As an overseas doctor, preparing for any English Language Test, whether you have chosen IELTS or OET, requires learning a huge amount.
IMGs have told us that one of the most effective ways to improve their general level of English, and help them on their journey to improving their test scores, is to study at home. So, we have put together a handy list of IMG tips for studying for the English Language Tests at home, enjoy!
1. Start devouring podcasts
If you don’t already listen to podcasts, you should! They are great! You can access these at home, or on your commute to work. On your laptop, or even better, on your phone. If you have an apple, simply open the podcast app already installed.
If you have Android, then try Stitcher, RadioPublic, Podbean or Pocket Casts.
Here are a few of the IMG Connect Team favourites:
There is no such thing as fish
In our time, science
The Infinite Monkey Cage
Today in Focus
Happy Place
Woman’s Hour
Ted Talks Health
Dan Snow’s History Hit
Thinking Allowed
BBC Inside Science
The Guardian’s Science Hour
Ted Talks Science and Medicine
Discovery
2. Speak to native English speakers
There really can be no substitute for regularly speaking to native English speakers. In most cities across the world there will be a community of English speakers, seek them out online or go say hello!
The IMG team are always happy to have a chat with you, so if you can’t find anyone, then give us a ring!
3. Speak to everyone!
We know that sometimes in this modern world, people would rather turn to their computers, but to learn English is to share English! Whether a colleague at work, a fellow student, a friend or family member, speaking English about a range of topics, medical and general, will help you to practice what you learn. Be sure to apply your recent learning of vocabulary and grammar.
It is widely known that students who speak and listen to people every day, learn quicker.
4. Get down with the kids… and watch YouTube!
There are millions of videos on YouTube, with thousands of great channels and shows to subscribe to. And of course, they are mostly all free! But don’t get stuck watching cute cats and dogs, stick to the task at hand – learning English!
IELTS and OET have their own official channels, full of useful resources.
Instead of randomly watching topics, think about your exams and search YouTube for suitable resources.
At IMG Connect we have found a few great suggestions to search for:
OET
Medical lectures
Nobel Lectures
Oxford University lectures – medical
Cambridge University medical lectures
IELTS
Parliamentary debates, UK
BBC, Sky, Channel four News
National geographic
Ted Talks
But don’t take our word for it, search for your own topics of interest.
5. Binge on your favourite movies (in English)
What could be better than sitting back after a day at work and watching a movie? Well, watching a movie and learning English at the same time! The rule here is to not just sit back and relax, you have to do some work too, put the subtitles on, and follow the dialogue. If you don’t understand, then pause, rewind and watch again.
Try to choose the right type of films, with lots of dialogue, so apologies to all those blockbuster fans, you may have to watch something else. Documentaries are excellent, with topics for everyone!
Listen to the way that words are said, how the actors or narrators stress the sounds. And copy it!
Even better, take a note of all new vocabulary, and when the film is finished, find out what they mean.
6. An article a day gets the doctor to the UK!
This doesn’t have to be test related, you can choose something that you really are interested in. It can’t all be boring!
Blogs, news outlets, organisations – you choose.
Reading an article a day, short or long, can dramatically improve your confidence.
7. Tweet, tweet, twooo!
Twitter isn’t just about a tweet, but there are plenty fantastic articles and up-to-date topics that are shared daily.
Find someone you are interested in and follow their articles.
Many news groups share excellent articles daily.
But remember don’t just read the headline!
8. Write as much as you can, to anyone you can.
Practicing writing English in different contexts will help you to cement your learning and get you into the habit of writing to a high level of structure and grammar.
You could write a blog online for your colleagues, this is free on WordPress. It is your blog, so you choose the topic!
Of course, you should practice writing the essays for the tests, but if you know anyone that reads English why not also write to them…in English of course!
9. Consider working with an accredited tutor
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 work very professionally 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.
IMG Jobs
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To work as a doctor in the NHS (UK) you will need to register with the General Medical Council (GMC).
The GMC is the public body that maintains the official register of medical practitioners within the United Kingdom and attaining full registration is a multistep process involving a number of different documents. The purpose of this article is to help guide overseas doctors through the various stages of GMC Registration by considering the following topics:
Why do I need GMC Registration?
How much will it cost me?
What are the requirements for GMC Registration?
What is the process?
Recognised GMC qualifications
English language capabilities
Registration and licensing history
Certificates of good standing
Knowledge and skill tests
ID Check
TOP TIP: Before you start the process, we always recommend that It is worth having a read of the GMC website page on required documents. These can change, as the GMC adapts to changes in healthcare, and current issues like the coronavirus. Of course, if you have any questions have a chat with your IMG Consultant and we can help you to clear up any uncertainties.
Why do I need GMC Registration?
The GMC's main responsibility is to protect, promote and maintain the health and safety of the public and one way in which it does this is by carefully controlling entry to the register. Any doctor that wants to work in the UK must be fully registered with a license to practice with the GMC, whether working as a locum or permanent member of staff.
How much will it cost me?
Generally, GMC Registration will cost £420 but this may change depending on your circumstance. Once you are registered, you must pay an annual retention fee of £390 (which can be paid quarterly, monthly or in one lump sum). A full list of GMC Fees can be found here.
What are the requirements for GMC Registration?
These will depend on a number of factors which can be broken down into the following:
Your nationality
Where you gained your primary medical qualification
Whether or not you have completed a postgraduate training or internship
What is the process?
The registration process can be broken down into these six steps:
Check your primary medical qualification is GMC recognised
Evidence of English language capabilities
Registration and licensing history
Certificates of good standing
Knowledge and skills tests
ID checks
Recognised GMC qualifications:
If your primary medical qualification (PMQ) is from outside the UK or EEA, you need to make sure it is eligible for GMC registration. Check here to see if your PMQ is recognised or have a read through our blog on accetable overseas qualifications.
You will be required to have your PMQ independently verified before your license to practice is granted.
This is carried out by the Educational Commission for Foreign Medical Graduates (ECFMG) through their online EPIC system. For more information on verifying your PMQ and the EPIC system take a look at our blog here.
English language capabilities:
If English is not your native language, then you will need to pass an English Language Test (ELT), you can take either one of the following:
International English Language Testing System (IELTS)
Occupational English Test (OET)
Registration and licensing history:
You must provide all details for any registrations or medical licenses held in the last five years.
Certificates of good standing:
From each of your listed medical establishments, you’ll need to provide a Certificate of Good Standing (CGS). It is worth applying for these early on as they can take some time!
Knowledge and skill tests:
If you attained your Primary Medical Degree from a country outside the EEA region you'll need to demonstrate you have the necessary knowledge and skills to practice in the UK. This can be through a number of routes:
Passing the PLAB test
Providing evidence of an acceptable postgraduate qualification
Being eligible for entry onto the Specialist Register or GP Register
Gaining sponsorship by an approved sponsor
Take a look at our IMG Library, in particular our sections on Postgraduate Qualifications, PLAB and CESR for further reading. Of course, we'd be delighted to talk you through your options so either give us a call or request a call back and we'll get in touch very shortly.
To reaffirm, if you have attained your medical degree from a recognised institution from a country inside the EEA region you will not need to demonstrate evidence of appropriate knowledge or skills.
ID Check:
Once all requested information is submitted, you will need to book an ID check with the GMC. This will require you to attend in person, at the London office. At this point your IMG Consultant will always make an effort to meet you in person & buy you a coffee. We always believe it is better to put a face to a name!
However, please note at this time of uncertainty and disruption caused by the coronavirus ID checks are not necessary. You can currently be granted a full license to practice without having shown your ID to the GMC first, however this is only a temporary measure.
Get in Touch
Don’t hesitate to get in touch using the buttons above (and below) to discuss doctor job options in the NHS, including discussions regarding a typical doctor salary in the UK and the most suitable hospital locations for you.
There are several routes overseas radiologists can take to GMC registration & securing an NHS radiology job.
Whether you are from inside or outside of Europe, all international radiologists will need to satisfy certain criteria to fully register with the General Medical Council before beginning their journey in the NHS. 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 & Radiologists
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 radiologist inside the EEA or Switzerland, then the good news is that you don’t need to demonstrate your medical knowledge and skills to work as a doctor in the UK – you have already done this, and thanks to the EU your qualification is deemed equivalent. In addition, you will not need to apply for a visa from the UK Home Office.
So, the main hurdle that you will face is demonstrating that your English skills are of a high enough standard to practice safely as a doctor in the UK & NHS.
English Language Testing
Any international doctor, regardless of specialty, experience or country of origin, must demonstrate they have sufficient competence of the English language. You can do this by passing either of the following:
IELTS – International English Language Testing System
OET – Occupational English Test
Take a look at our helpful articles below for detailed information on both tests:
IELTS – a guide for overseas doctors
OET – a guide for overseas doctors
GMC Registration
Having passed your English Language Test, you can now apply for full registration with a license to practice with the GMC. For full GMC registration you must provide evidence of:
Evidence of English language capabilities (IELTS or OET)
AND
Evidence of sufficient skill and knowledge (your equivalent qualifications)
Understand the registration process in full & by reading our article: IMG Resources: GMC Registration for overseas doctors
Job search
We recommend starting the job search as early as possible. Demand for European radiologists 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 radiology jobs than are readily available online. Our network extends to Radiology 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 radiology, 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. You can browse our articles here: IMG Resources: Relocation & UK Life
Outside of the EEA
If you qualified as a radiologist 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 radiology doctors, looking at the following:
English Language Testing
Evidence of Knowledge & Skills - PLAB, FRCR or equivalent
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 Radiology
Overseas radiologists must prove to the GMC they have sufficient knowledge & skills to practice safely in the UK. For radiologists this can be done through three main routes:
PLAB
Royal College qualification of FRCR
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 radiology 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, radiologists 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
Route 2 - Royal College Qualification of FRCR:
Attaining a Royal College qualification is a preferred path for doctors who have already chosen their field of specialism i.e. radiology. For senior radiologists taking this route, they will gain access to more senior, well-paid jobs in the specialism of their choice.
The Royal College of Radiologists is the Professional Body that regulates the specialism of Radiology in the UK, and Membership of the Royal College of Radiologists (FRCR) is the full qualification attainable by examination.
For overseas doctors, attaining FRCR will satisfy the knowledge & skill criteria for GMC registration and facilitate application for more senior roles in UK Radiology.
Take a look at our complete guide on Membership of the Royal College of Radiologists to understand more: IMG Resources: FRCR – a guide for overseas radiology doctors
Route 3 - GMC Recognised or Equivalent Qualifications:
Some overseas qualifications are recognised by the GMC and accepted for registration purposes. This means to say these qualifications are considered as meeting the same standards as the Royal College qualifications. There are Radiology qualifications from several countries around the world that are currently accepted by the GMC.
Find out if your qualification is accepted by the GMC below: IMG Resources: 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: IMG Resources: Tier 2 Visa application process & documents needed
Wondering whether you can relocate with your family? Take a look at our blog on the Tier 2 dependent visa below:
IMG Resources: Tier 2 Dependent visa - can i bring my family with me to the UK?
GMC Registration
With everything in place, you can apply for full registration with a license to practice with the GMC. Remember, for full GMC registration you must provide evidence of:
Evidence of English language capabilities
AND
Evidence of sufficient skill and knowledge (PLAB, FRCR or equivalent)
Understand the registration process in full & by reading our article below:
IMG Resources: GMC Registration for overseas doctors
Job search
We recommend starting the job search as early as possible. Demand for Non-EEA Radiologists 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 Radiology 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 Radiology, will negotiate on your behalf, ensuring you get the most competitive salary. Giving you the peace of mind of agreeing your new contract, perhaps even before your GMC registration is complete.
Take a look at our most recent jobs: Job Search
Relocation
Obviously, any doctor’s journey isn’t all exams, registrations and language tests… there’s also the small matter of relocation and settling into life in the UK.
Once you have secured your role in the UK, we will focus on supporting you and your family with all of your relocation plans. This can include, but is not exclusive to, securing accommodation, travel planning, setting up bank accounts & national insurance numbers – every step of the way we are here to help.
Have a read through our IMG Library and take in all the beautifully organised information on relocation and UK life to immeasurably help your first days, weeks and months in the UK. Take a look here: IMG Resources: Relocation & UK Life
IMG Jobs
Search and find live radiology jobs in the UK
IMG Resources
Read more useful articles on finding an NHS trust doctor job, pay scales & doctor’s salary in the UK, relocation and much more!
Get in Touch
Don’t hesitate to get in touch using the buttons above (and below) to discuss doctor job options in the NHS, including discussions regarding a typical doctor salary in the UK and the most suitable hospital locations for you.
Overseas paediatricians taking the postgraduate route to GMC Registration must attain full MRCPCH.
Membership of the Royal College of Paediatrics and Child Health (MRCPCH) can be sat by international doctors from any country in the world provided certain eligibility criteria are met. These are summarised below along with a broad look at the following topics:
What is MRCPCH?
Am I eligible?
Sponsors for the Clinical Exam
MRCPCH Theory - structure and content
MRCPCH Clinical – structure and content
Where and when can I take the exams? How much will it cost me?
How do I apply?
How to prepare and what resources are available
Passed? What next?
The Royal College of Paediatrics and Child Health is the professional body responsible for the specialty of Paediatrics throughout the UK. Amongst many other duties, its role is to set and monitor the educational curriculum for those training to enter the profession.
What is MRCPCH?
Paediatricians become full members of the Royal College of Paediatrics and Child Health and achieve the designation MRCPCH once they have passed four separate postgraduate medical exams.
The MRCPCH examinations consist of 3 theory exams and 1 clinical exam:
Foundation of Practice (FOP) - theory examination (basic child health)
Theory and Science (TAS) - theory examination (basic scientific, physiological and pharmacological principles upon which clinical practice is based)
Applied Knowledge in Practice (AKP) - theory examination (knowledge synthesis/evaluation, clinical decision-making and management)
MRCPCH Clinical examination - multi station OSCE
* Theory exams can be taken in any order of preference.
For overseas doctors relocating to the UK, the MRCPCH is one of two options to support full GMC registration (postgraduate qualification or PLAB route). For doctors who wish to take on more senior roles reflective of their current practice, IMG Connect advise that the MRCPCH would be the best route to securing their dream job in the NHS.
Am I eligible for the MRCPCH exams?
Theory Exams:
To be eligible you must hold a Primary Medical Qualification (PMQ) that is recognised by the GMC for registration purposes.
MRCPCH Clinical:
You must pass the 3 theory exams in order to be eligible for the final MRCPCH clinical examination.
All MRCPCH clinical candidates must be proposed by 2 sponsors, who will certify that you have a good period of training in paediatrics and can be considered as ready to take the exam. You can take the exams at any stage in your career, however current advice is that in order to optimise your chances of success in the MRCPCH Clinical examination you should have:
completed a period of training lasting two and a half years
spent no less than 12 months in posts involving the care of emergency paediatric patients
spent six months of your first year after graduation as a house paediatrician; if not, an additional six months in a post involving the care of emergency paediatric patients.
Sponsors for the clinical exam:
As we mentioned above, candidates for the clinical examinations must have two sponsors who will declare you have covered the required amount of training in paediatrics which matches the exam syllabus and consider you ready to take the exam. You will be asked to provide each sponsors personal and work details, and they will be notified if you receive a poor mark.
The examination is conducted in English and candidates are advised that IELTS Level 7 is the expected standard for completion of the MRCPCH examinations. Remember, you will need to have a pass of 7.5 average in all areas of IELTS to complete your GMC registration.
What is the structure and content for MRCPCH examinations?
As above, the MRCPCH examinations consists of 4 parts:
3 theory exams
1 clinical exam
Theory exams:
Candidates will sit 3 theory examinations; each test is administered on a computer and the tests can be taken in any order.
There are usually 3 sittings for each exam per year.
Each exam is 2 hours and 30 minutes, unless you have been allocated additional time.
Foundation of Practice (FOP) theory exam:
This exam assesses a candidate’s knowledge, understanding and clinical decision-making. It aims to ensure that you have reached the same standard as someone entering core training (ST1 equivalent)
Questions are typically a combination of:
Single Best Answer Questions (SBAs) – 70 questions
Extended Matching Questions (EMQs) – 10 questions
Extended Matching Questions (EMQs) require you to choose the best option from a list of ten possible options, all are feasible, but only one is completely correct.
Theory and Science (TAS) theory exam:
This tests basic scientific, physiological and pharmacological principles of clinical and evidence-based practice.
It uses the same format for questioning as the FOP exam.
Applied Knowledge in Practice (AKP):
This tests your knowledge, understanding and clinical decision-making based on a standard of someone entering their core specialist training (ST1 equivalent).
The exam uses the format N of Many - giving two or three answers that are required from a longer list.
For example, there can be more than one answer from a scenario since there may be two equally important investigations that should be complete, or three abnormalities from a scan or x-ray.
When sitting the AKP using the format N of Many, remember that each question carries its own weighting – pay attention to how many marks each question is worth in the test and answer accordingly.
Clinical examination:
The MRCPCH clinical examination forms the final part of the exams. Remember, you must have passed all 3 theory tests in order to be eligible to sit this test.
This test will be taken in a hospital setting and you will follow a circuit of 12 scenarios. You should be familiar with this type of test (OSCE) from your medical training. Examiners will assess performance during each scenario, which will include actors (children, young people and adults).
The aim of the clinical examination is to assess whether candidates have reached the standard in clinical skills expected of a newly appointed ST4 in the UK.
Candidates are expected to demonstrate proficiency in:
communication
history taking and management planning
establishing rapport with both parents and children
physical examination
child development
clinical judgement
organisation of thoughts and actions
recognition of acute illness
knowledge of paediatrics and child health
professional behaviour
ethical practice
The Clinical Exam is guided by important educational principles while holding to the considerable standards of a clinical examination, including the examination of real children.
The Clinical Exam includes 10 objective assessments of each candidate. In most circumstances’ assessment is conducted by a different examiner at each clinical station, so performance at one station does not influence the next station. The test will include six ‘short case’ assessments, emphasising clinical examination. Stations are as follows:
Station 1: Child development – clinical assessment
Station 2 & 5: Communication skills
Station 3: History taking and management planning
Station 4: Clinical video scenarios
Station 6 – 10: Clinical examinations
The order in which candidates will take the circuit will vary. There are 4-minute breaks between stations, the entire circuit takes 152 minutes in total.
Where and when can I sit the exams? And how much do they cost?
Each country fee is different, please see below current exam fees (as of April 2019).
Theory exams:
Country
Theory Exams
Exam fee 2019
India, Malaysia, KSA, UAE, Oman, Myanmar, Sudan, Singapore, Jordan, Kuwait, Malta, Qatar, Sri Lanka, Trinidad
FOP - single paper
£390
TAS - single paper
£390
FOP and TAS - both papers
£653
AKP
£750
Egypt and Nepal
FOP - single paper
£363
TAS - single paper
£363
FOP and TAS - both papers
£589
AKP
£683
Hong Kong (HK)
FOP - single paper
TBC
TAS - single paper
TBC
FOP and TAS - both papers
TBC
AKP
TBC
*Not all countries will offer the exam at each sitting. If you would like to request an exam in another country, you can contact the MRCPCH
Clinical examinations:
Country
Fee
UK
£765
Egypt
£1,145
India
£1,428
KSA
£1,479
Malaysia
£1,255
Myanmar
£1,082
Oman
£1,479
Singapore (Conjoint MMED - MRCPCH Clinical fee)
£1,428
Sudan
£1,220
UAE
£1,479
Hong Kong
TBC
How do I apply for the exams?
To apply for the MRCPCH, you first need to register online for exams. You need an RCPCH online account (with an RCPCH number). Then you can complete a short registration form – you will require evidence of your primary medical qualification.
How do I register for exams?
You can register for exams at any time throughout the year. After your registration is accepted, you can apply for an exam but only during relevant open application periods. It takes at least 10 working days to process registration.During exam application periods the Royal College are not able to process registrations.
Register three to four weeks before exam application period opens to help ensure you do not miss your preferred exam diet. The best dates to register for exams are usually January, May and September.
How do I book an exam?
Log in to your RCPCH account
Go to My Account
From your dashboard, go to the Exams panel, and from your exam dashboard, follow links to apply
What do I need to bring to the exam?
You will need to bring one of the following forms of ID:
passport with photograph and signature - this must be current or no more than six months expired
valid driving license with photograph and signature
national identity card with photograph and signature.
Please note, only original documents will be accepted as proof of identification.
How can I prepare for the 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 to prepare for the exams. See below:
Theory Examination:
Theory Examination Syllabi: This document outlines the syllabus for MRCPCH theory examinations - MRCPCH Theory Examination Syllabi.
Theory exams structure and syllabus: Further information on FOP, TAS and AKP can be found in the theory exams structure and syllabus. This is to be read in combination with the Royal College’s Curriculum for Paediatrics. Within the Curriculum for Paediatrics you can read about the 11 domains and are able to download assessment strategy and generic syllabi for each training level.
Sample Papers: We recommend becoming familiar with the exam format and software, and you can practice with some sample papers here.
Clinical Examination:
Clinical Examination candidate guide: This is a comprehensive guide from the Royal College specifically covering the Clinical Examination. This includes station breakdowns, clinical video scenarios, general instructions and downloads among many other resources.
Anchor Statements: The Anchor Statements outline the expected standard for each station against which candidates are marked. We recommend you familiarise yourself with the criteria points for expected standards before sitting the exam.
Clinical Exam Technique: This guide covers the clinical examination in considerable depth, including:
examination technique
specifics on clinical areas
detail on short-cases
User guide for video station: A guide for Station 4: Clinical video scenarios can be downloaded here.
Clinical Exam: hints and tipsHints and tips specific to the clinical exam can be found on the MRCPCH clinical examination candidate guide (scroll down to find them).
As ever at IMG Connect, we believe in preparation. In order to succeed in the clinical exam, IMGs have told us that it is vital that you practise your clinical examinations as frequently as possible, preferably under the supervision of a senior colleague. This will give you confidence in approaching and examining children with examiners present.
Passed? What next?
First of all, congratulations! After you have passed all four parts of your MRCPCH examinations, you can apply for a full registration with a license to practice. Once the GMC have approved your application, you can work as a doctor in the UK.
IMG Jobs
Search and find live NHS paediatrics jobs
IMG Resources
In our IMG Resources library you can read more useful articles on finding an NHS trust doctor job, pay scales & doctor’s salary in the UK, relocation and much more!
Get in Touch
Get in touch using the buttons above (and below) to discuss paediatrics job opportunities in the NHS, including discussions regarding a typical doctor salary in the UK and the most suitable hospital locations for you.
We have put together the most common FAQs asked by IMGs.
IELTS can be challenging and, without proper preparation, it is not uncommon for doctors to fail at their first attempt, so we will answer the following important questions:
What is the IELTS?
Do I need to sit an English Language Test?
Does the GMC accept IELTS?
Can I use my IELTS to support my Visa application?
Which version should I take? Academic, Academic UKVI or General?
Can I take the IELTS test a few times and combine my score?
What is the test format?
Where can I sit the exam?
When can I take IELTS?
Should I sit the paper or electronic version?
Can I cancel my application?
Is the IELTS test completed in one day?
When will I receive my results?
If I don’t pass, can I re-sit?
Do I need to take a study course?
Should I study?
Where can I find study materials?
What is the IELTS?
IELTS is the International English Language Testing System which tests English language skills worldwide.
The exam tests your ability in reading, writing, speaking and listening.
Do I need to sit an English Language Test?
Yes, IELTS is chosen by different regulatory bodies to ensure that doctors and other healthcare professionals have the correct level of English to communicate at a high level with patients and colleagues, so as to provide safe and effective care.
Does the GMC accept IELTS?
Yes, as part of the GMC registration, the GMC require all doctors to demonstrate their level of English making them eligible to receive a license to practice in the UK, subsequently practicing medicine safely.
IELTS is one of two options accepted by the GMC, the other being the OET.
What score do I need?
For the GMC to accept your IELTS certificate you must achieve an overall score of 7.5 across all four areas, with no less than a 7.0 in each testing area.
Can I use my IELTS to support my Visa application?
Yes, the pass score for a Tier 2 General Visa is 4.0 overall, and in each of the four skills. This does not change the requirements for GMC Registration, see above.
IELTS Academic UKVI is acceptable for both GMC and Tier 2 Visa applications, and for this reason can be an attractive route towards registration.
Not only will this save on fees, but also will ensure that only one test is taken.
Which version should I take? Academic, Academic UKVI or General?
You should take the Academic UKVI version;
IELTS Academic will only satisfy the GMC, but IELTS UKVI will satisfy both GMC registration and your visa application.
Can I take the IELTS test a few times and combine my score?
No, you must achieve your results in one sitting, and this must be your most recent sitting of the test.
What is the test format?
IELTS has four parts:
Listening (30 minutes)
Reading (60 minutes)
Writing (60 minutes)
Speaking (11–14 minutes)
The total test time is 2 hours and 45 minutes.
Where can I sit the exam?
IELTS is currently offered in over 120 countries, with more than 500 centres available.
When can I take IELTS?
IELTS is available on 48 fixed dates a year – up to four times a month, depending on your locality.
Should I sit the paper or electronic version?
It is up to you, but your choice will change the venues that are open to you, check the IELTS website for more information on booking a test.
The paper-based test requires you to sit at a desk with the question papers and answer sheets for the reading, listening and writing tests.
The computer-based test requires you to sit the reading, listening and writing tests in front of a computer with the questions presented on the screen.
Can I cancel my application?
If you cancel your application more than 5 weeks before the test date, you will receive a refund minus an administration charge. If you cancel within 5 weeks of the test date, you will be charged the full fee unless you have a medical reason.
Is the IELTS test completed in one day?
This depends on your test centre. The listening, reading and writing components of the test are always completed one after the other, with no break. The speaking test may be taken up to 7 days either before or after the test date. Check with your test centre for more details.
When will I receive my results?
The test report will be posted to you 13 days after your test date. Some test centres also provide SMS alerts and an Online Results Service, check with your centre for more information.
Keep your Test Report Form in a secure place as you only receive one copy and you will need it later!
If I don’t pass, can I re-sit?
You can sit the test as many times as necessary.
However, this will cost you more money, so at IMG Connect we advise that you prepare as best you can for every test. If you don’t pass the test, then do additional study before taking the test again.
Do I need to take a study course?
No, you don’t need to take a course. However, it is highly advisable to attend a course, and/or language classes.
Most IMGs advise that they improved by attending specific IELTS courses, and this also helps you to get used to the test format and timings.
Should I study?
Yes, we strongly recommend that you start preparing for the exams as far in advance as you possibly can.
Establish your level of English, and work out what areas of weakness you will need to focus on. Set goals for yourself, and plan a revision timetable.
Where can I find study materials?
To prepare for the tests, there are lots of online resources and practice materials available. A good start is the IELTS and British Council websites.
You can also find practice papers online.
We also recommend joining an IMG Community to share ideas and questions with doctors also taking the tests.
Don’t forget! You must select the Academic UKVI version of the test, this is the only version accepted to support your GMC and Visa applications.
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As an overseas doctor, arranging both a Tier 2 visa and dependent visa can be challenging.
If you are intending to relocate with dependents you may be concerned as to whether you can bring your family with you, and at what stage this is possible? In this blog we outline the UK legislation rules in relation to your entry on a Tier 2 Visa, considering the following:
Tier 2 Dependant Visa
Who qualifies as a Tier 2 Dependent?
Evidence of Personal Savings
Required Documents for a Tier 2 Dependent visa
Can dependants work on a Tier 2 Dependent Visa?
Can you extend the Tier 2 Dependent Visa?
What are you permitted to do with a Tier 2 Dependent Visa?
What are you not permitted to do with a Tier 2 Dependent Visa?
How much will this cost me?
Once the visa application is successful, what happens next?
Tier 2 Dependant Visa:
Firstly, it is important to revisit the Tier 2 Visa briefly, as this is the most likely route to the UK for IMGs. The Tier 2 General visa is a UK work visa issued to highly skilled workers from outside the European Economic Area and Switzerland.
As a holder of Tier 2 General Visa, you will be permitted to bring dependents to the UK on a Tier 2 Dependent Visa. It can be used when applying for or already holding a Tier 2 visa.
Who qualifies as a Tier 2 Dependent?
Doctors residing in the UK under the Tier 2 Visa, or applying for a Tier 2 visa, are allowed to bring their dependents to the UK. There is a narrow list of who qualifies as a Tier 2 dependent, and is as follows:
Spouse
Unmarried or same-sex partner
Children aged under 18 at the time of application
Child over 18, if they’re currently in the UK as a dependent
Please note there can be a range of scenarios that affect eligibility for dependents, we recommend checking here before starting your application.
Evidence of Personal Savings:
As a requirement, you need to show proof that you have an extra £630 available for each dependent that you plan to bring to the UK (in addition to the £945 you are required to support yourself financially). If you present a bank statement to this effect, the money must have been in your bank account or your dependent’s bank account, for longer than 90 days before the application date.
You will not need to show proof of your savings if you have:
a fully approved (A-rated) sponsor
you possess a certificate of sponsorship that states your sponsor will provide each of your dependents with at least £630 per month should they need it
Documents must be submitted when applying in order to prove dependents falls under one of the above-mentioned criteria.
Required Documents for a Tier 2 Dependent visa:
A person applying to enter the UK as a dependent of a Tier 2 Visa holder, must submit the following documents during their Visa application interview:
Appointment sheet
Confirming dependents' T2 visa appointment.
Passport
Valid for 6 months beyond the relocation date and must have at least one blank page in order to be able to affix visa.
Application form
Some locations only allow online applications - check with the UK embassy in your home country. If you can apply online, take the confirmation form with you to your appointment.
One UK visa photo in colour
Ensure these are 45mm high by 35mm wide, taken within the last month and printed to a professional standard.
Original birth certificate or marriage certificate
It must show dependent’s relationship to principal Tier 2 work visa holder.
Previous passports
These are needed to show previous travel history.
Translations of every document not in English
These must be official translations.
Tuberculosis screening
If you are from a listed country, you will need to provide a Tuberculosis Testing Clearance Certificate – read our blog for more information.
Document requirements vary depending on your country of residence, so you want to make sure before submitting your application. We advise you ask the embassy in your country of residence for a checklist before gathering the required documents.
Please note, your documents, including your passport, will remain at the embassy or consulate, during the time your application is being reviewed.
Can dependents work on a Tier 2 Dependent Visa?
Yes. If you come to the UK and you have the required age which permits you to work, then you are allowed to take a job according to your qualifications.
The only exception is that Tier 2 Dependents are not allowed to work as a doctor in training, they will need to complete their own Tier 2 Visa if planning to work as a doctor in the UK.
In addition, if you come to the UK as a Tier 2 Spouse Dependent then you are not allowed to switch your visa to a Tier 2 Visa once in UK, even if you find a job that requires highly skilled persons. You will have to return to your home country and apply from there in order to be able to obtain a Tier 2 Visa.
Can you extend the Tier 2 Dependent Visa?
Yes. Every person remaining in the UK as a dependent of a Tier 2 Visa holder, has the right to apply to extend their stay in the UK.
What are you permitted to do with a Tier 2 Dependent Visa?
These are the main activities you’re allowed to perform in the UK as a Tier 2 Dependent:
Stay in the UK for as long as the main Tier 2 migrant legally lives in the UK
Travel outside the UK
Work under certain restrictions
Study under certain conditions
Take a postgraduate course
Get married or enter into a civil partnership
Extend the visa
What are you not permitted to do in the UK with a Tier 2 Dependent Visa?
These are the activities you’re not allowed to perform in the UK as a Tier 2 Dependent:
Use the public funds and benefits
Work as a dentist/doctor in training, or as a sportsperson
Study in a restricted study field
How much will this cost me?
There are two costs to consider throughout this process:
your visa application fees with the home office
The exact fee for dependents will vary depending on whether or not your own Tier 2 visa falls under the national shortage list or not. This list can be found here.
immigration health surcharge
The surcharge is applicable every year of your visa at a cost of £400 (this can be checked using the government calculator here)
It is important to know, from the moment you pay the IHS surcharge you will be granted access to NHS healthcare services, free of charge.
Visa application costs below:
Up to 3 years – non-shortage occupation
Who’s applying
Fee (outside UK)
Fee for extending or switching (in the UK)
Yourself
£610
£704
All dependents
£610 per person
£704 per person
You as a citizen of Turkey or Macedonia
£555
£649
Up to 3 years – shortage occupation
Who’s applying
Fee (outside UK)
Fee for extending or switching (in the UK)
Yourself
£464
£464
All dependents
£464 per person
£464 per person
You as a citizen of Turkey or Macedonia
£409
£409
Once the dependent visa application is successful, what happens next?
First things first, congratulations! You are now just a few steps away from completing your journey to the UK and can now firm up your relocation plans, putting into action your relocation checklist. Request your relocation checklist here.
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The GMC recognise some overseas qualifications as equivalent to Royal College qualifications.
Listed below are the overseas postgraduate qualifications currently accepted by the GMC. This means to say these qualifications meet the same standards as UK postgraduate qualifications, though please note, this does not mean they are the same in every way and they do not guarantee entry to the UK Specialty training.
If your qualification is not listed as equivalent, then you will be required to complete a Royal College Postgraduate Qualification or PLAB. You can use the GMC application finder to find the application that’s right for you.
Country
Awarding Body
Qualification
America
American Board of Anaesthesiology
Certificate of the American Board of Anaesthesiology
The American Board of Radiology
The American Board of Radiology diagnostic radiology examination
Australia/New Zealand
Australian and New Zealand College of Anaesthetists
Fellowship of the Australian and New Zealand College of Anaesthetists
The Royal Australian and New Zealand College of Ophthalmologists
Fellowship of the Royal Australian and New Zealand College of Ophthalmologists (FRANZCO) awarded since January 2010
The Australasian College for Emergency Medicine
Fellowship of the Australasian College for Emergency Medicine (FACEM) awarded since 2001
The Royal Australasian College of Physicians
FRACP Adult medicine or evidence of three years of basic training (PREP) + achievement of RACP written and clinical examinations
The Royal Australian and New Zealand College of Psychiatrists
Fellowship of The Royal Australian and New Zealand College of Psychiatrists (FRANZCP) awarded since January 2012
The Royal Australian and New Zealand College of Radiologists
Fellowship of The Royal Australian and New Zealand College of Radiologists (FRANZCR) (Clinical Radiology)
Fellowship of The Royal Australian and New Zealand College of Radiologists (FRANZCR) (Radiation Oncology)
The Australian College of Rural and Remote Medicine
Fellowship of the Australian College of Rural and Remote Medicine (FACRRM) awarded since 1 January 2013
The Royal Australian College of General Practitioners
Fellowship of the Royal Australian College of General Practitioners (FRACGP) awarded since 1 January 2007
The Royal New Zealand College of General Practitioners
Fellowship of the Division of Rural Hospital Medicine (FDRHMNNZ) awarded since 1 January 2012
The Royal New Zealand College of General Practitioners
Fellowship of the Royal New Zealand College of General Practitioners (FRNZCGP) awarded since 1 January 2012
Bangladesh
Bangladesh College of Physicians and Surgeons
Fellowship in Anaesthesia or Anaesthesiology awarded between July 1999 and October 2019
Canada
The Royal College of Physicians and Surgeons of Canada
Accreditation in Psychiatry from the Royal College of Physicians and Surgeons of Canada
The Royal College of Physicians and Surgeons of Canada - Diagnostic Radiology examination
The College of Family Physicians of Canada (CFPC)
Certification in the College of Family Physicians of Canada (CCFP) awarded since 1 January 2009
Europe
European Society of Anaesthesiology and Intensive Care Medicine (previously the European Academy of Anaesthesiology or European Society of Anaesthesiology)
Diplomate of European Society of Anaesthesiology and Intensive Care (DESAIC) (previously the Diplomate of European Academy of Anaesthesiology DEAA) or Diplomate of European Society of Anaesthesiology (DESA))
European Society of Intensive Care Medicine (ESICM)
European Diploma of Intensive Care (EDIC) awarded since January 2015
Hong Kong
Hong Kong College of Physicians
Membership of the Hong Kong College of Physicians
Ireland
College of Anaesthesiologists of Ireland
Fellowship of the College of Anaesthesiologists of Ireland (previously Fellowship of the College of Anaesthetists of Ireland)
Royal College of Physicians in Ireland
Membership of the Royal College of Physicians of Ireland (MRCPI) in General Medicine, awarded after 1 January 2007
Membership of the Royal College of Physicians of Ireland (MRCPI) in Paediatrics (Medicine of Childhood), awarded after 1 January 2007
Membership of the Royal College of Physicians of Ireland (MRCPI) in Obstetrics and Gynaecology, awarded after 1 January 2007
Membership of the Faculty of Occupational Medicine (MFOM), awarded after 1 January 2007
Membership of the Faculty of Public Medicine (MFPHMI), awarded after 1 January 2007
Royal College of Surgeons in Ireland
MRCS (collegiate examination)
MRSCI (intercollegiate examination)
MRSCI (ENT) (intercollegiate examination)
Fellowship of the Royal College of Surgeons Ireland
Fellowship of the Faculty or the College of Anaesthetists of the Royal College of Surgeons in Ireland
Fellowship of the Faculty of Radiologists in Clinical Radiology of the Royal College of Surgeons in Ireland (FFR RCSI)
Malaysia
Ministry of Health
Master of Medicine (MMED) Malaysia with MRCP (UK) awarded since 1 July 2010
This must include four years of clinical experience (required to complete MMED) plus two years of training
Pakistan
College of Physicians and Surgeons Pakistan
Fellowship in Anaesthesiology awarded since 1998
Singapore
National University of Singapore
Master of Medicine (Internal Medicine) including MRCP (UK)
Joint Committee on Specialist Training Singapore
Master of Medicine (MMED) Singapore, plus MRCP (UK) awarded since 1 July 2010
College of Anaesthetists of South Africa
Fellowship of the College of Anaesthetists of South Africa FCA (SA)
South Africa
Colleges of Medicine of South Africa
Fellowship of the College of Radiologists of SA FC Rad Diag (SA) - Diag Rad awarded after 1 October 2013
College of Family Physicians of South Africa
Fellowship of the College of Family Physicians of South Africa (FCFP(SA)) awarded since 1 January 2007
Sri Lanka
University of Colombo, Sri Lanka
Doctor of Medicine or MD (Anaesthesiology)
Doctor of Medicine or MD, (Obstetrics and Gynaecology)
Doctor of Medicine or MD (medicine) awarded after January 2017
Doctor of Medicine or MD (surgery) awarded after July 2017
West Indies
University of the West Indies
Doctor of Medicine (Anaesthesia) awarded between September 2003 and May 2014
(Course title has since changed to Doctor of Medicine (Anaesthesia and Intensive care))
Here we explore the best way to answer NHS interview questions requiring detailed answers.
The main thing to remember is that it is important to answer any NHS interview question honestly, providing details from your own clinical perspective and experiences.
One useful approach to structuring your answers is called the STAR technique.
STAR stands for Situation, Task, Action, Result
The technique is designed to help you to formulate clear, concise and relevant answers to competency-based or behavioural questions (questions that require you to give specific examples demonstrating particular skills, attributes or behaviours). During your NHS job interview you will be asked to provide details or descriptions of a time when you have faced a problem or challenge, what steps you took to deal with it and what the outcome or results were.
In answering competency-based or behavioural NHS interview questions, you should consider how to provide information for the panel to evaluate your mindset and your skill set. NHS employers will analyse your behaviours, values and approach to situations defined against the skills and qualities that high-level doctors have exhibited in the role you are applying for.
In your answers to NHS interview questions, employers are looking for evidence of your clinical skills, problem-solving skills, analytical ability, perseverance, team work and collaboration, quantitative skills, or expertise.
STAR can be used to answer such questions; each letter stands for a part of your answer.
S – Situation
Describe the context of the job, task or challenge that you were facing. Be specific.
T – Task
Describe your duty or responsibility in this particular situation.
A – Action
Describe how you completed the task or met the challenge. Focus on what you did, not what anyone else did. Say “I”.
R - Result
Finally, explain the outcome or results that came about as a direct result of your actions. Emphasize what was achieved and what you learned.
We can’t predict what questions you will be asked during an NHS interview, but you’ll benefit from preparing several scenarios from the jobs you’ve held and what you anticipate will be required in the job you are applying for.
We advise that you make a list of the skills and/or experiences that are required for the job. Take a look at the job description or personal specification to find the skills/qualities required in the role and match these to your qualifications or experience. Then, consider specific examples of occasions when you displayed those skills. For each example, name the situation, task, action, and result.
We also suggest that IMGs take a look at our series of articles on preparation for NHS interviews, giving you the best chance of securing the doctor role that you want in the UK.
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One of the routes to GMC registration for an overseas anaesthetist is FRCA Primary.
IMGs from any country in the world can sit some, not all, of the FRCA examinations. Certain eligibility criteria must be met to sit primary whilst overseas doctors can only take the final part of the exams once they have started working in the NHS (UK). This is explained in further details below where we look at the following topics:
What is FRCA?
What is the structure and content of FRCA examinations?
As an overseas doctor am I eligible?
What is Temporary Exam Eligibility (TEE)?
What is the UK IAC?
As an overseas candidate where can I take the exam and how much will it cost me?
How to prepare and what resources are available?
Summary
The Royal College of Anaesthetists is the professional body responsible for the specialty of Anaesthetics throughout the UK. Among many other duties, its role is to set and monitor the educational curriculum for those training to enter the profession.
What is FRCA?
Anaesthetists become full members of the Royal College of Anaesthetists and attain Fellowship of the Royal College, and the designation of FRCA, once they have passed the two separate exams: the Primary and Final Examinations. Each exam consists of two parts taken separately.
FRCA is one of the many routes an anaesthetist can take when looking to satisfy the GMC postgraduate criteria for full registration with a licence to practice. It is important to note that Primary FRCA will suffice for the purposes of full registration with a license to practice, and full FRCA is not essential though of course desirable.
What is the structure and content of FRCA examinations?
Primary FRCA examinations:
Multiple Choice Question Examination (MCQ)
The Objective Structured Clinical Examination (OSCE) and Structured Oral Examination (SOE)
Final FRCA examinations:
Final Written exam consisting of; Multiple Choice Question exam (MCQ) and a Short Answer Question (SAQ) exam
The Structured Oral Examination (SOE)
The FRCA examinations form an essential component of training for anaesthetists in the UK and doctors who wish to complete the FRCA route, will be required to complete the final exam after substantial experience working in the UK.
As an overseas doctor am I eligible?
It is important to note that each of the FRCA exams have different eligibility criteria.
To sit the FRCA Primary Exams, you must be a member of the College or apply for Temporary Exam Eligibility (TEE) – see below. TEE will apply to most overseas doctors.
Primary FRCA MCQ:
You are eligible to enter the Primary FRCA MCQ paper if you:
hold national registration with an overseas Medical Council;
AND
have successfully applied for Temporary Examination Eligibility (TEE) with the College 3 months prior to the date of the examination
Primary FRCA OSCE and SOE:
You are eligible to enter the Primary FRCA OSCE and SOE if you:
meet the above criteria for the Primary FRCA MCQ paper
have passed the Primary FRCA MCQ paper
have been awarded an overseas competency in anaesthetics which is comparable to the UK IAC (see below)
Final FRCA:
You are eligible to enter the Final FRCA paper if you have:
completed 30 months of training in anaesthesia
at least 18 months must be spent in approved posts in the UK or Republic of Ireland – for international doctors a maximum of 12 months of overseas training in anaesthesia combined with 6 months working in an approved UK post will be accepted;
Evidence of having completed the required training will be needed, Core Level Training Certificate
What is Temporary Exam Eligibility (TEE)?
Non-UK Trainee applicants do not qualify for any membership category of the Royal College of Anaesthetists. As such the Royal College has introduced the TEE to allow overseas anaesthetist doctors who do not work in the UK to apply for the FRCA Primary Examinations.
Applicants must submit a Temporary Examinations Eligibility form three months before any examinations are applied for.
How do I apply for TEE?
You can apply for TEE using this application form.
Documents required on your first application are:
Proof of registration with an overseas Medical Council
Proof of attendance at or completion of anaesthetic training, including foundation training (internship)
If you intend to take the OSCE/SOE exams, you will be asked to provide further documentation to prove you have an equivalent of the UK Initial Assessment of Competency Certificate in Anaesthesia.
The TEE application costs £90, paid by bank transfer. Once payment is confirmed you will receive a TEE number, which you will use to support your application to sit the FRCA examinations.
What is the UK IAC? And how do I demonstrate equivalence?
The initial assessment of competence (IAC) is the first anaesthesia training milestone for trainees in the Anaesthesia training programme (ACCS training for anaesthesia, acute medicine, emergency medicine and intensive care).
The purpose of the IAC is to signify that the trainee has achieved a basic understanding of anaesthesia and is able to give anaesthetics at a level of supervision matching with the individual trainee’s skills and clinical cases. The IAC is not a licence for independent anaesthetic practice. The key point is that trainees are still under the supervision of a named consultant anaesthetist.
To support an application to sit the FRCA exams you must demonstrate that you have been awarded an overseas anaesthetic competency in anaesthetics which is comparable to the UK IAC.
Overseas anaesthetic competency certificates must be provided on application and prove clinical competency comparable to the UK Initial Assessment of Competency in Anaesthetics. Certificates must be accompanied by a letter of authentication in English from a senior anaesthetic consultant or notary.
The final decision on comparability of overseas IAC certificates lies with the Chair of the Primary Examination.
How do I apply for the Primary FRCA examinations?
Applications are complete online, simply click here, register, and follow the instructions for submitting documents and completing your application.
Where can I sit the FRCA exams?
Unfortunately, IMGs cannot sit the FRCA exams overseas.
Exams are held in London, Cardiff, Birmingham, Manchester, Belfast, Sheffield and Edinburgh. You can find up-to-date exam dates here.
How much do the exams cost?
Primary MCQ
£370
Primary OSCE & SOE
£685
Primary OSCE
£370
Primary SOE
£340
Final Written Exam
£545
Final SOE
£645
What is the syllabus?
The syllabus for both the primary and final exams are linked to the Training Curriculum.
The Primary FRCA Examinations are blue printed to the Core Level Training Curriculum.
The Final FRCA examinations are blue printed to both the Core Level Training Curriculum and the Intermediate Level Training Curriculum.
*both include Intensive Care Medicine
How do I prepare?
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 successful IMGs recommended starting with the Royal College, who have created useful resources to help you to prepare for the exams.
At IMG Connect we advise overseas candidates to be fully aware that questions used in the exam are drawn from the UK Anaesthetic Basic Level Training Curriculum. We suggest that you can use the curriculum as a road map to support your study plan.
Video series:
The exam run through video series is a useful tool to help familiarise yourself with what to expect on the exam day.
The Primary SOE support videos are designed to help trainees in preparation for exams.
The Primary FRCA examination videos also support with study for the MCQ.
More videos can be found at the College's YouTube Channel
eLearning Anaesthesia (e-LA):
The e-LA supports specialty training in anaesthesia. It provided materials for professional development of specialists seeking to refresh their knowledge.
Doctors working overseas can gain access to this resource via eIntegrity which provides a portal to all specialty e-Learning platforms.
If you are working outside the NHS, then modules are available for purchase via the eIntegrity website.
There are a number of modules available, of particular note for IMGs is Module 6: Exams Preparation.
e-LA also provides MCQ questions which are an accurate reflection of the questions included in the FRCA examinations.
Virtual Exam tours:
3D virtual exam tours have been created by the Royal College to provide a virtual experience to ensure that candidates are familiar with the process on the day.
OSCE exam floor
3D Tour
Successful IMGs have found practice questions are a valuable part of exam preparation. Remember these should be used in conjunction with other forms of research and studies.
I attained Primary FRCA, what next?
You will simply need to prove your English Language capabilities to satisfy GMC criteria for full registration.
IMG Jobs
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Get in Touch
Get in touch using the buttons above (and below) to discuss anaesthetics job options in the NHS, including discussions regarding CESR, a typical doctor salary in the UK and the most suitable NHS jobs & hospital locations for you.
As an overseas doctor, how do you find NHS job opportunities in Respiratory Medicine?
Finding the right job opportunity in the NHS can sometimes be time-consuming and confusing for IMGs. Working with IMG Connect will give you easy access to vacancies for consultants and middle grades positions across the UK.
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.
CLICK HERE TO RECEIVE THE LATEST RESPIRATORY MEDICINE JOBS BY EMAIL
Register & 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!
CLICK HERE TO REGISTER YOUR DETAILS & PREFERENCES
We understand you, and our clients
When looking for a Respiratory 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 with the Respiratory 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 Respiratory 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 Respiratory 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 Respiratory Medicine jobs
Searching for Respiratory Medicine jobs in the NHS could not be easier
If you want to find out more about the many different Respiratory 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 Respiratory Medicine 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!
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Read more useful articles on finding an NHS trust doctor job, pay scales & doctor’s salary in the UK, relocation and much more!
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Get in touch using the buttons above (and below) to discuss specialist medicine job opportunities in the NHS, including discussions regarding a typical doctor salary in the UK and the most suitable hospital locations for you.
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Once you've arrived in the UK, how do you set up a new bank account?
There are many things to consider when setting up your new life in the UK, one of which is opening a new bank account. To help, we put together a few tips and suggestions to get you started, including the following topics:
Options can be confusing
Do I need a new bank account?
How do you set up an account and what do you need?
Once your account is open, what next?
Monitoring your account
Which bank should I choose?
The main five banks
Ethical banking
There are various different, and whilst one type of bank will suit one person, it may not suit everyone. So, it is important to shop around and find the right bank account for you.
Options can be confusing
When choosing a bank account, it can get confusing. There can be accounts that are simple to set up, with no fees, or accounts that require a monthly fee. Equally, you now have the option of online banking with banks that have few or no local branches at all, or you may prefer a bank that has a branch nearby, so you can pop in anytime.
We have taken a look at the easiest to set up, but as above, they may still not be the right account for you. If you want to discuss further after reading this blog, why not give us a call and one of our specialist consultants will answer any questions you may have.
Do I need a new bank account?
Before we look at specific examples, it is important to mention why setting up a bank account is important.
Firstly, you will need to notify your employer where to pay you!
And secondly, a good bank account will offer ease of use, support you in building your credit score (important for your future in the UK), pay bills, and easily check your balance.
How do you set up an account and what do you need?
Similar to a lot of administrative tasks, to set up an account you will need to make an appointment with the bank and bring along the right documents.
Setting up an appointment:
Most banks won’t let you drop in, so it is a good idea to call in advance and schedule in your appointment. The appointment will be focused on discussing your situation in order to open the account.
Required documents:
Once you have booked the appointment you can then start to prepare the documents to bring with you. Basically, one document to prove your identity and one to prove your address.
To prove your identity, you will need one of the following:
Passport
Driver’s licence
EU ID Card
Every bank has its own idea of how to prove your address, the following are widely accepted:
Tenancy agreement or mortgage statement
Electricity or gas bill, dated within the last 3 months
A current Council Tax bill
However, as an IMG you will be new to the UK, so you might not have any of the above as evidence of your address. The good news is that most banks will accept a letter of employment from your Trust (employer) written to the bank.
You can request an employment letter from your Trust HR department. This must confirm:
your home address
include your name
D.O.B
you are employed by the Trust
the starting date of your role
your salary
duration of the contract
It must be on letter headed paper, stamped, signed and dated. Speak to your IMG Consultant who will be happy to help you set this up.
Once your account is open, what next?
Once you have completed your meeting (usually around an hour), your account will be set up and ready to use.
Now that you have your new account number (8 digits) and sort code (6 digits) you can provide these to your payroll department ready for your first pay cheque!
Don’t forget you will also need your NI number! Read our blog on how to get yourself a NI number if you haven't already.
You will also receive your bank card and pin code in the post, these are usually delivered separately.
If you receive one but not the other a day or so after, then contact the bank and they will reissue these. These usually arrive approximately 5 working days after setting up the account, but your bank will advise on the specific number of days so that you can keep an eye out for their arrival.
Once arrived, you can use this to make payments everywhere, including online. If you want to change the pin, you can change this at most bank machines to something that you will remember! Be sure to choose memorably but randomly, not 1234!
Monitoring your account
Now that you are set up, most banks will offer an online account to monitor your income. Most have an app that you can download to your smartphone to manage outgoings and transfers.
Which bank should I choose?
With the banking market bringing a wide range of accounts and banks, it is hard to navigate through all the accounts on offer.
The most important advice we can give is to shop around. Check online and compare what is on offer across a wide range of banks. Often, it can also be easier to open an account with one of the bigger UK banks.
Here are a few things to consider when selecting your account and discussing what is offered during your meeting with the bank:
Examine digital features – online and mobile access via apps and online banking etc. It is beneficial to access your account anywhere, helping you monitor your outgoings and identify fraud.
Check if the account has monthly fees – most standard current accounts don’t, but premium services usually have a monthly charge.
No minimum balance requirement - good banks don’t have these!
No limitations on the number of transactions – you want to be free to make as many, or little transactions as you want.
Free ATM access, so you can withdraw money when needed.
Check overdrafts and associated fees, you don’t want any unwanted charges.
Check if the bank has several branches, including one local to you. You may however prefer to use services offered online, which would open more options up to you.
Some banks offer specific accounts for people who have recently relocated to the UK, usually called new to the UK accounts.
You can also chat to an advisor online to answer any questions you may have before you make the decision to arrange an appointment, check the bank websites for web chat options.
Whatever type of banking suits you, it is always best to research extensively, especially online, which will give you a full idea of what they offer.
The main five banks:
The five main banks in the UK are:
Natwest
Royal Bank of Scotland
Lloyds Banking Group
Barclays
HSBC
Opening an account with these banks is usually easy, and they offer a range of accounts with online options.
Another popular option is to set up a Monzo account as they are very quick, easy to set up - whilst they offer a useful mobile app platform which makes it easy to keep track of your expenses. They also offer free payments and withdrawals outside of the UK whilst are an FSCS approved bank so offer the same security as one of the main five banks.
Ethical banking:
Ethical banks are those that invest your money transparently and only business, companies and investments that do not have a harmful impact on local communities and the environment. The following two are good options:
Triodos Bank offer a great option for Ethical Banking. They invest their money transparently and into projects and trusts that benefit local communities and the planet we live in. They do not invest in any fossil fuel companies or any business that has a harmful impact. Our directors and our business bank with Triodos.
Co-operative Bank offers a range of accounts and can be set up online easily.
IMG Jobs
Search and find live NHS doctor jobs in the UK
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In our IMG Resources library you can read more useful articles on finding an NHS trust doctor job, pay scales & doctor’s salary in the UK, relocation and much more!
Get in Touch
Get in touch using the buttons above (and below) to discuss doctor job opportunities in the NHS, including discussions regarding a typical doctor salary in the UK and the most suitable hospital locations for you.
For overseas doctors, a Certificate of Sponsorship forms an integral part of a successful Tier 2 Visa application.
In this article we focus on the process for an NHS hospital as they apply for your Certificate of Sponsorship (CoS) and look specifically at the following:
What is a Certificate of Sponsorship?
Differences between a restricted CoS and an unrestricted CoS?
What is the Resident Labour Market test?
Recent changes regarding visa allocations?
Does the process require my input?
How long does the process take?
Once I have my CoS, what happens next?
What is a Certificate of Sponsorship?
A CoS is a digital reference number that the Home Office will issue a Certified Sponsor (i.e. an NHS hospital) to allow a doctor to complete their Tier 2 visa application and work in the UK.
You cannot submit your visa application without one.
What is the difference between a restricted CoS and an unrestricted CoS?
It is important to note that both a restricted CoS and un-restricted CoS will carry equal weight when completing your visa application process. For you as an individual, neither CoS is better than the other in terms of your application being a success.
However, for the hospital, an un-restricted CoS is easier and quicker to process with no monthly cap on how many each hospital can apply for.
Restricted CoS: These apply to all applications made by people who live outside of the UK and are planning to work in a role paying less than £159,600 per annum.
These are included in the permanent limit, which is an annual restriction on the number of migrant workers admitted to the UK from outside the EEA.
For a restricted CoS the application must be submitted by the 5th of each month to be reviewed on 11th.
Unrestricted CoS: These apply to any workers looking to switch to a Tier 2 visa that are already in the UK, or the worker is based outside of the UK but in a role that pays upwards of £159,600 per annum.
These are not included in the permanent limit, an annual restriction on the number of migrant workers admitted to the UK from outside the EEA
Importantly, an unrestricted CoS can be automatically allocated to a doctor.
Have the rules recently changed regarding visa allocations for unrestricted CoS?
Yes, in June 2018 the Home Office announced they were exempting all Doctors and Nurses from the Tier 2 cap on a temporary basis. Those specialties that were not on the Shortage List would be able to obtain an Unrestricted Certificate of Sponsorship under Tier 2.
In brief, any doctor or nurse can be automatically allocated a un-restricted CoS by a hospital.
The Independent Migration Advisory Committee (MAC) is currently reviewing the Tier 2 Shortage Occupation List and will be reporting their findings imminently.
What is the Resident Labour Market test?
When sponsoring an individual under Tier 2, for both a restricted and unrestricted CoS, the trust must first complete a Resident Labour Market Test (RLMT).
Only if your post is on the shortage occupation list is there an exemption to this. The list of shortage occupations can be found here.
The RLMT requires that vacancies are subject to a four-week advertising period (28 days) though this period does not have to be continuous.
If no suitable resident labour worker is identified throughout this period, a trust can then appoint a Tier 2 applicant.
Your IMG Connect consultant will ensure the trust has run the RLMT before engaging with an international recruitment process, thus not wasting time.
Does this process require my input?
As an overseas doctor you do not actually need to do anything to apply for a CoS.
The hospital and IMG Connect will handle this process in its entirety, ensuring you are provided with your CoS reference number once complete.
However, at IMG Connect we advise you spend this time ensuring your documentation for the rest of your Tier 2 visa application is ready for submission.
See our article on the Tier 2 Visa application process for more information.
How long does the process take?
An unrestricted CoS can be approved in a matter of days.
A restricted CoS can take a number of weeks to be processed.
Unrestricted Certificates: As all doctors and nurses are exempt from the Tier 2 Cap, we strongly advise trusts to apply for unrestricted CoS to save them time and paperwork.
Restricted Certificates: There are a limited number available each month. Applications must be made by the 5th day of each month to be considered by the ‘allocation date’ – the first working day after the 10th of each month.
Where a trust need apply for a restricted CoS, we urge them not to miss the strict deadlines in place. Missing these deadlines will cause delays to appointing suitable candidates in a timely manner, potentially missing out on the doctors they want to hire.
The RLMT: Running the RLMT test immediately on hard to fill vacancies. Many hospitals have numerous vacancies that they have been unsuccessful in recruiting to for a number of years. IMG Connect advises a hospital to run the RLMT as soon as possible, so they can act swiftly once they have identified a Tier 2 candidate suitable for hire.
Once I have my CoS – what happens next?
The trust will issue you your CoS in the form of a digital reference number – not a physical document.
This reference number will form part of your Tier 2 visa online application.
Don’t hesitate to get in touch with your IMG Consultant to discuss finalising your Tier 2 visa application and putting into action your UK relocation checklist including accommodation, travel, bank accounts and schooling.
IMG Jobs
Search and find live NHS doctor jobs in the UK
IMG Resources
Read more useful articles on finding an NHS trust doctor job, pay scales & doctor’s salary in the UK, relocation and much more!
Get in Touch
Don’t hesitate to get in touch using the buttons above (and below) to discuss doctor job options in the NHS, including discussions regarding a typical doctor salary in the UK and the most suitable hospital locations for you.
For regular news and updates including NHS Jobs, the Royal Colleges and the GMC, follow IMG Connect on social media using the links below: