Here we look briefly at the CESR route available to overseas consultants and exerienced senior doctors who wish to secure a job in the NHS and relocate to the UK.
Many IMGs have recently asked if they would be eligible for the CESR route to Specialist registration. International Medical Graduates (IMGs) from any country in the world can apply for CESR, provided certain eligibility criteria are met.
To help answer this question we have put together a short article to explain further, including the following topics:
What is CESR?
What is the Equivalence process?
Who is the CESR for? Who can apply?
What does the CESR route involve?
Are there other senior NHS positions available?
Legal requirement before taking a substantive, honorary or fixed term NHS consultant post in the UK
What are the achieved standards?
How can I prepare my evidence for CESR applications?
What if my application is not successful?
CESR is suitable for those who have already been practising overseas for many years.
What is CESR?
The CESR is for doctors who wish to join the GMC (General Medical Council) Specialist Register, and whose specialist training, qualifications or experience was partly or completely acquired outside an approved CCT (Certificate of Completion of Training) programme in the UK.
It is equivalent to a CCT and certifies that the recipient has all the competences defined in the CCT curriculum, known as specialist registration.
What is the Equivalence process?
Equivalence describes the process of assessing an overseas applicant’s training and experience against the current training programme requirements, in order to gain a Certificate of Eligibility for Specialist Registration (CESR) for the Specialist Register held by the General Medical Council.
The process involves submitting a written body of evidence to the GMC of:
training and/or competence
skills and knowledge
Each Royal College will assess the application against the relevant Curriculum before providing a recommendation to the GMC, who will then make a decision.
Please note that Equivalence procedures are the responsibility of the GMC.
Applications are made through their Certification Department and initial enquiries should be directed there.
Who is the CESR for? Who can apply?
If you have training, qualifications and experience in a CCT specialty but have gained these partly or completely outside an approved CCT training programme (for example, you have trained outside the UK or EEA), you may apply for a CESR in a CCT specialty.
What does the CESR route involve?
In a nutshell, you will need to compile a portfolio of evidence to prove you have achieved the equivalent skills and experience of a doctor who has completed a full GMC-approved training programme.
You can collect this evidence prospectively through non-training jobs.
Is it the right route for me? Yes, if…
You have already completed specialty training back home
If you have already completed Specialty Training, then you’re unlikely to want to repeat it.
You haven’t completed training, but you have too much experience in your specialty to apply for training posts.
In both scenarios, even if you are willing, you may be overqualified to apply for training.
Doctors who have complete specialist training overseas or via a non-CCT pathway may be eligible for entry without further training. You can check using the guidelines below:
GMC CESR Guidance
Specialty Specific Guidance
You will need to demonstrate all specialty learning outcomes specified in the relevant CCT curriculum.
Are there other senior NHS positions available?
It is important to note that you can apply for more senior roles such as a SAS doctor, specialty doctor or a locum consultant (locum consultants are not required to be on the Specialist Register).
This way you will have better pay and the roles and responsibilities are more appropriate to your level of experience compared to a junior trainee. While working in these jobs you can collect evidence of your competences.
This is also a quicker route to the UK than the CESR route, which can take a substantial amount of time.
Legal requirement before taking a substantive, honorary or fixed term NHS consultant post in the UK:
It is a legal requirement that doctors must have their names entered on the General Medical Council's (GMC's) Specialist Register before taking up substantive NHS consultant posts in the UK.
What are the achieved standards?
To apply you will need to have either a specialist qualification or have undertaken a period of specialist training (not less than 6 months anywhere in the world).
Your application is measured against the GMC standard.
The GMC break down the standard into four domains mirroring the headings of Good Medical Practice.
The GMC recommend that you allocate the evidence you provide with your application in the following way:
Domain 1: Knowledge, Skills and Performance - 75%
Domain 2: Safety and Quality - 20%
Domain 3: Communication, Partnership and Teamwork - 5% (combined for
both domains 3 & 4)
Domain 4: Maintaining Trust - 5% (combined for both domains 3 & 4)
The full list of evidence needed for each specialty is provided here.
How can I prepare my evidence for CESR applications?
As CESR applications are currently a completely paper-based process it is important to think about the evidence you present. You should:
Research/think about the types of evidence you will need and begin to gather your evidence well in advance of making your application.
Make sure that your evidence is current and of the highest possible quality.
Always note any curriculum changes – you will be assessed against the most recent one
Ensure that the evidence you collect demonstrates your competence across the whole of the curriculum, not just your sub-specialty.
Throughout your application you should refer to the Specialty Specific Guidance in your specialty (or the most relevant if applying in a non-CCT specialty).
You should also refer to the relevant CCT curriculum in your specialty; as this is the standard that all CCT applicants will be measured against.
Look thoroughly at the GMC guidance available and get advice on your application from the GMC before you apply.
Remember to refer to the relevant CCT Curriculum and Specialty Specific Guidance for the evidence requirements in your specialty.
The GMC has strict guidelines for presenting evidence, including verification, anonymising and translating documents. We strongly advise all IMGs to take a look here and familiarise themselves with the criteria.
What if my application is not successful?
Following an unsuccessful application, you can apply for a review within 12 months of receiving your decision from the GMC. You can apply for a review of the GMC’s decision on the grounds that:
You now have additional evidence to submit that addresses the areas of your application in which you were previously unsuccessful
You believe that there has been a procedural error or unfairness in the processing of your original application.
Please refer to the GMC guidance for further information on applying for a review.
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Don’t hesitate to get in touch using the buttons above (and below) to discuss doctor job options in the NHS, including discussions regarding a typical doctor salary in the UK, CESR and the most suitable hospital locations for you.
Overseas clinical or radiation oncologists wanting to secure a role in the UK via the postgraduate qualification route will need to attain Fellowship of the Royal College of Radiologists (FRCR Oncology) in order to register with the GMC. FRCR Oncology is the UK Royal College qualification and the recommended route for oncologists looking to work in the UK as a specialist or consultant.
IMGs from any country in the world can sit the FRCR (Oncology) examinations, provided certain eligibility criteria are met.
These are summarised below along with a broad look at the following topics - skip to one of these sections if you know what you're looking for:
What is FRCR (Oncology)?
Am I eligible?
What is the content and structure?
Where and when can I sit the exams and how much will it cost me?
How do I apply?
How can I prepare for the exams?
Passed? What next?
What is FRCR Oncology?
Clincal oncologists become full members of the Royal College of Radiologists and achieve the designation, FRCR, once they have passed the three separate postgraduate medical exams that make up the FRCR (Oncology) examination suite. The FRCR (Oncology) examinations aim to test a candidate’s knowledge and clinical understanding against the Specialty Training Curriculum for Clinical Oncology and the exams are a pre-requisite for anyone looking to go into a specialty training post as an oncologist in the UK. For more senior candidates, absence of FRCR (Oncology) will make it very difficult to attain locum-consultant posts unless you have a recognised equivalent or specialist registration in clinical oncology.
The First FRCR Examination expects candidates to have acquired a broad knowledge of those subjects that relate to the investigation and management of patients with cancer. Candidates are examined against the Clinical Oncology curriculum. A new curriculum is being implemented from summer 2021, with all trainees expected to transfer to the new curriculum by August 2022 at the latest. Further details are available on the curriculum webpages. If you are unsure what curriculum you should be using for your studies in 2021 then please refer to the Royal College website page discussing the FRCR (Oncology) Part 1 exam here.
When registering via the postgraduate route, only full FRCR satisfies the GMC postgraduate requirements for registration as an overseas doctor. There are three parts to the FRCR examinations:
FRCR (Oncology) Part 1 (CO1) > comprises four papers of single best answer (SBA) questions. The written papers for the four subjects are held twice a year over two consecutive days.
FRCR (Oncology) Part 2A (CO2A) (both must be passed in one sitting in order to attain a pass)
two separate single best answer papers
FRCR (Oncology) Part 2B (CO2B)
a reporting session
a rapid reporting session
an oral examination
The FRCR (Oncology) examinations form an essential component of training for clinical or radiation oncologists in the UK. For overseas doctors relocating to the UK, FRCR is one of two options to support full GMC registration (postgraduate qualification or PLAB route). For doctors who wish to secure a senior clinical oncology job in the NHS reflective of their current practice, we advise that FRCR would be the best route to choose. FRCR is often an essential requirement for many job postings in the UK when a candidate does not already have Specialist Registration in Clinical Oncology or a recognised equivalent postgraduate qualification.
Eligibility for FRCR (Oncology):
First FRCR: To be eligible you must:
hold a Primary Medical Qualification (PMQ) that is recognised by the GMC for registration purposes.
have completed courses covering the syllabus in the subjects listed below.
Cancer Biology and Radiobiology
Clinical Pharmacology
Medical Statistics
Physics
There is no requirement to have held a clinical oncology training post in order to attempt the First FRCR Examination.
Final FRCR Part A: To be eligible you must:
have passed the First FRCR examination
must have passed the First FRCR examination and have completed three years of supervised clinical oncology training covering the examination syllabus.
In exceptional circumstances, with support from the Training Programme Director and at the discretion of the Medical Director (Education and Training), this minimum training period may be reduced to two years and six months.
Final FRCR Part B: To be eligible you must:
have passed the Final FRCR Part A, First FRCR and have completed three years of supervised clinical oncology training
Content and structure for FRCR (Oncology)
First FRCR Examination: It is delivered through a digital platform and as such is now also available at a larger number of test centres than before. The First FRCR Examination comprises four papers of single best answer (SBA) questions. The written papers for the four subjects are held twice a year over two consecutive days. Further general information on the examination shows in the guidance notes for candidates here, however it can be summarised as below:
Day One
Format
Cancer Biology & Radiobiology
50 questions over 2.5 hours
Clinical Pharmacology
40 questions over 2 hours
Day Two
Format
Physics
50 questions over 2.5 hours
Medical Statistics
40 questions over 2 hours
Each SBA question comprises a stem (a question or statement) and five items (answers) [labelled (a) to (e)]. Candidates are asked to decide which one of the five items represents the best answer to the question given in the stem. The four modules break down as below:
Cancer Biology and Radiobiology: the processes of cancer cell transformation and tumour development and how these processes may be demonstrated, and the response to ionising radiation of cells both individually and grouped as tissues.
Clinical Pharmacology: the structure, action, use and evaluation of drugs used in the treatment of a patient with cancer.
Medical Statistics: with special reference to clinical trials and assessment of results, and the epidemiology of cancer.
Physics: the application of physical principles and methods in clinical radiotherapy, physical basis of the therapeutic uses of radioactive isotopes, radiation hazards and protection. A knowledge of SI units is expected.
Final FRCR (Part A): The examination expects candidates to have a wide knowledge of malignant disease and the management of patients with cancer. The main emphasis is on radiotherapy and drug therapy, but a good knowledge of general medicine, surgery and gynaecology is expected. You will be examined against the specialty training curriculum for clinical oncology and the clinical oncology syllabus. The Final FRCR (Part A) Examination comprises two papers of 120 single best answer (SBA) questions. It is held twice a year, normally in February and August/September and you are given three hours to answer each of the papers. Read the college's Purpose of Assessment to see this information in detail - however below we summarise the content and structure for FRCR Part A.
Paper 1
Tumour Type
No. of Questions
Respiratory
24
Urology
24
Head & Neck
24
Skin
12
CNS
12
Gynaecology
24
Paper 2
Tumour Type
No. of Questions
Breast
24
Lower Gastrointestinal
24
Upper Gastrointestinal
12
Haematology
12
Miscellaneous*
38
Image-based
10
*The miscellaneous section contains questions on thyroid cancer, sarcoma, unknown primary, regulations, palliative care and a small set of questions that do not specifically fit into a defined site specific category.
FRCR Part 2B (Oncology) (CO2B): The exam requires you to have a wide understanding of malignant disease and management of patients with cancer. The biggest emphasis here is radiotherapy and drug therapy, though a strong knowledge of general medicine, surgery and gynaecology is expected also. You will be examined against the specialty training curriculum for clinical oncology and the clinical oncology syllabus.
The exam has both a clinical and oral component. Read the Royal College's Final FRCR Purpose of Assessment to understand the format and content in more detail, however a brief summary of both part is below:
Clinical Examination: This is the practical element and will involve you rotating round five strictly timed clinical assessment 'stations' where your skills are assessed by a pair of examiners. This part is to test the skills and competencies that are essential for safe and effective clinical practice as a clinical oncologist in the NHS. Patients with real clinical signs are used throughout this examination, allowing you to demonstrate your knowledge and judgment in as a realistic a scenario possible.
The clinical examination will assess your ability to:
identify important clinical signs using effective examination techniques
give a rationale differential diagnosis
order and interpret appropriate investigations
identify the main treatment options
select an appropriate, safe and sensible management plan
recommend a safe radiotherapy technique, understanding and communicating the likely outcomes & side effects
recommend a safe systemic treatment schedule, understanding and communicating their likely outcomes and side effects
clearly discuss a likely prognosis in the case presented
clearly demonstrate an ability to treat the patient sensitively, ensuring their comfort and dignity
Oral Examination: The structured oral examination assesses in-depth issues surrounding radiotherapy planning, diagnostic imaging and clinical decision-making and case management. Communication and ethical scenarios are addressed during this examination. It will mirror day-to-day clinical discussions and MDT meetings, essential elements to a Clinical Oncologist's role in the UK. There are several slides per question, and your answers can lead to further questions on subsequent slides by the examiners. The questions build as the discussion develops, and this oral examination allows each step of the case to be assessed and discussed as it would be in a real-life clinical scenario.
The structured oral examinations allow for fair, valid and reliable assessments due to:
uniformity of questions asked
pairing of examiners (junior and senior) allowing for ongoing training and accurate data capture and marking
four independent judgments of your performance
the examination is blueprinted against both the curriculum and the range of RCR-designated skills required to be a competent oncologist in the NHS
the use of an objective marking scheme which details the essential points required to pass each question
As an overseas candidate, where & when can I sit the exams and how much will they cost me?
This link takes you to the examination updates section. Information on the dates, fees and venues for the FRCR examinations can found here.
How do I apply for the FRCR (Oncology) examinations?
UK Trainees are given priority for examination places, whilst overseas candidates are offered the remaining places via a ballot system following the application closing date. If you've had your exam deferred due to cancellations over the last year, you will be prioritised.
The Royal College urges anyone applying to read the examinations guidance before doing so. Applications are made online via the Royal College website here.
How should I prepare for the FRCR (Oncology) exams?
With lots of materials online, we have discussed with IMGs the best place to start looking for resources and materials relating to the exams. Most IMGs recommended starting with the Royal College, who have created useful resources to help you prepare, see below:
Syllabus: The syllabus should always be your go-to for your studies. This is what you will be tested on, so it should be the foundation of your studies and preparation. As of May 2021 the new curriculum has been approved by the GMC but is pending full publication. You can find this on the Royal College website here.
Clinical Oncology Curriculum implementation tools - a variety of tools are available to support the implementation of the new curricula. This page is very useful and has many different tools within the page. You can access it here.
Remote proctoring guidance - this is a new system and as with anything techy, problems can arise! Use this section of the Royal College to familiarise yourself with the new system with the new normal. Access this page here.
First FRCR examiners' reports - a guide for candidates and trainers preparing for future sittings. Access this here.
Trainees share their experiences of the Final FRCR examination - a two-part audio series featuring trainees talking about their experiences of preparing for and taking the examination.
Final FRCR examiner reports - a guide for candidates and trainers preparing for future sittings. Access the examiner reports archive here.
Final FRCR Part B demonstration films - clinical and oral demonstration videos. Access the Part B demonstration films here.
Sample oral questions - sample questions for the oral component of the Final FRCR Part B examination. You can access the sample questions here.
Connect with the Royal College - connect with the Royal College on YouTube to see their numerous videos that can be used for training and information purposes. Their channel can be found here.
IMG Oncologists
Join the IMG Oncologists Facebook group for access to a community of like-minded FRCR (Oncology) aspirants and dedicated oncology recruiters.
In this group you will find tailored resources for oncology IMGs, including access to our FRCR (Oncology) crash courses, completely free to all doctors.
You can access our IMG Oncologists community here.
I passed the FRCR Oncology exams! What next?
First of all, congratulations! After you have passed all three parts of your FRCR examinations, you can apply for a full registration with a license to practice. Once the GMC has approved your application, you can work as a doctor in the UK. This exam will form an integral part of any CESR application (if that is your route to specialist registration) and in most cases, if you have previous and relevant experience, will allow you to practice as a locum consultant clinical oncologist whilst you are not an accredited specialist on the specialist register.
For regular news and updates, follow IMG Connect on social media using the links below:
Vacancies for stroke medicine specialists from outside the UK can be found in a variety of ways, which for some doctors can sometimes be time-consuming and confusing. Working with IMG Connect will give you easy access to vacancies for consultants, clinical fellows, registrars, specialty doctors, trust doctors, as well as LAS posts.
The IMG Connect job search is a dedicated online recruitment service for overseas doctors looking to secure a job in the NHS. View out latest Doctor Jobs in the NHS, here.
Save time and get expert advice based on your preferences
Performing a job search online can take up a lot of your time, so at IMG Connect we are here to do the time-consuming work for you. Upon registering, you will have a dedicated consultant whose role is to find jobs that match your skills, and apply for NHS jobs on your behalf.
You can receive jobs updates by E-mail to view new posts to suit your job search every day.
Create a profile – it takes 30 seconds
It really is that easy, so why not take advantage of our resources, time and energy to find you the right job in the NHS suited to your preferences. By providing us with some key details we can quickly assess which jobs are best suited to your preferences, and even email you job alerts for new exciting roles which we think will interest you!
We understand you, and our clients
When looking for a stroke medicine job in the NHS, it can be hard to try to find out key information before applying, such as:
What specialty specific training there will be?
Am I likely to get a training post after taking this role?
Can the trust support CESR applicants and is their CESR programme established enough for my needs?
What career progression is available for me within the stroke medicine specialty?
What is the job plan and how much time will I spend on the ward?
What is it like to work and live there?
What salary will I get paid, and can I get extra pay for additional shifts?
It can be tricky to get all the answers you want before applying online, so we spend our time getting to know both our clients and you, finding out as much key information as possible to help you to make the right decisions. Including details on the stroke medicine department, hospital & trust, as well as an overview of what it is like to live in the area, including housing and the cost of living, as well as access to schools for your children, childcare and finding work for spouses.
Making an impact
We will also provide you with top tips on CV writing, job applications and interviews, ensuring that your application and interview makes the most impact with our NHS clients.
Making it personal
Once registered, you can quickly search and apply for NHS jobs using our job search, and take advantage of many useful articles written to support you through your journey to the UK. In addition, when you sign up to 'job alerts' we will automatically email you each time a relevant Stroke medicine vacancy comes available that you may be interested in.
Once logged in, you can also save job details and make applications.
By registering with IMG Connect, you will:
Have a dedicated consultant who understands your preferences and will do the time-consuming job searches and applications for you.
Find your ideal NHS position among thousands of unadvertised vacancies - from consultant to registrar, or specialty doctor to SHO.
Be the first to hear about new vacancies – registering with IMG Connect means that your CV will gain priority with our NHS clients, and will professionally represented by international recruitment experts.
To help you find a job in the NHS simply follow these easy steps:
Register with IMG Connect
Fill in the 'Personal details' section.
Arrange a chat with your dedicated IMG Consultant
Sign up to receive 'job alerts’
Search our live stroke medicine jobs
Searching for stroke medicine jobs in the NHS could not be easier
If you want to find out more about the many different stroke medicine roles available within the NHS - it only takes a minute to register with IMG Connect and receive expert advice and representation. We have helped many overseas stroke medicine specialists into consultant, specialty doctor, registrar, clinical fellow and staff grade NHS roles, whilst offering expert guidance to many more IMGs on NHS doctor pay, royal college qualifications and English language testing. We’d be happy to help you!
There are several routes to GMC registration and securing an NHS role for Critical Care or ICU specialists.
Whether you are from inside or outside of Europe, will need to satisfy certain criteria to fully register with the General Medical Council (GMC) before beginning their journey in the NHS.
As a critical care specialist the criteria you need to meet depends on where you currently live and practice, either inside the EEA (& associated countries) or outside the EEA. This article is designed to give you a snapshot of the steps you need to take to start your journey to the UK, no matter where in the world you live.
Inside the EEA – click here
Outside the EEA – click here
“Doctors from countries around the world play a vital and significant role in our NHS and in the delivery of safe patient care. This is not only welcome but is part of the continuous exchange of knowledge in healthcare and should be strongly encouraged. They make an invaluable contribution to the NHS.”
Joint statement from the Royal College of Physicians & Intensive Care Medicine
Inside the EEA
Firstly, it is important to note that where we refer to EEA in this article this refers to all countries inside the EU, including Lichtenstein, Iceland & Norway.
If you qualified as a doctor inside the EEA or Switzerland, then the good news is that you don’t need to demonstrate your medical knowledge and skills to work as a doctor in the UK – you have already done this, and thanks to the EU your qualification is deemed equivalent.
In addition, you will not need to apply for a visa from the UK Home Office.
So, the main hurdle that you will face is demonstrating that your English skills are of a high enough standard to practice safely as a doctor in the UK & NHS.
English Language Testing
Any international doctor, regardless of specialty, experience or country of origin, must demonstrate they have sufficient competence of the English language.
You can do this by passing either of the following:
OET – Occupational English Test
IELTS – International English Language Testing System
Take a look at our helpful articles below for detailed information on both tests:
IELTS – a guide for overseas doctors
OET – a guide for overseas doctors
GMC Registration
Having passed your English Language Test, you can now apply for full registration with a licence to practice with the GMC.
For full GMC registration you must provide evidence of:
Evidence of English language capabilities (IELTS or OET)
AND
Evidence of sufficient skill and knowledge (your equivalent qualifications)
Understand the registration process in full & by reading our article: IMG Library - GMC Registration for overseas doctors
Job search
We recommend starting the job search as early as possible. Demand for European Critical Care specialists in the NHS is ever-increasing - the NHS welcomes you with open arms! At IMG Connect we specialise in securing jobs for European doctors in the UK and can offer you a wider range of CCU / ICU jobs than are readily available online.
Our network extends to clinical departments and HR departments across the UK, so no matter what your grade or specialty we can ensure you will be interviewing for roles well in advance of any relocation plans.
In addition, your dedicated consultant, with a specialty knowledge of critical care medicine will negotiate on your behalf ensuring you get the most competitive salary.
Our aim is to have a job offer on the table before your GMC registration is complete, giving you the peace of mind of having an agreed contract in place - leaving you to carefully plan your relocation to the UK.
Take a look at our most recent jobs:Job Search
Relocation
Obviously, any doctor’s journey isn’t all exams, registrations and language tests… there’s also the small matter of relocation and settling into life in the UK.
Once you have secured your role in the UK, we focus on supporting you and your family with all your relocation plans. This can include, but is not exclusive to, securing accommodation, travel planning, setting up bank accounts & national insurance numbers – every step of the way we are here to help.
Have a read through our IMG Library and take in all the beautifully organised information on relocation and UK life to immeasurably help your first days, weeks and months in the UK.
IMG Library – Relocation & UK Life
Brexit
Many overseas doctors have questioned how the UK’s withdrawal from the European Union (EU) will affect doctors from Europe already working in the UK, and those who may wish to work here in the future.
Whilst we are still pushing for a halt to Brexit, we've been keeping a close eye on policies and developments to ensure that we keep our doctors as up to date as possible. While we await more information from the UK Government about what our future relationship with Europe will look like, what is clear is that European doctors are most welcome in the NHS with or without Brexit.
At IMG Connect we do not see Brexit as an end to EEA doctors relocating to the UK, far from it… you are in demand and we will support with all the necessary requirements for entry to the UK, whatever the outcome.
Take a look at our Brexit articles for more information:
IMG Library - Brexit
Outside of the EEA
If you qualified as a Critical Care specialist outside the EEA, then you will have to demonstrate that both your medical knowledge & skills and English Language capabilities meet the level required to practice safely in the UK.
In addition, you will need to apply for a visa from the UK Home Office.
Here we summarise the requirements for ICU doctors, looking at the following:
English Language Testing
Evidence of Knowledge & Skills - PLAB, FRCA or equivalents
Tier 2 Visas
Full GMC Registration
English Language Testing
Any international doctor, regardless of specialty, experience or country of origin, must demonstrate they have sufficient competence of the English language.
You can do this by passing either of the following:
OET – Occupational English Test
IELTS – International English Language Testing System
Take a look at our helpful articles below for detailed information on both tests:
IELTS – a guide for overseas doctors
OET – a guide for overseas doctors
Evidence of Knowledge & Skills in Critical Care & Intensive Care Medicine
Overseas doctors must prove to the GMC they have sufficient knowledge & skills to practice safely in the UK. In CCU this can be done through three main routes:
PLAB
EDIC
EDAIC
Route 1 - PLAB:
The PLAB exam is a two-part exam that assesses a doctor’s ability to work safely as an SHO in the NHS, as such it does not demonstrate ability in intensive care medicine specifically.
For this reason, PLAB tends to be a route for junior doctors who have not already chosen their field of specialisation in medicine.
That said, for some senior doctors PLAB can be an attractive option, offering a quicker route to the UK, whilst still securing competitive salaries. If taking this option, doctors can then take up training or a more senior post once they have established themselves in the NHS.
Take a look through our comprehensive guides on PLAB:
PLAB – a guide for overseas doctors
PLAB 1 – a closer look
PLAB 2 – a closer look
Route 2 - EDAIC or EDIC:
Attaining a EDIC or EDAIC qualification is a preferred path for doctors who have already chosen their field of specialism. For senior ICU specialists taking this route, they will gain access to more senior, well-paid jobs in the specialism of their choice.
The European Society of Intensive Care Medicine awards EDIC qualifications and the European Society of Anaesthesiology & Intensive Care award EDAIC. Read our article on EDAIC here: EDAIC - a guide for overseas doctors. An article on EDAIC will be coming soon.
Route 3 - Other GMC Recognised or Equivalent Qualifications:
Some other overseas qualifications are recognised by the GMC and accepted for registration purposes. This means to say these qualifications are considered as meeting the same standards as the Royal College qualifications.
There are anaesthesiology & intensive care qualifications from several countries around the world that are currently accepted by the GMC, EDAIC being one common example. Find out if your qualification is accepted by the GMC: Overseas accepted postgraduate qualifications
Tier 2 Visa
If you are a doctor applying from outside the EEA region you will almost certainly need to apply for a visa to work in the UK.
Applying as a doctor or nurse has never been easier and there is currently no-restriction on the Certificate of Sponsorship (CoS) applications that a hospital can make.
Furthermore, the list of specialties on the shortage occupation list is due for imminent review and expansion beyond its current list of specialties, potentially widening the scope for easier immigration processes across all specialties in healthcare.
Understand Tier 2 visas and Certificates of Sponsorship in depth by taking a look at our article: Tier 2 Visa application process & documents needed
Wondering whether you can relocate with your family? Take a look at our blog on the Tier 2 dependent visa:Tier 2 Dependant visa - can i bring my family with me to the UK?
GMC Registration
With everything in place, you can apply for full registration with a licence to practice with the GMC. Remember, for full GMC registration you must provide evidence of:
Evidence of English language capabilities
AND
Evidence of sufficient skill and knowledge (PLAB, FRCA Primary, EDAIC or equivalent)
Understand the registration process in full & by reading our article: GMC Registration for overseas doctors
Job search
We recommend starting the job search as early as possible. Demand for Non-EEA anaesthetists in the NHS is increasing - the NHS welcomes you with open arms!
At IMG Connect we specialise in securing jobs for overseas doctors in the UK and can offer you a wider range of jobs than is readily available online.
Our network extends to anaesthetics services and HR departments across the UK, so no matter what your grade or specialty we can ensure you will be interviewing for roles well in advance of any relocation plans.
In addition, your 1-1 consultant, with a specialty knowledge of ICU, will negotiate on your behalf, ensuring you get the most competitive salary. Giving you the peace of mind of agreeing your new contract, perhaps even before your GMC registration is complete.
Take a look at our most recent jobs: Job Search
Relocation
Obviously, any doctor’s journey isn’t all exams, registrations and language tests… there’s also the small matter of relocation and settling into life in the UK.
Once you have secured your role in the UK, we will focus on supporting you and your family with all of your relocation plans. This can include, but is not exclusive to, securing accommodation, travel planning, setting up bank accounts & national insurance numbers – every step of the way we are here to help.
Have a read through our IMG Library and take in all the beautifully organised information on relocation and UK life to immeasurably help your first days, weeks and months in the UK.
IMG Library – Relocation & UK Life
Brexit
Many ICU specialists have questions about how the UK’s withdrawal from the European Union (EU) will affect doctors from outside the EEA already working in the UK, and those who may wish to work here in the future.
Whilst we are still pushing for a halt to Brexit, we've been keeping a close eye on policies and developments to ensure that we keep our doctors as up to date as possible. While we await more information from the UK Government about what our future relationship with Europe will look like, what is clear is that there are no current changes to immigration entry requirements for non-EEA doctors.
Overseas doctors are most welcome in the NHS with or without Brexit… you are in demand and we will support with all the necessary requirements for entry to the UK.
Take a look at our Brexit articles for more information: IMG Library - Brexit
Which routes can overseas specialist medicine doctors take to GMC registration & securing jobs in the NHS?
All doctors in specialist medicine areas such as respiratory, gastroenterology, dermatology, endocrinology, neurology, cardiology, geriatrics, rheumatology and stroke medicine will need to satisfy certain criteria to fully register with the General Medical Council (GMC). What these criteria are will depend on whether you are applying from inside or outside of Europe.
This article will prove relevant to all the medical specialties that fall within the various specialisms within medicine whilst also including haematology (MRCP + FRCPath is the complete set of qualifications) and other off-shoots such as infectious disease.
The criteria you must meet depends on where you currently live and practice, either inside the EEA (& associated countries) or outside the EEA. This article is designed to give you a snapshot of the steps you need to take to start your journey to the UK, no matter where in the world you live.
Inside the EEA – click here
Outside the EEA – click here
“Doctors from countries around the world play a vital and significant role in our NHS and in the delivery of safe patient care. This is not only welcome but is part of the continuous exchange of knowledge in healthcare and should be strongly encouraged. They make an invaluable contribution to the NHS.”
Joint statement from the Royal College of Physicians
Inside the EEA
Firstly, it is important to note that where we refer to EEA in this article this refers to all countries inside the EU, including Lichtenstein, Iceland & Norway.
If you qualified as a doctor inside the EEA or Switzerland, then the good news is that you don’t need to demonstrate your medical knowledge and skills to work as a doctor in the UK – you have already done this, and thanks to the EU your qualification is deemed equivalent. In addition, you will not need to apply for a visa from the UK Home Office.
As an EEA doctor, the main hurdle that you will face is demonstrating that your English skills are of a high enough standard to practice safely as a doctor in the UK & NHS.
English Language Testing
Any international doctor, regardless of specialty, experience or country of origin, must demonstrate they have sufficient competence of the English language.
You can do this by passing either of the following:
IELTS – International English Language Testing System
OET – Occupational English Test
Take a look at our helpful articles below for detailed information on both tests:
IELTS – a guide for overseas doctors
OET – a guide for overseas doctors
GMC Registration
Having passed your English Language Test, you can now apply for full registration with a licence to practice with the GMC. For full GMC registration you must provide evidence of:
Evidence of English language capabilities (IELTS or OET)
AND
Evidence of sufficient skill and knowledge (your equivalent qualifications)
Understand the registration process in full & by reading our article: IMG Library - GMC Registration for overseas doctors
Job search
We recommend starting the job search as early as possible. Demand for European doctors in the NHS is ever-increasing - the NHS welcomes you with open arms! At IMG Connect we specialise in securing jobs for European doctors in the UK and can offer you a wider range of jobs than are readily available online.
Our network extends to psychiatry services and HR departments across the UK, so no matter what your grade or specialty we can ensure you will be interviewing for roles well in advance of any relocation plans.
In addition, your dedicated consultant, with a specialty knowledge of General Medicine, will negotiate on your behalf ensuring you get the most competitive salary.
Our aim is to have a job offer on the table before your GMC registration is complete, giving you the peace of mind of having an agreed contract in place - leaving you to carefully plan your relocation to the UK.
Take a look at our most recent jobs: Job Search
Relocation
Obviously, any doctor’s journey isn’t all exams, registrations and language tests… there’s also the small matter of relocation and settling into life in the UK.
Once you have secured your role in the UK, we focus on supporting you and your family with all your relocation plans. This can include, but is not exclusive to, securing accommodation, travel planning, setting up bank accounts & national insurance numbers – every step of the way we are here to help.
Have a read through our IMG Library and take in all the beautifully organised information on relocation and UK life to immeasurably help your first days, weeks and months in the UK.
IMG Library – Relocation & UK Life
Outside of the EEA
If you qualified as a doctor outside the EEA, then you will have to demonstrate that both your medical knowledge & skills and English Language capabilities meet the level required to practice safely in the UK. In addition, you will need to apply for a visa from the UK Home Office.
Here we summarise the requirements for General Medicine doctors, looking at the following:
English Language Testing
Evidence of Knowledge & Skills - PLAB, MRCP or equivalents
Tier 2 Visas
Full GMC Registration
English Language Testing
Any international doctor, regardless of specialty, experience or country of origin, must demonstrate they have sufficient competence of the English language. You can do this by passing either of the following:
IELTS – International English Language Testing System
OET – Occupational English Test
Take a look at our helpful articles below for detailed information on both tests:
IELTS – a guide for overseas doctors
OET – a guide for overseas doctors
Evidence of Knowledge & Skills in Medicine
Overseas doctors must prove to the GMC they have sufficient knowledge & skills to practice safely in the UK. This can be done through three main routes:
PLAB
Royal College qualification of MRCP
GMC - recognised or equivalent qualifications
Route 1 - PLAB:
The PLAB exam is a two-part exam that assesses a doctor’s ability to work safely as an SHO in the NHS, as such it does not demonstrate ability in Medicine specifically.
For this reason, PLAB tends to be a route for junior doctors who have not already chosen their field of specialisation in medicine.
That said, for some senior doctors PLAB can be an attractive option, offering a quicker route to the UK, whilst still securing competitive salaries. If taking this option, international doctors can then take up training or a more senior post once they have established themselves in the NHS.
Take a look through our comprehensive guides on PLAB:
PLAB – a guide for overseas doctors
PLAB 1 – a closer look
PLAB 2 – a closer look
Route 2 - Royal College Qualification:
Attaining a Royal College qualification is a preferred path for doctors who have already chosen their field of specialism i.e. medicine. For senior medicine doctors taking this route, they will gain access to more senior, well-paid jobs in the specialism of their choice.
The Royal College of Physicians is the Professional Body that regulates the specialism of medicine in the UK, and Membership of the Royal College of Physicians (MRCP) is the full qualification attainable by examination.
For overseas doctors, attaining MRCP will satisfy the knowledge & skill criteria for GMC registration and facilitate application for more senior roles in UK medicine.
Take a look at our complete guide on Membership of the Royal College of Physicians to understand more: MRCP – a guide for overseas doctors
GMC - recognised or equivalent qualifications:
Some overseas qualifications are recognised by the GMC and accepted for registration purposes. This means to say these qualifications are considered as meeting the same standards as the Royal College qualifications.
There are qualifications from several countries around the world that are currently accepted by the GMC.
Find out if your qualification is accepted by the GMC: Overseas accepted postgraduate qualifications
Tier 2 Visa
If you are a doctor applying from outside the EEA region you will almost certainly need to apply for a visa to work in the UK.
Applying as a doctor or nurse has never been easier and there is currently no-restriction on the Certificate of Sponsorship (CoS) applications that a hospital can make. Furthermore, the list of specialties on the shortage occupation list is due for imminent review and expansion beyond its current list of specialties, potentially widening the scope for easier immigration processes across all specialties in healthcare.
Understand Tier 2 visas and Certificates of Sponsorship in depth by taking a look at our article: Tier 2 Visa application process & documents needed
Wondering whether you can relocate with your family? Take a look at our blog on the Tier 2 dependant visa: Tier 2 Dependant visa - can i bring my family with me to the UK?
GMC Registration
With everything in place, you can apply for full registration with a licence to practice with the GMC. Remember, for full GMC registration you must provide evidence of:
Evidence of English language capabilities
AND
Evidence of sufficient skill and knowledge (PLAB, MRCP or equivalent)
Understand the registration process in full & by reading our article: GMC Registration for overseas doctors
Job search
We recommend starting the job search as early as possible. Demand for Non-EEA doctors in the NHS is increasing - the NHS welcomes you with open arms!
At IMG Connect we specialise in securing jobs for overseas doctors in the UK and can offer you a wider range of jobs than is readily available online.
Our network extends to general medicine services and HR departments across the UK, so no matter what your grade or specialty we can ensure you will be interviewing for roles well in advance of any relocation plans.
In addition, your 1-1 consultant, with a specialty knowledge of medicine, will negotiate on your behalf, ensuring you get the most competitive salary.
Giving you the peace of mind of agreeing your new contract, perhaps even before your GMC registration is complete. Take a look at our most recent jobs: Job Search
Relocation
Obviously, any doctor’s journey isn’t all exams, registrations and language tests… there’s also the small matter of relocation and settling into life in the UK.
Once you have secured your role in the UK, we will focus on supporting you and your family with all of your relocation plans. This can include, but is not exclusive to, securing accommodation, travel planning, setting up bank accounts & national insurance numbers – every step of the way we are here to help.
Have a read through our IMG Library and take in all the beautifully organised information on relocation and UK life to immeasurably help your first days, weeks and months in the UK. Take a look here: IMG Library – Relocation & UK Life
Follow us on social media for news and updates on GMC registration, the Royal College and NHS through the links below:
As an overseas health and care professional, the main route to the UK is via the HCPC registration.
The Health & Care Proessionals Council is the regulator for 16 health and care professions across the UK.This article is written for overseas health care practitioners who have completed professional training outside the UK and who wish to apply to work in the UK.
Overseas healthcare professionals from any country in the world can register with the HCPC and work in the UK, this registration process is summarised below along with a broad look at the following topics:
How can I practice in the UK?
Which route is for me?
I qualified and practice outside of the UK, am I eligible?
Am I eligible for full clinical equivalence?
What is the role of the standards of proficiency?
What are the standards of proficiency
How do I demonstrate that I have met the standards of proficiency?
How to apply via European Mutual Recognition (EMR)
How to apply via International Application
Application steps
What documents will be required?
What if I am unsuccessful?
English language proficiency
Successful? What next?
How can I practice in the UK?
To practice in the UK using any of the HCPC regulated terms you have to satisfy the HCPC that you have broadly equivalent skills to those who trained in the UK.
The HCPC check equivalence based on the British qualification which is at Doctorate level.
If your degree is from outside the UK then the HCPC will want to assess all your qualifications and experience to see what you need to add to reach their desired standard for the healthcare profession, or where you would need to join the training path if you have moved to the UK already.
The type of HCPC application you make depends on your country of origin and training. There are two application routes:
European Mutual Recognition (EMR)
International application
Which route is for me?
It all depends on where you have trained and qualified, EEA or outside the EEA.
I qualified inside the EEA:
If you have trained and are a citizen of an EU member state, then you are eligible for European Mutual Recognition (EMR). If you are eligible for EMR then you must apply via this route.
EMR ensures that EEA qualifications are recognised across Europe as equivalent, and therefore you will only require your English language proficiency to complete your application.
Am I eligible for European Mutual Recognition (EMR route)?
To be eligible to apply for registration based on European Mutual Recognition you must be a citizen of a relevant European State
I qualified outside the EEA:
If you have trained outside the EU, then you are eligible for an international application.
Both routes follow the same process, the skills, education and training you submit via your application forms are assessed by Registration Assessors, who make a decision within 60 working days.
Am I eligible for the international route?
To be eligible to apply for registration via the international route, you must have undergone relevant training and be fully qualified to practice your profession.
fully qualified to practice your profession in a relevant European State other than the United Kingdom
Your application will be assessed against the standards of proficiency for your area of healthcare. We advise that before you apply you should check you meet, or exceed, the professional standards all registrants must meet in order to become registered in your area.
What is the role of the standards of proficiency?
For the purposes of HCPC registration, in order to ensure all applicants will work to the standards necessary to protect the public, the HCPC set threshold standards they consider necessary to measure all candidates and practitioners against in the UK.
They set clear expectations for knowledge and abilities for when they start practicing in the UK.
Am I eligible for full clinical equivalence?
To be eligible for full clinical equivalence (i.e. to be able to secure a job in your chosen area in the UK) you have to demonstrate you have met:
all of the competencies required to get a doctorate in the UK
experience of all the core client groups (working age adults, older people, children and families, people with learning disabilities) or core competencies
have a doctoral standard piece of research
How do I demonstrate that I have met the standards of proficiency in my application?
1. Include as much as detail possible:
You will be asked to provide detailed information about your experience, education or training. Include as much relevant information as possible in your application.
2. Cover and provide detail on ALL of your experience:
The HCPC will assess the courses that you have complete, some courses are broader with less in-depth coverage, and others are more detailed but have a narrower scope. Therefore, as a precaution, you must detail as much experience as you can in your application in case there are any shortfalls from the training and qualifications that you have. Significant experience may make up for shortfalls in training.
TOP TIP: HCPC assessors make their determinations based on all the information that you provide. So, provide as much as you can!
How to apply via European Mutual Recognition (EMR):
The EMR application process follows the format of the international applications process. The skills, education and training you submit via the EMR application forms are assessed by Registration Assessors, who make a decision within 60 working days.
How to apply via International Application:
The International application process follows the format above. The skills, education and training you submit are assessed by Registration Assessors, who make a decision within 60 working days.
What are the application steps?
The process follows four steps:
Step 1 - submit forms and pay fee
Step 2 - processing
Step 3 - assessment by the HCPC
Step 4 - decision letter
A successful decision will be confirmed by receipt of a letter stating your addition to the HCPC register.
What documents will be required?
You will require the following to support your application:
identity documentation
qualifications
good standing and character declaration – part of application
declaration regarding background checks – part of application
Original documents that are not in English will have to be accompanied with a translated version.
TOP TIP: We advise that you prepare your documents and experience as early as possible before making your application, this will not only save you time, but give you the chance to add and edit the content you will provide. Increasing your chances of success!
Step 1 - Submit forms and pay fee
Once you have gathered your documents and have fully considered your experience matched to the standards of proficiency, you can submit your forms and pay the application fee.
The HCPC will take a scrutiny payment of £495 at this stage.
You will receive a confirmation receipt and payment.
You will also receive your application reference number. This reference number is important, and you should use this each time you contact the HCPC to discuss your application.
TOP TIP: If your application is not accepted for processing because of missing information, the HCPC will return it to the address on the form. You will then need to resubmit your application. To avoid this, ensure you have prepared all of your evidence and documentation as above.
Download and complete your form, then send them by post to the address on the front page of the application.
Download the application form for registration – EMR
Download the application form for registration – International application
Step 2 – Processing
During this period (4 weeks from receipt of application), the HCPC will contact your education provider, any relevant regulatory or professional bodies and any professional referees.
This is to verify the information that you have provided in your application.
You do not need to do anything until the HCPC have notified you of the outcome of the next stage of the process.
Step 3 - Assessment
The next stage is the assessment of your regulated education and training and any other relevant education, training or experience included in your application.
Your application will be sent to two assessors from the practitioner register.
They will consider all the information that you have submitted before making their recommendation to the HCPC.
What are they assessing?
You will have to demonstrate:
you have met all the competencies required to get a doctorate in the UK
experience of all the core client groups (working age adults, older people, children and families, people with learning disabilities) or core competencies
you have a doctoral standard piece of research.
First, they will compare your regulated education and training with HCPC standards of proficiency. If any shortfalls are identified, they will check your submission to see if these have been made up through any other relevant education, training or experience that you have provided details for.
They will then send a recommendation to the Education and Training Committee (ETC). This recommendation will be then reviewed by the ETC who will send their decision to you.
TOP TIP: The HCPC can only base their decision on the information provided in the application. They do not contact referees, training institutions, or employers to obtain further information about your training or work experience. So, remember to provide as much experience, training and relevant education as possible.
The HCPC will send a Record of Assessment to you within 60 working days of receipt. This Record of Assessment may include a request for further information which will prolong the processing time of your application.
Again, for this reason it is important that you include as much relevant information as possible when you submit your application.
Step 4 - Decision letter
You will be notified of the outcome of your application in writing. In successful cases this will confirm your addition to the Register.
What if I am unsuccessful?
If you have not been successful in your HCPC application, it is likely that there was some information missing from your application to demonstrate that you meet the standards of proficiency.
The HCPC will return your application to the address you provided, you can then add more detailed information to your application forms and resubmit.
If, however, you have failed the application, the following will apply depending on the route that you have applied through:
International application rejected:
You may be able to appeal the decision. You can find out more about appeals here.
EMR application rejected:
Your choices are different. If you're a national of an EEA country, and are entitled to practice, you will be required to complete a period of adaptation or an aptitude test to rectify shortfalls in your knowledge or experience. You can find out more about the period of adaptation here.
English language proficiency:
The ability to communicate in English is of course crucial to working effectively in the healthcare profession in the UK. If you are applying via the International Application then you must obtain one of the following scores:
IELTS – 7.0 average in all areas, with no element below 6.5
TOEFL – minimum score of 100/120
If applying via the EMR Application, and are a National of a relevant EEA state, then you are exempt. Please note that Speach & Language Therapists must obtain higher scores, contact us for more information.
Successful? What next?
First of all, congratulations! Once you have been granted registration with the HCPC, you can apply for work as a practitioner in the UK.
For more useful blogs & articles on exams, registrations & qualifications to help you find your dream job in the NHS - take a look at our IMG Resources library.
If you have attained HCPC registration don’t hesitate to get in touch with your IMG Consultant to discuss UK job options in your area, including discussions regarding a typical healthcare professionals salary in the UK and the most suitable locations for you.
Follow us on social media for news and updates on GMC registration, the Royal College and NHS through the links below:
OET is fast becoming the most popular English Language test that overseas doctors will use for GMC registration.
It is an English language test that tests medical language specifically and for that reason is very popular with IMGs. However, as with many things the exam has been heavily disrupted by the COVID-19 coronavirus pandemic.
In response to the COVID-19 pandemic OET have created two new versions of their popular English language test to help doctors when their local test centre is closed:
Computer-based OET test
OET@Home
OET@Home - what is it?
OET has partnered with Prometric TM, a private company, to deliver a home version of the OET test. While computer-based testing and remote proctoring (invigilation on behalf of OET) will bring changes to the delivery mode - the test format, tasks presented and level of English assessed will all be the same.
OET@Home - how does it work?
The reading, listening and writing sub-tests of OET will be available via computer-based delivery and the Speaking sub-test will be carried out with a human interlocutor via video calling software. This human involvement and role-play nature of the OET Speaking sub-test which is so important to the test - will not be compromised.
The test will be managed remotely and under strict condition by invigilators who know the importance of this test for patient safety and fair GMC registration process for any doctor taking OET - whether it’s OET@Home of OET sat in person at a test centre.
Below we have summarised a number of FAQs to help address any question you have. We have taken the information directly from the OET Website here https://www.occupationalenglishtest.org/at-home-remote-proctored-testing/.
Do I have to take the test on a computer? Or are paper-based tests still available?
You do not have to take the test on a computer. OET will be running both paper-based and computer-based testing, so you can still take the test on paper if that is what you prefer.
They will be continuing to run paper based tests at all the current values as long as local lockdown restrictions allow. So now you can sit one of three OET formats:
paper-based tests at OET test centers (the old method)
a computer based test that you can sit at selected test venues
OET@Home , a remote-invigilated test that you can sit at home using a Windows PC
Is there a difference between computer-based OET and OET@Home?
Not really. They are exactly the same test with the main difference being where you actually take the test. The key difference is this:
With computer based tests you will attend a test venue to take the test.
With OET@Home you will be able to take the test remotely (e.g. at home or work) on your Windows PC.
How does the remote invigilation or proctoring work?
‘Remote proctoring’ essentially means ‘remote invigilation’. This means that you can sit the test outside a test centre under the same strict exam conditions that an OET test centre would provide.
Human proctors or human invigilators check the following:
you are who you say by checking ID
room searches prior to the start of the test
monitor your behaviour during the test, ensuring you do not breach any OET rules and regulations
Remote proctoring systems also help maintain test security with the following:
security features such as limiting functionality of your computer (e.g. so you cannot access the internet or take screenshots)
How often will the computer-based test and OET@Home run?
Initially once a month on either the same day, or alternate Saturdays as the paper-based OET test. However, this is still to be confirmed and OET will release more details in the coming weeks. Keep an eye out for their updates found on their website here.
Can I actually sit the test at home?
Yes. Once the OET@Home is live you will be able to sit the test at home, using a Windows PC.
How will the speaking test work?
The Speaking sub-test will still be two role plays with a live interlocutor or test official. The only difference is with OET@Home, where the live interlocutor will role-play with you via video conference.
How much will this cost me?
At this point it does not look like there will be any change to the cost of OET, no matter which test you take. A reminder - those cost of the OET is currently AUD 587 (A$587) which is currently equivalent to £327. Please note, the price and conversion rate is representative of the time of writing this article (July 2020)
When can I book a test?
OET@Home will be open for bookings at the end of August, with the tests available from September onwards.
Computer-based OET will be available at the end of September in a few locations. More locations will be made available after the first
Will the OET test format change?
No - all tasks, format and timings will remain the same across all types of OET.
If I have already booked to take the OET paper-based test - will I be able to change my booking to either computer based test or OET@Home?
Are the computer-based OET and OET@Home accepted by regulators?
Both the computer-based OET and OET@Home are accepted by the GMC and will be valid for Tier 2 visa applications also.
How do I book my place with either OET@Home or computer-based OET?
You will be able to book your test online and OET will let you know as soon as both new types of test are available for booking.
Can I take the OET@Home on a mobile phone?
No, the OET@Home can only be taken on Windows PC. You can find the technical specifications here.
So, I can only use a Windows laptop? What if I have a Mac?
Unfortunately, if you have a Mac you will not be able to sit the OET@Home with it. You will need a dedicated computer running Windows 10, either a desktop computer or laptop.
Refer to the technical specifications to check you Windows PC can run the software.
How long will the results take to be released?
OET will stick with the same results timeframe in place for paper-based OET tests - however there may be the opportunity to significantly shorten the time needed for results to be released. However, do not expect to see this benefit immediately.
How can I prepare for all versions of the OET?
As with all tests, we recommend preparing as much in advance as you can. Learning a new language is challenging and takes time. You cannot just turn up on exam day and hope to pass, no matter how good your English is already.
Take a read through this article below to help your preparations for OET:
IMG Resources: Preparing for your English Language Test
What courses or tutors can I use for OET preparations?
We discuss this in more depth in the article below:
IMG Resources: Preparing for your English Language Test
As an International Brand dedicated to helping international doctors to register with the GMC and find work in the NHS - we have lots of partnerships in place with trusted companies in many areas.
One of these key areas is English Language Testing and IMG Connect works closely with a company called Specialist Language Courses. You can take a look at their website here.
Specialist Language courses are incredibly professional and are the UK's leading provider of online courses and tutoring. They are also one of the few accredited providers of OET and have provided consultation and guidance to the GMC on English language testing.
Success rates are 70% + for those who sign for their tutoring and you can receive a discount if introduced by IMG Connect.
Register with IMG Connect to request your discount on English Language Courses or get in touch with one of our IMG Consultants to discuss
Follow us on social media for news and updates on GMC registration, the Royal College and NHS through the links below:
There are several routes an overseas histopathologist can take to GMC registration & practicing anatomic pathology in the NHS.
All pathologists looking to secure a job in the NHS, whether you are from inside or outside of Europe, will need to satisfy certain criteria to fully register with the General Medical Council before they can practice in the NHS. As a histopathologist, the criteria you need to meet depends on where you trained, and what qualifications you hold. This article is designed to give you a snapshot of the steps you need to take to start your journey to the UK, no matter where in the world you live. We’ll be covering the following:
How do I demonstrate my knowledge and skills as an EEA histopathologist?
How do I demonstrate my knowledge and skills as a non-EEA histopathologist?
How can I demonstrate my English language skills?
What is a certificate of good standing and how do I get one?
What do I need to register with the GMC?
Will I need a visa to work in the UK?
Evidence of knowledge and skills for EEA histopathologists
For histopathologists who trained in an EEA country (all countries inside the EU, including Lichtenstein, Iceland, Switzerland & Norway), there are a number of different options potentially available to you.
Depending on the country and year you completed your residency or basic medical training, the GMC may automatically recognise your qualifications and grant you either General Registration, or Specialist Registration in the UK. To find out if your country’s qualifications will allow you to register for either general or specialist registration, check the relevant GMC page here.
Basic Medical Training: If you have met the basic medical training requirements, this would mean that you would not need to demonstrate your medical knowledge and skills to work as a doctor in the UK and would not need to complete a UK- recognised postgraduate qualification or PLAB to register with a license to practice. You would be granted full registration in this case, but not Specialist Registration.
Specialist Training / Residency: If you have met the criteria listed for your country then you once you completed your GMC application process you would be granted Specialist Registration in your Specialty and can be appointed as a substantive or permanent consultant in the NHS. So as a pathologist, if you hold a Relevent European Specialist qualification then you would be on the specialist register for histopathology, and can be appointed as a substantive histopathologist in the NHS.
So, the main hurdle that you will face is demonstrating that your English skills are of a high enough standard to practice safely as a doctor in the UK & NHS.
As a European histopathologist, this is in most cases the easiest route to becoming GMC-registered and being able to practice in the UK.
If you do not meet the GMC requirements for your training to be approved for full or specialist registration, other routes you may consider to GMC registration include PLAB or (via the postgraduate route) the Royal College exams for Histopathology (FRCPath). You can find out more about these alternative routes here.
Evidence of knowledge and skills for non-EEA histopathologists
If you qualified as a histopathologist outside the EEA, then you will have to demonstrate that both your medical knowledge and skills AND English Language capabilities meet the level required to practice safely in the UK.
Histopathologists who've trained from outside the UK and EEA must demonstrate to the GMC they have sufficient knowledge & skills to practice safely in the UK. For histopathologists this can be done through one of three main routes:
Professional & Linguistics Assessment Board (PLAB)
The PLAB exam is a two-part exam that assesses a doctor’s ability to work safely as an SHO in the NHS, as such it does not demonstrate ability in pathology specifically. For this reason, PLAB tends to be a route for junior doctors who have not already chosen their field of specialisation in medicine. That said, for some senior doctors PLAB can be an attractive option, offering a quicker route to the UK, whilst still securing competitive salaries. If taking this option, pathologists can then take up training or a more senior post once they have established themselves in the NHS. Take a look through our comprehensive guides on PLAB.
Fellowship of Royal College of Pathologists
Royal College Qualification of FRCPath: Attaining a Royal College qualification is a preferred path for doctors who have already chosen their field of specialism i.e. pathology. For senior pathologists taking this route, they will gain access to more senior, well-paid jobs in the specialism of their choice. The Royal College of Pathologists is the Professional Body that regulates the specialism of Pathology in the UK, and Membership of the Royal College of Pathologists (FRCPath) is the full qualification attainable by examination. For overseas doctors, attaining FRCPath will satisfy the knowledge & skill criteria for GMC registration and facilitate application for more senior roles in UK Pathology. Take a look at our complete guides on Fellowship of the Royal College of Pathologists as per your sub-specialty to understand more.
GMC recognised or equivalent qualifications
Some overseas qualifications and licensing exams are recognised by the GMC and accepted for registration purposes. This is to say these qualifications or licensing exams are considered as meeting the same standards as the Royal College qualifications.
To find out if your qualification is accepted by the GMC, take a look at our blog: Overseas accepted postgraduate qualifications.
English Language Testing
Both EEA and non-EEA histopathologists, regardless of experience, and country of origin, must demonstrate that they have a sufficient grasp and competence of the English language. This can be done by passing either the International English Language Testing System (IELTS) or the Occupational English Test (OET). Detailed guides to these tests can be found below:
IELTS – a guide for overseas doctors
OET – a guide for overseas doctors
Experience in English-speaking countries
For doctors who have at least two years of their most current experience in an English-speaking country, you can use a reference from your current employer or employers over these two or more years to demonstrate competence of the English language. This would exempt you from sitting an English language exam.
Certificate of Good Standing
All doctors registering with the GMC must provide a certificate of good standing from each medical regulatory authority they’ve been registered or licensed with in the last five years.
The medical regulatory authority may send you a certificate of past good standing if you're not currently registered or licensed with them. You can find out which medical regulatory authority to contact via the GMC website here.
Please note that each certificate is only valid for three months from the date it's signed and must be valid when we approve your application.
If there's no medical regulatory authority in the country to issue a certificate, the GMC will give you further advice once your application has been assessed.
GMC Registration
Once you’ve completed your English language exam, you can now apply for full GMC registration with a license to practice. For registration, you must provide evidence of:
English language capabilities - either your IELTS, OET or an approved reference from your current employer (if you have been working in an English-speaking country for the last two years).
AND
Certificate of good standing – the certificate from your medical regulatory authority which demonstrates good standing.
AND
(EEA pathologists) Sufficient skill and knowledge – as an EEA pathologist, this would either be your recognised EEA qualification.
OR
(Non-EEA pathologists) Sufficient skill and knowledge – as a non-EEA pathologist, this would either be PLAB, FRCPath or a GMC-approved qualification.
To understand the registration process more fully, read our blog on GMC registration for overseas doctors here.
Visas
If you or your family are from the EU, Switzerland, Norway, Iceland or Liechtenstein and started living in the UK by 31 December 2020, you may be able to apply to the free EU Settlement Scheme. Otherwise, you will need to apply for a visa from the UK Home Office.
A Tier 2 visa is the document given to a skilled worker by the UK Home Office following a job offer from a UK employer with a valid Tier 2 Sponsorship License. The list of valid Tier 2 Sponsors can be found here.
Understand Tier 2 visas and Certificates of Sponsorship in depth by taking a look at our article: Tier 2 Visa - how do I apply and what's the process?
Wondering whether you can relocate with your family? Take a look at our blog on the Tier 2 dependent visa below: Tier 2 Dependent visa - Can I bring my family with me to the UK?
For pathologists looking to come to the UK to work in the NHS, GMC registration and specialist registration is a crucial part of the process. Therefore, it’s important to put together a good application to present to the GMC, and IMG Connect are here to help with this. Whether it’s deciding the best options for demonstrating your skills and knowledge in histopathology, or sourcing the best English Language courses and resources, take advantage of the benefits of having a pathology recruitment specialist working with you and proving you with the best guidance and support to fit your career needs.
For regular news and updates on the Royal College and all things pathology, follow IMG Connect on social media using the links below:
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Are you an overseas pathologist preparing for FRCPath Histopathology Part 2 exam?
Overseas doctors often wonder how to prepare for the FRCPath Part 2 examination, especially when so much content and advice online appears geared towards UK applicants and trainee. So what study courses, resources and support is available to an overseas histopathologists looking to take the test?
Here we have compiled some of our advice and resources available to help you prepare for the exam, whilst we also address some of the changes in availability of test centres and upcoming exams as a result of COVID-19 pandemic.
What is FRCPath Part 2?
First a quick reminder of what the FRCPath Histopathology Part 2 is. The Part 2 exam consists of six components which are taken over two days. Each component comprises a different number of cases provided in 20-minute stations or slots. The components include both written and face-to-face elements with the examiner where candidates should demonstrate and discuss both clinical & practical knowledge as well as complex diagnoses and special techniques. This is done through elements of interpreting and writing reports, interpretation and OSPE. If you want to have a more detailed overview of the FRCPath exam then take a look through the article published in our online IMG Library here, or take a look through the Royay College of Pathologists website here.
So how do I get started with my preparation?
Starting is often the hardest thing to do, and as there are many resources available online, it's hard to tell where the best place is to start. After discussing this with consultants who've passed (both UK trainees and IMGs), most recommended starting with the Royal College, who have posted some useful resources on their website to aid in your preparation.
Curriculum: The exam questions are based on the Curriculum for Specialist Training in Histopathology. As a first step, we recommend becoming familiar with this curriculum as early as possible to reinforce your knowledge and to provide a solid foundation for your study plan. Knowing the curriculum is key - as this is what you will be tested on.
Regulations and guidelines: Ensure you have read both the general regulations and guidelines and the specialty specific regulations and guidelines.
Social Media study groups: There are many social media study groups available across various platforms. These include Telegram, Facebook, WhatsApp and to a lesser extent LinkedIn. IMG Connect hosts study groups for FRCPath Part 1 and 2 exams - these are forums that bring together international doctors from all over the world into one constructive, communicative and moderated space where you can share exam tips, stories and woes, and the opportunity to buddy-up with similar colleagues looking to pass the test.
If you think you would be interested in joining either the IMG Connect FRCPath 1 or Part 2 Study groups, please email info@imgconnect.co.uk to speak to the histopathology specialist and request your admission.
Online Courses for FRCPath Histopathology: There are a few online courses which provide preparation, from full mock exams to individual component courses. We've spoken with some IMGs to understand which courses they favoured, and below we have summarised a few of these. With all courses, it is advised that you register your interest as early as possible as they are in high demand.
Pathology Online Hub - FRCPath Part 2 Histopathology Full Mock Exam
This is a complete mock exam course with interactive live discussion sessions and individual feedback for each participant. Sessions will be delivered by UK based pathologists with extensive experience of teaching for the FRCPath exam. Participants will be provided with the mock exam for all the 7 components of FRCPath 2 under strict timed conditions closely simulating the real exam.
Mock exam will include: Cytology, Short surgical cases, Long cases, Frozen section, Macroscopic examination, OSPE 1 Viva and OSPE 2 Written.
Live sessions will include: Exam format and tips on how to prepare with a structured study plan, Review and discussion of all mock exam answers, Group performance summary, Common pitfalls in exam and how to avoid them, and Tips on answering technique for exam.
Duration
3 days
Cost
£270 (£70 registration fee and £200 payable 8 weeks prior to course start date)
Next start date
TBC
Website
www.pathologyonlinehub.com/full-mock-course
Oxbridge Medica - FRCPath Part 2 Mock Course
This is an online 2-day practical course with both a mock examination and seminars preparing trainees for the FRCPath Part 2 Examination. This is a unique course giving trainees that all important pre-exam Mock (under exam conditions) with the papers individually marked and scored in line with the actual exam. The course speakers have knowledge of the Royal College exam - some of them are examiners, and all are experienced teachers.
Duration
2 days (Day 1 = mock exam | Day 2 = review and preparation)
Cost
£300 (£75 registration fee and £225 payable 4 weeks prior to course start date)
Next start date
TBC
Website
http://oxbridgemedica.org/product/frcpath-part-2-mock-course-20th-21st-september-2021/
Oxbridge Medica - FRCPath Part 2 Surgical Course
This is an online 2-week Surgical Revision Course preparing trainees for the FRCPath Part 2 Examination and is exam oriented and includes surgical and cytology mock tests, live-streamed lectures and feedback. The course aims to provide an approach to the part 2 examination, and to cover common exam cases, whilst the trainers have been selected for their expertise within their disciplines, both in their clinical acumen but also their teaching skills. The format of the course is intense and demanding but also rewarding.
Duration
2 weeks, intensive
Cost
£800 (£75 registration fee and £725 payable 4 weeks prior to course start date)
Next start date
TBC
Website
oxbridgemedica.org/product/frcpath-part-2-surgical-course-1st-14th-september-2021
IMG Histopathologists FRCPath Part 2 Course
This is a tailored FRCPath Histopathology course for overseas pathologists sitting the Part 2 exam. This course offers weekly sessions which provide an approach to the FRCPath exams for IMGs specifically, guiding them through the preparation for the exam, delivered by an experienced NHS consultant pathologist and specialist histopathology recruiters. These sessions are completely free to all doctors.
The course is supplemented by additional advice and guidance on FRCPath and other registrations, GMC registration support, as well as guidance and webinars on other topics such as finding work in the NHS, relocation support and specialist registration.
You can access our IMG Histopathologists FRCPath Part 2 Course by joining the Facebook group here.
What other helpful FRCPath 2 resources are out there?
1. What I wish I'd known - A series of YouTube videos produced by the Royal College of Pathologists. The videos are interviews and advice from four pathologists sharing their experiences of the FRCPath Part 2 exam and what they wish they’d known before taking the exam.
2. FRCPath Part 2 Past Examination Surgical Cases – These are from Virtual Pathology at the University of Leeds. The slides can be magnified, and each case comes with a diagnosis.
3. How to Survive and Thrive in the FRCPath Part 2 - This is a detailed breakdown of the complete exam with advice and marking guidance, created by Dr James Henry, Consultant Cellular Pathologist at Queen Elizabeth Hospital.
How has COVID-19 affected FRCPath UK and Overseas test centres & upcoming exams?
The Spring session was postponed for international candidates in response to the pandemic, but discussions are taking place on the possibility of the FRCPath exam taking place at an overseas centre in Autumn 2021. Whilst the Royal College will try to accommodate as many international candidates as possible, priority will be given to candidates entering for the January sitting.
IMG Advice to FRCPath 2 Aspirants
Finding courses can be tricky and mock exams can cost a lot of money, so take your time to consider your options and what best suits your needs, whether that is a paid short course, or free materials which you can access whenever you need them. Speak to peers and supervisors - they may be able to offer advice based on first-hand experience of the courses or general preparation.
Of course, if you need further advice on choosing an FRCPath Part 2 online course, or on this stage of qualifying to work for the NHS, don’t hesitate to get in touch with IMG Connect and request to speak to our Histopathology specialist, Marcus Anderson. He'll be happy to help.
The team at IMG Connect hopes that this article and has been useful for any overseas histopathologists looking to take the FRCPath Part 2 exam. Good luck IMGs!
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FRCR Part 2A and Part 2B are the final exams in the FRCR qualification.
Completion of all three parts of the Fellowship of the Royal College of Radiologists (FRCR) qualification results in eligibility for GMC registration, once the English language component has also been met.
The FRCR examinations are key to an international oncologist being able to secure senior oncology jobs in the NHS and can be taken by IMGs from any country, provided certain eligibility criteria have been met.
In this article, we take a closer look at the following - skip to one of these sections if you know what you're looking for:
An overview of FRCR (oncology)
What are FRCR (oncology) Parts 2A and 2B?
Am I eligible to sit these exams?
How are the exams structured and marked?
As an international oncologist, where can I sit the exams?
How much will the exams cost?
How do I apply for these exams?
What is the best way to prepare for the exams?
I’ve passed the FRCR oncology exams, what’s next?
FRCR oncology, consultant posts and CESR
An overview of FRCR (Oncology)
FRCR (Oncology) are the set of three postgraduate examinations administered by the Royal College of Radiologists to test candidates’ knowledge and clinical understanding within the scope of the Specialty Training Curriculum for Clinical Oncology.
The exams are as follows:
FRCR Part 1 – CO1
FRCR Part 2A - CO2A
FRCR Part 2B – CO2B
You can read an overview of the full FRCR (Oncology) examination suite here via our IMG Resources section.
Please note that only full FRCR satisfies the postgraduate requirements for overseas doctors.
Alternative routes to GMC registration include PLAB or other recognised GMC qualifications or licensing exams, such as UMSLE or FRANZCR (radiation oncology) which you can find out more about here.
For doctors who are interested in securing senior roles in the NHS which are reflective of their current practice or grade, we advise that FRCR is the best route to take to GMC registration. FRCR is often a requirement of NHS job postings where candidates are not already on the Specialist Register for Clinical Oncology, so this route allows candidates to better align their qualifications with the specifications of relevant jobs.
What are FRCR (Oncology) Parts 2A and 2B?
FRCR Part 2A and 2B form the final two parts of the FRCR examination suite. These assessments expect candidates to have a wide knowledge of subjects related to the investigation of malignant disease and the care of patients with cancer. Whilst the focus is on drug therapy and radiotherapy, there is also the expectation of a good understanding of other key areas such as general medicine, surgery and gynaecology.
Am I eligible to sit these exams?
Eligibility for FRCR Parts 2A and 2B are as follows:
Final FRCR Part A (CO2A):
Passed the first FRCR examination (CO1)
Acquired at least 24 months of training in a clinical oncology role by the date of the examination
Final FRCR Part B (CO2B):
Passed the first FRCR examination (CO1)
Passed the Final FRCR examination Part A (CO2A)
Acquired at least 36 months of training in a clinical oncology role by the date of the examination
How are the exams structured and marked?
All parts of the examination suite are assessed against the specialty training curriculum for clinical oncology and the clinical oncology syllabus. A new curriculum has been implemented as of summer 2021, and all trainees are expected to have transferred to this curriculum by August 2022. Further information on this can be accessed on the curriculum webpages.
Final FRCR Part A (CO2A):
This exam comprises two papers which include 120-question single best answer (SBA) questions each. The time limit for the exam is three hours and ordinarily, candidates are not allowed more than six attempts at FRCR exams.
CO2A Paper 1
Tumour Type
Number of Questions
Respiratory
24
Urology
24
Head and neck
24
Skin
12
CNS
12
Gynaecology
24
CO2A Paper 2
Tumour Type
Number of Questions
Breast
24
Lower GI
24
Upper GI
12
Haematology
12
Miscellaneous*
38
Image-based
10
*The miscellaneous section will contain questions on sarcoma, thyroid cancer, unknown primary, palliative care, regulations, and a few questions which do not belong to any define site specific category.
Each individual SBA question has a stem (a question or statement) and five answers, and candidates must decide which of the five best represents the answer to the stem question. Essentially, this is a multiple-choice exam. One mark is given for each correct answer and zero marks for incorrect answers. As the exam is not marked negatively, candidates are encouraged to provide an answer all the questions.
Final FRCR Part B (CO2B):
This exam has two components (clinical and oral) which are designed to test different aspects of the candidate’s oncological skills, necessary elements for effective and safe practice. The format allows the for the assessment of skills which are not as easily addressed in a written format.
CO2B Clinical Examination:
This component is practical and involves the use of real patients to increase authenticity in attempts to reflect situations that may present in a clinical setting. The cases are selected for the exam to test common tumour types. The examination itself has five strictly-timed clinical assessment ‘stations’ where certain core clinical skills are tested by a pair of examiners. The use of an objective marking system aims to minimise bias and ensure consistency across examinations for all candidates.
Candidates are assessed on their ability to:
Detect important clinical signs using effective exam techniques
Provide a rational differential diagnosis
Order and interpret appropriate investigations
Identify the main treatment options
Select and appropriate, safe, and sensible management plan
Recommend a safe radiotherapy technique, know the likely outcomes, and side effects
Recommend a safe systemic treatment schedule and know their likely outcomes and side effects
Discuss a likely prognosis in the case presented
Demonstrate an ability to treat the patient sensitively, ensuring their comfort and dignity
CO2B Oral Examination:
This examination assesses in depth issues related to radiotherapy planning, diagnostic imaging and clinical decision-making, and case management. Communication skills and ethical problems are also addressed.
This element of the FRCR Part 2B exam is designed to mirror day-to-day clinical discussions and MDT meetings which feature heavily in the workload of an oncologist. This section is designed to test the depth of a candidate’s knowledge and higher cognitive skills. There are several slides per question and a candidate’s answer may lead to further questions on subsequent slides, with each question building on from the previous ones.
The Royal College of Radiologists states that a fair, valid and reliable assessment is made possible due to:
Uniformity in the questions asked to candidates
The pairing of examiners (junior and more experienced)
Four independent judgments of the candidate performance
Prior choosing of the competencies to be assessed
The exam having been blueprinted against the curriculum and necessary skills for competent oncologists
An objective marking scheme
For more information on the components and assessment of these examinations, read the Purpose of Assessment which can be found on the College’s website in the exam section.
As an international oncologist, where can I sit the exams?
The exams are held twice a year, normally in February and in either August or September. Applications are normally open for just under two weeks, several months before the exam. Please refer to the examinations page for up-to-date information on application dates.
The current UK venues for the exams are Belfast, Birmingham, Crewe, Edinburgh, Glasgow, Leeds, London, and Bridgend Wales. Overseas centres for now are India and Malta.
How much will the exams cost?
The cost breakdown for each of the final exams is as follows:
FRCR(Oncology) Part 2A:
Members - £464
Non-members - £591
FRCR (Oncology) Part 2B:
Members - £663
Non-members - £844
How do I apply for these exams?
UK trainees are given priority for examination places, followed by those who have had exams deferred over the last year due to cancellations. The remaining places are offered to all other candidates through a ballot system following the close of priority applications.
All candidates should apply for the exams through the Royal College website here. More detailed information can also be found here in relation to preparation for the application.
What is the best way to prepare for the exams?
There are many resources available online to aid in preparation for the FRCR Part 2A and 2B exams. We always recommend that the best place to start your preparation is the Royal College’s website, particularly with the Specialty Training Curriculum for Clinical Oncology and the Clinical Oncology syllabus.
Using this as a blueprint for your preparation is the best way to ensure your study is focused on the most relevant and useful information as prescribed directly from teaching materials. These can be accessed here.
Other useful resources to aid your studies include:
Learning hub: available to members through the Royal College website and contains many useful learning resources. The learning hub can be found here.
Clinical Oncology Curriculum Implementation Tools: a range of tools compiled by the RCR to support the implementation of the new curricular which all candidates should have transferred to by summer of 2022 at the latest. Access this here.
Sample Questions: sample oral questions for FRCR Part 2B. These are provided with answers and can be found here.
Examiners' Reports: a guide for candidates for future sittings, based on the experiences of examiners with previous applicants, found here.
Trainees' experiences: a two-part audio series compiled from the experiences of candidates in preparation for and sitting the final exams which is available here.
Demonstration films: clinical and oral demonstration videos for FRCR Part 2B which can be accessed here.
Royal College YouTube: several helpful videos which can be used for training and informational purposes on their YouTube channel.
IMG Oncologists
Join the IMG Oncologists Facebook group for access to a community of like-minded FRCR (Oncology) aspirants and dedicated oncology recruiters.
In this group you will find tailored resources for oncology IMGs, including access to our FRCR (Oncology) crash courses, completely free to all doctors.
You can access our IMG Oncologists community here.
I’ve passed the FRCR Oncology exams! What’s next?
Firstly, congratulations - passing these exams is a massive achievement! With all parts of the FRCR Oncology complete, you can now apply for full GMC registration with a license to practice. With this application approved, you can work as a doctor in the NHS. Nice one.
We hope this is helpful for any overseas doctors preparing to sit their Final FRCR exam and the team here at IMG Connect wish you the best of luck!
Don’t forget to share your progress and successes with us using the hashtag #imgstories on social media, we love to hear from you.
In this article we will explore the MRCP Part 1 exam in more detail, including advice on eligibility, dates, centres, preparation and fees.
Designed to help you prepare and sit the exams, we consider the following MRCP topics:
What is MRCP Part 1?
Am I eligible to sit MRCP Part 1?
What is the examination content & format?
Where can I take the exam?
When is the exam sat and when can I apply?
How much does the exam cost?
How do I apply?
How can I prepare for the exam?
Passed? What next?
What is MRCP (UK) Part 1 exam?
Part 1 is the entry-level examination accessible to doctors with a minimum of 12 months' postgraduate experience in medical employment. It covers a broad range of topics appropriate to physicians at the beginning of postgraduate training.
Part 1 is the first component of a sequence of assessments intended to match the progression of trainees undertaking the Core Medical Training programme in the UK, adding unique information and building on previous assessments
Am I eligible to sit MRCP (UK) Part 1 exam?
Trainees from any country in the world can sit the MRCP Part 1 Examination providing that they meet the eligibility requirements.
As an overseas candidate you are eligible to sit MRCP Part 1 if you have a GMC recognised Primary Medical Qualification and a minimum 12 months postgraduate experience in medical employment.
What is the examination content & format?
At IMG Connect we advise that understanding the examination format is a great foundation for exam preparation. We have summarised the Royal College’s guidance on the Part 1 Examination format below:
The exam consists of two papers, sat over the course of one day in an examination hall.
Each paper is 3 hours in duration and contains 100 multiple choice questions in ‘best of five’ format.
From the five options provided, one answer is correct. The other four are plausible however you will only score a point from the correct answer. There are no negative marks and questions do not include imagery.
MRCP (UK) Part 1 is designed to assess your knowledge and understanding of the clinical sciences relevant to medical practice and of common or important disorders to a level appropriate for entry to specialist training.
Candidates will be tested on a wide range of common and important disorders in General Medicine as set out in the JRCPTB Specialty Training Curriculum for Core Medical Training and the composition of the papers is as below:
Specialty
Number of questions *
Cardiology
15
Clinical haematology and oncology
15
Clinical Pharmacology, Therapeutics and Toxicology
16
Clinical sciences **
25
Dermatology
8
Endocrinology
15
Geriatric medicine
4
Gastroenterology
15
Infectious diseases and GUM
15
Neurology
15
Nephrology
15
Ophthalmology
4
Psychiatry
8
Respiratory Medicine
15
Rheumatology
15
Total
200
*This should be taken as an indication of the likely numbers of questions – the actual number may vary
** The clinical sciences components comprises the following:
Specialty
Number of questions *
Cell, molecular and membrane biology
2
Clinical anatomy
3
Clinical biochemistry and metabolism
4
Clinical physiology
4
Genetics
3
Immunology
4
Statistics, epidemiology and evidence-based medicine
5
A detailed explanation of the marking system adopted for the MRCP(UK) Part 1 Examination can be viewed in the MRCP(UK) Regulations.
Where can I take the MRCP Part 1 exam?
MRCP (UK) Part 1 can be taken in the UK and overseas as below:
Exam
UK Test Centres
Overseas Test Centres
MRCP Part 1
Edinburgh
Glasgow
London
Bahrain (Manama)
Bangladesh (Dhaka)
Egypt (Cairo)
Ghana (Accra)
Hong Kong
Iceland (Reykjavic)
India (Chennai, Kerala, Kolkata, Mumbai, New Delhi)
Iraq (Baghdad)
Jordan (Amman)
Kenya (Nairobi)
Kuwait (Kuwait City)
Malaysia (Kuala Lumpur)
Malta
Myanmar
Nepal (Kathmandu)
Oman (Muscat)
Pakistan (Karachi, Lahore)
Qatar (Doha)
Saudi Arabia (Jeddah, Riyadh)
Singapore
Sri Lanka
Sudan (Khartoum)
United Arab Emirates (Abu Dhabi)
United States of America (New Jersey)
West Indies (Jamaica, Trinidad)
Zimbabwe (Harare)
When is the exam sat and when can I apply?
It is important to note that you must apply for each MRCP exam during the specified application period. Applications made outside of the designated period will not be accepted.
Exam dates and their application periods can be found here.
How much does the exam cost?
UK applications cost £419
International applications cost £594*
Please note, the application process and fees applicable for Hong Kong and Singapore centres differ. Applications should be made directly to the administration team for this centre.
How do I apply?
Applications for all exams are made online via My MRCP(UK) account. You will simply need to create an account and submit evidence of your primary medical qualification, then make a payment online to confirm your application.
The application video from the Royal College can be found below:
Part 1 application video
The Royal College of Physicians recommends making the first attempt at Part 1 within 1-2 years of your graduation.
How can I prepare for the MRCP Part 1 exam?
With lots of resources available online, we have discussed with IMGs the best place to start looking for materials relating to the exams. Most IMGs recommended starting with the Royal College, who have created useful resources to help you to prepare for the exams. See below:
Curriculum:
Applicants are tested on a range of common and important disorders in General Medicine as set out in the Joint Royal Colleges Specialty Training Curriculum for Core Medical Training.
We recommend getting to know the curriculum as early as possible, using it as a road map for your study plan.
MRCP (UK) mock exams:
We suggest registering for the MRCP mock exams here. These will provide you with the most accurate and relevant mock questions to prepare you for the real thing.
Sample questions: Test your knowledge using example questions from the current exam syllabus provided by the Royal College, see below:
Part 1 sample questions
For a useful overview of how to prepare for exams, including advice on study groups, online community support, best use of online resources & Royal College materials and courses - take a look at our blog: IMG Connects Top Tips for exam preparation
Passed? What next?
If you are completing the papers in order, the next step will be to apply for Paper B. For more information take a look at our blog we will explore MRCP (UK) Paper B and everything that you need to know about how to sit the exam, including syllabus, dates, results, fees and preparation.
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