the Training Programme Director and at the discretion of the Medical Director (Education and Training), this minimum training period may be reduced to two years and six months. Final FRCR Part B: To be eligible you must:  have passed the Final FRCR Part A, First FRCR and have completed three years of supervised clinical oncology training  Content and structure for FRCR (Oncology) First FRCR Examination: It is delivered through a digital platform and as such is now also available at a larger number of test centres than before. The First FRCR Examination comprises four papers of single best answer (SBA) questions. The written papers for the four subjects are held twice a year over two consecutive days. Further general information on the examination shows in the guidance notes for candidates here, however it can be summarised as below: Day One Format Cancer Biology & Radiobiology 50 questions over 2.5 hours Clinical Pharmacology 40 questions over 2 hours Day Two Format Physics 50 questions over 2.5 hours Medical Statistics 40 questions over 2 hours Each SBA question comprises a stem (a question or statement) and five items (answers) [labelled (a) to (e)]. Candidates are asked to decide which one of the five items represents the best answer to the question given in the stem. The four modules break down as below: Cancer Biology and Radiobiology: the processes of cancer cell transformation and tumour development and how these processes may be demonstrated, and the response to ionising radiation of cells both individually and grouped as tissues. Clinical Pharmacology: the structure, action, use and evaluation of drugs used in the treatment of a patient with cancer. Medical Statistics: with special reference to clinical trials and assessment of results, and the epidemiology of cancer. Physics: the application of physical principles and methods in clinical radiotherapy, physical basis of the therapeutic uses of radioactive isotopes, radiation hazards and protection. A knowledge of SI units is expected. Final FRCR (Part A): The examination expects candidates to have a wide knowledge of malignant disease and the management of patients with cancer. The main emphasis is on radiotherapy and drug therapy, but a good knowledge of general medicine, surgery and gynaecology is expected. You will be examined against the specialty training curriculum for clinical oncology and the clinical oncology syllabus. The Final FRCR (Part A) Examination comprises two papers of 120 single best answer (SBA) questions. It is held twice a year, normally in February and August/September and you are given three hours to answer each of the papers. Read the college's Purpose of Assessment to see this information in detail - however below we summarise the content and structure for FRCR Part A. Paper 1 Tumour Type No. of Questions Respiratory  24 Urology  24 Head & Neck  24 Skin  12 CNS 12 Gynaecology 24   Paper 2 Tumour Type No. of Questions Breast  24 Lower Gastrointestinal 24 Upper Gastrointestinal 12 Haematology 12 Miscellaneous* 38 Image-based 10 *The miscellaneous section contains questions on thyroid cancer, sarcoma, unknown primary, regulations, palliative care and a small set of questions that do not specifically fit into a defined site specific category. FRCR Part 2B (Oncology) (CO2B): The exam requires you to have a wide understanding of malignant disease and management of patients with cancer. The biggest emphasis here is radiotherapy and drug therapy, though a strong knowledge of general medicine, surgery and gynaecology is expected also. You will be examined against the specialty training curriculum for clinical oncology and the clinical oncology syllabus. The exam has both a clinical and oral component. Read the Royal College's Final FRCR Purpose of Assessment to understand the format and content in more detail, however a brief summary of both part is below: Clinical Examination: This is the practical element and will involve you rotating round five strictly timed clinical assessment 'stations' where your skills are assessed by a pair of examiners. This part is to test the skills and competencies that are essential for safe and effective clinical practice as a clinical oncologist in the NHS. Patients with real clinical signs are used throughout this examination, allowing you to demonstrate your knowledge and judgment in as a realistic a scenario possible.  The clinical examination will assess your ability to: identify important clinical signs using effective examination techniques give a rationale differential diagnosis order and interpret appropriate investigations identify the main treatment options select an appropriate, safe and sensible management plan recommend a safe radiotherapy technique, understanding and communicating the likely outcomes & side effects recommend a safe systemic treatment schedule, understanding and communicating their likely outcomes and side effects clearly discuss a likely prognosis in the case presented clearly demonstrate an ability to treat the patient sensitively, ensuring their comfort and dignity Oral Examination: The structured oral examination assesses in-depth issues surrounding radiotherapy planning, diagnostic imaging and clinical decision-making and case management. Communication and ethical scenarios are addressed during this examination. It will mirror day-to-day clinical discussions and MDT meetings, essential elements to a Clinical Oncologist's role in the UK. There are several slides per question, and your answers can lead to further questions on subsequent slides by the examiners. The questions build as the discussion develops, and this oral examination allows each step of the case to be assessed and discussed as it would be in a real-life clinical scenario.  The structured oral examinations allow for fair, valid and reliable assessments due to: uniformity of questions asked pairing of examiners (junior and senior) allowing for ongoing training and accurate data capture and marking four independent judgments of your performance the examination is blueprinted against both the curriculum and the range of RCR-designated skills required to be a competent oncologist in the NHS the use of an objective marking scheme which details the essential points required to pass each question As an overseas candidate, where & when can I sit the exams and how much will they cost me?  This link takes you to the examination updates section. Information on the dates, fees and venues for the FRCR examinations can found here.  How do I apply for the FRCR (Oncology) examinations? UK Trainees are given priority for examination places, whilst overseas candidates are offered the remaining places via a ballot system following the application closing date. If you've had your exam deferred due to cancellations over the last year, you will be prioritised.  The Royal College urges anyone applying to read the examinations guidance before doing so. Applications are made online via the Royal College website here. How should I prepare for the FRCR (Oncology) exams?  With lots of materials online, we have discussed with IMGs the best place to start looking for resources and materials relating to the exams. Most IMGs recommended starting with the Royal College, who have created useful resources to help you prepare, see below:  Syllabus: The syllabus should always be your go-to for your studies. This is what you will be tested on, so it should be the foundation of your studies and preparation. As of May 2021 the new curriculum has been approved by the GMC but is pending full publication. You can find this on the Royal College website here. Clinical Oncology Curriculum implementation tools - a variety of tools are available to support the implementation of the new curricula. This page is very useful and has many different tools within the page. You can access it here. Remote proctoring guidance - this is a new system and as with anything techy, problems can arise! Use this section of the Royal College to familiarise yourself with the new system with the new normal. Access this page here. First FRCR examiners' reports - a guide for candidates and trainers preparing for future sittings. Access this here. Trainees share their experiences of the Final FRCR examination - a two-part audio series featuring trainees talking about their experiences of preparing for and taking the examination. Final FRCR examiner reports - a guide for candidates and trainers preparing for future sittings. Access the examiner reports archive here. Final FRCR Part B demonstration films - clinical and oral demonstration videos. Access the Part B demonstration films here. Sample oral questions - sample questions for the oral component of the Final FRCR Part B examination. You can access the sample questions here. Connect with the Royal College - connect with the Royal College on YouTube to see their numerous videos that can be used for training and information purposes. Their channel can be found here. IMG Oncologists Join the IMG Oncologists Facebook group for access to a community of like-minded FRCR (Oncology) aspirants and dedicated oncology recruiters. In this group you will find tailored resources for oncology IMGs, including access to our FRCR (Oncology) crash courses, completely free to all doctors. You can access our IMG Oncologists community here. I passed the FRCR Oncology exams! What next? First of all, congratulations! After you have passed all three parts of your FRCR examinations, you can apply for a full registration with a license to practice. Once the GMC has approved your application, you can work as a doctor in the UK. This exam will form an integral part of any CESR application (if that is your route to specialist registration) and in most cases, if you have previous and relevant experience, will allow you to practice as a locum consultant clinical oncologist whilst you are not an accredited specialist on the specialist register.  For regular news and updates, follow IMG Connect on social media using the links below:              

Overseas Microbiologists wanting to secure a job in the UK via the postgraduate qualificaiton route will need to attain Fellowship of the Royal College of Pathologists or FRCPath in Medical Microbiology, a sub-specialty exam of FRCPath. International Medical Graduates (IMGs) from any country in the world can sit the sub-specialty FRCPath in Medical Microbiology examinations, provided certain eligibility criteria are met. These are summarised below along with a broad look at the following topics: What is FRCPATH in Medical Microbiology? Eligibility for overseas doctors FRCPath in Medical Microbiology structure and format FRCPath in Medical Microbiology: Part 1 FRCPath in Medical Microbiology: Part 2 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 FRCPath in Medical Microbiology?  Set against the Medical Microbiology incorporating CIT curriculum, the examinations act as an early assessment of your understanding of the scientific basis of medical microbiology, virology and infectious diseases. The exams recognise microbiologists close to the end of their training who can demonstrate sufficient knowledge and technique for independent practice. In other words, completion of the full set of exams (Part 1 & 2) demonstrates your ability to work at consultant level. The examinations are split into two parts: Part 1 – single 3-hour paper with Multiple Choice Questions (MCQ)  Part 2 – four paper examination sat over two days Eligibility for overseas doctors: Below we outline the eligibility for overseas doctors looking to sit both FRCPath Microbiology exams. For international candidates, the eligibility criteria for FRCPath specialty examinations can be a little confusing when looking online so IMG Connect spoke to the Royal College directly to clarify this. Time spent in microbiology training is stated as a requirement of eligibilty and the Royal College do consider equivalents to NHS training programmes though there is no list of countries with accepted or unaccepted training programmes. The royal college advises you should speak to your Educational Supervisor or Sponsor (if you have one) who can advise you if you are ready or eligible to sit the Examinations if you are unsure. Remember, there are many overseas doctors applying for all parts of the FRCPath exams so don’t be put off applying! Top Tip: If you have the required months training in a recognised programme in your country for Histopathology specifically, the chances are you will be eligible. Eligibility for Part 1: You are required to have trained in a recognised training programme in microbiology for a period of no less than 12 months.  Eligibility for Part 2: You must have passed the Part 1 examination and have had at least 3 years microbiology training in a recognised training programme in your country.  FRCPath Part 1 in Microbiology - structure and format: The exam focuses in particular on the scientific basis of virology, microbiology and infection. The exam is set against both the medical microbiology and virology curriculum. It is a single three-hour objective MCQ examination, with computerised marking sat over one one day. Questions are in two formats: One-best answer Extended-matching-question FRCPath Part 2 in Microbiology - structure and format: Part 2 consists of four paper examinations sat over two days. The exam will be ‘closed book’ (i.e. NO textbooks, manuals, other written material or equipment belonging to candidates may be used). Only reference material provided by the examiners may be used. These are as follows:  Paper 1 – two parts, 2.5 hours in total: One essay from a choice of two questions, usually including laboratory management issues, antimicrobial stewardship, infection prevention or a combinatino of all. One SAQ paper focused on clinical scenarios, infection prevention, laboratory practice and safety. The essay is allocated one third of available marks for this paper. A closed marking scheme is used for the essay question. Top Tip: A brief vignette with interpretation of clinical, laboratory or infection control data is a common format for SAQs. Paper 2 - two parts, 2.5 hours in total: Critical appraisal of a journal article  SAQ paper with similar content as Paper 1 The journal article is allocated one third of available marks for this paper  Paper 3 – one part in laboratory scenarios, 3 hours in total Complex clinical and laboratory scenarios in microbiology and infection prevention. Top Tip: Questions cover similar content to Paper 1&2 SAQs though the question format is longer, allowing for progression within each scenario to reflect evolving information encountered in clinical practice. Clinical and laboratory data and images may be presented, however there will be no practical manipulation of laboratory material. Paper 4 – one part, 3 hours in total Objective Structured Pathology Examination (OSPE) format.  Comprises of 15 stations, each of 9 minutes duration with variable rest stations.The exam allows for broad sampling of the curriculum and involves two face-to-face stations with a pair of examiners. The OSPE facilitates assessment of knowledge, application of knowledge, laboratory skills, and communication in scenarios encountered by microbiologists in clinical practice.  Pass criteria for FRCPath Microbiology Part 2 Exams: In order to achieve an overall pass, you must achieve a pass in both combined scores for:  Papers 1+ 2  Papers 3 + 4 Failure of either of the two components will result in an overall fail. If you fail either of these two components, an overall fail result will be obtained and the entire examination will need to be taken at a future date. In other words, you cannot carry forward a pass in any part of the exam into subsequent sittings. Where can I take the exams and how much will they cost me? FRCPath in Medical Microbiology - Part 1: In Spring 2021, the Part 1 examination will be offered using online delivery to candidates. This means you can take the exam remotely and will not need to travel overseas to sit the exam, or attend an examination centre. The College will deliver the written components of these examinations through a company called TestReach, the Oral components (including oral OSPE stations) will be delivered using a video-conferencing platform such as Zoom or Microsoft Teams and for the written examinations, candidates will be given the opportunity to trial the TestReach system to familiarise themselves with it ahead of the examination. You can read more about the new, remote examination process further here on our website. Previously, the Part 1 examination was sat in multiple overseas centres and once the pandemic is under better control globally, it is highly anticipated the Royal College will return to previous set-ups. The FRCPath Part 1 exam costs £622. You can see how the Royal College breaks down the cost here on their website. FRCPath in Medical Microbiology - Part 2: Currently it can only be sat in the UK. Availability of overseas Part 2 examination centres will be indicated on the website and candidates should contact the Examinations Department to express their interest in taking the examination in the available centre. In 2021 no overseas Part 2 examinations will take place in the Spring session, and it is highly unlikely an overseas centre will be available for Microbiology in 2021.  The FRCPath Part 2 exam costs £1,308. You can see how the Royal College breaks down the cost here on their website. How do I apply? Applications must be made via the Royal College of Pathologists website, with applications only available once an application window is opened by the Royal College. How to prepare and what resources are available? With lots of resources available online, we have discussed with consultants the best place to start looking for materials relating to the exams. Most recommended starting with the Royal College, who have created useful resources to help you to prepare for the exams.  Below we have included resources available through the Royal College and a few other resources recommend by doctors that have passed. Curriculum: The content of the exam is set against the Curriculum for Specialty Training in Medical Microbiology. This curriculum incorporates the Combined Infection Training developed in conjunction with the Joint Royal Colleges of Physicians Training Board. Part A is set against both the medical microbiology and virology curriculum. TOP TIP: We recommend getting to know the curriculum as early as possible and using it as a road map for your study plan. This advice comes directly from one of the RCPath examiners/  Regulations and Guidelines: Before applying for FRCPath examinations, the Royal College recommends you read both the General & Specialty Specific regulations and guidelines: General Regulations and Guidelines Royal College - Medical Microbiology Regulations & Guidelines Past papers: Test your knowledge using example questions from the current exam syllabus provided by the Royal College: Medical Microbiology and Virology - Part 1 MCQ & EMQ Medical Microbiology Part 2 – OSPE  Medical Microbiology Part SAQ Medical Microbiology Part 2 – Paper 3 Medical Microbiology Part 2 – Essay Medical Microbiology Part 2 - Journal On-the-day Exam Advice: Part 2 – food and drink: With multiple exams taking place for Part 2 in one day bring supplies! It will be a long day and there may not be access to food. Hiring a microscope: For Part 2 you will be required to sit examinations in the UK and will require a microscope. The examination centres will not provide equipment for any applicants so you will need to hire a microscope in advance. There are a few companies easily accessible through a web search, find a microscope and book well in advance of the exam. You can arrange for the company to drop off and pick up the microscope from the exam centre, don’t worry! Top Tip: At IMG Connect we recommend speaking to anyone you know who has sat and passed the exam and get their personal hints and tips. We would also be happy to help you arrange anything you need for the exam day.  I passed the FRCPath Medical Microbiology exam! What next? First of all, congratulations! After you have passed all parts of FRCPath in Medical Microbiology you can apply for full registration with a license to practice. Once the GMC have approved your application, you can work as a doctor in the UK.  Searching for Medical Microbiology & Virology jobs in the NHS could not be easier If you want to find out more about the many different Microbiology roles available within the NHS - it only takes a minute to register with IMG Connect and receive expert advice and representation. We have helped many overseas Medical Mircobiologists secure consultant, specialty doctor, registrar, clinical fellow and staff grade NHS jobs, whilst offering expert guidance to many more IMGs on NHS doctor pay, FRCPath exams and English language testing. We’d be happy to help you!

Today is the day! The MRCEM OSCE results have been released...  IMG Connect wishes all emergency medicine specialists good luck with their results today - we hope you all achieve the result you deserve! Whether your passed or failed, here we'll offer some suggestions on what to do next... I passed the MRCEM OSCE I didn't pass the MRCEM OSCE I passed the MRCEM OSCE, what's next? So, what next? First things first, you deserve to celebrate and get some relaxation in! Emergency Medicine doctors who have attained full MRCEM and secured a job in the NHS, all tell us that the MRCEM OSCE is a tough examination and it is an emotional moment when you pass. So much hard work goes into to reaching this stage, so book yourself a holiday! Or at least kick off your shoes and put your feet up :-)  You are now well on your way to being eligible to apply for an Emergency Medicine post in the UK. There are a few key steps before you're ready to go: English language test GMC registration Apply for NHS jobs English Language Test You may be wondering whether you need to take an English exam now that you have passed MRCEM OSCE. This is a requirement for all overseas doctors and is needed for GMC registration. For doctors who have worked for at least 2 years in an English-speaking country, employer references for English can be used to demonstrate a suitable level of competence in English. Passing your English language exams is an important next step for many Emergency Medicine doctors that pass their MRCEM. Take a look at these helpful blogs and articles from the IMG Library on OET, IELTS and preparing for English language exams, including a side-by-side comparison of the two tests. English Language Tests - a library of all our helpful blogs and articles on English Language Testing, written specifically for international doctors. OET - a series of blogs and articles relating to the Occupational English Test (OET) IELTS - a library of articles and blogs and articles centered on the International English Language Testing System (IELTS) GMC Registration Armed with your complete MRCEM, you can now apply for full GMC registration with licence to practice. There are a few checks involved in the GMC registration process such as the verification of your medical license and obtaining a certificate of good standing, however, we are more than happy to talk you through the process with little to no worries or effort on your part. Once your application has been approved, you are eligible to work in the NHS. Nice one! Apply for NHS Jobs Now is also a good time to start thinking about the steps you should take in finding the right job for you in the NHS, or wherever you are considering your next role. There may be many questions running through your mind such as, do I need to take an English exam first? What grade will I be eligible for? Or perhaps most importantly, how do I find an A&E job in the UK? To jumpstart your job search, click here for up-to-date NHS Emergency Medicine jobs. As specialists in the recruitment of overseas MRCEM qualified A&E doctors, whether it's preparing your CV for professional representation or finding you a great role with a fantastic salary, IMG Connect is here to help. Register your details with IMG Connect to receive a one-to-one personalised service from one of our Emergency Medicine Specialists. We have a team that helps specifically international Emergency Medicine doctors like yourself in securing work across the UK & Ireland. Register today and one of our team will get back to you immediately! I didn't pass the MRCEM OSCE If you did not pass the MRCEM OSCE - don't worry! The overall pass rate for those that attempt a second time is extremely high (90%+) so your hard work and dedication will pay off very soon! Take some time out to relax and enjoy life and come back stronger. These moments will only make you stronger and a better doctor in the long run so as the British say, chin up and strong upper lip! At IMG Connect we've taken the time to prepare and collate the best preparation resources for the OSCE - and we would be delighted to share these with you. Click on the buttons below to either register with the IMG Connect team, so we can talk you through this or request the MRCEM OSCE resources to help you pass the next time. Getting started  If you have any questions about how to secure an NHS job in Emergency Medicine, please get in touch with us here.   Follow us on social media through the links below for regular news and updates on the Royal Colleges, relocating to the UK and working in the NHS:              

As an overseas health and care professional, the main route to the UK is via the HCPC registration. The Health & Care Proessionals Council is the regulator for 16 health and care professions across the UK.This article is written for overseas health care practitioners who have completed professional training outside the UK and who wish to apply to work in the UK.  Overseas healthcare professionals from any country in the world can register with the HCPC and work in the UK, this registration process is summarised below along with a broad look at the following topics: How can I practice in the UK? Which route is for me? I qualified and practice outside of the UK, am I eligible? Am I eligible for full clinical equivalence? What is the role of the standards of proficiency? What are the standards of proficiency How do I demonstrate that I have met the standards of proficiency?  How to apply via European Mutual Recognition (EMR) How to apply via International Application Application steps What documents will be required?  What if I am unsuccessful?  English language proficiency Successful? What next?  How can I practice in the UK? To practice in the UK using any of the HCPC regulated terms you have to satisfy the HCPC that you have broadly equivalent skills to those who trained in the UK.  The HCPC check equivalence based on the British qualification which is at Doctorate level.  If your degree is from outside the UK then the HCPC will want to assess all your qualifications and experience to see what you need to add to reach their desired standard for the healthcare profession, or where you would need to join the training path if you have moved to the UK already.  The type of HCPC application you make depends on your country of origin and training. There are two application routes:  European Mutual Recognition (EMR)  International application  Which route is for me?  It all depends on where you have trained and qualified, EEA or outside the EEA.   I qualified inside the EEA:  If you have trained and are a citizen of an EU member state, then you are eligible for European Mutual Recognition (EMR). If you are eligible for EMR then you must apply via this route.  EMR ensures that EEA qualifications are recognised across Europe as equivalent, and therefore you will only require your English language proficiency to complete your application.  Am I eligible for European Mutual Recognition (EMR route)? To be eligible to apply for registration based on European Mutual Recognition you must be a citizen of a relevant European State I qualified outside the EEA:  If you have trained outside the EU, then you are eligible for an international application.  Both routes follow the same process, the skills, education and training you submit via your application forms are assessed by Registration Assessors, who make a decision within 60 working days.  Am I eligible for the international route? To be eligible to apply for registration via the international route, you must have undergone relevant training and be fully qualified to practice your profession. fully qualified to practice your profession in a relevant European State other than the United Kingdom Your application will be assessed against the standards of proficiency for your area of healthcare. We advise that before you apply you should check you meet, or exceed, the professional standards all registrants must meet in order to become registered in your area. What is the role of the standards of proficiency? For the purposes of HCPC registration, in order to ensure all applicants will work to the standards necessary to protect the public, the HCPC set threshold standards they consider necessary to measure all candidates and practitioners against in the UK.  They set clear expectations for knowledge and abilities for when they start practicing in the UK. Am I eligible for full clinical equivalence? To be eligible for full clinical equivalence (i.e. to be able to secure a job in your chosen area in the UK) you have to demonstrate you have met:  all of the competencies required to get a doctorate in the UK experience of all the core client groups (working age adults, older people, children and families, people with learning disabilities) or core competencies  have a doctoral standard piece of research How do I demonstrate that I have met the standards of proficiency in my application? 1. Include as much as detail possible: You will be asked to provide detailed information about your experience, education or training. Include as much relevant information as possible in your application. 2. Cover and provide detail on ALL of your experience: The HCPC will assess the courses that you have complete, some courses are broader with less in-depth coverage, and others are more detailed but have a narrower scope. Therefore, as a precaution, you must detail as much experience as you can in your application in case there are any shortfalls from the training and qualifications that you have. Significant experience may make up for shortfalls in training. TOP TIP: HCPC assessors make their determinations based on all the information that you provide. So, provide as much as you can!  How to apply via European Mutual Recognition (EMR):  The EMR application process follows the format of the international applications process. The skills, education and training you submit via the EMR application forms are assessed by Registration Assessors, who make a decision within 60 working days.  How to apply via International Application: The International application process follows the format above. The skills, education and training you submit are assessed by Registration Assessors, who make a decision within 60 working days. What are the application steps?  The process follows four steps: Step 1 - submit forms and pay fee  Step 2 - processing Step 3 - assessment by the HCPC Step 4 - decision letter A successful decision will be confirmed by receipt of a letter stating your addition to the HCPC register.  What documents will be required?  You will require the following to support your application:  identity documentation qualifications  good standing and character declaration – part of application declaration regarding background checks – part of application Original documents that are not in English will have to be accompanied with a translated version.  TOP TIP: We advise that you prepare your documents and experience as early as possible before making your application, this will not only save you time, but give you the chance to add and edit the content you will provide. Increasing your chances of success! Step 1 - Submit forms and pay fee Once you have gathered your documents and have fully considered your experience matched to the standards of proficiency, you can submit your forms and pay the application fee.  The HCPC will take a scrutiny payment of £495 at this stage.  You will receive a confirmation receipt and payment.  You will also receive your application reference number. This reference number is important, and you should use this each time you contact the HCPC to discuss your application. TOP TIP: If your application is not accepted for processing because of missing information, the HCPC will return it to the address on the form. You will then need to resubmit your application. To avoid this, ensure you have prepared all of your evidence and documentation as above.  Download and complete your form, then send them by post to the address on the front page of the application. Download the application form for registration – EMR Download the application form for registration – International application Step 2 – Processing During this period (4 weeks from receipt of application), the HCPC will contact your education provider, any relevant regulatory or professional bodies and any professional referees.  This is to verify the information that you have provided in your application.  You do not need to do anything until the HCPC have notified you of the outcome of the next stage of the process.  Step 3 - Assessment The next stage is the assessment of your regulated education and training and any other relevant education, training or experience included in your application. Your application will be sent to two assessors from the practitioner register.  They will consider all the information that you have submitted before making their recommendation to the HCPC. What are they assessing?  You will have to demonstrate:  you have met all the competencies required to get a doctorate in the UK experience of all the core client groups (working age adults, older people, children and families, people with learning disabilities) or core competencies you have a doctoral standard piece of research. First, they will compare your regulated education and training with HCPC standards of proficiency. If any shortfalls are identified, they will check your submission to see if these have been made up through any other relevant education, training or experience that you have provided details for.  They will then send a recommendation to the Education and Training Committee (ETC). This recommendation will be then reviewed by the ETC who will send their decision to you. TOP TIP: The HCPC can only base their decision on the information provided in the application. They do not contact referees, training institutions, or employers to obtain further information about your training or work experience. So, remember to provide as much experience, training and relevant education as possible.  The HCPC will send a Record of Assessment to you within 60 working days of receipt. This Record of Assessment may include a request for further information which will prolong the processing time of your application.  Again, for this reason it is important that you include as much relevant information as possible when you submit your application. Step 4 - Decision letter You will be notified of the outcome of your application in writing. In successful cases this will confirm your addition to the Register.  What if I am unsuccessful?  If you have not been successful in your HCPC application, it is likely that there was some information missing from your application to demonstrate that you meet the standards of proficiency.  The HCPC will return your application to the address you provided, you can then add more detailed information to your application forms and resubmit.  If, however, you have failed the application, the following will apply depending on the route that you have applied through:  International application rejected:  You may be able to appeal the decision. You can find out more about appeals here.  EMR application rejected: Your choices are different. If you're a national of an EEA country, and are entitled to practice, you will be required to complete a period of adaptation or an aptitude test to rectify shortfalls in your knowledge or experience. You can find out more about the period of adaptation here.  English language proficiency:  The ability to communicate in English is of course crucial to working effectively in the healthcare profession in the UK. If you are applying via the International Application then you must obtain one of the following scores: IELTS – 7.0 average in all areas, with no element below 6.5 TOEFL – minimum score of 100/120 If applying via the EMR Application, and are a National of a relevant EEA state, then you are exempt. Please note that Speach & Language Therapists must obtain higher scores, contact us for more information.  Successful? What next?  First of all, congratulations! Once you have been granted registration with the HCPC, you can apply for work as a practitioner in the UK.  For more useful blogs & articles on exams, registrations & qualifications to help you find your dream job in the NHS - take a look at our IMG Resources library. If you have attained HCPC registration don’t hesitate to get in touch with your IMG Consultant to discuss UK job options in your area, including discussions regarding a typical healthcare professionals salary in the UK and the most suitable locations for you.  Follow us on social media for news and updates on GMC registration, the Royal College and NHS through the links below:             

OET is fast becoming the most popular English Language test that overseas doctors will use for GMC registration. It is an English language test that tests medical language specifically and for that reason is very popular with IMGs. However, as with many things the exam has been heavily disrupted by the COVID-19 coronavirus pandemic. In response to the COVID-19 pandemic OET have created two new versions of their popular English language test to help doctors when their local test centre is closed: Computer-based OET test OET@Home OET@Home - what is it? OET has partnered with Prometric TM, a private company, to deliver a home version of the OET test. While computer-based testing and remote proctoring (invigilation on behalf of OET) will bring changes to the delivery mode - the test format, tasks presented and level of English assessed will all be the same. OET@Home - how does it work? The reading, listening and writing sub-tests of OET will be available via computer-based delivery and the Speaking sub-test will be carried out with a human interlocutor via video calling software. This human involvement and role-play nature of the OET Speaking sub-test which is so important to the test - will not be compromised. The test will be managed remotely and under strict condition by invigilators who know the importance of this test for patient safety and fair GMC registration process for any doctor taking OET - whether it’s OET@Home of OET sat in person at a test centre. Below we have summarised a number of FAQs to help address any question you have. We have taken the information directly from the OET Website here https://www.occupationalenglishtest.org/at-home-remote-proctored-testing/. Do I have to take the test on a computer? Or are paper-based tests still available? You do not have to take the test on a computer. OET will be running both paper-based and computer-based testing, so you can still take the test on paper if that is what you prefer. They will be continuing to run paper based tests at all the current values as long as local lockdown restrictions allow. So now you can sit one of three OET formats: paper-based tests at OET test centers (the old method) a computer based test that you can sit at selected test venues OET@Home , a remote-invigilated test that you can sit at home using a Windows PC Is there a difference between computer-based OET and OET@Home? Not really. They are exactly the same test with the main difference being where you actually take the test. The key difference is this: With computer based tests you will attend a test venue to take the test.  With OET@Home you will be able to take the test remotely (e.g. at home or work) on your Windows PC. How does the remote invigilation or proctoring work? ‘Remote proctoring’ essentially means ‘remote invigilation’. This means that you can sit the test outside a test centre under the same strict exam conditions that an OET test centre would provide. Human proctors or human invigilators check the following: you are who you say by checking ID room searches prior to the start of the test monitor your behaviour during the test, ensuring you do not breach any OET rules and regulations Remote proctoring systems also help maintain test security with the following: security features such as limiting functionality of your computer (e.g. so you cannot access the internet or take screenshots) How often will the computer-based test and OET@Home run? Initially once a month on either the same day, or alternate Saturdays as the paper-based OET test.  However, this is still to be confirmed and OET will release more details in the coming weeks. Keep an eye out for their updates found on their website here. Can I actually sit the test at home? Yes. Once the OET@Home is live you will be able to sit the test at home, using a Windows PC. How will the speaking test work? The Speaking sub-test will still be two role plays with a live interlocutor or test official. The only difference is with OET@Home, where the live interlocutor will role-play with you via video conference. How much will this cost me? At this point it does not look like there will be any change to the cost of OET, no matter which test you take. A reminder - those cost of the OET is currently AUD 587 (A$587) which is currently equivalent to £327. Please note, the price and conversion rate is representative of the time of writing this article (July 2020) When can I book a test? OET@Home will be open for bookings at the end of August, with the tests available from September onwards. Computer-based OET will be available at the end of September in a few locations. More locations will be made available after the first  Will the OET test format change? No - all tasks, format and timings will remain the same across all types of OET. If I have already booked to take the OET paper-based test - will I be able to change my booking to either computer based test or OET@Home? Are the computer-based OET and OET@Home accepted by regulators? Both the computer-based OET and OET@Home are accepted by the GMC and will be valid for Tier 2 visa applications also. How do I book my place with either OET@Home or computer-based OET? You will be able to book your test online and OET will let you know as soon as both new types of test are available for booking. Can I take the OET@Home on a mobile phone? No, the OET@Home can only be taken on Windows PC. You can find the technical specifications here. So, I can only use a Windows laptop? What if I have a Mac? Unfortunately, if you have a Mac you will not be able to sit the OET@Home with it. You will need a dedicated computer running Windows 10, either a desktop computer or laptop. Refer to the technical specifications to check you Windows PC can run the software. How long will the results take to be released? OET will stick with the same results timeframe in place for paper-based OET tests - however there may be the opportunity to significantly shorten the time needed for results to be released. However, do not expect to see this benefit immediately. How can I prepare for all versions of the OET?  As with all tests, we recommend preparing as much in advance as you can. Learning a new language is challenging and takes time. You cannot just turn up on exam day and hope to pass, no matter how good your English is already. Take a read through this article below to help your preparations for OET: IMG Resources: Preparing for your English Language Test What courses or tutors can I use for OET preparations? We discuss this in more depth in the article below: IMG Resources: Preparing for your English Language Test As an International Brand dedicated to helping international doctors to register with the GMC and find work in the NHS - we have lots of partnerships in place with trusted companies in many areas. One of these key areas is English Language Testing and IMG Connect works closely with a company called Specialist Language Courses. You can take a look at their website here. Specialist Language courses are incredibly professional and are the UK's leading provider of online courses and tutoring. They are also one of the few accredited providers of OET and have provided consultation and guidance to the GMC on English language testing.  Success rates are 70% + for those who sign for their tutoring and you can receive a discount if introduced by IMG Connect. Register with IMG Connect to request your discount on English Language Courses or get in touch with one of our IMG Consultants to discuss Follow us on social media for news and updates on GMC registration, the Royal College and NHS through the links below:             

There are several routes an overseas histopathologist can take to GMC registration & practicing anatomic pathology in the NHS. All pathologists looking to secure a job in the NHS, whether you are from inside or outside of Europe, will need to satisfy certain criteria to fully register with the General Medical Council before they can practice in the NHS. As a histopathologist, the criteria you need to meet depends on where you trained, and what qualifications you hold. This article is designed to give you a snapshot of the steps you need to take to start your journey to the UK, no matter where in the world you live. We’ll be covering the following:  How do I demonstrate my knowledge and skills as an EEA histopathologist? How do I demonstrate my knowledge and skills as a non-EEA histopathologist? How can I demonstrate my English language skills? What is a certificate of good standing and how do I get one? What do I need to register with the GMC? Will I need a visa to work in the UK? Evidence of knowledge and skills for EEA histopathologists For histopathologists who trained in an EEA country (all countries inside the EU, including Lichtenstein, Iceland, Switzerland & Norway), there are a number of different options potentially available to you.  Depending on the country and year you completed your residency or basic medical training, the GMC may automatically recognise your qualifications and grant you either General Registration, or Specialist Registration in the UK. To find out if your country’s qualifications will allow you to register for either general or specialist registration, check the relevant GMC page here.  Basic Medical Training: If you have met the basic medical training requirements, this would mean that you would not need to demonstrate your medical knowledge and skills to work as a doctor in the UK and would not need to complete a UK- recognised postgraduate qualification or PLAB to register with a license to practice. You would be granted full registration in this case, but not Specialist Registration.   Specialist Training / Residency: If you have met the criteria listed for your country then you once you completed your GMC application process you would be granted Specialist Registration in your Specialty and can be appointed as a substantive or permanent consultant in the NHS. So as a pathologist, if you hold a Relevent European Specialist qualification then you would be on the specialist register for histopathology, and can be appointed as a substantive histopathologist in the NHS. So, the main hurdle that you will face is demonstrating that your English skills are of a high enough standard to practice safely as a doctor in the UK & NHS.  As a European histopathologist, this is in most cases the easiest route to becoming GMC-registered and being able to practice in the UK.  If you do not meet the GMC requirements for your training to be approved for full or specialist registration, other routes you may consider to GMC registration include PLAB or (via the postgraduate route) the Royal College exams for Histopathology (FRCPath). You can find out more about these alternative routes here.  Evidence of knowledge and skills for non-EEA histopathologists  If you qualified as a histopathologist outside the EEA, then you will have to demonstrate that both your medical knowledge and skills AND English Language capabilities meet the level required to practice safely in the UK.   Histopathologists who've trained from outside the UK and EEA must demonstrate to the GMC they have sufficient knowledge & skills to practice safely in the UK. For histopathologists this can be done through one of three main routes:  Professional & Linguistics Assessment Board (PLAB) The PLAB exam is a two-part exam that assesses a doctor’s ability to work safely as an SHO in the NHS, as such it does not demonstrate ability in pathology specifically. For this reason, PLAB tends to be a route for junior doctors who have not already chosen their field of specialisation in medicine. That said, for some senior doctors PLAB can be an attractive option, offering a quicker route to the UK, whilst still securing competitive salaries. If taking this option, pathologists can then take up training or a more senior post once they have established themselves in the NHS. Take a look through our comprehensive guides on PLAB. Fellowship of Royal College of Pathologists Royal College Qualification of FRCPath: Attaining a Royal College qualification is a preferred path for doctors who have already chosen their field of specialism i.e. pathology. For senior pathologists taking this route, they will gain access to more senior, well-paid jobs in the specialism of their choice. The Royal College of Pathologists is the Professional Body that regulates the specialism of Pathology in the UK, and Membership of the Royal College of Pathologists (FRCPath) is the full qualification attainable by examination. For overseas doctors, attaining FRCPath will satisfy the knowledge & skill criteria for GMC registration and facilitate application for more senior roles in UK Pathology. Take a look at our complete guides on Fellowship of the Royal College of Pathologists as per your sub-specialty to understand more. GMC recognised or equivalent qualifications Some overseas qualifications and licensing exams are recognised by the GMC and accepted for registration purposes. This is to say these qualifications or licensing exams are considered as meeting the same standards as the Royal College qualifications.   To find out if your qualification is accepted by the GMC, take a look at our blog: Overseas accepted postgraduate qualifications. English Language Testing  Both EEA and non-EEA histopathologists, regardless of experience, and country of origin, must demonstrate that they have a sufficient grasp and competence of the English language. This can be done by passing either the International English Language Testing System (IELTS) or the Occupational English Test (OET). Detailed guides to these tests can be found below:  IELTS – a guide for overseas doctors OET – a guide for overseas doctors Experience in English-speaking countries  For doctors who have at least two years of their most current experience in an English-speaking country, you can use a reference from your current employer or employers over these two or more years to demonstrate competence of the English language. This would exempt you from sitting an English language exam.  Certificate of Good Standing  All doctors registering with the GMC must provide a certificate of good standing from each medical regulatory authority they’ve been registered or licensed with in the last five years.   The medical regulatory authority may send you a certificate of past good standing if you're not currently registered or licensed with them. You can find out which medical regulatory authority to contact via the GMC website here.  Please note that each certificate is only valid for three months from the date it's signed and must be valid when we approve your application.  If there's no medical regulatory authority in the country to issue a certificate, the GMC will give you further advice once your application has been assessed.  GMC Registration  Once you’ve completed your English language exam, you can now apply for full GMC registration with a license to practice. For registration, you must provide evidence of:  English language capabilities - either your IELTS, OET or an approved reference from your current employer (if you have been working in an English-speaking country for the last two years).  AND  Certificate of good standing – the certificate from your medical regulatory authority which demonstrates good standing.   AND  (EEA pathologists) Sufficient skill and knowledge – as an EEA pathologist, this would either be your recognised EEA qualification.  OR  (Non-EEA pathologists) Sufficient skill and knowledge – as a non-EEA pathologist, this would either be PLAB, FRCPath or a GMC-approved qualification.  To understand the registration process more fully, read our blog on GMC registration for overseas doctors here.  Visas  If you or your family are from the EU, Switzerland, Norway, Iceland or Liechtenstein and started living in the UK by 31 December 2020, you may be able to apply to the free EU Settlement Scheme. Otherwise, you will need to apply for a visa from the UK Home Office.  A Tier 2 visa is the document given to a skilled worker by the UK Home Office following a job offer from a UK employer with a valid Tier 2 Sponsorship License. The list of valid Tier 2 Sponsors can be found here.  Understand Tier 2 visas and Certificates of Sponsorship in depth by taking a look at our article: Tier 2 Visa - how do I apply and what's the process? Wondering whether you can relocate with your family? Take a look at our blog on the Tier 2 dependent visa below: Tier 2 Dependent visa - Can I bring my family with me to the UK? For pathologists looking to come to the UK to work in the NHS, GMC registration and specialist registration is a crucial part of the process. Therefore, it’s important to put together a good application to present to the GMC, and IMG Connect are here to help with this. Whether it’s deciding the best options for demonstrating your skills and knowledge in histopathology, or sourcing the best English Language courses and resources, take advantage of the benefits of having a pathology recruitment specialist working with you and proving you with the best guidance and support to fit your career needs.  For regular news and updates on the Royal College and all things pathology, follow IMG Connect on social media using the links below:              

Are you an overseas pathologist preparing for FRCPath Histopathology Part 2 exam? Overseas doctors often wonder how to prepare for the FRCPath Part 2 examination, especially when so much content and advice online appears geared towards UK applicants and trainee. So what study courses, resources and support is available to an overseas histopathologists looking to take the test? Here we have compiled some of our advice and resources available to help you prepare for the exam, whilst we also address some of the changes in availability of test centres and upcoming exams as a result of COVID-19 pandemic. What is FRCPath Part 2? First a quick reminder of what the FRCPath Histopathology Part 2 is. The Part 2 exam consists of six components which are taken over two days. Each component comprises a different number of cases provided in 20-minute stations or slots. The components include both written and face-to-face elements with the examiner where candidates should demonstrate and discuss both clinical & practical knowledge as well as complex diagnoses and special techniques. This is done through elements of interpreting and writing reports, interpretation and OSPE. If you want to have a more detailed overview of the FRCPath exam then take a look through the article published in our online IMG Library here, or take a look through the Royay College of Pathologists website here.  So how do I get started with my preparation? Starting is often the hardest thing to do, and as there are many resources available online, it's hard to tell where the best place is to start. After discussing this with consultants who've passed (both UK trainees and IMGs), most recommended starting with the Royal College, who have posted some useful resources on their website to aid in your preparation. Curriculum: The exam questions are based on the Curriculum for Specialist Training in Histopathology. As a first step, we recommend becoming familiar with this curriculum as early as possible to reinforce your knowledge and to provide a solid foundation for your study plan. Knowing the curriculum is key - as this is what you will be tested on. Regulations and guidelines: Ensure you have read both the general regulations and guidelines and the specialty specific regulations and guidelines. Social Media study groups: There are many social media study groups available across various platforms. These include Telegram, Facebook, WhatsApp and to a lesser extent LinkedIn. IMG Connect hosts study groups for FRCPath Part 1 and 2 exams - these are forums that bring together international doctors from all over the world into one constructive, communicative and moderated space where you can share exam tips, stories and woes, and the opportunity to buddy-up with similar colleagues looking to pass the test.  If you think you would be interested in joining either the IMG Connect FRCPath 1 or Part 2 Study groups, please email info@imgconnect.co.uk to speak to the histopathology specialist and request your admission. Online Courses for FRCPath Histopathology: There are a few online courses which provide preparation, from full mock exams to individual component courses. We've spoken with some IMGs to understand which courses they favoured, and below we have summarised a few of these. With all courses, it is advised that you register your interest as early as possible as they are in high demand. Pathology Online Hub - FRCPath Part 2 Histopathology Full Mock Exam This is a complete mock exam course with interactive live discussion sessions and individual feedback for each participant. Sessions will be delivered by UK based pathologists with extensive experience of teaching for the FRCPath exam. Participants will be provided with the mock exam for all the 7 components of FRCPath 2 under strict timed conditions closely simulating the real exam. Mock exam will include: Cytology, Short surgical cases, Long cases, Frozen section, Macroscopic examination, OSPE 1 Viva and OSPE 2 Written. Live sessions will include: Exam format and tips on how to prepare with a structured study plan, Review and discussion of all mock exam answers, Group performance summary, Common pitfalls in exam and how to avoid them, and Tips on answering technique for exam. Duration  3 days Cost  £270 (£70 registration fee and £200 payable 8 weeks prior to course start date) Next start date  TBC Website  www.pathologyonlinehub.com/full-mock-course   Oxbridge Medica - FRCPath Part 2 Mock Course This is an online 2-day practical course with both a mock examination and seminars preparing trainees for the FRCPath Part 2 Examination. This is a unique course giving trainees that all important pre-exam Mock (under exam conditions) with the papers individually marked and scored in line with the actual exam. The course speakers have knowledge of the Royal College exam - some of them are examiners, and all are experienced teachers. Duration  2 days (Day 1 = mock exam | Day 2 = review and preparation) Cost  £300 (£75 registration fee and £225 payable 4 weeks prior to course start date) Next start date  TBC Website  http://oxbridgemedica.org/product/frcpath-part-2-mock-course-20th-21st-september-2021/   Oxbridge Medica - FRCPath Part 2 Surgical Course This is an online 2-week Surgical Revision Course preparing trainees for the FRCPath Part 2 Examination and is exam oriented and includes surgical and cytology mock tests, live-streamed lectures and feedback. The course aims to provide an approach to the part 2 examination, and to cover common exam cases, whilst the trainers have been selected for their expertise within their disciplines, both in their clinical acumen but also their teaching skills. The format of the course is intense and demanding but also rewarding. Duration  2 weeks, intensive Cost   £800 (£75 registration fee and £725 payable 4 weeks prior to course start date) Next start date  TBC Website  oxbridgemedica.org/product/frcpath-part-2-surgical-course-1st-14th-september-2021 IMG Histopathologists FRCPath Part 2 Course This is a tailored FRCPath Histopathology course for overseas pathologists sitting the Part 2 exam. This course offers weekly sessions which provide an approach to the FRCPath exams for IMGs specifically, guiding them through the preparation for the exam, delivered by an experienced NHS consultant pathologist and specialist histopathology recruiters. These sessions are completely free to all doctors. The course is supplemented by additional advice and guidance on FRCPath and other registrations, GMC registration support, as well as guidance and webinars on other topics such as finding work in the NHS, relocation support and specialist registration. You can access our IMG Histopathologists FRCPath Part 2 Course by joining the Facebook group here. What other helpful FRCPath 2 resources are out there? 1. What I wish I'd known - A series of YouTube videos produced by the Royal College of Pathologists. The videos are interviews and advice from four pathologists sharing their experiences of the FRCPath Part 2 exam and what they wish they’d known before taking the exam. 2. FRCPath Part 2 Past Examination Surgical Cases – These are from Virtual Pathology at the University of Leeds. The slides can be magnified, and each case comes with a diagnosis. 3. How to Survive and Thrive in the FRCPath Part 2 - This is a detailed breakdown of the complete exam with advice and marking guidance, created by Dr James Henry, Consultant Cellular Pathologist at Queen Elizabeth Hospital. How has COVID-19 affected FRCPath UK and Overseas test centres & upcoming exams? The Spring session was postponed for international candidates in response to the pandemic, but discussions are taking place on the possibility of the FRCPath exam taking place at an overseas centre in Autumn 2021. Whilst the Royal College will try to accommodate as many international candidates as possible, priority will be given to candidates entering for the January sitting. IMG Advice to FRCPath 2 Aspirants Finding courses can be tricky and mock exams can cost a lot of money, so take your time to consider your options and what best suits your needs, whether that is a paid short course, or free materials which you can access whenever you need them. Speak to peers and supervisors - they may be able to offer advice based on first-hand experience of the courses or general preparation. Of course, if you need further advice on choosing an FRCPath Part 2 online course, or on this stage of qualifying to work for the NHS, don’t hesitate to get in touch with IMG Connect and request to speak to our Histopathology specialist, Marcus Anderson. He'll be happy to help. The team at IMG Connect hopes that this article and has been useful for any overseas histopathologists looking to take the FRCPath Part 2 exam. Good luck IMGs! Follow us on social media through the links below for regular news and updates on the Royal Colleges, relocating to the UK and working in the NHS:             

FRCR Part 2A and Part 2B are the final exams in the FRCR qualification. Completion of all three parts of the Fellowship of the Royal College of Radiologists (FRCR) qualification results in eligibility for GMC registration, once the English language component has also been met.   The FRCR examinations are key to an international oncologist being able to secure senior oncology jobs in the NHS and can be taken by IMGs from any country, provided certain eligibility criteria have been met. In this article, we take a closer look at the following - skip to one of these sections if you know what you're looking for: An overview of FRCR (oncology) What are FRCR (oncology) Parts 2A and 2B? Am I eligible to sit these exams? How are the exams structured and marked? As an international oncologist, where can I sit the exams? How much will the exams cost? How do I apply for these exams? What is the best way to prepare for the exams? I’ve passed the FRCR oncology exams, what’s next? FRCR oncology, consultant posts and CESR An overview of FRCR (Oncology)  FRCR (Oncology) are the set of three postgraduate examinations administered by the Royal College of Radiologists to test candidates’ knowledge and clinical understanding within the scope of the Specialty Training Curriculum for Clinical Oncology.   The exams are as follows:  FRCR Part 1 – CO1  FRCR Part 2A - CO2A   FRCR Part 2B – CO2B  You can read an overview of the full FRCR (Oncology) examination suite here via our IMG Resources section.  Please note that only full FRCR satisfies the postgraduate requirements for overseas doctors.  Alternative routes to GMC registration include PLAB or other recognised GMC qualifications or licensing exams, such as UMSLE or FRANZCR (radiation oncology) which you can find out more about here.  For doctors who are interested in securing senior roles in the NHS which are reflective of their current practice or grade, we advise that FRCR is the best route to take to GMC registration. FRCR is often a requirement of NHS job postings where candidates are not already on the Specialist Register for Clinical Oncology, so this route allows candidates to better align their qualifications with the specifications of relevant jobs.  What are FRCR (Oncology) Parts 2A and 2B?  FRCR Part 2A and 2B form the final two parts of the FRCR examination suite. These assessments expect candidates to have a wide knowledge of subjects related to the investigation of malignant disease and the care of patients with cancer. Whilst the focus is on drug therapy and radiotherapy, there is also the expectation of a good understanding of other key areas such as general medicine, surgery and gynaecology.  Am I eligible to sit these exams?  Eligibility for FRCR Parts 2A and 2B are as follows:  Final FRCR Part A (CO2A):  Passed the first FRCR examination (CO1)  Acquired at least 24 months of training in a clinical oncology role by the date of the examination  Final FRCR Part B (CO2B):  Passed the first FRCR examination (CO1)  Passed the Final FRCR examination Part A (CO2A)  Acquired at least 36 months of training in a clinical oncology role by the date of the examination  How are the exams structured and marked?  All parts of the examination suite are assessed against the specialty training curriculum for clinical oncology and the clinical oncology syllabus. A new curriculum has been implemented as of summer 2021, and all trainees are expected to have transferred to this curriculum by August 2022. Further information on this can be accessed on the curriculum webpages.  Final FRCR Part A (CO2A):  This exam comprises two papers which include 120-question single best answer (SBA) questions each. The time limit for the exam is three hours and ordinarily, candidates are not allowed more than six attempts at FRCR exams.   CO2A Paper 1 Tumour Type  Number of Questions  Respiratory  24  Urology  24  Head and neck  24  Skin  12  CNS  12  Gynaecology  24  CO2A Paper 2 Tumour Type  Number of Questions  Breast  24  Lower GI  24  Upper GI  12  Haematology  12  Miscellaneous*  38  Image-based  10  *The miscellaneous section will contain questions on sarcoma, thyroid cancer, unknown primary, palliative care, regulations, and a few questions which do not belong to any define site specific category.  Each individual SBA question has a stem (a question or statement) and five answers, and candidates must decide which of the five best represents the answer to the stem question. Essentially, this is a multiple-choice exam. One mark is given for each correct answer and zero marks for incorrect answers. As the exam is not marked negatively, candidates are encouraged to provide an answer all the questions.  Final FRCR Part B (CO2B):  This exam has two components (clinical and oral) which are designed to test different aspects of the candidate’s oncological skills, necessary elements for effective and safe practice. The format allows the for the assessment of skills which are not as easily addressed in a written format.  CO2B Clinical Examination: This component is practical and involves the use of real patients to increase authenticity in attempts to reflect situations that may present in a clinical setting. The cases are selected for the exam to test common tumour types. The examination itself has five strictly-timed clinical assessment ‘stations’ where certain core clinical skills are tested by a pair of examiners. The use of an objective marking system aims to minimise bias and ensure consistency across examinations for all candidates.   Candidates are assessed on their ability to:  Detect important clinical signs using effective exam techniques  Provide a rational differential diagnosis  Order and interpret appropriate investigations  Identify the main treatment options  Select and appropriate, safe, and sensible management plan  Recommend a safe radiotherapy technique, know the likely outcomes, and side effects  Recommend a safe systemic treatment schedule and know their likely outcomes and side effects  Discuss a likely prognosis in the case presented  Demonstrate an ability to treat the patient sensitively, ensuring their comfort and dignity  CO2B Oral Examination: This examination assesses in depth issues related to radiotherapy planning, diagnostic imaging and clinical decision-making, and case management. Communication skills and ethical problems are also addressed.   This element of the FRCR Part 2B exam is designed to mirror day-to-day clinical discussions and MDT meetings which feature heavily in the workload of an oncologist. This section is designed to test the depth of a candidate’s knowledge and higher cognitive skills. There are several slides per question and a candidate’s answer may lead to further questions on subsequent slides, with each question building on from the previous ones.  The Royal College of Radiologists states that a fair, valid and reliable assessment is made possible due to:  Uniformity in the questions asked to candidates  The pairing of examiners (junior and more experienced)  Four independent judgments of the candidate performance  Prior choosing of the competencies to be assessed  The exam having been blueprinted against the curriculum and necessary skills for competent oncologists  An objective marking scheme  For more information on the components and assessment of these examinations, read the Purpose of Assessment which can be found on the College’s website in the exam section.  As an international oncologist, where can I sit the exams?   The exams are held twice a year, normally in February and in either August or September. Applications are normally open for just under two weeks, several months before the exam. Please refer to the examinations page for up-to-date information on application dates. The current UK venues for the exams are Belfast, Birmingham, Crewe, Edinburgh, Glasgow, Leeds, London, and Bridgend Wales. Overseas centres for now are India and Malta.  How much will the exams cost?  The cost breakdown for each of the final exams is as follows:  FRCR(Oncology) Part 2A:  Members - £464 Non-members - £591 FRCR (Oncology) Part 2B:  Members - £663 Non-members - £844 How do I apply for these exams?  UK trainees are given priority for examination places, followed by those who have had exams deferred over the last year due to cancellations. The remaining places are offered to all other candidates through a ballot system following the close of priority applications.  All candidates should apply for the exams through the Royal College website here. More detailed information can also be found here in relation to preparation for the application.  What is the best way to prepare for the exams?  There are many resources available online to aid in preparation for the FRCR Part 2A and 2B exams. We always recommend that the best place to start your preparation is the Royal College’s website, particularly with the Specialty Training Curriculum for Clinical Oncology and the Clinical Oncology syllabus.  Using this as a blueprint for your preparation is the best way to ensure your study is focused on the most relevant and useful information as prescribed directly from teaching materials. These can be accessed here.  Other useful resources to aid your studies include:  Learning hub: available to members through the Royal College website and contains many useful learning resources. The learning hub can be found here. Clinical Oncology Curriculum Implementation Tools: a range of tools compiled by the RCR to support the implementation of the new curricular which all candidates should have transferred to by summer of 2022 at the latest. Access this here. Sample Questions: sample oral questions for FRCR Part 2B. These are provided with answers and can be found here.  Examiners' Reports: a guide for candidates for future sittings, based on the experiences of examiners with previous applicants, found here.  Trainees' experiences: a two-part audio series compiled from the experiences of candidates in preparation for and sitting the final exams which is available here.  Demonstration films: clinical and oral demonstration videos for FRCR Part 2B which can be accessed here.  Royal College YouTube: several helpful videos which can be used for training and informational purposes on their YouTube channel.  IMG Oncologists Join the IMG Oncologists Facebook group for access to a community of like-minded FRCR (Oncology) aspirants and dedicated oncology recruiters. In this group you will find tailored resources for oncology IMGs, including access to our FRCR (Oncology) crash courses, completely free to all doctors. You can access our IMG Oncologists community here. I’ve passed the FRCR Oncology exams! What’s next?  Firstly, congratulations - passing these exams is a massive achievement! With all parts of the FRCR Oncology complete, you can now apply for full GMC registration with a license to practice. With this application approved, you can work as a doctor in the NHS. Nice one. We hope this is helpful for any overseas doctors preparing to sit their Final FRCR exam and the team here at IMG Connect wish you the best of luck!  Don’t forget to share your progress and successes with us using the hashtag #imgstories on social media, we love to hear from you.             

Overseas oncologists often ask us how to best prepare for the Final FRCR Part 1 and 2 exams. With so much online content geared towards UK clinical oncology 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 radiation oncologists 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 in the wake of the COVID-19 pandemic. In this article, we'll cover the following - skip to one of these sections if you know what you're looking for: What are FRCR (Oncology) CO2A and CO2B? How do I get started with my preparation? What online resources are available? How have the exams been affected by COVID-19? Consultant posts and CESR #IMG Tips What are FRCR (Oncology) CO2A and CO2B?  As a quick reminder, Final FRCR (Oncology) are the final two exams in the FRCR (Oncology) examination suite. The full set, CO1, CO2A and CO2B are required by overseas clinical or radiation oncologists when applying for GMC registration through the postgraduate route.  For the final exams, candidates are expected to have a wide knowledge of subjects related to the care of patients with cancer and the investigation of malignant disease.   CO2A includes two written papers of 120 single best answer (SBA or multiple choice) questions.   CO2B has two components (clinical and oral) which are designed to test the oncological skills of the candidate which are relevant to safe and effective practice.   The clinical element is assessed in a mock clinical setting with real patients to increase authenticity.   The oral exam assesses clinical decision-making, radiotherapy planning, diagnostic imaging, and case management. It is made to mirror elements of a day-to-day clinical setting, including discussions and MDT meetings.  A full breakdown of the Final FRCR (oncology) Part 2A and 2B exams can be found on our website here.  How do I get started with my preparation?  After discussing with IMGs the best way to approach preparing for the Final FRCR (oncology) exams, most recommended beginning with the Royal College website and resources, which they have put together to aid in your preparation.  Curriculum: The FRCR (oncology) exam is based on the Specialty Training Curriculum for Clinical Oncology and the Clinical Oncology syllabus. 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.  Helpful Royal College Resources include:  Learning hub: the learning hub is available to members and contains many useful learning resources. This can be found here.  Implementation tools: this is a range of tools which have been compiled by the College to support the new curricular which all students should have transferred to by August 2022 at the latest and can be accessed here.  Guidance: a guidance document from trainees who have already sat the exam, on behalf of the Oncology Registrars’ Forum, found here.  Sample questions: sample SBA and oral questions for FRCR CO2A and CO2B have been provided with answers on the RCR website, here for Part A and here for Part B.  Examiners’ reports: this is a collection of generic reports written by examiners on the overall performance of candidates and individual questions as a guide for applicants for future sittings. These are available here.  Trainees’ experiences: the two-part series has been compiled from the experiences of candidates in sitting their final exams, found 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.  Royal College YouTube: several helpful videos to be used for training and informational purposes on the RCR YouTube channel.  Other online resources There are a couple of online courses which provide preparation for the exam, 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.  Leeds – TMA Final FRCR Single Best Answer (SBA) Course - FRCR Part 2A  This is a four-day course aimed at clinical trainees who are preparing for their FRCR CO2A. The course offers daily mock SBA exams, question review with site specific experts, coverage of all tumour sites and a deep dive into exam technique.   The course is delivered live virtually, via Microsoft Teams.  Duration  4 days  Cost  TBC  Website  www.leedsth.nhs.uk/a-z-of-services/leeds-cancer-centre/education/events/    Oncopaedia – Cardiff FRCR Part 2 Course  This is a web-based revision course for the FRCR part 2. The course allows candidates to revise SBA questions by individual tumour site, timed mock exams (including a leader board), access to Cardiff Course teaching materials and lecture slides, focused tutorials and a user forum.  Duration  On demand  Cost  £50 for 6 months’ access  Website  www.oncopaedia.com/moodle/moodle/enrol/index.php?id=2     FRCR Clinical Oncology Preparation - F.O.R.O. (The Forum of Radiation Oncology)  A handy hour-and-a-half video filled with useful information covering all aspects of the FRCR exam, from revision resources to guidance a breakdown of the format of the exam.   The YouTube video can be found here.  How have the exams been affected by COVID-19?  Final FRCR are still taking place in person, but as a result of the ongoing COVID-19 pandemic, the availability of test centres has decreased. Currently, test centres are available in Belfast, Birmingham, Crewe, Edinburgh, Glasgow, Leeds, London and Bridgend Wales. For now, the only overseas test centres for the exam are India and Malta. For advice on preparation before applying for the exams, see the Royal College website here.   Consultant Posts and CESR  FRCR Oncology forms a key part of the application for international doctors looking to attain specialist registration in Clinical Oncology through CESR. For doctors with more senior level experience, this could also allow you to work as a locum consultant clinical oncology post, whilst you are not yet accredited as a specialist in the NHS.   #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!  Join the IMG Connect study and support group – join the IMG Oncologists Facebook group for access to a community of like-minded FRCR (Oncology) aspirants and dedicated oncology recruiters. In this group you will find tailored resources for oncology IMGs, including access to our FRCR (Oncology) crash courses, completely free to all doctors. You can access our IMG Oncologists community here. 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!  For news and updates on the Royal Collges, the GMC, finding work in the NHS and relocating to the UK, join us online:             

The final exam in the FRCPath Histopathology series...  International specialists in histopathology, cellular pathology or anatomic pathology looking to secure a job in the UK via the postgraduate qualification route will need to obtain Fellowship of the Royal College of Pathologists or FRCPath Histopathology by examination only.   The completion of Part 1 and Part 2 of the Royal College of Pathology qualification for Histopathology results in eligibility for GMC registration (with the addition of the English language component). The FRCPath qualification is recommended for international pathologists looking to securing senior jobs in the NHS.   The exams can be taken by IMGs from all over the world, provided certain eligibility criteria have been met. Here we’ll take a closer look into these and other important questions through the following topics - skip to one of these sections if you know what you're looking for: An overview of FRCPath Histopathology What is FRCPath Part 2? Am I eligible to sit this exam? How is the exam structured and marked? As an international histopathologist, where can I sit the exam? How much will the exam cost? How do I apply for the exam? What is the best way to prepare for the exam? #IMG Tips I’ve passed the FRCPath exams, what’s next? An overview of FRCPath Histopathology  The FRCPath Histopathology exams are administered by the Royal College of Pathologists to test a doctor's knowledge and ability to apply this in the practice of histopathology within the scope of the Specialty Training Curriculum for Histopathology.   The exams are as follows:  FRCPath Part 1  FRCPath Part 2  To read more about the full FRCPath examination suite via out IMG resources, please click here.  Please note that only full FRCPath satisfies the requirements for GMC registration for overseas doctors taking the postgraduate route. Alternative routes to GMC registration include PLAB and licensing exams such as USMLE. You can find out more about alternative routes here.  For doctors who are interested in more senior roles in the NHS that are reflective of their current practice, we advise that FRCPath is the best route to take to GMC registration. Histopathology in the UK is consultant-led specialism; and many NHS job postings will have FRCPath as a requirement for doctors who are not on the Specialist Register. In most cases, and FRCPath qualification will help you to attain a locum consultant role.  What is FRCPath Part 2?  FRCPath Part 2 is the last exam in the FRCPath qualification. It is designed to recognise candidates who are close to the end of their training who can demonstrate an appropriate approach to independent practice. The assessment consists of six components which are take over a period of two days. The components include both written and face-to-face elements with an examiner where candidates are expected to demonstrate both clinical and practical knowledge as well as special techniques and complex diagnoses. Every section assesses a distinct set of professional skills which are all essential to effective performance ad an independent histopathologist and cytopathologist.  Am I eligible to sit this exam?  The FRCPath Part 2 Histopathology exam is open to candidates from every country, provided they have met certain criteria. This includes the expectation that most trainees will sit the Part 2 exam after at least 3 years of specialty training in Histopathology. There should also normally be a 12-month wait between passing the Part 1 exam and attempting Part 2.   For full details, please see the Royal College website here.  How is the exam structured and marked?  The six stations of FRCPath Part 2 are detailed below:  Surgical Histology   Format: 20 x 20 mins stations, 20 cases over 3 hours and 20 minutes.   This will include twenty cases presented in H&E stained slides in 20-minute slots over 3 hours and 20 minutes. The cases are selected according to a blueprint and include a balanced mix of neoplastic and non-neoplastic material, drawn from a wide range of organ systems. The cases will vary in difficulty from straightforward cases to cases not capable of diagnosis through a single H&E, prompting the use of further techniques and specialist opinions.  Cytopathology   Format: 8 x 20 mins stations, 16 cases  Eight non-gynaecological cases in pairs, in 20-minute slots and will be marked according to pre-determined criteria.  Macroscopic Pathology  Format: 2 x 20 mins stations, 4 cases; 20 mins discussion  Candidates will be provided with photos of 4 cases in the form of gross pathology specimens. Candidates will be provided with clinical information and asked to prepare responses to specific questions and mark on the photos where they would take blocks. There will be two 20-minute slots given to view two cases per slot, followed by a 20-minute discussion with two examiners. The exercise is designed for candidates to show their capabilities in discussing gross pathology and familiarity with block selection in relation to the RCPath Minimum datasets.  OSPEs  Format: 2 x 20 mins stations  The objective structured practical examination (OPSE) includes two 20-minute stations, one of which is a written exercise and the other is conducted face-to-face with two examiners. Topics may include management/ clinical governance type and MDT-type cases, amongst other topics.  Long Cases  Format: 4 x 20 mins stations  Four 20-minute stations of cases which cannot usually be covered by a single H&E section, requiring additional stains. These may include histochemistry, immunohistochemistry and immunofluorescence, among other cases.  Frozen Sections  Format: 2 x 20 mins stations, 6 cases; 20 mins discussion  Six cases for review in two 20-minute stations where candidates should make notes, including a ‘bottom line’ diagnosis only, before discussing these with a pair of examiners in a face-to-face 20-minute station.  Exam marking   Each section of the exam is marked against a pre-determined specimen answer with a pass or fail awarded per section. Due to the importance of cellular pathology in medical practice, only a small margin of inaccuracy is allowed. Failure to distinguish across the benign/ malignant boundary (or other similar errors of equal significance in terms of affecting patient outcome) in 15-25% of cases in any section of the exam will result in a failure of the entire exam, regardless of performance in other areas with no leeway to compensate. Final marks will be approved by the Examinations Committee.  Candidates attempting the FRCPath Part 2 exam have four attempts within which to pass the exam, and 7-years between each sitting to pass the full qualification.  As an international histopathologist, where can I sit the exam?  The exam currently takes place twice a year in Spring and Autumn and are held in the UK and in one overseas centre in Irbid, Jordan.   For up-to-date information on exam centres, visit the Royal College website here.  How much will the exam cost?  The FRCPath Part 2 exam costs £1,416. A breakdown of the cost of the 2019 sitting of the exam can be found on the Royal College website here.  How do I apply for the exam?  Applications for each sitting of the exam open months in advance and are currently closed for the Autumn 2021 sitting. Applications for the Spring 2022 sitting will open in late 2021. Late applications are not accepted. Keep an eye on the Royal College website for up-to-date information on applications here.  What is the best way to prepare for the exam?  There are several resources available to help you prepare for your Histopathology FRCPath exam. As always, we recommend that the best starting point for your study is the Royal College website, particularly the Curriculum for Specialty Training in Histopathology. Your exam is based on this curriculum so familiarising yourself with it as soon as possible will give you the best chance for success.  Other helpful resources for your study include:  Regulations and guidelines – before applying for FRCPath exams, the College recommends you read both the general and specialty-specific regulations and guidelines, found below:  General Regulations and Guidelines Histopathology Regulations and Guidelines Social media study groups – there are multiple study groups available across different platforms such as Telegram, Facebook, and WhatsApp. IMG Connect hosts study groups for FRCPath Part 2 – these are forums that bring together international doctors from all over the world in one communicative, constructive, and moderated space for learning, sharing, and supporting international histopathologists.  If you are interested in joining the IMG Connect FRCPath Part 2 study group, please email info@imgconnect.co.uk to speak to our histopathology specialist and request your admission.  Online courses, videos and other resources - there are some great online courses and resources available to prepare for the FRCPath Part 2 exam. These include everything from full mock exams to mock exams targeting specific sections of FRCPath Part 2 and YouTube videos. You can find a full list of these here, through our IMG resources library.  FAQs - there is also a Frequently Asked Questions (FAQs) document which the Royal College have compiled to help applicants who have questions about online examinations. You can read this here.  #IMG Tips  Prepare early – getting your revision going as soon as possible will help you avoid those last-minute cramming sessions and increase your chances of passing first time.  Speak to your senior 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?  Food and drink – there are multiple stations on both days of the exams so make sure you’re prepared with lots of fuel for the day as there may be no access to food.  Hire a microscope – for applicants for the UK sitting, examination centres will not have microscopes for you to use so you will need to hire one in advance. There are a few companies who rent microscope and you can find these through a quick web search!  Join the conversation – for news and updates on all things histopathology for IMGs, click here follow IMG Connect on social media and join the conversation.  I’ve passed the FRCPath exams, what’s next?  Firstly, congratulations! The FRCPath exams are not easy so this is an incredible achievement. Once you have passed both passed of the FRCPath in Histopathology, your postgraduate qualifications satisfy the requirements for GMC registration. You can now apply for full registration with license to practice.  Get in touch with our IMG Connect histopathology specialist to discuss your options for specialist jobs in the UK or to find out more about where you fit into the NHS as a histopathology specialist with FRCPath.   FRCPath also plays a big part in the Certificate of Eligibility for Specialist Registration (CESR) application, the alternative route to the Specialist Register for overseas doctors who did not complete their training in an approved UK training programme. You can find out more about CESR in our guide for international doctors here.  The team at IMG Connect hope you find this article helpful and wish you the best of luck in your FRCPath Histopathology Part 2 exam!  Follow us on social media through the links below for regular news and updates on the Royal Colleges, relocating to the UK and working in the NHS: