The Dermatology SCE is the higher postgraduate qualification provided by the Royal College of Physicians as a specialist qualification for dermatologists. It is one of 11 SCEs offered by the College and offers physicians a higher postgraduate qualification than MRCP which can be used to demonstrate to prospective employers the achievement of a standard equivalent to UK specialist doctors.
Here we take a closer look at the MRCP (UK) Dermatology Specialty Certificate Examination for doctors who have chosen to specialise in dermatology. We cover the content of the exam, as well as fees and the eligibility criteria, which we’ve summarised below with a broad look at the following topics:
What is the SCE in Dermatology?
Where does the SCE fit into my training?
What is the structure of the Dermatology SCE?
How do I apply for the exams and what do they cost?
Where can I sit the exams as an overseas dermatologist?
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) SCE in Dermatology
The dermatology specialty certificate exam is administered as a compulsory element of assessment towards the Certificate of Completion of Training (CCT) in dermatology 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 examinations in North America
The SCE as Part of Training in Dermatology
Since the MRCP(UK) exams are taken during the Internal Medicine Training years (ST1-ST3), the dermatology SCE allows physicians to demonstrate that they are able to practice independently at a consultant level.
The SCE has no fixed entry requirements (both for UK and overseas candidates); however, UK trainees would normally sit the SCE in their penultimate year of higher specialty training (ST6). UK trainees should have made at least one attempt at the dermatology SCE by the time of their penultimate year assessment.
For an in-depth guide to the MRCP exams, see our IMG Resources library here.
Exam Structure
The SCE comprises 200 questions which assesses candidates on a wide range of common and important disorders, as set out in the syllabus of the curriculum. This should be taken as an indication of the likely number of questions for each section – the actual number may vary:
Topic
Number of questions
Cutaneous allergy
10
Dermatopathology
10
Dressings & wound care
10
Formulation & systemic therapy
10
General dermatology & dermatology in primary health care
50
Genito-urinary disorders and oral medicine
10
Infectious disease
10
Paediatrics & genetics
30
Photodermatology
10
Psychodermatology
5
Skin biology & research
15
Skin oncology
20
Skin surgery and cosmetic dermatology
10
Total
200
There are two three-hour papers, with the questions in each category distributed across both papers.
All SCEs are computer-based and are administered by Pearson VUE at a test centre in the UK or internationally.
Dermatology SCE Applications
The SCEs are held once a year and all applications are made online through the My MRCP(UK) account, found in the Upcoming Exams section of the Royal College website.
The application process is as follows:
Register online through My MRCP(UK) (candidates have the opportunity at this point to register any special arrangements)
Request a preferred test country and city
Pay applicable examination fee
Application is confirmed via an automatically generated email
Receive test centre confirmation email from Pearson VUE within four weeks of the examination date.
The Royal College of Physicians has created a helpful video guide on SCE applications which you can watch here.
Cost
The cost of the SCE exams are as follows:
UK centres: £665
International centres: £833
Exam Centres
UK Centres
Candidates who choose to sit the dermatology SCE in the UK must contact Pearson VUE to book their test. There are around 137 test centres throughout the UK for each SCE, and the Royal College of Physicians advise that candidates should book their exam as early as possible to secure their preferred test centre, since bookings operate on a first come first served basis.
International Centres
Candidates are given a choice of regions and are then asked to nominate a particular city in that region as their desired test location. The Royal College of Physicians passes 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 examination date. If the exam is not available in the requested location, candidates will be offered a choice of the nearest available test centres.
Please note, international candidates should not book their own test directly with Pearson VUE - attempting to do so may delay a candidate's application.
The full list of international test centres for the SCE can be found here.
Preparation and Resources for the Dermatology SCE
It can be difficult for IMGs to know where to start with their preparation and revision, particularly as the exam requires a wide breadth of knowledge around the curriculum and should involve reading textbooks, journals and guidelines.
This list should provide a good starting point for any international dermatologists preparing to sit the SCE:
Curriculum - Applicants are tested on a range of common and important disorders in Dermatology as set out in the Joint Royal Colleges of Physicians Training Board’s Specialty Training Curriculum for Dermatology. We recommend getting to know the curriculum as early as possible and using it as a blueprint for your study.
Below are some other good reading materials and sources:
Textbooks
Rook's Textbook of Dermatology - Eds DA Burns, SM Breathnach, N Cox, CE Griffiths
Textbook of Pediatric Dermatology - Eds AD Irvine, PH Hoeger, AC Yan
Dermatology - Eds JL Bolognia, JL Jorizzo, RP Rapini
McKee’s Pathology of the Skin - JE Calonje, T Brenn, A Lazar, P McKee
Journals
British Journal of Dermatology (BJD)
Clinical and Experimental Dermatology (CED)
Journal of the American Academy of Dermatology (JAAD)
Journal of Investigative Dermatology
The Journal of the American Medical Association (JAMA)
Websites
British Association of Dermatologists (BAD)
British Society for Investigative Dermatology (BSID)
British Society for Cutaneous Allergy
British Society for Medical Dermatology
British Society for Dermatological Surgery (BSDS)
DermIS (dermatology image resource)
eMedicine online reference
DermNet NZ (New Zealand dermatology society)
Dermatology e-learning resource
Sample questions: It is a good idea to regularly assess your knowledge and progress using example questions from the current exam syllabus. You can find these here.
For an overview of how to prepare for exams, including advice on study groups, online community support, the best use of online resources & Royal College materials and courses, check out at our blog: IMG Connects Top Tips for exam preparation.
I’ve passed? What’s next?
Congratulations – what an achievement! With your higher postgraduate qualification, you will be able to apply for NHS roles above ST3 which are likely more suited to your seniority and experience – nice one.
Don’t hesitate to get in touch with an IMG medicine recruitment specialist to discuss GMC registration, dermatology positions in the NHS, salaries, suitable UK locations and hospitals for you, and relocation.
To receive the latest news and updates, including the Royal Colleges, GMC registration and the NHS, follow us on social media and join the conversation.
On 23rd June 2016, the UK voted to leave the European Union (EU).
The exact terms of the process by which the UK will depart the EU are still unclear and may remain so for some time due to the urgent attention the COVID-19 coronavirus requires. As such, IMG Connect will continue to review our guidance for EU Nationals relocating to the UK, but for now there are some steps that you can take to explore your rights as an EU citizen.
At IMG Connect we support every single one of our international friends and doctors, and we know that the NHS is enhanced by the contribution of doctors from every country in the world. The contribution of EEA doctors to the NHS is hugely significant across all areas of medical practice.
What does Brexit mean for you so far…
The status of EEA doctors already registered with the UK is guaranteed. But it is unclear whether current GMC registration arrangements for EEA doctors*, which are based on the principle of mutual recognition of doctors’ qualifications and enables the GMC to grant registration very quickly, will continue after the UK leaves the EU in 2019.
The UK government has reached an agreement with the EU that will protect the rights of EU citizens and their family members living in the UK. It has also reached an agreement with Norway, Iceland and Liechtenstein, and a separate agreement with Switzerland.
These agreements mean that most citizens from the EU, Norway, Iceland, Liechtenstein and Switzerland will need to apply to stay in the UK.
*The EEA includes EU countries and also Iceland, Liechtenstein and Norway.
EU Settlement Scheme:
If you’re an EU, EEA or Swiss citizen, you and your family can apply to the EU Settlement Scheme to continue living in the UK after 30 June 2021. If your application is successful, you’ll receive either settled or pre-settled status. You may be able to stay in the UK without applying - for example, if you’re an Irish citizen or have indefinite leave to remain.
The EU Settlement Scheme is open and free to apply. You can apply now if you meet the criteria. The deadline for applying is 30 June 2021. Use the Government online toolkit to find out what you need to do and when. You will need to be living in the UK before it leaves the EU to apply. The deadline for applying will be 31 December 2020.
What else can I do?
Of course, there remains uncertainty over the impact that Brexit will have on the laws regarding immigration in the United Kingdom.
So, we must stress that the information above is for general information purposes only and it may not always be up-to-date. We will do our upmost to keep informed and be in a position to support our EEA colleagues, for whom who we have the highest regard.
We encourage all doctors to join our community, and show their support, field any concerns, or share and answer questions to stay connected. You can always get in touch with us at IMG Connect by requesting a call back with anything you need help with - we are here to support you individually and collectively.
How will the coronavirus affect the UK leaving the EU?
It is very hard to say how exactly how the COVID-19 outbreak will affect Brexit, if at all. Certainly the pandemic has caused the government to divert all attention on keeping the pandemic contained and matters relating to Brexit and immigration status are not being discussed with the same urgency they were previously. Whilst we endeavor to stay up to date with how these things affect EU doctors and their immigration status, we strongly advise that you stay in touch and up to date with the Government website and updates here.
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Are you an overseas oncologist looking to move to the UK? Have you always wanted to hear first-hand the experiences of an international oncologist who has been through the process, from completing their FRCR (Oncology) exams, to GMC registration, securing an NHS job and relocating to the UK?
As part of IMG Stories, we introduce to you, Dr Eric Lee, a wonderful clinical oncologist who relocated to the UK from Hong Kong. Eric has been living and working in the UK with his family after gaining full GMC registration with license to practice.
Today, Eric will be sharing with you his journey and experiences as an IMG oncologist, now working in Colchester in the southeast of England.
Introducing Eric Lee
My name is Eric and I'm a clinical oncologist. I have worked as an oncologist in Hong Kong for 25 years, where I received training in both medical and clinical oncology, in line with the UK system.
Overall, I think the UK system has been so well suited to myself and other generations of doctors and learners, and this was one of my motivations for bringing my family to the UK. Also, for my daughter's education.
Training as a clinical oncologist in Hong Kong
I completed my MBChB and then the FRCR (Oncology) examinations. These were held in Hong Kong with the examiners coming from the UK for assessment. As standard, HK trainees begin FRCR (Oncology) right after becoming medical graduates. Alongside the Royal College exams, you also complete the FHKAM, which is the Hong Kong Academy of Medicine and are the standard qualifications for doctors to complete during their training in Hong Kong.
I began the FRCR (Oncology) training one year after my graduation from medical school. This was in 1996. I spent a total of five years in FRCR (Oncology) training in Hong Kong and received my official FRCR (Oncology) qualification in 2001.
One of the main differences between the UK and Hong Kong systems is that where FRCR (Oncology) tells the medical council that you are almost at the level to work as a consultant. The medical council in Hong Kong has further requirements for doctors transitioning to consultant grade. So, after receiving FRCR (Oncology), I still had to go through 2 to 3 more years of training.
In regards to the Royal College exams, if there's one thing to mention, it's that the examiners are always looking for safe doctors who make patients' safety and comfort their top priority, therefore, my advice for overseas doctors who are looking towards Royal College examinations, especially in oncology, is to remain conscientious and diligent in every aspect of their clinical care, particularly in protecting patients' privacy, rights and safety.
My career as a clinical oncologist
Over the past twenty-five years, I've had rotations in different oncology sub-specialties, including paediatrics, CNS, GI, GU, breast cancer, haematologic malignancies and forensic malignancy. In the last 15 years however, I've been specialising in forensic and genitourinary cancers.
In 2005/ 2006, I had the opportunity to go to Australia for one year for a fellowship. So, I spent almost a year gaining experience in prostate cancer under the supervision of British oncologists in Sydney.
Over the past few years, I've had many thoughts about moving abroad from Hong Kong and looked at several options, including the UK. Finally, it was a Trust in the UK that offered me a job.
This ended up being a very good choice for me, because the UK system is quite similar to medical system in Hong Kong. As an oncologist, I can administer both radiation therapy and chemotherapy, whereas in Australia for example, I'd only be able to practice radiation oncology. So, in the UK, I'm able to use my full training to practice in both medical and radiation oncology.
Going through English language testing
There were several things to consider before I was able to move.
First of all, I had to pass an English language exam. I initially attempted the IELTS exam, but in the end decided to change to the OET exam, because the OET focuses on medical situations, so you don't need to spend too much time going through subjects in other areas.
I managed to achieve a B grade in all 4 sections of the OET exam, which was not easy as my weakest areas are still speaking and writing, and there is of course speaking in the OET exam. You spend 20 minutes speaking in a seminar, similarly to an OSCE. In my exam, I had to take the patient history and give them advice in English.
When the context of the exam is relevant to your specialty e.g. a breast cancer patient, then it’s much easier. However, in the OET exam, the context is not limited to your specialty alone. My tasks for example included two patients with diabetes mellitus and polymyalgia rheumatica. I've not had experience of psychiatry or endocrinology or orthopaedics for many years, but I had to use this knowledge in the exam and act like an orthopaedic surgeon.
Many who take the OET fall into the mindset of a clinical examination and become nervous when presented with a clinical scenario they don’t identify with. My advice to anyone sitting the OET exam is to forget about all the medical things. Forget all your clinical problems. Just relax. Don't worry if your answers aren't 100% correct. What you're expected to do is speak clearly and have an overall caring manner.
The GMC registration process
During the GMC process, I was asked to submit evidence of my continued medical training over the past 10 years because it has been quite a few years since I received my FRCR (Oncology). The GMC wanted to know more about my further medical education over the past 10 years, so I had to submit evidence of all my CME training.
Personally, I'm incredibly fortunate that I've been in the habit of keeping all my certificates of attendance whenever I attend any workshops, conferences or courses, so I have a good record of all my certificates. I spent around a week scanning in all my certificates of attendance from 2002 to 2021, all into one big PDF file.
This advice was given to me by one of my favourite mentors 20 years ago, Dr F.L. Chan, a renowned radiologist in Hong Kong and the warden of the college in Hong Kong. He passed away 10 years ago, sadly, but he gave me some of the most important advice I've been given. He said, 'Eric, you have to keep every one of your certificates, even if you don't see the benefit of the course or workshop, you will find them useful one day'. Since then, I've held onto that advice, and over the last 20 years, I've kept every last certificate in a hard copy!
Finding a job in the UK
I actually posted my CV on LinkedIn and was then contacted by Marcus from IMG Connect. Initially, I wasn't sure if his offer was real as it sounded too good to be true! But I quickly realised that IMG Connect is incredible and could support me with every stage necessary. I personally had a lot of apprehension about the process of moving overseas. I'd been working in a secure job for 25 years, so for me to move from that into the unknown - I would need a lot of support, a lot of counselling. IMG Connect & Marcus were there to provide me with all the support I needed, from day one.
I received job offers from three different Trusts, each with interview processes that began with a stage of informal question, before two rounds of formal interviews online in Microsoft Teams.
Ultimately, the offer from Colchester was the best fit for me. It is the closest to my previous set-up, because I had been working in a General Hospital in Hong Kong and Colchester has the same kind of general hospital set up. This position also allows me to work in my subspecialties of interest - GU and forensic cancers.
My journey to the UK
The timings worked out well for me when it came to the move. We spent some time considering whether to apply for the Tier 2 or BNO visa. The Tier 2 visa requires additional documentation like police checks, but before we had to decide, we received the BNO visa in a matter of days and the decision was made for us. Luckily, because of this, things were much easier - with the BNO visa, my whole family - that is my wife and daughter - could come to the UK as a unit.
The pandemic was really an issue because there was a lot of uncertainty about things like flights, and new variants. After we landed here, all the flights from Hong Kong to the UK were cancelled, so we wouldn't have been able to travel until 2022 if we hadn't left at the time we did.
Since I still have many family members in Hong Kong, I was able to leave behind a lot of my property and belongings with them, and only brought my most important belongings with me. This meant that it didn't take too much time for me to pack all my things together to move, but I still had to do things like sell my car.
What I wish I’d known before I moved to the UK
I wish I’d known more about driving in the UK! There are rules here that I'm not used to, like driving in bus lanes. If I'd known about these things earlier, it may have been easier for me.
My experience working with IMG Connect
First, I must mention Marcus Anderson and IMG Connect - they were very helpful and did such a great job. Everything they do is perfectly timed. I couldn’t improve anything!
Over the past half a year, Marcus was in constant contact with me over WhatsApp and email, and whenever I had a question, I'd WhatsApp or email him, and he’d always get back to me with the answers I needed.
What’s next for me and my family?
I still see myself as someone who is learning, so I'd like to continue with my career development in GU, GI and forensic cancers. I may also try to continue some of my medical studies, for example in palliative medicine, because I know the training for this is very good in Cardiff, where there is a distance learning programme. I'm also looking forward to joining the specialist register for oncology.
My daughter is now enrolled in a private school in Colchester, where the teachers and students are very lovely, so I hope she'll adapt to the system and be able to enter the grammar school here too.
For my wife, she first wants to be able to drive in the UK. She has a driving license, but she's still quite hesitant, so that's a priority for her.
A message to my colleagues in Hong Kong
I have a heartfelt message to my colleagues in Hong Kong, if they are interested in moving to the UK. First of all, there's a lot of negative news in Hong Kong, saying that a lot of good doctors are Hong Kong, leaving those living there unattended. My message to HK doctors is that things aren’t necessarily that bad in HK, but they can be better in the UK.
Moving to live and work in the UK is a big decision to make but can be massively rewarding in many ways. International doctors have the chance to find a new home and the NHS presents an incredible opportunity for IMGs to secure rewarding jobs, progress within their fields and explore adjacent opportunities such as CESR, writing publications, teaching opportunities and research.
Whatever route an overseas doctor may take on their journey to the UK, IMG Connect is here to support them through every step and welcome them to the IMG family.
Join the IMG Oncologists Facebook group for access to a community of like-minded FRCR (Oncology) aspirants and dedicated oncology recruiters.
In this group you will find tailored resources for oncology IMGs, including access to our FRCR (Oncology) crash courses, completely free to all doctors.
You can access our IMG Oncologists community here.
For regular news and updates on the Royal College and all things oncology, follow IMG Connect on social media using the links below:
English Language Tests are hard, it is common for overseas doctors to fail on the first or second attempt.
You have just got the results and sadly, you didn’t get the target score of 7.5 average for IELTS or four B’s for OET. What do you do? First things first, we would recommend a short outburst, a quintessentially polite British rant about how things are not fair, and then pick yourself up, and plan!
Unlike other tests in education where you only get one chance to pass, the same is not true for English Language Tests like IELTS and OET. That said, this doesn’t mean that you don’t have to worry about preparing, this could waste your time, and more importantly, your money! Another re-sit will cost you.
Don’t forget, learning a new language is challenging, complex and takes time. Just because you didn’t get the results the first time, if you are organised, patient and increase your practical work you will get there!
Learn from your mistakes
Initially, it is only natural to be disappointed because you didn’t pass. This is normal, so take your time to process the results and give yourself an opportunity to clear your head ready to determine what went wrong, and do something about it.
A lot of IMGs don’t get the required marks on the first go, some take a long time to get there, so don’t worry, you are not alone. The main thing to remember, is that it is very important to know where you went wrong, and how to improve.
Here are a few steps to help you if you don’t get the results you wanted:
1. Review your score in each area.
Identify the area where you struggled the most. Did you pass all areas except one? Or did you get the desired results in two areas, and fail the others? This tells you which area to focus on, where you may need further training or practice.
2. Count the marks
How far off was your score from passing? This is vital for you to establish which parts of the test to focus on so you can gain points in these areas for your resit. Think about the areas you struggled in, or left blank. Take your time to review and then practice these areas of the test and watch your score go up!
3. Expand your horizons
Using each English language skill in practice is essential to helping you get the desired outcome in each test. If you failed in one or two areas, then turn your focus on these and get practical!
Simply put, speak, listen, read & write more! Don’t forget to keep it interesting. See our top tips for learning at home to help you be more engaged in applying your learning on a daily basis.
4. Consider working with an accredited tutor
As an International Brand dedicated to helping international doctors to register with the GMC and find work in the NHS - we have lots of partnerships in place with trusted companies in many areas. One of these key areas is English Language Testing and IMG Connect works closely with a company called Specialist Language Courses. You can take a look at their website here.
Specialist Language courses work very professionally and are the UK's leading provider of online courses and tutoring. They are also one of the few accredited providers of OET and have provided consultation and guidance to the GMC on English language testing.
Success rates are 70% + for those who sign for their tutoring and you can receive a discount if introduced by IMG Connect.
Register with IMG Connect to request your discount on English Language Courses or get in touch with one of our IMG Consultants to discuss.
4. Get rid of the nerves
Most international doctors will have found speaking with the examiner daunting and nerve wracking. This is natural, called test anxiety. Which probably means that you will not have spoken as fluently as you could. What can you do? Try speaking English with someone you don’t usually speak with, or even better somebody you don’t know, in a situation you don’t usually find yourself. Being able to speak fluently, under pressure, whilst sounding natural, is one of the most important criteria of the test. This will ease your anxiety.
5. Plan for the next test
Some IMGs might wonder why they should make a plan, it takes time and some think that it might not be necessary. In fact, a good study plan will save you time, help you pace out your learning, cover more topics and keep you organised. As you will know what areas you need to focus on, it will help you to check you are covering all the areas of weakness, and keep track of improvements. Try to include daily and weekly targets.
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In our IMG Resources library you can read more useful articles on finding an NHS trust doctor job, pay scales & doctor’s salary in the UK, relocation and much more!
Get in Touch
Get in touch using the buttons above (and below) to discuss doctor job opportunities in the NHS, including discussions regarding a typical doctor salary in the UK and the most suitable hospital locations for you.
The GMC is the public body that maintains the register of Medical Practitioners in the UK.
The chief responsibility of the General Medical Council is to ‘protect, promote and maintain the health and safety of the public’ in addition to improving medical education and practice across the UK. They define their role with the four main duties below:
Decide which doctors are qualified to work in the UK
Oversee UK Medical education and training
Set the standards doctors need to follow throughout their career
When necessary, take action to prevent unsafe practice or patient safety being jeopardised
How does the GMC support itself?
Through people like you! The GMC is supported by fees paid by the doctors that make up its membership, and it became a registered charity in 2001.
Where is the GMC based?
The GMC has offices in Central London and Manchester and you will need to personally attend an ID check at one of these offices in order to complete your registration. This can also be a great opportunity to meet your IMG Consultant and get to know the UK a little before relocating!
Licensing and revalidating doctors in the UK
The GMC is also responsible for licensing and revalidating every doctor practising in the UK.
This is essential to continued practice and needs completing every 5 years. This will be very important for you in years to come. You can find out more about revalidation here.
How do I register with the GMC?
Registering with the GMC is a multi-staged process and requires deeper explanation! Find out how to become a fully registered member of the GMC by having a look at our blog on GMC Registration.
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GMC Registration can be a long and complex process, and with a few routes for medical oncologists to provide evidence of their skills and knowledge, it can be difficult for IMGs to decide the best route to take to register with the GMC.
For international doctors considering their route to the UK, there are two main pathways to consider: PLAB or the postgraduate route - in this case, MRCP (UK).
Whilst these are the most common routes to GMC registration, this is not an exhaustive list. There are other options such as Royal College sponsorship and GMC-approved qualifications or licensing exams, and you can read more about these here.
Here we provide a summary of the two main pathways and briefly consider their benefits, summarised in the headings below:
PLAB for GMC Registration
MRCP (UK) for GMC Registration
Which is better for me as an overseas pathologist, PLAB or MRCP (UK)?
#IMG Tips
How do I get started?
Professional & Linguistics Assessment Board (PLAB)
The most common route which tends to be popular among junior doctors is PLAB.
PLAB is a two-part exam with one written and one practical element, that assesses whether candidates are at least as capable as doctors starting the second year of their Foundation Programme Training, and can therefore work safely as an SHO in the NHS.
The GMC has a useful video summary of the PLAB exams which you can watch here, or for a more detailed overview, see our IMG Resources library.
MRCP (UK) - Postgraduate Qualification for Internal Medicine
The internal medicine postgraduate qualification is a more popular route for senior overseas doctors, and those looking to gain posts in the NHS which are reflective of their experience. Within medical oncology, this can be done by attaining Membership of the Royal College of Physicians. The Royal College of Physicians is the professional body that regulates internal medicine within the UK, including the specialty of medical oncology.
Membership of the Royal College of Physicians (MRCP) is the full qualification attained through the postgraduate exams for physicians. The exams assess a candidate’s knowledge of basic medical sciences, as well as clinical skills required for the diagnosis and management of disease. MRCP (UK) has three components, with two written and one practical element.
For complete guides on MRCP (UK), take a look at our IMG Resources library.
It is important to note that the MRCP (UK) exams are for medical oncologist, and you would not need to sit the FRCR (Oncology) exams, as these apply to clinical or radiation oncologists only.
PLAB vs MRCP (UK)
Both PLAB and MRCP (UK) are legitimate routes that demonstrate skills and knowledge and will allow you to register with the GMC and work in the UK. To decide which route is best for you, you’ll need to consider the benefits of each and how they align with your needs and priorities in moving to the UK.
Seniority of Positions in the NHS
It may be difficult for an overseas medical oncologist to obtain a more senior post without MRCP (UK), GMC-approved training, or extensive experience from a similar, English-speaking healthcare system. PLAB alone will not give overseas doctors access to senior posts in the NHS.
Time
PLAB has two stages and can take anywhere between 3-9 months to prepare from start to finish.
MRCP has three stages, and the Royal College strongly advises that candidates only sit the final exam after 24 months of practical experience.
These exams can take anywhere from 24-36 months to prepare from start to finish.
Cost
MRCP costs just under £2,500 for the three exams. The final exam, PACES, is an in-person exam, so travel to the UK must be factored into the overall cost.
PLAB costs £1,189, and PLAB 1 can be taken in the UK or several overseas centres, which you can find here. PLAB 2 must be taken in the UK.
For both MRCP (UK) PACES and PLAB 2, candidates will have to travel to the UK, meaning that the additional cost of visas, accommodation and flights must be factored in.
It’s important to note that the total cost of each exam can rise if re-sits are necessary.
Summary
PLAB, as an exam which examines a doctor’s ability to work safely as a Senior House Officer (SHO), does not assess ability in oncology or internal medicine specifically. For this reason, PLAB tends to be a route for junior doctors who have not already chosen their field of specialisation in medicine, I.e., medical oncology.
PLAB allows doctors to enter the UK system much faster than other routes and for this reason alone, it is favoured by international doctors when considering their path to the UK.
MRCP (UK) involves three more difficult examinations and takes more time to prepare for. However, for overseas doctors, attaining MRCP (UK) will allow you to jumpstart your career in the UK, as you don't need PLAB or Core Training.
The Royal College of Physicians’ exams will facilitate the application for more senior roles in medical oncology in the UK than PLAB.
#IMG Tips
Determine your priorities – your goals and timeline for relocating to the UK are important in deciding which route is best for, and this is different for everyone.
Plan well ahead – depending on the route you choose, you may be embarking on a long journey through these exams, so plan how you will fit them into your life and how best to prepare to maintain a good work-life balance at the same time.
Find a support network – once you know which exams you will sit, find a support network of others who are also preparing for the exam.
Join the online community - 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.
Getting started
Once you’ve decided which exams are best for you, it’s time to delve deeper into the exams and what they entail. For more useful blogs and articles on PLAB, MRCP (UK), GMC registration and finding your dream job in the NHS - take a look at our IMG Resources library.
If you have any further questions on PLAB, MRCP (UK) or your route to the UK as an overseas oncologist, don't hesitate to get in touch with our oncology specialists here. We’d be more than happy to help you.
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:
Salary & employee benefits are important considerations when applying for jobs in the NHS.
The NHS is one of the most developed health systems in the world and doctors form an integral part of delivering high quality patient care. As such doctors are rewarded with competitive pay rates and benefits, some of which will not be afforded to you in other countries across the world. In this article we will discuss the NHS employee benefits, covering the following topics:
Annual leave
Pay enhancements
Personal development & career progression
Sick leave
Maternity leave
Paternity leave
Parental leave
NHS pension
NHS discounts
Doctors in training
Study leave
Study budget
Study sessions
Part-time training
The doctor salary package in the UK, including benefits, can as a whole, make working for the NHS an attraction for many overseas doctors.
Whatever grade or specialty you join, you will become an integral part of the NHS and as such enjoy one of the most competitive packages offered by a UK employer.
Everyone who works in the NHS is guaranteed an annual salary matched to their role, and even better are afforded the opportunity to increase this year-on-year through additional responsibilities and training & development.
All staff will receive an attractive annual leave package in addition to a range of benefits.
Annual leave:
You are entitled to be paid annual leave every year, the amount of annual leave you receive will increase depending on your level of service within the NHS.
You will also receive an additional 8 days of bank holidays.
The longer you work in the NHS, the more annual leave you get.
The table below summarises the current entitlement:
Length of service
Annual leave entitlement
0-5 years
27 days + 8 days bank holidays
After 5 years
29 days + 8 days bank holidays
After 10 years
33 days + 8 days bank holidays
Pay enhancements:
Pay enhancements reward out of hours working, shifts, overtime and on calls. This means that you can enhance your take home pay each month.
Personal development & career progression:
Each member of staff is given an annual review focused on their own progress and development designed to support their career aspirations.
Sick leave:
Sick days will not be deducted from your annual leave days. If you are unfortunate enough to get sick during annual leave, you may also be able to claim it back so you can use the annual leave another time.
Maternity leave:
Regardless of how long you’ve been working in the NHS, all pregnant employees are entitled to 1-year maternity leave. It is illegal for your employer to fire you during this time. Depending on how long you’ve been working in the NHS during pregnancy, you may also be entitled to maternity pay.
Paternity leave:
Fathers are entitled to 2 weeks paternity leave. This applies to same-sex partners as well as nominated carers for single mothers.
Shared parental leave:
The 1-year maternity leave can in some cases be shared between the parents.
Parental leave:
You are also entitled to 18 weeks parental leave for each child until your child reaches 18 years of age.
Some weeks may be paid, but most of this leave is unpaid.
This is particularly useful for IMGs as it can be used for various things to ensure that your family is cared for and settled into life in the UK. For example, you can take agreed parental leave for things such as helping your child settle into school, if sick, staying with them in hospital, or just to spend more time with your children when you feel it is necessary.
NHS pension:
The NHS Pension is a good scheme when compared with other private pensions available both in the UK and worldwide. In the current financial market, we have found it hard to find a better one, it is generous and an excellent package overall.
All new permanent employees are automatically enrolled in the NHS Pension scheme.
NHS discounts:
A useful range of discounts for NHS employees are available with many shops and services. Don’t forget to ask any shop, restaurant, hotel or any service whether they offer discounts to NHS employees. You will be pleasantly surprised how many do, and can save a lot of money when taking holiday breaks in the UK, or shopping trips.
Doctors in training:
Doctors in training will receive the following additional benefits:
Study leave:
Trainees from FY2 and above will have an entitlement to receive paid study leave. For trainees this is usually 30 days per year with the majority allocated to compulsory teaching sessions provided by the training programme, and 10 days for the trainee to decide what to do with.
Study budget:
Trainees will have access to a small amount of money to attend courses and conferences. It usually does not cover all the expenses, but it undoubtedly helps.
Study sessions:
It is important to note that this is not the same as study leave, instead trainees will have a half day or 2 half days a week for study which can be used to work on audits, presentations, publications and research.
Most IMGs typically use study leave to attend courses, conferences, and study for exams.
Part-time training:
If you need to reduce your hours in order to balance work and other commitments like caring for children or an elderly family member, you can request to complete your training part-time. This is known as “less than full time training” or LTFT training.
The least you can work is 50%, remember this will mean you will take twice as long to complete your training.
Your annual pay with LTFT training will be considerably less than a full-time job. For IMGs it is important to note that this may have implications whilst working on a Tier 2 visa where you generally need to earn more than £30,000 per year.
For the full terms and conditions of working in the NHS, please read through the employee handbook.
IMG Jobs
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IMG Resources
In our IMG Resources library you can read more useful articles on finding an NHS trust doctor job, pay scales & doctor’s salary in the UK, relocation and much more!
Get in Touch
Get in touch using the buttons above (and below) to discuss doctor job opportunities in the NHS, including discussions regarding a typical doctor salary in the UK and the most suitable hospital locations for you.
As there is no hard and fast rule for what position you will have after gaining a UK qualification, it is important for IMGs to understand the posts that are available to you after completing FRCR (Oncology).
FRCR (Oncology) is a highly beneficial qualification to achieve, but it does not guarantee you a consultant position in the NHS.
This can be a confusing area for overseas clinical and radiation oncologists, but this blog aims to de-mystify the subject. This article will explain the following topics:
What is FRCR (Oncology) and how does it fit into the UK training programme?
What grade will IMGs, new to the NHS, be offered with FRCR (Oncology)?
Can I take a permanent consultant post if I have FRCR (Oncology)?
CESR opportunities for clinical oncologists in the NHS
Skip ahead to the relevant section if you know what you’re looking for.
FRCR (Oncology) within the UK Oncology Training Programme
Fellowship of the Royal College of Radiologists (Oncology) or FRCR (Oncology) is the postgraduate qualification awarded by the Royal College of Radiologists, the body responsible for the specialties of clinical oncology and clinical radiology throughout the UK.
FRCR (Oncology) is a three-part exam which is a necessary part of the training programme of clinical oncologists in the UK.
For trainees who have chosen to pursue clinical oncology, FRCR (Oncology) Part 1 or CO1 must be passed by the end of ST4.
Clinical oncology trainees will then sit Final FRCR (Oncology), also known as Part 2A and 2B or CO2A and CO2B, usually from ST6 to ST7.
These final exams are important in that they assess a trainee’s knowledge and skills related to the investigation of malignant disease and the care and management of patients with cancer.
Any UK-trained clinical oncologist applying for a CCT in order to work as a substantive consultant must have completed full FRCR (Oncology).
As shown above, UK trainees will also have completed MRCP (UK), although this is not required for overseas clinical oncologists.
Positions for Doctors new to the NHS with FRCR (Oncology)
As an IMG with full FRCR (Oncology), you will be eligible for consultant grade positions in the UK.
You are not guaranteed a consultant position, particularly if you do not have previous consultant position in your home country, but you will certainly be able to attain more senior positions in the NHS, such as a specialty doctor (SAS) or specialist grade.
Consultant positions are the most senior in the UK, and thus the highest paid position for doctors within the NHS pay system.
For further information on how NHS pay scales work for consultants, please see our detailed article here.
Of course, this is assuming that you have also completed the other necessary components to make you eligible for GMC registration.
Alongside your postgraduate qualification, you will need to have passed an English Language Test (either IELTS or OET).
Additionally, you must obtain a Certificate of Good Standing, and submit this to the GMC. Upon the receipt of these three components, you will receive full GMC registration.
Permanent Consultant Posts with FRCR (Oncology)
To take up a permanent consultant position in the NHS, you would need to have Specialist Registration. Specialist Registration (more specifically CESR for most overseas doctors) allows you to take up permanent or substantive consultant roles in the NHS.
The type of consultant position you would be eligible for with FRCR (Oncology) is a locum consultant post.
Firstly, we should clarify the meaning of the term ‘locum consultant’ in the UK. The NHS has two types of locums - Trust locums and Agency locums.
If you are an IMG with full registration, but you are not on the Specialist Register, you are only able to take on consultant positions as a trust locum, but no permanent positions.
Trust locums are hired on a fixed-term contract and are able to better acclimatize themselves to the NHS system, whilst receiving the support and guidance to work towards consultant positions and CESR.
Please note, you can only work as an agency locum if you have a British passport.
CESR Opportunities in the NHS
CESR or the Certificate of Eligibility for Specialist Registration is a route of entry to the Specialist Register for those doctors who have not followed a GMC-approved training programme.
You can read more about CESR in Clinical Oncology through our IMG Resources library here.
IMG Connect are able to help you to secure senior roles such as specialty doctor (SAS), specialist grade or locum consultant in Trusts that offer CESR support.
In these roles, you will have better pay and responsibilities that are more appropriate to your level of experience compared to a trainee. These Trusts have a lot of experience in supporting overseas doctors to progress their careers through CESR.
You can collect evidence of your competences, particularly those specific to the UK Clinical Oncology curriculum and those you may not be able to achieve outside the UK.
These positions also facilitate a faster route to the UK than applying directly through the CESR route, which can take a substantial amount of time.
Get in touch with us to find out more about senior positions in the NHS with CESR support.
Getting started
We hope this blog has been helpful in clarifying your questions about securing senior posts in the NHS with FRCR (Oncology). If you have any further questions regarding the postgraduate exams, CESR or Oncology in the NHS - feel free to contact us directly.
Join the IMG Oncologists Facebook group for access to a community of like-minded clinical and radiation oncologists and dedicated oncology recruiters.
In this group you will find tailored support for oncology IMGs, including access to our NHS and CESR webinars, 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 College, relocating to the UK and working in the NHS.
The GMC recognise some overseas qualifications as equivalent to Royal College qualifications.
Listed below are the overseas postgraduate qualifications currently accepted by the GMC. This means to say these qualifications meet the same standards as UK postgraduate qualifications, though please note, this does not mean they are the same in every way and they do not guarantee entry to the UK Specialty training.
If your qualification is not listed as equivalent, then you will be required to complete a Royal College Postgraduate Qualification or PLAB. You can use the GMC application finder to find the application that’s right for you.
Country
Awarding Body
Qualification
America
American Board of Anaesthesiology
Certificate of the American Board of Anaesthesiology
The American Board of Radiology
The American Board of Radiology diagnostic radiology examination
Australia/New Zealand
Australian and New Zealand College of Anaesthetists
Fellowship of the Australian and New Zealand College of Anaesthetists
The Royal Australian and New Zealand College of Ophthalmologists
Fellowship of the Royal Australian and New Zealand College of Ophthalmologists (FRANZCO) awarded since January 2010
The Australasian College for Emergency Medicine
Fellowship of the Australasian College for Emergency Medicine (FACEM) awarded since 2001
The Royal Australasian College of Physicians
FRACP Adult medicine or evidence of three years of basic training (PREP) + achievement of RACP written and clinical examinations
The Royal Australian and New Zealand College of Psychiatrists
Fellowship of The Royal Australian and New Zealand College of Psychiatrists (FRANZCP) awarded since January 2012
The Royal Australian and New Zealand College of Radiologists
Fellowship of The Royal Australian and New Zealand College of Radiologists (FRANZCR) (Clinical Radiology)
Fellowship of The Royal Australian and New Zealand College of Radiologists (FRANZCR) (Radiation Oncology)
The Australian College of Rural and Remote Medicine
Fellowship of the Australian College of Rural and Remote Medicine (FACRRM) awarded since 1 January 2013
The Royal Australian College of General Practitioners
Fellowship of the Royal Australian College of General Practitioners (FRACGP) awarded since 1 January 2007
The Royal New Zealand College of General Practitioners
Fellowship of the Division of Rural Hospital Medicine (FDRHMNNZ) awarded since 1 January 2012
The Royal New Zealand College of General Practitioners
Fellowship of the Royal New Zealand College of General Practitioners (FRNZCGP) awarded since 1 January 2012
Bangladesh
Bangladesh College of Physicians and Surgeons
Fellowship in Anaesthesia or Anaesthesiology awarded between July 1999 and October 2019
Canada
The Royal College of Physicians and Surgeons of Canada
Accreditation in Psychiatry from the Royal College of Physicians and Surgeons of Canada
The Royal College of Physicians and Surgeons of Canada - Diagnostic Radiology examination
The College of Family Physicians of Canada (CFPC)
Certification in the College of Family Physicians of Canada (CCFP) awarded since 1 January 2009
Europe
European Society of Anaesthesiology and Intensive Care Medicine (previously the European Academy of Anaesthesiology or European Society of Anaesthesiology)
Diplomate of European Society of Anaesthesiology and Intensive Care (DESAIC) (previously the Diplomate of European Academy of Anaesthesiology DEAA) or Diplomate of European Society of Anaesthesiology (DESA))
European Society of Intensive Care Medicine (ESICM)
European Diploma of Intensive Care (EDIC) awarded since January 2015
Hong Kong
Hong Kong College of Physicians
Membership of the Hong Kong College of Physicians
Ireland
College of Anaesthesiologists of Ireland
Fellowship of the College of Anaesthesiologists of Ireland (previously Fellowship of the College of Anaesthetists of Ireland)
Royal College of Physicians in Ireland
Membership of the Royal College of Physicians of Ireland (MRCPI) in General Medicine, awarded after 1 January 2007
Membership of the Royal College of Physicians of Ireland (MRCPI) in Paediatrics (Medicine of Childhood), awarded after 1 January 2007
Membership of the Royal College of Physicians of Ireland (MRCPI) in Obstetrics and Gynaecology, awarded after 1 January 2007
Membership of the Faculty of Occupational Medicine (MFOM), awarded after 1 January 2007
Membership of the Faculty of Public Medicine (MFPHMI), awarded after 1 January 2007
Royal College of Surgeons in Ireland
MRCS (collegiate examination)
MRSCI (intercollegiate examination)
MRSCI (ENT) (intercollegiate examination)
Fellowship of the Royal College of Surgeons Ireland
Fellowship of the Faculty or the College of Anaesthetists of the Royal College of Surgeons in Ireland
Fellowship of the Faculty of Radiologists in Clinical Radiology of the Royal College of Surgeons in Ireland (FFR RCSI)
Malaysia
Ministry of Health
Master of Medicine (MMED) Malaysia with MRCP (UK) awarded since 1 July 2010
This must include four years of clinical experience (required to complete MMED) plus two years of training
Pakistan
College of Physicians and Surgeons Pakistan
Fellowship in Anaesthesiology awarded since 1998
Singapore
National University of Singapore
Master of Medicine (Internal Medicine) including MRCP (UK)
Joint Committee on Specialist Training Singapore
Master of Medicine (MMED) Singapore, plus MRCP (UK) awarded since 1 July 2010
College of Anaesthetists of South Africa
Fellowship of the College of Anaesthetists of South Africa FCA (SA)
South Africa
Colleges of Medicine of South Africa
Fellowship of the College of Radiologists of SA FC Rad Diag (SA) - Diag Rad awarded after 1 October 2013
College of Family Physicians of South Africa
Fellowship of the College of Family Physicians of South Africa (FCFP(SA)) awarded since 1 January 2007
Sri Lanka
University of Colombo, Sri Lanka
Doctor of Medicine or MD (Anaesthesiology)
Doctor of Medicine or MD, (Obstetrics and Gynaecology)
Doctor of Medicine or MD (medicine) awarded after January 2017
Doctor of Medicine or MD (surgery) awarded after July 2017
West Indies
University of the West Indies
Doctor of Medicine (Anaesthesia) awarded between September 2003 and May 2014
(Course title has since changed to Doctor of Medicine (Anaesthesia and Intensive care))
Understanding the status of your qualifications when registering with the GMC is critical to finding the best registration route for you and streamlining your journey to the UK and working in the NHS.
The breadth of global postgraduate oncology qualifications can confuse overseas oncologists as to the status of their qualifications in the UK. This blog aims to simplify subject, covering the following topics:
How do I register with the GMC as a European specialist?
EEA Countries
GMC-accepted EEA Primary Medical Qualifications (PMQ)
GMC-accepted EEA Specialist Qualifications
I am on the Specialist Register - what type of post can I be offered?
Skip ahead to the relevant section if you know what you’re looking for.
GMC Registration for European Specialists
When applying for GMC registration, all doctors must provide evidence of sufficient skills and knowledge. For oncologists from certain European countries (those within the European Economic Area or EEA), there is a group of relevant European qualifications which are accepted as sufficient evidence of skills and knowledge to practise in the UK.
These are Primary Medical Qualifications and European Specialist qualifications which provide eligibility for Full and Specialist Registration respectively.
European Economic Area (EEA) Countries
These are the countries from which a relevant European qualification would be accepted by the GMC*:
Austria
Germany
Netherlands
Belgium
Greece
Norway
Bulgaria
Hungary
Poland
Croatia
Iceland
Portugal
Cyprus
Ireland
Romania
Czech Republic
Italy
Slovakia
Denmark
Latvia
Slovenia
Estonia
Lithuania
Spain
Finland
Luxembourg
Sweden
France
Malta
Switzerland
*When determining the eligibility of your EEA qualification, it is important to check the given dates and evidence required by the GMC for acceptance.
EEA Primary Medical Qualifications
If your primary medical qualification was awarded by a medical school in an EEA country, it may be a relevant European qualification. Oncologists with an EEA PMQ are eligible for full GMC registration with licence to practise.
You can find out whether your PMQ is eligible and what qualifications and evidence you need to send to the GMC to support your application here or by selecting your country from the table above.
EEA Specialist Qualifications
If your specialist qualification was awarded after the completion of an EEA training programme, it may also be a relevant European qualification. Oncologists with an EEA specialist qualification are eligible for direct entry to the GMC’s Specialist Register.
You can find out whether your European Specialist Qualification is eligible by searching for oncology within this list and checking whether your country’s evidence is accepted (if your country’s field is blank for oncology, your qualification would not be accepted for Specialist Registration).
You can then check what qualifications and evidence you need to send to the GMC to support your application here or by selecting your country from the table above.
NHS Posts for European Oncologists on the Specialist Register
The NHS post you would be eligible for as a European oncologist would be dependent on your level of experience with your postgraduate qualifications taken into account.
If you are on the Specialist Register for clinical or medical oncology, you are eligible fo substantive consultant positions in the NHS - meaning you can be offered a permanent consultant contract to work in the NHS.
Without GMC Specialist Registration, you can still work as a locum consultant on a fixed-term contract, and attain Specialist Registration via the CESR Portfolio Pathway.
Oncology Consultants are in high demand in the UK, and thus command competitive rates of pay.
As a Consultant Oncologist, the pay you will earn can be broken down as follows:
Basic salary for 40 hours per week or 10 PAs (programmed activities)
Pay for additional hours worked
37% premium for night hours worked
Weekend allowance for hours worked
On-call allowance
There are also other wage premiums that may be offered.
You can find the latest pay scales for NHS Consultants across the UK here.
Please use these pay scales as a guide, but bear in mind that you may be eligible for a different rate of pay than stated, based on experience and/or demand. It is therefore worth checking what you may be entitled to with your IMG Consultant.
Sources
https://www.gmc-uk.org/registration-and-licensing/join-the-register/eea-countries
IMG Connect are here to help
We hope this helps to clear up any doubts around registering to work in the UK as an EEA oncologist and securing an NHS post.
Get in touch with our oncology team if you have any further questions regarding EEA entry to the NHS, CESR or oncology in the NHS more broadly.
In response to the high number of inquiries we've had from overseas pathologists about the arrangements for the Autumn sitting of the FRCPath Histopathology Part 2 exam, we've been in contact with the Royal College of Pathologists and have summarised these updates under the headings below.
When will the FRCPath Histopathology Part 2 exam be held?
The publicised dates for the exam are Tuesday 11 and Wednesday 12 October 2022, although these are subject to change due to the ongoing COVID-19 pandemic.
The withdrawal deadline for the exams is Friday 15 July 2022.
Can I sit the FRCPath Histopathology Part 2 exam in Autumn 2022?
The RCPath guidance which asks candidates to wait to sit the Part 2 exam the year after passing the Part 1 exam was in place to avoid overwhelming the limited capacity of the exam centres. Those who were successful in the Spring 2021 Part 1 exam are able to sit the Part 2 exam in Spring 2022. If the College needs to prioritise bookings, it will be done in the same way as previously. Therefore, if there is a requirement for candidates who have passed in Spring 2022 to wait until Spring 2023 to apply, a notice will be put on the News section of the examinations page around the end of May/ beginning of June.
It is therefore important to check regularly for updates to the examinations page, which you can do here.
Where can I sit the FRCPath Histopathology Part 2 exam in Autumn 2022?
Details on the Autumn 2022 sitting of FRCPath Part 2 have yet to be finalised, however, unlike Spring 2022, it may be possible to arrange to sit the exam in Irbid (Jordan), Dubai (UAE) or Cairo (Egypt) if there are sufficient applicants. The availability of FRCPath Part 2 examination centres outside the UK will be indicated on the Royal College website (when the application window opens for Autumn 2022 at the end of May) and candidates should contact the Examinations Department to express their interest in taking the exam in the available centre when they make their application.
We therefore advise that you keep an eye on the RCPath application page here.
Will the College have any microscopes available for me to use for the exam?
The College's overall policy is that the College and centres have no obligation to provide microscopes. Candidates can bring their own as this is equipment they are familiar with, or can hire a microscope. Some overseas centres may be more able to provide microscopes and if that is the case it would be stated on the letter sent to candidates with their centre confirmation.
If you would like to borrow a microscope for your FRCPath Histopathology Part 2 exam, we advise that you check well in advance what the options are for your chosen centre, or are available to you online.
If you have any further questions about the FRCPath exams, your route to the UK as an overseas histopathologist, or any other aspect of GMC Registration, the NHS or relocating to 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:
There are several routes a European oncologist can take to GMC registration and medical or clinical (radiation) oncology in the NHS.
All European oncologists looking to secure a job in the NHS will need to satisfy certain criteria before they can register for full GMC (General Medical Council) registration to practice in the NHS. As an oncologist, these criteria depend on where in the world you trained, and the qualifications you hold. In this blog, we’re giving you a snapshot of the steps you need to take to start your journey to the UK, as a European-qualified oncologist. We will be covering the following:
Is my training recognised as an EEA doctor?
How do I demonstrate my knowledge and skills?
How can I demonstrate my English language skills?
What is a certificate of good standing and how do I get one?
What do I need to register with the GMC?
EEA Doctors
Firstly, it is important to note that where we refer to EEA in this article, this refers specifically to all countries inside the EU, including Lichtenstein, Iceland, Switzerland & Norway. If you trained & qualified as an oncologist inside the EEA or Switzerland, then you will have a few different options potentially available to you.
Depending on the country and year you completed your residency or basic medical training, the GMC may automatically recognise your qualifications and grant you either General Registration, or Specialist Registration in the UK. To find out if your country’s qualifications will allow you to register for either general or specialist registration, check the relevant GMC page here.
Knowledge and Skills
Basic Medical Training: If you have met the basic medical training requirements, this would mean that you would not need to demonstrate your medical knowledge and skills to work as a doctor in the UK and would not need to complete a UK- recognised postgraduate qualification or PLAB to register with a license to practice. You would be granted full registration in this case, but not Specialist Registration.
Specialist Training / Residency: If you have met the criteria listed for your country, then once you have completed the GMC application process, you would be granted Specialist Registration in oncology and can be appointed as a substantive or permanent consultant in the NHS. So as an oncologist, if you hold a Relevant European Specialist qualification, you would be put on the specialist register for medical or clinical oncology and can be appointed as a substantive oncologist in the NHS.
Therefore, the main hurdle that you will face as an EEA doctor will be demonstrating that your English skills are of a high enough standard to practice safely and proficiently as a doctor in the NHS.
As a European oncologist, this is in most cases the easiest route to becoming GMC-registered and being able to practice oncology in the UK.
If you do not meet the GMC requirements for your training to be approved for full or specialist registration, other routes you may consider to GMC registration include PLAB or (via the postgraduate route) the Royal College exams for either clinical oncology (FRCR) or medical oncology (MRCP). You can find out more about these alternative routes here.
English Language Testing
All EEA oncologists, regardless of experience, and country of origin, must demonstrate that they have a sufficient grasp and competence of the English language. This can be done by passing either the IELTS (International English Language Testing System) or the OET (OET – Occupational English Test). Detailed guides to these tests can be found below:
IELTS – a guide for overseas doctors
OET – a guide for overseas doctors
Certificate of Good Standing
All doctors registering with the GMC must provide a certificate of good standing from each medical regulatory authority they have 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 are not currently registered or licensed with them. You can find out which medical regulatory authority to contact vis the GMC website here.
Please note that each certificate is only valid for three months from the date it is signed and must be valid when the GMC approve your application.
If there is no medical regulatory authority in the country to issue a certificate, the GMC will give you further advice once your application has been assessed.
GMC Registration
Once you have completed your English language exam, you can now apply for full GMC registration with a license to practice. For registration, you must provide evidence of:
English language capabilities - either your IELTS, OET or an approved reference from your current employer (if you have been working in an English-speaking country for the last two years)
AND
Sufficient skill and knowledge – as an EEA oncologist, this would either be your recognised primary medical degree, or your recognised specialist European qualification (REQ)
AND
Certificate of good standing – the certificate from your medical regulatory authority which demonstrates good standing
To understand the registration process more fully, read our on GMC registration for overseas doctors here.
So, there you have it! Hopefully any medical or radiation oncologist planning a career in the NHS should have their route to the UK clarified. If you ever have some questions or wish to know more about the oncology job market, then get in touch with our team.
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, completely free to all doctors.
You can access our IMG Oncologists community here.
For regular news and updates on all things oncology, follow IMG Connect on social media using the links below: