IMGs often have questions about the best ways to prepare for the MRCPsych Paper B exam, particularly with a new exam format and so many online materials geared towards UK trainees and applicants.  So, what study materials, courses and support are available for international psychiatrists? Here we have compiled some of the best guidance and resources to help in your preparation for the Paper B exam. We will also address some of the changes in the availability of test centres and exam delivery as a result of the COVID-19 pandemic.  The topics we’ll cover are as follows:  What is MRCPsych Paper B? How do I get started with my preparation? What other resources are available? How has the exam been affected by COVID-19? #IMG Tips Passed? What’s next? If you know what you’re looking for, skip ahead to the relevant section.  If you’d like an overview of the entire examination series, take a look at the article published in our IMG Resources library here.  MRCPsych Paper B Let’s begin with a quick recap of the second exam in the MRCPsych examination suite.   MRCPsych Paper B is a three-hour written exam which asses critical review and the clinical topics in psychiatry.  The 150-mark paper comprises It is made up of around two-thirds multiple-choice questions (MCQ) and one-third extended matching item questions (EMI). One third of the paper covers critical review, with the other two thirds covering clinical topics.  The breakdown of the sections is as follows:  For full guidance on the structure of the exam, visit the examination page of the Royal College website or see our detailed blog on the MRCPsych Paper B exam here.  Preparation  It can be tough to know the best place to start, and after talking with some psychiatry consultants (both IMGs and UK trainees), the consensus was that the Royal College website is the best place to begin. There are some great resources on their website to help applicants to prepare for the exam. See below:  Syllabus: We always suggest that this is the best place to start – plan your study around the curriculum topics and make a road map to your success in the exams. You can find this here.  Current critical review syllabus: For Paper B, candidates will need to ensure that they make optimal use of the MRCPsych Paper B critical review - evidence-based practice syllabic content, available here.  Sample Papers: These will help you polish your exam techniques and are a good way to regularly benchmark your knowledge against the syllabus. Additionally, they will help you work quickly on the day as you will already know what to expect. The samples can be found here.  Marking schemes: Candidates pass or fail the written papers based on their performance. As such, it is a good idea to understand how the exam is marked so you can maximise your exam skills, giving you the best chance of a pass. These can be accessed here.  Sample exam: These can help you understand the exact format of the exam and to familiarise yourself with the online exam environment. This is available here.  Online exam guidance: Detailed guidance written specifically to guide candidates in preparing for an sitting an online exam, including technology checks and timings. The guidance can be accessed here.  The Royal College also suggest taking a look at Passing the MRCPsych - an insider’s guide - a useful resource to help you to get over the first steps. This is available here.  Other resources IMG Connect has a library of written resources geared towards preparation for the Paper B exam. If you’re interested in any of these, please get in touch here and we would be delighted to share these with you.  Other online resources available for the exam include a mixture of paid and free resources. These include:  SPMM Starter Study Materials: A range of comprehensive study materials and subject-based question banks with evidence-based answers and explanations (SPMM HiYield and SmartRevise). These are available for 6 months from the date of purchase for the price of £299 and can be found here.  SPMM Video Lectures: A course covering the most important questions pertaining to clinical and critical appraisal topics. This is delivered through 19 hours of viewing - 10.5 hours of clinical topics and 8.5 hours of critical appraisal. Also provided is a PDF of Q-Bank to print and practice. These are available for 3 months from the date of purchase for the price of £199 and can be found here.  Brainscape Flashcards: Sets of web and mobile flashcards with hundreds of questions across all of the syllabus covered in the MRCPsych Paper B exam. This free resource can be used as either revision or practice material and is available here.  Superego Café Question Bank: This question bank provides over 500 multiple choice questions to help you prepare for your examination. The question bank includes constantly updated revision questions and is available as a mixed variety to reflect the MRCPsych Paper B examination. This can be accessed here.  BMJ Revision Questions: The BMJ has created an app-based revision resource with over 270 core questions, including the SBA and EMQ formats that will be seen in the exam. They are available at several price points dependent on the duration of access, from £29.99 for one month to £129.99 for 12 months. These are available here.  Get Through MRCPsych Paper B: Written by authors with recent exam success, the book provides candidates with realistic and up to date MCQ and EMIs, closely matched to themes appearing most often in the Paper B exam. This can be found here.  TrickCyclists Exam Notes: A series of psychiatry notes specifically tailored to the MRCPsych Paper B exam, including the nine topics covered by the exam and more. They are available in word and PDF format and are free to be used, distributed and modified. They are available here.  Courses  The SPMM and MRCPsychMentor resources are the most highly recommended by IMG psychiatrists we have spoken to and are available in different formats depending on your revision needs.  MRCPsych Mentor Mock Exam A three-hour long exam which simulates exam conditions with a mock exam paper comprising new questions not available in the question bank. It includes a revision mode, timed tests, extensive performance analysis and powerful question review functions.  Duration  6 weeks  Cost  £15  Next start date  On demand  Website  www.mrcpsychmentor.com/mocka/index.php    SPMM Booster Mock Exams These practice tests are simulations of the real exam prepared to the exam blueprint, allowing you to identify your weakest areas before the actual exam. This package includes access to 6 individual practice papers, comprising reconstructed questions from the most recent exams. Subscriptions can be purchased only 10 weeks before the College exam date.  Duration  N/A  Cost  £249  Next start date  On demand  Website  spmmcourse.com/local/coursepackages.php    IMG Psychiatrists MRCPsych Paper B Crash Course This is a tailored MRCPsych Paper A course for overseas psychiatrists. This course offers weekly sessions covering the exam and its various domains. This is accompanied by practice MCQs and EMQs for exam-style practice, delivered by an experienced NHS psychiatrist and specialist psychiatry recruiters. These sessions are completely free to all doctors. The course is supplemented by additional advice and guidance on MRCPsych as a whole, 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 Psychiatrists Paper B Study Course by joining the Facebook group here. How the exam has been affected by COVID-19 As a result of the pandemic, all MRCPsych exams have moved online. Applicants from Singapore and Hong Kong who intended to sit exams in local centres are also invited to apply for the online sitting of the exam. You can learn more about the online exams for MRCPsych in the blog we've written here.  The application process for the exam takes 15 – 20 minutes where candidates will need a valid debit/ credit card, as well as the email address and full details of your sponsor. Further details on the application process can be found here.  #IMG Tips  Start your revision early – starting in advance allows you to pace yourself and get ahead of the stresses of last-minute revision and anxiety.  Build on your existing knowledge and experience – you’re being tested on things which you’ll likely be familiar; take your experiences and use that to bolster any new information you learn through your revision.  Think about your personal learning style and use this to plan effective revision - consider the ways you study best and use them to your advantage; take what’s available online and maximise their impact on your preparation.  Maintain a work-life balance – whilst you should dedicate time to study for the exam, it’s important to avoid burnout by setting aside time away from work and revision to reset and clear your mind.  Join the online psychiatry community - for news and updates about all things psychiatry for IMGs, follow IMG Connect on social media and join the conversation here.  For regular news and updates on the Royal College and all things histopathology, follow IMG Connect on social media using the links below:              Passed? What next?  Great stuff, this is a massive achievement and you deserve to put your feet up for a while! After a well-earned break, you can apply to sit the CASC exam, which you are eligible for once you’ve passed the MRCPsych Paper A and Paper B exams. For more information, take a look at our blog we will explore MRCPsych CASC and everything that you need to know about how to sit the exam, including syllabus, dates, results, fees and preparation.  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.

As an international histopathologist, getting your CV right is crucial to securing a great role in the UK.  For any doctor, regardless of your specialty, qualifications, or previous experience, your CV is the first chance you get to make a good impression to a potential NHS employer. Here we take a look at the NHS CV format for pathologists that are new to the NHS, and are trying to secure their first opportunity in the UK. We will cover the following topics:  Keeping your CV up to date Structure and content A Histopathology CV template Responding to the job description Style and format Keeping your Histopathology CV up to date First things first, remember your CV is the story of your career, so you should regularly update and review your CV, allowing yourself the best opportunity of securing an interview. Have your most recent experience at the top, and descending in chronological order. Structure and content of your Histopathology CV CVs come in all shapes and sizes, and there is no agreed approach to how long they should be. However, we are finding that there is a trend towards shorter, more concise versions. So long as they are well structured, then the length doesn’t really matter. Being concise doesn’t mean that you can’t include everything you need, just present it in a more succinct way and remember that quality is better than quantity. Our advice is to keep your CV to around two - four pages of A4, though the British Medical Journal advise anything up to eight pages is ok.   Remember, your CV is generally the first point of contact you will have with a Histopathology Service Director or Consultant, so the structure of your CV should establish a favourable image of your professionalism and approach to your work in the histopathology. It is important to consider structuring your CV for GMC registration, not only does this mean that you don’t need to create several CV’s, but also means that you will be working to a recognised structure.  If you would like a GMC template for a CV just mention this to our team at info@imgconnect.co.uk or book your CV building call with Marcus Anderson, Histopathology Specialist, via this Calendly Link. A Histopathology CV template The GMC recommend the following template for a medical doctor CV:  Section Detail Personal details Your name on your CV must match your name on your proof of identity Registrations Give your GMC reference number (if applicable) AND any details of any Medical Councils or Regulatory Body you are registered with. Even if your registrations have expired, or not currently active, it is good to include them! Memberships List your memberships of professional bodies. This will show the consultants or directors reviewing your CV that your are active in the pathology network, and any affiliations with the UK's Royal College of Pathologists, American Board of Anatomical Pathology etc etc will be relevant.  Qualifications List all the qualifications including your Primary Medical Degree and ANY Anatomical Pathology qualifications from your home country are a great indication of your training and development in pathology. Whilst FRCPath is the golden qualification for any histopathologists looking to work in the UK, your MD, DNB, Board Certification, PgDiplomas in Pathology are all valued and make up the pathologist you are.  Make sure to include any english language qualifications too, including IELTS, OET, PLAB if you have taken them before. Employment history / work history – posts held Start with the with the most recent position at the top (chronological order). Please show:  post title (give the title you were employed under) dates you worked in the post, from and to, in the format DD/MM/YYYY if the post is part-time, what percentage of whole time equivalent institution name and location the name of your supervisor (especially required for training posts) number of pathologists and support staff in your team give a brief job description of your duties, including level of supervision. Be concise. Include all relevant details.  Your IMG Connect recruitment specialist can run through all of this information over a Histopathology CV Building Call. This process can take about 30 mins and will be led by Marcus Anderson our histopathology specialist.  Book your CV building call with Marcus Anderson, Histopathology Specialist, via this Calendly Link.  Reporting Duties This is the most important of details when representing your CV in the UK. What cases do you report? How many do you sign out per year? Giving your future employer an indication of the workload you get through in your current role is a great way to promote yourself and catch the eye of Clinical Directors and Lead Consultants in Histopathology.  Your IMG Connect recruitment specialist can run through all of this information over a Histopathology CV Building Call. This process can take about 30 mins and will be led by Marcus Anderson our histopathology specialist.  Book your CV building call with Marcus Anderson, Histopathology Specialist, via this Calendly Link.  Employment history – gaps in employment Start with the most recent gaps in employment and work backwards. List any gaps that span over 28 days and include a brief explanation. Awards List any awards you have received. Research experience Give a brief explanation of any research you have undertaken, or have participated in. This shows your development and interest in your specialty.  Publications List your publications. This shows great insight and a developed mind in Pathology. Presentations Give details of any presentations you have given. You may find it helpful to divide them up into international, national, regional and departmental to show their importance. Continuing Professional Development (CPD) List your CPD activity in the last five years. Conferences attended Give details of any conferences you have attended. You may find it helpful to divide them up into international, national, regional and departmental to show their importance. Any Royal College of Pathology events will be particularly useful to evidence.  Courses attended Give details of any courses you have attended. You may find it helpful to divide them up into international, national, regional and departmental to show their importance. Governance & Audit List and give a brief description of your audit activities, if you have some experience in this. If you are unsure how your overseas experience ties into this, then don't worry so much. Feel free to discuss this with our histopathology specialist during a CV Building call with Marcus Anderson - Histopathology Specialist.  Book your CV building call with Marcus Anderson, Histopathology Specialist, via this Calendly Link.  Teaching and training experience List and give a brief description of your teaching and training activities. Management experience  List and give a brief description of your management activities. Any extra professional activities  List any relevant extra activities. Style and format Keeping your CV professional, clear, concise and well-structured is essential for securing you an interview. We recommend using the following simple steps to help: use a consistent professional font (i.e. 12-point Arial, Calibri or Times) use bullet points use professional short and simple sentences, be concise use active wording when referring to skills, and focus on positive aspects (i.e. gained, confident, responsible for…) subdivide experience  avoid personal statements, & don’t exaggerate… just present facts be consistent with organisation and appearance under all categories of your CV do not repeat present chronologically number each page show your surname and initials at the top of each page get your CV proofread by an IMG Consultant Check out more helpful articles on CV writing and securing the right job in the NHS in our resource library.  IMG Histopathology Jobs  Have a look through our live histopathology vacancies here. We are currently working with 80 trusts to recruit histopathologists, and with not all vacancies being posted live on our website at all times - the best thing to do is to reach out to our histopathology specialist, Marcus, here. We'd also like to invite you to join the IMG Histopathologists online community - as well as support on Royal College exams, our Facebook group of international pathologists and dedicated pathology recruiters offers guidance on other aspects of working in the UK, including finding NHS posts and CESR.  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:             

There are several routes overseas Emergency Medicine doctors can take to GMC registration & securing an NHS emergency medicine job. Whether you are from inside or outside of Europe, will need to satisfy certain criteria to fully register with the Emergency Medical Council (GMC) before beginning their journey in the NHS. As an overseas doctor, the criteria you need to meet depends on where you currently live and practice, either inside the EEA (& associated countries) or outside the EEA.  This article is designed to give you a snapshot of the steps you need to take to start your journey to the UK, no matter where in the world you live.  Inside the EEA – click here Outside the EEA – click here “Doctors from countries around the world play a vital and significant role in our NHS and in the delivery of safe patient care. This is not only welcome but is part of the continuous exchange of knowledge in healthcare and should be strongly encouraged. They make an invaluable contribution to the NHS.”  Joint statement from the Royal College of Physicians Inside the EEA Firstly, it is important to note that where we refer to EEA in this article this refers to all countries inside the EU, including Lichtenstein, Iceland & Norway.  If you qualified as a doctor inside the EEA or Switzerland, then the good news is that you don’t need to demonstrate your medical knowledge and skills to work as a doctor in the UK – you have already done this, and thanks to the EU your qualification is deemed equivalent.  In addition, you will not need to apply for a visa from the UK Home Office.  So, the main hurdle that you will face is demonstrating that your English skills are of a high enough standard to practice safely as a doctor in the UK & NHS.  English Language Testing Any international doctor, regardless of specialty, experience or country of origin, must demonstrate they have sufficient competence of the English language. You can do this by passing either of the following: IELTS – International English Language Testing System OET – Occupational English Test Take a look at our helpful articles below for detailed information on both tests:  IELTS – a guide for overseas doctors OET – a guide for overseas doctors GMC Registration Having passed your English Language Test, you can now apply for full registration with a license to practice with the GMC. For full GMC registration you must provide evidence of: Evidence of English language capabilities (IELTS or OET) AND Evidence of sufficient skill and knowledge (your equivalent qualifications) Understand the registration process in full & by reading our article here: IMG Resources - GMC Registration for overseas doctors Job search We recommend starting the job search as early as possible. Demand for European doctors in the NHS is ever-increasing - the NHS welcomes you with open arms!  At IMG Connect we specialise in securing jobs for European doctors in the UK and can offer you a wider range of jobs than are readily available online.  Our network extends to psychiatry services and HR departments across the UK, so no matter what your grade or specialty we can ensure you will be interviewing for roles well in advance of any relocation plans.  In addition, your dedicated consultant, with a specialty knowledge of Emergency Medicine, will negotiate on your behalf ensuring you get the most competitive salary.  Our aim is to have a job offer on the table before your GMC registration is complete, giving you the peace of mind of having an agreed contract in place - leaving you to carefully plan your relocation to the UK. Take a look at our most recent jobs: Job Search Relocation Obviously, any doctor’s journey isn’t all exams, registrations and language tests… there’s also the small matter of relocation and settling into life in the UK. Once you have secured your role in the UK, we focus on supporting you and your family with all your relocation plans. This can include, but is not exclusive to, securing accommodation, travel planning, setting up bank accounts & national insurance numbers – every step of the way we are here to help. Have a read through our IMG Library and take in all the beautifully organised information on relocation and UK life to immeasurably help your first days, weeks and months in the UK. Take a look here: IMG Resources – Relocation & UK Life Outside of the EEA If you qualified as a doctor outside the EEA, then you will have to demonstrate that both your medical knowledge & skills and English Language capabilities meet the level required to practice safely in the UK. In addition, you will need to apply for a visa from the UK Home Office.  Here we summarise the requirements for Emergency Medicine doctors, looking at the following: English Language Testing Evidence of Knowledge & Skills - PLAB, MRCEM/FRCEM or equivalents Tier 2 Visas  Full GMC Registration English Language Testing Any international doctor, regardless of specialty, experience or country of origin, must demonstrate they have sufficient competence of the English language. You can do this by passing either of the following: OET – Occupational English Test IELTS – International English Language Testing System Take a look at our helpful articles below for detailed information on both tests:  IELTS – a guide for overseas doctors OET – a guide for overseas doctors Evidence of Knowledge & Skills in Medicine Overseas doctors must prove to the GMC they have sufficient knowledge & skills to practice safely in the UK. This can be done through three main routes: PLAB Royal College qualification of MRCEM/ FRCEM GMC - recognised or equivalent qualifications Route 1 - PLAB The PLAB exam is a two-part exam that assesses a doctor’s ability to work safely as an SHO in the NHS, as such it does not demonstrate ability in Medicine specifically.  For this reason, PLAB tends to be a route for junior doctors who have not already chosen their field of specialisation in medicine.  That said, for some senior doctors PLAB can be an attractive option, offering a quicker route to the UK, whilst still securing competitive salaries. If taking this option, international doctors can then take up training or a more senior post once they have established themselves in the NHS.  Take a look through our comprehensive guides on PLAB: PLAB – a guide for overseas doctors PLAB 1 – a closer look PLAB 2 – a closer look Route 2 - Royal College Qualification of MRCEM Attaining a Royal College qualification is a preferred path for doctors who have already chosen their field of specialism i.e. medicine. For senior Emergency Medicine doctors taking this route, they will gain access to more senior, well-paid jobs in the specialism of their choice.  The Royal College of Emergency Medicine is the Professional Body that regulates the specialism of medicine in the UK, and Fellowship of the Royal College of Physicians (MRCEM/ FRCEM) is the full qualification attainable by examination. For overseas doctors, attaining MRCEM will satisfy the knowledge & skill criteria for GMC registration and facilitate application for more senior roles in UK emergency medicine. Take a look at our complete guide on Membership of the Royal College of Emergency Medicine to understand more: MRCEM – a guide for overseas doctors Route 3 - GMC Recognised or Equivalent Qualifications Some overseas qualifications are recognised by the GMC and accepted for registration purposes. This means to say these qualifications are considered as meeting the same standards as the Royal College qualifications. There are psychiatry qualifications from several countries around the world that are currently accepted by the GMC.  Find out if your qualification is accepted by the GMC here: Overseas accepted postgraduate qualifications Tier 2 Visa If you are a doctor applying from outside the EEA region you will almost certainly need to apply for a visa to work in the UK.  Applying as a doctor or nurse has never been easier and there is currently no-restriction on the Certificate of Sponsorship (CoS) applications that a hospital can make. Furthermore, the list of specialties on the shortage occupation list is due for imminent review and expansion beyond its current list of specialties, potentially widening the scope for easier immigration processes across all specialties in healthcare. Understand Tier 2 visas and Certificates of Sponsorship in depth by taking a look at our article: Tier 2 Visa application process & documents needed Wondering whether you can relocate with your family? Take a look at our blog on the Tier 2 dependent visa below: Tier 2 Dependant visa - can i bring my family with me to the UK? GMC Registration With everything in place, you can apply for full registration with a license to practice with the GMC. Remember, for full GMC registration you must provide evidence of: Evidence of English language capabilities AND Evidence of sufficient skill and knowledge (PLAB, MRCEM/ FRCEM or equivalent) Understand the registration process in full & by reading our article here: GMC Registration for overseas doctors Job search We recommend starting the job search as early as possible. Demand for Non-EEA doctors in the NHS is increasing - the NHS welcomes you with open arms!  At IMG Connect we specialise in securing jobs for overseas doctors in the UK and can offer you a wider range of jobs than is readily available online.  Our network extends to Emergency Medicine services and HR departments across the UK, so no matter what your grade or specialty we can ensure you will be interviewing for roles well in advance of any relocation plans.  In addition, your 1-1 consultant, with a specialty knowledge of emergency medicine, will negotiate on your behalf, ensuring you get the most competitive salary.  Giving you the peace of mind of agreeing your new contract, perhaps even before your GMC registration is complete.  Take a look at our most recent jobs: Job Search Relocation Obviously, any doctor’s journey isn’t all exams, registrations and language tests… there’s also the small matter of relocation and settling into life in the UK. Once you have secured your role in the UK, we will focus on supporting you and your family with all of your relocation plans. This can include, but is not exclusive to, securing accommodation, travel planning, setting up bank accounts & national insurance numbers – every step of the way we are here to help.  Have a read through our IMG Library and take in all the beautifully organised information on relocation and UK life to immeasurably help your first days, weeks and months in the UK. Take a look here: IMG Resources – Relocation & UK Life IMG Jobs  Search and find live emergency medicine NHS doctor jobs in the UK IMG Resources Read more useful articles on finding an NHS trust doctor jobs, doctor salary & relocation for emergency medicine specialists Get in Touch Get in touch using the buttons above (and below) to discuss emergency medicine doctor job opportunities in the NHS, including discussions regarding, CESR, a typical doctor salary in the UK and the most suitable NHS job & hospital locations for you.   For the latest news and updates on all things emergency medicine, including the Royal College, GMC registration and the NHS, follow us on social media and join the conversation.              

Overseas medical oncologists looking to register with the GMC through the postgraduate qualification route will need to attain Membership of the Royal College of Physicians (MRCP UK).  Here we take a closer look at the MRCP (UK) examinations for doctors who have chosen their specialism in medical oncology, including a breakdown of each exam, fees and eligibility.   International Medical Graduates (IMGs) from any country in the world can sit the MRCP examinations, provided certain eligibility criteria are met. These are summarised below along with a broad look at the following topics:  What is MRCP (UK)? Where does MRCP fit into my oncology training? How are the MRCP exams structured? Eligibility for overseas doctors How do I apply for the exams and what do they cost? Where can I sit the exams as an overseas medical oncologist? How should I prepare for the exams as an IMG? I’ve passed, what’s next? Skip ahead to the relevant section if you know what you're looking for.  What is MRCP(UK)?  The Royal College of Physicians is the professional body responsible for the specialty of medicine throughout the UK. Among many other duties, its role is to set and monitor the educational curriculum for those training to enter the profession.  As medical oncology comes under the umbrella of medicine, the postgraduate exams for medical oncologists are set and delivered by the Royal College of Physicians. For clinical oncologists, the Royal College of Radiologists are the overseeing body for training and exams. You can learn more about the clinical oncology postgraduate route here.  The MRCP examinations assess a candidate’s knowledge of basic medical sciences, as well as clinical skills required for the diagnosis and management of disease. The exams are designed to test both applied basic science and principles of medicine to the level of a UK trainee with two to three years postgraduate experience.  Therefore, completion of MRCP will allow you to work in the UK from ST3 level upward, with seniority beyond ST3 level dependent on experience.  MRCP (as a postgraduate qualification) is one of the two main routes an overseas doctor can take to gain full GMC registration, the other being the PLAB route. For in-depth information on each of the MRCP exams, see our IMG Resources library here.  MRCP as Part of Training in Oncology  Full MRCP (UK) is a requirement for all oncologists wishing to go on to a specialty training post in the UK. For doctors who wish to find more senior roles in the NHS which are reflective of their current practice and experience, IMG Connect advise that MRCP (UK) would be the best route to take to GMC registration.  MRCP (UK) Exams Structure  The MRCP exam has three parts as outlined below:   MRCP (UK) Part 1  The first exam in the MRCP exam suite tests a sample of medical knowledge skills and behavior are specified in the UK specialty training curriculum for core medical training / internal medicine training.   The first examine that MRCP suite is designed to assess the candidate's knowledge and understanding of the clinical silences relevant to medical practice and of common or important disorders to a level appropriate for entry to specialist training.  The examination has a two-paper format - each paper is 3 hours long and contains 100 multiple choice questions in a ‘best of five’ format. The paper both tests core knowledge and comprehension as well as a candidate's ability to interpret information and solve clinical problems.  Each question has five options: one correct answer and four alternatives to the correct answer.  The exam is also designed to help prepare candidates for the more challenging Part 2 written and PACES exam.  Specialty  Number of questions  Cardiology  14  Clinical Pharmacology and Therapeutics  15  Clinical sciences  25  Dermatology  8  Endocrinology, diabetes and metabolic medicine  14  Gastroenterology and Hepatology  14  Geriatric medicine  8  Haematology  14  Infectious diseases  14  Neurology  14  Oncology  5  Medical ophthalmology  4  Palliative medicine and end of life care  4  Psychiatry  9  Renal medicine  14  Respiratory medicine  14  Rheumatology  14  Total  200    For more detailed information on the content of the exam, see the Royal College website here.  MRCP (UK) Part 2  The second exam in the exam suite builds on the knowledge assessed in Part 1 and again tests the acquisition of a representative sample of medical knowledge skills and behavior.  The questions will usually have a clinical scenario, may include the results of investigations and may be illustrated with images such as clinical photographs, pathology slides, inheritance trees ECGs, X-rays, CT and MR scans and echocardiograms.  Questions are asked about the diagnosis investigation management and prognosis of patients using multiple choice questions in a ‘best of five’ format.  Specialty  Number of questions  Cardiology  19  Clinical Pharmacology and Therapeutics  18  Dermatology  9  Endocrinology, diabetes and metabolic medicine  19  Gastroenterology and Hepatology  19  Geriatric medicine  9  Haematology  9  Infectious diseases  19  Medical ophthalmology  3  Neurology  17  Oncology, Palliative medicine & end-of-life care  9  Psychiatry  3  Renal medicine  19  Respiratory medicine  19  Rheumatology  9  Total  200    For more detailed information on the content of the exam, see the Royal College website here.  MRCP (UK) PACES  The MRCP (UK) Practical Assessment of Clinical Examination Skills (PACES) assesses a candidate’s ability to carry out essential clinical skills.  There are five clinical stations where there are either patients with a given condition, or trained stand-ins (surrogates). At each station, there are two independent examiners who will observe and evaluate the candidates' performance.   PACES Carousel  For more detailed information on the content of the exam, see the Royal College website here.  Eligibility for Overseas Medical Oncologists  Part 1  To be eligible for MRCP (UK) Part 1, you must have a GMC recognised Primary Medical Qualification and a minimum of 12 months postgraduate experience in medical employment.  Part 2 & PACES   To be eligible for MRCP (UK) Part 2 & PACES, you must have passed Part 1 within the last seven years.  Please note, whilst it is not essential to successfully complete Part 2 to sit PACES, the Royal College strongly advises you to do so, as pass-rates are much lower for those who sit PACES before passing Part 2.  Applications  Applications for all MRCP exams are made online through My MRCP(UK) account, via the Royal College website. You will need to create an account and submit evidence of your primary medical qualification, then make a payment online to confirm your application.  The cost of the MRCP exams are as follows:  Candidate  Part 1  Part 2  PACES  UK  £460 £460  £657  International  £616  £616 £1,202    Exam Centres  The MRCP exams are held 4 times a year and can be sat in several locations around the world, including the UK, Manama, Dhaka, Cairo, Accra, Hong Kong, Reykjavik, Chennai, Hyderabad, Kerala, Kolkata, Mumbai, New Delhi, Erbil, Amman, Nairobi, Kuwait City, Kuala Lumpur, Malta, Kathmandu, Muscat, Karachi, Lahore, Doha, Jeddah, Riyadh, Singapore, Sri Lanka, Khartoum, Abu Dhabi, Dubai, New Jersey, Barbados, Jamaica, Trinidad and Harare.  Please note that the number of sittings for each exam varies between countries – you can find the full list of cities and dates here.  The Part 1 and Part 2 exams are held online in the UK for candidates within the UK and Republic of Ireland.  During the COVID-19 pandemic, there is limited availability of spaces for the PACES exam, and whilst every effort will be made to provide as many places as possible, if the number of applications for the exam exceeds the places available, candidates in UK training will be prioritised.  Preparation and Resources  With lots of resources available online, we have discussed with IMGs the best place to start looking for materials relating to the exams. Most IMGs recommended starting with the Royal College, who have created useful resources to help you to prepare for the exams. These include:  Curriculum: Applicants are tested on a range of common and important disorders in General Medicine as set out in the Joint Royal Colleges’ Specialty Training Curriculum for Core Medical Training. We recommend getting to know the curriculum as early as possible and using it as a roadmap for your study.   Sample questions for Part 1 & Part 2: It is a good idea to regularly benchmark your knowledge by testing yourself using example questions from the current exam syllabus provided by the Royal College see below:  Part 1  Part 2  PACES scenarios: To familiarise yourself with the format of the PACES exam, take a look at sample scenarios from the stations. You can find these here.  IMG Oncologists Join the IMG Oncologists Facebook group for access to a community of like-minded MRCP aspirants and dedicated oncology recruiters. In this group you will find tailored resources for oncology IMGs, including access to our MRCP crash courses, completely free to all doctors. You can access our IMG Oncologists community here. For an overview of how to prepare for exams, including advice on study groups, online community support, the best use of online resources & Royal College materials and courses, take a look at our blog: IMG Connects Top Tips for exam preparation.  For more information on the MRCP exams including structure, preparation, dates and a content drill down, see the blogs we’ve written on each part of the examination suite:  MRCP (UK) Part 1  MRCP (UK) Part 2  MRCP (UK) PACES  I’ve passed, what’s next?  First of all, congratulations! This is a massive achievement and you deserve to put your feet up after all that hard work. With full MRCP, you can now apply for a full GMC registration with a license to practice (once you’ve passed an English language exam). Once the GMC has approved your application, you can work as a doctor in the UK. Nice one!  Get in touch  Don’t hesitate to contact an IMG oncology recruitment specialist to discuss GMC registration, oncology positions in the NHS, including typical NHS salaries, the most suitable UK locations and hospitals for you, and relocation.  For regular news and updates on the Royal College and all things oncology, follow IMG Connect on social media using the links below:              

GMC Registration can be a long and complex process. With a few options available for demonstration evidence of skills and knowledge, it can be difficult for IMGs to decide the best route to take to register with the GMC.   For international doctors planning their route to the UK, there are essentially two main pathways to consider – postgraduate qualifications (for psychiatrists, this is MRCPsych) or PLAB. Whilst these are the most common routes to GMC registration, this is not an exhaustive list. There are other options such as Royal College sponsorship and GMC-approved qualifications or licensing exams, and you can read more about these here. Here we provide a summary of both of the main pathways and briefly consider their benefits.  PLAB for GMC Registration MRCPsych for GMC Registration Which is better for me as an overseas psychiatrist, PLAB or MRCPsych? #IMG Tips How do I get started? Professional & Linguistics Assessment Board (PLAB)  The first and most common route we’ll be discussing, which tends to be popular among junior doctors, is PLAB.  PLAB is a two-part exam (one written and one practical element), which assesses whether a candidate is at least as capable as a doctor starting the second year of their Foundation Programme Training and can therefore work safely as an SHO in the NHS.  The GMC has a useful video summary of the PLAB exams which you can watch here, or for a more detailed overview, see our IMG Resources library.  MRCPsych - UK Postgraduate Qualification for Psychiatrists  The UK’s postgraduate qualifications are a more popular route for senior overseas doctors, and those looking to gain posts in the NHS which are reflective of their experience.  Within psychiatry, this can be done by attaining Membership of the Royal College of Psychiatrists. The Royal College of Psychiatrists is the professional body that regulates the specialism of psychiatry in the UK, and Membership of the College of the Royal College of Psychiatrists (MRCPsych) is the full qualification attained through these examinations. Take a look at our IMG Resources library for complete guides on MRCPsych to learn more.  PLAB vs MRCPsych  Both MRCPsych and PLAB are legitimate routes that demonstrate skills and knowledge and will allow you to register with the GMC and work in the UK. To decide which route is best for you, you’ll need to consider the benefits of each and how they align with your needs and priorities in moving to the UK.  Seniority of Positions in the NHS  It would be difficult for an overseas psychiatrist to obtain a more senior post in the NHS without either MRCPsych, a GMC-approved training programme, or extensive experience from a similar, English speaking healthcare system. PLAB alone will not give overseas doctors access to senior posts in the NHS.  Specialty Training   To practice as a consultant in the UK, you must have gone through specialty training and will need a GMC-recognised postgraduate qualification to do so, whether a qualification from the country in which you completed your specialty training, or MRCPsych.  Only one type of evidence is required to demonstrate skills and knowledge, so once you pass MRCPsych, you would not need to additionally sit the PLAB exams. However, due to the more specialised nature of MRCPsych, psychiatrists may want to sit the MRCPsych exams at a later date, to allow them access to more senior roles and competitive salaries.   Time   PLAB has two stages and can take anywhere between 3-9 months to prepare from start to finish.  MRCPsych has three stages, the last of which must be taken after at least 36 months of postgraduate experience in psychiatry and can take anywhere between 24-36 months to prepare from start to finish.  Cost   MRCPsych costs just under £2,000 for the three exams. All MRCPsych exams can now be sat online, so there is no longer the added expense of international travel. You can read about the changes to the exam format here.  PLAB costs £1,189, and both exams are sat in person. PLAB 1 can be taken in the UK or several overseas centres, which you can find here. PLAB 2 must be taken in the UK.  So, for PLAB 2, candidates will have to travel to the UK, meaning that the additional cost of visas, accommodation and flights must be factored in.  It’s important to note that these costs can rise if re-sits of the exams are necessary.    Summary  PLAB, as an exam which examines a doctor’s ability to work safely as a Senior House Officer (SHO), does not assess ability in psychiatry specifically. For this reason, PLAB tends to be a route for junior doctors who have not already chosen their field of specialisation in medicine, I.e., psychiatry.  PLAB allows doctors to enter the UK system much faster than other routes and for this reason alone, it is favoured by international doctors when considering their path to the UK.  MRCPsych involves three more difficult examinations and takes more time to prepare for. However, for overseas doctors, attaining MRCPsych will allow you to jumpstart your career in the UK, as you don't need PLAB or Core Training.  Additionally, MRCPsych will facilitate the application for more senior roles in UK psychiatry than PLAB.  #IMG Tips  Determine your priorities – your goals and timeline for relocating to the UK are important in deciding which route is best for, and this is different for everyone.  Plan well ahead – depending on the route you choose, you may be embarking on a long journey through these exams, so plan how you will fit them into your life and how best to prepare to maintain a good work-life balance at the same time.  Find a support network – once you know which exams you will sit, find a support network of others who are also preparing for the exam. A great way to do this is to join the IMG Psychiatrists Facebook group, an online psychiatry community of UK and NHS psychiatry aspirants and dedicated psychiatry recruiters. You’ll find advice, guidance and news and updates about all things psychiatry for IMGs. Join the conversation here.  Getting started  Once you’ve decided which exams are best for you, it’s time to delve deeper into the exams and what they entail. For more useful blogs and articles on PLAB or MRCPsych exams, registrations and qualifications to help you find your dream job in the NHS - take a look at our IMG Resources library.   Or if you have any questions on PLAB or postgraduate qualifications, please get in touch with our psychiatry recruiters here. They will be more than happy to help you.  To receive the latest news and updates on all things psychiatry, including the Royal College, GMC registration and the NHS, follow us on social media and join the conversation.              

One of the biggest considerations for IMGs relocating to the UK with families is finding the right school for their children. The education system in the UK can be confusing in places, so it’s important to fully understand all the options available within the UK to be able to make a well-informed decision.  And with factors such as citizenship playing a part in areas such as cost, a good idea of the UK system is crucial for all families relocating with children.  In this blog we’ll be covering the following topics:  An overview of the education system in the UK Educational Institutes Primary Education Secondary Education Further Education Higher Education Citizenship and UK Education Skip ahead to the relevant section if you know what you’re looking for.  AN OVERVIEW OF THE EDUCATION SYSTEM IN THE UK  The education system in the UK is divided into four main parts, primary education, secondary education, further education and higher education. Children in the UK legally must attend primary and secondary education which runs from about 5-years-old until around 16-years-old.   Early years’ education applies to children aged around 3-years-old to 4- or 5-years old. This stage sets standards for the learning, development and care of a child until the age of 5.  The basic school curriculum includes the ‘national curriculum’, as well as religious education and sex education. And sets out a blueprint of subjects and standards used by primary and secondary schools that allows children to learn the same things. It covers both the subjects that are taught, and the standards children are expected to reach in each subject.  The UK system is also split into "key stages" where a child’s performance is formally assessed by their teacher at the end of each stage. These break down as follows:   Key Stage 1: age 4 - 7   Key Stage 2: age 7 - 11  Key Stage 3: age 11 - 14  Key Stage 4: age 14 - 16  In England, the compulsory education age has been extended to 18. This means that students must stay in full-time education, begin an apprenticeship or traineeship, or start a part-time education/training course, with 20 hours a week working or volunteering at age 16.  This article discusses the time spent at school, starting and leaving years etc. This will help to give you a general idea when comparing to other countries around the world. Cost of Education in the UK  Education in the UK is free for all children, and all children are entitled to and guaranteed a space at school. The UK is renowned for having a strong academic set-up and we find a lot of IMGs plan to move to the UK for the educational benefit of their children.  Ofsted The regulator that scores and assesses schools in the UK is Ofsted. Ofsted's role is to make sure that educational institutions, training and care services in England operate to a high standard for children and students. Every week, we carry out hundreds of inspections and regulatory visits throughout England and publish the results online.  Ofsted gradings for all schools in England are published on this webpage and can be filtered by region and found here. School Terms and Holidays  A typical school year starts begins in September and ends in June/July. It consists of three terms: Autumn Term (September to December), Spring Term (January to April) and Summer Term (April to July).  As well as having a week-long break in the middle of each term (half-term), students also have longer holidays between terms: Christmas holidays (2-3 weeks), Easter holidays (2-3 weeks) and summer holidays (around 6 - 8 weeks).  EDUCATIONAL INSTITUTES  There are two main types of school in the UK - ones that are paid for by the government or local authorities and ones which aren't.  The ones which aren't, need to get the money to pay for themselves from somewhere else, like school fees. The main differences between these two types are that state schools are free for students, whilst private schools often charge fees.  Most state schools (aside from academies) will also follow the national curriculum, whilst private schools (while still rigorously assessed by OFSTED) are able to determine their own curriculum, admittance processes, term dates etc.  There are several types of state schools in the UK which provide free education to pupils in the UK, funded whether by the government or by local authorities, these include:  Maintained schools  Academies  Selective grammar schools  Religion focused faith schools  State boarding schools  Private schools in the UK include:  Independent schools  Boarding schools  As well as these, there are also tutorial colleges which start at age 15 and have a more flexible programme range, focusing on fast access to UK university.  Further education colleges such as sixth forms and colleges provide education for those over the age of 16, and of course universities are higher education institutions where students over the age of 18 study towards undergraduate or postgraduate degrees.  PRIMARY EDUCATION  Primary school education begins in the UK at age around 4 or 5 and continues until age 11, comprising key stages one and two.  The year groups at primary school level are as follows:   Some primary schools are split up into Infant and Junior levels, which are usually separate schools on the same site. The infant age range (Key Stage 1) is from age 4 to 7, and the Junior age range (Key Stage 2) is from age 7 to 11.  SATs  SATs are national statutory assessments that children in England take twice during their primary school years. The assessments are made up of a combination of testing and teacher assessment judgements and are used to assess the attainment of pupils against the national curriculum, firstly, at the end of Key Stage 1 (KS1) in Year 2, and then again at the end of Key Stage 2 (KS2) in Year 6.   KS1 SATs currently assess children in maths (arithmetic) and English (reading, spelling, punctuation and grammar). KS2 SATs are more formal than in KS1 and children are assessed in English reading comprehension, grammar, punctuation, spelling, science, mathematical reasoning, and arithmetic.  SECONDARY EDUCATION  Secondary school education begins at age 11 and continues until around age 16, comprising key stages three and four.  Key Stage 3  Years 7 and 8 are the first two years of secondary school education in the UK. Under the UK system, all students study English, Maths, Sciences, a Humanity and a Modern Language. Besides these subjects, each school has a list with optional subjects (Art, Music, Drama, Latin, Sport Science, Design Technology, Computer Science).  Year 9 is a very important year in the British school system, as most of the students make the transition from Junior School to Senior School. It is also a very good foundation for the GCSE programme, and it is an entry point to all schools.   Students study English, Maths, Sciences, Humanity and Languages. In addition, students choose a few subjects that interest them from the optional subject list offered by each school.   Key Stage 4 – GCSE programme  In the last two years of secondary education, year 10 and year 11, students prepare for GCSE exams that are taken after two years (General Certificate of Secondary Education).  In the UK school system, during the GCSE programme, students study between 9 and 12 subjects, in which they are examined at the end of the 2-3 year period. English, maths, 2/3 sciences, one humanity and a modern foreign language are compulsory, leaving 3 to 6 subjects free to be chosen by each student according to their abilities and preferences.   The chosen subjects and the GCSE results are very important for their Further Studies (A-Level or IB) and for university admission.  Some schools offer a 1-year GCSE programme in Year 11 for international students seeking a school education in the UK. These intensive courses are available for students aged 15 plus, with the appropriate academic level from their own country. Fewer subjects are studied (maximum 6).  FURTHER EDUCATION  Years 12 and 13  A-level Study  In the UK school system, once a student reaches the age of 16, they can start a 2-year programme which leads to A- (Advanced) level examinations. Students choose 3 or 4 subjects which may continue on from GCSE study or may be new choices.  A-levels are state examinations and are recognised by all UK universities and by institutions worldwide, therefore students usually choose A-level subjects are usually chosen that are relevant to the degree subject they wish to follow at university.  International Baccalaureate (IB)  Some independent schools may offer the International Baccalaureate (IB) Diploma Programme.  During the IB, students study 6 subjects, 3 at higher level (HL) and 3 at standard level (SL). Each school offers different subjects at different study levels (HL/SL). The IB programme also includes a compulsory core programme consisting of Theory of Knowledge (TOK), Extended Essay (EE) and Creativity, Activity, Service (CAS).  Vocational Courses  Further Education colleges also offer foundation and diploma courses, and all colleges can prepare students for entry to a UK university or any university in the world.   An alternative to A-levels or the IB are BTEC courses, which are designed for students who would like to develop practical knowledge and skills in a specific subject (Business, Psychology, Engineering, Sport, Art & Design) or perhaps find traditional exams challenging.  BTEC students are assessed during the course (usually after each unit) through practical or skills-based assignments, tasks or tests, rather than at the end of the programme.  HIGHER EDUCATION  Foundation Courses  Foundation degrees are courses for international students preparing for undergraduate study, or for UK students who are unsure about taking a full degree or want to study while working.   They usually take one to two years full-time to complete, or longer for part-time students, and students can normally continue for a further year to gain a full honours degree or have direct entry onto a full degree after completing a foundation course.  Undergraduate Study  In the UK, a bachelor's degree normally takes three years to complete, and most are awarded at honours level (360 credits or 180 ECTS). Examples of first degrees are: BA (Bachelor of Arts), BSc (Bachelor of Science), and BEng (Bachelor of Engineering).  The academic year is typically 9 months long, with study beginning in September/ October and finishing around June/ July.  Postgraduate Study  Postgraduate courses in the UK education system are very intensive. This means that the courses are usually much shorter than in other countries. A master's degree typically takes 12 months to complete, for example an MA - Master of Arts and an MEng - Master of Engineering.  An MBA (Master of Business Administration) is a high profile Masters course which can take 2 years. Applicants for MBA courses will usually be high achieving with at least 2 years managerial experience.   A PhD research degree in the UK can take between 2 and 7 years.  CITIZENSHIP AND HIGHER EDUCATION  University Tuition Fees  Tuition fees cover the entire cost of tuition plus any excess services you may get from the university, such as tutoring services, information technology, and library services that they may provide.   The cost of undergraduate tuition in the UK is usually around £9,250 for home students (British citizens). For non-UK students, this can be anywhere from £11,000 to £20,000, depending on the university.  Besides your nationality, the type and academic level of your course can also influence the cost of a course in the UK. As you would expect, tuition fees in the social sciences and humanities are lower compared to natural science courses where extracurricular lab sessions are involved.   Financial Aid in the UK  Financial aid is available for both UK and international students.  All UK students are eligible for a tuition fee loan to cover the full cost of the tuition provided by their higher education institution. This is paid directly to the institution.  Government financial aid for students’ living costs (maintenance), offered by Student Finance England (SFE) is means-tested and parental (or household) income is the key factor here. Another key factor is whether the student will be living at home, away from home outside of London, or away from home within London. You can find full details of the maintenance loans based on household income here. International students are not eligible for maintenance loans from SFE.  Student Loans  Student loans are the most common type of financial aid offered for students in UK. Under current law regulations in the UK, only UK, EU and EEA students are eligible to apply for these funds. International students, have to look for other types of student loans granted in their home country or at the UK university of their choice.  Student loans interest rates are incredibly favourable, regulated so they cannot increase too much and are only repayable once the loanee has begun working and started taking an income above a certain threshold. There is a lot of flexibility in how and when they can be repaid as they are government loans, rather than by corporate or profit driven banks. You can find more information about student loans on the government website here.  UK Higher Education for International Students  Whilst international students are a big part of UK universities, there are many more places allocated to UK students. Being a UK citizen will help your children’s chances of a successful application considerably.  Universities will charge British citizens lower tuition fees than they would for international students. This applies to both EU and non-EU international students. For families of international students, this can be a difference of tens of thousands of pounds spend on tuition and maintenance, when compared to a UK student.  Depending on when you move to the UK, your child may be eligible for university places and financial aid as a British student.  So, there you have it – this should give you a much clearer picture of how the education system works in the UK and where your child may fit into the system depending on their age.  Making the decision to relocate to the UK to work in the NHS involves so many important considerations, including for many, education for their children. With factors such as the cost of university education to consider, the timing of such a move is even more important.   Getting started Don’t hesitate to get in touch with one of our specialists if you would like some advice or support in considering your options more fully.  For advice, guidance and news and updates for IMGs, join the conversation through the links below:             

Are you an overseas psychiatrist preparing to take the MRCPsych CASC exam?  International doctors often have questions about how to prepare for the CASC exam, particularly when there are so many materials and information online which can be overwhelming or mostly geared towards UK applicants and trainees.  What study materials, courses and support are available for IMGs? Here we have compiled some of the best advice and resources available to help in your preparation for the exam.  The topics we’ll cover are as follows - skip to one of these sections if you know what you're looking for: What is MRCPsych CASC? How do I get started with my preparation? What other resources are available? #IMG Tips How have the exams been affected by COVID-19? What’s next for me? If you’d like an overview of the entire examination series, take a look at the article published in our IMG Library here.  What is MRCPsych CASC?  Let’s begin with a quick recap of the CASC exam. The Clinical Assessment of Skills and Competencies or CASC is a practical exam which takes the format of an OSCE and tests your clinical skills in a range of competencies.  It is made up of two circuits of individual stations made up of:  Five stations on history taking, including risk assessment  Five stations on examination, including physical and mental state  Six stations on patient management  For full guidance on the structure of the exam, visit the examination page of the Royal College website or see our detailed blog on the MRCPsych CASC exam here.  Getting started with preparation It can be tough to know the best place to start, and after talking with some psychiatry consultants (both IMGs and UK trainees), the general consensus was that the Royal College website is the best place to begin. There are some great resources on their website to help applicants to prepare for the exam.  Royal College Materials  Syllabus: this is the best place to start - you should always plan your study and preparation around the topics within the curriculum to start you off on the best path to success. You can find this here.  CASC candidate guide: this handy guide contains information on domain-based marking, candidate instructions, pass mark, exam criteria and grade descriptors, which you can access here.  Blueprint: the CASC blueprint is a more detailed breakdown of the skills being assessed within the exam and the categories and stations candidates should expect to find. This is available here.  Marksheets: copies of the marksheets which are used in the exam are available online for history, management and examination and allow candidates to familiarise themselves with the marksheets in advance, found here.   Sample stations videos: you can watch videos of sample stations from a face-to-face examination – this will be similar to what you can expect on the day as the principles will remain the same for online exams. You can access these here.  What other resources are available?  IMG Connect have a library of written resources geared towards preparation for the CASC exam. If you’re interested in any of these, please get in touch here and we would be delighted to share these with you.   Other online resources available for the exam include a mixture of paid and free resources. These include:  Books  These are the most highly rated books for MRCPsych CASC on Amazon:   Pass the CASC for MRCPsych – Seshni Moodliar (£34.70)  Get Through MRCPsych CASC – Melvyn W. B. Zhang (£45)*  How to Pass the MRCPsych CASC – Andrew Iles (£33.99)  * Get Through MRCPsych CASC is particularly highly regarded by recent CASC candidates who have passed the exam.  Other resources  Passing the MRCPsych Exams – an insider’s guide: a useful guide to the MRCPsych CASC exam written by former trainees and members of the Psychiatric Trainees’ Committee (PTC). This can be found here.  MRCPsych CASC flashcards: flashcards created by a former candidate who has passed the exam. 136 flashcards which cover different aspects of the exam. These are available for free here on Brainscape.  CASC Cluster Cards – Oxfordpsych revision cards written by a consultant psychiatrist in the UK. This is a set of 100 CASC scenarios with instructions and guidance to remember. These can be found here at a cost of £169.  CASC Videos – SPMM: 86 exam stations performed by consultants and role players under exam conditions, featuring advice and tips from examiners for each task. 6 months access is priced at £180 and is available on demand. These are available here.  Oxfordpsych – access to the Oxfordpsych online video bank featuring short and long instruction CASC stations, covering the range of stations and tasks listed in the CASC blueprint. 6 months access costs £169 and £99 for 3 months and can be found here.  Online courses  CASC Prepare mock exam  This exam consists of 16 stations which have all featured in previous RCPsych CASC exams. The mock will be conducted in the format of the actual exam and detailed written feedback on RCPsych marking sheets will be provided after the exam. Other aspects of the exam such ass time management, and communication strategies will also be discussed.  Duration  4 hours  Cost  £310  Next start date  Ongoing Website  https://www.cascprepare.com/mock-exam    Oxfordpsych CASC mock exam  These online exams are based on the RCPsych CASC blueprint. Candidates take the 16 stations under exam conditions and interview with professional actors with CASC experience. Candidates will receive written feedback for each station.  Duration  4 hours  Cost  £475  Next start date  Autumn 2022 Website  http://www.oxfordpsychcourse.co.uk/index.php/online-registration    CASC Master mock exam  This mock exam is carried out over skype or zoom and has 8 continuous stations with one 20-minute break, followed by the final 8 stations. It is set according to the CASC blueprint and is available with or without an actor.  Duration  4 hours  Cost  £325  Next start date  TBC Website  https://www.cascmaster.com/skypemockcasc    IMG Psychiatrists MRCPsych CASC Crash Course This is a tailored MRCPsych CASC course for overseas psychiatrists sitting the CASC exam. This course offers weekly sessions covering the entire exam and its various domains, including marking and station requirements. This is accompanied by small group role play sessions to allow IMGs to practice stations across various scenarios with feedback on each station, delivered by an experienced NHS psychiatrist and specialist psychiatry recruiters. These sessions are completely free to all doctors. The course is supplemented by additional advice and guidance on MRCPsych as a whole, 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 Psychiatrists CASC Study Course by joining the Facebook group here. #IMG Tips  Start your revision early – starting in advance allows you to pace yourself and get ahead of the stresses of last-minute revision and anxiety.  Find the right materials for you – whether its online courses, books or flashcards, try to figure out what the best materials are to jumpstart your preparation  Speak to your peers and colleagues – your senior colleagues may have been through this process themselves and may have helpful tips and guidance to share. Or maybe you’ll find a like-minded peer with whom you can be study buddies! Take advantage of those around you to support you on this journey.  Practise, practise, practise - Our IMGs have shared that it’s crucial that you practice your clinical examinations as often as possible, preferably under the supervision of a senior colleague which will allow you to receive feedback.  Join our online psychiatry community - for news and updates about all things psychiatry for IMGs, follow IMG Connect on social media and join the conversation.  I've passed, what’s next?  Once you’ve passed MRCPsych CASC, you’ve completed the Royal College of Psychiatrists examination suite. Great stuff, this is a massive achievement! Armed with this and your English language test, you are ready to apply for full GMC registration with license to practice.   You may want to start looking for NHS jobs and with the click of a button, you can receive them directly to your inbox. To receive jobs postings which you can tailor to your desired grade, specialty and sub-specialism, sign up here.  If you have any questions about any element of CASC, the Royal College exams as a whole or any other queries related to the processes involved in IMGs coming to the UK to work in the NHS, please get in touch and our psychiatry specialist will be more than happy to assist you.  For access to a community of like-minded MRCPsych aspirants and dedicated psychiatry recruiters, join the IMG Psychiatrists Facebook group.   To receive the latest news and updates on all things psychiatry, including the Royal College, GMC registration and the NHS, follow us on social media and join the conversation.              

If you have applied for an exam which is held in a UK test centre, you will need a UK Visitor Visa to enter the UK and sit the exam. Here we have put together the main information you will need as well as useful links to get you started and we will look at the following: How do I apply?  Online application for UK Visa What supporting documents do I need to prepare and provide? What costs can I expect in the UK? What happens if my visa application is refused? The first thing to suggest, is that as soon as you receive your results for the first exams e.g. FRCPath Part 1, PLAB 1 etc., start planning the date that you want to sit the in-person exam. This will not only help you prepare for the test itself, but also will ensure that when you apply for the Visitor Visa, you will be prepared for the visa application and appointment, and able to visit the UK within the 6-month visa period. It is worth noting, that no matter what the guidance and instructions are, visa applications can prove different for everyone, so start working on the application early.  If you are not sure if you need a visa – you can check here. You can apply for a Standard Visitor Visa if you are a doctor and are coming to the UK to sit an in-person exam, such as an OSCE, PLAB 2 or FRCPath Part 2 exam. The option you require is a Work, Academic visit or Business visa and the duration is less than six months.  How do I apply?  The UK Visa Application for UK examinations can be described in two parts:  Online application for the required type of visa. Submission of supporting documents and providing biometric data (photo, fingerprints) at a visa application centre.  Let’s take a look at each part in more detail.  Online Application for the UK Visitor Visa As part of the online application, you will be required to book an appointment at a visa application centre, you can check the locations available here.  You can complete the application in stages; however we advise that you prepare all of the required documentation first, and then complete the online form and upload everything you need in one go.  A standard UK visa currently costs £95. Supporting Documents It is important to note that the required documents will vary from person to person, however two documents are necessary for every applicant:  Your valid passport The email confirmation of your exam (from the relevant Royal College or GMC) You will then typically require the following:  Cover Letter If your trip is self-funded you will need: Salary certificate Bank statements Letter of Support from your financial guarantor (if applicable) This is only required if your trip is financed by another person (i.e. family member). Affidavit affirming the declaration of the financial sponsorship This is done before a notary public and will have to be translated into English.  Letter of recommendation  Any letter of recommendations will need to come from senior colleagues at your current workplace. Bank Statements Typically 6 months worth (either yours or your sponsor's if applicable). Monthly payslip A clear copy is needed with all information visible. Income/Salary Certificate (Yours/Sponsors)    Evidence of Home Address  Deeds or Nationality Certificate or Home electricity bill where the address is written. This will need to be translated and notarised. A ‘No Objection Letter’ issued by your employer A ‘No Objection Letter’ for visa is a legal certificate issued by your employer agreeing for you to take off the days for you visit to the UK. In addition, the letter states that you have contractual obligations to return to your country of residence at your workplace. Confirmation of your accommodation in the UK Or, invitation letter from friends or family with whom you will be staying. You may also require a Council tax and utility bill of the accommodation address. If it’s a family that you’re staying with, you don’t need to worry about proving Sponsorship. If they are just providing accommodation (and your father or mother is your financial guarantor), a simple invitation letter stating your name, your passport number, duration and purpose of your stay is sufficient along with their contact details. The council tax and utility bill is just to prove that the address exists by their name.  Evidence of family members in your home country whilst you travel These would include Passport copies or National ID copies of your family members. To complete the online application, here are the required entries:  Your name Passport details Your National ID number, if you have one Your email Travel information/plan: the date you will arrive in the UK and the date you will leave the UK. The arrival date is more important. The itinerary in your cover letter should explain this in more detail.   Choose business, including sports and entertainment as the main reason for your visit After answering 'No's to organised group, travelling with partner, visiting a company or getting paid for business activities—choose Take the PLAB or OSCE In Give details, write down your full itinerary, taken from your cover letter in full sentences Personal information: Your home address Parent details: Father’s and mother’s name, dates of birth Employment details If you are employed and sponsoring yourself, then IMG recommend you arrange for two papers from your employer from the above list a) Salary Certificate b) No Objection Certificate Your own bank account details with bank statements (for the last six months) How much money are you planning to spend on your visit Details of who is covering the costs, if you are not yourself UK accommodation details Travel histories in UK or other countries Any details of visa refusals  Other histories regarding whether you have any criminal convictions Any other relevant information you wish to provide, you can leave this blank Finally comes the declaration page and it asks you to choose an appointment (date and time) with a visa application centre. Please note that you don’t have to choose immediately, especially if you don’t have all the supporting documents ready. Just save it there and a link will be sent to your email. But as above, IMG Connect recommends that you have all of the supporting documents prepared before starting your UK Visitor Visa application. What costs can I expect in the UK?  Whilst your exam(s) will be taken across no more than two days, we advise for candidate to allow themselves a few days for climatisation and revision prior to the exam. When budgeting*, make sure that you book flights, hotels and UK transport to and from the airport in advance to save money.   Once in the UK, a typical low-cost budget for a comfortable stay will include approximately:  £40 - £60 per night for accommodation depending on your test venue £15 - £25 for food per day £20 for transport per day £50 for Airport transfers (return journey)  *remember to consider flights & travel insurance costs in your total budget Always remember to use price comparison websites or Airbnb to find the best value for money and shortest journey to amenities and test venues.  What happens if my visa application is refused? You will receive a letter from the Home Office detailing the reasons for rejecting the application - don’t worry, you can apply again. If this happens to you, get in touch with your IMG Connect consultant who would be happy to help you re-apply. Getting started Don’t hesitate to get in touch here, or using the buttons above (and below) to discuss doctor job options in the NHS, including discussions regarding a typical doctor salary in the UK and the most suitable hospital locations for you. For advice, guidance and news and updates for IMGs, join the conversation through the links below:             

All Allied Health Professionals looking to secure a job and work in the UK, whether you are from inside or outside of Europe, will need to satisfy certain criteria to fully register with the HCPC before beginning their journey in the NHS. 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  As an Allied Health Professional, the criteria you need to meet depends on where you currently live and practice, either inside the EEA (& associated countries) or outside the EEA.  This article is designed to give you a snapshot of the steps you need to take to start your journey to the UK, no matter where in the world you live.  Inside the EEA – click here Outside the EEA – click here Allied Health Professionals from around the world play a vital and significant role in the NHS and in the delivery of safe patient care. This is not only welcome but plays a huge part of the exchange of knowledge in healthcare and is strongly encouraged. They make an invaluable contribution to the health services in the NHS. Inside the EEA  Firstly, it is important to note that where we refer to EEA in this article this refers to all countries inside the EU, including Lichtenstein, Iceland & Norway.  If you qualified as an Allied Health Professional inside the EEA or Switzerland, then the good news is that you can apply for mutual recognition – your qualifications and experience are deemed equivalent in the UK and EU.  In addition, you will not need to apply for a visa from the UK Home Office.  So, the main hurdle that you will face is demonstrating that your English skills are of a high enough standard to practice safely as an Allied Health Professional in the UK & NHS.  English Language Testing Any international Allied Health Professional, regardless of specialty, experience or country of origin, must demonstrate they have sufficient competence of the English language. You can do this by passing either of the following: TOEFL – Test of English as a Foreign Language IELTS – International English Language Testing System HCPC Registration Having passed your English Language Test, you can now apply for registration in the UK, thus qualifying you to practice in the UK. 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 and experience are recognised across Europe as equivalent. Relocation Obviously, any Allied Health Professional’s journey isn’t all exams, registrations and language tests… there’s also the small matter of relocation and settling into life in the UK. Once you have secured your role in the UK, we focus on supporting you and your family with all your relocation plans. This can include, but is not exclusive to, securing accommodation, travel planning, setting up bank accounts & national insurance numbers – every step of the way we are here to help. Have a read through our IMG Library and take in all the beautifully organised information on relocation and UK life to immeasurably help your first days, weeks and months in the UK. IMG Library – Relocation & UK Life Outside the EEA If you have trained outside the EU, then you are eligible for an international application.  In addition, you must demonstrate your English Language capabilities meet the level required to practice safely in the UK.  Furthermore, you will need to apply for a visa from the UK Home Office.  Here we summarise the requirements for Non-EEA Allied Health Professionals, looking at the following: English Language Testing Tier 2 Visas  HCPC Registration English Language Testing Any international Allied Health Professional, regardless of specialty, experience or country of origin, must demonstrate they have sufficient competence of the English language. You can do this by passing either of the following: OET – TOEFL – Test of English as a Foreign Language IELTS – International English Language Testing System HCPC Registration: Evidence of Knowledge & Skills in Allied Health  Overseas Allied Health Professionals must prove to the HCPC they have sufficient knowledge & skills to practice safely in the UK. For overseas Allied Health Professionals this can be done through the International Application.  If you are eligible for International application, then you must apply via this route.  The HCPC ensures that your overseas qualifications and experience are recognised.  Tier 2 Visa If you are an Allied Health Professional applying from outside the EEA region you will almost certainly need to apply for a visa to work in the UK.  Applying as an Allied Health Professional has never been easier and there is currently no-restriction on the Certificate of Sponsorship (CoS) applications that a hospital can make. Furthermore, the list of specialties on the shortage occupation list is due for imminent review and expansion beyond its current list of specialties, potentially widening the scope for easier immigration processes across all specialties in healthcare. Understand Tier 2 visas and Certificates of Sponsorship in depth by taking a look at our article: IMG Library Tier 2 Visa application process & documents needed Wondering whether you can relocate with your family? Take a look at our blog on the Tier 2 dependant visa below: Tier 2 Dependant visa - can i bring my family with me to the UK? Relocation Obviously, any Allied Health Professional’s journey isn’t all exams, registrations and language tests… there’s also the small matter of relocation and settling into life in the UK. Once you have secured your role in the UK, we will focus on supporting you and your family with all of your relocation plans. This can include, but is not exclusive to, securing accommodation, travel planning, setting up bank accounts & national insurance numbers – every step of the way we are here to help.  Have a read through our IMG Library and take in all the beautifully organised information on relocation and UK life to immeasurably help your first days, weeks and months in the UK. IMG Library – Relocation & UK Life

Geriatric medicine SCE is the higher postgraduate qualification delivered by the Royal College of Physicians as a specialist qualification for geriatric medicine doctors. It is one of 11 SCEs offered by the Royal College and offers physicians a postgraduate qualification which demonstrates to prospective employers the achievement of a standard equivalent to UK specialist doctors.  Here we take a closer look at the MRCP (UK) Geriatric Medicine Specialty Certificate Examination for doctors who have chosen to specialise in geriatric medicine. We cover the content of the exam, as well as fees and the eligibility criteria, all summarised below along with a broad look at the following topics:  What is the geriatric medicine SCE? Where does the SCE fit into my training? What is the structure of the geriatric medicine SCE? How do I apply for the exams and what do they cost? Where can I sit the exams as an overseas geriatric medicine doctor? How should I prepare for the exams as an IMG? I’ve passed! What’s next? Skip ahead to the relevant section if you know what you're looking for.  MRCP (UK) Geriatric Medicine SCE  The geriatric medicine specialty certificate exams are administered as a compulsory component of assessment for Certificate of Completion of Training (CCT) in geriatric medicine for all UK trainees.   The purpose of an SCE is to:  ensure that certified specialists have sufficient knowledge of their specialty to practice safely and competently as consultants  complement workplace-based assessments  provide a rigorous national assessment to establish public confidence  offer a challenge similar to sub-specialty certification examination in North America  For in-depth guide to the MRCP exams, see our IMG Resources library here.  Geriatric Medicine SCE as part of UK training  Since the MRCP(UK) exams are taken during the Internal Medicine Training years (ST1-ST3), the geriatric medicine SCE allows physicians to demonstrate that they are able to practice independently at a consultant level.  The SCE has no official entry requirements (both for UK and overseas candidates); however, UK trainees would normally take the SCE in their penultimate year of higher specialty training (ST6). UK trainees should have made at least one attempt by the time of their penultimate year assessment.  Exam Structure  The SCE assesses candidates on a wide range of common and important disorders, as set out in the syllabus of the curriculum. This should be taken as an indication of the likely number of questions – the actual number may vary:  Acute Illness (Diagnosis & Management)  Number of questions  Anaemia/ Haematology  1  Cardiovascular Medicine  4  Dermatology  1  Endrocrine medicine  2  Gastroenterology  3  Infection  4  Musculoskeletal medicine  2  Neurology  4  Renal medicine inc. fluid/ electric imbalance  2  Respiratory medicine  4  Sensory impairment  2    Chronic Disease & Disability(Diagnosis & Management)  Number of questions  Anaemia/ Haematology  1  Cardiovascular Medicine  4  Dermatology  1  Endrocrine medicine  3  Gastroenterology  3  Infection  4  Musculoskeletal medicine  4  Neurology  4  Renal medicine inc. Fluid/ electric imbalance  3  Respiratory medicine  4  Sensory impairment  2    Cognitive Impairment  Number of questions  Delirium  8  Dementia  12    Geriatric Assessment  Number of questions  Factors affecting health status  5  Measurement of health status  3    Subspecialty Topics  Number of questions  Palliative care  10  Old age psychiatry  7  Orthogeriatrics and osteoporosis  10  Stroke care  15  Tissue viability  6    Other  Number of questions  Basic science and gerontology  6  Continence  10  Falls and poor mobility  16  Surgical liaison  3  Intermediate care & long-term care  9  Nutrition  4  Rehabilitation, transfers of care  14                         TOTAL                                        200                 The questions in each category are distributed across both papers.  All SCEs are computer-based and are administered by Pearson VUE at a test centre in the UK or internationally.  Geriatric Medicine SCE Applications  SCEs are held once a year and applications are made online through My MRCP(UK) account, within the Upcoming Exams section of the Royal College website.   The application process is as follows:  Register online through My MRCP(UK) (candidates have the opportunity at this point to register any special arrangements)  Request a preferred test country and city  Pay applicable examination fee  Application is confirmed via an automatically generated email  Receive test centre confirmation email from Pearson VUE within four weeks of the examination date.  The Royal College of Physicians has created a helpful video guide on SCE applications which you can watch here.  Cost  The cost of the SCE exams are as follows:  UK centres: £665  International centres: £833  Exam Centres  UK Centres  Candidates who choose to sit the geriatric medicine SCE in the UK must contact Pearson VUE to book their test. There are up to 137 test centres throughout the UK for each SCE, and the Royal College of Physicians advise that candidates should book their exam as early as possible to secure their preferred test centre, as bookings operate on a first come, first served basis.  International Centres  Candidates are given a choice of regions and are then asked to nominate a particular city in that region as their desired test location. The Royal College of Physicians will pass this request to Pearson VUE once the application period has closed, and Pearson VUE will confirm final test centre details to candidates via email at least three weeks before the date of the examination. If the exam is not available in a requested location, candidates will be offered a choice of the nearest available test centres.  Please note, international candidates should not book their own test centre with Pearson VUE - attempting to do so may delay a candidate's application.  The full list of international SCE test centres can be found here.  Preparation and Resources for the Geriatric Medicine SCE  It can be difficult for IMGs to know where to start with their preparation and revision.   Preparation for the SCE requires a wide breadth of knowledge around the curriculum and should involve reading of textbooks, journals and guidelines. Experience of the MRCP (UK) examinations provides an excellent background to the format of the examination.  Curriculum: Applicants are tested on a range of common and important disorders in Geriatric Medicine as set out in the Joint Royal Colleges’ Curriculum for Geriatric Medicine Specialist Training. We recommend getting to know the curriculum as early as possible and using it as a blueprint for your study.   Sample questions: It is a good idea to regularly assess your knowledge and progress using example questions from the current exam syllabus. You can find these here.  For an overview of how to prepare for exams, including advice on study groups, online community support, the best use of online resources & Royal College materials and courses, check out at our blog here. I’ve passed! What’s next?  First of all, congratulations - this is a massive achievement! With your MRCP (UK) and geriatric medicine SCE in hand, you can apply for a full GMC registration with a license to practice. Once the GMC has approved your application, you can work as a doctor in the UK. Great stuff!   Don’t hesitate to get in touch with an IMG medicine recruitment specialist to discuss GMC registration, geriatric medicine positions in the NHS, including typical NHS salaries, the most suitable UK locations and hospitals for you, and relocation.  To receive the latest news and updates, including the Royal Colleges, GMC registration and the NHS, follow us on social media and join the conversation.              

Are you an overseas oncologist looking to move to the UK? Have you always wanted to hear first-hand the experiences of an international oncologist who has been through the process, from completing their FRCR (Oncology) exams, to GMC registration, securing an NHS job and relocating to the UK?    As part of IMG Stories, we introduce to you, Dr Eric Lee, a wonderful clinical oncologist who relocated to the UK from Hong Kong. Eric has been living and working in the UK with his family after gaining full GMC registration with license to practice.   Today, Eric will be sharing with you his journey and experiences as an IMG oncologist, now working in Colchester in the southeast of England.   Introducing Eric Lee  My name is Eric and I'm a clinical oncologist. I have worked as an oncologist in Hong Kong for 25 years, where I received training in both medical and clinical oncology, in line with the UK system.  Overall, I think the UK system has been so well suited to myself and other generations of doctors and learners, and this was one of my motivations for bringing my family to the UK. Also, for my daughter's education.  Training as a clinical oncologist in Hong Kong  I completed my MBChB and then the FRCR (Oncology) examinations. These were held in Hong Kong with the examiners coming from the UK for assessment. As standard, HK trainees begin FRCR (Oncology) right after becoming medical graduates. Alongside the Royal College exams, you also complete the FHKAM, which is the Hong Kong Academy of Medicine and are the standard qualifications for doctors to complete during their training in Hong Kong.   I began the FRCR (Oncology) training one year after my graduation from medical school. This was in 1996. I spent a total of five years in FRCR (Oncology) training in Hong Kong and received my official FRCR (Oncology) qualification in 2001.  One of the main differences between the UK and Hong Kong systems is that where FRCR (Oncology) tells the medical council that you are almost at the level to work as a consultant. The medical council in Hong Kong has further requirements for doctors transitioning to consultant grade. So, after receiving FRCR (Oncology), I still had to go through 2 to 3 more years of training.   In regards to the Royal College exams, if there's one thing to mention, it's that the examiners are always looking for safe doctors who make patients' safety and comfort their top priority, therefore, my advice for overseas doctors who are looking towards Royal College examinations, especially in oncology, is to remain conscientious and diligent in every aspect of their clinical care, particularly in protecting patients' privacy, rights and safety.   My career as a clinical oncologist  Over the past twenty-five years, I've had rotations in different oncology sub-specialties, including paediatrics, CNS, GI, GU, breast cancer, haematologic malignancies and forensic malignancy. In the last 15 years however, I've been specialising in forensic and genitourinary cancers.   In 2005/ 2006, I had the opportunity to go to Australia for one year for a fellowship. So, I spent almost a year gaining experience in prostate cancer under the supervision of British oncologists in Sydney.  Over the past few years, I've had many thoughts about moving abroad from Hong Kong and looked at several options, including the UK. Finally, it was a Trust in the UK that offered me a job.  This ended up being a very good choice for me, because the UK system is quite similar to medical system in Hong Kong. As an oncologist, I can administer both radiation therapy and chemotherapy, whereas in Australia for example, I'd only be able to practice radiation oncology. So, in the UK, I'm able to use my full training to practice in both medical and radiation oncology.   Going through English language testing  There were several things to consider before I was able to move.   First of all, I had to pass an English language exam. I initially attempted the IELTS exam, but in the end decided to change to the OET exam, because the OET focuses on medical situations, so you don't need to spend too much time going through subjects in other areas.  I managed to achieve a B grade in all 4 sections of the OET exam, which was not easy as my weakest areas are still speaking and writing, and there is of course speaking in the OET exam. You spend 20 minutes speaking in a seminar, similarly to an OSCE. In my exam, I had to take the patient history and give them advice in English.  When the context of the exam is relevant to your specialty e.g. a breast cancer patient, then it’s much easier. However, in the OET exam, the context is not limited to your specialty alone. My tasks for example included two patients with diabetes mellitus and polymyalgia rheumatica. I've not had experience of psychiatry or endocrinology or orthopaedics for many years, but I had to use this knowledge in the exam and act like an orthopaedic surgeon.  Many who take the OET fall into the mindset of a clinical examination and become nervous when presented with a clinical scenario they don’t identify with. My advice to anyone sitting the OET exam is to forget about all the medical things. Forget all your clinical problems. Just relax. Don't worry if your answers aren't 100% correct. What you're expected to do is speak clearly and have an overall caring manner.   The GMC registration process  During the GMC process, I was asked to submit evidence of my continued medical training over the past 10 years because it has been quite a few years since I received my FRCR (Oncology). The GMC wanted to know more about my further medical education over the past 10 years, so I had to submit evidence of all my CME training.  Personally, I'm incredibly fortunate that I've been in the habit of keeping all my certificates of attendance whenever I attend any workshops, conferences or courses, so I have a good record of all my certificates. I spent around a week scanning in all my certificates of attendance from 2002 to 2021, all into one big PDF file.   This advice was given to me by one of my favourite mentors 20 years ago, Dr F.L. Chan, a renowned radiologist in Hong Kong and the warden of the college in Hong Kong. He passed away 10 years ago, sadly, but he gave me some of the most important advice I've been given. He said, 'Eric, you have to keep every one of your certificates, even if you don't see the benefit of the course or workshop, you will find them useful one day'. Since then, I've held onto that advice, and over the last 20 years, I've kept every last certificate in a hard copy!  Finding a job in the UK  I actually posted my CV on LinkedIn and was then contacted by Marcus from IMG Connect. Initially, I wasn't sure if his offer was real as it sounded too good to be true! But I quickly realised that IMG Connect is incredible and could support me with every stage necessary. I personally had a lot of apprehension about the process of moving overseas. I'd been working in a secure job for 25 years, so for me to move from that into the unknown - I would need a lot of support, a lot of counselling. IMG Connect & Marcus were there to provide me with all the support I needed, from day one.  I received job offers from three different Trusts, each with interview processes that began with a stage of informal question, before two rounds of formal interviews online in Microsoft Teams.  Ultimately, the offer from Colchester was the best fit for me. It is the closest to my previous set-up, because I had been working in a General Hospital in Hong Kong and Colchester has the same kind of general hospital set up. This position also allows me to work in my subspecialties of interest - GU and forensic cancers.   My journey to the UK  The timings worked out well for me when it came to the move. We spent some time considering whether to apply for the Tier 2 or BNO visa. The Tier 2 visa requires additional documentation like police checks, but before we had to decide, we received the BNO visa in a matter of days and the decision was made for us. Luckily, because of this, things were much easier - with the BNO visa, my whole family - that is my wife and daughter - could come to the UK as a unit.  The pandemic was really an issue because there was a lot of uncertainty about things like flights, and new variants. After we landed here, all the flights from Hong Kong to the UK were cancelled, so we wouldn't have been able to travel until 2022 if we hadn't left at the time we did.   Since I still have many family members in Hong Kong, I was able to leave behind a lot of my property and belongings with them, and only brought my most important belongings with me. This meant that it didn't take too much time for me to pack all my things together to move, but I still had to do things like sell my car.  What I wish I’d known before I moved to the UK  I wish I’d known more about driving in the UK! There are rules here that I'm not used to, like driving in bus lanes. If I'd known about these things earlier, it may have been easier for me.  My experience working with IMG Connect  First, I must mention Marcus Anderson and IMG Connect - they were very helpful and did such a great job. Everything they do is perfectly timed. I couldn’t improve anything!  Over the past half a year, Marcus was in constant contact with me over WhatsApp and email, and whenever I had a question, I'd WhatsApp or email him, and he’d always get back to me with the answers I needed.   What’s next for me and my family?  I still see myself as someone who is learning, so I'd like to continue with my career development in GU, GI and forensic cancers. I may also try to continue some of my medical studies, for example in palliative medicine, because I know the training for this is very good in Cardiff, where there is a distance learning programme. I'm also looking forward to joining the specialist register for oncology.  My daughter is now enrolled in a private school in Colchester, where the teachers and students are very lovely, so I hope she'll adapt to the system and be able to enter the grammar school here too.   For my wife, she first wants to be able to drive in the UK. She has a driving license, but she's still quite hesitant, so that's a priority for her.   A message to my colleagues in Hong Kong  I have a heartfelt message to my colleagues in Hong Kong, if they are interested in moving to the UK. First of all, there's a lot of negative news in Hong Kong, saying that a lot of good doctors are Hong Kong, leaving those living there unattended. My message to HK doctors is that things aren’t necessarily that bad in HK, but they can be better in the UK.  Moving to live and work in the UK is a big decision to make but can be massively rewarding in many ways. International doctors have the chance to find a new home and the NHS presents an incredible opportunity for IMGs to secure rewarding jobs, progress within their fields and explore adjacent opportunities such as CESR, writing publications, teaching opportunities and research.  Whatever route an overseas doctor may take on their journey to the UK, IMG Connect is here to support them through every step and welcome them to the IMG family.    Join the IMG Oncologists Facebook group for access to a community of like-minded FRCR (Oncology) aspirants and dedicated oncology recruiters. In this group you will find tailored resources for oncology IMGs, including access to our FRCR (Oncology) crash courses, completely free to all doctors. You can access our IMG Oncologists community here. For regular news and updates on the Royal College and all things oncology, follow IMG Connect on social media using the links below:              

The NHS offers an extensive training scheme and career development for histopathologists, and the quality and depth of this programme is recognised as a gold standard across the medical community.  The training provided to UK histopathology trainees is regularly reviewed and updated, in keeping with advances and progression in the landscape of pathology around the world and across the profession. This makes the training programme attractive to UK graduates, as well as overseas histopathologists seeking the best training programmes for their field.  In this article, we will explore the training pathway for histopathologists in the UK, covering the following topics:  What is the NHS Training Pathway? How do you enter the training pathway? What does the specialty training programme look like for histopathology? What happens after completing the histopathology training programme? Can I enter specialty training in the UK as an IMG? The NHS Training Pathway  The NHS training pathway is the name given to the complete programme undertaken by UK trainees, from medical school to the completion of specialist training within I.e. within histopathology.  It is important for IMGs to understand this as it helps to provide an understanding of at what stage they can most likely enter the system if they are interested in training in the UK.  Entering the NHS Training Pathway  After graduating from medical school, doctors with receive provisional registration from the GMC which allows them to enter the Foundation programme (a two-year work-based training programme).  Upon completion of the first year (FY1), doctors will gain full registration with the GMC and will be able to apply for further study and training in a specialised area I.e. histopathology – this is known as Specialty Training (ST).  Specialty Training in Histopathology  The Specialty Training programme in Histopathology is 5 years long, and whilst doctors may pass through training quicker depending on how quickly they achieve their competencies, this is rarely the case and histopathologist will usually take the indicated time, or slightly longer to complete the Specialty Training programme.  Successful applicants entering into year one of specialty training (ST1), will follow the Royal College of Pathologist’s 2021 Histopathology Curriculum, which sets the expected syllabus as well as required assessments and workload case numbers.   Histopathology training as a run-through programme  Unlike some specialisms where you complete a period of core training before entering into specialty training (requiring two applications), histopathology specialty training works as a run-through programme. You only have to apply once, at the beginning of the programme, as you are recruited for the full duration of Specialty Training.  Foundation Training (FY1 – FY2)  The foundation programme usually involves six different rotations or placements in medical or surgical specialties. These rotations enable trainees to practise and gain competence in basic clinical skills.  Specialty Training (ST1 – ST5+)  ST1) Year one trainees enter the training programme. In this first stage, trainees will initially develop knowledge of laboratory work, with basic training in all areas of cellular pathology.  Training starts with a 1-2 week induction from the training school. This includes some time in the lab seeing how specimens are prepared and processed. Trainees are taught how to use a microscope, how to approach simple cases under the microscope and the principles of macroscopic assessment and sampling (AKA ‘cut up’). Many training schools do a separate autopsy induction.  When not at block teaching weeks, trainees are rotating through the various specialities in histopathology.  ST2 – ST3 This part of training takes place from year 2 to year 3, with the focus on achieving the FRCPath Part 1 Exam. This will normally be taken after 18 – 24 months of training.  Trainees will consolidate and develop their knowledge base from ST1. Year two trainees are given more independence and are expected to be able to cut up most specimens by the end of this stage.   In many deaneries, this is the time when trainees complete rotations in sub specialities including paediatric pathology, neuropathology and oral pathology. Trainees may rotate to placements in local district general hospitals to gain valuable experience in managing a general histopathology workload.  Autopsy and cervical cytology training continue as mandatory elements of ST2-ST3. Some trainees choose not to continue these specialities when they have completed this stage.  The FRCPath Part 1 exam aims to determine whether you have successfully acquired a core body of knowledge that will underpin your ability to practise in Histopathology.  For more information of the first exam in the Royal College of Pathologists examination suite, take a look at our IMG Resources library here.  Please note, trainees must pass the FRCPath Part 1 examination at the end of ST3 in order to progress to ST4.  Selection  Here, trainees will either choose to continue with general histopathology or peruse subspecialisation in neuropathology, paediatric/perinatal pathology, cytopathology or forensic pathology. ST3 – ST4 This training takes place from years 3 – 4, where trainees will either continue with general histopathology or peruse subspecialisation in neuropathology, paediatric/perinatal pathology, cytopathology or forensic pathology. Trainees are expected to be competent in the macroscopic and microscopic assessment of all specimens, and will also receive training in leadership, management and teaching in preparation for their future roles as consultants.  The focus during this stage is also on achieving the FRCPath Part 2 Exam, thereby obtaining the status of Fellow of the Royal College of Pathologists.  This final exam is designed to test your practical skills and understanding, and show that you can apply your expertise appropriately and safely.  Trainees who wish to continue in general histopathology may opt to sit further exams in cervical cytopathology and autopsy practice if they wish to continue these as a consultant.  To learn more about the final exam in the in FRCPath examination suite, read our detailed blog here.  Please note, trainees must pass the FRCPath Part 2 examination at the end of ST4 in order to progress to ST5.  ST5+ This is the final stage of training before CCT during which histopathology trainees may wish to peruse special interests in particular subspecialties, such as gastrointestinal, skin or gynaecological pathology. Having passed the FRCPath Part 2 exam, trainees will continue to take on responsibility to enable the transition to independent practice required of those with CCT, i.e. signing out reports without consultant review.  Completion of the Histopathology Specialty Training Programme  Upon completion of the training programme, the choice is made as to whether the trainee will be awarded a Certificate of Completion of Training (CCT) in Histopathology. This will be based on criteria set out in the curriculum by the Royal College. You can find the 2021 curriculum here.  At this point, the histopathologists are entered onto the specialist register and can now take permanent consultant posts in the NHS.  Specialist Registration for overseas doctors  Doctors who completed part or all of their histopathology training outside of the UK are eligible for specialist registration through the CESR or CESR-CP pathways. To learn more about specialist registration for overseas doctors, read our blog here.  Joining the Histopathology Specialty Training Programme as an IMG  It is possible for overseas doctors to join the Specialty Training programme in Histopathology in the UK, however it is very competitive.   IMGs interested in UK specialty training must have:  Full GMC registration   Completion of a minimum 12-month (FY1 equivalent) internship  English language test  PLAB  AND  12 months post-internship experience by the time you begin ST1  Although UK trainees are not given priority for specialty training places, it can be very difficult to join the Specialty Training programme without NHS experience.  So here you have it, the NHS Specialty Training pathway for trainees in a nutshell. This training scheme is the core of training for histopathologists in the UK, and for IMGs looking to join the training programme, understanding of the pathway allows you to better align your overseas training with the relevant stage you would enter into Specialty Training in the UK.  If you have any further questions about your route to the UK as an overseas histopathologist, FRCPath, or any other aspect of GMC Registration, the NHS or the UK, please get in touch with us here.   We'd also like to invite you to join the IMG Histopathologists online community - as well as support on Royal College exams, our Facebook group of international pathologists and dedicated pathology recruiters offers guidance on other aspects of working in the UK, including finding NHS posts and CESR.  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: