The NHS offers an extensive training scheme and career development for histopathologists, and the quality and depth of this programme is recognised as a gold standard across the medical community.
The training provided to UK histopathology trainees is regularly reviewed and updated, in keeping with advances and progression in the landscape of pathology around the world and across the profession. This makes the training programme attractive to UK graduates, as well as overseas histopathologists seeking the best training programmes for their field.
In this article, we will explore the training pathway for histopathologists in the UK, covering the following topics:
What is the NHS Training Pathway?
How do you enter the training pathway?
What does the specialty training programme look like for histopathology?
What happens after completing the histopathology training programme?
Can I enter specialty training in the UK as an IMG?
The NHS Training Pathway
The NHS training pathway is the name given to the complete programme undertaken by UK trainees, from medical school to the completion of specialist training within I.e. within histopathology.
It is important for IMGs to understand this as it helps to provide an understanding of at what stage they can most likely enter the system if they are interested in training in the UK.
Entering the NHS Training Pathway
After graduating from medical school, doctors with receive provisional registration from the GMC which allows them to enter the Foundation programme (a two-year work-based training programme).
Upon completion of the first year (FY1), doctors will gain full registration with the GMC and will be able to apply for further study and training in a specialised area I.e. histopathology – this is known as Specialty Training (ST).
Specialty Training in Histopathology
The Specialty Training programme in Histopathology is 5 years long, and whilst doctors may pass through training quicker depending on how quickly they achieve their competencies, this is rarely the case and histopathologist will usually take the indicated time, or slightly longer to complete the Specialty Training programme.
Successful applicants entering into year one of specialty training (ST1), will follow the Royal College of Pathologist’s 2021 Histopathology Curriculum, which sets the expected syllabus as well as required assessments and workload case numbers.
Histopathology training as a run-through programme
Unlike some specialisms where you complete a period of core training before entering into specialty training (requiring two applications), histopathology specialty training works as a run-through programme. You only have to apply once, at the beginning of the programme, as you are recruited for the full duration of Specialty Training.
Foundation Training (FY1 – FY2)
The foundation programme usually involves six different rotations or placements in medical or surgical specialties. These rotations enable trainees to practise and gain competence in basic clinical skills.
Specialty Training (ST1 – ST5+)
ST1)
Year one trainees enter the training programme. In this first stage, trainees will initially develop knowledge of laboratory work, with basic training in all areas of cellular pathology.
Training starts with a 1-2 week induction from the training school. This includes some time in the lab seeing how specimens are prepared and processed. Trainees are taught how to use a microscope, how to approach simple cases under the microscope and the principles of macroscopic assessment and sampling (AKA ‘cut up’). Many training schools do a separate autopsy induction.
When not at block teaching weeks, trainees are rotating through the various specialities in histopathology.
ST2 – ST3
This part of training takes place from year 2 to year 3, with the focus on achieving the FRCPath Part 1 Exam. This will normally be taken after 18 – 24 months of training.
Trainees will consolidate and develop their knowledge base from ST1. Year two trainees are given more independence and are expected to be able to cut up most specimens by the end of this stage.
In many deaneries, this is the time when trainees complete rotations in sub specialities including paediatric pathology, neuropathology and oral pathology. Trainees may rotate to placements in local district general hospitals to gain valuable experience in managing a general histopathology workload.
Autopsy and cervical cytology training continue as mandatory elements of ST2-ST3. Some trainees choose not to continue these specialities when they have completed this stage.
The FRCPath Part 1 exam aims to determine whether you have successfully acquired a core body of knowledge that will underpin your ability to practise in Histopathology.
For more information of the first exam in the Royal College of Pathologists examination suite, take a look at our IMG Resources library here.
Please note, trainees must pass the FRCPath Part 1 examination at the end of ST3 in order to progress to ST4.
Selection
Here, trainees will either choose to continue with general histopathology or peruse subspecialisation in neuropathology, paediatric/perinatal pathology, cytopathology or forensic pathology.
ST3 – ST4
This training takes place from years 3 – 4, where trainees will either continue with general histopathology or peruse subspecialisation in neuropathology, paediatric/perinatal pathology, cytopathology or forensic pathology. Trainees are expected to be competent in the macroscopic and microscopic assessment of all specimens, and will also receive training in leadership, management and teaching in preparation for their future roles as consultants.
The focus during this stage is also on achieving the FRCPath Part 2 Exam, thereby obtaining the status of Fellow of the Royal College of Pathologists.
This final exam is designed to test your practical skills and understanding, and show that you can apply your expertise appropriately and safely.
Trainees who wish to continue in general histopathology may opt to sit further exams in cervical cytopathology and autopsy practice if they wish to continue these as a consultant.
To learn more about the final exam in the in FRCPath examination suite, read our detailed blog here.
Please note, trainees must pass the FRCPath Part 2 examination at the end of ST4 in order to progress to ST5.
ST5+
This is the final stage of training before CCT during which histopathology trainees may wish to peruse special interests in particular subspecialties, such as gastrointestinal, skin or gynaecological pathology. Having passed the FRCPath Part 2 exam, trainees will continue to take on responsibility to enable the transition to independent practice required of those with CCT, i.e. signing out reports without consultant review.
Completion of the Histopathology Specialty Training Programme
Upon completion of the training programme, the choice is made as to whether the trainee will be awarded a Certificate of Completion of Training (CCT) in Histopathology. This will be based on criteria set out in the curriculum by the Royal College. You can find the 2021 curriculum here.
At this point, the histopathologists are entered onto the specialist register and can now take permanent consultant posts in the NHS.
Specialist Registration for overseas doctors
Doctors who completed part or all of their histopathology training outside of the UK are eligible for specialist registration through the CESR or CESR-CP pathways. To learn more about specialist registration for overseas doctors, read our blog here.
Joining the Histopathology Specialty Training Programme as an IMG
It is possible for overseas doctors to join the Specialty Training programme in Histopathology in the UK, however it is very competitive.
IMGs interested in UK specialty training must have:
Full GMC registration
Completion of a minimum 12-month (FY1 equivalent) internship
English language test
PLAB
AND
12 months post-internship experience by the time you begin ST1
Although UK trainees are not given priority for specialty training places, it can be very difficult to join the Specialty Training programme without NHS experience.
So here you have it, the NHS Specialty Training pathway for trainees in a nutshell. This training scheme is the core of training for histopathologists in the UK, and for IMGs looking to join the training programme, understanding of the pathway allows you to better align your overseas training with the relevant stage you would enter into Specialty Training in the UK.
If you have any further questions about your route to the UK as an overseas histopathologist, FRCPath, or any other aspect of GMC Registration, the NHS or the UK, please get in touch with us here.
We'd also like to invite you to join the IMG Histopathologists online community - as well as support on Royal College exams, our Facebook group of international pathologists and dedicated pathology recruiters offers guidance on other aspects of working in the UK, including finding NHS posts and CESR.
Follow us on social media through the links below for regular news and updates on the Royal Colleges, relocating to the UK and working in the NHS:
Overseas doctors often have questions about the best ways to prepare for MRCPsych Paper A, particularly with the changes to the exam format and so many online materials geared towards UK applicants and trainees.
So, what study preparation, materials, courses and support are available for international psychiatrists? We have compiled some of the best guidance and resources to help you in your preparation for the Paper A exam. We will also address some changes to the availability of test centres and exam delivery as a result of the COVID-19 pandemic.
The topics we’ll cover are as follows:
What is MRCPsych Paper A?
How do I get started with my preparation?
What other resources are available?
How has the exam been affected by COVID-19?
#IMGTips
Passed? What’s next?
If you know what you’re looking for, skip ahead to the relevant section.
For an overview of the entire examination series, have a look at our article in the IMG Resources library here.
What is MRCPsych Paper A?
Let’s begin with a quick recap of the first exam in the MRCPsych examination suite.
MRCPsych Paper A is a three-hour written exam which covers the scientific and theoretical basis of psychiatry
The paper comprises 150 questions and is worth 150 marks, with two thirds being multiple choice questions (MCQ) and the other third, extended matching item questions (EMI).
The breakdown of the sections is as follows:
For full guidance on the structure of the exam, see our detailed blog on the MRCPsych Paper A exam here.
Preparation
It can be tough to know the best place to start, so we’ve spoken to some IMG psychiatrists and the consensus was that the Royal College website is the best place to begin. There are some great resources on their website to help candidates in their preparation for the exam. These include:
Syllabus: We always recommend this as the best place to start – plan your study around the curriculum topics for a road map to your success in the exam. You can find this here.
Sample papers: These will help you perfect your exam techniques and are an effective way to benchmark your knowledge against the syllabus. They will also help you work quickly on the day as you will already know what to expect. The sample papers can be found here.
Marking schemes: It’s always a good idea to understand how exams are marked so you can structure your revision accordingly, giving you the best chance of a pass. These are available here.
Sample exam: Samples of the exam are also helpful in fully understanding the format and to familiarise yourself with the online exam environment, particularly as this is a more recent change to the exam. This is available here.
Online exam guidance: This guidance has been written specifically to help candidates to prepare for sitting an online exam, including technology checks and timings that will be in place on the day. This will be more useful closer to the exam date. The guidance can be accessed here.
Passing the MRCPsych - an insider’s guide: the Royal College suggest having a look through this guide, which is a helpful resource to help you to get over the first steps, available here.
What other resources are available?
IMG Connect has a library of written resources geared towards preparation for the Paper A exam. If you’re interested in any of these, please get in touch here and we would be delighted to share these with you.
The most highly recommended resources are the SPMM and MRCPsychMentor resources. They are available in different formats depending on your revision needs:
SPMM Starter Study Materials: A range of comprehensive study materials and subject-based question banks with evidence-based answers and explanations (SPMM HiYield and SmartRevise). These are available for 6 months from the date of purchase for the price of £299 and can be found here.
SPMM Booster Mock Exams
These practice tests are simulations of the real exam prepared to the exam blueprint, allowing you to identify your weakest areas before the actual exam. This package includes access to 6 individual practice papers, comprising reconstructed questions from the most recent exams. Subscriptions can be purchased only 10 weeks before the College exam date.
Duration
N/A
Cost
£249
Next start date
On demand
Website
spmmcourse.com/local/coursepackages.php
MRCPsychMentor Revision Course: unlimited access to a bank of over 2000 questions, including some from previous exams. These are delivered in the same format as will be in the exam (MCQs and EMIs), with practice timed tests you can complete as many times as you like. You can access the course here.
MRCPsychMentor Mock Exam
There are two three-hour long exams available here which simulates exam conditions with mock exam papers of questions not available in the question bank. They include a revision mode, timed tests, extensive performance analysis and powerful question review functions.
Duration
6 weeks
Cost
£15 each
Next start date
On demand
Website
www.mrcpsychmentor.com/mocka/index.php
IMG Psychiatrists MRCPsych Paper A Crash Course
This is a tailored MRCPsych Paper A course for overseas psychiatrists. This course offers weekly sessions covering the exam and its various domains. This is accompanied by practice MCQs and EMQs for exam-style practice, delivered by an experienced NHS psychiatrist and specialist psychiatry recruiters. These sessions are completely free to all doctors.
The course is supplemented by additional advice and guidance on MRCPsych as a whole, GMC registration support, as well as guidance and webinars on other topics such as finding work in the NHS, relocation support and specialist registration.
You can access our IMG Psychiatrists Paper A Study Course by joining the Facebook group here.
Other online resources available for the exam include a mixture of paid and free resources:
BMJ Revision Questions: The BMJ has created an app-based revision resource with over 270 core questions, including the SBA and EMQ formats that will be seen in the exam. They are available at several price points dependent on the duration of access, from £29.99 for one month to £129.99 for 12 months. These are available here.
TrickCyclists Exam Notes: A series of psychiatry notes specifically tailored to the MRCPsych Paper A exam, including the nine topics covered by the exam and more. They are available in word and PDF format and are free to be used, distributed and modified. They are available here.
How have the exams been affected by COVID-19?
As a result of the pandemic, all MRCPsych exams have moved online. You can learn more about the online exams for MRCPsych here.
The application process for the exam takes 15 – 20 minutes where candidates will need a valid debit/ credit card, as well as the email address and full details of your sponsor. Further details on the application process can be found here.
#IMGTips
Start your revision early – starting in advance allows you to pace yourself and get ahead of the stresses of last-minute revision and anxiety.
Divide your study time according to the marks percentage for each section – dividing your time in this way will ensure you’re putting most of your time towards what will gain you the most marks.
Think about your personal learning style and use this to plan effective revision - consider the ways you study best and use them to your advantage.
Try to take some time off work before the exam – you’ll likely be preparing for the exam alongside full-time work, so, if possible, take around 5-7 days somewhere in the run-up to the exam for some intense revision.
Join the online psychiatry community - for news and updates about all things psychiatry for IMGs, follow IMG Connect on social media and join the conversation here.
Passed? What next?
Great stuff, this is a fantastic achievement and you should take a well-deserved break!
Once you’re ready, you can apply to sit the Paper B exam (or CASC if you started with Paper B). For more information, take a look at our blog, where we explore MRCPsych Paper B and everything you need to know about sitting the exam, including dates, results, fees and structure.
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.
To receive the latest news and updates on all things psychiatry, including the Royal College, GMC registration and the NHS, follow us on social media and join the conversation.
The NHS offers an extensive training scheme and career development for medical oncologists, and the quality of this programme is recognised as a gold standard across the medical community.
The training provided to UK medical oncology trainees is regularly reviewed and updated, in keeping with advances and progression in the landscape of oncology around the world and throughout the profession.
In this article, we will explore the training pathway for medical oncologists in the UK, covering the following topics:
What is the NHS Training Pathway?
How do you enter the training pathway?
What does the specialty training programme look like for medical oncology?
What happens after completing the medical oncology training programme?
Can I enter specialty training in the UK as an IMG?
Skip ahead to the relevant section if you know what you’re looking for.
The NHS Medical Oncology Training Pathway
The NHS training pathway is the name given to the complete programme undertaken by UK trainees, from medical school to the completion of specialist training within i.e. within medical oncology.
It is important for IMGs to understand this as it helps to provide an understanding of at what stage they can most likely enter the system if they are interested in postgraduate training in the UK.
Entering the NHS Training Pathway
After graduating from medical school, doctors with receive provisional registration from the GMC which allows them to enter the Foundation programme (a two-year work-based training programme).
Upon completion of the first year (FY1), doctors will gain full registration with the GMC and will be able to apply for further study and training in a specialised area I.e. medicine – this is known as Internal Medicine Training (IMT), formerly known as Core Training (CT).
Specialty Training in Medical Oncology
The Specialty Training programme in Medical Oncology runs over a 6-year period, and doctors will usually take the indicated time, or slightly longer to complete the Specialty Training programme.
Successful applicants entering into year one of specialty training (ST1), will follow the Joint Royal Colleges of Physicians Training Board 2021 Medical Oncology Curriculum, which sets the expected syllabus as well as required assessments and workload case numbers.
Medical oncology training as an uncoupled programme
As medical oncology is a medicine specialty, aspiring oncology trainees will complete a period of core/ internal medicine training that lasts a period of two years.
This is followed by an open competition to enter a higher specialty training post. It is important to note that the application following core training is competitive and does not guarantee a specialty training post.
Medical oncology higher specialty training will be in total (including OCS) an indicative four-year clinical training programme leading to single accreditation in the specialty. There are no critical progression points during higher specialty medical oncology training, though trainees will be subject to an annual review of progress via the ARCP process and will have to complete all curriculum requirements including passing the medical oncology Specialty Certificate Examination (SCE) prior to obtaining CCT.
Foundation Training (FY1 – FY2)
The foundation programme usually involves six different rotations or placements in medical or surgical specialties. These rotations enable trainees to practise and gain competence in basic clinical skills and forms the bridge between medical school and speciality training.
Selection
Here, trainees will either choose to enter into either Internal Medicine Training or into training to become a general practitioner.
Specialty Training (ST1 – ST6+)
Internal Medicine Stage 1 Training (ST1 – ST2)
In this first stage of the Internal Medicine training programme, trainees develop a solid foundation of professional and generic clinical capabilities, preparing them for participation in acute medicine at a senior level and to manage patients with acute and chronic medical problems in outpatient and inpatient settings. You can find the Curriculum for Internal Medicine Stage 1 Training here.
This will culminate in trainees sitting the MRCP (UK) exams. For more information on the Royal College of Physicians examination suite, take a look at our IMG Resources library here.
Please note, trainees must pass the MRCP examinations prior to beginning Specialty Training in Medical Oncology.
Selection
Here, trainees will either choose to continue with Internal Medicine Training for a further year, to continue with training in a specialty that supports acute hospital care, or to provide primarily out-patient based services in e.g. oncology.
Medical oncology recruitment into ST4 posts usually occurs after 2 years of Internal Medicine Stage 1 training. However, trainees who complete the full three-year IMT programme are also eligible and there is no preferential selection for trainees who have completed either two or three years of training.
Oncology Common Stem (ST3)
The Oncology Common Stem (OCS) has a duration of one year and usually takes place in year 3 of specialty training. Here, the focus is on a trainee’s development of the common oncology capabilities relating to the key areas of overlap between the two specialties (medical and clinical oncology), as well as continuing to develop the generic capabilities expected of all doctors.
Clinical Oncology and Medical Oncology are the two main medical specialities that manage patients with non-haematological malignancy. They often work in partnership with each other, and both offer systemic therapy to patients, but only clinical oncologists administer radiotherapy and there are other differences in work-pattern, approach and focus.
Medical oncologists will have the scientific understanding which underpins radiation-based cancer treatments. During the OCS training year, trainees will gain knowledge of radiotherapy planning and delivery. This will enable them to coordinate the care of cancer patients with the wider multidisciplinary team (MDT), managing patients throughout a treatment pathway.
The curricula for medical and clinical oncology have been aligned to reflect this relationship and include aspects of common training that constitute the Oncology Common Stem (OCS), improving transferability and flexibility for trainees who wish to move between the two specialties.
Please note that medical oncology trainees will not be expected to independently plan or deliver radiation-based cancer treatments.
Medical Oncology Specialty Training & Maintenance of Common Capabilities (ST4 – ST6)
Following successful completion of OCS, medical oncology trainees will complete a subsequent higher specialty-specific programme, this takes place from year 4 – 6. The focus here for trainees is on acquiring medical oncology-specific capabilities, alongside consolidation and further development of the common oncology and generic capabilities.
Trainees will then sit the Medical Oncology Specialty Certificate Examination, usually in the penultimate year of higher specialty training. The globally-recognised exam offers medical oncologists a postgraduate qualification which demonstrates achievement of a standard required of UK specialist trainees.
Please note, the medical oncology SCE is a compulsory component of assessment for the achievement of Certificate of Completion of Training (CCT).
To learn more about the medical oncology SCE, read our detailed blog here.
Completion of the Medical Oncology Specialty Training Programme
Upon completion of the medical oncology training programme, the choice is made whether the trainee will be awarded a Certificate of Completion of Training (CCT) in Medical Oncology. This will be based on high-level learning outcomes – capabilities in practice (CiPs) set out in the curriculum by the Royal College. You can find the 2021 curriculum here.
At this point, medical oncologists are recommended to the GMC for the award of CCT and entry onto the specialist register and can now take permanent consultant posts in the NHS.
Specialist Registration for overseas doctors
Doctors who completed part or all of their medical oncology training outside the UK are eligible for specialist registration through the CESR or CESR-CP pathways. To learn more about specialist registration for overseas doctors, read our blog here.
Joining the Medical Oncology Specialty Training Programme as an IMG
It is possible for overseas doctors to join the Specialty Training programme in Medical Oncology in the UK, however it is very competitive.
IMGs interested in UK specialty training must have:
Full GMC registration
Completion of a minimum 12-month (FY1 equivalent) internship
English language test
PLAB
AND
12 months post-internship experience by the time you begin ST1
Please note, whilst UK trainees are not given priority for specialty training spaces, it can be extremely difficult to join the Specialty Training programme without prior NHS experience.
So here you have it, the NHS Specialty Training pathway for medical oncology trainees in a nutshell. The training programme forms the basis of medical oncology training in the UK, and for overseas oncologists interested in joining the training programme, good knowledge of the pathway allows you to better understand the alignment of your overseas training with the relevant stage of Specialty Training for medical oncology in the UK.
Join the IMG Oncologists Facebook group for access to a community of like-minded oncologists and dedicated oncology recruiters.
In this group you will find tailored resources for oncology IMGs, including access to our MRCP crash courses, completely free to all doctors.
You can access our IMG Oncologists community here.
Follow us on social media through the links below for regular news and updates on the Royal Colleges, relocating to the UK and working in the NHS:
The Medical Oncology SCE is a postgraduate qualification delivered by the Royal College of Physicians as a higher specialist qualification for medical oncologists. It is one of 11 SCEs offered by the Royal College and offers physicians a postgraduate qualification which demonstrates achievement of a high standard (equivalent to UK specialist trainees) to prospective employers.
Here we take a closer look at the MRCP (UK) Medical Oncology Specialty Certificate Examination for doctors who have chosen to specialise in medical oncology. We cover the exam content, fees and eligibility, summarised below along with a broad look at the following topics:
What is the medical oncology SCE?
Where does the SCE fit into my oncology training?
What is the structure of the SCE?
How do I apply for the exams and what do they cost?
Where can I sit the exams as an overseas medical oncologist?
How should I prepare for the exams as an IMG?
I’ve passed? What’s next?
Skip ahead to the relevant section if you know what you're looking for.
MRCP (UK) Medical Oncology SCE
The Royal College of Physicians is the professional body responsible for the specialty of medicine throughout the UK.
The medical oncology specialty certificate exams are administered as a compulsory component of assessment for Certificate of Completion of Training (CCT) in medical oncology for all UK trainees.
The purpose of an SCE is to:
ensure that certified specialists have sufficient knowledge of their specialty to practice safely and competently as consultants
complement workplace-based assessments
provide a rigorous national assessment to establish public confidence
offer a challenge similar to sub-specialty certification examination in North America
For in-depth information on each of the MRCP exams, see our IMG Resources library here.
Medical Oncology SCE as Part of Training in Oncology
As the MRCP exams are taken during the Internal Medicine Training years (CT1-CT3), an SCE allows medical oncologists to demonstrate that they are able to practice independently.
The SCE has no official entry requirements (both for UK and overseas candidates), however, UK trainees would normally take the SCE in their penultimate year of higher specialty training (ST5).
To find out more about the medical oncology training pathway in the UK, see our blog on this topic here.
Exam Structure
The SCE assesses candidates on a wide range of common and important disorders, as set out in the syllabus of the curriculum:
Topic
Number of questions
Breast cancer
14
Colorectal and anal cancer
14
Lung and thoracic cancer
14
Carcinoma of unknown origin
7
Ovarian cancer
7
Germ cell tumours
7
Oesophagogastric cancer
6
Lymphoma
3
Uterine cancer
3
Hepatobiliary cancer
5
Skin cancer
5
Sarcoma
5
Leukaemia
1
Prostate cancer
3
Urothelial cancer
3
Cervical cancer
3
Head and neck cancer
2
CNS cancer
2
Renal cell cancer
3
Endocrine cancer
2
Scientific basis of malignancy
18
Professional skills
14
Acute oncology
20
Clinical research, ethics and economics
8
Systemic anticancer therapy
18
Supportive therapies and palliative care
10
Standard operating procedures
3
Total
200
All SCEs are computer-based and are administered by Pearson VUE at a test centre in the UK or internationally.
Medical Oncology SCE Applications
SCEs are held once a year and applications are made online through My MRCP(UK) account, within the Upcoming Exams section of the Royal College website.
The application process is as follows:
Register online through My MRCP(UK) (candidates have the opportunity at this point to register any special arrangements)
Request a preferred test country and city
Pay applicable examination fee
Application is confirmed via an automatically generated email
Receive test centre confirmation email from Pearson VUE within four weeks of the examination date.
The Royal College has created a helpful video guide on SCE applications which you can watch here.
Cost
The cost of the MRCP exams are as follows:
UK centres: £665
International centres: £833
Exam Centres
UK Centres
Candidates choosing to sit the exam in the UK must contact Pearson VUE to book their test. There are up to 137 test centres throughout the UK for each SCE, and the Royal College advise that candidates should book their exam as early as possible to secure their preferred test centre, as bookings operate on a first come, first served basis.
International Centres
Candidates are given a choice of regions and are then asked to nominate a particular city in that region as their desired test location. MRCP (UK) will pass this request to Pearson VUE once the application period has closed, and Pearson VUE will confirm final test centre details to candidates via email at least three weeks before the date of the examination. If the exam is not available in a requested location, candidates will be offered a choice of the nearest available test centres.
Please note, international candidates should not book their own test centre with Pearson VUE, and attempting to do so may delay a candidate's application.
The full list of international SCE test centres can be found here.
Preparation and resources for the Medical Oncology SCE
With lots of resources available online, it can be difficult for IMGs to know where to start with their preparation and revision. This list should provide a good starting point for any international medical oncologists preparing to sit the SCE:
Curriculum - Applicants are tested on a range of common and important disorders in Medical Oncology as set out in the Joint Royal Colleges Specialty Training Curriculum for Core Medical Training. We recommend getting to know the curriculum as early as possible and using it as a roadmap for your study.
Guidelines - These resources are helpful for supplementing your knowledge:
British Journal of Cancer 2009 March 100 (5) 684–692 Jones et al. – guidelines for Herceptin modification
British Thoracic Society (BTS) - pleural disease guidelines
International Prognostic Index score for non-Hodgkin's lymphoma
National Comprehensive Cancer Network (NCCN) - guidelines for follicular lymphoma
NHS Cancer Screening – guidelines for bowel and other cancers
Books
Candidates can find information on genetics and some basic science in the Oxford Desk Reference of Oncology 2011.
Sample questions
It is a good idea to regularly benchmark your knowledge by testing your knowledge and progress throughout your preparation using example questions from the current exam syllabus. You can find these here.
For an overview of how to prepare for exams, including advice on study groups, online community support, the best use of online resources & Royal College materials and courses, take a look at our blog: IMG Connect's Top Tips for exam preparation.
IMG Oncologists
Join the online community - join the IMG Oncologists Facebook group for access to a community of like-minded oncology SCE aspirants and dedicated oncology recruiters.
In this group you will find tailored resources for oncology IMGs, including access to our MRCP crash courses, completely free to all doctors.
You can access our IMG Oncologists community here.
I’ve passed? What’s next?
First, congratulations - this is a fantastic achievement! Armed with your MRCP and medical oncology SCE qualifications, you can apply for a full GMC registration with a license to practice. Once the GMC has approved your application, you can work as a doctor in the UK. Nice one!
Don’t hesitate to get in touch with an IMG oncology recruitment specialist to discuss GMC registration, oncology positions in the NHS, including typical NHS salaries, the most suitable UK locations and hospitals for you, and relocation.
To receive the latest news and updates on all things oncology, including the Royal College, GMC registration and the NHS, follow us on social media and join the conversation.
If you have already read our overview on PLAB you will know that the second part of the test is held in the UK and you will need a UK Visitor Visa to sit the PLAB 2 examination.
Here we put together the main information you will need as well as useful links to get you started and we will look at the following:
How do I apply?
Online application for UK Visa
What supporting documents do I need to prepare and provide?
What costs can I expect in the UK?
What happens if my visa application is refused?
The first thing to suggest, is that as soon as you receive your PLAB 1 results, start planning the date that you want to sit PLAB 2. This will not only help you prepare for the test itself, but also will ensure that when you apply for the Visitor Visa, you will be prepared for your Visa application and appointment, and able to visit the UK within the 6-month visa period.
No matter the guidance and instructions, visa applications can prove different for everyone, so start working on the application early.
If you are not sure if you need a Visa – you can check here.
You can apply for a ‘Standard Visitor Visa’ if you are a doctor and are coming to the UK to take the Professional Linguistic and Assessment Board (PLAB) test 2. The option you require is a “Work, Academic visit or Business” visa and the duration is less than six months.
How do I apply?
The UK Visa Application for PLAB 2 can be described in two parts:
Online application for the required type of visa.
Submission of supporting documents and providing biometric data (photo, fingerprints) at a visa application centre.
Let’s take a look at each part in more detail.
Online Application for UK Visa
As part of the online application, you will be required to book an appointment at a visa application centre, you can check the locations available here.
You can complete the application in stages; however we advise you prepare all the required documentation first, and the complete the online form and upload everything you need in one go.
A standard UK visa currently costs £100.
Supporting Documents
It is important to note that the required documents will vary from person to person, however two documents are necessary for every applicant:
Your valid Passport
The email confirmation of your PLAB 2
You will then typically require the following:
Cover Letter
If your trip is self-funded you will need:
Salary certificate
Bank Statements
Letter of Support from your financial guarantor (if applicable)
This is only required if your trip is financed by another person (i.e. family member).
Affidavit affirming the declaration of the financial sponsorship
This is done before a notary public. This will have to be translated into English.
Letter of recommendation
Any letter of recommendations will need to come from senior colleagues at your current workplace.
Bank Statements
Typically 6 months (yours / your sponsors).
Monthly payslip
A clear copy is needed with all information visible.
Income/Salary Certificate (Yours/Sponsors)
Evidence of Home Address
Deeds or Nationality Certificate or Home electricity bill where the address is written. This will need to be translated and notarised.
A ‘No Objection Letter’ issued by your employer
A ‘No Objection Letter’ for visa is a legal certificate issued by your employer agreeing for you to take off the days for you visit to the UK. In addition, the letter states that you have contractual obligations to return to your country of residence at your workplace.
Confirmation of your accommodation in the UK
Or, invitation letter from friend or family of whom you will be staying with. You may also require a Council tax and utility bill of the accommodation address. If it’s a family that you’re staying with, you don’t need to worry about proving Sponsorship. If they are just providing accommodation (and your father or mother is your financial guarantor), a simple invitation letter stating your name, your passport number, duration and purpose of your stay is sufficient along with their contact details. The council tax and utility bill is just to prove that the address exists by their name.
Evidence of family members in your home country whilst you travel
These would include Passport copies or National ID copies of your family members.
Online Application Required Entries
Your name.
Passport details.
Your National ID number, if you have one.
Your email.
Travel information/plan: The date you will arrive in UK and the date you will leave from UK. The arrival date is more important. The itinerary in your cover letter should explain this in more detail.
Choose business, including sports and entertainment as the main reason for your visit.
After answering No’s to organised group, travelling with partner, visiting a company or getting paid for business activities—Choose Take the PLAB or OSCE.
In Give details, write down your full itinerary, taken from your cover letter in full sentences.
Personal information: Your home address.
Parent details: Father’s and mother’s name, dates of birth.
Employment details.
If you are employed and sponsoring yourself, then IMG recommend you arrange for two papers from your employer from the above list a) Salary Certificate b) No Objection Certificate.
Your own bank account details with bank statements (for the last six months).
How much money are you planning to spend on your visit.
Details of who is covering the costs, if you don’t.
UK accommodation details.
Travel histories in UK or other countries.
Any details of visa refusals
Other histories regarding whether you have any criminal convictions.
Any other relevant information you wish to provide, you can leave this blank.
Finally comes the declaration page which asks you to choose an appointment (date and time) with a visa application centre. Please note that you don’t have to choose immediately, especially if you don’t have all the supporting documents ready. Just save it there and a link will be sent to your email. But as above, at IMG Connect we recommend that you have all the supporting documents prepared before starting your UK Visitor Visa for PLAB 2 application.
UK Costs
Whilst the exam is taken in one day, we advise for candidate to allow themselves a few days for acclimatisation and revision prior to the exam. When budgeting, make sure that you book flights, hotels and UK transport to and from the airport in advance to save money.
Once in the UK, a typical low-cost budget for a comfortable stay will include approximately:
£40 - £60 per night for accommodation depending on your test venue
£15 - £30 for food per day
£20 for transport per day
£60 for Airport transfers (return journey)
*remember to consider flights & travel insurance costs in your total budget
Always remember to use price comparison websites or Airbnb to find the best value for money and close to transport & test venues.
Visa Application Refusal
You will receive a letter from the Home Office detailing the reasons for rejecting the application. Don’t worry, you can apply again.
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The UKMLA or MLA (Medical Licensing Assessment) is a new assessment being introduced by the GMC to replace PLAB (Professional and Linguistic Assessments Board) for international medical graduates (IMGs) and UK medical students.
The UKMLA will be the new standard test of the core knowledge, skills and behaviours needed to practise safely in the UK.
In this blog we will be taking a closer look at the assessment and the transition from PLAB, focusing on some key questions:
Why is the MLA being introduced?
Who will need to take the UKMLA?
What is the timeline for the transition?
How will the UKMLA be structured?
Skip ahead to the relevant section if you know what you’re looking for.
Introducing the UKMLA
Currently, PLAB is the assessment used to ensure doctors who qualified abroad have the right knowledge and skills to practise medicine in the UK. Once an IMG has completed both parts of PLAB, they are eligible for full GMC registration.
For UK trainees however, full registration is gained on moving to the second year of the Foundation Programme (F2/ FY2) in an approved training programme.
There is therefore no standard used for both UK medical graduates and international doctors, so the GMC has created the MLA with the stated aim of setting a common threshold for safe practice in the UK, regardless of where a doctor was educated or trained.
UKMLA Candidates
From 2024, all IMGs who would have sat the PLAB test will take the MLA if they’re applying for registration with a licence to practise in the UK. This means that if you are an overseas doctor taking another route to GMC registration, this is still available to you if you are eligible.
UK medical students graduating in the academic year 2024-25 will also need to pass the MLA as part of their medical school degree, before they can join the medical register.
You can find more information about your possible routes to the UK as an international doctor in our detailed guide here.
Transitioning from PLAB to MLA
Until 2024, IMGs will still be able to apply for PLAB in order to gain GMC registration. As overseas doctors wanting to come to the UK through this route will be in different stages of the process, the GMC has laid out the following guidelines which will be in place during the transition to the UKMLA:
I have passed both parts of PLAB
I have passed PLAB 1, but not yet attempted PLAB 2
I have attempted PLAB 1, but not yet passed it
I have passed PLAB 1 and attempted PLAB 2, but not yet passed it
Passed both parts of PLAB
There will be no changes here: you will still have up to two years from the date that you passed PLAB to apply for full GMC registration with a licence to practise.
Passed PLAB 1, but not attempted PLAB 2
As long as you passed PLAB 1 within the past two years, you won't need to take the AKT. However, instead of PLAB 2, you will take the CPSA.
Once you pass the CPSA, you'll be able to apply for full registration with a licence to practise (this must be within two years of passing the CPSA).
Attempted PLAB 1, but not passed it
You will sit the AKT.
There will be a maximum number of attempts and any previous attempts at PLAB 1 will count towards this maximum number. The GMC is currently still finalising that maximum number.
After passing the AKT, you will need to take the CPSA within two years.
Passed PLAB 1 and attempted PLAB 2, but not passed
As long as you passed PLAB 1 within the past two years, you won't need to take the AKT.
Instead of PLAB 2, you will take the CPSA.
There will be a maximum number of attempts and any previous attempts at PLAB 2 will count towards this maximum number. The GMC is currently still finalising that maximum number.
Once you pass the CPSA, you'll be able to apply for full registration with a licence to practise (this must be within two years of passing the CPSA).
Structure & Format of the UKMLA
The UKMLA will be composed of two parts: the applied knowledge test (AKT) and the clinical and professional skills assessment (CPSA). Both components will assess a range of things, all of which are outlined in the MLA learning outcomes. The main purpose of the MLA is to assess the knowledge and competencies related to safe medical practice in the UK.
1. The applied knowledge test (AKT)
This is planned to be an on-screen exam, with multiple choice questions. It will test your ability to apply medical knowledge to different scenarios. The AKT will be similar to the current PLAB 1 exam.
The AKT for overseas doctors will be set by the GMC, whereas for UK medical students, the exam will be run by medical schools. Information from the UK exams will be used to ensure that the assessment is comparable and consistent, where appropriate.
The test is expected to be held four times a year for international candidates, at a number of locations worldwide.
You will need to pass the AKT before you can take the CPSA.
2. The clinical and professional skills assessment (CPSA)
The CPSA for international doctors will be held at the GMC’s clinical assessment centre in Manchester. The CPSA will be similar to the current PLAB 2 exam.
For UK medical students, the CPSA will be set and run by their medical school. Each UK medical school calls the CPSA something different e.g. an Objective Structured Clinical Examination (OSCE), however the GMC will set requirements that all CPSAs must meet.
Exam Structure
The MLA content map tells you more about the topics and areas that your AKT and CPSA assessments could cover.
The MLA has three overarching themes: readiness for safe practice, managing uncertainty, and delivering person-centred care; and six sections, called domains.
Areas of clinical practice, such as mental health and surgery
Areas of professional knowledge, such as biomedical sciences and medical ethics and law
Clinical and professional capabilities, such as assessing and managing risk and safeguarding vulnerable patients
Practical skills and procedures, as set out in the list of practical skills and procedures that supplements the GMC’s Outcomes for graduates (2018)
Patient presentations, which relates to signs, symptoms, investigation results and other relevant patient-related issues typically seen by doctors in a first appointment within the UK Foundation Programme e.g. a chronic rash or breast lump
Conditions, which are pathophysiological diseases or clinical diagnoses typically seen by doctors in a first appointment within the UK Foundation Programme e.g. asthma and eating disorders
In the future, sample questions will be provided by the GMC for the AKT so that you can get a better feel for the test.
Other Key Information
Cost
Similarly to PLAB, you will have to pay a fee to sit the UKMLA as an IMG. The fees have yet to be set by the GMC, but will be published once determined.
EEA Graduates
Decisions about whether EEA graduates will need to sit the MLA from 2024 will be informed by government-led agreements and trade deals. The GMC will provide an update on this situation once there is more information about future arrangements.
English Language Requirements
The MLA won't change the GMC’s English language requirements for registration. You must still prove that you have the necessary knowledge of English to practise safely in the UK.
Sources
https://www.gmc-uk.org/education/medical-licensing-assessment
https://www.gmc-uk.org/education/medical-licensing-assessment/uk-students-guide-to-the-mla
The introduction of the UKMLA is a significant change to one of the most popular routes taken by IMGs wanting to work in the NHS. Despite the change, there are always several options available to overseas doctors wanting to relocate to the UK. Feel free to get in touch with our team to discuss your options.
Read more useful articles on exams, NHS jobs and salaries in our IMG Resources library.
One of the biggest considerations for IMGs relocating to the UK with families is finding the right school for their children. The education system in the UK can be confusing in places, so it’s important to fully understand all the options available within the UK to be able to make a well-informed decision.
And with factors such as citizenship playing a part in areas such as cost, a good idea of the UK system is crucial for all families relocating with children.
In this blog we’ll be covering the following topics:
An overview of the education system in the UK
Educational Institutes
Primary Education
Secondary Education
Further Education
Higher Education
Citizenship and UK Education
Skip ahead to the relevant section if you know what you’re looking for.
AN OVERVIEW OF THE EDUCATION SYSTEM IN THE UK
The education system in the UK is divided into four main parts, primary education, secondary education, further education and higher education. Children in the UK legally must attend primary and secondary education which runs from about 5-years-old until around 16-years-old.
Early years’ education applies to children aged around 3-years-old to 4- or 5-years old. This stage sets standards for the learning, development and care of a child until the age of 5.
The basic school curriculum includes the ‘national curriculum’, as well as religious education and sex education. And sets out a blueprint of subjects and standards used by primary and secondary schools that allows children to learn the same things. It covers both the subjects that are taught, and the standards children are expected to reach in each subject.
The UK system is also split into "key stages" where a child’s performance is formally assessed by their teacher at the end of each stage. These break down as follows:
Key Stage 1: age 4 - 7
Key Stage 2: age 7 - 11
Key Stage 3: age 11 - 14
Key Stage 4: age 14 - 16
In England, the compulsory education age has been extended to 18. This means that students must stay in full-time education, begin an apprenticeship or traineeship, or start a part-time education/training course, with 20 hours a week working or volunteering at age 16.
This article discusses the time spent at school, starting and leaving years etc. This will help to give you a general idea when comparing to other countries around the world.
Cost of Education in the UK
Education in the UK is free for all children, and all children are entitled to and guaranteed a space at school. The UK is renowned for having a strong academic set-up and we find a lot of IMGs plan to move to the UK for the educational benefit of their children.
Ofsted
The regulator that scores and assesses schools in the UK is Ofsted. Ofsted's role is to make sure that educational institutions, training and care services in England operate to a high standard for children and students. Every week, we carry out hundreds of inspections and regulatory visits throughout England and publish the results online.
Ofsted gradings for all schools in England are published on this webpage and can be filtered by region and found here.
School Terms and Holidays
A typical school year starts begins in September and ends in June/July. It consists of three terms: Autumn Term (September to December), Spring Term (January to April) and Summer Term (April to July).
As well as having a week-long break in the middle of each term (half-term), students also have longer holidays between terms: Christmas holidays (2-3 weeks), Easter holidays (2-3 weeks) and summer holidays (around 6 - 8 weeks).
EDUCATIONAL INSTITUTES
There are two main types of school in the UK - ones that are paid for by the government or local authorities and ones which aren't.
The ones which aren't, need to get the money to pay for themselves from somewhere else, like school fees. The main differences between these two types are that state schools are free for students, whilst private schools often charge fees.
Most state schools (aside from academies) will also follow the national curriculum, whilst private schools (while still rigorously assessed by OFSTED) are able to determine their own curriculum, admittance processes, term dates etc.
There are several types of state schools in the UK which provide free education to pupils in the UK, funded whether by the government or by local authorities, these include:
Maintained schools
Academies
Selective grammar schools
Religion focused faith schools
State boarding schools
Private schools in the UK include:
Independent schools
Boarding schools
As well as these, there are also tutorial colleges which start at age 15 and have a more flexible programme range, focusing on fast access to UK university.
Further education colleges such as sixth forms and colleges provide education for those over the age of 16, and of course universities are higher education institutions where students over the age of 18 study towards undergraduate or postgraduate degrees.
PRIMARY EDUCATION
Primary school education begins in the UK at age around 4 or 5 and continues until age 11, comprising key stages one and two.
The year groups at primary school level are as follows:
Some primary schools are split up into Infant and Junior levels, which are usually separate schools on the same site. The infant age range (Key Stage 1) is from age 4 to 7, and the Junior age range (Key Stage 2) is from age 7 to 11.
SATs
SATs are national statutory assessments that children in England take twice during their primary school years. The assessments are made up of a combination of testing and teacher assessment judgements and are used to assess the attainment of pupils against the national curriculum, firstly, at the end of Key Stage 1 (KS1) in Year 2, and then again at the end of Key Stage 2 (KS2) in Year 6.
KS1 SATs currently assess children in maths (arithmetic) and English (reading, spelling, punctuation and grammar). KS2 SATs are more formal than in KS1 and children are assessed in English reading comprehension, grammar, punctuation, spelling, science, mathematical reasoning, and arithmetic.
SECONDARY EDUCATION
Secondary school education begins at age 11 and continues until around age 16, comprising key stages three and four.
Key Stage 3
Years 7 and 8 are the first two years of secondary school education in the UK. Under the UK system, all students study English, Maths, Sciences, a Humanity and a Modern Language. Besides these subjects, each school has a list with optional subjects (Art, Music, Drama, Latin, Sport Science, Design Technology, Computer Science).
Year 9 is a very important year in the British school system, as most of the students make the transition from Junior School to Senior School. It is also a very good foundation for the GCSE programme, and it is an entry point to all schools.
Students study English, Maths, Sciences, Humanity and Languages. In addition, students choose a few subjects that interest them from the optional subject list offered by each school.
Key Stage 4 – GCSE programme
In the last two years of secondary education, year 10 and year 11, students prepare for GCSE exams that are taken after two years (General Certificate of Secondary Education).
In the UK school system, during the GCSE programme, students study between 9 and 12 subjects, in which they are examined at the end of the 2-3 year period. English, maths, 2/3 sciences, one humanity and a modern foreign language are compulsory, leaving 3 to 6 subjects free to be chosen by each student according to their abilities and preferences.
The chosen subjects and the GCSE results are very important for their Further Studies (A-Level or IB) and for university admission.
Some schools offer a 1-year GCSE programme in Year 11 for international students seeking a school education in the UK. These intensive courses are available for students aged 15 plus, with the appropriate academic level from their own country. Fewer subjects are studied (maximum 6).
FURTHER EDUCATION
Years 12 and 13
A-level Study
In the UK school system, once a student reaches the age of 16, they can start a 2-year programme which leads to A- (Advanced) level examinations. Students choose 3 or 4 subjects which may continue on from GCSE study or may be new choices.
A-levels are state examinations and are recognised by all UK universities and by institutions worldwide, therefore students usually choose A-level subjects are usually chosen that are relevant to the degree subject they wish to follow at university.
International Baccalaureate (IB)
Some independent schools may offer the International Baccalaureate (IB) Diploma Programme.
During the IB, students study 6 subjects, 3 at higher level (HL) and 3 at standard level (SL). Each school offers different subjects at different study levels (HL/SL). The IB programme also includes a compulsory core programme consisting of Theory of Knowledge (TOK), Extended Essay (EE) and Creativity, Activity, Service (CAS).
Vocational Courses
Further Education colleges also offer foundation and diploma courses, and all colleges can prepare students for entry to a UK university or any university in the world.
An alternative to A-levels or the IB are BTEC courses, which are designed for students who would like to develop practical knowledge and skills in a specific subject (Business, Psychology, Engineering, Sport, Art & Design) or perhaps find traditional exams challenging.
BTEC students are assessed during the course (usually after each unit) through practical or skills-based assignments, tasks or tests, rather than at the end of the programme.
HIGHER EDUCATION
Foundation Courses
Foundation degrees are courses for international students preparing for undergraduate study, or for UK students who are unsure about taking a full degree or want to study while working.
They usually take one to two years full-time to complete, or longer for part-time students, and students can normally continue for a further year to gain a full honours degree or have direct entry onto a full degree after completing a foundation course.
Undergraduate Study
In the UK, a bachelor's degree normally takes three years to complete, and most are awarded at honours level (360 credits or 180 ECTS). Examples of first degrees are: BA (Bachelor of Arts), BSc (Bachelor of Science), and BEng (Bachelor of Engineering).
The academic year is typically 9 months long, with study beginning in September/ October and finishing around June/ July.
Postgraduate Study
Postgraduate courses in the UK education system are very intensive. This means that the courses are usually much shorter than in other countries. A master's degree typically takes 12 months to complete, for example an MA - Master of Arts and an MEng - Master of Engineering.
An MBA (Master of Business Administration) is a high profile Masters course which can take 2 years. Applicants for MBA courses will usually be high achieving with at least 2 years managerial experience.
A PhD research degree in the UK can take between 2 and 7 years.
CITIZENSHIP AND HIGHER EDUCATION
University Tuition Fees
Tuition fees cover the entire cost of tuition plus any excess services you may get from the university, such as tutoring services, information technology, and library services that they may provide.
The cost of undergraduate tuition in the UK is usually around £9,250 for home students (British citizens). For non-UK students, this can be anywhere from £11,000 to £20,000, depending on the university.
Besides your nationality, the type and academic level of your course can also influence the cost of a course in the UK. As you would expect, tuition fees in the social sciences and humanities are lower compared to natural science courses where extracurricular lab sessions are involved.
Financial Aid in the UK
Financial aid is available for both UK and international students.
All UK students are eligible for a tuition fee loan to cover the full cost of the tuition provided by their higher education institution. This is paid directly to the institution.
Government financial aid for students’ living costs (maintenance), offered by Student Finance England (SFE) is means-tested and parental (or household) income is the key factor here. Another key factor is whether the student will be living at home, away from home outside of London, or away from home within London. You can find full details of the maintenance loans based on household income here. International students are not eligible for maintenance loans from SFE.
Student Loans
Student loans are the most common type of financial aid offered for students in UK. Under current law regulations in the UK, only UK, EU and EEA students are eligible to apply for these funds. International students, have to look for other types of student loans granted in their home country or at the UK university of their choice.
Student loans interest rates are incredibly favourable, regulated so they cannot increase too much and are only repayable once the loanee has begun working and started taking an income above a certain threshold. There is a lot of flexibility in how and when they can be repaid as they are government loans, rather than by corporate or profit driven banks. You can find more information about student loans on the government website here.
UK Higher Education for International Students
Whilst international students are a big part of UK universities, there are many more places allocated to UK students. Being a UK citizen will help your children’s chances of a successful application considerably.
Universities will charge British citizens lower tuition fees than they would for international students. This applies to both EU and non-EU international students. For families of international students, this can be a difference of tens of thousands of pounds spend on tuition and maintenance, when compared to a UK student.
Depending on when you move to the UK, your child may be eligible for university places and financial aid as a British student.
So, there you have it – this should give you a much clearer picture of how the education system works in the UK and where your child may fit into the system depending on their age.
Making the decision to relocate to the UK to work in the NHS involves so many important considerations, including for many, education for their children. With factors such as the cost of university education to consider, the timing of such a move is even more important.
Getting started
Don’t hesitate to get in touch with one of our specialists if you would like some advice or support in considering your options more fully.
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Navigating maternity pay can be a complex process, especially within the NHS. It's crucial to understand the eligibility criteria and the benefits you're entitled to under the NHS maternity pay scheme. Here's a comprehensive breakdown to help you navigate through this important aspect of maternity leave.
Eligibility Criteria:
To qualify for NHS maternity pay, you need to meet the following criteria:
1. Continuous Employment: You must have completed 12 months of continuous employment with the NHS. This period doesn't necessarily have to be with the same employer but should have no breaks exceeding three months.
2. Timing: By the time you reach 11 weeks before your expected week of childbirth, you should meet the continuous employment requirement and comply with the NHS notice requirements.
Understanding NHS Maternity Pay Structure:
Once you meet the eligibility criteria, you become entitled to a structured maternity pay scheme. Here's how it works:
1. Full Pay (8 Weeks): You'll receive eight weeks of full pay, which is subject to deduction for Statutory Maternity Pay (SMP) and Maternity Allowances.
2. Half-Pay (18 Weeks): Following the full pay period, you'll receive 18 weeks of half-pay, in addition to SMP and Maternity Allowances.
3. SMP or Maternity Allowance (13 Weeks): The final phase of maternity pay involves 13 weeks of receiving either SMP or Maternity Allowance. Maternity Allowance is paid at a fixed rate, which was £156.66 per week (April 2022 – April 2023) or 90% of your average earnings if lower.
Notification Requirements:
It's essential to adhere to the notification requirements set by the NHS. You must notify your employer at least 15 weeks before your due date. However, as a good practice, most individuals tend to inform their employers sooner, especially considering visible signs of pregnancy by that stage.
Final Thoughts:
Understanding the intricacies of NHS maternity pay is vital for expecting parents working within the NHS. By meeting the eligibility criteria and adhering to the notification requirements, you can ensure a smooth transition into maternity leave while availing of the benefits provided under the NHS maternity pay scheme.
In conclusion, navigating maternity pay within the NHS involves understanding eligibility criteria, the structure of maternity pay, and notification requirements. By being informed, expectant parents can make the most out of the benefits provided by their employer, ensuring a seamless transition into parenthood.
Reference - https://www.rcn.org.uk/Get-Help/RCN-advice/having-a-family#:~:text=It%20is%20likely%20you%20are,13%20weeks%20SMP
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Overseas medical oncologists looking to register with the GMC through the postgraduate qualification route will need to attain Membership of the Royal College of Physicians (MRCP UK).
Here we take a closer look at the MRCP (UK) examinations for doctors who have chosen their specialism in medical oncology, including a breakdown of each exam, fees and eligibility.
International Medical Graduates (IMGs) from any country in the world can sit the MRCP examinations, provided certain eligibility criteria are met. These are summarised below along with a broad look at the following topics:
What is MRCP (UK)?
Where does MRCP fit into my oncology training?
How are the MRCP exams structured?
Eligibility for overseas doctors
How do I apply for the exams and what do they cost?
Where can I sit the exams as an overseas medical oncologist?
How should I prepare for the exams as an IMG?
I’ve passed, what’s next?
Skip ahead to the relevant section if you know what you're looking for.
What is MRCP(UK)?
The Royal College of Physicians is the professional body responsible for the specialty of medicine throughout the UK. Among many other duties, its role is to set and monitor the educational curriculum for those training to enter the profession.
As medical oncology comes under the umbrella of medicine, the postgraduate exams for medical oncologists are set and delivered by the Royal College of Physicians. For clinical oncologists, the Royal College of Radiologists are the overseeing body for training and exams. You can learn more about the clinical oncology postgraduate route here.
The MRCP examinations assess a candidate’s knowledge of basic medical sciences, as well as clinical skills required for the diagnosis and management of disease. The exams are designed to test both applied basic science and principles of medicine to the level of a UK trainee with two to three years postgraduate experience.
Therefore, completion of MRCP will allow you to work in the UK from ST3 level upward, with seniority beyond ST3 level dependent on experience.
MRCP (as a postgraduate qualification) is one of the two main routes an overseas doctor can take to gain full GMC registration, the other being the PLAB route. For in-depth information on each of the MRCP exams, see our IMG Resources library here.
MRCP as Part of Training in Oncology
Full MRCP (UK) is a requirement for all oncologists wishing to go on to a specialty training post in the UK.
For doctors who wish to find more senior roles in the NHS which are reflective of their current practice and experience, IMG Connect advise that MRCP (UK) would be the best route to take to GMC registration.
MRCP (UK) Exams Structure
The MRCP exam has three parts as outlined below:
MRCP (UK) Part 1
The first exam in the MRCP exam suite tests a sample of medical knowledge skills and behavior are specified in the UK specialty training curriculum for core medical training / internal medicine training.
The first examine that MRCP suite is designed to assess the candidate's knowledge and understanding of the clinical silences relevant to medical practice and of common or important disorders to a level appropriate for entry to specialist training.
The examination has a two-paper format - each paper is 3 hours long and contains 100 multiple choice questions in a ‘best of five’ format. The paper both tests core knowledge and comprehension as well as a candidate's ability to interpret information and solve clinical problems.
Each question has five options: one correct answer and four alternatives to the correct answer.
The exam is also designed to help prepare candidates for the more challenging Part 2 written and PACES exam.
Specialty
Number of questions
Cardiology
14
Clinical Pharmacology and Therapeutics
15
Clinical sciences
25
Dermatology
8
Endocrinology, diabetes and metabolic medicine
14
Gastroenterology and Hepatology
14
Geriatric medicine
8
Haematology
14
Infectious diseases
14
Neurology
14
Oncology
5
Medical ophthalmology
4
Palliative medicine and end of life care
4
Psychiatry
9
Renal medicine
14
Respiratory medicine
14
Rheumatology
14
Total
200
For more detailed information on the content of the exam, see the Royal College website here.
MRCP (UK) Part 2
The second exam in the exam suite builds on the knowledge assessed in Part 1 and again tests the acquisition of a representative sample of medical knowledge skills and behavior.
The questions will usually have a clinical scenario, may include the results of investigations and may be illustrated with images such as clinical photographs, pathology slides, inheritance trees ECGs, X-rays, CT and MR scans and echocardiograms.
Questions are asked about the diagnosis investigation management and prognosis of patients using multiple choice questions in a ‘best of five’ format.
Specialty
Number of questions
Cardiology
19
Clinical Pharmacology and Therapeutics
18
Dermatology
9
Endocrinology, diabetes and metabolic medicine
19
Gastroenterology and Hepatology
19
Geriatric medicine
9
Haematology
9
Infectious diseases
19
Medical ophthalmology
3
Neurology
17
Oncology, Palliative medicine & end-of-life care
9
Psychiatry
3
Renal medicine
19
Respiratory medicine
19
Rheumatology
9
Total
200
For more detailed information on the content of the exam, see the Royal College website here.
MRCP (UK) PACES
The MRCP (UK) Practical Assessment of Clinical Examination Skills (PACES) assesses a candidate’s ability to carry out essential clinical skills.
There are five clinical stations where there are either patients with a given condition, or trained stand-ins (surrogates). At each station, there are two independent examiners who will observe and evaluate the candidates' performance.
PACES Carousel
For more detailed information on the content of the exam, see the Royal College website here.
Eligibility for Overseas Medical Oncologists
Part 1
To be eligible for MRCP (UK) Part 1, you must have a GMC recognised Primary Medical Qualification and a minimum of 12 months postgraduate experience in medical employment.
Part 2 & PACES
To be eligible for MRCP (UK) Part 2 & PACES, you must have passed Part 1 within the last seven years.
Please note, whilst it is not essential to successfully complete Part 2 to sit PACES, the Royal College strongly advises you to do so, as pass-rates are much lower for those who sit PACES before passing Part 2.
Applications
Applications for all MRCP exams are made online through My MRCP(UK) account, via the Royal College website. You will need to create an account and submit evidence of your primary medical qualification, then make a payment online to confirm your application.
The cost of the MRCP exams are as follows:
Candidate
Part 1
Part 2
PACES
UK
£460
£460
£657
International
£616
£616
£1,202
Exam Centres
The MRCP exams are held 4 times a year and can be sat in several locations around the world, including the UK, Manama, Dhaka, Cairo, Accra, Hong Kong, Reykjavik, Chennai, Hyderabad, Kerala, Kolkata, Mumbai, New Delhi, Erbil, Amman, Nairobi, Kuwait City, Kuala Lumpur, Malta, Kathmandu, Muscat, Karachi, Lahore, Doha, Jeddah, Riyadh, Singapore, Sri Lanka, Khartoum, Abu Dhabi, Dubai, New Jersey, Barbados, Jamaica, Trinidad and Harare.
Please note that the number of sittings for each exam varies between countries – you can find the full list of cities and dates here.
The Part 1 and Part 2 exams are held online in the UK for candidates within the UK and Republic of Ireland.
During the COVID-19 pandemic, there is limited availability of spaces for the PACES exam, and whilst every effort will be made to provide as many places as possible, if the number of applications for the exam exceeds the places available, candidates in UK training will be prioritised.
Preparation and Resources
With lots of resources available online, we have discussed with IMGs the best place to start looking for materials relating to the exams. Most IMGs recommended starting with the Royal College, who have created useful resources to help you to prepare for the exams. These include:
Curriculum: Applicants are tested on a range of common and important disorders in General Medicine as set out in the Joint Royal Colleges’ Specialty Training Curriculum for Core Medical Training. We recommend getting to know the curriculum as early as possible and using it as a roadmap for your study.
Sample questions for Part 1 & Part 2: It is a good idea to regularly benchmark your knowledge by testing yourself using example questions from the current exam syllabus provided by the Royal College see below:
Part 1
Part 2
PACES scenarios: To familiarise yourself with the format of the PACES exam, take a look at sample scenarios from the stations. You can find these here.
IMG Oncologists
Join the IMG Oncologists Facebook group for access to a community of like-minded MRCP aspirants and dedicated oncology recruiters.
In this group you will find tailored resources for oncology IMGs, including access to our MRCP crash courses, completely free to all doctors.
You can access our IMG Oncologists community here.
For an overview of how to prepare for exams, including advice on study groups, online community support, the best use of online resources & Royal College materials and courses, take a look at our blog: IMG Connects Top Tips for exam preparation.
For more information on the MRCP exams including structure, preparation, dates and a content drill down, see the blogs we’ve written on each part of the examination suite:
MRCP (UK) Part 1
MRCP (UK) Part 2
MRCP (UK) PACES
I’ve passed, what’s next?
First of all, congratulations! This is a massive achievement and you deserve to put your feet up after all that hard work. With full MRCP, you can now apply for a full GMC registration with a license to practice (once you’ve passed an English language exam). Once the GMC has approved your application, you can work as a doctor in the UK. Nice one!
Get in touch
Don’t hesitate to contact an IMG oncology recruitment specialist to discuss GMC registration, oncology positions in the NHS, including typical NHS salaries, the most suitable UK locations and hospitals for you, and relocation.
For regular news and updates on the Royal College and all things oncology, follow IMG Connect on social media using the links below:
Are you an overseas psychiatrist taking the postgraduate route to GMC registration through the MRCPsych exams? Are you interested in sitting the exams in the future?
As part of IMG Stories, we're introducing Dr Bilal Zafar, a psychiatrist who has recently sat and passed the MRCPsych Paper A exam. Bilal will be sharing his experiences of the first of the Royal College of Psychiatrists exams, taking you through his preparation, experience of sitting the exam and sharing some hot tips for international MRCPsych aspirants.
1. Tell us about yourself... what should the IMG Community know about Bilal Zafar?
My name is Dr. Bilal Zafar and I'm from Karachi, Pakistan. I graduated from Dow University of Health Sciences (DUHS) in 2018 and cleared my FCPS residency entrance exam from College of Physicians & Surgeons, Pakistan. Currently, I'm working as a psychiatry resident at Liaquat National Hospital in Pakistan. I am also Editor in-chief at MEDizzy UK, Global Executive Member at Oli Health Magazine Turkey, and an i-act manager for mental health certified by the Royal College of Psychiatrists, UK. I served as an ambassador for Banja Luka International Medical Congress (BLIMC) 2019, the 25th Scientific Congress of Hellenic Medical Students and the 13th International Forum for Medical Students and Junior Doctors from Pakistan.
More recently in 2022, I excelled in the MRCPsych Paper A examination by Royal College of Psychiatrists.
2. What motivated you to sit the MRCPsych exams?
When I started my residency, I was originally convinced to aim for PLAB, however during my practice, I watched one of my supervisors clear all the Royal College exams. This inspired me to switch to my focus to MRCPsych.
3. At what point in your career and training did you sit the MRCPsych Paper A exam?
I took the MRCPsych Paper A exam in December 2021. For me, the timing was appropriate as I was in the second year of my residency, therefore more aware of the fundamentals. By this point, I had built enough thorough clinical experience to tackle Paper A.
4. How far in advance did you start preparing for the MRCPsych Paper A and how much time did you spend on revision?
I started studying for MRCPsych Paper A soon after clearing my FCPS entrance exam. I had initially allocated 2 hours of studying daily, but as I was at the beginning of my residency so my dedicated study time fluctuated. However, I did my best to adhere to my study plan. When I was around 6 months away from the MRCPsych Paper A exam date, I started aggressive preparation. This is what I recommend to everyone; you will never feel ready for the exam. Book a place, start your preparation and take the exam!
5. Did you benefit from speaking to senior colleagues or peers about the exam? Did you study with other candidates?
I was grateful to find very professional, concerned and co-operative senior colleagues. Their thorough guidance and support provided me with the strategy and study materials for this exam. Around 6 weeks before the exam, I joined a study group of IMGs (which I found through IMG Connect) where I found an amazing study partner. She had more than 5 years' experience in clinical psychiatry, and together we solved MCQs and discussed concepts - her experience benefited me a lot!
6. You are one of the creators of the fantastic MEDizzy UK Journal. How has this impacted your study and practice as a psychiatrist?
MEDizzy is the world's fastest growing medical learning communities. I joined the community 4 years ago. Back then, I was doing my internship and preparing for the residency entrance exam. For me, MEDizzy is a door to non-stop medical exposure, and I've learned a lot from the app and journal. MEDizzy journal was launched in 2020 and since then I've served as Editor-in-Chief. We serve the global medical community with the latest news, medical cases, medical technology, inspirational interviews and much more. I must say, sometimes it becomes difficult to maintain a work and study balance and there's no perfect formula for this. I would say my studies have made me what I am today and MEDizzy polished me.
7. How did you manage to juggle other commitments whilst studying for the exam (without panicking)?
Sometimes I don't know, myself! After booking my exam, I created a study plan. At the same time, I had to juggle my residency, medical writing on Fiverr, MEDizzy projects and, most importantly, my wedding. It was scheduled for the day after my MRCPsych Paper A exam. I was tangled in multiple commitments and you can only imagine the difficulty. Fortunately, I could manage my personal life, residency and exam and passed the exam on my first attempt, despite the odds. The key is to remain calm and believe that nothing in this world is impossible.
8. What resources did you use to prepare and practice for the MRCPsych Paper A exam?
I relied on SPMM notes, SPMM high yield MCQs and mock exams. For my MRCPsych Paper A, I used a retro approach to studying. In this technique, I first solved the MCQs of any topic and studied the same topic later from the SPMM notes. I practiced mock exam questions 6 times. Always remember - revision is the key. You may cover a long list of topics but if you don’t revise what you studied earlier you won’t retain this information. While practicing questions, read them carefully and memorise the explanations. Lastly, I also used the Shorter Oxford Textbook of Psychiatry and Kaplan Neuroanatomy.
9. What is the single best resource you would recommend for IMGs to use when preparing for the MRCPsych Paper A and why?
SPMM and SPMM only. The mock exams and practice questions are similar to real exam questions. Take the mock exams 6 weeks prior to the actual exam and solve them in the provided time. This will give you real insight about your time management and retention and recall power.
10. Let's face it, exams are not everyone's favourite day out... so on the day of the exam, what did you do to relax?
Nobody should study on the day of exam. This makes you more anxious. For me, I was getting married the very next day and I had so much going around at home and in my mind. My exam was at 12pm, so I woke up at 7am, took a shower, got dressed, and left for the examination centre at 10:00 am.
11. What was your experience like on the day?
My experience was overwhelmingly amazing! It was an online exam at a local examination centre. In the exam there were 3 sections of 50 questions each. We had an option to take a break after completing each section, but I didn’t take any breaks as I thought it might disturb my continuity. Most of the questions were doable for me as I had practiced mock questions. However, there were some entirely new questions as well. In every section, I gave a reasonable amount of time to at least 5 questions. The rest of them didn’t take much time. Therefore, I completed the exam in 2 hours.
12. What was the most challenging part of the exam?
The most challenging part of the exam was the EMIs. They took a fair amount of time and I had to recall my basic concepts and put them together to solve these questions.
13. In hindsight, would you have done anything differently?
After the exam, I was confident about my performance. I thought I'd taken a good approach to the exam and ws confident in the results.
14. What nuggets of advice would you give to any MRCPsych Paper A aspirants?
I would recommend that you not wait for the ‘right time' or a time when you're ‘fully prepared'. There is neither a right time nor any point when you're completely prepared. Book the test, make full use of the question banks, take mock exams, start studying and sit your exam.
15. What did you do to celebrate passing the exam?
On the day the exam results were to be released, I was at home, and my wife and I were anxiously waiting for the email from the Royal College. The moment we saw “PASS” in the email, my wife literally shouted “You did it, Bilal!”. It was a priceless moment. Later that night, we arranged a gathering of close friends and family to celebrate my achievement.
16. What are your plans going forward?
So far, I am a candidate for FCPS (Psych) and MRCPsych. My plan is to take the intermediate module of FCPS in August 2022 and then take MRCPsych Paper B in September 2022. I aim to complete MRCPsych by next year. As far as MEDizzy is concerned, we aim to expand the community by initiating new projects such as the ambassador program and advancing MEDizzy Inspire where we interview the most deserving personalities from the world of medicine who can become inspiration for young healthcare professionals.
Join the IMG Psychiatrists Facebook group for access to a community of like-minded overseas MRCPsych aspirants.
For news and updates on all things psychiatry, follow us on social media and join the conversation.
Many physicians trained in the USA can now register to work in the UK using their USMLE licensure. Whilst it is not a qualification, the GMC now accepts the United States Medical Licensing Exam (USMLE) as evidence of the appropriate skills and knowledge required to be granted registration with a license to practice.
In this blog we will outline some key points in this process, and briefly explain how to apply for full registration, including the following:
Are you eligible for GMC registration?
What are the requirements for GMC registration using the USMLE?
How to provide evidence of your Primary Medical Qualification
How to provide evidence of your internship
How to request evidence from the USMLE for the GMC
How to provide evidence of English language proficiency
How to obtain a Certificate of Good Standing
What other information will you need to provide?
Getting started
Please note, the full process is a lengthy one, so for detailed guidance on registering with the GMC using your USMLE, we suggest you get in touch with us to learn more.
Eligibility for GMC Registration
You are eligible for this application if you:
graduated from a medical school outside the UK or Switzerland
and you:
hold an acceptable primary medical qualification
have completed an internship
have passed the United States Medical Licensing Exam:
Step 1
Step 2 Clinical Knowledge AND
Step 2 Clinical Skills
Some important things to note:
Your pass for Step 2 Clinical Skills must be on or before 13 March 2020. This is because the in-person aspect of Step 2 Clinical Skills allows the USMLE to be comparable to the PLAB exam. Without this, the USMLE does not meet the GMC requirements for demonstration of skills and knowledge.
If you attained the USMLE before 16 April 2004, you may have passed the former ECFMG Clinical Skill Assessment (CSA). This will not be accepted by the GMC for registration. Whilst we understand there are a lot of similarities between the two assessments (CSA and Step 2 CS) - only the Step 2 CS will be accepted.
You must have passed each part of the exam including the knowledge tests and clinical skills components in four attempts or less.
If you have taken and failed PLAB Part 1 or 2 after you passed any component of an overseas registration exam, either a knowledge or clinical skills test, you will not be eligible for this application.
If your pass in the clinical skills component is more than two years old, you will need to have carried out medical practice for three of the last five years, including at least six out of the most recent 12 months before you submit your application. If your pass is over two years old and you haven’t completed this pattern of medical practice you will not be eligible to use the USMLE for GMC registration.
If you do not meet these criteria, your application may be rejected and you may need to find an alternative route to GMC registration. Depending on your specialty, you may have an overseas accepted qualification, or PLAB may be another alternative for you.
GMC Registration Requirements
To gain full GMC registration with a license to practice in the UK, you must provide evidence of:
Evidence of skills and knowledge - this would be your full USMLE (Step 1, Step 2 - CK & CS)
AND
English language capabilities - either your IELTS, OET or an approved reference from your current employer (if you have been working in an English-speaking country for the last two years).
AND
Certificate of good standing - the certificate from your medical regulatory authority which demonstrates good standing.
Evidence of Primary Medical Qualification (PMQ)
As part of your application with the GMC, you’ll need to send a copy of your Primary Medical Qualification. Some overseas medical degrees are not accepted by the GMC – if you are not sure – take a read of our blog on accepted primary medical qualifications here.
Once you have checked your primary medical qualification meets the acceptability criteria, you’ll need to have it independently verified before you can be granted your registration with a licence to practise. You will need to do this if you qualified from a medical school outside the UK and are not already provisionally registered with the GMC.
Read our article on verifying your medical degree here – or for a full and detailed guide on the steps required, contact the team via email at info@imgconnect.co.uk
Evidence of an Acceptable Internship
An internship is formal training and experience after you've completed your primary medical qualification.
An acceptable internship must include at least 12 months' continuous medical practice in an approved training post in a public hospital. You must have done this either immediately before or after you graduated.
Your internship must have been at least 12 months in duration.
If your internship was completed over a 12 - 18-month period, it must have included at least three months in medicine and three months in surgery.
If your internship was completed in over 18 months, it must have included at least six months in medicine and six months in surgery.
You'll need to send the GMC a certificate or letter of completion from your institution, which gives details of the dates and specialties of your rotations.
If you completed an internship in the UK, you’ll need to read the online guidance for moving from provisional registration to full registration.
I haven't competed an internship
If you didn't complete an internship, the GMC will accept evidence that you practised for two years continuously after you graduated.
The GMC will check that your experience:
was undertaken in a public hospital that meets the standards for regulation within its jurisdiction and has established supervision, safety and governance systems in place
includes at least three months of practising medicine, continuously and without interruption
includes at least least three months practising surgery, continuously and without interruption
was completed under supervision.
You'll need to provide a letter from the hospital on letter headed paper, which gives details of the dates and specialties of your practice.
Evidence of your pass in the USMLE
As part of your application, you'll need to:
Email the GMC to express your interest in applying for registration through this route at img@gmc-uk.org.
Complete the application form the GMC send you and return it by email.
Send them evidence which demonstrates you’ve passed an acceptable overseas registration exam. You can request this from the USMLE as per the instructions below.
Requesting evidence from USMLE for the GMC
First you should check that your college is listed on the World Directory of Medical Schools (WDOMS) - this is likely if you've completed the USMLE
You can request and download a transcript from the Federation of State Medical Boards
You need to select General Medical Council (UK) from the drop-down list
If you are unable to access your account, call (817) 868-4041 or email transcripts@fsmb.org
Evidence of English Language Proficiency
All physicians, regardless of experience and country of origin, must demonstrate that they have sufficient grasp of the English language. This can be done by passing either the International English Language Testing System (IELTS) or Occupational English Test (OET). Detailed guides to these tests can be found below:
IELTS - a guide for overseas doctors
OET - a guide for overseas doctors
Experience in English-speaking countries
For doctors who have spent the last two years of their clinical experience in an English-speaking country, you can use a reference from your current employer(s) over these two or more years to demonstrate competence of the English language. This would exempt you from sitting an English language exam.
Certificate of Good Standing
All doctors registering with the GMC must provide a certificate of good standing from each medical regulatory authority they’ve been registered or licensed with in the last five years.
The medical regulatory authority may send you a certificate of past good standing if you're not currently registered or licensed with them. If there's no medical regulatory authority in the country to issue a certificate, the GMC will give you further advice once your application has been assessed. You can find out which medical regulatory authority to contact via the GMC website here.
Please note that each certificate is only valid for three months from the date it's signed and must be valid when the GMC approves your application.
Other information you may need to provide
There are various other bits of information you will need to provide which includes your activities for the last five years, translations of any documents not in English, and any additional evidence the GMC may request when reviewing your application.
Often this is different, dependent on each case, so our advice is to start the application and respond to the GMC’s queries as and when they come.
Getting started
You will need to create a GMC Online account for the GMC to be able to send you an application form.
Once you've read and understood the evidence needed to support your application, you’re ready to apply. To start, contact the GMC where they will be able to check your eligibility and send you an application form to complete as mentioned above.
Once you've gathered all the required evidence and started the process to have your PMQ verified by the ECFMG, send your completed application form by email to img@gmc-uk.org. Once received, the GMC will ask you to call their contact centre to make payment.
If you are still unsure about the application process and wish to discuss your application with IMG Connect, feel free to get in touch. We understand the GMC registration process can be complicated, and IMG Connect are experts on the matter. Rest assured, we are always delighted to help overseas physicians through the GMC registration process and to find jobs in the NHS!
For regular news and updates on the UK, including GMC registration, the royal colleges and the NHS, follow IMG Connect on social media using the links below.
Overseas doctors must verify their medical qualifications before making a GMC application.
In order to work in the NHS you need full registration with the GMC. This process requires independent verification of your primary medical degrees and any other qualifications or licensures you are using to join the register. Often this will be a Royal College Qualifcation, or another recognised postgraduate qualification, but can also include an accepted licensing exam such as USMLE, MCCQE or AMCCE. The process of verification is is done by the Educational Commission For Foreign Medical Graduates (ECFMG) and applies if you:
Qualified at a medical school outside of the UK, European Economic Area (EEA) or Switzerland; OR
are an international medical graduate with a European medical qualification (not including UK qualifications) AND
do not already hold provisional registration.
Please note, only those with primary medical qualifications awarded outside of the UK and EU, and those who are not EU nationals but hold a primary medical qualification from the EU (but not the UK), need to use an Electric Portfolio of International Credentials (EPIC).
Which qualifications will I need to verify?
When registering with the GMC there will likely be two certificates you will need to verify for your GMC registration. Depending on what route you take to registration, you will need to verify both of the following:
Postgraduate route: Medical Degree (PMQ) and Accepted Postgraduate Qualification
Relevant European Qualification (REQ) route: Medical Degree (PMQ)
Specialist European Qualification route: Medical Degree (PMQ) and Specialist European Qualification
MTI or Royal College Sponsorship route: Medical Degree (PMQ)
PLAB route: Medical Degree (PMQ)
Is my Medical Degree (PMQ) accepted by the GMC?
You must have completed an acceptable medical degree to register with the GMC. Check if you’re qualification is accepted via the GMC website here. Your medical degree is commonly known as your primary medical qualification (PMQ) and it will need to be independently verified by the Educational Commission for Foreign Medical Graduates (ECFMG) via their online portal, EPIC.
Please note, if you hold refugee status in the UK and are applying to the GMC for registration with a license to practice medicine in the UK, you may be able to get help with your EPIC fees. Contact the GMC before using EPIC.
Setting up an on-line account:
Once you have established the correct documents to be verified, set up an on-line account (EPIC Account) via ECFMG EPIC
The first step to start using EPIC is to complete a request to establish an account. The request requires you to submit some basic personal information, details about your medical education, and, if applicable, details about your postgraduate medical education.
EPIC will then send you an e-mail to confirm receipt of your request to establish an EPIC Account.
Once your account request has been processed, they will send you an e-mail containing your EPIC ID and instructions on how to complete the final step in the account establishment process, completion of the EPIC Identification Form (EIF) to confirm your identity.
The GMC's instructions for EPIC verification are here however this we have outlined the steps above, so things shoud be fairly clear already.
Before you start:
Before your start the verification process, there are a couple of important steps to consider:
Create a GMC online account if you haven't already and check whether the GMC accepts your primary medical qualification and/or postgraduate qualification.
If your medical school is included on the list below then you should contact the GMC before starting the verification process.
on the GMC’s list of qualifications that are not acceptable
on the GMC’s list of qualifications that may be acceptable
not in the list of medical schools on GMC Online
General advice from IMG Connect
Start early: At IMG Connect we strongly advise that you complete this part of the process as soon as possible. There are several factors that contribute to the length of the verification process, ncluding the time it takes for the medical school to verify your qualification(s). It does not expire, so there is no reason to delay! Also consider the GMC will close your application after 90 days if you cannot submit it, so by starting EPIC too late you may cause your GMC application to be closed.
Prepare and save yourself some time: As always, at IMG Connect we advise it is best to gather your documents prior to starting any application. If you do, it should only take about 15 minutes to complete.
Before you begin, make sure you have the following available:
a full-colour photograph (passport style)
a scanned, full-colour copy of the photograph page of your current, unexpired passport
information about your medical education, including your medical school identification number (if applicable) and attendance and degree issue dates
your medical licensure information (if applicable), including any identification numbers
your ECFMG/USMLE Identification Number (if you have one)
your ECFMG International Credentials Services (EICS) Identification Number (if you have one)
Make sure you select the General Medical Council as you upload each qualification. By doing so, the GMC will automatically receive an update when your qualification has been verified. If you don’t do this, it could cause a delay.
How much does EPIC verification cost?
The fees are charged in USD and you’ll need to pay ECFMG directly. Full payment is due at the time you submit your request to establish an EPIC Account. Setting up an account currently costs $125 and as of recently, the fee to verify a credential through EPIC increased to US$90 per credential. For more information on fees and payment, see the fees section of the EPIC website.
I've got my PMQ verified, what next?
Submit your application for registration to the GMC and provide your EPIC ID to the GMC.
You won’t be able to submit your application to the GMC until you have confirmation that your PMQ has been sent for verification. ECFMG will send you confirmation via e-mail. You can also check the status by logging in to your EPIC Account. If you prefer, you can wait until after the qualification has been verified to submit your application, as it can take some time for the verification to be completed.
Once verification of a qualification has been received from the issuing institution and ECFMG has confirmed that the qualification is authentic, ECFMG will confirm this with the GMC. ECFMG will also notify you by e-mail that your qualification has been verified.