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CESR - a comprehensive guide for psychiatrists
IMGs from any country in the world can apply for Specialist Registration, provided certain eligibility criteria are met, though there are different routes available based on a doctor’s qualifications and training.
Here we explore specialist registration in psychiatry for overseas consultant psychiatrists and specialists more closely. We’ll cover the Certificate of Eligibility for Specialist Registration (CESR) in more detail, including the application process, costs, and eligibility criteria, along with some other topics, summarised in the headings below:
What is Specialist Registration?
What route to Specialist Registration is best for me as an overseas psychiatrist?
Do I have to complete CESR before I can work in the UK?
Do I need MRCPsych for Specialist Registration?
What is the CESR equivalence process?
What evidence do I need to submit for a CESR in psychiatry?
How much does CESR cost?
How long is the CESR application process?
#IMG Tips
How do I get started?
Skip ahead to the relevant section if you know what you’re looking for.
Specialist Registration
Specialist registration in any specialty means that you can be appointed to a substantive (permanent) consultant position in the NHS. All psychiatrists who wish to take permanent consultant roles in the UK must show evidence of skills, knowledge, and experience in order to apply for Specialist Registration.
For psychiatrists, attaining specialist registration will mean you are qualified to practice independently as a consultant in the NHS.
Specialist Registration is additional to full registration with the GMC and is therefore not required to practice as a psychiatrist in the UK.
Routes to Specialist Registration
There are three types of certificates issued by the GMC for specialist registration, and the type of certificate you receive depends on which training route you followed.
For overseas doctors who have completed their full training outside of a GMC-approved training programme, CESR is the route they will usually take towards attaining specialist registration. This route does not require further training, rather the submission of an application.
Doctors who have trained outside of the UK or Switzerland, but within an EEA country, will be awarded CCT (Certificate of Completion of Training) after a successful specialist registration application. Specialist Certifications from across the EU are deemed as equivalent by the GMC, and therefore a straightforward application can be made. You can read more about this in the Specialist Registration section under your country on the GMC website here.
NHS Positions in the NHS without CESR
It is important to note that you can apply for more senior psychiatry roles such as a specialty doctor (SAS), specialist grade or a locum consultant without being on the Specialist Register.
Similarly, overseas doctors do not require CESR before moving to the UK to work in the NHS.
In these NHS roles, you will have better pay and responsibilities that are more appropriate to your level of experience compared to a trainee. While working in these positions, you can collect evidence of your competences, particularly those specific to the UK psychiatry curriculum.
These positions also facilitate a faster route to the UK than the CESR route, which can take a substantial amount of time.
MRCPsych for Specialist Registration
Whilst it is always beneficial to complete MRCPsych, overseas doctors looking to join the Specialist Register do not necessarily need to have completed the Royal College postgraduate exams.
The standard test of knowledge in the CCT curriculum is the MRCPsych exam, so passing these exams confirms the attainment of the competencies of the Core Curriculum.
MRCPsych is only a requirement for doctors looking to attain Specialist Registration via the CCT route.
However, if CESR applicants have not successfully completed these exams, they must provide alternative evidence that demonstrates equivalent knowledge to psychiatrists who have passed the MRCPsych exams.
Even if the competencies covered by the exam require something that someone in your position would not routinely undertake (in your sub-specialty for example), you must still provide evidence of it – as the evaluators will not make assumptions outside of the evidence presented.
CESR Equivalence Process
Equivalence describes the process of assessing an overseas applicant’s training and experience against the current psychiatry training programme requirements, in order to be awarded CESR.
The equivalence process involves submitting a written body of evidence to the GMC, consisting of:
training and/or competence
skills and knowledge
The Royal College of Psychiatrists will assess each application against the relevant Curriculum before providing a recommendation to the GMC, who will then make a decision.
Please note that Equivalence procedures are the responsibility of the GMC. Applications are made through their Certification Department and initial enquiries should be directed there.
Evidence Requirements for CESR in Psychiatry
Skills & Experience: The evidence provided for a CESR application in psychiatry must cover the knowledge, skills, and qualifications to demonstrate the required competencies in all areas of the General Psychiatry Curriculum, and the Advanced Module in the sub-specialty you are applying in. If evidence is missing from any area of the curriculum, the application will fail.
Primary Evidence: To demonstrate that you can do what is required by the curriculum, you need to submit primary evidence of your clinical practice which shows how you work on a day-to-day basis: letters, reports, assessments etc. References, retrospective case summaries, and reflective notes can all be used in a CESR application, but by themselves they are not sufficient.
Audit and Governance: You are required to submit evidence of your active leadership in audit, including evidence that you have completed at least one audit cycle
Currency of evidence: Your evaluators will be looking for evidence of current competency, generally defined as within the last five years. If you have completed training before this point, it is crucial that you provide evidence of maintaining competency across the whole area of the curriculum.
The GMC asks that only evidence that is strictly relevant is sent as it will help them to process the application quicker. The guidance on compiling your evidence will help you to decide what is relevant and what is not – you can find this on the GMC website here.
As a general guide, the GMC usually expects to see about 800-1200 pages of evidence, divided into four different domains, reflecting those of Good Medical Practice. The GMC recommends that you apportion the evidence provided as shown below:
Domain 1 - Knowledge, skills, and performance
Domain 2 – Safety and quality
Domain 3 – Communication, partnership, and teamwork
Domain 4 – Maintaining trust
Please note, you cannot compensate for evidence lacking in one area by providing more evidence in another area.
The full list of evidence required for each domain can be found on the GMC website here.
The Cost of CESR Applications
All psychiatrists applying for Specialist Registration must pay a fee. For CESR, this fee is £1,676. For CESR-CP and CCT, the cost is £439.
How long does is the application process for CESR in Psychiatry?
The GMC estimate that it can take between six and eight months to receive a decision, from the date you submit your CESR application.
As there is a substantial amount of evidence to gather for a CESR application, the process of preparing all the necessary documentation and applying for CESR can take even longer than this, and a typical candidate will usually set out to complete this within 1 – 3 years.
It is worth noting that more senior psychiatrists, such as consultants, are more likely to have achieved all the competences outlined in the curriculum.
The indicative period of training for a CCT in psychiatry is six years, so it is highly unlikely that you would achieve the competencies required for a CCT in a shorter period of time. Therefore, CESR is not suitable for more junior psychiatrists.
#IMG Tips
Research/think about the types of evidence you will need and begin to gather your evidence well in advance of making your application.
Gather evidence prospectively – this is much easier than retrospectively trying to pull together the evidence under additional pressures.
Make sure that your evidence is of the highest possible quality and is current – you will be assessed against the most recent curriculum.
Ensure that the evidence you collect demonstrates your competence across the whole of the psychiatry curriculum, not just your sub-specialty.
Remember to refer to the most up-to-date Psychiatry CCT Curriculum and Specialty Specific Guidance for the evidence requirements in your specialty.
Create a CESR ‘to do list’ with sections under the GMC’s 4 domain headings – organise your evidence directly into these sections to manage your progress.
Do not submit original documents – all your copies, other than qualifications you’re getting authenticated must be accompanied by a proformas signed by the person who is attesting to the validity and accuracy of your evidence (your verifier).
Ask an IMG Connect recruitment specialist about NHS psychiatry posts with CESR support. These are not always advertised by a Trust, but we can help you to find a role which aligns well with your career goals in the NHS.
Join the IMG Psychiatrists community – as well as support on Royal College exams, our online community of international psychiatrists and dedicated psychiatry recruiters offers guidance on other aspects of working in the UK, including finding NHS posts and CESR.
Getting started
Many psychiatry IMGs likely haven’t completed a UK-approved training programme, but you could be eligible for Specialist Registration with the GMC via the CESR route. Take a look at our guide to CESR applications for psychiatry for more information on how to apply and what to expect.
If you have any further questions about Specialist Registration, your route to the UK, or would like guidance in finding NHS posts which offer CESR support, please get in touch with us here.
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.
UK Training Pathway for Clinical Oncologists
The NHS specialty training programme for clinical oncologists is recognised around the world. The quality and depth of oncology training and career development in the UK is recognised as a gold standard across the globe, making it a major attraction for many IMGs when considering a career in the UK.
The NHS training programme for 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 clinical 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 clinical oncology?
What happens after completing the clinical 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 Training Pathway for Clinical Oncologists
The NHS training pathway refers to the complete programme undertaken by UK trainees, from medical school to the completion of specialist training and being awarded a CCT.
It is a good idea for overseas trainees to familiarise themselves with this as it helps to provide an understanding of at what stage they can most likely enter the system, either in a training or non-training post.
Entering the NHS Training Pathway
After graduating from medical school, doctors receive provisional GMC registration, allowing them to enter the Foundation programme (a two-year work-based training programme).
Upon completion of the first year of this programme (FY1), doctors will gain full GMC registration with license to practice 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 Clinical Oncology
The Specialty Training programme in Clinical 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 Royal College of Radiologists’ 2021 Clinical Oncology Specialty Training Curriculum, which sets the expected syllabus as well as required assessments and workload case numbers.
Clinical oncology training as an uncoupled programme
Clinical oncology specialty training begins at ST3, so after foundation training, there are two options open to trainees before they can start specialist clinical oncology training:
Internal Medical Training (IMT)
Acute Care Common Stem (ACCS)
For IMT, this is a two-year training period and the ACCS training programme lasts 3 years.
Both pathways are 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.
Clinical oncology higher specialty training is indicatively a five-year clinical training programme (including Oncology Common Stem), leading to single accreditation in clinical oncology.
There are a few critical progression points during higher specialty training in clinical oncology, and trainees will also be subject to an annual review of progress via the ARCP process. They will have to complete all the curriculum requirements including passing the MRCP and FRCR (Oncology) exams 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.
This first year of Foundation Training (or FY1) is referred to as an internship. For IMGs applying for GMC registration, it is essential you can meet the requirements for an internship.
Selection
Here, trainees will either choose to either Internal Medicine Training (IMT), Acute Care Common Stem training (ACCS), or training to become a general practitioner (GP Training).
Specialty Training (ST1 – ST7)
Internal Medicine Stage 1 Training (ST1 – ST2)
Year one trainees begin at ST1 of the Internal Medicine Training Programme. In this first stage, 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. The curriculum for IMT Stage 1 Training can be found here.
The two-year training period culminates 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 have gained full MRCP prior to beginning Specialty Training in 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.
Clinical oncology recruitment into ST3 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 (ST3). Here, the focus is on a trainee’s development of generic capabilities-in-practice (CiPs) expected of all doctors, as well as the common CiPs relating to the key areas of overlap between medical and clinical oncology.
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.
During OCS training, 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 new curricular structure of the OCS means that trainees who successfully complete the training year will have gained the necessary competencies to progress to ST4 in either clinical or medical oncology.
For oncologists wishing to pursue clinical oncology, the first exam in the Fellowship of the Royal College of Radiologists assessment series, First FRCR (Oncology) (Part 1/ CO1), must be passed by the end of ST4.
Candidates do not need to have held a clinical oncology training post to attempt the exam however, so candidates are eligible to sit the exam during ST3.
Click here to learn more about the full FRCR (Oncology) examination suite.
Clinical Oncology Specialty Training & Maintenance of Common Capabilities (ST4 – ST7)
Once trainees have completed the OCS, they will then move onto a subsequent higher specialty-specific programme of their choice I.e. clinical oncology. This programme lasts for four years and takes place from ST4 to ST7, the focus here being to acquire clinical oncology specific CiPs, culminating in trainees’ achievement of Fellowship of the Royal College of Radiologists (FRCR Oncology).
The higher specialty-specific programme for clinical oncologists is administered by the Royal College of Radiologists, so the Medical Oncology SCE is not a requirement for clinical oncologists.
Trainees will then sit the Final FRCR (Oncology) Part 2A and 2B exams (CO2A and CO2B), usually from ST6 to ST7. This is to assess their knowledge and skills related to the investigation of malignant disease and the care and management of patients with cancer.
Completion of the Clinical Oncology Specialty Training Programme
Upon completion of the clinical oncology training programme, the choice is made as to whether the trainee will be awarded a Certificate of Completion of Training (CCT) in Clinical 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, clinical oncologists are recommended to the GMC for the award of CCT and entry onto the specialist register for clinical oncology and can now take permanent consultant posts in the NHS.
Specialist Registration for overseas doctors
Doctors who completed part or all of their clinical or radiation oncology 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 Clinical Oncology Specialty Training Programme as an IMG
It is possible for overseas doctors to join the Specialty Training programme in Clinical 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 or a recognised European Medical Degree
AND
12 months post-internship experience by the time you start 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 if you do not have previous NHS experience.
So there you have it, the NHS Specialty Training pathway for clinical oncology trainees. The training programme forms the basis of clinical oncology training in the UK, and for overseas clinical or radiation 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 clinical oncology in the UK.
For regular news and updates on the Royal College and all things oncology, follow IMG Connect on social media using the links below:
Essential tips for the MRCPsych CASC exam - Dr Kevin Li
Are you a psychiatrist finalising your revision for the MRCPsych CASC exam? Here are the tips you can't live without!
As you've likely got months of dedicated study behind you already, in the final push to the exam, we’re sharing some of the essential tips from Dr Kevin Li (MRCPsych) for your final days of preparation for CASC.
Mental state, history taking and risk assessment (8 stations)
It is important to demonstrate your clinical skills in assessing symptoms such as delusions and hallucinations.
Prepare for a cognitive examination station!
Management and counselling (8 stations)
Address any concerns or expectations early on in the station
Provide factual knowledge and information - some last minute reading up on topics such as ECT, psychiatric emergencies and ECG is very important!
For stations where you encounter angry patients or relatives, demonstrating good communication skills is more important than delivering lots of factual knowledge
Prepare stock phrases and questions
Empathetic statements
I can appreciate this must be very difficult for you
I understand that this must be quite concerning
Soft questions to elicit sensitive information
How are you coping with...?
Are you doing anything to manage the stress of the situation?
Phrases to manage angry situations
I appreciate your concerns and why you feel let down
We are all trying our best to help
Reflect on your manner and style of speaking
It is important to try and demonstrate genuine empathy!
Do not sound paternalistic or patronising
Take an MDT approach where necessary - the clinical team is good backup where you don't know what to do e.g. next steps like admissions
Always be courteous and do not show any anger or frustration
Always look at and address the actor
Time management
Get yourself an analogue countdown timer to allow you to properly manage your time during the stations
Look the part
Dress professionally, as if you were speaking to a real patient (pick your outfit at least the night before)
Finally...
As much as it is important to practice a lot near the exam, it is equally important to relax the day before and morning of the exam. At that stage, try not to think about what you have not practiced or not read! You will have sufficient knowledge, it’s just about communicating it and executing it confidently.
We hope you find these tips helpful and wish you the best of luck in your exam. Don't forget to share your successes with us on social media using the hashtag #imgstories
For access to a community of likeminded MRCPsych aspirants and dedicated psychiatry recruiters, join the IMG Psychiatrists Facebook group.
To receive the latest news and updates on all things psychiatry, including the Royal College, GMC registration and the NHS, follow us on social media and join the conversation.
Get in touch
Passed the MRCPsych CASC exam? Get in touch with one of our dedicated psychiatry recruitment specialists here to discuss your next steps towards GMC registration, finding work in the NHS and relocating to the UK.
FRCPath vs PLAB - GMC registration for overseas pathologists
GMC Registration is a complex process. For histopathologists who’ve qualified outside the EEA region there are two main pathways to consider – FRCPath or PLAB. Here we will give a summary of both and briefly consider their benefits.
PLAB for GMC Registration
FRCPath for GMC Registration
Which is better for me as an overseas pathologist, PLAB or FRCPath?
#IMG Tips
How do I get started?
Professional & Linguistics Assessment Board (PLAB)
The first and most popular route with most junior doctors is PLAB.
PLAB is a two-part exam (one written one practical), and which assesses whether you are at least as capable as a doctor starting the second year of their Foundation Programme Training and can therefore work safely as an SHO in the NHS.
The GMC have created a video summary of the PLAB exams which you can watch here, or for a more detailed overview, see our IMG Resources library.
FRCPath - UK Postgraduate Qualification
The UK postgraduate qualification for histopathology – FRCPath Histopathology - is the most popular and recommended route for overseas doctors who have completed a training or residency programme, and will be looking for senior pathology positions in the NHS.
By completing both parts of the FRCPath you are awarded Fellowship of the Royal College of Pathologists. The Royal College of Pathologists is the professional body that regulates the pathology specialties in the UK. Take a look at our IMG Resources library for complete guides on FRCPath for histopathology to learn more.
PLAB vs FRCPath
Both are legitimate routes 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 priorities and needs in moving to the UK.
Seniority of Positions in the NHS
Histopathology is a consultant led specialty in the UK, and it would be difficult for an overseas pathologist to obtain a more senior post without FRCPath, 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.
FRCPath has two stages and can take anywhere between 18-30 months to prepare from start to finish.
Cost
FRCPath costs just under £1,930 and whilst the Part 2 exam is an in-person exam, the Part 1 exam can be taken online. You can read about the changes to the FRCPath 1 delivery here.
PLAB costs £1,119, and both exams are sat in person. PLAB 1 can be taken in the UK or several overseas centres, which you can find here. PLAB 2 must be taken in the UK.
For both FRCPath Part 2 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 these costs can rise if re-sits of the exams are necessary.
Summary
PLAB, as an exam which assesses a doctor’s ability to work safely in the UK, does not demonstrate ability in histopathology specifically. For this reason, PLAB tends to be a route for junior doctors who have not already chosen their field of specialisation in medicine.
Additionally, PLAB can facilitate GMC registration much faster than other routes – so if you feel you can attain an offer of employment in the UK with your overseas experience only – but GMC registration is the one thing standing in your way – PLAB may be a good option for you.
FRCPath involves two more difficult examinations and takes more time to prepare for. Attaining FRCPath in Histopathology will allow you to jumpstart your career in the UK, you’ll most likely be able to take a consultant role. You would not need PLAB or Core Training in addition to FRCPath.
Additionally, histopathology in the UK is also a consultant-led specialism, and FRCPath demonstrates competency to practice unsupervised as a consultant.
#IMG Tips
Determine your priorities – your goals and timeline for relocating to the UK are important in deciding which route is best for, and this is different for everyone.
Plan well ahead – depending on the route you choose, you may be embarking on a long journey through these exams, so plan how you will fit them into your life and how best to prepare to maintain a good work-life balance at the same time.
Find a support network – once you know which exams you will sit, find a support network of others who are also preparing for the exam. A great way to do this is to join IMG Histopathologists, an online pathology community of UK and NHS histopathology aspirants and dedicated histopathology recruiters. You’ll find advice, guidance and news and updates about all things histopathology for IMGs. Join the conversation here.
For regular news and updates, follow IMG Connect on social media using the links below:
Getting started
Once you’ve decided which exams are best for you, it’s time to delve deeper into the exams and what they entail. For more useful blogs and articles on PLAB or FRCPath exams, registrations and qualifications to help you find your dream job in the NHS - take a look at our IMG Resources library.
Or if you have any questions on PLAB or Postgraduate qualifications, feel free to get in touch with our histopathology consultants here.
My experience of MRCPsych Paper B - Dr Praveen Kumar
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 introduce to you Dr Praveen Kumar, a psychiatrist who has recently sat and passed the MRCPsych Paper B exam. Praveen will be sharing with you his experiences of the second 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 Praveen Kumar?
I'm a Malaysian psychiatrist and I completed most of my training as an Ob-Gyn in Borneo. I originally came to the UK for the PLAB 2 exam, with my ultimate aim being to relocate to Australia. I had planned on spending a few weeks in the UK as a vacation, as it was my first time flying to the west. Due to the COVID-19 pandemic, I was stuck in the UK for some time.
I decided to enter the psychiatry training programme in Inverness, Scotland (CT1) just out of curiosity, because mental health was hardly spoken about in rural Malaysia, so I knew little about it. This was my main plan while I waited for restrictions to ease in Malaysia so I could return home, however plans changed, and I've been here ever since.
2. What motivated you to sit the MRCPsych exams?
I had no experience in psychiatry before starting my training in February 2021, but I felt I owed it to my patients to have at least some basic knowledge. I felt studying for MRCPsych would prepare me for the role, so I took Part A and B early on.
3. At what point in your career and training did you sit the MRCPsych Paper B exam?
I sat Paper A in December 2020 and Paper A in October 2021, so this was quite early on in my training.
4. How far in advance did you start preparing for the MRCPsych Paper B and how much time did you spend on revision?
I began preparing around 6 months before the exam. I'd have 8-20 hours of zoom study sessions weekly for the 6 months, studying around 4-6 days a week.
5. Did you benefit from speaking to senior colleagues or peers about the exam? Did you study with other candidates?
I relied on study groups via a WhatsApp group for discussions and attended weekly zoom study sessions. I formed a study group by seeking out other candidates after posting a message on MRCPsych groups on Facebook.
6. Have you already completed MRCPsych Paper A and how do you feel it prepared you for the Paper B exam?
I completed MRCPsych A on Dec 2020. By then I had already conducted many group studies and had 117 group study mates that continued with me into part B. We did the same format of group study that I hosted before.
7. How did you manage to juggle other commitments whilst studying for the exam (without panicking)?
Since I am on my own here in the UK, I was able to invest a lot of time and energy in hosting daily study sessions because at the start, it kept me grounded while I was stuck in a foreign country. It gave me the opportunity to communicate with so many people in a setting other than my workplace. It was fairly challenging initially while I moved between Airbnbs (7 in total!) while waiting for flights back home. It was only when I was accepted into a psychiatry training programme in Inverness and acquired stable accommodation that things became a lot easier.
8. What resources did you use to prepare and practice for the MRCPsych Paper B exam?
The hardest part was actually statistics which took up 1/3rd of the exam questions, so the goal was to complete the statistics syllabus, then move onto cover clinicals, repeat statistics again, then finally start mocks before the exam. This was the process that was recommended to me by some friends who passed the exam before me.
The SPMM mocks and high yield questions were most helpful for clinical and stats, but the psychmentor notes were also really good with the questions and mocks helping to fortify our knowledge.
The Statistics and Research Methods (Cambridge Crash Course) by Dr Paul Wilkinson helped loads with statistics near the end.
I didn’t use any notes or SPMM videos, but I’ve heard they helped others quite a lot.
9. 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?
I prepped by reassuring myself that I did practice and study as best I could. I was ultimately looking to gather knowledge that would allow me to better help my patients. Whatever else came out of the process was secondary.
10. What was your experience like on the day?
I felt like I could hear the voices of my study mates as I did the exam. It didn't feel particularly difficult to be honest, because I'd had lot of practice sessions.
11. What was the most challenging part of the exam?
There were some tricky bits, for example being asked the percentage of patients who have a particular illness!
12. Now that the MRCPsych exam is provided online, how (if at all) was the test different to exams sat in person?
I didn't see it as much different to be honest.
13. In hindsight, would you have done anything differently?
Nothing really. I genuinely enjoyed the study sessions and I hope others did too.
14. What nugget of advice would you give to any MRCPsych Paper B aspirants?
Form or join a study group with people from various backgrounds. Mine had folks from around the globe with psychiatry experience ranging from none at all to 12 years. Their input was gold - more so since the exam is very relevant to our day-to-day practice.
15. What are your plans going forward?
I’m actually doing a couple of diplomas at the moment. I plan to collaborate with some people on some research/publication opportunities. This is mostly to bide time during CT2 as I am only allowed to sit the CASC exam during CT3 after 2 years psychiatry experience.
The postgraduate route to GMC registration, whilst not the fastest, can be the most rewarding in the long run. The MRCPsych exams are the central components of psychiatry training in the UK, and as an international psychiatrist, this is the route that allows you to most closely align your qualifications with the requirements of more senior roles in the NHS.
Join the IMG Psychiatrists Facebook group for access to a community of like-minded overseas MRCPsych aspirants and dedicated psychiatry recruiters.
For news and updates on all things psychiatry, including GMC registration, the Royal College and the NHS, follow us on social media and join the conversation.
A Medical Oncologist's Route to the UK - EEA & Non-EEA
There are several routes a medical oncologist can take to register with the GMC and practice oncology in the NHS.
Medical oncologists looking to secure a job in the NHS must satisfy certain criteria before they can be fully registered with the GMC (General Medical Council) and receive a license to practice in the NHS. For oncology, these criteria depend on where you received your training, 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 an overseas oncologist. We’ll be covering the following:
How do I demonstrate my knowledge and skills as an EEA oncologist?
How do I demonstrate my knowledge and skills as a non-EEA oncologist?
How can I demonstrate my English language skills?
What is a certificate of good standing and how do I get one?
What do I need to register with the GMC?
Will I need a visa to work in the UK?
Skip ahead to the relevant section if you know what you're looking for.
Evidence of knowledge and skills for EEA medical oncologists
For oncologists who trained in an EEA country (all countries inside the EU, also Lichtenstein, Iceland, Switzerland & Norway), there are several 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 GMC registration, check the relevant GMC page here.
Basic Medical Training
If you have met the requirements for basic medical training, you would not need to demonstrate your medical knowledge and skills to work as a doctor in the UK, and would therefore not need to complete a Royal College 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
Not all European Specialist qualifications are accepted by the GMC. If you have met the GMC’s criteria pertaining to your county, then you should be eligible for Specialist Registration in oncology. So as a medical oncologist, if you hold a Relevant European Specialist qualification, you would be put on the specialist register for medical oncology and can be appointed as a substantive oncologist in the NHS.
Please note, the criteria that is outlined on your country’s GMC registration page must be met. If your training was undertaken prior to the dates mentioned by the GMC – your qualifications will not be accepted.
For EEA oncologists, the main hurdle that you will face will be demonstrating that your English skills are of a high enough standard to practice safely as a doctor in the NHS.
As a European oncologist, this is most likely 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 general or specialist registration, other routes you may consider to GMC registration include PLAB, or (via the postgraduate route) the Royal College exams for medical oncology (MRCP). You can find out more about these alternative routes here.
Evidence of knowledge and skills for non-EEA oncologists
If you qualified as a medical oncologist outside the EEA, then you will have to demonstrate that both your medical knowledge and skills AND English Language capabilities meet the level required to practice safely in the UK.
Oncologists who've trained from outside the UK and EEA and must demonstrate to the GMC they have sufficient knowledge & skills to practice safely in the UK. For medical oncologists this can be done through one of three main routes:
Professional & Linguistics Assessment Board (PLAB)
The PLAB exam is a two-part exam that assesses a doctor’s ability to work safely as an SHO in the NHS, as such it does not demonstrate ability in oncology specifically. For this reason, PLAB tends to be a route for junior doctors who have not already chosen their field of specialisation in medicine. That said, for some senior doctors PLAB can be an attractive option, offering a quicker route to the UK, whilst still securing competitive salaries. If taking this option, medical oncologists can then take up training or a more senior post once they have established themselves in the NHS. Take a look through our comprehensive guides on PLAB.
Royal College of Physicians
Attaining a Royal College qualification is a preferred path for doctors who have already chosen their field of specialism i.e. medical oncology. Oncologists taking this route will gain access to more senior, well-paid jobs in the NHS. The Royal College of Physicians is the professional body that regulates the specialism of medical oncology in the UK, and Membership of the Royal College of Physicians (MRCP) is the full qualification attainable by examination. For overseas doctors, attaining MRCP will satisfy the knowledge & skill criteria for GMC registration and facilitate application for more senior roles in UK oncology. Take a look at IMG Resources library for complete guides on MRCP to learn more.
GMC-recognised or equivalent qualifications
Some overseas qualifications and licensing exams are recognised by the GMC and accepted for registration purposes. This is to say these qualifications or licensing exams are considered as meeting the same standards as the Royal College qualifications.
To find out if your qualification is accepted by the GMC, take a look at our blog: Overseas accepted postgraduate qualifications
English Language Testing
Both EEA and non-EEA 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
Experience in English-speaking countries
For doctors who have at least two years of their most recent experience in an English-speaking country, you can use a reference from your current employer or employers over these two or more years to demonstrate competence of the English language. This would exempt you from sitting an English language exam.
Certificate of Good Standing
All doctors registering with the GMC must provide a certificate of good standing from each medical regulatory authority they’ve been registered or licensed with in the last five years.
The medical regulatory authority may send you a certificate of past good standing if you're not currently registered or licensed with them. You can find out which medical regulatory authority to contact via the GMC website here.
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.
Please note that each certificate is only valid for three months from the date it's signed and must be valid when we approve your application.
GMC Registration
Once you’ve completed your English language exam, you can now apply for full GMC registration with a license to practice. For registration, you must provide evidence of:
English language capabilities - either your IELTS, OET or an approved reference from your current employer (if you have been working in an English-speaking country for the last two years).
AND
Certificate of good standing – the certificate from your medical regulatory authority which demonstrates good standing.
AND
(EEA oncologists) Sufficient skill and knowledge – as an EEA oncologist, this would either be your recognised EEA qualification.
(Non-EEA oncologists) Sufficient skill and knowledge – as a non-EEA oncologist, this would either be PLAB, MRCP or a GMC-approved qualification.
To understand the registration process more fully, read our article on GMC registration for overseas doctors here.
Visas
If you or your family are from the EU, Switzerland, Norway, Iceland or Liechtenstein and started living in the UK by 31 December 2020, you may be able to apply to the free EU Settlement Scheme. Otherwise, you will need to apply for a visa from the Home Office.
A Health & Care visa (Tier 2 visa) is the document given to a skilled worker by the UK Home Office following a job offer from a UK employer with a valid Tier 2 Sponsorship License. The list of valid Tier 2 Sponsors can be found here.
Understand Tier 2 visas and Certificates of Sponsorship in depth by taking a look at our article: Tier 2 Visa application process & documents needed.
Wondering whether you can relocate with your family? Take a look at our blog on the Tier 2 dependant visa below: Tier 2 Dependent visa - Can I bring my family with me to the UK?
So, there you have it! Hopefully this helps to clarify any worries or doubts you may have on your route to the UK as a medical oncologist planning a career in the NHS. If you have any questions or would like to know more about the medical oncology job market, then get in touch with our team.
For regular news and updates on the Royal College and all things oncology, follow IMG Connect on social media using the links below:
Top Tips for Last Minute MRCPsych Paper A Revision - Dr Kevin Li
Are you an overseas psychiatrist just beginning your journey through the MRCPsych exams?
Today, we’re sharing some of the top tips from Dr Kevin Li (MRCPsych) for last minute MRCPsych Paper A revision.
Divide your time according to the marks weighting of the sections
For example, general adult and critical review have the most marks in the exam, with 20% and 33.5% respectively, so you should prioritise these in your revision, then try to spend a proportionate amount of time on each section based on the marks it holds.
Perfect what you know
If there are any areas you are experienced or confident in, try to perfect these in order to gain the most marks possible in what you find to be the least challenging areas. These areas may also be easier to revise if they are better aligned with your training and practice to date.
Keep difficult topics fresh in your mind
If you’ve taken longer than 3 months to prepare for the exam, revisit the more difficult topics at the end of your revision. You may not retain this information long-term, so it’s important to have it as fresh in your mind as possible when coming up to the exam.
Take time off before the exam for intense study
Try to put some time aside in the weeks coming up to the exam to for a final push of intense study.
Use the best tools
Question banks and past papers such as SPMM are very useful in preparing for the MRCPsych Paper A - books are great too, but in the final crunch, you want to focus on material specific to the exams.
For access to a community of likeminded MRCPsych aspirants and dedicated psychiatry recruiters, join the IMG Psychiatrists Facebook group.
For 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.
MRCPsych Paper A is the first exam in the postgraduate route to GMC registration and can be very rewarding in the long run. The MRCPsych exams are the central components of psychiatry training in the UK, and as an international psychiatrist, passing the exam is the first step towards registering to work as a psychiatrist in the NHS.
Specialist Registration - CCT vs CESR vs CESR-CP
Here we take a closer look at the routes available to overseas consultants & experienced doctors who wish to join the GMC’s Specialist Register.
IMGs from any country in the world can apply for Specialist Registration, provided certain eligibility criteria are met, though there are different routes available based on a doctor’s qualifications and training.
To shed some light on the routes to Specialist Registration, we've put together a short article to explain further, including the following topics:
What is Specialist Registration?
What are the different types of Specialist Registration?
Am I eligible?
How do I apply for Specialist Registration and what evidence will I need?
What are the benefits of Specialist Registration?
Are other senior NHS posts available without Specialist Registration?
How much does Specialist Registration cost?
#IMG Tips
Skip ahead to the relevant section if you know what you’re looking for.
Specialist Registration
All doctors who wish to work as permanent consultants in the UK must show evidence of skills, knowledge and experience in order to apply for Specialist Registration. This registration in any specialty means you can be appointed to a substantive consultant post within the NHS.
Specialist Registration is additional to full registration with the GMC.
The 3 Types of Specialist Registration
There are three types of certificates issued by the GMC, and the type of certificate you will receive at the end of your training defines which training route you are on.
The Certificate of Completion of Training (CCT)
The CCT is the route to specialist registration for doctors who have completed a GMC-approved, specialty training programme through the relevant Royal College.
To be eligible for CCT, an applicant’s entire training (including any core years) must have taken place within UK-approved training posts. Please see our blog on career pathways for a UK doctor in training.
The Certificate of Eligibility for Specialist Registration - Combined Programme (CESR (CP))
CESR(CP) is a simplified route for doctors who joined their specialty training programme after ST1, and therefore do not meet the requirement of 4 years duration in GMC-approved training on completion, as they began their training overseas and completed it in the UK.
Doctors on the CESR(CP) route count a combination of approved training and previous experience in non-approved posts (overseas) towards their training time.
The Certificate of Eligibility for Specialist Registration (CESR)
CESR is the route to specialist registration for doctors who have not completed a GMC-approved specialty training programme – doctors who have trained outside of the UK, Switzerland, and the EEA.
These doctors apply directly to the GMC to demonstrate that their specialist training, qualifications, skills, knowledge and experience are equivalent to the requirements for CCT in the UK.
Doctors who have completed their specialist training in the EEA or Switzerland are eligible for direct entry onto the Specialist Register through their Relevant European Qualification (REQ).
For an in-depth guide to CESR, take a look at our blog for overseas doctors here.
Eligibility
Eligibility for Specialist Registration depends on your nationality, qualification and experience.
To meet the minimum eligibility requirements to apply you must have either:
A specialist qualification in the specialty you’re applying in
OR
At least six months continuous specialist training in the specialty you’re applying in
You’ll need to provide evidence of how you’re eligible as part of your application. This could be a copy of your qualification or evidence of your employment.
In your application you must show that you meet the requirements of the CCT curriculum in your specialty.
The CESR certificate is awarded only on the written evidence provided by the applicant. It is not granted on the basis of references or experience.
Applications and Evidence for Specialist Registration
CCT and CESR-CP
Once you have been issued with your Outcome 6 has been issued, you must complete and return the relevant CCT/ CESR(CP) notification to your Royal College along with the following documents:
Copies of any ARCPs that are not on your ePortfolio
ARCPS/evidence of successful progression for any LAT/FTTA/SHO posts counting towards your training (this applies to doctors who were appointed above ST1 only)
You will also need to complete an online GMC form. The link to this form will be emailed to you by the GMC and you should contact your Royal College if you do not receive it.
The GMC has created a guide for each CCT specialty with the relevant royal college or faculty. You can see this here.
CESR
You will need to apply to the GMC, who will then send your application to the Royal College for evaluation. The application process for CESR can be lengthy and potentially stressful, so it is important that you read the GMC’s general guidance and specialty-specific guidance before starting to put together an application.
You will need to provide a portfolio of evidence demonstrating that your specialist training or qualifications are equivalent to the award of a CCT in your specialism in the UK. This information is available for each specialty and Royal College on the GMC website here.
If you apply for an NHS post which provides CESR support, your hospital should assist you in this process.
Once the GMC has sent you a letter informing you that your application is complete and has been sent to your Royal College for assessment, the College is not permitted to discuss your case with you until the GMC has sent you a letter informing you of the decision.
Benefits of Specialist Registration
Specialist registration allows doctors to take up permanent or substantive consultant positions. Without CCT, CESR or CESR-CP, a doctor may only take a Trust locum or fixed-term consultant posts.
Fixed-term and locum posts offer of course offer less stability than permanent consultant posts and require extension.
It is a legal requirement before taking a substantive, honorary or permanent NHS consultant post in the UK that doctors have their names entered on the GMC's Specialist Register.
Senior Positions in the NHS
It is important to note that you can apply for more senior roles such as a specialty doctor (SAS), specialist grade or a locum consultant (locum consultants are not required to be on the Specialist Register).
This way, you will have better pay and roles and responsibilities that are more appropriate to your level of experience compared to a trainee. While working in these jobs you can collect evidence of your competences.
These positions also facilitate a faster route to the UK than the CESR route, which can take a substantial amount of time.
Cost
All doctors applying for Specialist Registration must pay a fee. The fees for 2021 are as follows:
CCT - £439
CESR-CP - £439
CESR - £1,676
#IMG Tips
Research/think about the types of evidence you will need and begin to gather your evidence well in advance of making your application.
Make sure that your evidence is of the highest possible quality and is current – you will be assessed against the most recent curriculum.
Ensure that the evidence you collect demonstrates your competence across the whole of the curriculum, not just your sub-specialty.
Remember to refer to the relevant CCT Curriculum and Specialty Specific Guidance for the evidence requirements in your specialty.
Ask an IMG Connect recruitment specialist about NHS posts with CESR support, these are not always advertised by a Trust, but we can help you to find a role which aligns well with your career goals in the NHS.
Most IMGs likely haven’t completed a UK-approved training programme, but you could be eligible for Specialist Registration with the GMC via the CESR or CESR-CP route. Take a look at our in-depth CESR overview for more information on how to apply and what to expect. If you have any further questions about Specialist Registration, your route to the UK, or would like guidance in finding NHS posts which offer CESR support, please get in touch with us 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:
FRCR (Oncology) Part 1 – preparation, guidance & resources for overseas doctors
Are you an oncology IMG looking to sit your FRCR (Oncology) Part 1 (CO1) exam?
International doctors often wonder about the best ways to prepare for the first FRCR (Oncology) exam. There are many resources available online, but with so much geared towards UK applicants and trainees, it can be difficult to decide what is best suited to you as an overseas candidate.
Here we have compiled some of the best resources and guidance for overseas FRCR CO1 applicants preparing for the exam. We will also touch on some of the recent changes to the format, delivery, and availability of the exam in response to the COVID-19 pandemic.
The topics we’ll be discussing include the following – skip ahead to one of these sections if you know what you’re looking for:
What is FRCR (Oncology) Part 1 (CO1)?
How do I get started with my preparation?
What resources are available online?
How has COVID-19 affected the exam?
#IMG Tips
I’ve passed FRCR (Oncology) Part 1, what’s next?
FRCR (Oncology) Part 1
As a reminder, FRCR (Oncology) Part 1 or CO1 is the first exam in the FRCR (Oncology) examination suite. The full set of exams, Part 1, and Part 2A and 2B, or CO1, CO2A and CO2B are the exams required by international doctors to satisfy the requirements for GMC registration through the postgraduate route.
The assessment expects that candidates have a broad knowledge of subjects that relate to the investigation and management of patients with cancer.
The exam consists of five modules which are taken through four exam papers over two days. On each day, candidates may attempt any number of modules. Altogether the FRCR CO1 exam has 180 SBA (single best answer or multiple choice) questions.
The exam structure is as follows:
For an in-depth breakdown of each of the FRCR (Oncology) Part 1 modules, see our detailed blog, FRCR (Oncology) Part 1, through the IMG resources library, where you can also read an overview of the full FRCR (Oncology) examination suite.
Please note that only full FRCR satisfies the GMC’s postgraduate requirements for overseas doctors.
Preparation
We have discussed with IMGs the best way to prepare for the first FRCR (Oncology) exam and most recommended beginning with the Royal College website and resources, which they have compiled to aid in your preparation.
Curriculum: The FRCR (Oncology) exam is based on the Specialty Training Curriculum for Clinical Oncology, and as a rule of thumb, your revision should start here to ensure you are focusing on the exact material that will be in your exam. Knowing the curriculum is key and you can find these on the Royal College website here.
Royal College resources include:
Learning hub: the learning hub is available to members and contains many useful learning resources. This can be found here.
Purpose of assessment: this will help candidates understand the examination's purpose, the required level of candidate training and the application of results, available here.
Implementation tools: this is a range of tools which have been compiled by the College to support the new curricular which all students should have transferred to by August 2022 at the latest and can be accessed here.
Guidance notes – a document with detailed guidance on exam structure, content, requirements and marking which you can find here.
Sample questions: sample SBA questions with answers which can be found here.
Speedwell instructional video: a walkthrough video of the FRCR Part 1 exam format with guidance and instructions which can be found on the College YouTube channel.
Suggested reading list: a suggested list of core texts and additional reading put together by the College which is available here.
Examiners’ reports: this is a collection of generic reports written by examiners on the overall performance of candidates and individual questions as a guide for applicants for future sittings. These are available here.
Other helpful resources
There are several other resources available online, from flashcard-style revision materials to tips and advice from former candidates who have passed the exam:
The Clinical Oncology Registrar
This former candidate has compiled tips, guidance, and notes (including revision notes) on the First FRCR exam. These include revision advice, downloadable materials on key topics and links to good books and core materials to use. You can find the full blog here.
FRCR Oncology
A compilation of recommended books and notes shared by a former FRCR oncology candidate. There are general tips, as well as more detailed notes on the exam modules. These can be accessed here.
British Medical Journal
The BMJ has created an app-based physics revision resource with core questions on elements of the physics module, in the same multiple-choice format as will be seen in the exam. They are available at several price points depending on the duration of access, which ranges from £24.99 for one month to £139.99 for one year. This can be accessed here.
Brainscape
A set of flashcards with over 1300 questions across all modules. This free resource can be used as either revision or practice material and is located here.
FRCR Exam Prep
This website is home to exam tips, an online revision course for the physics module (including timed mock exams), sample cases and articles. The price of the physics course ranges from £25 for one month to £115 for one year. This can be found here.
How the exam has been affected by COVID-19
First FRCR (Oncology) is still taking place in person, but the number of exam centres has been reduced. For now, these are Belfast, Birmingham, Bridgend Wales, Crewe, Edinburgh, Glasgow, Leeds, and London. Overseas centres for now are in Hong Kong, India, and Malta.
For advice on preparation before applying for the exams, see the Royal College website here.
#IMG Tips
Start preparing early, but not too early – you want to avoid the misery of last-minute cramming, but not to burn out. Former candidates recommend starting about 6 months beforehand.
Get familiar with the curriculum – this is the home of the exam’s content – get to know this as well as possible to jumpstart your preparation for the exam
Go through as many exam questions as possible – we know these are scattered all over the internet, but from those we’ve compiled in this handy guide you should have enough to keep you busy!
Join the conversation – IMG Connect are regularly sharing interesting tidbits, news, updates on social media. We also have study and support groups where you can join likeminded international doctors from all over the world in one communicative and moderated space to share exam tips, wins and woes, and buddy up with peers to help boost your chances of passing first time.
If you would be interested in joining the Final FRCR (Oncology) group, please email info@imgconnect.co.uk to speak to our oncology specialist and reserve your place today.
I’ve passed the First FRCR oncology exam, what’s next?
Firstly, congratulations! This is an incredible achievement, and you deserve to treat yourself after all that hard work! With a pass in the First FRCR Oncology in hand, you can look ahead to the Final FRCR Oncology (CO2A and CO2B) exams. Once you have completed all parts of FRCR Oncology, you can apply for full GMC registration with a license to practice. Nice one.
We hope this is helpful for any overseas doctors preparing to sit their Final FRCR exam and the team here at IMG Connect wish you the best of luck!
Don’t forget to share your progress and successes with us using the hashtag #imgstories on social media, we love to hear from you.
MRCPsych Paper B – guidance, preparation and resources for overseas psychiatrists
IMGs often have questions about the best ways to prepare for the MRCPsych Paper B exam, particularly with a new exam format and so many online materials geared towards UK trainees and applicants.
So, what study materials, courses and support are available for international psychiatrists? Here we have compiled some of the best guidance and resources to help in your preparation for the Paper B exam. We will also address some of the changes in the availability of test centres and exam delivery as a result of the COVID-19 pandemic.
The topics we’ll cover are as follows:
What is MRCPsych Paper B?
How do I get started with my preparation?
What other resources are available?
How has the exam been affected by COVID-19?
#IMG Tips
Passed? What’s next?
If you know what you’re looking for, skip ahead to the relevant section.
If you’d like an overview of the entire examination series, take a look at the article published in our IMG Resources library here.
MRCPsych Paper B
Let’s begin with a quick recap of the second exam in the MRCPsych examination suite.
MRCPsych Paper B is a three-hour written exam which asses critical review and the clinical topics in psychiatry.
The 150-mark paper is comprised of It is made up of around two-thirds multiple-choice questions (MCQ) and one-third extended matching item questions (EMI). One third of the paper covers critical review, with the other two thirds covering clinical topics.
The breakdown of the sections is as follows:
For full guidance on the structure of the exam, visit the examination page of the Royal College website or see our detailed blog on the MRCPsych Paper B exam here.
Preparation
It can be tough to know the best place to start, and after talking with some psychiatry consultants (both IMGs and UK trainees), the general consensus was that the Royal College website is the best place to begin. There are some great resources on their website to help applicants to prepare for the exam. See below:
Syllabus: We always suggest that this is the best place to start – plan your study around the curriculum topics and make a road map to your success in the exams. You can find this here.
Current critical review syllabus: For Paper B, candidates will need to ensure that they make optimal use of the MRCPsych Paper B critical review - evidence-based practice syllabic content, available here.
Sample Papers: These will help you polish your exam techniques and are a good way to regularly benchmark your knowledge against the syllabus. Additionally, they will help you work quickly on the day as you will already know what to expect. The samples can be found here.
Marking schemes: Candidates pass or fail the written papers based on their performance. As such, it is a good idea to understand how the exam is marked so you can maximise your exam skills, giving you the best chance of a pass. These can be accessed here.
Sample exam: These can help you understand the exact format of the exam and to familiarise yourself with the online exam environment. This is available here.
Online exam guidance: Detailed guidance written specifically to guide candidates in preparing for an sitting an online exam, including technology checks and timings. The guidance can be accessed here.
The Royal College also suggest taking a look at Passing the MRCPsych - an insider’s guide - a useful resource to help you to get over the first steps. This is available here.
Other resources
IMG Connect has a library of written resources geared towards preparation for the Paper B exam. If you’re interested in any of these, please get in touch here and we would be delighted to share these with you.
Other online resources available for the exam include a mixture of paid and free resources. These include:
SPMM Starter Study Materials: A range of comprehensive study materials and subject-based question banks with evidence-based answers and explanations (SPMM HiYield and SmartRevise). These are available for 6 months from the date of purchase for the price of £299 and can be found here.
SPMM Video Lectures: A course covering the most important questions pertaining to clinical and critical appraisal topics. This is delivered through 19 hours of viewing - 10.5 hours of clinical topics and 8.5 hours of critical appraisal. Also provided is a PDF of Q-Bank to print and practice. These are available for 3 months from the date of purchase for the price of £199 and can be found here.
Brainscape Flashcards: Sets of web and mobile flashcards with hundreds of questions across all of the syllabus covered in the MRCPsych Paper B exam. This free resource can be used as either revision or practice material and is available here.
Superego Café Question Bank: This question bank provides over 500 multiple choice questions to help you prepare for your examination. The question bank includes constantly updated revision questions and is available as a mixed variety to reflect the MRCPsych Paper B examination. This can be accessed here.
BMJ Revision Questions: The BMJ has created an app-based revision resource with over 270 core questions, including the SBA and EMQ formats that will be seen in the exam. They are available at several price points dependent on the duration of access, from £29.99 for one month to £129.99 for 12 months. These are available here.
Get Through MRCPsych Paper B: Written by authors with recent exam success, the book provides candidates with realistic and up to date MCQ and EMIs, closely matched to themes appearing most often in the Paper B exam. This can be found here.
TrickCyclists Exam Notes: A series of psychiatry notes specifically tailored to the MRCPsych Paper B exam, including the nine topics covered by the exam and more. They are available in word and PDF format and are free to be used, distributed and modified. They are available here.
Courses
The SPMM and MRCPsychMentor resources are the most highly recommended by IMG psychiatrists we have spoken to and are available in different formats depending on your revision needs.
MRCPsych Mentor Mock Exam
A three-hour long exam which simulates exam conditions with a mock exam paper comprising new questions not available in the question bank. It includes a revision mode, timed tests, extensive performance analysis and powerful question review functions.
Duration
6 weeks
Cost
£15
Next start date
On demand
Website
www.mrcpsychmentor.com/mocka/index.php
SPMM Booster Mock Exams
These practice tests are simulations of the real exam prepared to the exam blueprint, allowing you to identify your weakest areas before the actual exam. This package includes access to 6 individual practice papers, comprising reconstructed questions from the most recent exams. Subscriptions can be purchased only 10 weeks before the College exam date.
Duration
N/A
Cost
£249
Next start date
On demand
Website
spmmcourse.com/local/coursepackages.php
How the exam has been affected by COVID-19
As a result of the pandemic, all MRCPsych exams have moved online. Applicants from Singapore and Hong Kong who intended to sit exams in local centres are also invited to apply for the online sitting of the exam. You can learn more about the online exams for MRCPsych in the blog we've written here.
The application process for the exam takes 15 – 20 minutes where candidates will need a valid debit/ credit card, as well as the email address and full details of your sponsor. Further details on the application process can be found here.
#IMG Tips
Start your revision early – starting in advance allows you to pace yourself and get ahead of the stresses of last-minute revision and anxiety.
Build on your existing knowledge and experience – you’re being tested on things which you’ll likely be familiar; take your experiences and use that to bolster any new information you learn through your revision.
Think about your personal learning style and use this to plan effective revision - consider the ways you study best and use them to your advantage; take what’s available online and maximise their impact on your preparation.
Maintain a work-life balance – whilst you should dedicate time to study for the exam, it’s important to avoid burnout by setting aside time away from work and revision to reset and clear your mind.
Join the online psychiatry community - for news and updates about all things psychiatry for IMGs, follow IMG Connect on social media and join the conversation here.
For regular news and updates on the Royal College and all things histopathology, follow IMG Connect on social media using the links below:
Passed? What next?
Great stuff, this is a massive achievement and you deserve to put your feet up for a while! After a well-earned break, you can apply to sit the CASC exam, which you are eligible for once you’ve passed the MRCPsych Paper A and Paper B exams. For more information, take a look at our blog we will explore MRCPsych CASC and everything that you need to know about how to sit the exam, including syllabus, dates, results, fees and preparation.
For more useful blogs & articles on exams, registrations & qualifications to help you find your dream job in the NHS - take a look at our IMG Resources library.
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A psychiatrist's journey to the UK - Dr Linda Granqvist
Are you an overseas psychiatrist looking to move to the UK? Here, you can hear first-hand the experiences of an international doctor who has been through the process, from completing GMC registration, to securing an NHS job and relocating to the UK.
IMG Stories is our series introducing you to international doctors who we have helped to relocate to the UK - sharing their personal journeys from working overseas to securing a new job as a doctor in the NHS.
Today we introduce you to Linda Granqvist, a fantastic child and adolescent psychiatrist who relocated to the UK from Sweden. Linda has been living and working in the UK since earlier this year when she received full specialist registration from the GMC. She is now working in the Lancashire and South Cumbria NHS Foundation Trust in the north west of England – where she is making a huge contribution to the NHS and wider community.
Tell us a little about yourself – what should the IMG community know about Linda Granqvist?
I’m a mum of three who comes from Sweden and I work as a child and adolescent psychiatrist, which I have done for many years. I'm also a family therapist and a certified therapy dog handler. In my free time, I really enjoy hiking and diving – I'd say those are my main interests.
What motivated you to move to the UK?
So, for a couple of years, I’d been thinking about moving to an English-speaking country. Both because I want to improve my English skills and the same for my kids – I also wanted them to learn how to speak English fluently. Also of course, to experience another country, to see how they work within CAMHS, and to be able to develop professionally in a new place.
Your journey to the UK was an adventure! Why did you decide to drive rather than fly to the UK?
In the beginning, it was just practical reasons really. I wanted to have the car with me to be able to move around easily in the UK, also, I don't like to put Iris on aeroplanes. So I decided I’d rather drive. I also have a lot of friends in the countries I’d be passing through along the way, so I thought I might be able to stop and say hi. In these strange times, this was a different way to stay in touch. To be honest, I was a little bit nervous at first - it's a long journey. And initially, it was just going to be me and Iris in the car, fully packed with all of our things. But then a very sweet friend of mine offered to join me on the trip. This made the whole trip incredibly easier and so much more fun. I'd recommend traveling with a friend to anyone thinking of coming to the UK the same way.
Tell us about your journey to get here, any issues or exciting moments along the way?
The trip took us four days, which doesn’t sound very long, but then we were on the road for long periods of time, because we needed to cross the French and English borders within 72 hours of us departing Sweden because of the COVID situation. So, we had that tight schedule to work to, but it all worked out!
Alongside taking wonderful swims in the ocean and being on the beach when we were taking a break, getting to visit friends was great. I was a little curious about the COVID restrictions, to see how they would hold up in practice. There was no one checking us at any of the check points we passed at the borders between Denmark and Germany, Germany and Belgium then on to France. The only place where they actually checked all the certificates and vaccination status was on the ferry between France and England, so that was surprising to me.
What were the best places or things you saw on your journey?
The most exciting thing for me, just off the top of my head, is when we got to Dover. It was such a beautiful moment, having these white cliffs heading towards us on such a beautiful evening. I had a moment of strong emotion when I realised this would be my home for a long time and I was finally here.
You are the first psychiatrist we have worked with who has travelled with their care dog - exciting! We can’t wait to meet Iris, what was it like travelling here with her?
Iris is so relaxed. She's very used to me taking her everywhere, to all sorts of places, so she was quite happy after around 12 hours of travelling, when she realised she could just chill out. So she's no problem at all. Even now, I think she sort of misses the car!
Was it difficult to make arrangements to come to the UK with a dog?
You have to have your shots up to date and have the all the tablets that you need. But not really, it's not really been much of a fuss and was quite easy. Also, we'd travelled abroad before, so she had a passport and things like that.
What role does Iris play in your daily practice in the NHS?
Iris is a trained Care and Therapy Dog and we have worked side by side for 4 years now.
There were no protocols in place for a care dog at first, so the situation needed some working out, but now that’s been sorted, we’re up and running and I'm working with her clinically every day. She helps me with patients so they feel emotionally supported. She can do most tricks in the book and loves children and adults and is so proud to be helping me with these sometimes very vulnerable children.
How did you manage to navigate and juggle the different aspects of registration whilst working full time in Sweden?
Without all the support from Ruaidhri, I don’t think I would have, to be honest - all the credit goes to him. There was so much paperwork and so much to consider in doing things in the right order that it would have taken me forever. But Ruaidhri has been so supportive, holding my hand all the way, always letting me know what the next step was and what I would have to do, helping me wherever he could. He's just been amazing.
Do you have any advice for international doctors hoping to find jobs in the UK?
Find IMG Connect. Seriously, it made all the difference for me. If I’d had less support, I don't think I would have gone through with the move.
From your experience so far, tell us about a day in the life of a consultant CAMHS psychiatrist in the NHS…
I'm a locum consultant, so I work together with one other senior doctor and then another part-time consultant, as well as other doctors who are training and more junior. I take part in assessments and support the team in medical issues spend time on-call.
It's a big difference from what I’ve experienced before. I've worked both privately and in the NHS in Sweden, and I'd say it's a big difference in terms of the psychiatry role, and also how we support the team. It’s understaffed in some areas, and the socio-economic factors within the area can make things more difficult. I think I was maybe a little bit naïve coming into this role. But everybody is so supportive and really welcoming.
How are you settling into life in the North West of England?
So far, we’re enjoying it very much. It's almost like a tropical environment for us compared to Sweden. The people are extremely friendly and open, and not to say the least, they're very dog oriented. Iris really gets to socialise, so the dog life here is much easier. And then the nature, I mean, it's beautiful. Preston doesn’t have the most wonderful nature, but it's so close to the Lake District and the sea, so we're taking advantage of that as well.
What’s next for you now that you’re working in the UK?
My field of interest is in using dogs as part of the work within Child and Adolescent Psychiatry. So I’d love to do more research on this, to find out who benefits the most from having a therapy dog - I think that will be my next step. I always give everyone feedback forms to comment on how they found the appointment with a therapy dog present. I've previously done a small project in Sweden related to this, but I would like to expand on that.
Have you had any culture shocks living in the UK so far?
Probably the dog culture being so friendly. It's I think a positive culture shock. I'm really happy with how things are going.
We’re vegetarians, me and my three daughters, and we’re finding that British vegetables are so much tastier than in Sweden! We talk about it at dinner all the time, wondering how they can taste so good. I'm not too keen on fish and chips and some other typical British dishes, they’re not my cup of tea, but there’s so much choice here as well.
What have you missed about Sweden the most?
I guess there's the emotional part of it - leaving your closest friends, and some family. I think that's the hardest part and what I've missed most.
Do you have any advice for international doctors who want to move to the UK?
It’s a big step, relocating with your family, so it’s good to have practical and emotional support around you. But don't be afraid to try new things. Embrace everything, be flexible and just go for it. You will have an experience you will never forget.
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 to secure rewarding jobs, progress within their field and explore adjacent opportunities such as CESR (for non-EEA doctors), writing publications 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 Connect family.
Medical Training Initiative – a comprehensive guide for doctors
Here we take a closer look at the Medical Training Initiative (MTI), a placement scheme for more junior overseas doctors to come to the UK to receive training and development within the NHS.
To be eligible for an MTI post, certain criteria must be met. These are summarised below along with a broad look the following:
What is the Medical Training Initiative?
What training will I receive through the MTI?
Am I eligible for an MTI post?
What does the application process for the MTI involve?
What are the advantages and disadvantages of the MTI?
Do I need a visa for the MTI?
How can I use the MTI for GMC registration?
How much will I be paid throughout the MTI?
What is the full process for MTI?
I’ve completed the MTI, what’s next?
Skip ahead to the relevant section if you know what you’re looking for.
The Medical Training Initiative
The Medical Training Initiative, or MTI, is a training programme that provides junior doctors from all over the world the opportunity to gain clinical training and development in the UK for a maximum of 24 months.
The MTI as a training scheme is mutually beneficial for both junior doctors and the NHS, in that doctors from several countries and specialisms around the world can work and train in the UK, gaining knowledge and experience which they can take back to their home country, while giving NHS Trusts a high-quality, longer-term alternative for unfilled training vacancies and rota gaps.
Training
The training provided through the MTI scheme will vary between programmes; however, it will typically follow the CCT curriculum (Certificate of Completion of Training). The level of training will be highly dependent on the doctor’s interests, competence and the training available within the placement hospital.
At the beginning of each placement, doctors are allocated an Educational Supervisor who will help to set the doctor’s specific training objectives to meet over the 24 months of the placement.
Eligibility
The MTI has been designed specifically with junior doctors in mind, therefore sponsorship will not be offered to consultants, specialty doctors or for locum-appointed service posts (LAS).
The criteria also differ among MTI programmes, so eligibility criteria should be checked directly with the Royal College before applying. However, the general elements of eligibility include the following:
Country requirements - priority is given to doctors from countries classified as low income or lower middle income by the World Bank. Doctors from outside of these countries may also apply, but there may be a long wait time and no guarantee of acceptance.
Evidence of skills and knowledge – the requirements for evidence of skills and knowledge vary based on the MTI programme, but the potential requirements for evidence of skills and knowledge include:
PLAB exams
Part 1 of relevant Royal College exam e.g. MRCP
Specialist qualifications from your home country
Evidence of English language skills - almost all MTI programs accept what test is approved by the GMC, meaning either of the IELTS or OET can be used for MTI.
Sufficient clinical experience - most MTI programmes will require a minimum of three years' experience, including one year of internship and one year in the relevant specialty.
Active medical practice - candidates must have been actively practicing clinically for at least three out of the last five years including the past 12 months before the application as well as throughout the application process.
The Application Process
There are two ways to join the MTI programme:
Apply for an MTI-match programme – certain specialisms have programmes which match doctors to a job. For these, you apply for the relevant programme, providing the necessary documentation. If your application is successful, you will be allocated a suitable job, which can take up to 12 months.
Find an NHS job before applying for the MTI – in cases where specialties do not have an established match programme, candidates are required to apply directly for an NHS post. Once the candidate has been accepted for the role, they can then apply for the MTI scheme through the relevant Royal College. If you would like to know more about finding NHS posts for the MTI scheme, you can get in touch with us here.
Specialties may use either, or a combination of these two methods, so we suggest visiting the Royal College and searching for their information on the MTI scheme.
The availability of MTI posts will vary between each Royal College, as certain specialties are more consultant-led, meaning there are fewer training posts for junior doctors. Once again, we suggest finding out more from the relevant Royal College.
Advantages and Disadvantages of the MTI Scheme
Advantages
Training – MTI doctors will receive training and development support in their clinical, communication and leadership skills, as well as supervision by a consultant. You will also have the opportunity to create a training plan with the support of an Educational Supervisor.
Reduced cost – for posts that accept specialist qualifications from the applicant’s home country, the associated costs are lower as you will not have to pay for the PLAB or Royal College exams which can be costly, especially where retakes are needed
Alternative to PLAB and the Royal College – As some posts accept a candidate’s specialist qualifications from overseas, this allows you to bypass the Royal College and PLAB exams (N.B. if you have passed both parts of PLAB or ever failed either of the exams, you are not eligible for MTI)
Diploma of UK Medical Practice - If you complete an MTI post that is at least 12 months long, with the Royal College of Physicians (RCP) or the Royal College of Paediatrics and Child Health (RCPCH), you can apply for the DipUKMP, a professional diploma which can be used as part of the portfolio of evidence required for specialist registration (CESR or CESR-CP).
Disadvantages
Not all posts are paid - Some MTI posts require you to secure funding for your training, for example through scholarships or funding from an organisation in your home country, such as a government agency or university (N.B. personal funds cannot be used).
Junior posts – More senior doctors wanting to take this route to the UK will receive a lower salary and more junior role than if taking the postgraduate route.
British citizenship or ILR - For doctors who wish to make a permanent move to the UK, the 12-24 months spent in the UK on the MTI scheme will not count towards the 5-year requirement for British citizenship or indefinite leave to remain (ILR).
Return to home country – at the end of the 24-month period, MTI doctors are legally required to leave the UK and return to their home country.
MTI Posts Offer Tier 5 Visas
MTI candidates require a Tier 5 visa to travel to the UK. Applications for the visa can only be made after receiving the Certificate of Sponsorship.
Applications for Tier 5 visas must be made from your home country (or the country you work in), but never from the UK.
The visa must only be used for travel to the UK at the beginning of the placement and will activate after your arrival, lasting for exactly two years from your arrival date.
Please note that Tier 5 visas cannot be extended.
GMC Registration
All doctors practicing in the UK MUST be registered with the GMC. For MTI candidates, registration is typically supported by the Royal College, but some NHS Trusts also have the right to register MTI doctors.
English Language Testing
As always with GMC registration, candidates will also need to provide evidence of English language skills. 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
Pay Received for MTI Posts
MTI posts are either paid, or candidates are required to secure funding for their placement as detailed above.
Where the placements are paid, the salary received by the MTI doctor corresponds to trainees at a similar level in the UK. All trainees can expect to commence their MTI training at an equivalent salary to ST3 level.
Some hospitals may take prior international experience into account while others do not. This is at the discretion of the hospital and not the Royal College. Hospitals can also decide whether to employ MTI doctors under the 2002 or 2016 junior doctor contract, which have slightly different pay scales.
Therefore, it's best to verify as early as possible where your placement will be paid, whether your prior experience will be taken into account, and under what pay scale you will be paid.
Steps through MTI
We’ve detailed the general processes involved in MTI below, from a candidate’s initial application for a post, to their final interview with the Royal College after gaining GMC registration:
I’ve completed the MTI, what’s next?
Ordinarily, on completion of the MTI scheme, doctors return to their home country with the training and experience they gained from working in the NHS.
Some doctors may want to remain in the UK after completing the MTI for a number of reasons. This can be done if the doctor finds another NHS post, in which case, they may be able to switch from the Tier 5 visa to the Tier 2 Health and Care Worker visa. For more information on the Health and Care Worker Visa, please see here.
If you want to find another NHS post after completing the MTI, applying for your first NHS job follows the same process as any other doctor. You will need to consider what job it is you would like to obtain and what location in the UK you would prefer to relocate to. For guidance on jobs in your specialty in the UK, please see our IMG Resources library.
Once you are ready to start the application process you can get in touch with us – IMG Connect can offer you expert advice and representation throughout the recruitment and relocation process.
For regular news and updates on the Royal Colleges, GMC registration and working in the NHS, follow us on social media and join the conversation below:
A Clinical or Radiation Oncologist's Route to the UK - EEA & Non-EEA
There are several routes a radiation oncologist can take to GMC registration and clinical (radiation) oncology in the NHS.
Clinical (or radiation) oncologists looking to secure a job in the NHS will need to satisfy certain criteria before they can apply for full GMC (General Medical Council) registration with license 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 an overseas oncologist. We’ll be covering the following:
Will my training be recognised in the UK?
How do I demonstrate my knowledge and skills as an EEA oncologist?
How do I demonstrate my knowledge and skills as a non-EEA oncologist?
How can I demonstrate my English language skills?
What is a certificate of good standing and how do I get one?
What do I need to register with the GMC?
Will I need a visa to work in the UK?
Recognition of knowledge and skills
For clinical oncologists who trained in an EEA country (all countries inside the EU, including Lichtenstein, Iceland, Switzerland & Norway), there are a number of different options potentially available to you.
Depending on the country and year you completed your residency or basic medical training, the GMC may automatically recognise your qualifications and grant you either General Registration, or Specialist Registration in the UK. To find out if your country’s qualifications will allow you to register for either general or specialist registration, check the relevant GMC page here.
Knowledge and skills for EEA radiation oncologists
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.
Knowledge and skills for non-EEA radiation oncologists
If you qualified as an oncologist outside the EEA, then you will have to demonstrate that both your medical knowledge and skills AND English Language capabilities meet the level required to practice safely in the UK.
Oncologists who've trained from outside the UK and EEA and must demonstrate to the GMC they have sufficient knowledge & skills to practice safely in the UK. For oncologists this can be done through one of three main routes:
Professional & Linguistics Assessment Board (PLAB)
The PLAB exam is a two-part exam that assesses a doctor’s ability to work safely as an SHO in the NHS, as such it does not demonstrate ability in oncology specifically. For this reason, PLAB tends to be a route for junior doctors who have not already chosen their field of specialisation in medicine. That said, for some senior doctors PLAB can be an attractive option, offering a quicker route to the UK, whilst still securing competitive salaries. If taking this option, clinical oncologists can then take up training or a more senior post once they have established themselves in the NHS. Take a look through our comprehensive guides on PLAB.
Fellowship of Royal College of Radiologists
The Royal College of Radiologists is the professional body that regulates the specialism of clinical oncologists in the UK, and Fellowship of the Royal College of Radiologists (FRCR) is the full qualification attainable by examination. For overseas doctors, attaining FRCR (Oncology) will satisfy the knowledge & skill criteria for GMC registration and facilitate application for more senior roles in UK clinical oncology. Take a look at our IMG Resources library for complete guides on Fellowship of the Royal College of Radiologists for clinical oncology to learn more.
GMC recognised or equivalent qualifications
Some overseas qualifications and licensing exams are recognised by the GMC and accepted for registration purposes. This is to say these qualifications or licensing exams are considered as meeting the same standards as the Royal College qualifications.
To find out if your qualification is accepted by the GMC, take a look at our blog: Overseas accepted postgraduate qualifications.
English Language Testing
Both EEA and non-EEA 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 International English Language Testing System (IELTS) or the Occupational English Test (OET). Detailed guides to these tests can be found below:
IELTS – a guide for overseas doctors
OET – a guide for overseas doctors
Experience in English-speaking countries
For doctors who have at least two years of their most current experience in an English-speaking country, you can use a reference from your current employer or employers over these two or more years to demonstrate competence of the English language. This would exempt you from sitting an English language exam.
Certificate of Good Standing
All doctors registering with the GMC must provide a certificate of good standing from each medical regulatory authority they’ve been registered or licensed with in the last five years.
The medical regulatory authority may send you a certificate of past good standing if you're not currently registered or licensed with them. You can find out which medical regulatory authority to contact via the GMC website here.
Please note that each certificate is only valid for three months from the date it's signed and must be valid when we approve your application.
If there's no medical regulatory authority in the country to issue a certificate, the GMC will give you further advice once your application has been assessed.
GMC Registration
Once you’ve completed your English language exam, you can now apply for full GMC registration with a license to practice. For registration, you must provide evidence of:
English language capabilities - either your IELTS, OET or an approved reference from your current employer (if you have been working in an English-speaking country for the last two years).
AND
Certificate of good standing – the certificate from your medical regulatory authority which demonstrates good standing.
AND
(EEA oncologists) Sufficient skill and knowledge – as an EEA oncologist, this would either be your recognised EEA qualification.
OR
(Non-EEA oncologists) Sufficient skill and knowledge – as a non-EEA oncologist, this would either be PLAB, FRCR or a GMC-approved qualification.
To understand the registration process more fully, read our blog on GMC registration for overseas doctors here.
Visas
If you or your family are from the EU, Switzerland, Norway, Iceland or Liechtenstein and started living in the UK by 31 December 2020, you may be able to apply to the free EU Settlement Scheme. Otherwise, you will need to apply for a visa from the UK Home Office.
A Tier 2 visa is the document given to a skilled worker by the UK Home Office following a job offer from a UK employer with a valid Tier 2 Sponsorship License. The list of valid Tier 2 Sponsors can be found here.
Understand Tier 2 visas and Certificates of Sponsorship in depth by taking a look at our article: Tier 2 Visa - how do I apply and what's the process?
Wondering whether you can relocate with your family? Take a look at our blog on the Tier 2 dependent visa below: Tier 2 Dependent visa - Can I bring my family with me to the UK?
For clinical or radiation oncologists looking to come to the UK to work in the NHS, GMC registration and specialist registration is a crucial part of the process. Therefore, it’s important to put together a good application to present to the GMC, and IMG Connect are here to help with this. Whether it’s deciding the best options for demonstrating your skills and knowledge in clinical oncology, or sourcing the best English Language courses and resources, take advantage of the benefits of having an oncology specialist working with you and proving you with the best guidance and support to fit your career needs.
For regular news and updates on the Royal College and all things oncology, follow IMG Connect on social media using the links below:
FRCPath Part 1 - preparation, revision and resources
The first exam in the FRCPath Histopathology series...
Overseas histopathologists may have questions about the best ways to prepare for the FRCPath Part 1 exam. With so many resources available online, but many of them geared towards UK trainees, it can be difficult to know what is best suited to you as an international candidate.
In this blog we have compiled some of the best resources and guidance for FRCPath Part 1 aspirants. We will also quickly cover some of the recent changes to the exam regarding its delivery and availability in response to the COVID-19 pandemic.
Here we’ll take a closer look into these and other important questions through the following topics:
What is FRCPath Part 1?
How do I get started with my preparation?
What resources are available online?
How has COVID-19 affected the exam?
#IMG Tips
I’ve passed FRCPath Part 1, what’s next?
Skip ahead to the relevant section if you know what you’re looking for.
FRCPath Part 1
FRCPath Histopathology Part 1 is the first exam in the two-part examination series, administered by the Royal College of Pathologists. The content of the exam can be broken down into three sections:
The three-hour exam is designed to assess candidates’ overall knowledge and understanding of histopathology or cytopathology, including the full range of autopsy practices undertaken in a district general hospital in the UK and the basic science underpinning pathology, including molecular biology.
For an in-depth guide to the FRCPath Part 1 exam, or for a breakdown of the full FRCPath Histopathology exam suite, visit our IMG resources library.
Please note that only full FRCPath satisfies the GMC’s postgraduate requirements for overseas doctors.
How to get started with preparation for FRCPath Part 1
The best way for IMGs to begin their exam preparation is with the Royal College website and resources. The FRCPath Histopathology exams are based on the Curriculum for Specialty Training in Histopathology and as a rule, this should always be the starting point for your revision. This will ensure you are focusing on the exam material that will feature in your exam – knowing the curriculum is key! You can find this on the Royal College website here.
Royal College resources include:
Regulations and guidelines – before applying for FRCPath exams, the College recommends you read both the general and specialty-specific regulations and guidelines, found below:
General Regulations and Guidelines
Histopathology Regulations and Guidelines
FAQs - There is also a Frequently Asked Questions (FAQs) document which the Royal College has compiled to help applicants who have questions about online examinations. You can read this here.
Other helpful resources include:
Oxbridge Medica - FRCPath Part 1 Revision Course
This is a 4-day, exam-oriented online revision course. The course includes live streamed lectures across four days and covers all the major topics of the examination syllabus. The speakers have knowledge of the Royal College exam - some of them are examiners, and all are experienced teachers. The course can be found here.
Duration
4 days
Cost
£300 (£75 deposit)
Next start date
8th February 2022
Pathology Online Hub - FRCPath Part 1 Orientation Course
This is a preparatory course aimed at overseas candidates. The course includes an introduction to the exam, including a mock exam with a detailed discussion of answers and exam tips. The course can be found here.
Duration
1 day
Cost
£40
Next start date
19th December 2021
Pathology Online Hub - FRCPath Part 1 Comprehensive Course
This is a preparatory course aimed at non-UK candidates. including particularly basic and extended questions on the UK system. The course covers topics which are unique to the UK system and includes a one-hour practice mock similar to the exam format and a detailed discussion of the answers with feedback. The course can be found here.
Duration
1 day
Cost
£45
Next start date
23rd January 2022
Reading materials
There is no set reading list or official course for FRCPath Part 1 in Histopathology, however the following books come highly recommended by IMGs who have passed the Part 1 exam:
Practical Applications in Histopathology, Cytopathology & Autopsy – Dr Limci Gupta (£78)
FRCPath, Part 1: Examination Preparation Guide – S. Steele (£22.18)
Sternberg's Diagnostic Surgical Pathology Review - Pier Luigi Di Patre, Darryl Carter (£91.95)
Wheater’s Functional Histology – Barbara Young, Phil Woodford, Geraldine O’Dowd (£44.95)
Robbins and Cotran Atlas of Pathology - Edward Klatt (+/- £45)
(Designed to complement Robbins and Cotran Pathologic Basis of Disease, 8th Edition and Robbins Basic Pathology, 8th Edition)
How have the exams been affected by COVID-19?
In response to the challenges of the COVID-19 pandemic, the Royal College of Pathologists has migrated the FRCPath Part 1 exam online.
Candidates all over the world are now able to take the exam from their home countries. This development allows the College to continue to offer the FRCPath Part 1 exam to both UK trainees and overseas pathologists, with minimal disruptions to the exam schedule.
For full details about the online FRCPath Part 1 exam, please see our blog here.
#IMG Tips
Prepare early – getting your revision going as soon as possible will help you avoid those last-minute cramming sessions and increase your chances of passing first time.
Speak to your colleagues and peers – there are so many study materials to choose from - who better to ask for recommendations than histopathologists who have been through the process or are going through it with you?
Familiarise yourself with the curriculum – we cannot stress this enough! Every country’s qualification and practice differ, so being well-versed in the curriculum is the first step on your path to success in the exam.
Prepare for the online format in advance – make sure to fully complete your IT checks well in advance to avoid tech issues on the day (and save yourself an unnecessary headache).
Find a support network – a great way to do this is to join IMG Histopathologists, an online pathology community of UK and NHS histopathology aspirants and dedicated histopathology recruiters. You’ll find advice, guidance and updates about all things histopathology for IMGs. Join the conversation here.
For regular news and updates, follow IMG Connect on social media using the links below:
I’ve passed the FRCPath Part 1 exam, what’s next?
Great stuff! This is a massive achievement, and you deserve to treat yourself after all your hard work. With a pass in hand, it's time to look ahead to FRCPath Part 2. For more information on the final exam in the examination series, take a look at our blog where we explore the FRCPath Part 2, including how to sit the final exam, fees and preparation and results.
Head to our IMG library for more useful articles on the FRCPath exams, GMC registration and qualifications you need to help you find your dream job in the NHS.
Don’t forget to share your progress and successes with us using the hashtag #imgstories on social media, we love to hear from you.
A consultant's journey to the UK - Dr Francesco Spadaro
Are you an overseas psychiatrist looking to move to the UK? Have you always wanted to hear first-hand the experiences of an international psychiatrist who has been through the process, from receiving full GMC registration to securing an NHS job and relocating to the UK?
IMG Stories is our series introducing you to international doctors who we have helped to relocate to the UK - sharing their personal journeys from working overseas to securing a new job as a doctor in the NHS.
Today we introduce Francesco Spadaro, a brilliant consultant psychiatrist who relocated to the UK from Italy. Francesco has been living and working in the UK after receiving full GMC with specialist registration. He is now working in the NHS at Central and North West London NHS Foundation Trust, where he is making a positive impact on the service and the wider community.
Tell us about yourself - what should the IMG community know about Francesco Spadaro?
My work is my passion. I really love the clinical aspect of it, especially talking with patients. I enjoy trying to help my patients as much as I can and giving them a hope in trying to improve their clinical condition. No matter who they are, where they come from, or how serious is their disorder may be. At the same time, studying and looking at how the mind works has always been such an important part of my life.
What motivated you to move to the UK?
I was very keen to move to the UK. London is such a special place and completely unique in my opinion. The city is so open and inclusive and really encourages you to get involved in so many ways. This was a really big motivating factor for me.
Was Brexit an issue for you at all?
It was definitely something to consider, but I was lucky enough to be able to anticipate my leave at my previous job in order to avoid any potential Brexit complications.
How did you find a general adult psychiatry job within the NHS?
I personally found IMG Connect to be a great help on this. The team really encouraged me with lots of advice and suggestions on how I could tailor my CV to specific roles I was applying to.
Most importantly, they really listened and took into consideration all of my needs and difficulties. They go far beyond any of the simple questions you may have for them and cover all angles, including things you may not have considered yourself!
Tell us about a day in the life of an international General Adult Psychiatrist.
I work in a secondary care, Community Services facility. We work in teams which cover several boroughs and are led by a senior practitioner, ans supported by health professionals with a range of expertise: nurses, social workers, support workers, psychologists and NGO volunteers.
We start each day with an MDT (multi-disciplinary team meeting) where we discuss our first assessments, feedback and cases with cause for concern. The great thing about these meetings is that we're all equally involved - everyone participates, sharing knowledge specific to their experience and role.
Consultants are involved in the most severe cases. They will also have slots where they will supervise trainee GPs and junior doctors. We also have lots of meetings throughout the week: scientific meetings, journal clubs and meetings concerning the organisation. Sometimes it feels like there are too many meetings, but I'm still getting used to the differences between the UK and Italian healthcare systems.
Tell us about your journey to the UK...
It was really quick! Once I'd passed had my interview and been offered the job, I just organised my affairs and hopped on the plane. Of course COVID-19 complicated things, but that was the case for everyone in almost every country at the time.
What has been your experience working with IMG Connect?
My experience with IMG Connect has been excellent. They carefully listened to my needs and requests and were always able to offer me appropriate jobs along my requests. They also prepared me in coping with any type of difficulties I would face in regards to relocation to London and my new role in the NHS. They were such a solid presence throughout this process for me and were always there to offer support, both before I had the job and afterwards.
Within the IMG Connect team, I would like to take this opportunity to thank Ruaihdri MacKay in particular, who is an excellent professional recruitment consultant. He was a wealth of guidance, advice and support for me during, and also after, my entire recruitment and relocation. He showed what I consider a unique commitment, dedication and foresight and completely kept me at ease with his justified optimism and knowlegde of the steps in my journey. I was really lucky to have him on my side.
How are you settling into life in the UK?
Things were a little difficult to begin with due to the COVID-19 restrictions, but things have really eased and I'm enjoying living here.
What’s next for you now that you’re working in the UK?
At the moment I'm still settling in, learning a lot about the UK's system and procedures. Once things have settled a little more for me, I'd like to see whether I can incorporate some teaching or lecturing work into my career path in the UK.
What’s been the biggest challenge you’ve faced in moving to the UK?
One of the challenges I've faced has been finding really affordable housing, but this was expected in moving to such a large and popular city as London.
Have you experienced any culture shocks living in the UK?
I wouldn't consider it so much of a cultural shock, instead I'm pleasantly surprised by the opportunity to work with such a diverse range of people. It really is a special experience that connects you to cultures and people all over the world.
What have you missed about Italy the most?
Most of all, I miss the lifelong friends I've made in Italy.
Do you have any tips or advice for international doctors who want to move to the UK?
I would just say, do it. Take a chance and live the experience!
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 to secure rewarding jobs, progress within their field and explore adjacent opportunities such as CESR (for non-EEA doctors), writing publications 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 Connect family.
Finding Psychiatry Jobs in the UK - a Guide for Hong Kong Doctors
Are you a psychiatrist from Hong Kong looking to live and work in the UK? Do you want to know how to find the best jobs working in the NHS?
To be eligible to work in the NHS, psychiatrists from Hong Kong must have full GMC registration – this requires completion of the Royal College of Psychiatry exams (MRCPSych), as well as an English language exam.
From our experience, the majority of Hong Kongers are either aware of the Royal College of Psychiatry exams or have already completed these as part of their specialist psychiatrist training - great news you are more than halfway there! If you are unsure about the requirements for MRCPsych, you can find an overview of MRCPsych here and get in touch to discuss in more detail.
With recent experience of working with Hong Kong Psychiatrists on their journey to the UK, we thought that we’d share a few snippets of information to help get you started.
As a Hong Kong doctor, where do I fit into the NHS?
Psychiatrists from Hong Kong are a great fit for the NHS. And no matter what specialist training or specialist interest in psychiatry you have experience with, our NHS clients would consider you to be a high calibre candidate. Why? The training in Hong Kong is thorough, highly regarded here in the UK amongst NHS clients.
If you are not sure about how your experience will translate to working in the NHS, then we are here to help - IMG Connect are experienced working with all specialisms in psychiatry, including general adult, child and adolescent, old age, perinatal, forensic, liaison, substance misuse & addictions, eating disorders, learning and intellectual disabilities.
What kind of jobs can I find in the UK?
This all depends on your experience in Hong Kong. Whilst there are a lot of similarities between our two healthcare systems, there are also a lot of differences too.
MRCPsych typically qualifies candidates to take specialty doctor or middle grade posts. Think of it as like the FHKCPsych and the accompanying Fellowship of FHKAM (Psychiatry) examinations.
NHS clients will look out for your experience and training combined in order to work out what level you will start in. However, before you can work as a consultant, there are a few certifications that you will need to achieve when in the UK, namely Section 12, Approved Clinician (AC) and CESR.
For consultant psychiatrists who have already completed their specialist training in psychiatry in Hong Kong, you can enter the NHS as either a Specialty Doctor, or Specialist Grade, and in some cases as a consultant (dependent on experience & NHS Client). If starting in a specialist position, the aim here is that you will receive support to complete the aforementioned certifications in the UK, before quickly moving to a consultant post – this will be agreed before your arrival in the UK.
There is demand in all areas of psychiatry, covering all grades. So, it is important to understand where you fit into the NHS, and we would be delighted to guide you through the process. Send in your CV or register with us, and we will arrange an informal chat with you to discuss your job options in full.
Where can I find NHS jobs in psychiatry?
You can get full access to the most recent psychiatry job postings straight to your inbox through IMG Connect. The latest NHS psychiatry jobs cover clinical settings from inpatient and outpatient to community services.
With just a few clicks, you can create an account and customise job preferences to receive email alerts, whether you are a consultant, SHO, resident trainee or specialty doctor.
Sign up here to receive up-to-date information on NHS jobs which you can tailor to your job preferences and receive straight to your inbox.
Can I get access to CESR?
Our experience tells us that CESR is a fantastic option for Hong Kong Psychiatrists joining the NHS. So far, we have found that the quickest route for psychiatrists has been to secure a Specialist Grade or Specialty Doctor post, with CESR support. This route will ensure access to a broad range of UK experience helping you to build your evidence for a future CESR application.
It can be a little confusing, so the best advice here is to speak to us about your options for CESR and how best to prepare for a future application.
What if I haven’t taken MRCPsych?
There are two routes to GMC registration for overseas psychiatrists, PLAB and MRCPsych. Whilst MRCPsych can be more time consuming and expensive, our advice is that it is well and truly worth the investment – especially for more experienced psychiatrists. Clients look out for it, and your CV will be moved to the top of the pile.
The MRCPsych exams can now be taken online. Sample questions as well as information about how the three parts are marked are available on the MRCPsych website and can be accessed here. We have also created a detailed guide to MRCPsych for international doctors which you can find on our website here:
MRCPsych – a Guide for Overseas Psychiatry Doctors
For more information about the online MRCPsych exams, click here.
How do I register with the GMC?
Once both the MRCPsych and English exams have been completed, Hong Kong IMGs can then apply for full GMC registration with license to practice.
There are further checks involved in the registration process, such as verification of medical licenses, however these are steps that will be taken care of with your IMG Connect recruitment specialist. However, if you’d like to learn more about these processes, you can find information in our blog breaking down the steps to GMC registration for overseas doctors here.
What visa will I need? BN(O) or Tier 2?
Honk Kong residents with British National (overseas) status can apply to travel to the UK to live for up to five years with dependent family members, through the British National (Overseas) visa.
You also have the option of securing a Skilled Worker visa, or Health & Care visa to give the most recent term. We know that securing a visa in Hong Kong is a challenge at the moment, so if you think that the Health & Care Visa is a good option for you, don’t hesitate to connect with us to discuss your options.
What are the next steps?
We are here to help with all questions big or small, whether you are starting out on your journey or ready to look explore jobs. Get in touch with us or register below.
We hope this helps and wish you the best of luck in your search!
European Oncologists - a doctor's route to the UK
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.
For regular news and updates on all things oncology, follow IMG Connect on social media using the links below:
MRCPsych - a comprehensive guide for Hong Kong psychiatrists
Many Hong Kong psychiatrists complete MRCPsych as part of their training or are at least aware of the exam. Membership of the Royal College of Psychiatrists examinations (MRCPsych) is one of the best ways for Hong Kong psychiatrists to register with the GMC and find psychiatry jobs in the NHS.
The exams can be taken by International Medical Graduates (IMGs) from any country in the world, provided certain eligibility criteria are met. Here we provide a summary of these exams from a Hong Kong perspective, along with a broader look at the topics below:
Where does MRCPsych fit in for Hong Kong Psychiatrists?
What does MRCPsych mean for Hong Kongers?
MRCPsych can lead to CESR or Specialist Registration in the UK
An overview of MRCPsych and how can Hong Kong Psychiatrists use it for GMC registration
Eligibility for Hong Kong Psychiatrists
What is the exam content and format?
Assessment Portfolio
Sponsorship Requirements
How do I apply for the exams?
How much will it cost me?
As a Hong Kong psychiatrist, where can I sit the exams?
How can I prepare for the MRCPsych examinations
IMG Tips
Passed? What next?
Skip ahead to the relevant section if you know what you’re looking for.
Where does MRCPsych fit in for Hong Kong Psychiatrists?
Postgraduate training in Hong Kong is governed by the Hong Kong College of Psychiatrists, and historically, psychiatric training in Hong Kong has aligned closely with the UK system of postgraduate education. Most psychiatrists in Hong Kong obtain membership of the Royal College of Psychiatrists (MRCPsych) as part of their post graduate training.
The structure of postgraduate training in Hong Kong also closely follows expectations for UK Trainees by covering the same 6 years of higher specialist training. In Hong Kong, the first three years of basic training incorporate the pre-MRCPsych training scheme, which gives the trainee the opportunity to take the MRCPsych examinations at a similar time in the process to the UK.
What does MRCPsych mean for Hong Kongers?
The mental health service in Hong Kong has undergone tremendous change over the last 20-30 years, developing a solid foundation in training, legislation, research and academic work. Hong Kong has fast developed a highly regarded psychiatry service and workforce. This level of training and service, coupled with membership of the Royal College of Psychiatrists (MRCPsych) means that Hong Kong Psychiatrists, including specialists and trainees, fit very well into the UK system.
Links through IMG Connect to several of the top performing trusts in the UK, has seen several Hong Kong psychiatrists flourish in the NHS, year on year.
MRCPsych can lead to CESR or Specialist Registration in the UK
With the parallels in post-graduate specialist training and qualifications like MRCPsych and FHKCPsych, and the high level of experience of Hong Kong Psychiatrists, Hong Kongers are able to enter CESR programmes successfully, gaining specialist registration in the UK reasonably quickly.
Hong Kong Psychiatrists possess the right level of skills, experience and qualifications required for a psychiatrist to apply for CESR. Upon entering the UK system, typically in a job with CESR support, HK psychiatrists can work towards completing the CESR application process with the support of their new employer, leading to being a specialist psychiatrist in the UK.
What is MRCPsych and how can Hong Kong Psychiatrists use it for GMC registration?
The MRCPsych examinations are the main component of specialty training for psychiatrists in the UK. The Royal College exams are designed to test your knowledge of basic medical sciences as well as the clinical skills required for diagnosis and management within psychiatry.
For IMGs from Hong Kong, MRCPsych is one of the two main routes to full GMC registration - you can find a range of articles covering these routes in our resource library here: Royal College or PLAB route.
For psychiatrists who wish to take more senior roles reflective of their current practice, IMG Connect advise that MRCPsych would be the best route to take, rather than PLAB.
As above, Hong Kong Psychiatrists who possess full MRCPsych can register to work in the UK. Whether 3 years into specialist training, or complete in all aspects of the postgraduate programme in Hong Kong, whether working as an Associate Consultant, Consultant or Professor, using the MRCPsych postgraduate route to GMC registration is applicable to you.
Psychiatrists in all main specialisms of psychiatry are eligible for registration and very much in demand to fill vacancies within the NHS.
A very successful route for Hong Kong Psychiatrists has been to secure a non-training post in the NHS, often appointed as a Specialty Doctor, Specialist Grade. Coupled with a developed CESR support programme, a non-training post can ensure swift progress to specialist registration in the UK. CESR will be a requirement for Hong Kong Psychiatrists to allow an appointment to a permanent consultant post.
For Hong Kong Psychiatrists who have not yet sat the examinations, in the following sections of this blog we will provide an overview of the format, dates, fees and exam centres, as well as look at how to prepare.
Eligibility for Hong Kong Psychiatrists
The MRCPsych examinations can be taken by any registered doctor in Hong Kong.
Each examination has different criteria, to complete the full MRCPsych a Hong Kong doctor must be registered with the medical council of Hong Kong, or any recognised medical board if working elsewhere overseas. They must also complete the Assessment Portfolio for Overseas Candidates demonstrating that they have complete 3 years of equivalent training.
For each part of the exam the Royal College suggest the following eligibility criteria:
MRCPsych Paper A
You are eligible for Paper A if you are a fully registered medical practitioner (in Hong Kong or elsewhere)
MRCPsych Paper B
It is a recommended to have at least 12 months experience in psychiatry before taking this examination.
Clinical Assessment of Skills and Competencies (CASC)
You have a pass in both Paper A and B; AND
You can demonstrate you have sponsorship in place. Sponsorship forms must be submitted by an appropriate medical education lead confirming that the eligibility requirements to sit the MRCPsych examinations have been met; AND
You have 24 months post internship experience in Psychiatry; AND
(Overseas candidates) Assessment portfolio
Exam content and format
The MRCPsych examinations consist of two written papers (Paper A + Paper B) and one clinical examination (CASC).
Paper A – The scientific and theoretical basis of psychiatry
This is a three-hour written paper, worth 150 marks and comprising of 150 questions made up of approximately two thirds multiple choice questions (MCQ) and one third extended matching item questions (EMI).
It covers the following sections of the syllabus:
Behavioural Science and Socio-cultural Psychiatry
Human Development
Basic Neurosciences
Clinical Psychopharmacology
Classification and Assessment in Psychiatry
Paper B - Critical review and the clinical topics in psychiatry
This is a three-hour written paper, worth 150 marks and comprising of 150 questions. The content includes one third critical review and two thirds on clinical topics.
It covers the following sections of the syllabus:
Organisation and delivery
General adult
Old age
Psychotherapy
Child & adolescent
Substance misuse
Forensic
Learning disability
Critical review
CASC - Clinical Assessment of Skills and Competencies
The CASC is based on a format similar to OSCEs. Specifically, the examination consists of two circuits which must be completed on the same day.
In total, the circuit includes 16 stations, made up of:
Five stations on history taking, including risk assessment
Five stations on examination, including physical and mental state
Six stations on patient management
Stations consist of several elements with instructions provided to all candidates, marked against the examiners construct.
These have a standardised format with elements in common between stations of a similar type. Find out more here.
For a more detailed guide on the recent MRCPsych exam changes, read our blog on Online MRCPsych Examinations.
Assessment Portfolio for Hong Kong Psychiatrists
The assessment portfolio should demonstrate achievement of equivalent competencies to those defined in the ARCP documented on the application form, including competencies in Psychotherapy AND Child and Adolescent Psychiatry, or Learning Disability, by the time of application.
In addition, you must demonstrate that you have undertake the following activities as part of your structured job plans:
Observation in interviewing patients in ward rounds for specified reasons
Observation in interviewing patients in out-patient or community settings or other contexts for specified reasons
Assessment via formal presentation of cases with their medical notes; discuss management of cases with their Clinical or Educational Supervisor
Formal assessment of competencies in Child and Adolescent Psychiatry or Learning Disability AND Psychotherapy
Assessments and achievement of competencies should take place in a range of settings and psychiatric specialties with structured, documented feedback on performance having been provided.
Whilst there is no assessment criteria form available, (this is incorporated into the online submission), take a look at the ARCP assessment portfolio form for CT1-3 in the UK, which should help give you a starting point for your own portfolio.
For Hong Kong Psychiatrists, the good news is that since the Hong Kong College of Psychiatrists embarked on the expansion and development of formal specialisms in psychiatry, the core competencies required by the Royal College in the UK are easier to gain access to than in other parts of the world. At the time of writing, the Hong Kong College oversees the following clinical divisions: general adult psychiatry, old age psychiatry, child and adolescent psychiatry, psychotherapy, addiction psychiatry, rehabilitation psychiatry and learning disability.
Postgraduate training in Hong Kong allows for MRCPsych aspirants to apply for the examinations with confidence.
Sponsorship Requirements
Hong Kong MRCPsych candidates must have a sponsor in place in order to support evidence that their three years of training satisfy Royal College criteria of having achieved equivalent competencies at appropriate competency levels (year 1, 2, 3) for each component of the examination.
Sponsorship is required by all applicants for entry to the CASC exam and your sponsor should be an appropriate medical education lead, confirming you have met the requirements to sit the MRCPsych examinations.
Acceptable sponsors in Hong Kong include:
College Tutor
Training Programme Director
Educational Supervisor
Head of School
Director of Medical Education (or equivalent)
Head of Department of Psychiatry
Consultant responsible for employee/trainee appraisal
Once your sponsor has authorised your application, you will receive a confirmation email from the Royal College, and you will be asked to complete your application and proceed to payment.
Applications for Hong Kong Doctors
To apply from Hong Kong, you will need to complete an online application form which takes about 15 – 20 minutes. Applications must be submitted no later than 3:30pm UK time (10:30pm HK time) on the last day of the application period.
Note: the online application form for Paper A, B and CASC will only be available during the published application dates and applications submitted after this will not be accepted.
You can sit Paper A and B in any order. You will be required to enter contact details and training history, including your medical registration. If applying for the CASC, you will also need to provide the contact details of your sponsor.
After you have completed the written exam, you have 1,643 days to sit the CASC – you can find specific time limits here.
Exam Costs and Payment
Payment is made by Visa or Mastercard credit/debit card, and the costs for 2021 are as follows:
Candidate
Paper A
Paper B
CASC
PMPT Trainees and Affiliates (UK & Ireland Centres)
£486 (~HK$5228)
£437 (~HK$4701)
£1,004 (~HK$10,799)
Non-PMPT Trainees and Affiliates (UK & Ireland Centres)
£539 (~HK$5797)
£485 (~HK$5217)
£1,115 (~HK$11,993)
Exam Locations
Due to the ongoing difficulties presented by the COVID-19 pandemic, the CASC examination will not be run in Hong Kong in 2022.
The good news is that changes have been made and all examinations for MRCPsych can be taken online. Hong Kong psychiatrists can now sit all three MRCPsych exams without leaving the country, and even from the comfort of your own home. This makes it easier for HK doctors to complete the MRCPsych examinations and work towards their GMC registration within a normal time frame.
Exam dates
These are the exam dates available at the time of writing.
Paper A
Diet
Date of Examination
Application Period
Publication of Results
2
8 December 2021
4 - 22 October 2021
11 February 2022
1
14 June 2022
4 – 14 April 2022
22 July 2022
2
6 December 2022
3 – 14 October 2022
15 February 2022
Paper B
Diet
Date of Examination
Application Period
Publication of Results
1
29 March 2022
25 January – 4 February 2022
13 May 2022
2
4 October 2022
25 July – 5 August 2022
4 November 2022
CASC - UK & Ireland
Diet
Date of Examination
Application Period
Publication of Results
1
10 – 21 January 2022
1 – 12 November 2021
25 February 2022
2
12 – 23 September 2022
6 – 17 June 2022
31 October 2022
How do I prepare for the MRCPsych examinations?
With lots of materials online, we have discussed with IMGs the best exam resources and materials for Hong Kong doctors. Most IMGs recommended starting with the Royal College, who have created useful resources to help you to prepare for the exams. See below:
Syllabus: We always suggest that this is the best place to start – plan your study around the curriculum topics and make a road map to your success in the exams. You can find this here.
Current critical review syllabus: For Paper B candidates will need to ensure that they make optimal use of the MRCPsych Paper B Critical Review Evidence Based Practice Syllabic Content.
Sample Papers: These will help you prepare and polish your exam techniques. They are helpful in familiarising yourself with the exam format to allow you to work quickly and efficiently on the day, and are a good way to benchmark your knowledge and progress against the syllabus.
Paper A sample questions
Paper B sample questions
Marking schemes (Paper A and B): Candidates pass or fail the written papers based on their performance, and not how well you perform against other candidates. As such, it is a good idea to understand how the exam is worked, so you can maximise your exam skills, giving you the best chance of a pass. Marking schemes can be found here.
Marking scheme (CASC): A good start with CASC preparation is to get to know how you will be assessed, take a look at the criteria for scoring a pass mark in CASC, as well as the History Marksheet, Management Marksheet and Examination Marksheet.
CASC examination guide: The Royal College have produced a helpful guide for candidates which provides information on stations, role plays and assessment.
CASC preparation videos: Here you will have the opportunity to see CASC stations in action. This will give you a good idea of what to expect and help you prepare.
CASC Blueprint: This helpful summary details stations in some detail and gives a useful overview of the exam format.
The Royal College also suggest taking a look at Passing the MRCPsych - an insider’s guide - a useful guide to help you to get over the first steps.
#IMG Tips
Start preparing early - as ever at IMG Connect, we believe in preparation. Early preparation gives you the best chance for success and lessens the need for the dreaded last-minute cramming.
Join a study group – a great way to share resources, tips and meet new friends at the same time! To join an international study group, get in touch on our Facebook community group, see below.
Practise, practise, practise – psychiatry IMGs preparing in Hong Kong have told us that it is vital that you practise your clinical examinations, even better if under the supervision of a colleague who has already passed the exams
Join the online psychiatry community – connect with like-minded psychiatrists and dedicated psychiatry recruiters in the IMG Psychiatrists Facebook group.
For regular news and updates on the Royal College and all things psychiatry, follow IMG Connect on social media using the links below:
Passed? What’s next?
Whether you completed MRCPsych as part of your postgraduate training some time ago, or have recently completed the examinations, you can apply for a full GMC registration with license to practice. Once the GMC has approved your application, you can work as a doctor in the UK.
This is a great time to get in touch with us to discuss your route towards and preparation for GMC registration, or to find psychiatry jobs in the NHS if you’re further along in the process. In the meantime, why not have a look at our blog on Finding Psychiatry Jobs in the UK for Hong Kong Doctors.
If you’ve passed part of the MRCPsych exams, it’s time to look ahead to your next exam. You can find comprehensive guides to each of the MRCPsych exams in the IMG Resources library.
FRCPath Part 1 Online - changes to the exam delivery
FRCPath Part 1 Online
In response to the challenges of the COVID-19 pandemic, the Royal College of Pathologists has decided to migrate all part 1 FRCPath exams online. This includes FRCPath 1 in Histopathology, Haematology, Microbiology.
This means FRCPath Part 1 may be taken from the comfort of your own home. This development allows the College to continue to offer the FRCPath Part 1 exam to both UK trainees and overseas pathologists.
Please note that the delivery of FRCPath Part 2 remains offline, with examinations being conducted in person, but socially distanced.
FRCPath Part 1 Delivery
The format of the Part 1 exam is unchanged – 125 SBA (or multiple choice) and EMQs (extended matching questions) which aim to assess the candidate's overall knowledge and understanding of histo/ cytopathology, basic science underpinning pathology (including microbiology) and full understanding of autopsy practices undertaken in an NHS District General Hospital.
Previously, FRCPath Part 1 was available in multiple overseas centres, and it is anticipated that the College will return to this set-up once COVID-19 has been better managed globally.
The online exam will be held delivered through a company called TestReach. The College delivered the first sitting on this online format in Autumn 2020.
Candidates will have the opportunity to trial the examination software before the exam to familiarise themselves with it ahead of time. The TestReach system is full-proctored, and candidates will need to complete both an IT systems cand environment check before the exam. These checks will ensure that candidates devices are suitable for the exam and that they are in an environment which satisfy exam conditions I.e. where they do not have access to textbooks or other revision materials.
For more information on the online examination see the College website here, or read their FAQs here.
How to apply
The application window for the Spring 2022 sitting of the FRCPath Part 1 exam will open at the end of November/ early December and close in mid-January. Whilst the examination date has yet to be finalised – candidates are advised to apply early and may withdraw their place for a refund if the examination date is unsuitable.
The cost of the exam is £673. For up-to-date information on exam and application dates, keep an eye on the College website here.
For more information on FRCPath in Histopathology, take a look at our collection of articles and blogs here, where we explore the full examination suite, including a detailed look at the structure and format, fees and preparation and resources.
If you are looking for general information that any overseas doctors might need to know - then check out our IMG Resources library.
We hope this is helpful for any overseas doctors preparing to sit their FRCPath Part 1 exam and the team here at IMG Connect wish you the best of luck!
Don’t forget to share your progress and successes with us using the hashtag #imgstories on social media, we love to hear from you.
Join the online histopathology community – connect with like-minded histopathologists and dedicated pathology recruiters in the IMG Histopathologists Facebook group.
For regular news and updates on the Royal College and all things histopathology, follow IMG Connect on social media using the links below:
FRCPath Part 1 – an in-depth guide for overseas histopathologists
The first exam in the FRCPath Histopathology series...
International histopathologists (or cellular or anatomical pathologists as commonly known) looking to secure a job in the NHS via the postgraduate qualification route will need to attain Fellowship of the Royal College of Pathologists. This can also be commonly referred to as FRCPath Histopathology.
The completion of Part 1 and Part 2 of the Royal College of Pathology qualification for Histopathology results in eligibility for GMC registration (with the addition of the English language component). The FRCPath qualification is recommended for overseas pathologists looking to securing senior jobs in the NHS.
The exams can be taken by IMGs from all over the world, provided certain eligibility criteria have been met. Here we’ll take a closer look into these and other important questions through the following topics:
An overview of FRCPath Histopathology
What is FRCPath Part 1 and how is it structured?
Changes to FRCPath Part 1 delivery
Am I eligible to sit this exam?
How much will the exam cost and how do I apply?
What is the best way to prepare for the exam?
#IMG Tips
I’ve passed the FRCPath Part 1 exam, what’s next?
Skip ahead to the relevant section if you know what you’re looking for.
An overview of FRCPath Histopathology
The FRCPath Histopathology exams are administered by the Royal College of Pathologists to test a doctor's knowledge and ability to apply this in the practice of histopathology within the scope of the Specialty Training Curriculum for Histopathology.
The exams are as follows:
FRCPath Part 1
FRCPath Part 2
To read more about the full FRCPath examination suite via our IMG resources, please click here.
Please note that only full FRCPath satisfies the requirements for GMC registration for overseas doctors taking the postgraduate route.
Alternative routes to GMC registration include PLAB and other licensing exams such as USMLE. You can find out more about alternative routes here.
For doctors who are interested in more senior roles in the NHS that are reflective of their current practice, we advise that FRCPath is the best route to take to GMC registration. Histopathology in the UK is consultant-led specialism; and many NHS job postings will have FRCPath as a requirement for doctors who are not on the Specialist Register.
FRCPath Part 1 breakdown
FRCPath Part 1 is the first exam in the Royal College of Pathologists qualification. It is broken down into three sections as follows:
The three-hour exam is designed to assess candidates’ overall knowledge and understanding of histopathology or cytopathology, including the full range of autopsy practices undertaken in a district general hospital in the UK and the basic science underpinning pathology, including molecular biology.
FRCPath Part 1 delivery
In response to the challenges of the COVID-19 pandemic, the Royal College of Pathologists has migrated the FRCPath Part 1 exam online.
This means FRCPath Part 1 may be taken from the comfort of your own home. This development allows the College to continue to offer the FRCPath Part 1 exam to both UK trainees and overseas pathologists.
For full details about the online FRCPath Part 1 exam, please see our blog here.
Eligibility
Candidates for FRCPath Part 1 will generally require experience of Histopathology specialty training to reach the standard required to pass the exam. The Royal College advise that candidates take this exam after one year of specialty training.
Exam dates, applications and cost
The cost of the exam is £673 and the exam are usually held twice a year, in spring and in autumn/winter.
Applications for each sitting open a few months prior and close after around 6 weeks. While waiting for exam dates to be finalised the College advise that candidates should apply early and will be able to withdraw their application for a full refund should the date be unsuitable.
For up-to-date information on exam and application dates, keep an eye on the College website here.
Preparation
There are many resources available to help you prepare for your FRCPath Part 1 exam. As always, we recommend that the best starting point for your study is the Royal College website, particularly the Curriculum for Specialty Training in Histopathology. Your exam is based on this curriculum so familiarising yourself with it as soon as possible will give you the best chance of success.
Other helpful resources for your study include:
Regulations and guidelines – before applying for FRCPath exams, the College recommends you read both the general and specialty-specific regulations and guidelines, found below:
General Regulations and Guidelines
Histopathology Regulations and Guidelines
Social media study groups – there are multiple study groups available across different platforms such as Telegram, Facebook, and WhatsApp. IMG Connect hosts study groups for FRCPath Part 1 – these forums bring together overseas histopathologists in one communicative, constructive, and moderated space for learning, sharing, and support.
If you are interested in joining the IMG Connect FRCPath Part 1 study group, please email info@imgconnect.co.uk to speak to request your admission.
Online courses, videos and other resources - there are some great online courses and resources available to prepare for the FRCPath Part 1 exam. These include everything from full mock exams to flashcards and YouTube videos. We’ve compiled all these which you can access here, through our IMG Resources library.
FAQs - There is also a Frequently Asked Questions (FAQs) document which the Royal College has compiled to help applicants who have questions about online examinations. You can read this here.
#IMG Tips
Prepare early – getting your revision going as soon as possible will help you avoid those last-minute cramming sessions and increase your chances of passing first time.
Speak to your colleagues and peers – there are so many study materials to choose from - who better to ask for recommendations than histopathologists who have been through the process or are going through it with you?
Familiarise yourself with the online format – there’s no bigger headache than a bad connection – go through your IT checks well in advance to avoid (most) hiccups on the day
Join the online histopathology community – connect with like-minded histopathologists and dedicated pathology recruiters in the IMG Histopathologists Facebook group.
Follow us on social media for news and updates on GMC registration, the Royal College and NHS through the links below:
I’ve passed the FRCPath Part 1 exam, what’s next?
Congratulations – this is a massive achievement! After a well-deserved break, it’s time to look forward to FRCPath Part 2. For more information on the final exam in the examination suite, take a look at our blog where we explore FRCPath Part 2 and everything you need to know about how to sit the exam, including syllabus, dates, results, fees and preparation.
For more useful blogs & articles on the FRCPath exams, registrations & qualifications to help you find your dream job in the NHS - take a look at our IMG library.
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A specialty doctor's journey to the UK - Dr Kevin Li
Are you an overseas Psychiatrist looking to move to the UK? Have you always wanted to hear first-hand the experiences of an international Psychiatrist who has been through the process, from completing their MRCPsych exams to GMC registration, and from securing an NHS job to relocating to the UK?
IMG Stories is our series introducing you to international doctors who we have helped to relocate to the UK - sharing their personal journeys from working overseas to securing a new job as a doctor in the NHS.
Today we introduce Kevin Li, a brilliant psychiatry specialty doctor who relocated to the UK from Hong Kong in 2021. Having passed the MRCPsych and English language exams, Kevin received full GMC registration with license to practise. He is now working in the NHS at Lancashire & South Cumbria NHS Foundation Trust in the north of England – where he is making a fantastic impact on the service and wider community.
What motivated you to move to the UK?
Psychiatrists are in demand in the UK and Hong Kong psychiatrists who have years of experiences would be very much welcomed to work in the country. With some NHS Trusts there is also a well-established CESR program to help overseas psychiatrists with MRCPsych to attain specialist registration. Specialist registration in the UK is also well recognised in a lot of other English speaking countries.
Tell us about your journey through the Royal College of Psychiatry exams…
I had completed my specialist training in Hong Kong quite some time ago. I only decided to sit the MRCPsych exams last year. Due to the pandemic, all exams were conducted online which actually facilitated a lot of Hong Kong doctors to sit for the exams. Having always been involved in training and supervision of junior psychiatrists, it helped me a lot to keep myself updated with the knowledge and skills required for sitting examinations.
Do you have any tips or advice for overseas doctors who are currently working towards MRCPsych?
For the MCQ based paper A and B, it is important to set aside time for some intensive studying before the exam as a lot of the knowledge asked would not come up in everyday work. It is also important to pay attention to minute details in each topic which would often come up in the exams.
For CASC exams, it would be useful to form a study group with colleagues and have practice sessions together, as well as watching demonstration videos (such as some paid online courses) to learn the skill required to pass type of different stations. Time management (7 minutes) to complete the tasks in each station is also crucial.
How did you manage to navigate and juggle the different aspects of registration whilst working full time?
For overseas doctors having attained MRCPsych, registration with the GMC is fairly straightforward after taking an English proficiency exam, which should not be too difficult if one received medical education in English.
However as the GMC closes an application if it could not be completed within 90 days, I found it important to have all the documents ready prior to submitting the application, especially letter of good standings, further proof of qualification and training from the university faculty which took time to be prepared.
Did you have any major or unexpected issues with the GMC registration process or your visa application?
There had been no major difficulties in terms of the registration. The HR team and IMG connect have been in constant touch with me to see what my needs are and accommodate my relocation schedule.
How did you find a general adult psychiatry job within the NHS?
For Hong Kong doctors coming to the UK, it is better to look for job openings that specifically states that IMG applicants are welcome. It would usually take IMGs quite a while to adapt to the system in the NHS and it is important that the Trust would give time for induction and support for IMGs during the initial phrase when they start their job.
It is also good to keep one’s mindset open to offers in locations that might not be the most popular at first look. Posts in popular locations such as Greater London or Greater Manchester are usually a lot more competitive and the support provided to IMGs could be less sometimes. It would also be a good opportunity to experience life in the UK out of the usual few big cities. There are always opportunities to move to another place after gaining experiences working in the UK.
Tell us about a day in the life of an international General Adult Psychiatrist, newly started in the NHS…
As a specialty doctor with the MRCPsych qualification, one is expected to take an active role in the MDT team with the support of the Consultant, for example on deciding on medications, deriving a care package with other stakeholders.
There is a strong focus on mental health legal and human rights compliance in the field of psychiatry, as well as adherence to treatment guidelines in the UK. Some doctors may need certain time to adjust to such differences in practice from their home countries. There are junior doctors who can readily assist with physical problems of patients, which might make it easier for an Hong Kong psychiatry specialist to adapt after years of working in psychiatric setting only.
What was your journey like to the UK during a period of COVID-19 restrictions?
I arrived at a time when restrictions were gradually easing. It was very easy to arrange mandatory COVID tests according to the government requirements. Most hotels or airbnbs would welcome arrivals into the UK to be used as self-isolation.
What has been your experience working with IMG Connect?
I had received excellent support from IMG connect in terms of securing a job offer that suits my level and experiences, as well as advising on the career prospect and negotiating an attractive numeration package. The IMG connect team also gave me a lot of useful suggestions about finding accommodation in a suitable area close to work.
Most importantly they have excellent communication with the HR team in the Trust, which makes formalizing the offer and completing the necessary paper works much easier.
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 to secure rewarding jobs, progress within their field and explore adjacent opportunities such as CESR (for non-EEA doctors), writing publications 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 Connect family.
MRCPsych Paper B – a detailed breakdown for overseas psychiatrists
The MRCPsych exams can be overwhelming for overseas Psychiatrists and UK trainees alike.
Where do you turn for study materials? How do you prepare for the exams? What are the exams dates and fees? Where can I sit the exam? How can I find support online?
In this blog we will explore MRCPsych Paper B and everything that you need to know about how to sit the exam, taking a detailed look at the following topics:
An overview of MRCPsych
What is MRCPsych Paper B?
How is the exam structured and marked?
Am I eligible to sit this exam?
As an international psychiatrist, when and where can I sit the exam?
Where and how do I apply?
How much will the exam cost?
What is the best way to prepare for MRCPsych B?
#IMG Tips
Passed? What next?
Skip to the relevant section if you know what you’re looking for.
An overview of MRCPsych
The MRCPsych exams are the central components of psychiatry training in the UK. The examination series is designed to test the candidate’s knowledge of basic medical sciences as well as the clinical skills needed for diagnosis and management within psychiatry.
For IMGs taking this route, full MRCPsych satisfies the postgraduate requirements for full GMC registration.
The exams within the series are as follows:
MRCPsych Paper A
MRCPsych Paper B
MRCPsych CASC
For a more general overview of the MRCPsych examinations via our IMG Resources, please click here.
MRCPsych Paper B
Paper B is a three-hour written exam which asses critical review and the clinical topics in psychiatry.
Each questions is worth 150 marks, comprised of 150 questions:
One third - critical review
Two thirds - clinical topics
Exam structure and marking
Paper B will cover the following sections of the syllabus:
Organisation and Delivery of Psychiatric Services
General Adult Psychiatry
Old Age Psychiatry
Psychotherapy
Child and Adolescent Psychiatry
Substance Misuse/Addictions
Forensic Psychiatry
Psychiatry of Learning Disability
Critical Review
In Paper B, the percentage split, and marks allocation for the 150-mark exam will be approximately:
Eligibility
Trainees from any country in the world can sit the MRCPsych Examinations providing that they meet the eligibility requirements.
You are eligible to sit Paper B if you are a fully registered medical practitioner. It is also recommended that you have 12 months experience in Psychiatry before attempting Paper B.
Exam locations and dates
Good news – in response to the COVID-19 pandemic, the Royal College of Psychiatrists has made the decision to move all MRCPsych exams online! This means you can sit the MRCPsych exams from your home country with submission and preparation details available on the Royal College website.
This change makes it much easier for international psychiatrists to complete their Royal College exams and work towards GMC registration within a normal timeframe and with reduced disruptions.
Examination dates (at the time of writing) are as follows:
Examination Date
Application Period
Results Publication Date
5 October 2021
26 July – 13 August 2021
9 November 2021
Exams are usually held twice a year – we regularly check the Royal College website for updates and changes.
Applications
To apply you’ll need to complete the Royal College online application form. The form is only available during the published application dates and must be submitted prior to the closing date. If you miss the cut-off date, your application will not be considered.
For new overseas candidates, you will need to register for a Royal College login first.
You will need to provide the following:
Personal details
Primary Medical Qualifications & Registration
Training
Written paper selection
Fees
At the end of your application, you will be directed to an online payment system where you can pay by credit or debit card, so make sure you have your details ready.
Once your application is complete you will receive two confirmation emails, one to confirm receipt of the application and one to confirm the payment has been received.
See below for MRCPsych Paper B fees for 2021:
PMPT Trainees and Affiliates (UK & Ireland Centres) - £437
Non-PMPT Trainees and Affiliates (UK & Ireland Centres) - £485
Preparation
With lots of materials online, we have discussed with our community of international psychiatrists as to the best resources and materials relating to the exams. Most IMGs recommended starting with the Royal College, who have created useful resources to help you to prepare for the exams. See below:
Syllabus: We always suggest that this is the best place to start – plan your study around the curriculum topics and make a road map to your success in the exams. You can find this here.
Current critical review syllabus: For Paper B, candidates will need to ensure that they make optimal use of the MRCPsych Paper B critical review - evidence-based practice syllabic content, available here.
Sample Papers: These will help you polish your exam techniques and are a good way to regularly benchmark your knowledge against the syllabus. Additionally, they will help you work quickly on the day as you will already know what to expect. The samples can be found here.
Marking schemes: Candidates pass or fail the written papers based on their performance, and not how well you perform against other candidates. As such, it is a good idea to understand how the exam is worked, so you can maximise your exam skills, giving you the best chance of a pass. These can be accessed here.
Sample exam: These can help you understand the exact format of the exam and to familiarise yourself with the online exam environment. This is available here.
Online exam guidance: Detailed guidance written specifically to guide candidates in preparing for an sitting an online exam, including technology checks and timings. The guidance can be accessed here.
The Royal College also suggest taking a look at Passing the MRCPsych - an insider’s guide - a useful resource to help you to get over the first steps. This is available here.
#IMG Tips
Start your revision early – preparation is key, and what better way to avoid last-minute stress?
Choose the best resources for you – whether it’s the Royal College materials, online courses or flash cards, try to figure out what works best for you.
Join our online support community – why not be part of a community of likeminded psychiatrists and MRCPsych aspirants? Join IMG Connect on social media for a place to ask questions and share resources.
Passed? What next?
Now that you have passed Paper A and B you are now eligible to sit the CASC exam. For more information take a look at our blog we will explore MRCPsych CASC and everything that you need to know about how to sit the exam, including syllabus, dates, results, fees and preparation.
For more useful blogs & articles on exams, registrations & qualifications to help you find your dream job in the NHS - take a look at our IMG library.
IMG Connect wish all MRCPsych Paper B aspirants good luck!
Final FRCR (Oncology) – a Guide for Overseas Clinical Oncologists
FRCR Part 2A and Part 2B are the final exams in the FRCR qualification.
Completion of all three parts of the Fellowship of the Royal College of Radiologists (FRCR) qualification results in eligibility for GMC registration, once the English language component has also been met.
The FRCR examinations are key to an international oncologist being able to secure senior oncology jobs in the NHS and can be taken by IMGs from any country, provided certain eligibility criteria have been met.
In this article, we take a closer look at the following - skip to one of these sections if you know what you're looking for:
An overview of FRCR (oncology)
What are FRCR (oncology) Parts 2A and 2B?
Am I eligible to sit these exams?
How are the exams structured and marked?
As an international oncologist, where can I sit the exams?
How much will the exams cost?
How do I apply for these exams?
What is the best way to prepare for the exams?
I’ve passed the FRCR oncology exams, what’s next?
FRCR oncology, consultant posts and CESR
An overview of FRCR (Oncology)
FRCR (oncology) are the set of three postgraduate examinations administered by the Royal College of Radiologists to test candidates’ knowledge and clinical understanding within the scope of the Specialty Training Curriculum for Clinical Oncology.
The exams are as follows:
FRCR Part 1 – CO1
FRCR Part 2A - CO2A
FRCR Part 2B – CO2B
You can read an overview of the full FRCR Oncology examination suite here via our IMG Resources section.
Please note that only full FRCR satisfies the postgraduate requirements for overseas doctors.
Alternative routes to GMC registration include PLAB or other recognised GMC qualifications or licensing exams, such as UMSLE or FRANZCR (radiation oncology) which you can find out more about here.
For doctors who are interested in securing senior roles in the NHS which are reflective of their current practice or grade, we advise that FRCR is the best route to take to GMC registration. FRCR is often a requirement of NHS job postings where candidates are not already on the Specialist Register for Clinical Oncology, so this route allows candidates to better align their qualifications with the specifications of relevant jobs.
What are FRCR (Oncology) Parts 2A and 2B?
FRCR Part 2A and 2B form the final two parts of the FRCR examination suite. These assessments expect candidates to have a wide knowledge of subjects related to the investigation of malignant disease and the care of patients with cancer. Whilst the focus is on drug therapy and radiotherapy, there is also the expectation of a good understanding of other key areas such as general medicine, surgery and gynaecology.
Am I eligible to sit these exams?
Eligibility for FRCR Parts 2A and 2B are as follows:
Final FRCR Part A (CO2A):
Passed the first FRCR examination (CO1)
Acquired at least 24 months of training in a clinical oncology role by the date of the examination
Final FRCR Part B (CO2B):
Passed the first FRCR examination (CO1)
Passed the Final FRCR examination Part A (CO2A)
Acquired at least 36 months of training in a clinical oncology role by the date of the examination
How are the exams structured and marked?
All parts of the examination suite are assessed against the specialty training curriculum for clinical oncology and the clinical oncology syllabus. A new curriculum has been implemented as of summer 2021, and all trainees are expected to have transferred to this curriculum by August 2022. Further information on this can be accessed on the curriculum webpages.
Final FRCR Part A (CO2A):
This exam comprises two papers which include 120-question single best answer (SBA) questions each. The time limit for the exam is three hours and ordinarily, candidates are not allowed more than six attempts at FRCR exams.
CO2A Paper 1
Tumour Type
Number of Questions
Respiratory
24
Urology
24
Head and neck
24
Skin
12
CNS
12
Gynaecology
24
CO2A Paper 2
Tumour Type
Number of Questions
Breast
24
Lower GI
24
Upper GI
12
Haematology
12
Miscellaneous*
38
Image-based
10
*The miscellaneous section will contain questions on sarcoma, thyroid cancer, unknown primary, palliative care, regulations, and a few questions which do not belong to any define site specific category.
Each individual SBA question has a stem (a question or statement) and five answers, and candidates must decide which of the five best represents the answer to the stem question. Essentially, this is a multiple-choice exam. One mark is given for each correct answer and zero marks for incorrect answers. As the exam is not marked negatively, candidates are encouraged to provide an answer all the questions.
Final FRCR Part B (CO2B):
This exam has two components (clinical and oral) which are designed to test different aspects of the candidate’s oncological skills, necessary elements for effective and safe practice. The format allows the for the assessment of skills which are not as easily addressed in a written format.
CO2B Clinical Examination:
This component is practical and involves the use of real patients to increase authenticity in attempts to reflect situations that may present in a clinical setting. The cases are selected for the exam to test common tumour types. The examination itself has five strictly-timed clinical assessment ‘stations’ where certain core clinical skills are tested by a pair of examiners. The use of an objective marking system aims to minimise bias and ensure consistency across examinations for all candidates.
Candidates are assessed on their ability to:
Detect important clinical signs using effective exam techniques
Provide a rational differential diagnosis
Order and interpret appropriate investigations
Identify the main treatment options
Select and appropriate, safe, and sensible management plan
Recommend a safe radiotherapy technique, know the likely outcomes, and side effects
Recommend a safe systemic treatment schedule and know their likely outcomes and side effects
Discuss a likely prognosis in the case presented
Demonstrate an ability to treat the patient sensitively, ensuring their comfort and dignity
CO2B Oral Examination:
This examination assesses in depth issues related to radiotherapy planning, diagnostic imaging and clinical decision-making, and case management. Communication skills and ethical problems are also addressed.
This element of the FRCR Part 2B exam is designed to mirror day-to-day clinical discussions and MDT meetings which feature heavily in the workload of an oncologist. This section is designed to test the depth of a candidate’s knowledge and higher cognitive skills. There are several slides per question and a candidate’s answer may lead to further questions on subsequent slides, with each question building on from the previous ones.
The Royal College of Radiologists states that a fair, valid and reliable assessment is made possible due to:
Uniformity in the questions asked to candidates
The pairing of examiners (junior and more experienced)
Four independent judgements of the candidate performance
Prior choosing of the competencies to be assessed
The exam having been blueprinted against the curriculum and necessary skills for competent oncologists
An objective marking scheme
For more information on the components and assessment of these examinations, read the Purpose of Assessment which can be found on the College’s website in the exam section.
As an international oncologist, where can I sit the exams?
The exams are held twice a year, normally in February and in either August or September. Applications are normally open for just under two weeks, several months before the exam. Please refer to the examinations page for up-to-date information on application dates.
The current UK venues for the exams are Belfast, Birmingham, Crewe, Edinburgh, Glasgow, Leeds, London, and Bridgend Wales. Overseas centres for now are India and Malta.
How much will the exams cost?
The cost breakdown for each of the final exams is as follows:
FRCR Part 2A (Oncology):
Members - £385
Non-members - £453
FRCR Part 2B (Oncology):
Members - £549
Non-members - £647
How do I apply for these exams?
UK trainees are given priority for examination places, followed by those who have had exams deferred over the last year due to cancellations. The remaining places are offered to all other candidates through a ballot system following the close of priority applications.
All candidates should apply for the exams through the Royal College website here. More detailed information can also be found here in relation to preparation for the application.
What is the best way to prepare for the exams?
There are many resources available online to aid in preparation for the FRCR Part 2A and 2B exams. We always recommend that the best place to start your preparation is the Royal College’s website, particularly with the Specialty Training Curriculum for Clinical Oncology and the Clinical Oncology syllabus.
Using this as a blueprint for your preparation is the best way to ensure your study is focused on the most relevant and useful information as prescribed directly from teaching materials. These can be accessed here.
Other useful resources to aid your studies include:
Learning hub: available to members through the Royal College website and contains many useful learning resources. The learning hub can be found here.
Clinical Oncology Curriculum Implementation Tools: a range of tools compiled by the RCR to support the implementation of the new curricular which all candidates should have transferred to by summer of 2022 at the latest. Access this here.
Sample Questions: sample oral questions for FRCR Part 2B. These are provided with answers and can be found here.
Examiners' Reports: a guide for candidates for future sittings, based on the experiences of examiners with previous applicants, found here.
Trainees' experiences: a two-part audio series compiled from the experiences of candidates in preparation for and sitting the final exams which is available here.
Demonstration films: clinical and oral demonstration videos for FRCR Part 2B which can be accessed here.
Royal College YouTube: several helpful videos which can be used for training and informational purposes on their YouTube channel.
I’ve passed the FRCR Oncology exams! What’s next?
Firstly, congratulations - passing these exams is a massive achievement! With all parts of the FRCR Oncology complete, you can now apply for full GMC registration with a license to practice. With this application approved, you can work as a doctor in the NHS.
FRCR Oncology, consultant posts and CESR
For international candidates interested in attaining specialist registration in Clinical Oncology via CESR, these exams form a key part of the application. For IMGs with previous senior experience, this could also allow you to attain a locum consultant clinical oncology post whilst you are not yet accredited as a specialist in the UK.
A Histopathologist's route to the UK
There are several routes an overseas histopathologist can take to GMC registration & practicing anatomic pathology in the NHS.
All pathologists looking to secure a job in the NHS, whether you are from inside or outside of Europe, will need to satisfy certain criteria to fully register with the General Medical Council before they can practice in the NHS. As a histopathologist, the criteria you need to meet depends on where you trained, and what qualifications you hold. This article is designed to give you a snapshot of the steps you need to take to start your journey to the UK, no matter where in the world you live. We’ll be covering the following:
How do I demonstrate my knowledge and skills as an EEA histopathologist?
How do I demonstrate my knowledge and skills as a non-EEA histopathologist?
How can I demonstrate my English language skills?
What is a certificate of good standing and how do I get one?
What do I need to register with the GMC?
Will I need a visa to work in the UK?
Evidence of knowledge and skills for EEA histopathologists
For histopathologists who trained in an EEA country (all countries inside the EU, including Lichtenstein, Iceland, Switzerland & Norway), there are a number of different options potentially available to you.
Depending on the country and year you completed your residency or basic medical training, the GMC may automatically recognise your qualifications and grant you either General Registration, or Specialist Registration in the UK. To find out if your country’s qualifications will allow you to register for either general or specialist registration, check the relevant GMC page here.
Basic Medical Training: If you have met the basic medical training requirements, this would mean that you would not need to demonstrate your medical knowledge and skills to work as a doctor in the UK and would not need to complete a UK- recognised postgraduate qualification or PLAB to register with a license to practice. You would be granted full registration in this case, but not Specialist Registration.
Specialist Training / Residency: If you have met the criteria listed for your country then you once you completed your GMC application process you would be granted Specialist Registration in your Specialty and can be appointed as a substantive or permanent consultant in the NHS. So as a pathologist, if you hold a Relevent European Specialist qualification then you would be on the specialist register for histopathology, and can be appointed as a substantive histopathologist in the NHS.
So, the main hurdle that you will face is demonstrating that your English skills are of a high enough standard to practice safely as a doctor in the UK & NHS.
As a European histopathologist, this is in most cases the easiest route to becoming GMC-registered and being able to practice in the UK.
If you do not meet the GMC requirements for your training to be approved for full or specialist registration, other routes you may consider to GMC registration include PLAB or (via the postgraduate route) the Royal College exams for Histopathology (FRCPath). You can find out more about these alternative routes here.
Evidence of knowledge and skills for non-EEA histopathologists
If you qualified as a histopathologist outside the EEA, then you will have to demonstrate that both your medical knowledge and skills AND English Language capabilities meet the level required to practice safely in the UK.
Histopathologists who've trained from outside the UK and EEA must demonstrate to the GMC they have sufficient knowledge & skills to practice safely in the UK. For histopathologists this can be done through one of three main routes:
Professional & Linguistics Assessment Board (PLAB)
The PLAB exam is a two-part exam that assesses a doctor’s ability to work safely as an SHO in the NHS, as such it does not demonstrate ability in pathology specifically. For this reason, PLAB tends to be a route for junior doctors who have not already chosen their field of specialisation in medicine. That said, for some senior doctors PLAB can be an attractive option, offering a quicker route to the UK, whilst still securing competitive salaries. If taking this option, pathologists can then take up training or a more senior post once they have established themselves in the NHS. Take a look through our comprehensive guides on PLAB.
Fellowship of Royal College of Pathologists
Royal College Qualification of FRCPath: Attaining a Royal College qualification is a preferred path for doctors who have already chosen their field of specialism i.e. pathology. For senior pathologists taking this route, they will gain access to more senior, well-paid jobs in the specialism of their choice. The Royal College of Pathologists is the Professional Body that regulates the specialism of Pathology in the UK, and Membership of the Royal College of Pathologists (FRCPath) is the full qualification attainable by examination. For overseas doctors, attaining FRCPath will satisfy the knowledge & skill criteria for GMC registration and facilitate application for more senior roles in UK Pathology. Take a look at our complete guides on Fellowship of the Royal College of Pathologists as per your sub-specialty to understand more.
GMC recognised or equivalent qualifications
Some overseas qualifications and licensing exams are recognised by the GMC and accepted for registration purposes. This is to say these qualifications or licensing exams are considered as meeting the same standards as the Royal College qualifications.
To find out if your qualification is accepted by the GMC, take a look at our blog: Overseas accepted postgraduate qualifications.
English Language Testing
Both EEA and non-EEA histopathologists, regardless of experience, and country of origin, must demonstrate that they have a sufficient grasp and competence of the English language. This can be done by passing either the International English Language Testing System (IELTS) or the Occupational English Test (OET). Detailed guides to these tests can be found below:
IELTS – a guide for overseas doctors
OET – a guide for overseas doctors
Experience in English-speaking countries
For doctors who have at least two years of their most current experience in an English-speaking country, you can use a reference from your current employer or employers over these two or more years to demonstrate competence of the English language. This would exempt you from sitting an English language exam.
Certificate of Good Standing
All doctors registering with the GMC must provide a certificate of good standing from each medical regulatory authority they’ve been registered or licensed with in the last five years.
The medical regulatory authority may send you a certificate of past good standing if you're not currently registered or licensed with them. You can find out which medical regulatory authority to contact via the GMC website here.
Please note that each certificate is only valid for three months from the date it's signed and must be valid when we approve your application.
If there's no medical regulatory authority in the country to issue a certificate, the GMC will give you further advice once your application has been assessed.
GMC Registration
Once you’ve completed your English language exam, you can now apply for full GMC registration with a license to practice. For registration, you must provide evidence of:
English language capabilities - either your IELTS, OET or an approved reference from your current employer (if you have been working in an English-speaking country for the last two years).
AND
Certificate of good standing – the certificate from your medical regulatory authority which demonstrates good standing.
AND
(EEA pathologists) Sufficient skill and knowledge – as an EEA pathologist, this would either be your recognised EEA qualification.
OR
(Non-EEA pathologists) Sufficient skill and knowledge – as a non-EEA pathologist, this would either be PLAB, FRCPath or a GMC-approved qualification.
To understand the registration process more fully, read our blog on GMC registration for overseas doctors here.
Visas
If you or your family are from the EU, Switzerland, Norway, Iceland or Liechtenstein and started living in the UK by 31 December 2020, you may be able to apply to the free EU Settlement Scheme. Otherwise, you will need to apply for a visa from the UK Home Office.
A Tier 2 visa is the document given to a skilled worker by the UK Home Office following a job offer from a UK employer with a valid Tier 2 Sponsorship License. The list of valid Tier 2 Sponsors can be found here.
Understand Tier 2 visas and Certificates of Sponsorship in depth by taking a look at our article: Tier 2 Visa - how do I apply and what's the process?
Wondering whether you can relocate with your family? Take a look at our blog on the Tier 2 dependent visa below: Tier 2 Dependent visa - Can I bring my family with me to the UK?
For pathologists looking to come to the UK to work in the NHS, GMC registration and specialist registration is a crucial part of the process. Therefore, it’s important to put together a good application to present to the GMC, and IMG Connect are here to help with this. Whether it’s deciding the best options for demonstrating your skills and knowledge in histopathology, or sourcing the best English Language courses and resources, take advantage of the benefits of having a pathology recruitment specialist working with you and proving you with the best guidance and support to fit your career needs.
For regular news and updates on the Royal College and all things pathology, follow IMG Connect on social media using the links below:
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A specialty doctor’s journey to the UK – Dr Rehan Qureshi
IMG Stories is our series introducing you to international doctors who we have helped to relocate to the UK - sharing their personal journeys from working overseas to securing a new job as a doctor in the NHS.
Today we introduce you to Rehan Qureshi, a brilliant general medicine specialty doctor who relocated to the UK from Saudi Arabia with his wife, children and his mother in 2020. Having passed the MRCP and English language exams, Rehan received full GMC registration with license to practise. He is now working in the NHS at Scarborough General Hospital in the north of England – where he is making a fantastic impact on the service and wider community.
A specialty doctor’s journey to the UK
When I was first contacted by Marcus at IMG Connect about an NHS general medicine specialty doctor job opportunity at Scarborough General Hospital, I was a little nervous about where to start, and what lay ahead. We were moving from Jeddah, Saudi Arabia, which is a very lively city, and I was going to quit my permanent job to relocate to the UK. I have always been keen to work for the NHS, but I wasn’t sure what it’d be like to start my first NHS job in a small coastal town. What would the hospital be like? How would I be treated? Would it be wet and dark like you hear about online? Would the hospital be supportive in my career progression, or would I be simply thrown into the wards to struggle? As an ethnic Muslim minority, would we struggle to find Asian, vegetarian and Halal foods and mosques? All these questions were going through my mind, and after working through these together with Marcus and the team at IMG Connect, and with only a few more fears remaining, I decided to take up the challenge and proceed.
"Ruaidhri put in so much effort to turn this impossible task into reality for me."
During my recruitment process, the biggest challenge was getting my mother’s visa. This was absolutely crucial for me as my mother has always lived with us and is such an important member of our household. We have also been her primary carers. Ruaidhri at IMG Connect put in so much effort to turn this impossible task into reality for me. During the process, it was a real team effort from IMG, and I’m also thankful to the MP for Scarborough and Whitby who responded to Ruaidhri’s request and supported our efforts in this matter. Needless to say, my mother is now very happy and settled into life in Scarborough!
The hospital was also very supportive and did not push me to start by any given date. They were very accommodating and gave me ample time to sort out my relocation process. While some of the other international doctors I knew were struggling to travel before the deadlines set by their NHS trusts, I never felt this pressure. I was supported throughout, knew where to turn for answers and ultimately it was such a big relief that my mother was able to come with us.
When we arrived at London Heathrow airport, the UK was in a lockdown due to the rising number of COVID-19 cases. We had to quarantine on our arrival, and during this time, we were very well taken care of. Our groceries were paid for, and Ruaidhri checked in with us often to see how we were and if we ever needed anything. All my queries were promptly answered by Ruaidhri and the hospital’s recruitment team.
The very next working day after our arrival in the UK, I received an email from the medical recruitment team at Scarborough General Hospital, and the process for opening my bank account was promptly initiated. I know a number of people who have also struggled with opening their first bank account in the UK, however mine was just set up for me by the recruitment team, who put me in touch with the bank representative. All I had to do was visit the branch for 15 minutes for an ID check once our quarantine had finished and everything was set up!
At work, I found everybody to be very helpful. I received a tremendous amount of help as I struggled to get used to the new system. Whenever I got stuck somewhere, there was always someone to offer a helping hand by my side.
Initially we struggled with accommodation - finding suitable housing in Scarborough was challenging, especially when we had no previous tenancy history in the UK. However, with some help we were able to get our first accommodation which was a lovely fully furnished apartment. We enjoyed our stay there for a month before moving to a long-term let property.
There are two types of institutions, I believe: those that hire people, use them and lose them, and those that hire people, explore their interests and goals, help them progress in their careers as per their interests and preferences, and turn them into effective and happy members of staff. Scarborough Hospital is definitely the latter. Very soon after I started, my consultant sat with me and discussed my goals and personal development plan. I had always been interested in teaching, so he presented me with a number of teaching opportunities in the area. I received great support from him in my career development and with his support, I was appointed an Honorary Senior Lecturer at Hull York Medical School within only 2 months of my joining. Not only this, but he assured me of his full support in my career progression, which is very encouraging for me. When I meet other IMG doctors in the hospital, the thing that is quite noticeable among them is a great deal of professional satisfaction, no matter what grade they are working at.
Scarborough Hospital has a very friendly, multicultural environment and people work together with mutual respect and support for one another. Scarborough Hospital implements and fully supports the SAS charter of NHS and provides every possible opportunity to SAS doctors for their career progression and growth.
As a town, Scarborough is a lovely place to live in. It’s beautiful, peaceful, lively and even at night, the streets are very well lit, and the town is not dark or dead at all. It has all the amenities to cater for a variety of ethnic backgrounds, and we faced NO difficulty whatsoever at finding some Asian, vegetarian and Halal food to eat. We also love Scarborough’s local fish ‘n’ chips!
Scarborough has plenty of entertainment options for children. A forest on one side, seacoast on the other. Boating, hiking, cycling, parks, children’s train ride, the sea life aquarium, and castles with so much more to explore.
The town also has an Islamic centre where prayers are regularly offered. At the hospital, there are separate prayer rooms for both males and females, as well as a Chapel where Friday prayers are offered. I was very impressed when I first saw the Chapel being offered for prayers, which is a great gesture of inter-faith harmony at the hospital.
"I am immensely thankful to Marcus and Ruaidhri"
I am glad that I made the decision to come to Scarborough. It is a wonderful place to live, and people are genuinely nice and welcoming. Scarborough General Hospital is an excellent place to work. We got settled here very quickly and we have fallen in love with this place. My family and I are enjoy living here and have started to consider Scarborough our new home.
I am immensely thankful to Marcus and Ruaidhri at IMG connect and everyone else who played a role in my recruitment, relocation, and induction processes. I really appreciate all their efforts to make the entire process as swift and smooth as possible for us – they gave me the confidence to move to the UK with my family to work as a general medicine specialty doctor in the NHS.
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 to secure rewarding jobs, progress within their field and explore adjacent opportunities such as CESR (for non-EEA doctors), writing publications 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 Connect family.
FRCPath Part 2 – a detailed guide for overseas histopathologists
The final exam in the FRCPath Histopathology series...
International specialists in histopathology, cellular pathology or anatomic pathology looking to secure a job in the UK via the postgraduate qualification route will need to obtain Fellowship of the Royal College of Pathologists or FRCPath Histopathology by examination only.
The completion of Part 1 and Part 2 of the Royal College of Pathology qualification for Histopathology results in eligibility for GMC registration (with the addition of the English language component). The FRCPath qualification is recommended for international pathologists looking to securing senior jobs in the NHS.
The exams can be taken by IMGs from all over the world, provided certain eligibility criteria have been met.
Here we’ll take a closer look into these and other important questions through the following topics - skip to one of these sections if you know what you're looking for:
An overview of FRCPath Histopathology
What is FRCPath Part 2?
Am I eligible to sit this exam?
How is the exam structured and marked?
As an international histopathologist, where can I sit the exam?
How much will the exam cost?
How do I apply for the exam?
What is the best way to prepare for the exam?
#IMG Tips
I’ve passed the FRCPath exams, what’s next?
An overview of FRCPath Histopathology
The FRCPath Histopathology exams are administered by the Royal College of Pathologists to test a doctor's knowledge and ability to apply this in the practice of histopathology within the scope of the Specialty Training Curriculum for Histopathology.
The exams are as follows:
FRCPath Part 1
FRCPath Part 2
To read more about the full FRCPath examination suite via out IMG resources, please click here.
Please note that only full FRCPath satisfies the requirements for GMC registration for overseas doctors taking the postgraduate route. Alternative routes to GMC registration include PLAB and licensing exams such as USMLE. You can find out more about alternative routes here.
For doctors who are interested in more senior roles in the NHS that are reflective of their current practice, we advise that FRCPath is the best route to take to GMC registration. Histopathology in the UK is consultant-led specialism; and many NHS job postings will have FRCPath as a requirement for doctors who are not on the Specialist Register. In most cases, and FRCPath qualification will help you to attain a locum consultant role.
What is FRCPath Part 2?
FRCPath Part 2 is the last exam in the FRCPath qualification. It is designed to recognise candidates who are close to the end of their training who can demonstrate an appropriate approach to independent practice. The assessment consists of six components which are take over a period of two days. The components include both written and face-to-face elements with an examiner where candidates are expected to demonstrate both clinical and practical knowledge as well as special techniques and complex diagnoses. Every section assesses a distinct set of professional skills which are all essential to effective performance ad an independent histopathologist and cytopathologist.
Am I eligible to sit this exam?
The FRCPath Part 2 Histopathology exam is open to candidates from every country, provided they have met certain criteria. This includes the expectation that most trainees will sit the Part 2 exam after at least 3 years of specialty training in Histopathology. There should also normally be a 12-month wait between passing the Part 1 exam and attempting Part 2.
For full details, please see the Royal College website here.
How is the exam structured and marked?
The six stations of FRCPath Part 2 are detailed below:
Surgical Histology
Format: 20 x 20 mins stations, 20 cases over 3 hours and 20 minutes.
This will include twenty cases presented in H&E stained slides in 20-minute slots over 3 hours and 20 minutes. The cases are selected according to a blueprint and include a balanced mix of neoplastic and non-neoplastic material, drawn from a wide range of organ systems. The cases will vary in difficulty from straightforward cases to cases not capable of diagnosis through a single H&E, prompting the use of further techniques and specialist opinions.
Cytopathology
Format: 8 x 20 mins stations, 16 cases
Eight non-gynaecological cases in pairs, in 20-minute slots and will be marked according to pre-determined criteria.
Macroscopic Pathology
Format: 2 x 20 mins stations, 4 cases; 20 mins discussion
Candidates will be provided with photos of 4 cases in the form of gross pathology specimens. Candidates will be provided with clinical information and asked to prepare responses to specific questions and mark on the photos where they would take blocks. There will be two 20-minute slots given to view two cases per slot, followed by a 20-minute discussion with two examiners. The exercise is designed for candidates to show their capabilities in discussing gross pathology and familiarity with block selection in relation to the RCPath Minimum datasets.
OSPEs
Format: 2 x 20 mins stations
The objective structured practical examination (OPSE) includes two 20-minute stations, one of which is a written exercise and the other is conducted face-to-face with two examiners. Topics may include management/ clinical governance type and MDT-type cases, amongst other topics.
Long Cases
Format: 4 x 20 mins stations
Four 20-minute stations of cases which cannot usually be covered by a single H&E section, requiring additional stains. These may include histochemistry, immunohistochemistry and immunofluorescence, among other cases.
Frozen Sections
Format: 2 x 20 mins stations, 6 cases; 20 mins discussion
Six cases for review in two 20-minute stations where candidates should make notes, including a ‘bottom line’ diagnosis only, before discussing these with a pair of examiners in a face-to-face 20-minute station.
Exam marking
Each section of the exam is marked against a pre-determined specimen answer with a pass or fail awarded per section. Due to the importance of cellular pathology in medical practice, only a small margin of inaccuracy is allowed. Failure to distinguish across the benign/ malignant boundary (or other similar errors of equal significance in terms of affecting patient outcome) in 15-25% of cases in any section of the exam will result in a failure of the entire exam, regardless of performance in other areas with no leeway to compensate. Final marks will be approved by the Examinations Committee.
Candidates attempting the FRCPath Part 2 exam have four attempts within which to pass the exam, and 7-years between each sitting to pass the full qualification.
As an international histopathologist, where can I sit the exam?
The exam currently takes place twice a year in Spring and Autumn and are held in the UK and in one overseas centre in Irbid, Jordan.
For up-to-date information on exam centres, visit the Royal College website here.
How much will the exam cost?
The FRCPath Part 2 exam costs £1,416. A breakdown of the cost of the 2019 sitting of the exam can be found on the Royal College website here.
How do I apply for the exam?
Applications for each sitting of the exam open months in advance and are currently closed for the Autumn 2021 sitting. Applications for the Spring 2022 sitting will open in late 2021. Late applications are not accepted. Keep an eye on the Royal College website for up-to-date information on applications here.
What is the best way to prepare for the exam?
There are several resources available to help you prepare for your Histopathology FRCPath exam. As always, we recommend that the best starting point for your study is the Royal College website, particularly the Curriculum for Specialty Training in Histopathology. Your exam is based on this curriculum so familiarising yourself with it as soon as possible will give you the best chance for success.
Other helpful resources for your study include:
Regulations and guidelines – before applying for FRCPath exams, the College recommends you read both the general and specialty-specific regulations and guidelines, found below:
General Regulations and Guidelines
Histopathology Regulations and Guidelines
Social media study groups – there are multiple study groups available across different platforms such as Telegram, Facebook, and WhatsApp. IMG Connect hosts study groups for FRCPath Part 2 – these are forums that bring together international doctors from all over the world in one communicative, constructive, and moderated space for learning, sharing, and supporting international histopathologists.
If you are interested in joining the IMG Connect FRCPath Part 2 study group, please email info@imgconnect.co.uk to speak to our histopathology specialist and request your admission.
Online courses, videos and other resources - there are some great online courses and resources available to prepare for the FRCPath Part 2 exam. These include everything from full mock exams to mock exams targeting specific sections of FRCPath Part 2 and YouTube videos. You can find a full list of these here, through our IMG resources library.
FAQs - there is also a Frequently Asked Questions (FAQs) document which the Royal College have compiled to help applicants who have questions about online examinations. You can read this here.
#IMG Tips
Prepare early – getting your revision going as soon as possible will help you avoid those last-minute cramming sessions and increase your chances of passing first time.
Speak to your senior colleagues and peers – there are so many study materials to choose from - who better to ask for recommendations than histopathologists who have been through the process or are going through it with you?
Food and drink – there are multiple stations on both days of the exams so make sure you’re prepared with lots of fuel for the day as there may be no access to food.
Hire a microscope – for applicants for the UK sitting, examination centres will not have microscopes for you to use so you will need to hire one in advance. There are a few companies who rent microscope and you can find these through a quick web search!
Join the conversation – for news and updates on all things histopathology for IMGs, click here follow IMG Connect on social media and join the conversation.
I’ve passed the FRCPath exams, what’s next?
Firstly, congratulations! The FRCPath exams are not easy so this is an incredible achievement. Once you have passed both passed of the FRCPath in Histopathology, your postgraduate qualifications satisfy the requirements for GMC registration. You can now apply for full registration with license to practice.
Get in touch with our IMG Connect histopathology specialist to discuss your options for specialist jobs in the UK or to find out more about where you fit into the NHS as a histopathology specialist with FRCPath.
FRCPath also plays a big part in the Certificate of Eligibility for Specialist Registration (CESR) application, the alternative route to the Specialist Register for overseas doctors who did not complete their training in an approved UK training programme. You can find out more about CESR in our guide for international doctors here.
The team at IMG Connect hope you find this article helpful and wish you the best of luck in your FRCPath Histopathology Part 2 exam!
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Using the USMLE for GMC Registration
Many physicians trained in the USA can now register to work in the NHS using their USMLE licensure. Whilst it is not a qualification, the GMC now accepts the USMLE licensing exam as evidence of the appropriate skills & knowledge required to be granted registration with a license to practice.
In this blog we will outline some of the main points of this process, and briefly explain how to apply for full registration. We will answer key questions such as:
Are you eligible for GMC registration?
How to provide evidence of your accepted medical degree
How to request evidence from the USMLE for the GMC
What other documents will you need to provide?
What other information will you need to provide?
Please note, the full process is a lengthy one, so for detailed guidance on registering with the GMC using your USMLE, we suggest getting in touch with IMG Connect and we’ll be happy to share this with you.
Are you eligible 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
Two 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 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 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.
Providing evidence of your primary medical qualification
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 of 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
Providing evidence of your pass in the USMLE
As part of your application, you'll need to:
complete the application form the GMC send you and return it by email to img@gmc-uk.org
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
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
What other documents will I need to provide as part of my GMC application?
There are various other documents you will need to provide as part of your GMC application. These include:
Passport
Evidence of your knowledge of English
A certificate of good standing
Declaration of your fitness to practise
What other information will I need to provide?
There are various other bits of information you will need to provide which can include 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.
I think I am eligible, but unsure how to apply!
If you are an American physician and wish to discuss your application with IMG Connect, feel free to get in touch via email or phone. We understand the UK registration process can be complicated at times, and IMG Connect are experts on the matter. Rest assured, we are always delighted to help USA doctors to register with the GMC and to find jobs in the NHS!
Respiratory Medicine jobs in the NHS
With IMG Connect you can search and apply for roles in the NHS, including posts relating to COVID-19. We can offer you the latest advice on each opportunity to work in the best performing NHS hospitals in the UK.
The NHS is looking for motivated internationally qualified pulmonologists to be a part of its dedicated workforce and join some of the best performing, largest and most successful Trusts in the UK. For experienced pulmonologists, CESR is supported in the majority of vacancies.
NHS Jobs in Respiratory Medicine, offering CESR support and career growth
At IMG Connect we are delighted to be able to offer opportunities for motivated, ambitious respiratory medicine specialists (Consultants, Registrars, Clinical Fellows and Registrars) to join Respiratory Medicine services based up and down the country.
Each appointment will be a member of a Respiratory multidisciplinary team providing high quality care, which are constantly seeking to improve and refine their service. Our NHS clients always have the ambition to continue to deliver an international standard service.
Our NHS clients can accommodate your skill set and professional interests. In some roles, the appointee will participate in both General Medical and Respiratory and will be responsible for the continuing care of patients admitted as emergencies. Sub-specialty clinical and academic interests are always encouraged.
For consultant pulmonologists, there are opportunities to work in major teaching hospitals, and all respiratory specialists will also be expected to contribute to undergraduate and postgraduate education. The development of relevant research interests is also encouraged, and opportunities will be enhanced by education and career development departments.
For Specialty Doctors and Consultants in respiratory medicine, CESR is a great option to gain an internationally recognised qualification, allowing you to take on a permanent consultant job in the NHS.
What’s life like in an NHS Respiratory Department?
Respiratory medicine in the NHS is typically a hospital-based specialty. Hospital wards are busy and varied, a third of all acute medical admissions to hospital are the result of respiratory problems. Some Respiratory physicians choose to practice general medicine, and others maintain a focus on acute respiratory medicine.
Respiratory physicians in the NHS will work closely with colleagues in the hospital’s intensive care unit (ICU), as well as across all other specialities. Assessing patients in outpatients’ clinics is an important part of NHS jobs. There are two types of clinic: general respiratory clinics and specialist clinics. Respiratory physicians also run lung function laboratories in NHS hospitals and some respiratory units specialise in areas such as lung transplant, sleep-related medical problems or cystic fibrosis.
Specialist respiratory clinics in the NHS deal with a range of problems including:
cancer
tuberculosis, or TB (a bacterial lung disease)
cystic fibrosis (an inherited condition that causes a sticky section that can affect the airways often causing infection)
interstitial lung disease (scarring of the lung tissue between and supporting the air sacs)
chronic cough
sleep disorders relating to breathing, eg obstructive sleep apnoea
pulmonary vascular disorders (affecting the blood circulation of the lungs)
With such a broad range of job plans and career directions available, the NHS is an excellent place for pulmonologists to secure a job and grow their career in respiratory medicine, whilst working in internationally recognised institutions.
Intensive Care Medicine - a Doctor's Route to the UK (European & non-European)
There are several routes to GMC registration and securing an NHS role for Critical Care or ICU specialists.
Whether you are from inside or outside of Europe, will need to satisfy certain criteria to fully register with the General Medical Council (GMC) before beginning their journey in the NHS.
As a critical care specialist the criteria you need to meet depends on where you currently live and practice, either inside the EEA (& associated countries) or outside the EEA. This article is designed to give you a snapshot of the steps you need to take to start your journey to the UK, no matter where in the world you live.
Inside the EEA – click here
Outside the EEA – click here
“Doctors from countries around the world play a vital and significant role in our NHS and in the delivery of safe patient care. This is not only welcome but is part of the continuous exchange of knowledge in healthcare and should be strongly encouraged. They make an invaluable contribution to the NHS.”
Joint statement from the Royal College of Physicians & Intensive Care Medicine
Inside the EEA
Firstly, it is important to note that where we refer to EEA in this article this refers to all countries inside the EU, including Lichtenstein, Iceland & Norway.
If you qualified as a doctor inside the EEA or Switzerland, then the good news is that you don’t need to demonstrate your medical knowledge and skills to work as a doctor in the UK – you have already done this, and thanks to the EU your qualification is deemed equivalent.
In addition, you will not need to apply for a visa from the UK Home Office.
So, the main hurdle that you will face is demonstrating that your English skills are of a high enough standard to practice safely as a doctor in the UK & NHS.
English Language Testing
Any international doctor, regardless of specialty, experience or country of origin, must demonstrate they have sufficient competence of the English language.
You can do this by passing either of the following:
OET – Occupational English Test
IELTS – International English Language Testing System
Take a look at our helpful articles below for detailed information on both tests:
IELTS – a guide for overseas doctors
OET – a guide for overseas doctors
GMC Registration
Having passed your English Language Test, you can now apply for full registration with a licence to practice with the GMC.
For full GMC registration you must provide evidence of:
Evidence of English language capabilities (IELTS or OET)
AND
Evidence of sufficient skill and knowledge (your equivalent qualifications)
Understand the registration process in full & by reading our article: IMG Library - GMC Registration for overseas doctors
Job search
We recommend starting the job search as early as possible. Demand for European Critical Care specialists in the NHS is ever increasing - the NHS welcomes you with open arms! At IMG Connect we specialise in securing jobs for European doctors in the UK and can offer you a wider range of CCU / ICU jobs than are readily available online.
Our network extends to clinical departments and HR departments across the UK, so no matter what your grade or specialty we can ensure you will be interviewing for roles well in advance of any relocation plans.
In addition, your dedicated consultant, with a speciality knowledge of critical care medicine will negotiate on your behalf ensuring you get the most competitive salary.
Our aim is to have a job offer on the table before your GMC registration is complete, giving you the peace of mind of having an agreed contract in place - leaving you to carefully plan your relocation to the UK.
Take a look at our most recent jobs:Job Search
Relocation
Obviously, any doctor’s journey isn’t all exams, registrations and language tests… there’s also the small matter of relocation and settling into life in the UK.
Once you have secured your role in the UK, we focus on supporting you and your family with all your relocation plans. This can include, but is not exclusive to, securing accommodation, travel planning, setting up bank accounts & national insurance numbers – every step of the way we are here to help.
Have a read through our IMG Library and take in all the beautifully organised information on relocation and UK life to immeasurably help your first days, weeks and months in the UK.
IMG Library – Relocation & UK Life
Brexit
Many overseas doctors have questioned how the UK’s withdrawal from the European Union (EU) will affect doctors from Europe already working in the UK, and those who may wish to work here in the future.
Whilst we are still pushing for a halt to Brexit, we've been keeping a close eye on policies and developments to ensure that we keep our doctors as up to date as possible. While we await more information from the UK Government about what our future relationship with Europe will look like, what is clear is that European doctors are most welcome in the NHS with or without Brexit.
At IMG Connect we do not see Brexit as an end to EEA doctors relocating to the UK, far from it… you are in demand and we will support with all the necessary requirements for entry to the UK, whatever the outcome.
Take a look at our Brexit articles for more information:
IMG Library - Brexit
Outside of the EEA
If you qualified as an Crtical Care specialist outside the EEA, then you will have to demonstrate that both your medical knowledge & skills and English Language capabilities meet the level required to practice safely in the UK.
In addition, you will need to apply for a visa from the UK Home Office.
Here we summarise the requirements for ICU doctors, looking at the following:
English Language Testing
Evidence of Knowledge & Skills - PLAB, FRCA or equivalents
Tier 2 Visas
Full GMC Registration
English Language Testing
Any international doctor, regardless of specialty, experience or country of origin, must demonstrate they have sufficient competence of the English language.
You can do this by passing either of the following:
OET – Occupational English Test
IELTS – International English Language Testing System
Take a look at our helpful articles below for detailed information on both tests:
IELTS – a guide for overseas doctors
OET – a guide for overseas doctors
Evidence of Knowledge & Skills in Critical Care & Intensive Care Medicine
Overseas doctors must prove to the GMC they have sufficient knowledge & skills to practice safely in the UK. In CCU this can be done through three main routes:
PLAB
EDIC
EDAIC
Route 1 - PLAB:
The PLAB exam is a two-part exam that assesses a doctor’s ability to work safely as an SHO in the NHS, as such it does not demonstrate ability in intensive care medicine specifically.
For this reason, PLAB tends to be a route for junior doctors who have not already chosen their field of specialisation in medicine.
That said, for some senior doctors PLAB can be an attractive option, offering a quicker route to the UK, whilst still securing competitive salaries. If taking this option, doctors can then take up training or a more senior post once they have established themselves in the NHS.
Take a look through our comprehensive guides on PLAB:
PLAB – a guide for overseas doctors
PLAB 1 – a closer look
PLAB 2 – a closer look
Route 2 - EDAIC or EDIC:
Attaining a EDIC or EDAIC qualification is a preferred path for doctors who have already chosen their field of specialism. For senior ICU specialists taking this route, they will gain access to more senior, well-paid jobs in the specialism of their choice.
The European Society of Intensive Care Medicine awards EDIC qualifications and the European Society of Anaesthesiology & Intensive Care award EDAIC. Read our article on EDAIC here: EDAIC - a guide for overseas doctors. An article on EDIC will be coming soon.
Route 3 - Other GMC Recognised or Equivalent Qualifications:
Some other overseas qualifications are recognised by the GMC and accepted for registration purposes. This means to say these qualifications are considered as meeting the same standards as the Royal College qualifications.
There are anaesthesiology & intensive care qualifications from several countries around the world that are currently accepted by the GMC, EDAIC being one common example. Find out if your qualification is accepted by the GMC: Overseas accepted postgraduate qualifications
Tier 2 Visa
If you are a doctor applying from outside the EEA region you will almost certainly need to apply for a visa to work in the UK.
Applying as a doctor or nurse has never been easier and there is currently no-restriction on the Certificate of Sponsorship (CoS) applications that a hospital can make.
Furthermore, the list of specialties on the shortage occupation list is due for imminent review and expansion beyond its current list of specialties, potentially widening the scope for easier immigration processes across all specialties in healthcare.
Understand Tier 2 visas and Certificates of Sponsorship in depth by taking a look at our article: Tier 2 Visa application process & documents needed
Wondering whether you can relocate with your family? Take a look at our blog on the Tier 2 dependant visa:Tier 2 Dependant visa - can i bring my family with me to the UK?
GMC Registration
With everything in place, you can apply for full registration with a licence to practice with the GMC. Remember, for full GMC registration you must provide evidence of:
Evidence of English language capabilities
AND
Evidence of sufficient skill and knowledge (PLAB, FRCA Primary, EDAIC or equivalent)
Understand the registration process in full & by reading our article: GMC Registration for overseas doctors
Job search
We recommend starting the job search as early as possible. Demand for Non-EEA anaesthetists in the NHS is increasing - the NHS welcomes you with open arms!
At IMG Connect we specialise in securing jobs for overseas doctors in the UK and can offer you a wider range of jobs than is readily available online.
Our network extends to anaesthetics services and HR departments across the UK, so no matter what your grade or specialty we can ensure you will be interviewing for roles well in advance of any relocation plans.
In addition, your 1-1 consultant, with a speciality knowledge of ICU, will negotiate on your behalf, ensuring you get the most competitive salary. Giving you the peace of mind of agreeing your new contract, perhaps even before your GMC registration is complete.
Take a look at our most recent jobs: Job Search
Relocation
Obviously, any doctor’s journey isn’t all exams, registrations and language tests… there’s also the small matter of relocation and settling into life in the UK.
Once you have secured your role in the UK, we will focus on supporting you and your family with all of your relocation plans. This can include, but is not exclusive to, securing accommodation, travel planning, setting up bank accounts & national insurance numbers – every step of the way we are here to help.
Have a read through our IMG Library and take in all the beautifully organised information on relocation and UK life to immeasurably help your first days, weeks and months in the UK.
IMG Library – Relocation & UK Life
Brexit
Many ICU specialists have questions about how the UK’s withdrawal from the European Union (EU) will affect doctors from outside of the EEA already working in the UK, and those who may wish to work here in the future.
Whilst we are still pushing for a halt to Brexit, we've been keeping a close eye on policies and developments to ensure that we keep our doctors as up to date as possible. While we await more information from the UK Government about what our future relationship with Europe will look like, what is clear is that there are no current changes to immigration entry requirements for non-EEA doctors.
Overseas doctors are most welcome in the NHS with or without Brexit… you are in demand and we will support with all the necessary requirements for entry to the UK.
Take a look at our Brexit articles for more information: IMG Library - Brexit
A consultant's journey to the UK - Kishore Kumar
Are you an overseas medical oncologist looking to move to the UK? Here you can hear first-hand the experience of an international medical oncologist who has been through the process, from completing their MRCP and GMC registration, to securing an NHS job and relocating to the UK?
IMG Stories is our series introducing you to international doctors who we have helped to relocate to the UK - sharing their personal journeys from working overseas to securing a new job as a doctor in the NHS.
Today we introduce Kishore Kumar, a brilliant consultant oncologist who relocated to the UK from India. Kishore has been living and working in the UK after receiving full GMC with license to practice. He is now working in the NHS at South Tees Hospitals NHS Foundation Trust, where he is making a positive impact on the service and the wider community.
Tell us about yourself - what should the IMG community know about Kishore Kumar?
I am a medical oncologist who moved to the UK from India. I moved to the UK later in my life than most IMGs, I'd say, having worked as a consultant medical oncologist in India for over 11 years before I decided to move to the NHS. The system I worked in was quite similar to the NHS (free medical care at the point of access), and whilst I was looking for a change, this was something I enjoyed about my previous work and was looking for that in any healthcrae system I may move into.
What motivated you to move to the UK?
The NHS is arguably one of the finest healthcare systems in the world (I know many some may disagree, but having personally seen some other systems, I would definitely rate the NHS very highly). Working in the NHS was a long-held desire of mine, so the move was logical once the opportunity presented itself.
Tell us about your experience with the Royal College exams...
I passed the MRCP exams in 2005 at a time when there were no overseas centers in India. I had to travel to the UK for the exam, which was held in Glasgow and I also attended a training session in Ealing Hospital for the exam. It was very exciting process for me, especially visiting the UK for the first time.
Do you have any tips or advice for overseas doctors who are currently working towards MRCP?
I passed the exam quite a while ago, so I'm not sure how relevant my advice will be to current candidates. However from my experience, overseas doctors need to understand the NHS system to do well, especially for the PACES exam. Practices which build on this knowledge would be helpful.
How did you manage to navigate and juggle the different aspects of registration whilst working?
Since I was working full time, I needed to set aside dedicated time to study for the MRCP exams. I roped in a friend (a very bright doctor) who would conduct mock exams for me over the weekends.
Did you have any major or unexpected issues with the GMC registration process or your visa application?
Since I was applying for GMC registration a significant amount of time after passing the MRCP, the GMC wanted evidence that I was still up-to-date in my practice. Luckily, this wasn't too complicated and the GMC advisor was very helpful.
How did you find a medical oncology job within the NHS?
Two words: IMG Connect. I was completely new to the process and I was quite unsure about locations and the general steps. Ruaidhri form the IMG Connect team was my go-to person for everything, from advice regarding locations, to job profiles, visas, and GMC registration. I don’t think I would have made it here if not for him. Most importantly, IMG Connect really listened and took into consideration all of my needs and worries. They go far beyond any of the simple questions you may have for them and cover all angles, including things you may not have considered yourself!
I would advise any IMGs hoping to relocate to the UK to find someone (like Ruaidhri) who will genuinely look after THEIR interests. It is easy to land up in the wrong role and to struggle through the complications of trying to leave soon after. If in doubt, seek advice from overseas doctors already in the UK and honest recruitment teams like IMG Connect.
Tell us about a day in the life of an NHS consultant medical oncologist...
The days are usually quite busy. They are split into two sessions (morning and afternoon), with at least one session (sometimes both) being a clinic and the other an MDT or another supportive activity. Working in the UK is very different to working in India, in some ways. At my current hospital, we see far less patients than I used to, but the amount of time spent on each patient is far greater. Of course, five-day working weeks are very welcome (it was six in India).
Tell us about your journey to the UK...
I arrived in early November 2020, when the UK had just gone into its second lockdown. COVID numbers were very high and many people advised me against traveling until things had settled. However, at this point I didn’t see COVID-19 going away anytime soon and decided there was no time like the present. The only difference was my family made sure I traveled business class to decrease the risks - this was the only time I've ever flown business class and it was nice ;-)
What has been your experience working with IMG Connect?
Absolutely fantastic! I can’t thank Ruaidhri and Marcus enough for everything. Just to give you an example, once I'd landed in the UK and reached my accomodation, I had to quarantine for two weeks. Ruaidhri drove over 3 hours (one way, at night) from Scotland to my place and brought in groceries for the next two weeks, since I would not be able to go shopping. Need I say more.
Although it’s been almost a year since my arrival in the UK, I still regularly chat with Ruaidhri and Marcus. We're like old friends at this point.
How are you settling into life in the UK?
I'd say I'm settling in quite well, and my colleagues agree. I am currently here without my family (they will join me later), so I've needed something to do at the weekends. Once the lockdown lifted, I bought a car and have traveled quite a bit. I go trekking most weekends and enjoy visiting new places.
What have you enjoyed most about living in Middlesbrough in particular?
The proximity to great places to visit. It’s just 20 mins from the beach, or the Yorkshire Moors. London (from Darlington) is less than 3 hours away, and Scotland is a couple of hours away, as is the lake district.
What’s next for you now that you’re working in the UK?
My department has been very helpful. They are actively supporting me in my CESR application process, and I'm getting involved in research and clinical trials. I have also been given teaching opportunities, and even delivered a talk in the Royal College of Physicians CPD series.
What’s been the biggest challenge you’ve faced in moving to the UK?
I'd say the separation from my family, primarily on accound of the COVID-19 pandemic.
Have you experienced any culture shocks living in the UK?
No real 'shocks', but I've found the people here quite friendly. The only shock really is how expensive things are compared to India (things like train fares, eating out etc). I've also been introduced to things I'd never done before, like filling petrol and air in a car, ironing clothes etc.
What have you missed about India the most?
Other than my family, I miss the sunny days most (where I lived in India was sunny and not very hot). I will never take the sun for granted again!
Is there anything you wish you’d known before you began your journey to live and work in the UK?
Not really. Having friends and family who already lived in the UK (as well as the power of the internet), meant that a lot of my questions had already been answered and there was a lot of information available to me.
Do you have any tips or advice for international doctors who want to move to the UK?
Moving to the UK is something to consider if you're an IMG looking for a good work-life balance. A medical oncologst might be paid better in some countries, but it would be difficult to beat the quality of work and the relatively stress-free work environment here. I'd say try to avoid landing here during the winter - it does not make a very good first impression, but if you have interests in other areas (especially travel or hiking), the summers here are really awesome!
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 to secure rewarding jobs, progress within their field and explore adjacent opportunities such as CESR (for non-EEA doctors), writing publications 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 Connect family.
FRCPath 2 Histopathology - preparation, guidance and resources
Are you an overseas pathologist preparing for FRCPath Histopathology Part 2 exam?
Overseas doctors often wonder how to prepare for the FRCPath Part 2 examination, especially when so much content and advice online appears geared towards UK applicants and trainee. So what study courses, resources and support is available to an overseas histopathologists looking to take the test?
Here we have compiled some of our advice and resources available to help you prepare for the exam, whilst we also address some of the changes in availability of test centres and upcoming exams as a result of COVID-19 pandemic.
What is FRCPath Part 2?
First a quick reminder of what the FRCPath Histopathology Part 2 is. The Part 2 exam consists of six components which are taken over two days. Each component comprises a different number of cases provided in 20-minute stations or slots. The components include both written and face-to-face elements with the examiner where candidates should demonstrate and discuss both clinical & practical knowledge as well as complex diagnoses and special techniques. This is done through elements of interpreting and writing reports, interpretation and OSPE. If you want to have a more detailed overview of the FRCPath exam then take a look through the article published in our online IMG Library here, or take a look through the Royay College of Pathologists website here.
So how do I get started with my preparation?
Starting is often the hardest thing to do, and as there are many resources available online, it's hard to tell where the best place is to start. After discussing this with consultants who've passed (both UK trainees and IMGs), most recommended starting with the Royal College, who have posted some useful resources on their website to aid in your preparation.
Curriculum: The exam questions are based on the Curriculum for Specialist Training in Histopathology. As a first step, we recommend becoming familiar with this curriculum as early as possible to reinforce your knowledge and to provide a solid foundation for your study plan. Knowing the curriculum is key - as this is what you will be tested on.
Regulations and guidelines: Ensure you have read both the general regulations and guidelines and the specialty specific regulations and guidelines.
Social Media study groups: There are many social media study groups available across various platforms. These include Telegram, Facebook, WhatsApp and to a lesser extent LinkedIn. IMG Connect hosts study groups for FRCPath 1 and 2 exams - these are forums that bring together international doctors from all over the world into one constructive, communicative and moderated space where you can share exam tips, stories and woes, and the opportunity to buddy-up with similar colleagues looking to pass the test.
If you think you would be interested in joining either the IMG Connect FRCPath 1 or Part 2 Telegram groups, please email info@imgconnect.co.uk to speak to the histopathology specialist and request your admission.
Online Courses for FRCPath Histopathology: There are a few online courses which provide preparation, from full mock exams to individual component courses. We've spoken with some IMGs to understand which courses they favoured, and below we have summarised a few of these. With all courses, it is advised that you register your interest as early as possible as they are in high demand.
Pathology Online Hub - FRCPath Part 2 Histopathology Full Mock Exam
This is a complete mock exam course with interactive live discussion sessions and individual feedback for each participant. Sessions will be delivered by UK based pathologists with extensive experience of teaching for the FRCPath exam. Participants will be provided with the mock exam for all the 7 components of FRCPath 2 under strict timed conditions closely simulating the real exam.
Mock exam will include: Cytology, Short surgical cases, Long cases, Frozen section, Macroscopic examination, OSPE 1 Viva and OSPE 2 Written.
Live sessions will include: Exam format and tips on how to prepare with a structured study plan, Review and discussion of all mock exam answers, Group performance summary, Common pitfalls in exam and how to avoid them, and Tips on answering technique for exam.
Duration
3 days
Cost
£270 (£70 registration fee and £200 payable 8 weeks prior to course start date)
Next start date
28 November 2021
Website
www.pathologyonlinehub.com/full-mock-course
Oxbridge Medica - FRCPath Part 2 Mock Course
This is an online 2-day practical course with both a mock examination and seminars preparing trainees for the FRCPath Part 2 Examination. This is a unique course giving trainees that all important pre-exam Mock (under exam conditions) with the papers individually marked and scored in line with the actual exam. The course speakers have knowledge of the Royal College exam - some of them are examiners, and all are experienced teachers.
Duration
2 days (Day 1 = mock exam | Day 2 = review and preparation)
Cost
£300 (£75 registration fee and £225 payable 4 weeks prior to course start date)
Next start date
20th September 2021
Website
http://oxbridgemedica.org/product/frcpath-part-2-mock-course-20th-21st-september-2021/
Oxbridge Medica - FRCPath Part 2 Surgical Course
This is an online 2-week Surgical Revision Course preparing trainees for the FRCPath Part 2 Examination and is exam oriented and includes surgical and cytology mock tests, live streamed lectures and feedback. The course aims to provide an approach to the part 2 examination, and to cover common exam cases, whilst the trainers have been selected for their expertise within their disciplines, both in their clinical acumen but also their teaching skills. The format of the course is intense and demanding but also rewarding.
Duration
2 weeks, intensive
Cost
£800 (£75 registration fee and £725 payable 4 weeks prior to course start date)
Next start date
1st September 2021
Website
oxbridgemedica.org/product/frcpath-part-2-surgical-course-1st-14th-september-2021
What other helpful FRCPath 2 resources are out there?
1. What I wish I'd known - A series of YouTube videos produced by the Royal College of Pathologists. The videos are interviews and advice from four pathologists sharing their experiences of the FRCPath Part 2 exam and what they wish they’d known before taking the exam.
2. FRCPath Part 2 Past Examination Surgical Cases – These are from Virtual Pathology at the University of Leeds. The slides can be magnified, and each case comes with a diagnosis.
3. How to Survive and Thrive in the FRCPath Part 2 - This is a detailed breakdown of the complete exam with advice and marking guidance, created by Dr James Henry, Consultant Cellular Pathologist at Queen Elizabeth Hospital.
How has COVID-19 affected FRCPath UK and Overseas test centres & upcoming exams?
The Spring session was postponed for international candidates in response to the pandemic, but discussions are taking place on the possibility of the FRCPath exam taking place at an overseas centre in Autumn 2021. Whilst the Royal College will try to accommodate as many international candidates as possible, priority will be given to candidates entering for the January sitting.
IMG Advice to FRCPath 2 Aspirants
Finding courses can be tricky and mock exams can cost a lot of money, so take your time to consider your options and what best suits your needs, whether that is a paid short course, or free materials which you can access whenever you need them. Speak to peers and supervisors - they may be able to offer advice based on first-hand experience of the courses or general preparation.
Of course, if you need further advice on choosing an FRCPath Part 2 online course, or on this stage of qualifying to work for the NHS, don’t hesitate to get in touch with IMG Connect and request to speak to our Histopathology specialist, Marcus Anderson. He'll be happy to help.
The team at IMG Connect hopes that this article and has been useful for any overseas histopathologists looking to take FRCPath Histopathology 2 - but are unsure on how to start their preparation and improve their chances of a pass in this summers upcoming exams. Good luck IMGs!
Psychiatrist jobs in the NHS
Are you a psychiatrist looking for your next career move? Get access to the latest psychiatry jobs, whether you're a consultant, resident trainee, specialty doctor or SHO. Through IMG Connect you can receive the very latest psychiatry jobs straight to your inbox, create your own account and job preference email alerts with just a couple of clicks.
IMG Connect specialises in a huge variety of psychiatry vacancies, including jobs in child & adolescent, general adult, old age, perinatal, learning disabilities or intellectual disabilities, eating disorders, addictions and forensic psychiatry.
You will find a range of jobs covering inpatient, outpateint and other community services.
Review & apply for the latest Psychiatry & Psychiatrist Jobs - with a range of new jobs added every week, you will find jobs that match your skills, career goals and location preferences in the UK. Register now so you can receive NHS jobs by e-mail to view new posts to suit your job search.
HCPC registration for overseas healthcare professionals
As an overseas health and care professional, the main route to the UK is via the HCPC registration.
The Health & Care Proessionals Council is the regulator for 16 health and care professions across the UK.This article is written for overseas health care practitioners who have completed professional training outside the UK and who wish to apply to work in the UK.
Overseas healthcare professionals from any country in the world can register with the HCPC and work in the UK, this registration process is summarised below along with a broad look at the following topics:
How can I practice in the UK?
Which route is for me?
I qualified and practice outside of the UK, am I eligible?
Am I eligible for full clinical equivalence?
What is the role of the standards of proficiency?
What are the standards of proficiency
How do I demonstrate that I have met the standards of proficiency?
How to apply via European Mutual Recognition (EMR)
How to apply via International Application
Application steps
What documents will be required?
What if I am unsuccessful?
English language proficiency
Successful? What next?
How can I practice in the UK?
To practice in the UK using any of the HCPC regulated terms you have to satisfy the HCPC that you have broadly equivalent skills to those who trained in the UK.
The HCPC check equivalence based on the British qualification which is at Doctorate level.
If your degree is from outside the UK then the HCPC will want to assess all your qualifications and experience to see what you need to add to reach their desired standard for the healthcare proession, or where you would need to join the training path if you have moved to the UK already.
The type of HCPC application you make depends on your country of origin and training. There are two application routes:
European Mutual Recognition (EMR)
International application
Which route is for me?
It all depends on where you have trained and qualified, EEA or outside of the EEA.
I qualified inside the EEA:
If you have trained and are a citizen of an EU member state, then you are eligible for European Mutual Recognition (EMR). If you are eligible for EMR then you must apply via this route.
EMR ensures that EEA qualifications are recognised across Europe as equivalent, and therefore you will only require your English language proficiency to complete your application.
Am I eligible for European Mutual Recognition (EMR route)?
To be eligible to apply for registration based on European Mutual Recognition you must be a citizen of a relevant European State
I qualified outside the EEA:
If you have trained outside of the EU, then you are eligible for an international application.
Both routes follow the same process, the skills, education and training you submit via your application forms are assessed by Registration Assessors, who make a decision within 60 working days.
Am I eligible for the international route?
To be eligible to apply for registration via the international route, you must have undergone relevant training and be fully qualified to practice your profession.
fully qualified to practice your profession in a relevant European State other than the United Kingdom
Your application will be assessed against the standards of proficiency for your area of healthcare. We advise that before you apply you should check you meet, or exceed, the professional standards all registrants must meet in order to become registered in your area.
What is the role of the standards of proficiency?
For the purposes of HCPC registration, in order to ensure all applicants will work to the standards necessary to protect the public, the HCPC set threshold standards they consider necessary to measure all candidates and practitioners against in the UK.
They set clear expectations for knowledge and abilities for when they start practicing in the UK.
Am I eligible for full clinical equivalence?
To be eligible for full clinical equivalence (i.e. to be able to secure a job in your chosen area in the UK) you have to demonstrate you have met:
all of the competencies required to get a doctorate in the UK
experience of all the core client groups (working age adults, older people, children and families, people with learning disabilities) or core competencies
have a doctoral standard piece of research
How do I demonstrate that I have met the standards of proficiency in my application?
1. Include as much as detail possible:
You will be asked to provide detailed information about your experience, education or training. Include as much relevant information as possible in your application.
2. Cover and provide detail on ALL of your experience:
The HCPC will assess the courses that you have complete, some courses are broader with less in-depth coverage, and others are more detailed but have a narrower scope. Therefore, as a precaution, you must detail as much experience as you can in your application in case there are any shortfalls from the training and qualifications that you have. Significant experience may make up for shortfalls in training.
TOP TIP: HCPC assessors make their determinations based on all of the information that you provide. So, provide as much as you can!
How to apply via European Mutual Recognition (EMR):
The EMR application process follows the format of the international applications process. The skills, education and training you submit via the EMR application forms are assessed by Registration Assessors, who make a decision within 60 working days.
How to apply via International Application:
The International application process follows the format above. The skills, education and training you submit are assessed by Registration Assessors, who make a decision within 60 working days.
What are the application steps?
The process follows four steps:
Step 1 - submit forms and pay fee
Step 2 - processing
Step 3 - assessment by the HCPC
Step 4 - decision letter
A successful decision will be confirmed by receipt of a letter stating your addition to the HCPC register.
What documents will be required?
You will require the following to support your application:
identity documentation
qualifications
good standing and character declaration – part of application
declaration regarding background checks – part of application
Original documents that are not in English will have to be accompanied with a translated version.
TOP TIP: We advise that you prepare your documents and experience as early as possible before making your application, this will not only save you time, but give you the chance to add and edit the content you will provide. Increasing your chances of success!
Step 1 - Submit forms and pay fee
Once you have gathered your documents and have fully considered your experience matched to the standards of proficiency, you can submit your forms and pay the application fee.
The HCPC will take a scrutiny payment of £495 at this stage.
You will receive a confirmation receipt and payment.
You will also receive your application reference number. This reference number is important, and you should use this each time you contact the HCPC to discuss your application.
TOP TIP: If your application is not accepted for processing because of missing information, the HCPC will return it to the address on the form. You will then need to resubmit your application. To avoid this, ensure you have prepared all of your evidence and documentation as above.
Download and complete your form, then send them by post to the address on the front page of the application.
Download the application form for registration – EMR
Download the application form for registration – International application
Step 2 – Processing
During this period (4 weeks from receipt of application), the HCPC will contact your education provider, any relevant regulatory or professional bodies and any professional referees.
This is to verify the information that you have provided in your application.
You do not need to do anything until the HCPC have notified you of the outcome of the next stage of the process.
Step 3 - Assessment
The next stage is the assessment of your regulated education and training and any other relevant education, training or experience included in your application.
Your application will be sent to two assessors from the practitioner register.
They will consider all of the information that you have submitted before making their recommendation to the HCPC.
What are they assessing?
You will have to demonstrate:
you have met all the competencies required to get a doctorate in the UK
experience of all the core client groups (working age adults, older people, children and families, people with learning disabilities) or core competencies
you have a doctoral standard piece of research.
First, they will compare your regulated education and training with HCPC standards of proficiency. If any shortfalls are identified, they will check your submission to see if these have been made up through any other relevant education, training or experience that you have provided details for.
They will then send a recommendation to the Education and Training Committee (ETC). This recommendation will be then reviewed by the ETC who will send their decision to you.
TOP TIP: The HCPC can only base their decision on the information provided in the application. They do not contact referees, training institutions, or employers to obtain further information about your training or work experience. So, remember to provide as much experience, training and relevant education as possible.
The HCPC will send a Record of Assessment to you within 60 working days of receipt. This Record of Assessment may include a request for further information which will prolong the processing time of your application.
Again, for this reason it is important that you include as much relevant information as possible when you submit your application.
Step 4 - Decision letter
You will be notified of the outcome of your application in writing. In successful cases this will confirm your addition to the Register.
What if I am unsuccessful?
If you have not been successful in your HCPC application, it is likely that there was some information missing from your application to demonstrate that you meet the standards of proficiency.
The HCPC will return your application to the address you provided, you can then add more detailed information to your application forms and resubmit.
If, however, you have failed the application, the following will apply depending on the route that you have applied through:
International application rejected:
You may be able to appeal the decision. You can find out more about appeals here.
EMR application rejected:
Your choices are different. If you're a national of an EEA country, and are entitled to practice, you will be required to complete a period of adaptation or an aptitude test to rectify shortfalls in your knowledge or experience. You can find out more about the period of adaptation here.
English language proficiency:
The ability to communicate in English is of course crucial to working effectively in the healthcare profession in the UK. If you are applying via the International Application then you must obtain one of the following scores:
IELTS – 7.0 average in all areas, with no element below 6.5
TOEFL – minimum score of 100/120
If applying via the EMR Application, and are a National of a relevant EEA state, then you are exempt. Please note that Speach & Language Therapists must obtain higher scores, contact us for more information.
Successful? What next?
First of all, congratulations! Once you have been granted registration with the HCPC, you can apply for work as a practitioner in the UK.
For more useful blogs & articles on exams, registrations & qualifications to help you find your dream job in the NHS - take a look at our IMG Resources library.
If you have attained HCPC registration don’t hesitate to get in touch with your IMG Consultant to discuss UK job options in your area, including discussions regarding a typical healthcare professionals salary in the UK and the most suitable locations for you.
Specialist Medicine - a Doctor's Route to the UK (European & non-European)
Which routes can overseas specialist medicine doctors take to GMC registration & securing jobs in the NHS?
All doctors in specialist medicine areas such as respiratory, gastroenterology, dermatology, endocrinology, neurology, cardiology, geriatrics, rheumatology and stroke meidcine will need to satisfy certain criteria to fully register with the General Medical Council (GMC). What these criteria are will depend on whether you are applying from inside or outside of Europe.
This article will prove relevant to all the medical specialties that fall within the various speicalisms within medicine whilst also including haematology (MRCP + FRCPath is the complete set of qualifcations) and other off-shoots such as infectious disease.
The criteria you must meet depends on where you currently live and practice, either inside the EEA (& associated countries) or outside the EEA. This article is designed to give you a snapshot of the steps you need to take to start your journey to the UK, no matter where in the world you live.
Inside the EEA – click here
Outside the EEA – click here
“Doctors from countries around the world play a vital and significant role in our NHS and in the delivery of safe patient care. This is not only welcome but is part of the continuous exchange of knowledge in healthcare and should be strongly encouraged. They make an invaluable contribution to the NHS.”
Joint statement from the Royal College of Physicians
Inside the EEA
Firstly, it is important to note that where we refer to EEA in this article this refers to all countries inside the EU, including Lichtenstein, Iceland & Norway.
If you qualified as a doctor inside the EEA or Switzerland, then the good news is that you don’t need to demonstrate your medical knowledge and skills to work as a doctor in the UK – you have already done this, and thanks to the EU your qualification is deemed equivalent. In addition, you will not need to apply for a visa from the UK Home Office.
As an EEA doctor, the main hurdle that you will face is demonstrating that your English skills are of a high enough standard to practice safely as a doctor in the UK & NHS.
English Language Testing
Any international doctor, regardless of specialty, experience or country of origin, must demonstrate they have sufficient competence of the English language.
You can do this by passing either of the following:
IELTS – International English Language Testing System
OET – Occupational English Test
Take a look at our helpful articles below for detailed information on both tests:
IELTS – a guide for overseas doctors
OET – a guide for overseas doctors
GMC Registration
Having passed your English Language Test, you can now apply for full registration with a licence to practice with the GMC. For full GMC registration you must provide evidence of:
Evidence of English language capabilities (IELTS or OET)
AND
Evidence of sufficient skill and knowledge (your equivalent qualifications)
Understand the registration process in full & by reading our article: IMG Library - GMC Registration for overseas doctors
Job search
We recommend starting the job search as early as possible. Demand for European doctors in the NHS is ever increasing - the NHS welcomes you with open arms! At IMG Connect we specialise in securing jobs for European doctors in the UK and can offer you a wider range of jobs than are readily available online.
Our network extends to psychiatry services and HR departments across the UK, so no matter what your grade or specialty we can ensure you will be interviewing for roles well in advance of any relocation plans.
In addition, your dedicated consultant, with a speciality knowledge of General Medicine, will negotiate on your behalf ensuring you get the most competitive salary.
Our aim is to have a job offer on the table before your GMC registration is complete, giving you the peace of mind of having an agreed contract in place - leaving you to carefully plan your relocation to the UK.
Take a look at our most recent jobs: Job Search
Relocation
Obviously, any doctor’s journey isn’t all exams, registrations and language tests… there’s also the small matter of relocation and settling into life in the UK.
Once you have secured your role in the UK, we focus on supporting you and your family with all your relocation plans. This can include, but is not exclusive to, securing accommodation, travel planning, setting up bank accounts & national insurance numbers – every step of the way we are here to help.
Have a read through our IMG Library and take in all the beautifully organised information on relocation and UK life to immeasurably help your first days, weeks and months in the UK.
IMG Library – Relocation & UK Life
Brexit
Many overseas doctors have questioned how the UK’s withdrawal from the European Union (EU) will affect doctors from Europe already working in the UK, and those who may wish to work here in the future.
Whilst we are still pushing for a halt to Brexit, we've been keeping a close eye on policies and developments to ensure that we keep our doctors as up to date as possible. While we await more information from the UK Government about what our future relationship with Europe will look like, what is clear is that European doctors are most welcome in the NHS with or without Brexit.
At IMG Connect we do not see Brexit as an end to EEA doctors relocating to the UK, far from it… you are in demand and we will support with all the necessary requirements for entry to the UK, whatever the outcome.
Take a look at our Brexit articles for more information: IMG Library - Brexit
Outside of the EEA
If you qualified as a doctor outside the EEA, then you will have to demonstrate that both your medical knowledge & skills and English Language capabilities meet the level required to practice safely in the UK. In addition, you will need to apply for a visa from the UK Home Office.
Here we summarise the requirements for General Medicine doctors, looking at the following:
English Language Testing
Evidence of Knowledge & Skills - PLAB, MRCP or equivalents
Tier 2 Visas
Full GMC Registration
English Language Testing
Any international doctor, regardless of specialty, experience or country of origin, must demonstrate they have sufficient competence of the English language. You can do this by passing either of the following:
IELTS – International English Language Testing System
OET – Occupational English Test
Take a look at our helpful articles below for detailed information on both tests:
IELTS – a guide for overseas doctors
OET – a guide for overseas doctors
Evidence of Knowledge & Skills in Medicine
Overseas doctors must prove to the GMC they have sufficient knowledge & skills to practice safely in the UK. This can be done through three main routes:
PLAB
Royal College qualification of MRCP
GMC - recognised or equivalent qualifications
Route 1 - PLAB:
The PLAB exam is a two-part exam that assesses a doctor’s ability to work safely as an SHO in the NHS, as such it does not demonstrate ability in Medicine specifically.
For this reason, PLAB tends to be a route for junior doctors who have not already chosen their field of specialisation in medicine.
That said, for some senior doctors PLAB can be an attractive option, offering a quicker route to the UK, whilst still securing competitive salaries. If taking this option, international doctors can then take up training or a more senior post once they have established themselves in the NHS.
Take a look through our comprehensive guides on PLAB:
PLAB – a guide for overseas doctors
PLAB 1 – a closer look
PLAB 2 – a closer look
Route 2 - Royal College Qualification:
Attaining a Royal College qualification is a preferred path for doctors who have already chosen their field of specialism i.e. medicine. For senior medicine doctors taking this route, they will gain access to more senior, well-paid jobs in the specialism of their choice.
The Royal College of Physicians is the Professional Body that regulates the specialism of medicine in the UK, and Membership of the Royal College of Physicians (MRCP) is the full qualification attainable by examination.
For overseas doctors, attaining MRCP will satisfy the knowledge & skill criteria for GMC registration and facilitate application for more senior roles in UK medicine.
Take a look at our complete guide on Membership of the Royal College of Physicians to understand more: MRCP – a guide for overseas doctors
GMC - recognised or equivalent qualifications:
Some overseas qualifications are recognised by the GMC and accepted for registration purposes. This means to say these qualifications are considered as meeting the same standards as the Royal College qualifications.
There are qualifications from several countries around the world that are currently accepted by the GMC.
Find out if your qualification is accepted by the GMC: Overseas accepted postgraduate qualifications
Tier 2 Visa
If you are a doctor applying from outside the EEA region you will almost certainly need to apply for a visa to work in the UK.
Applying as a doctor or nurse has never been easier and there is currently no-restriction on the Certificate of Sponsorship (CoS) applications that a hospital can make. Furthermore, the list of specialties on the shortage occupation list is due for imminent review and expansion beyond its current list of specialties, potentially widening the scope for easier immigration processes across all specialties in healthcare.
Understand Tier 2 visas and Certificates of Sponsorship in depth by taking a look at our article: Tier 2 Visa application process & documents needed
Wondering whether you can relocate with your family? Take a look at our blog on the Tier 2 dependant visa: Tier 2 Dependant visa - can i bring my family with me to the UK?
GMC Registration
With everything in place, you can apply for full registration with a licence to practice with the GMC. Remember, for full GMC registration you must provide evidence of:
Evidence of English language capabilities
AND
Evidence of sufficient skill and knowledge (PLAB, MRCP or equivalent)
Understand the registration process in full & by reading our article: GMC Registration for overseas doctors
Job search
We recommend starting the job search as early as possible. Demand for Non-EEA doctors in the NHS is increasing - the NHS welcomes you with open arms!
At IMG Connect we specialise in securing jobs for overseas doctors in the UK and can offer you a wider range of jobs than is readily available online.
Our network extends to general medicine services and HR departments across the UK, so no matter what your grade or specialty we can ensure you will be interviewing for roles well in advance of any relocation plans.
In addition, your 1-1 consultant, with a speciality knowledge of medicine, will negotiate on your behalf, ensuring you get the most competitive salary.
Giving you the peace of mind of agreeing your new contract, perhaps even before your GMC registration is complete. Take a look at our most recent jobs: Job Search
Relocation
Obviously, any doctor’s journey isn’t all exams, registrations and language tests… there’s also the small matter of relocation and settling into life in the UK.
Once you have secured your role in the UK, we will focus on supporting you and your family with all of your relocation plans. This can include, but is not exclusive to, securing accommodation, travel planning, setting up bank accounts & national insurance numbers – every step of the way we are here to help.
Have a read through our IMG Library and take in all the beautifully organised information on relocation and UK life to immeasurably help your first days, weeks and months in the UK. Take a look here: IMG Library – Relocation & UK Life
Brexit
Many doctors have questions about how the UK’s withdrawal from the European Union (EU) will affect doctors from outside of the EEA already working in the UK, and those who may wish to work here in the future.
Whilst we are still pushing for a halt to Brexit, we've been keeping a close eye on policies and developments to ensure that we keep our doctors as up to date as possible. While we await more information from the UK Government about what our future relationship with Europe will look like, what is clear is that there are no current changes to immigration entry requirements for non-EEA doctors.
Overseas doctors are most welcome in the NHS with or without Brexit… you are in demand and we will support with all the necessary requirements for entry to the UK.
Take a look at our Brexit articles for more information: IMG Library - Brexit
How can I find a Geriatric Medicine job in the NHS?
Vacancies for overseas Geriatricians are plenty...
Medicine doctors from outside of the UK can be found in a variety of ways, which for some doctors can sometimes be time consuming and confusing. Working with IMG Connect will give you easy access to vacancies for consultants, clinical fellows, registrars, specialty doctors, trust doctors, as well as LAS posts.
The IMG Connect job search is a dedicated online recruitment service for overseas doctors looking to secure a job in the NHS. View out latest Doctor Jobs in the NHS, here.
Save time and get expert advice based on your preferences
Performing a job search online can take up a lot of your time, so at IMG Connect we are here to do the time-consuming work for you. Upon registering, you will have a dedicated consultant whose role is to find jobs that match your skills, and apply for NHS jobs on your behalf.
You can receive jobs updates by E-mail to view new posts to suit your job search every day.
Create a profile – it takes 30 seconds
We understand you, and our clients
When looking for a Geriatric Medicine job in the NHS, it can be hard to try to find out key information before applying, such as:
What specialty specific training there will be?
Am I likely to get a training post after taking this role?
Can the trust support CESR applicants and is their CESR programme established enough for my needs?
What career progression is available for me within the Geriatric Medicine Specialty?
What is the job plan and how much time will I spend on the ward?
What is it like to work and live there?
What salary will I get paid, and can I get extra pay for additional shifts?
It can be tricky to get all the answers you want before applying online, so we spend our time getting to know both our clients and you, finding out as much key information as possible to help you to make the right decisions. Including details on the Geriatric Medicine department, hospital & trust, as well as an overview of what it is like to live in the area, including housing and the cost of living, as well as access to schools for your children, childcare and finding work for spouses.
Making an impact
We will also provide you with top tips on CV writing, job applications and interviews, ensuring that your application and interview makes the most impact with our NHS clients.
Making it personal
Once registered, you can quickly search and apply for NHS jobs using our job search, and take advantage of many useful articles written to support you through your journey to the UK. In addition, when you sign up to 'job alerts' we will automatically email you each time a relevant Geriatric Medicine vacancy comes available that you may be interested in.
Once logged in, you can also save job details and make applications.
By registering with IMG Connect, you will:
Have a dedicated consultant who understands your preferences and will do the time-consuming job searches and applications for you.
Find your ideal NHS position amongst thousands of unadvertised vacancies - from consultant to registrar, or specialty doctor to SHO.
Be the first to hear about new vacancies – registering with IMG Connect means that your CV will gain priority with our NHS clients, and will professionally represented by international recruitment experts.
To help you find a job in the NHS simply follow these easy steps:
Register with IMG Connect
Fill in the 'Personal details' section.
Arrange a chat with your dedicated IMG Consultant
Sign up to receive 'job alerts’
Search our live Geriatric Medicine jobs
Searching for Geriatric Medicine jobs in the NHS could not be easier
If you want to find out more about the many different Geriatric Medicine roles available within the NHS - it only takes a minute to register with IMG Connect and receive expert advice and representation. We have helped many overseas Geriatric Medicine Specialists into consultant, specialty doctor, registrar, clinical fellow and staff grade NHS roles, whilst offering expert guidance to many more IMGs on NHS doctor pay, royal college qualifications and English language testing. We’d be happy to help you!
How can I find a Dermatology job in the NHS?
Vacancies for Dermatologists from outside of the UK can be found in a variety of ways, which for some doctors can sometimes be time consuming and confusing.
Working with IMG Connect will give you easy access to vacancies for consultants, clinical fellows, registrars, specialty doctors, trust doctors, as well as LAS posts.
The IMG Connect job search is a dedicated online recruitment service for overseas doctors looking to secure a job in the NHS. View out latest Doctor Jobs in the NHS, here.
Save time and get expert advice based on your preferences
Performing a job search online can take up a lot of your time, so at IMG Connect we are here to do the time-consuming work for you. Upon registering, you will have a dedicated consultant whose role is to find jobs that match your skills, and apply for NHS jobs on your behalf.
You can receive jobs updates by E-mail to view new posts to suit your job search every day.
Create a profile – it takes 30 seconds
It really is that easy, so why not take advantage of our resources, time and energy to find you the right job in the NHS suited to your preferences. By providing us with some key details we can quickly assess which jobs are best suited to your preferences, and even email you job alerts for new exciting roles which we think will interest you!
We understand you, and our clients
When looking for a Dermatology job in the NHS, it can be hard to try to find out key information before applying, such as:
what specialty specific training there will be?
Am I likely to get a training post after taking this role?
Can the trust support CESR applicants and is their CESR programme established enough for my needs?
What career progression is available for me within the Dermatology Specialty?
What is the job plan and how much time will I spend on the ward?
What is it like to work and live there?
What salary will I get paid, and can I get extra pay for additional shifts?
It can be tricky to get all the answers you want before applying online, so we spend our time getting to know both our clients and you, finding out as much key information as possible to help you to make the right decisions. Including details on the Dermatology department, hospital & trust, as well as an overview of what it is like to live in the area, including housing and the cost of living, as well as access to schools for your children, childcare and finding work for spouses.
Making an impact
We will also provide you with top tips on CV writing, job applications and interviews, ensuring that your application and interview makes the most impact with our NHS clients.
Making it personal
Once registered, you can quickly search and apply for NHS jobs using our job search, and take advantage of many useful articles written to support you through your journey to the UK. In addition, when you sign up to 'job alerts' we will automatically email you each time a relevant Dermatology vacancy comes available that you may be interested in.
Once logged in, you can also save job details and make applications.
By registering with IMG Connect, you will:
Have a dedicated consultant who understands your preferences and will do the time-consuming job searches and applications for you.
Find your ideal NHS position amongst thousands of unadvertised vacancies - from consultant to registrar, or specialty doctor to SHO.
Be the first to hear about new vacancies – registering with IMG Connect means that your CV will gain priority with our NHS clients, and will professionally represented by international recruitment experts.
To help you find a job in the NHS simply follow these easy steps:
Register with IMG Connect
Fill in the 'Personal details' section.
Arrange a chat with your dedicated IMG Consultant
Sign up to receive 'job alerts’
Search our live Dermatology jobs
Searching for Dermatology jobs in the NHS could not be easier
If you want to find out more about the many different Dermatology roles available within the NHS - it only takes a minute to register with IMG Connect and receive expert advice and representation. We have helped many overseas Dermatologists into consultant, specialty doctor, registrar, clinical fellow and staff grade NHS roles, whilst offering expert guidance to many more IMGs on NHS doctor pay, royal college qualifications and English language testing. We’d be happy to help you!
FRCR (Oncology) Part 1 – a detailed guide for international oncologists
FRCR (Oncology) Part 1 or CO1 is the first exam in the FRCR postgraduate qualification.
The completion of all the exams in the Fellowship of the Royal College of Radiologists (FRCR) examination suite leads to eligibility for GMC registration. The exams can be taken by IMGs from any country, provided certain criteria have been met. In this article, we’ll take a look at the following:
An overview of the FRCR (Oncology) exams
A deep dive into FRCR (Oncology) Part 1
How is the FRCR (Oncology) Part 1 exam structured?
How is the exam marked?
As an overseas oncologist, where can I sit the exam?
How much will the exam cost?
How do I apply for this exam?
What is the best way to prepare for the exam?
#IMG Tips
I’ve passed the FRCR (Oncology) Part 1 exam, what’s next?
Skip ahead to the relevant section if you know what you're looking for.
An overview of FRCR (Oncology)
FRCR (Oncology) is the set of postgraduate examinations administered by the Royal College of Radiologists to test a candidate’s knowledge and clinical understanding within the scope of the Specialty Training Curriculum for Clinical Oncology.
The exams are as follows:
Please note that only full FRCR satisfies the postgraduate requirements for overseas doctors.
You can read an overview of the full FRCR (Oncology) examination suite here via our IMG Resources section.
Alternative routes to GMC registration include PLAB or other recognised GMC qualifications or licensing exams, such as UMSLE or FRANZCR (radiation oncology) which you can find out more about here.
For doctors who are interested in securing senior roles in the NHS which are reflective of their current practice or grade, we advise that FRCR is the best route to take to GMC registration. FRCR is often a requirement for NHS locum consultant job postings where candidates are not already on the Specialist Register for Clinical or Radiation Oncology. The FRCR route allows senior candidates to better align their qualifications with the specifications of relevant jobs.
A deep dive into FRCR (Oncology) Part 1
FRCR (oncology) Part 1 is the first in the set of FRCR (oncology) exams. The assessment expects that candidates have a broad knowledge of subjects that relate to the investigation and management of patients with cancer.
This includes a good understanding of the sciences that underpin clinical oncology, including:
Radiobiology
Cancer biology (including molecular biology)
Physics (as applied to radiotherapy)
Pharmacology of systemic anti-cancer treatments
Medical statistics
You can find the full purpose of assessment for FRCR Part 1 on the Royal College website here.
FRCR (Oncology) Part 1 structure
All three parts of the FRCR (Oncology) exam are assessed against the specialty training curriculum for clinical oncology and the clinical oncology syllabus. A new curriculum has been implemented as of summer 2021, and all trainees are expected to have transferred to this curriculum by August 2022. For more information on this, visit the curriculum webpages.
The First FRCR (Oncology) exam comprises four modules of 180 single best answer (SBA) questions.
Candidates can enter any number of modules per sitting, though there is a limit of six sittings per candidate within which they must pass all four modules.
Each individual SBA question has a stem (a question or statement) and five answers, and candidates must decide which of the five best represents the answer to the stem question. Essentially, this is a multiple-choice exam.
Here is a breakdown of the exam:
Cancer Biology & Radiobiology - the processes of cancer cell transformation and tumour development and how these processes may be demonstrated and the response to ionising radiation of cells both individually and grouped as tissues
Clinical Pharmacology - the structure, action, use and evaluation of drugs used in the treatment of a patient with cancer
Physics - with special reference to clinical trials and assessment of results, and the epidemiology of cancer
Medical Statistics - the application of physical principles and methods in clinical radiotherapy, physical basis of the therapeutic uses of radioactive isotopes, radiation hazards and protection
A knowledge of SI units is also expected.
Marking
The exam is marked by a computer, with one mark given for each correct answer and zero marks for incorrect answers. As the exam is not marked negatively, candidates are encouraged to provide an answer to all the questions. No marks are awarded where multiple answers have been selected or where answers are not sufficiently clear as the College does not interpret candidates’ answers.
Results and feedback
Candidates will receive details on scores and the level of performance required to pass each module. A further breakdown for each module will be provided, detailing incorrect questions numbers along with the corresponding syllabus section for each question.
For more information on the exam content and structure, read the guidance notes for candidates on the College website here.
Exam centres
The current venues for the First FRCR (CO1) exam are:
Belfast, Birmingham, Bridgend Wales, Crewe, Edinburgh, Glasgow, Leeds and London. Overseas centres for now are in Hong Kong, India and Malta.
The exam is typically held twice a year over two consecutive days, in February and either August or September.
For updates on exam dates, including the application window, keep an eye on the Royal College website here.
Exam cost
First FRCR (CO1) 2021 exam cost:
Members - £138
Non-members - £163
Applications
UK trainees are given priority for examination places, followed by those who have had exams deferred over the last year due to cancellations. The remaining places are offered to all other candidates through a ballot system following the close of priority applications.
All candidates should apply for the exams through the Royal College website here.
FRCR (Oncology) Part 1 Preparation
Although there are many online materials to aid in your preparation for FRCR (Oncology) Part 1, as always, we recommend you start your preparation on the Royal College website, particularly with the Specialty Training Curriculum for Clinical Oncology and the Clinical Oncology syllabus.
In using these as a blueprint for your preparation, you will ensure your study is focused on the most relevant and useful information as prescribed directly from teaching materials.
Useful resources include:
Learning hub: available to members through the Royal College website and contains many useful learning resources and available here.
Implementation Tools: a range of tools compiled by the RCR to support the implementation of the new curricular which all candidates should have transferred to by summer of 2022 at the latest. This can be found here.
Sample Questions: sample SBA questions with answers which can be found here.
Examiners Reports: a guide for candidates for future sittings, based on the experiences of examiners with previous applicants, found here.
Speedwell instructional video: a walkthrough video of the FRCR Part 1 exam format with guidance and instructions which can be found on the College YouTube channel.
Suggested reading list: a suggested list of core texts and additional reading put together by the College which is available here.
For other great resources including videos, courses, and flashcards, check out our blog on preparation for the First FRCR (Oncology) exam here.
#IMG Tips
Prepare early – the best way to avoid stress and last-minute cramming is to get started as soon as possible.
Get familiar with the exam content – during your study (at least to start off with), the curriculum should be your guide to the FRCR (Oncology) exams.
Join the conversation – for regular news and updates on the Royal College and all things clinical oncology, including more #IMGTips, follow IMG Connect on social media
I’ve passed the First FRCR (Oncology) exam, what’s next?
Firstly, congratulations! This is an incredible achievement, and you deserve to treat yourself after all that hard work! With a pass in the First FRCR (Oncology) in hand, you can look ahead to the Final FRCR (Oncology) CO2A and CO2B exams. Once you have completed all parts of FRCR (Oncology), you can apply for full GMC registration with a license to practice.
The team at IMG Connect wish all First FRCR (Oncology) aspirants and IMGs the very best of luck with their exams!
MRCPsych Paper A – a detailed breakdown for overseas psychiatrists
For many overseas psychiatrists, as well as UK based trainees, the MRCPsych exams can be overwhelming. Where do you turn for study materials? How do you prepare for the exams? What are the exams dates and fees? Where can I sit the exam? How can I find support online?
To help a little, in this blog we will explore MRCPsych Paper A and everything that you need to know about how to sit the exam, taking a detailed look at the following topics:
An overview of MRCPsych
What is MRCPsych Paper A?
How is the exam structured and marked?
Am I eligible to sit this exam?
As an international psychiatrist, when and where can I sit the exam?
Where and how do I apply?
How much will the exam cost?
What is the best way to prepare for MRCPsych A?
#IMG Tips
Passed? What next?
If you know what you're looking for, skip ahead to the relevant section!
An overview of MRCPsych
The MRCPsych exams are the central components of psychiatry training in the UK. The examination series is designed to test the candidate’s knowledge of basic medical sciences as well as the clinical skills needed for diagnosis and management within psychiatry.
Full MRCPsych satisfies the postgraduate requirements for full GMC registration for international psychiatrists taking this route towards working in the UK.
The exams within the series are as follows:
MRCPsych Paper A
MRCPsych Paper B
MRCPsych CASC
For a more general overview of the MRCPsych examinations via our IMG Resources, please click here.
MRCPsych Paper A
Paper A is a three-hour written exam covering the scientific and theoretical basis of psychiatry.
The exam, comprised of 150 questions, is worth 150 marks:
two-thirds multiple choice questions (MCQ), and
one-third extended matching item questions (EMI)
Exam structure and marking
Paper A covers the following sections of the current syllabus:
The percentage split and marks allocation on the 150-mark exam is broken down as follows:
Section
Percentage
Marks
Behavioural Science and Socio-cultural Psychiatry
16.67%
25 marks
Human Development
16.67%
25 marks
Basic Neurosciences
25%
37 - 38 marks
Clinical Psychopharmacology
25%
37 - 38 marks
Classification and Assessment in Psychiatry
16.67%
25 marks
Eligibility
Trainee psychiatrists from any country in the world can sit the MRCPsych examinations providing that they meet the eligibility requirements.
You are eligible to sit Paper A if you are a fully registered medical practitioner.
Exam locations and dates
We have good news – in response to the COVID-19 pandemic, the Royal College of Psychiatrists has made the decision to move all MRCPsych exams online! This means you can sit the MRCPsych exams from your home country with submission and preparation details available on the Royal College website.
This change makes it immensely easier for international doctors to complete their Royal College exams and work towards GMC registration within a normal timeframe and with reduced disruptions.
Examination dates (at the time of writing) are as follows:
Examination Date
Application Period
Results Publication Date
8 December 2021
4 – 22 October 2021
11 February 2022
Exams are usually held twice a year – and we will regularly check the Royal College website for updates and changes.
Applications
To apply, you’ll need to complete the Royal College online application form. This form is only available during the published application dates and must be submitted prior to the closing date. If you miss the cut off, your application will not be considered.
For new overseas candidates, you will need to register for a Royal College login first.
You will need to provide the following:
Personal details
Primary Medical Qualifications & Registration
Training
Written paper selection
Fees
At the end of your application, you will be directed to an online payment system where you can pay by credit or debit card, so make sure you have your details ready.
Once your application is complete you will receive two confirmation emails, one to confirm receipt of the application and one to confirm the payment has been received.
See below for MRCPsych Paper A fees for 2021:
PMPT Trainees and Affiliates (UK & Ireland Centres) - £486
Non-PMPT Trainees and Affiliates (UK & Ireland Centres) - £539
Preparation
With lots of resources available online, we have discussed with our IMG Psychiatry Community 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. We’ve collated these below:
Syllabus: We always suggest that this is the best place to start – plan your study around the curriculum topics and make a road map to your success in the exams. You can access this here.
Sample Papers: These will help you prepare and polish your exam techniques and are a good idea to regularly benchmark your knowledge against the syllabus. In addition, sample questions will help you work quickly on the day, you will already know what to expect. The sample papers can be found here.
Marking schemes: Candidates pass or fail the written papers based on their performance, and not how well you perform against other candidates. As such, it is a good idea to understand how the exam is marked, so you can maximise your exam skills and give yourself the best chance of a pass. Marking schemes can be found here.
Sample exam: These can help you understand the exact format of the exam and to familiarise yourself with the online exam environment. This is available here.
Online exam guidance: Detailed guidance written specifically to guide candidates in preparing for an sitting an online exam, including technology checks and timings. The guidance can be accessed here.
The Royal College also suggest taking a look at Passing the MRCPsych - an insider’s guide - a useful resource to help you to get over the first steps. This is available here.
#IMG Tips
Start early – preparation is key and the best way to avoid last-minutes stress and cramming.
Use the Royal College website – this should be your best friend...or at least one of them. There are so many useful resources on these – what better place to start your revision?
Join our online support community - for all things psychiatry, including access to a community of likeminded psychiatrists and MRCPsych aspirants, follow IMG Connect on social media and join the conversation.
Passed? What next?
If you are completing the papers in order, the next step will be to apply for Paper B. For more information take a look at our blog where we explore MRCPsych Paper B and everything you need to know about how to sit the exam, including syllabus, dates, results, fees and preparation.
For more useful blogs & articles on the MRCPsych exams, registrations & qualifications to help you find your dream job in the NHS - take a look at our IMG library.
Good luck in your MRCPsych Paper A exam!
Final FRCR (Oncology) – guidance, preparation and Resources for international doctors
Written for oncologists preparing for Final FRCR (CO2A and CO2B)
Overseas oncologists often ask us how to best prepare for the Final FRCR Part 1 and 2 exams. With so much online content geared towards UK clinical oncology trainees, it can be difficult to know what is best suited to you as an international candidate.
Here we have compiled some of the best advice and resources available to help overseas radiation oncologists prepare for their Royal College (RCR) exams. We’ll also address some of the changes to the exam, both the format, administration and availability of the exam in the wake of the COVID-19 pandemic.
In this article, we'll cover the following - skip to one of these sections if you know what you're looking for:
What are FRCR (Oncology) CO2A and CO2B?
How do I get started with my preparation?
What online resources are available?
How have the exams been affected by COVID-19?
Consultant posts and CESR
#IMG Tips
What are FRCR (Oncology) CO2A and CO2B?
As a quick reminder, Final FRCR (Oncology) are the final two exams in the FRCR (Oncology) examination suite. The full set, CO1, CO2A and CO2B are required by overseas clinical or radiation oncologists when applying for GMC registration through the postgraduate route.
For the final exams, candidates are expected to have a wide knowledge of subjects related to the care of patients with cancer and the investigation of malignant disease.
CO2A includes two written papers of 120 single best answer (SBA or multiple choice) questions.
CO2B has two components (clinical and oral) which are designed to test the oncological skills of the candidate which are relevant to safe and effective practice.
The clinical element is assessed in a mock clinical setting with real patients to increase authenticity.
The oral exam assesses clinical decision-making, radiotherapy planning, diagnostic imaging, and case management. It is made to mirror elements of a day-to-day clinical setting, including discussions and MDT meetings.
A full breakdown of the Final FRCR (oncology) Part 2A and 2B exams can be found on our website here.
How do I get started with my preparation?
After discussing with IMGs the best way to approach preparing for the Final FRCR (oncology) exams, most recommended beginning with the Royal College website and resources, which they have put together to aid in your preparation.
Curriculum: The FRCR (oncology) exam is based on the Specialty Training Curriculum for Clinical Oncology and the Clinical Oncology syllabus. As a rule of thumb, your revision should start here to ensure you are focusing on the exact material that will be in your exam. Knowing the curriculum is key and you can find these on the Royal College website here.
Helpful Royal College Resources include:
Learning hub: the learning hub is available to members and contains many useful learning resources. This can be found here.
Implementation tools: this is a range of tools which have been compiled by the College to support the new curricular which all students should have transferred to by August 2022 at the latest and can be accessed here.
Guidance: a guidance document from trainees who have already sat the exam, on behalf of the Oncology Registrars’ Forum, found here.
Sample questions: sample SBA and oral questions for FRCR CO2A and CO2B have been provided with answers on the RCR website, here for Part A and here for Part B.
Examiners’ reports: this is a collection of generic reports written by examiners on the overall performance of candidates and individual questions as a guide for applicants for future sittings. These are available here.
Trainees’ experiences: the two-part series has been compiled from the experiences of candidates in sitting their final exams, found here.
Demonstration films: demonstrations of both parts of FRCR Part 2, providing insight into both elements of the exam and what candidates can expect on the day. These are on the RCR website here.
Royal College YouTube: several helpful videos to be used for training and informational purposes on the RCR YouTube channel.
Other online resources
There are a couple of online courses which provide preparation for the exam, including mock exams and insight into exam technique. As with all courses, we advise that you register your interest as soon as possible to avoid disappointment as they are in very high demand.
Leeds – TMA Final FRCR Single Best Answer (SBA) Course - FRCR Part 2A
This is a four-day course aimed at clinical trainees who are preparing for their FRCR CO2A. The course offers daily mock SBA exams, question review with site specific experts, coverage of all tumour sites and a deep dive into exam technique.
The course is delivered live virtually, via Microsoft Teams.
Duration
4 days
Cost
TBC
Next start date
December 2021
Website
www.leedsth.nhs.uk/a-z-of-services/leeds-cancer-centre/education/events/
Oncopaedia – Cardiff FRCR Part 2 Course
This is a web-based revision course for the FRCR part 2. The course allows candidates to revise SBA questions by individual tumour site, timed mock exams (including a leader board), access to Cardiff Course teaching materials and lecture slides, focused tutorials and a user forum.
Duration
On demand
Cost
£50 for 6 months’ access
Next start date
On demand
Website
www.oncopaedia.com/moodle/moodle/enrol/index.php?id=2
FRCR Clinical Oncology Preparation - F.O.R.O. (The Forum of Radiation Oncology)
A handy hour-and-a-half video filled with useful information covering all aspects of the FRCR exam, from revision resources to guidance a breakdown of the format of the exam.
The YouTube video can be found here.
How have the exams been affected by COVID-19?
Final FRCR are still taking place in person, but as a result of the ongoing COVID-19 pandemic, the availability of test centres has decreased. Currently, test centres are available in Belfast, Birmingham, Crewe, Edinburgh, Glasgow, Leeds, London and Bridgend Wales. For now, the only overseas test centres for the exam are India and Malta. For advice on preparation before applying for the exams, see the Royal College website here.
Consultant Posts and CESR
FRCR Oncology forms a key part of the application for international doctors looking to attain specialist registration in Clinical Oncology through CESR. For doctors with more senior level experience, this could also allow you to work as a locum consultant clinical oncology post, whilst you are not yet accredited as a specialist in the NHS.
#IMG Tips
Familiarise yourself with the exam content – the best way to do this is through the syllabus and curriculum
Prepare early – the earlier you begin your revision, the more structured and relaxed the entire process can be and the more likely you are to pass!
Join the IMG Connect study and support group – join likeminded international doctors from all over the world in one communicative and moderated space to share exam tips, wins and woes, and buddy up with peers to help boost your chances of passing first time.
If you would be interested in joining the Final FRCR (Oncology) group, please email info@imgconnect.co.uk to speak to our oncology specialist and reserve your place today.
We hope this is helpful for any overseas doctors preparing to sit their Final FRCR exam and the team here at IMG Connect wish you the best of luck!
MRCPsych CASC - preparation, guidance and resources
Are you an overseas psychiatrist preparing to take the MRCPsych CASC exam?
International doctors often have questions about how to prepare for the CASC exam, particularly when there are so many materials and information online which can be overwhelming or mostly geared towards UK applicants and trainees.
What study materials, courses and support are available for IMGs? Here we have compiled some of the best advice and resources available to help in your preparation for the exam. We will also address some of the changes in the availability of test centres and exam delivery as a result of the COVID-19 pandemic.
The topics we’ll cover are as follows - skip to one of these sections if you know what you're looking for:
What is MRCPsych CASC?
How do I get started with my preparation?
What other resources are available?
#IMG Tips
How have the exams been affected by COVID-19?
What’s next for me?
If you’d like an overview of the entire examination series, take a look at the article published in our IMG Library here.
What is MRCPsych CASC?
Let’s begin with a quick recap of the CASC exam. The Clinical Assessment of Skills and Competencies or CASC is a practical exam which takes the format of an OSCE and tests your clinical skills in a range of competencies.
It is made up of two circuits of individual stations made up of:
Five stations on history taking, including risk assessment
Five stations on examination, including physical and mental state
Six stations on patient management
For full guidance on the structure of the exam, visit the examination page of the Royal College website or see our detailed blog on the MRCPsych CASC exam here.
Getting started with preparation
It can be tough to know the best place to start, and after talking with some psychiatry consultants (both IMGs and UK trainees), the general consensus was that the Royal College website is the best place to begin. There are some great resources on their website to help applicants to prepare for the exam.
Royal College Materials
Syllabus: this is the best place to start - you should always plan your study and preparation around the topics within the curriculum to start you off on the best path to success. You can find this here.
CASC candidate guide: this handy guide contains information on domain-based marking, candidate instructions, pass mark, exam criteria and grade descriptors, which you can access here.
Blueprint: the CASC blueprint is a more detailed breakdown of the skills being assessed within the exam and the categories and stations candidates should expect to find. This is available here.
Marksheets: copies of the marksheets which are used in the exam are available online for history, management and examination and allow candidates to familiarise themselves with the marksheets in advance, found here.
Sample stations videos: you can watch videos of sample stations from a face-to-face examination – this will be similar to what you can expect on the day as the principles will remain the same for online exams. You can access these here.
What other resources are available?
IMG Connect have a library of written resources geared towards preparation for the CASC exam. If you’re interested in any of these, please get in touch here and we would be delighted to share these with you.
Other online resources available for the exam include a mixture of paid and free resources. These include:
Books
These are the most highly rated books for MRCPsych CASC on Amazon:
Pass the CASC for MRCPsych – Seshni Moodliar (£34.70)
Get Through MRCPsych CASC – Melvyn W. B. Zhang (£45)*
How to Pass the MRCPsych CASC – Andrew Iles (£33.99)
* Get Through MRCPsych CASC is particularly highly regarded by recent CASC candidates who have passed the exam.
Other resources
Passing the MRCPsych Exams – an insider’s guide: a useful guide to the MRCPsych CASC exam written by former trainees and members of the Psychiatric Trainees’ Committee (PTC). This can be found here.
MRCPsych CASC flashcards: flashcards created by a former candidate who has passed the exam. 136 flashcards which cover different aspects of the exam. These are available for free here on Brainscape.
CASC Cluster Cards – Oxfordpsych revision cards written by a consultant psychiatrist in the UK. This is a set of 100 CASC scenarios with instructions and guidance to remember. These can be found here at a cost of £169.
CASC Videos – SPMM: 86 exam stations performed by consultants and role players under exam conditions, featuring advice and tips from examiners for each task. 6 months access is priced at £180 and is available on demand. These are available here.
Oxfordpsych – access to the Oxfordpsych online video bank featuring short and long instruction CASC stations, covering the range of stations and tasks listed in the CASC blueprint. 6 months access costs £169 and £99 for 3 months and can be found here.
Online courses
CASC Prepare mock exam
This exam consists of 16 stations which have all featured in previous RCPsych CASC exams. The mock will be conducted in the format of the actual exam and detailed written feedback on RCPsych marking sheets will be provided after the exam. Other aspects of the exam such ass time management, and communication strategies will also be discussed.
Duration
4 hours
Cost
£310
Next start date
28th August 2021
Website
https://www.cascprepare.com/mock-exam
Oxfordpsych CASC mock exam
These online exams are based on the RCPsych CASC blueprint. Candidates take the 16 stations under exam conditions and interview with professional actors with CASC experience. Candidates will receive written feedback for each station.
Duration
4 hours
Cost
£475
Next start date
28th August 2021
Website
http://www.oxfordpsychcourse.co.uk/index.php/online-registration
CASC Master mock exam
This mock exam is carried out over skype or zoom and has 8 continuous stations with one 20-minute break, followed by the final 8 stations. It is set according to the CASC blueprint and is available with or without an actor.
Duration
4 hours
Cost
£325
Next start date
22nd August 2021
Website
https://www.cascmaster.com/skypemockcasc
#IMG Tips
Start your revision early – starting in advance allows you to pace yourself and get ahead of the stresses of last-minute revision and anxiety.
Find the right materials for you – whether its online courses, books or flashcards, try to figure out what the best materials are to jumpstart your preparation
Speak to your peers and colleagues – your senior colleagues may have been through this process themselves and may have helpful tips and guidance to share. Or maybe you’ll find a like-minded peer with whom you can be study buddies! Take advantage of those around you to support you on this journey.
Practise, practise, practise - Our IMGs have shared that it’s crucial that you practice your clinical examinations as often as possible, preferably under the supervision of a senior colleague which will allow you to receive feedback.
Join the online psychiatry community - for news and updates about all things psychiatry for IMGs, follow IMG Connect on social media and join the conversation.
How the exams been affected by COVID-19
As a result of the pandemic, all MRCPsych exams have moved online. Applicants from Singapore and Hong Kong who intended to sit exams in local centres are also invited to apply for the online sitting of the exam.
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.
I've passed, what’s next?
Once you’ve passed MRCPsych CASC, you’ve completed the Royal College of Psychiatrists examination suite. Great stuff, this is a massive achievement! Armed with this and your English language test, you are ready to apply for full GMC registration with license to practice.
You may want to start looking for NHS jobs and with the click of a button, you can receive them directly to your inbox. To receive jobs postings which you can tailor to your desired grade, specialty and sub-specialism, sign up here.
If you have any questions about any element of CASC, the Royal College exams as a whole or any other queries related to the processes involved in IMGs coming to the UK to work in the NHS, please get in touch and our psychiatry specialist will be more than happy to assist you.
The IMG Connect team hope that this article has been helpful for any trainees looking to sit their MRCPsych CASC exam and wish you the best of luck!
FRCR (Oncology) - a guide for overseas oncologists
Overseas clinical or radiation oncologists wanting to secure a role in the UK via the postgraduate qualificaiton route will need to attain Fellowship of the Royal College of Radiologists (FRCR Oncology) in order to register with the GMC. FRCR Oncology is the UK Royal College qualification and the recommended route for oncologists looking to work in the UK as a specialist or consultant.
IMGs from any country in the world can sit the FRCR (Oncology) examinations, provided certain eligibility criteria are met.
These are summarised below along with a broad look at the following topics - skip to one of these sections if you know what you're looking for:
What is FRCR (Oncology)?
Am I eligible?
What is the content and structure?
Where and when can I sit the exams and how much will it cost me?
How do I apply?
How can I prepare for the exams?
Passed? What next?
What is FRCR Oncology?
Clincal oncologists become full members of the Royal College of Radiology and achieve the designation, FRCR, once they have passed the three separate postgraduate medical exams that make up the FRCR (Oncology) examination suite. The FRCR (Oncology) examinations aim to test a candidate’s knowledge and clinical understanding against the Specialty Training Curriculum for Clinical Oncology and the exams are a pre-requisite for anyone looking to go into a specialty training post as an oncologist in the UK. For more senior candidates, absence of FRCR (Oncology) will make it very difficult to attain locum-consutant posts unless you have a recognised equivalent or specialist registration in clinical oncology.
The First FRCR Examination expects candidates to have acquired a broad knowledge of those subjects that relate to the investigation and management of patients with cancer. Candidates are examined against the Clinical Oncology curriculum. A new curriculum is being implemented from summer 2021, with all trainees expected to transfer to the new curriculum by August 2022 at the latest. Further details are available on the curriculum webpages. If you are unsure what curriculum you should be using for your studies in 2021 then please refer to the Royal College website page discussing the FRCR (Oncology) Part 1 exam here.
When registering via the postgraduate route, only full FRCR satisfies the GMC postgraduate requirements for registration as an overseas doctor. There are three parts to the FRCR examinations:
FRCR (Oncology) Part 1(CO1) > comprises four papers of single best answer (SBA) questions. The written papers for the four subjects are held twice a year over two consecutive days.
FRCR (Oncology) Part 2A (both must be passed in one sitting in order to attain a pass)
two separate single best answer papers
FRCR (Oncology) Part 2B
a reporting session
a rapid reporting session
an oral examination
The FRCR (Oncology) examinations form an essential component of training for clinical or radiation oncologists in the UK. For overseas doctors relocating to the UK, FRCR is one of two options to support full GMC registration (postgraduate qualification or PLAB route). For doctors who wish to secure a senior clinical oncology job in the NHS reflective of their current practice, we advise that FRCR would be the best route to choose. FRCR is often an essential requirement for many job postings in the UK when a candidate does not already have Specialist Registration in Clinical Oncology or a recognised equivalent postgraduate qualfication.
Eligibility for FRCR in Oncology:
First FRCR: To be eligible you must:
hold a Primary Medical Qualification (PMQ) that is recognised by the GMC for registration purposes.
have completed courses covering the syllabus in the subjects listed below.
Cancer Biology and Radiobiology
Clinical Pharmacology
Medical Statistics
Physics
There is no requirement to have held a clinical oncology training post in order to attempt the First FRCR Examination.
Final FRCR Part A: To be eligible you must:
have passed the First FRCR examination
must have passed the First FRCR examination and have completed three years of supervised clinical oncology training covering the examination syllabus.
In exceptional circumstances, with support from the Training Programme Director and at the discretion of the Medical Director (Education and Training), this minimum training period may be reduced to two years and six months.
Final FRCR Part B: To be eligible you must:
have passed the Final FRCR Part A, First FRCR and have completed three years of supervised clincal oncology training
Content and structure for FRCR (Oncology)
First FRCR Examination: It is delivered through a digital platform and as such is now also available at a larger number of test centres than before. The First FRCR Examination comprises four papers of single best answer (SBA) questions. The written papers for the four subjects are held twice a year over two consecutive days. Further general information on the examination shows in the guidance notes for candidates here, however it can be summarised as below:
Day One
Format
Cancer Biology & Radiobiology
50 questions over 2.5 hours
Clinical Pharmacology
40 questions over 2 hours
Day Two
Format
Physics
50 questions over 2.5 hours
Medical Statistics
40 questions over 2 hours
Each SBA question comprises a stem (a question or statement) and five items (answers) [labelled (a) to (e)]. Candidates are asked to decide which one of the five items represents the best answer to the question given in the stem. The four modules break down as below:
Cancer Biology and Radiobiology: the processes of cancer cell transformation and tumour development and how these processes may be demonstrated, and the response to ionising radiation of cells both individually and grouped as tissues.
Clinical Pharmacology: the structure, action, use and evaluation of drugs used in the treatment of a patient with cancer.
Medical Statistics: with special reference to clinical trials and assessment of results, and the epidemiology of cancer.
Physics: the application of physical principles and methods in clinical radiotherapy, physical basis of the therapeutic uses of radioactive isotopes, radiation hazards and protection. A knowledge of SI units is expected.
Final FRCR (Part A): The examination expects candidates to have a wide knowledge of malignant disease and the management of patients with cancer. The main emphasis is on radiotherapy and drug therapy, but a good knowledge of general medicine, surgery and gynaecology is expected. You will be examined against the specialty training curriculum for clinical oncology and the clinical oncology syllabus. The Final FRCR (Part A) Examination comprises two papers of 120 single best answer (SBA) questions. It is held twice a year, normally in February and August/September and you are given three hours to answer each of the papers. Read the college's Purpose of Assessment to see this information in detail - however below we summarise the content and structure for FRCR Part A.
Paper 1
Tumour Type
No. of Questions
Respiratory
24
Urology
24
Head & Neck
24
Skin
12
CNS
12
Gynaecology
24
Paper 2
Tumour Type
No. of Questions
Breast
24
Lower Gastrointestinal
24
Upper Gastrointestinal
12
Haematology
12
Miscellaneous*
38
Image-based
10
*The miscellaneous section contains questions on thyroid cancer, sarcoma, uknown primary, regulations, palliative care and a small set of questions that do not specifically fit into a defined site specific category.
FRCR Part 2B (Oncology) (CO2B): The exam requires you to have a wide understanding of malignant disease and management of patients with cancer. The biggest emphasis here is radiotherapy and drug therapy, though a strong knowedge of general medicine, surgery and gynaecology is expected also. You will be examined against the specialty training curriculum for clinical oncology and the clinical oncology syllabus.
The exam has both a clinical and oral component. Read the Royal College's Final FRCR Purpose of Assessment to understand the format and content in more detail, however a brief summary of both part is below:
Clinical Examination: This is the practical element and will involve you rotating round five strictly timed clinical assessment 'stations' where your skills are assessed by a pair of examiners. This part is to test the skills and competencies that are essential for safe and effective clinical practice as a clinical oncologist in the NHS. Patients with real clinical signs are used throughout this examination, allowing you to temonstrate your knowledge and judgement in as a realistic a scenario possible.
The clinical examination will assess your ability to:
identify important clinical signs using effective examination techniques
give a rationale differential diagnosiss
order and interpret appropriate investigations
identify the main treatment options
select an appropriate, safe and sensibe management plan
recommend a safe radiotherapy technique, understanding and communicating the likely outcomes & side effects
recommmend a safe systemic treatment schedule, understanding and communicating their likely outcomes and side effects
clearly discuss a likely prognosis in the case presented
clearly demonstrate an ability to treat the patient sesitiviely, ensuring their comfort and dignity
Oral Examination: The strcutured oral examination assesses in-depth issues surounding radiotherapy planning, diagnostic imaging and clinical decision making and case management. Communication and ethical scenarios are addressed during this examination. It will mirror day-to-day clinical discussions and MDT meetings, essential elements to a Clinical Oncologist's role in the UK. There are several slides per question, and your answers can lead to further questions on subsequent slides by the examiners. The questions build as the discussion develops, and this oral examination allows each step of the case to be assessed and discussed as it would be in a real-life clinical scenario.
The strucutred oral examinations allow for fair, valid and reliable assessments due to:
uniformity of questions asked
pairing of examiners (junior and senior) allowing for oingoing training and accurate data capture and marking
four independent judgements of your performance
the examination is blueprinted against both the curriculum and the range of RCR-desingated skills required to be a competent oncologist in the NHS
the use of an objective marking scheme which details the essential points required to pass each qustion
As an overseas candidate, where & when can I sit the exams and how much will they cost me?
This link takes you to the examination updates section. Information on the dates, fees and venues for the FRCR examinations can found here.
How do I apply for the FRCR examinations?
UK Trainees are given priority for examination places, whilst overseas candidates are offered the remining places via a ballot system following the application closing date. If you've had your exam deferred due to cancellations over the last year, you will be prioritised.
The Royal College urges anyone applying to read the examinations guidance before doing so. Applications are made online via the Royal College website here.
How should I prepare for the FRCR Oncology exams?
With lots of materials online, we have discussed with IMGs the best place to start looking for resources and materials relating to the exams. Most IMGs recommended starting with the Royal College, who have created useful resources to help you prepare, see below:
Syllabus: The syllabus should always be your go-to for your studies. This is what you will be tested on, so it should be the foundation of your studies and preparation. As of May 2021 the new curriculum has been approved by the GMC but is pending full publication. You can find this on the Royal College website here.
Clinical Oncology Curriculum implementation tools - a variety of tools are available to support the implementation of the new curricula. This page is very useful and has many different tools within the page. You can access it here.
Remote proctoring guidance - this is a new system and as with anything techy, problems can arise! Use this section of the Royal College to familiarise yourself with the new system with the new normal. Access this page here.
First FRCR examiners' reports - a guide for candidates and trainers preparing for future sittings. Access this here.
Trainees share their experiences of the Final FRCR examination - a two-part audio series featuring trainees talking about their experiences of preparing for and taking the examination.
Final FRCR examiner reports - a guide for candidates and trainers preparing for future sittings. Access the examiner reports archive here.
Final FRCR Part B demonstration films - clinical and oral demonstration videosAccess the Part B demonstration films here.
Sample oral questions - sample questions for the oral component of the Final FRCR Part B examination. You can access the sample questions here.
Connect with the Royal College - connect with the Royal College on YouTube to see their numerous videos that can be used for training and information purposes. Their channel can be found here.
I passed the FRCR Oncology exams! What next?
First of all, congratulations! After you have passed all three parts of your FRCR examinations, you can apply for a full registration with a license to practice. Once the GMC has approved your application, you can work as a doctor in the UK. This exam will form an integral part of any CESR application (if that is your route to specialist registration) and in most cases, if you have previous and relevant expereince, will allow you to practice as a locum consultant clinical oncologist whilst you are not an accredited specialist on the specialist register.
Online MRCPsych Examinations
In response to the challenges of the Covid-19 global pandemic – the Royal College of Psychiatrists has migrated all MRCPsych examinations online.
MRCPsych Paper A, B and CASC can now be taken from the comfort of your home. This exciting development has of course been accelerated by COVID-19, enabling MRCPsych examinations to be delivered during lockdowns for both overseas doctors and UK trainees.
Following the pandemic outbreak, the college has worked hard to bring forward their plans to launch online examinations and migrate online.
Demand for the exams has increased, and furter online dates have been added by the Royal College. Paper B can be sat on Tuesday 5 October 2021, with results published on 9 November 2021. Examination dates for Paper A have passed for 2021 and have yet to be published for 2022.
The online MRCPsych written paper format:
The format of MRCPsych Papers A and B remains that candidates complete 150 questions. From these questions, roughly 100 are multiple choice with single answers and 50 are extended matching questions which ask a series of multiple choice questions about information in a single question stem.
The online exam platform is very easy to use. You can complete the test using your own computer, at home. The online system is straightforward, requiring only a few checks and guidelines to follow to help you make the process a success.
The online CASC exam
The format of the MRCPsych CASC exam is that candidates complete two circuits, each of eight stations. Usually of course, this is face-to-face, giving you the benefit of understanding body language and the importnace of being in close proximity of the "patient". However, the inline CASC exam has been carefully designed to ensire minimal impact on the test.
The format is unchanged, in each CASC station you will encounter a roleplayer from whom you must elicit key information related to the task that you have been set.
In a face-to-face exam, the examiner would be in the room with you to evaluate your performance and the invigilator would be on hand to make sure that everything runs to plan.
In the online exam, all of this will be done by video. You will see all four participants in the same window. As above, the online system is straightforward, requiring only a few checks and guidelines to follow to help you make the process a success.
All candidates, including those who were planning to enter the Singapore and Hong Kong CASCs in are now welcome to apply to sit the online versions that will take place in September 2021.
How to apply:
An online application form must be completed and takes around 15 minutes. For full guidance on the application, please visit the Royal College website here:
OET@Home - your questions answered
OET is fast becoming the most popular English Language test that overseas doctors will use for GMC registration.
It is an English language test that tests medical language specifically and for that reason is very popular with IMGs. However, as with many things the exam has been heavily disrupted by the covid-19 coronavirus pandemic.
In response to the covid-19 pandemic OET have created two new versions of their popular english langauge test to help doctors when their local test centre is closed:
Computer-based OET test
OET@Home
OET@Home - what is it?
OET has partnered with Prometric TM, a private company, to deliver a home version of the OET test. While computer-based testing and remote proctoring (invigilation on behalf of OET) will bring changes to the delivery mode - the test format, tasks presented and level of English assessed will all be the same.
OET@Home - how does it work?
The reading, listening and writing sub-tests of OET will be available via computer-based delivery and the Speaking sub-test will be carried out with a human interlocutor via video calling software. This human involvement and role-play nature of the OET Speaking sub-test which is so important to the test - will not be compromised.
The test will be managed remotely and under strict condition by invigilators who know the importance of this test for patient safety and fair GMC registration process for any doctor taking OET - whether it’s OET@Home of OET sat in person at a test centre.
Below we have summarised a number of FAQs to help address any question you have. We have taken the information directly from the OET Website here https://www.occupationalenglishtest.org/at-home-remote-proctored-testing/.
Do I have to take the test on a computer? Or are paper-based tests still available?
You do not have to take the test on a computer. OET will be running both paper-based and computer-based testing so you can still take the test on paper if that is what you prefer.
They will be continuing to run paper based tests at all the current values as long as local lockdown restrictions allow. So now you can sit one of three OET formats:
paper-based tests at OET test centers (the old method)
a computer based test that you can sit at selected test venues
OET@Home , a remote-invigilated test that you can sit at home using a Windows PC
Is there a difference between computer-based OET and OET@Home?
Not really. They are exactly the same test with the main difference being where you actually take the test. The key difference is this:
With computer based tests you will attend a test venue to take the test.
With OET@Home you will be able to take the test remotely (e.g. at home or work) on your Windows PC.
How does the remote invigilation or proctoring work?
‘Remote proctoring’ essentially means ‘remote invigilation’. This means that you can sit the test outside of a test centre under the same strict exam conditions that an OET test centre would provide.
Human proctors or human invigilators check the following:
you are who you say by checking ID
room searches prior to the start of the test
monitor your behaviour during the test, ensuring you do not breach any OET rules and regulations
Remote proctoring systems also help maintain test security with the following:
security features such as limiting functionality of your computer (e.g. so you cannot access the internet or take screenshots)
How often will the computer-based test and OET@Home run?
Initially once a month on either the same day, or alternate Saturdays as the paper-based OET test. However, this is still to be confirmed and OET will release more details in the coming weeks. Keep an eye out for their updates found on their website here.
Can i actually sit the test at home?
Yes. Once the OET@Home is live you will be able to sit the test at home, using a windows PC.
How will the speaking test work?
The Speaking sub-test will still be two role plays with a live interlocutor or test official. The only difference is with OET@Home, where the live interlocutor will role play with you via video conference.
How much will this cost me?
At this point it does not look like there will be any change to the cost of OET, no matter which test you take. A reminder - those cost of the OET is currently AUD 587 (A$587) which is currently equivalent to £327. Please note, the price and conversion rate is representative of the time of writing this article (July 2020)
When can I book a test?
OET@Home will be open for bookings at the end of August, with the tests available from September onwards.
Computer-based OET will be available at the end of September in a few locations. More locations will be made available after the first
Will the OET test format change?
No - all tasks, format and timings will remain the same across all types of OET.
If I have already booked to take the OET paper-based test - will I be able to change my booking to either computer based test or OET@Home?
Are the computer-based OET and OET@Home accepted by regulators?
Both the computer-based OET and OET@Home are accepted by the GMC and will be valid for Tier 2 visa applications also.
How do I book my place with either OET@Home or computer-based OET?
You will be able to book your test online and OET will let you know as soon as both new types of test are available for booking.
Can I take the OET@Home on a mobile phone?
No, the OET@Home can only be taken on Windows PC. You can find the technical specifications here.
So, I can only use a windows laptop? What if I have a Mac?
Unfortunately, if you have a Mac you will not be able to sit the OET@Home with it. You will need a dedicated computer running Windows 10, either a desktop computer or laptop.
Refer to the technical specifications to check you Windows PC can run the software.
How long will the results take to be released?
OET will stick with the same results timeframe in place for paper-based OET tests - however there may be the opportunity to significantly shorten the time needed for results to be released. However, do not expect to see this benefit immediately.
How can I prepare for all versions of the OET?
As with all tests, we recommend preparing as much in advance as you can. Learning a new language is challenging and takes time. You cannot just turn up on exam day and hope to pass, no matter how good your english is already.
Take a read through this article below to help your preparations for OET:
IMG Resources: Preparing for your English Language Test
What courses or tutors can I use for OET preparations?
We discuss this in more depth in the article below:
IMG Resources: Preparing for your English Language Test
As an International Brand dedicated to helping international doctors to register with the GMC and find work in the NHS - we have lots of partnerships in place with trusted companies in many areas.
One of these key areas is English Language Testing and IMG Connect works closely with a company called Specialist Language Courses. You can take a look at their website here.
Specialist Language courses are incredibly professional and are the UK's leading provider of online courses and tutoring. They are also one of the few accredited providers of OET and have provided consultation and guidance to the GMC on english language testing.
Success rates are 70% + for those who sign for their tutoring and you can receive a discount if introduced by IMG Connect.
Register with IMG Connect to request your discount on English Language Courses or get in touch with one of our IMG Consultants to discuss
MRCPsych CASC exam - a useful guide for IMGs
In this blog we will explore MRCPsych Clinical Assessment of Skills and Competencies (CASC) including dates, exam locations, fees and eligibility.
In our exploration of CASC, we will take a broad look at the following topics:
What is the format of the CASC exam?
How is the CASC marked?
Am I eligible?
Assessment Portfolio for Overseas Candidates
Sponsorship requirements
How do I apply?
How much will it cost me?
Where can I sit the CASC exam?
How do I prepare for the CASC exam?
Passed? What next?
For a more general overview of the MRCPsych examinations, click here.
MRCPsych CASC is a practical exam taking the format of an OSCE and tests your clinical skills in a range of competencies.
What is the format of the CASC exam?
The CASC format is like an OSCE (Objective Structured Clinical Examination).
The exam is made up of two circuits of individual stations which will test your clinical skills:
The morning circuit will have 4 minutes to read the instructions and 7 minutes to complete the task
The afternoon circuit will have 90 seconds to read the instructions and 7 minutes to complete the task.
The sixteen CASC station exam is made up of:
five stations focused on History Taking, including risk assessment
five stations focused on Examination - both physical and mental state, including capacity assessment.
six stations focused on patient Management
Each circuit follows the topics below:
Circuit 1:
6 stations focused on Management
1 x station focused on Examination
1 x station focused on History Taking
4 minutes reading
7 minute task
Circuit 2:
4 x stations focused on Examination
4 x stations focused on History Taking
90 seconds reading
7 minute task
How is the CASC marked?
You can find details on how the test is marked here. See also marksheets for your information.
History Marksheet
Management Marksheet
Examination Marksheet
The Royal College also suggest taking a look at Passing the MRCPsych - an insider’s guide - a useful guide to help you to get over the first steps.
As ever at IMG Connect we believe in preparation. In order to succeed in the clinical exam, IMGs have told us that it is vital that you practice your clinical examinations as frequently as possible, preferably under the supervision of a senior colleague. This will give you confidence in approaching and examining patients with examiners present.
Am I eligible for the CASC exam?
You are eligible to take CASC if you have 24 months post internship experience in Psychiatry, by the time of sitting the CASC.
AND
You have a pass in both Paper A and B
AND
You can demonstrate the following:
AND
You have sponsorship in place – sponsorship forms must be submitted by an appropriate medical education lead confirming that the eligibility requirements to sit the MRCPsych examinations have been met.
Overseas candidates must show their sponsor evidence of having achieved equivalent competencies at appropriate competency levels (year 1, 2, 3) for each component of the examination.
Assessment Portfolio for Overseas Candidates:
As above, one aspect of eligibility for CASC as to complete an Assessment Portfolio. This must demonstrate achievement of equivalent competencies to those defined in the ARCP documented on the application form, this must include competencies in Psychotherapy AND Child and Adolescent Psychiatry, or Learning Disability have been achieved by the time of applying for the MRCPsych CASC.
In addition, overseas candidates must demonstrate that they undertake the following activities as part of their structured job plans:
observation in interviewing patients in ward rounds for specified reasons
observation in interviewing patients in out-patient or community settings or other contexts for specified reasons
assessment via formal presentation of cases with their medical notes; discuss management of cases with their Clinical or Educational Supervisor
formal assessment in having achieved competencies in Child and Adolescent Psychiatry or Learning Disability AND Psychotherapy.
Assessments and achievement of competencies should take place in a range of settings and psychiatric specialties with structured, documented feedback on performance having been provided.
Whilst there is not an assessment criteria form available as this is incorporated into the online submission, take a look at the ARCP assessment portfolio form for CT1-3 in the UK, which should help give you a starting point for your own portfolio.
Sponsorship requirements:
International candidates must have a sponsor in place in order to support evidence that their three years of training satisfy Royal College criteria of having achieved equivalent competencies at appropriate competency levels (year 1, 2, 3) for each component of the examination.
Sponsorship is required by all applicants for entry to the CASC examination.
Your sponsor should be an appropriate medical education lead confirming you have met the requirements to sit the MRCPsych examinations.
You will be required to provide the sponsor’s title, full name and email.
Acceptable sponsors are:
College Tutor
Training Programme Director
Educational Supervisor
Head of School
Director of Medical Education (or equivalent)
Head of Department of Psychiatry
Consultant responsible for employee/trainee appraisal
Once your sponsor has authorised your application, you will receive a confirmation email from the Royal College, and you will be asked to complete your application and proceed to payment.
How do I apply?
To apply you’ll need to complete the Royal College online application form. This form is only available during the published application dates and must be submitted prior to the closing date, if you miss the cut off, your application will not be considered.
You will need to provide the following:
Personal details
Primary Medical Qualifications & Registration
Training
Written paper selection
Sponsor evidence for Assessment Portfolio for Overseas Candidates
How much will it cost me?
To ensure you get a space on the exam, you have to apply online during the application window. Applications submitted after the closing date will be rejected.
At the end of your application you will be directed to an online payment system where you can pay be credit or debit card, so make sure you have your details ready.
Once your application is complete you will receive two confirmation emails, one to confirm receipt of the application and one to confirm the payment has been received.
The fees for MRCPsych CASC for 2021 are as follows:
PMPT Trainees and Affiliates - £1,004
Non-PMPT Trainees and Affiliates - £1,115
Where can I sit the CASC exam?
You can currently sit the CASC exam online and the final examination date for 2021 is 6-17 September.
Results from the CASC examinations will be released on 8 October 2021.
How do I prepare for the CASC examination?
With lots of materials online we have discussed with IMGs the best place to start looking for resources and materials relating to the exams. Most IMGs recommended starting with the Royal College, who have created useful resources to help you to prepare for the exams. See below:
Syllabus: We always suggest that this is the best place to start – plan your study around the curriculum topics and make a road map to your success in the exams.
Syllabus: summary of areas of core medical knowledge underpinning specialist training in psychiatry
Marking scheme (CASC): A good start with CASC preparation is to get to know how you will be assessed, take a look at the criteria for scoring a pass mark in CASC, as well as the History Marksheet, Management Marksheet and Examination Marksheet.
CASC examination guide: The Royal College have produced a helpful guide for candidates which provides information on stations, role plays and assessment.
CASC preparation videos: Here you will have the opportunity to see CASC stations in action. This will give you a good idea of what to expect and help you prepare.
CASC Blueprint: This helpful summary details stations in some detail and gives a useful overview of the exam format.
The Royal College also suggest taking a look at Passing the MRCPsych - an insider’s guide - a useful guide to help you to get over the first steps.
As ever at IMG Connect, we believe in preparation. In order to succeed in the clinical exam, IMGs have told us that it is vital that you practise your clinical examinations as frequently as possible, preferably under the supervision of a senior colleague. This will give you confidence in approaching and examining children with examiners present.
Passed? What next?
First of all, congratulations! After you have passed all parts of MRCPsych you can apply for a full registration with a license to practice. Once the GMC have approved your application, you can work as a doctor in the UK.
To help you find a job in the NHS simply follow these easy steps:
Register with IMG Connect
Fill in the 'Personal details' section.
Arrange a chat with your dedicated IMG Consultant
Sign up to receive 'job alerts’
Search our live Psychiatry jobs
Searching for psychiatry jobs in the NHS could not be easier
If you want to find out more about the many different psychaitry roles available within the NHS - it only takes a minute to register with IMG Connect and receive expert advice and representation. We have helped many overseas psychiatrists secure consultant, specialty doctor, registrar, clinical fellow and staff grade NHS jobs, whilst offering expert guidance to many more IMGs on NHS doctor pay, MRCPsych exams and English language testing. We’d be happy to help you!
MRCPsych CASC exam - dates, locations and fees
In response to the COVID-19 pandemic, the MRCPsych CASC exam is available online for all candidates, both international and UK trainees for the forseeable future.
Here we explore in brief the exam centres, dates, fees and how to apply online for the MRCPsych CASC exams in each venue.
Exam Dates
The next MRCPsych CASC Exam dates are 12-23 September 2022.
Results are expected to be published on 21 October 2022.
There are currently no in-person exams scheduled for MRCPsych CASC. Due to ongoing COVID-19 difficulties, overseas candidates who had planned to sit the MRCPsych CASC exam in either Singapore or Hong Kong are also invited to sit the online exam.
Examination Cost
Pre-Membership Psychiatric Trainees (PMPT) and affiliates of th College are entitled to a discount.
The cost of the examination is as follows:
PMPT Trainees and affilliates - £1,004
Non-PMPT trainees and affiliates - £1,115
For detailed information on payment, please see the related fees section on the Royal College website.
You can apply for the MRCPsych exam, or indeed the full roster of Royal College of Psychiatry examinations here.
IMGs from all over the world take the MRCPsych CASC examination in Sheffield (United Kingdom), Singapore and Hong Kong whilst on their journey towards securing a Psychiatry job in the NHS. If you want to discuss your options for MRCPsych or Psychiatry jobs in the NHS, get in touch with your IMG consultant team, who would be happy to answer any questions you may have.
To help you find a job in the NHS simply follow these easy steps:
Register with IMG Connect
Fill in the 'Personal details' section.
Arrange a chat with your dedicated IMG Consultant
Sign up to receive 'job alerts’
Search our live Psychiatry jobs
Searching for psychiatry jobs in the NHS could not be easier
If you want to find out more about the many different psychaitry roles available within the NHS - it only takes a minute to register with IMG Connect and receive expert advice and representation. We have helped many overseas psychiatrists secure consultant, specialty doctor, registrar, clinical fellow and staff grade NHS jobs, whilst offering expert guidance to many more IMGs on NHS doctor pay, MRCPsych exams and English language testing. We’d be happy to help you!
FRCPath in Medical Microbiology – an overview
Overseas Microbiologists wanting to secure a job in the UK via the postgraduate qualificaiton route will need to attain Fellowship of the Royal College of Pathologists or FRCPath in Medical Microbiology, a sub-specialty exam of FRCPath.
International Medical Graduates (IMGs) from any country in the world can sit the sub-specialty FRCPath in Medical Microbiology examinations, provided certain eligibility criteria are met. These are summarised below along with a broad look at the following topics:
What is FRCPATH in Medical Microbiology?
Eligibility for overseas doctors
FRCPath in Medical Microbiology structure and format
FRCPath in Medical Microbiology: Part 1
FRCPath in Medical Microbiology: Part 2
As an overseas candidate where can I take the exam and how much will it cost me?
How do I apply?
How to prepare and what resources are available
Passed? What next?
What is FRCPath in Medical Microbiology?
Set against the Medical Microbiology incorporating CIT curriculum, the examinations act as an early assessment of your understanding of the scientific basis of medical microbiology, virology and infectious diseases. The exams recognise microbiologists close to the end of their training who can demonstrate sufficient knowledge and technique for independent practice. In other words, completion of the full set of exams (Part 1 & 2) demonstrates your ability to work at consultant level.
The examinations are split into two parts:
Part 1 – single 3-hour paper with Multiple Choice Questions (MCQ)
Part 2 – four paper examination sat over two days
Eligibility for overseas doctors:
Below we outline the eligibility for overseas doctors looking to sit both FRCPath Microbiology exams. For international candidates, the eligibility criteria for FRCPath specialty examinations can be a little confusing when looking online so IMG Connect spoke to the Royal College directly to clarify this.
Time spent in microbiology training is stated as a requirement of eligibilty and the Royal College do consider equivalents to NHS training programmes though there is no list of countries with accepted or unaccepted training programmes. The royal college advises you should speak to your Educational Supervisor or Sponsor (if you have one) who can advise you if you are ready or eligible to sit the Examinations if you are unsure. Remember, there are many overseas doctors applying for all parts of the FRCPath exams so don’t be put off applying!
Top Tip: If you have the required months training in a recognised programme in your country for Histopathology specifically, the chances are you will be eligible.
Eligibility for Part 1: You are required to have trained in a recognised training programme in microbiology for a period of no less than 12 months.
Eligibility for Part 2: You must have passed the Part 1 examination and have had at least 3 years microbiology training in a recognised training programme in your country.
FRCPath Part 1 in Microbiology - structure and format:
The exam focuses in particular on the scientific basis of virology, microbiology and infection. The exam is set against both the medical microbiology and virology curriculum. It is a single three-hour objective MCQ examination, with computerised marking sat over one one day. Questions are in two formats:
One-best answer
Extended-matching-question
FRCPath Part 2 in Microbiology - structure and format:
Part 2 consists of four paper examinations sat over two days. The exam will be ‘closed book’ (i.e. NO textbooks, manuals, other written material or equipment
belonging to candidates may be used). Only reference material provided by the examiners may be used. These are as follows:
Paper 1 – two parts, 2.5 hours in total:
One essay from a choice of two questions, usually including laboratory management issues, antimicrobial stewardship, infection prevention or a combinatino of all.
One SAQ paper focused on clinical scenarios, infection prevention, laboratory practice and safety.
The essay is allocated one third of available marks for this paper. A closed marking scheme is used for the essay question.
Top Tip: A brief vignette with interpretation of clinical, laboratory or infection control data is a common format for SAQs.
Paper 2 - two parts, 2.5 hours in total:
Critical appraisal of a journal article
SAQ paper with similar content as Paper 1
The journal article is allocated one third of available marks for this paper
Paper 3 – one part in laboratory scenarios, 3 hours in total
Complex clinical and laboratory scenarios in microbiology and infection prevention.
Top Tip: Questions cover similar content to Paper 1&2 SAQs though the question format is longer, allowing for progression within each scenario to reflect evolving information encountered in clinical practice. Clinical and laboratory data and images may be presented, however there will be no practical manipulation of laboratory material.
Paper 4 – one part, 3 hours in total
Objective Structured Pathology Examination (OSPE) format.
Comprises of 15 stations, each of 9 minutes duration with variable rest stations.The exam allows for broad sampling of the curriculum and involves two face-to-face stations with a pair of examiners. The OSPE facilitates assessment of knowledge, application of knowledge, laboratory skills, and communication in scenarios encountered by microbiologists in clinical practice.
Pass criteria for FRCPath Microbiology Part 2 Exams:
In order to achieve an overall pass, you must achieve a pass in both combined scores for:
Papers 1+ 2
Papers 3 + 4
Failure of either of the two components will result in an overall fail. If you fail either of these two components, an overall fail result will be obtained and the entire examination will need to be taken at a future date. In other words, you cannot carry forward a pass in any part of the exam into subsequent sittings.
Where can I take the exams and how much will they cost me?
FRCPath in Medical Microbiology - Part 1:
In Spring 2021, the Part 1 examination will be offered using online delivery to candidates. This means you can take the exam remotely and will not need to travel overseas to sit the exam, or attend an examination centre. The College will deliver the written components of these examinations through a company called TestReach, the Oral components (including oral OSPE stations) will be delivered using a video-conferencing platform such as Zoom or Microsoft Teams and for the written examinations, candidates will be given the opportunity to trial the TestReach system to familiarise themselves with it ahead of the examination. You can read more about the new, remote examination process further here on our website. Previously, the Part 1 examination was sat in multiple overseas centres and once the pandemic is under better control globally, it is highly anticipated the Royal College will return to previous set-ups.
The FRCPath Part 1 exam costs £622. You can see how the Royal College breaks down the cost here on their website.
FRCPath in Medical Microbiology - Part 2:
Currently it can only be sat in the UK. Availability of overseas Part 2 examination centres will be indicated on the website and candidates should contact the Examinations Department to express their interest in taking the examination in the available centre. In 2021 no overseas Part 2 examinations will take place in the Spring session, and it is highly unlikely an overseas centre will be available for Microbiology in 2021.
The FRCPath Part 2 exam costs £1,308. You can see how the Royal College breaks down the cost here on their website.
How do I apply?
Applications must be made via the Royal College of Pathologists website, with applications only available once an application window is opened by the Royal College.
How to prepare and what resources are available?
With lots of resources available online, we have discussed with consultants the best place to start looking for materials relating to the exams. Most recommended starting with the Royal College, who have created useful resources to help you to prepare for the exams.
Below we have included resources available through the Royal College and a few other resources recommend by doctors that have passed.
Curriculum: The content of the exam is set against the Curriculum for Specialty Training in Medical Microbiology. This curriculum incorporates the Combined Infection Training developed in conjunction with the Joint Royal Colleges of Physicians Training Board. Part A is set against both the medical microbiology and virology curriculum.
TOP TIP: We recommend getting to know the curriculum as early as possible and using it as a road map for your study plan. This advice comes directly from one of the RCPath examiners/
Regulations and Guidelines: Before applying for FRCPath examinations, the Royal College recommends you read both the General & Specialty Specific regulations and guidelines:
General Regulations and Guidelines
Royal College - Medical Microbiology Regulations & Guidelines
Past papers: Test your knowledge using example questions from the current exam syllabus provided by the Royal College:
Medical Microbiology and Virology - Part 1 MCQ & EMQ
Medical Microbiology Part 2 – OSPE
Medical Microbiology Part SAQ
Medical Microbiology Part 2 – Paper 3
Medical Microbiology Part 2 – Essay
Medical Microbiology Part 2 - Journal
On-the-day Exam Advice:
Part 2 – food and drink: With multiple exams taking place for Part 2 in one day bring supplies! It will be a long day and there may not be access to food.
Hiring a microscope: For Part 2 you will be required to sit examinations in the UK and will require a microscope. The examination centres will not provide equipment for any applicants so you will need to hire a microscope in advance.
There are a few companies easily accessible through a web search, find a microscope and book well in advance of the exam. You can arrange for the company to drop off and pick up the microscope from the exam centre, don’t worry!
Top Tip: At IMG Connect we recommend speaking to anyone you know who has sat and passed the exam and get their personal hints and tips. We would also be happy to help you arrange anything you need for the exam day.
I passed the FRCPath Medical Microbiology exam! What next?
First of all, congratulations! After you have passed all parts of FRCPath in Medical Microbiology you can apply for full registration with a license to practice. Once the GMC have approved your application, you can work as a doctor in the UK.
Searching for Medical Microbiology & Virology jobs in the NHS could not be easier
If you want to find out more about the many different Microbiology roles available within the NHS - it only takes a minute to register with IMG Connect and receive expert advice and representation. We have helped many overseas Medical Mircobiologists secure consultant, specialty doctor, registrar, clinical fellow and staff grade NHS jobs, whilst offering expert guidance to many more IMGs on NHS doctor pay, FRCPath exams and English language testing. We’d be happy to help you!
FRCPath in Histopathology – an overview
Overseas Histopathologists wanting to secure a job in the UK via the postgraduate qualificaiton route will need to attain Fellowship of the Royal College of Pathologists in Histopathology or FRCPath in Histopathology, a sub-specialty exam of FRCPath. FRCPath is the UK qualification and a GMC Recognised postgraduate route.
International Medical Graduates (IMGs) from any country in the world can sit the sub-specialty FRCPath in Histopathology examinations, provided certain eligibility criteria are met. These are summarised below along with a broad look at the following topics:
What is FRCPath in Histopathology?
Eligibility for overseas doctors
FRCPath in Histopathology structure and format
FRCPath in Histopathology: Part 1 - MCQ/EMQ
FRCPath in Histopathology: Part 2 - Practical Examination
As an overseas candidate where can I take the exams and how much will it cost me?
How do I apply?
How to prepare and what resources are available?
Passed? What next?
What is FRCPATH in Histopathology?
Set against the Curriculum for Specialty Training in Histopathology, the examinations are designed to recognise histopathologists close to the end of their training who can demonstrate sufficient knowledge and technique for independent practice. In other words, completion of the full set of exams (Part 1 & 2) demonstrates your ability to work at consultant level.
Eligibility for overseas doctors:
Below we outline the eligibility for overseas doctors looking to sit both FRCPath Histopathology exams. For international candidates, the eligibility criteria for FRCPath specialty examinations can be a little confusing when looking online so IMG Connect spoke to the Royal College directly in an effort to clarify this.
Time spent in histopathology training is stated as a requirement of eligibilty and the Royal College do consider equivalents to NHS training programmes though there is no list of countries with accepted or unaccepted training programmes. The royal college advises you should speak to your Educational Supervisor or Sponsor (if you have one) who can advise you if you are ready or eligible to sit the Examinations if you are unsure. Remember, there are many overseas doctors applying for all parts of the FRCPath exams so don’t be put off applying!
Top Tip: If you have the required months training in a recognised programme in your country for Histopathology specifically, the chances are you will be eligible.
Eligibility for Part 1:You are required to have trained in a recognised training programme in Histopathology for a period of no less than 12 months.
Did you know? Candidates who have passed the FRCPath Part 1 examination in Histopathology who, after appropriate training, can attempt the Part 2 examination in one of the following: Forensic Pathology, Neuropathology or Paediatric Pathology.
Eligibility for Part 2: The Royal College expects you to have at least three years of specialty training specific to Histopathology in your own country. Furthermore, the Royal College strongly advises candidates to attempt Part 2 at least 12 months after passing Part 1.
FRCPath in Histopathology structure and format:
The FRCPath examinations consist of two parts:
Part 1 – One paper comprised of 125 multiple choice questions (SBAs and EMQs)
Part 2 – six-part practical examination held over two consecutive days.
Part 1 examination:
FRCPath Histopathology Part 1 One comprises of 125 multiple choice questions in both single-best-answer (SBAQs) and extended-matching-questions (EMQs).
The exam is orientated towards assessing your overall knowledge and understanding of:
histopathology/cytopathology
basic science underpinning pathology (inc. molecular biology)
full range of autopsy practices undertaken in an NHS District General Hospital
Part 2 Practical Examinations:
The exams consists of six components taken over two days, summarised below:
Part 2 Practical examinations
Surgical history
20 cases in 20-minute slots
Cytopathology
8 cases in 20-minute slots
Macroscopic pathology
4 cases with 20-minute reviews followed by 20-minute discussions
OSPEs
2 20-minute stations
Long cases
4 20-minute stations
Frozen sections
6 cases in 2, 20-minute stations.
One meeting with examiners in separate 20-minute station.
Surgical history: 20 cases are provided in 10 pairs of haematoxylin and eosin (H&E) stained slides in 20-minute slots over 3-hours 20 minutes of the second morning. The cases will represent a range of difficulties, with some proving complex cases requiring detailed description, differential diagnosis and special techniques or cases not diagnosable on a single H&E.
Cytopathology: Held on the first morning of the exam. Eight non-gynaecological cytology cases will be provided in pairs in 20-minute slots.
Macroscopic Pathology: This part is designed to allow candidates to demonstrate their capabilities in discussing gross pathology and familiarity with block selection in the context of the RCPath Minimum Datasets. Four cases provided in the form of photographs of gross pathology specimens. Two 20-minute slots will be provided for 2 cases, followed by 20-minute discussions with 2 examiners.
OSPEs: 2 x 20-minute stations. One of which is conducted face-to-face with 2 examiners while the other is a written exercise only. Possible topics can include management/clinical governance type and MDT type cases.
Long cases: 4 x 20-minutes stations provided on the first afternoon including cases which cannot conventionally be covered in a single H&E stained section.
Frozen sections: 6 cases viewed in 2 x 20-minutes stations (3 cases per station) before meeting with a pair of examiners in a 20-minute station. You need to take notes and be able to provide the examiners with a bottom-line diagnosis only, to form basis for discussion in face to face meetings.
Where can I take the exams and how much will they cost me?
The COVID-19 pandemic has caused disruption to Royal College exams across all specialties, and unfortunately the RCPath exams have been affected also. For the most up-to-date news on the RCPath examinations please refer to their website here.
FRCPath Part 1 (current COVID-19 arrangements): In 2022, the Part 1 examination will be offered using online delivery to candidates. This means you can take the exam remotely and will not need to travel overseas to sit the exam, or attend an examination centre. The College will deliver the written components of these examinations through a company called TestReach, the Oral components (including oral OSPE stations) will be delivered using a video-conferencing platform such as Zoom or Microsoft Teams and for the written examinations, candidates will be given the opportunity to trial the TestReach system to familiarise themselves with it ahead of the examination. You can read more about the new, remote examination process further here on our website.
Previously, the Part 1 examination was sat in multiple overseas centres and once the pandemic is under better control globally, it is highly anticipated the Royal College will return to previous set-ups.
The FRCPath Part 1 exam costs £622. You can see how the Royal College breaks down the cost here on their website.
FRCPath Part 2 (current COVID-19 arrangements): Part 2 exams will be held in person in the UK in 2022. There will be no online delivery for the exam.
Keep an eye on the RCPath website for the most up-to-date news on the exams.
The FRCPath Part 2 exam costs £1,308. You can see how the Royal College breaks down the cost here on their website.
How do I apply?
Applications must be made via the Royal College of Pathologists website, with applications only available once an application window is opened by the Royal College. This is usually twice a year, in SPrin and in Autumn.
How do I prepare for RCPath exams and what study resources are available?
With lots of resources available online, we have discussed with consultants the best place to start looking for materials relating to the exams. Most recommended starting with the Royal College, who have created useful resources to help you to prepare for the exams.
Curriculum: Questions are set against the Curriculum for Specialist Training in Histopathology We recommend getting to know the curriculum as early as possible and using it as a road map for your study plan.
Regulations and Guidelines: Before applying for FRCPath examinations, the Royal College recommends you read both the General & Specialty Specific regulations and guidelines:
General Regulations and Guidelines
Royal College - Histopathology Regulations & Guidelines
Sample Questions:Testing yourself against previous exam questions is always a recommended way to prepare. Histopathology Part 1 sample questions
Cancer Datasets and Tissue Pathways: The College’s datasets for Histopathological Reporting on cancers have been written to help pathologists work towards a consistent approach for the reporting of the more common cancers and to define acceptable practices in handling pathology specimens. Whilst these are not specific to FRCPath examinations they are certainly relevant to the wider practice in histopathology.
IMG Connect advice:
Part 2 – food and drink:With multiple exams taking place for Part 2 in one day bring supplies! It will be a long day and there may not be access to food.
Hiring a microscope: For Part 2 you will be required to sit examinations in the UK and will require a microscope. The examination centres will not provide equipment for any applicants so you will need to hire a microscope in advance. There are a few companies easily accessible through a web search, find a microscope and book well in advance of the exam. You can arrange for the company to drop off and pick up the microscope from the exam centre, don’t worry!
I passed the FRCPath exams! What next?
First of all, congratulations! After you have passed both parts of FRCPath in Histopathology you can apply for a full registration with a license to practice. Once the GMC have approved your application, you can work as a histopathologist in the UK.
Don’t hesitate to get in touch with an IMG Consultant to discuss UK job options in Histopathology, including discussions regarding a typical doctor salary in the UK and the most suitable locations for you.
The Royal College makes it clear that individuals who reach the standard required to pass the FRCPath examination in their chosen specialty are deemed to have the necessary professional competence to practice unsupervised. FRCPath also greatly contributes to the Certificate Confirming Eligibility for Specialist Registration (CESR), the alternative route to the Specialist Register for doctors who do not complete their training in an approved UK training programme.
FRCEM Intermediate results day - what next?
The MRCEM Part B or FRCEM Intermediate exam is tough....
Success in these exams is a challenge and all Emergency Medicine doctors deserve credit for getting to this stage. Whether your passed or failed, here we'll offer some suggestions on what to do next:
Passed FRCEM Intermediate? Click here.
Not passed FRCEM intermediate? Click here.
I passed the FRCEM Intermediate Certificate exam:
First things first, you deserve to celebrate and get some rest. No doubt you wherever you are, you are dealing with the coronavirus and will not be able to celebrate in the way that you would wish. But from us at IMG Connect, congratulations! Doctors who have attained full MRCEM and secured a job in the NHS tell us that the FRCEM Intermediate is a very tough examination, so well done! Your hard work has paid off.
Once you are feeling relaxed, this is a good time to think about what steps you need to take to complete full MRCEM. For most overseas doctors, this will mean taking the final MRCEM OSCE exam and whilst all OSCE centres are currently closed it takes most doctors at least six to nine months to prepare for the exam anywa. The COVID-19 coronavirus should be over once your are ready to take the exam in 6 - 12 months time.
So what is the MRCEM OSCE?
Like the intermediate exam, the MRCEM OSCE requires a considerable amount of revision and preparation. However, as you know the format is very different, so your preparation will change.
The MRCEM OSCE consists of 18 stations (16 patient encounters & 2 rest stations), each one lasting for about 7 minutes. The MRCEM OSCE exam will not only test your theoretical knowledge, but also your resus skills and communication skills. Even candidates who are working in an emergency medicine department (ED or ER) often find these OSCEs difficult. Even if you have a strong background knowledge in Emergency Medicine the exams can still be tricky due to a heavy reliance on testing your communication skills and etiquette.
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How has the COVID-19 coronavirus afffected MRCEM exam centres & dates?
The Royal College of Emergency Medicine took the difficult decision to many events due to be held in 2020.
As of 2021, the College has introduced a number of online invigiliation/ computer test centres and hybrid exams to its schedule, as well as in person exams in certain locations, namely London, and Chennai and Hyderabad in India.
Key dates to be aware of for upcoming exams are:
FRCEM Final OSCE - this will be held in London from 1-10 Novermber 2021, with the results for this exam to be published by 5pm on 17 December 2021.
For up-to-date information on exam dates, keep an eye on the examination section of the Royal College website.
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How to preparation for MRCEM OSCE?
Preparation is therefore vital for all doctors who intend to take the MRCEM OSCE (part C) exam. This can be broken down into the following:
Practical day-to-day work (colleague observations & feedback, peer groups, study groups)
Online revision resources (subscriptions, reading materials, tutorials, videos)
Courses (face to face, online)
In general, emergency medicine course tutors advise setting aside at least 2-3 months preparation in addition to your Emergency Medicine experience.
Resources, courses and revision materials:
We are often asked by Emergency Medicine doctors where they should look for resources, online revision materials, OSCE mock stations and preparation courses (online and face to face).
As such, we have we have compiled the best advice, tips, courses and resources suggested by Emergency Medicine doctors who have taken the MRCEM and FRCEM exams.
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Where can I take the MRCEM OSCE exam?
Overseas doctors (IMGs) can sit the final MRCEM OSCE exam in three locations: the UK, India and Malaysia. However the Royal College has suspended all upcoming test dates and centres due to the COVID-19 coronavirus.
I did not pass the FRCEM Intermediate Certificate exam:
If you did not pass the FRCEM intermediate exam - don't worry! The overall pass rate is 35% which is roughly half of the MRCEM OSCE pass rate. This is a tough exam so don't worry to much, take some time out to relax and enjoy life. These moments where you don't succeed at the first, or second time, will only make you stronger and a better doctor in the long run. As the British say, chin up and strong upper lip!
At IMG Connect we've take the time to prepare and collate the best preperation resources for the FRCEM Intermediate Certificate exam - we would be delighted to share these with you. Click on the buttons below to either register with the IMG Connect team so we can talk you through this or request the FRCEM Intermediate resources to help you pass the next time - without fail!
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If you have any questions about how to secure an NHS job in Emergency Medicine or prepare for the FRCEM Intermediate exam or MRCEM OSCE (including advice on dates, fees, courses, resources, mock scenarios, online materials and revision books) then don’t hesitate to get in touch with an IMG Consultant.
How has the COVID-19 coronavirus afffected MRCEM exam centres & dates?
The Royal College of Emergency Medicine took the difficult decision to cancel all events for the months of April, May and June following the escalation of the virus. As the UK and most of the world remain in some form of lockdown, the Royal College has not announced when it is expecting to open up it's centres again. Understandably this will be tied into government advice and that of the WHO whilst most examiners involved in the OSCE examinations will be tied into urgent clinical duties.
IMG Connect is keeping a very close eye on the examination schedule and will keep all our IMGs informed as soon as the College publishes some updates. You can find the updated exam schedule here.
However, this does not mean you cannot use the time to prepare for your OSCE!
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CESR Applications for NHS Dermatology Consultants
In this article we look at the guidance on dermatology evidence required for CESR applications...
Much evidence must be submitted, and you will only get a full picture of what you specifically require once you've spoken with the GMC and Royal College of Phsyicians. However, here we broadly discuss the evidence required to submit a complete application for entry onto the specialist register with a certificate of eligibility for specialist registration in dermatology.
What is CESR in Dermatology in the NHS?
As a Dermatology specialist, attaining CESR will mean you are qualified to practice at consultant level in the NHS in Dermatology.
Have a read through our CESR articles found in the IMG Library to understand a little more.
Do I need MRCP to attain CESR in Dermatology?
No, whilst it is always a benefit to attain MRCP and you may have already attained MRCP as by ways of registering with the GMC, you do not require MRCP to attain CESR in Dermatology.
Any doctor wishing to attain Specialist Registration via the CCT route must attain MRCP (UK).
What is the indicative period of training for a CCT in Dermatology?
The indicative period of training for CCT in Dermatology is four years full-time training and it is highly unlikely that a CESR applicant with limited experience, applying directly from outside the UK, could achieve these competencies in less time.
Experienced dermatologists who take a consutlant position in the NHS, with support of their department, can attain CESR in much less time with the right focus and clarity on what they need to sign off.
What is the CCT training pathway?
The structure of the CCT training programme is:
2 years in Core Medical Training OR
Acute Care Common Stem (ACCS) OR
LEVEL 1 PAEDIATRICS (ST1-3)
How does IMT fit into this? CMT no longer exists as of Aug 2019.
Followed by:
4 years training in Dermatology
Therefore, CESR applicants need to demonstrate they have achieved the competencies in both of these areas.
Where experience has not provided adequate experience in the diagnosis and ongoing inpatient management of patients with a broad range of general medical problems, this will need to be completed to a level equivalent to the experience gained in Core Medical Training before the specialist curriculum may be followed.
For complete details refer to the Dermatology Curriculum documentation.
Submitting Evidence
Do not submit original documents – this is very important.
All your copies, other than qualifications you’re getting aunthenticated must be accompanied by a proformas signed by the person who is attesting to the validity and accuracy of your evidence (your verifier).
It is very important that you read an explanation of how to do this in the GMC’s important notice about evidence.
How much evidence should you submit?
The GMC recognises that doctors will often not have all the evidence required for a complete CESR application, often many doctors will start their application and delay starting their application until they are able to gather all the evidence.
The evidence must cover the knowledge, skills and qualifications to demonstrate the required competencies in all areas of the Dermatology Curriculum documentation.
If evidence is missing from any one area of the curriculum, then the application will fail.
If you have a piece of evidence that is relevant to more than one domain, do not include multiple copies in your bundle. Instead include one copy and list it in your evidence list under each relevant area, stating that the document is located elsewhere.
The GMC asks that only evidence that is strictly relevant is sent as it will help them to process the application quicker. The guidance on compiling your evidence will help you to decide what is relevant and what is not – make sure you are reading the latest version on the GMC website – here.
It is important to note that evidence that is more than five years old will be given less weight than more recent evidence, so you may not need to include it.
As a general guide, an application for CESR could expect to see around 800-1000 pages of evidence.
The types of evidence are divided into four different domains, the GMC recommends that you apportion the evidence provided as per the pie chart below:
Please note, you cannot compensate for evidence lacking in one area by providing more evidence in another area.
Make sure to anonymise your evidence:
It is very important to anonymise your evidence before submitting it to the GMC.
You must remove the following:
All patient identifying details
Details of patients’ relatives
Details of colleagues that you have assessed, written a reference for, or who have been involved in a complaint you have submitted. This includes:
Names (first and last)
addresses
contact details such as phone numbers or email addresses
NHS numbers & other individual patient numbers
GMC numbers
In Summary:
If you have any questions or uncertainties, please do not hesitate to get in touch with the IMG Connect team. However, your official point of reference for any queries should the GMC – they can answer and provide the most updated information on CESR applications for senior Dermatologists looking to work as NHS Consultants in Dermatology.
NHS CESR Applications for Clinical Oncology Consultants
In this article we look at the specific guidance on documents supplied in evidence for an application for entry onto the Specialist Register for Clinical Oncology with a Certificate of Eligibility for Specialist Registration or CESR.
What is CESR in Clinical Oncology in the NHS?
As a Clinical Oncology specialist, attaining CESR will mean you are qualified to practice at consultant level in the NHS in Clinical Oncology. Have a read through our CESR articles found in the IMG Library to understand a little more.
Do I need MRCP or FRCR to attain CESR in Clinical Oncology?
Not necessarily. Whilst it is a benefit to attain MRCP and FRCR, and you may have already attained MRCP or FRCR as your route to GMC registration, you do not necessarily require both or either to attain CESR in Clinical Oncology.
Any doctor wishing to attain Specialist Registration via the CCT route must attain MRCP(UK) and then FRCR.
What is the indicative period of training for a CCT in Clinical Oncology?
The indicative period of training for a CCT in Clinical Oncology is six years and it is highly unlikely that you would achieve the competencies required for a CCT in a shorter period of time.
This training consists of the following:
2 years in Core Medical Training OR
3 years in Acute Care Common Stem (ACCS) OR
AND
Five years training in Clinical Oncology comprising:
3 years core/intermediate clinical oncology training
2 years advanced clinical oncology training
Advanced training covers tumour site specialisation and trainees are expected to specialise in and acquire advanced competencies in at least two tumour sites. The minimum period required for site specialisation is at least six months in each site specialty.
CESR applicants must demonstrate that they have achieved the competencies in each of these areas. The list is given for example purposes and is not exhaustive. For the full list refer to the Clinical Oncology Curriculum documentation.
Submitting Evidence
Do not submit original documents – this is very important.
All your copies, other than qualifications you’re getting authenticated must be accompanied by a proformas signed by the person who is attesting to the validity and accuracy of your evidence (your verifier).
It is very important that you read an explanation of how to do this in the GMC’s important notice about evidence.
How much evidence should you submit?
The GMC recognises that doctors will often not have all the evidence required for a complete CESR application, often many doctors will start their application and delay starting their application until they are able to gather all the evidence.
The evidence must cover the knowledge, skills and qualifications to demonstrate the required competencies in all areas of the Clinical Oncology Curriculum. If evidence is missing from any one area of the curriculum, then the application will fail.
If you have a piece of evidence that is relevant to more than one domain, do not include multiple copies in your bundle. Instead include one copy and list it in your evidence list under each relevant area, stating that the document is located elsewhere.
The GMC asks that only evidence that is strictly relevant is sent as it will help them to process the application quicker. The guidance on compiling your evidence will help you to decide what is relevant and what is not – make sure you are reading the latest version on the GMC website – here.
It is important to note that evidence that is more than five years old will be given less weight than more recent evidence, so you may not need to include it. As a general guide, an application for CESR could expect to see around 800-1000 pages of evidence.
The types of evidence are divided into four different domains, the GMC recommends that you apportion the evidence provided as per the pie chart below:
Please note, you cannot compensate for evidence lacking in one area by providing more evidence in another area.
Make sure to anonymise your evidence:
It is very important to anonymise your evidence before submitting it to the GMC. You must remove the following
All patient identifying details
Details of patients’ relatives
Details of colleagues that you have assessed, written a reference for, or who have been involved in a complaint you have submitted. This includes:
names (first and last)
addresses
contact details such as phone numbers or email addresses
NHS numbers & other individual patient numbers
GMC numbers
In Summary:
If you have any questions or uncertainties, please do not hesitate to get in touch with the IMG Connect team. However, your official point of reference for any queries should the GMC – they can answer and provide the most updated information on CESR applications for overseas Clinical Oncologists looking to work as NHS Consultants in Clinical Oncology.
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Workshops - adapting to UK medical practice
It is a good idea for all international doctors new to working in the UK to attend a workshop, course or training programme aimed at helping doctors understand the ethical challenges faced in UK practice. We advise all IMGs to take part in the GMC workshop - 'Welcome to UK Practice'
In this short article we will explore why, focusing on the GMCs ‘Welcome to UK Practice’ training programme.
The NHS relies on overseas doctors to deliver the highest quality of healthcare, and so are now taking extra steps to ensuring that they are addressing some of the vital aspects of settling into the system that have perhaps been missed in the past, and that other healthcare systems perhaps don’t offer. As such the GMC have considered the following questions:
how to provide a better induction so that doctors can practice safely
how do we help doctors to work to a different set of social norms, such as when dealing with confidentiality and consent
how do we ensure that overseas doctors have a successful first year in the NHS
In doing so they have established the free training programme ‘Welcome to UK Practice’, which is designed to help doctors adjust and adapt to work in the UK, and subsequently the NHS. It addresses the fact that there can be differences in practicing medicine across the world, as well as the time it can take to adjust to a new culture at work. It offers practical workshops and guidance through ethical scenarios, as well as the opportunity to work with and meet other IMGs coming to practice in the UK.
The GMC also offer workshops designed to guide doctors with their practice, covering topics such as confidentiality, raising a concern, use of social media, consent & making joint decisions, and leadership & management.
We recommend attending the ‘Welcome to UK Practice’ course before you start working in the UK
Or the very least just after you start your new post in the NHS. Not only will this give you a boost in terms of how to approach your new role, working with peers, senior colleagues and patients, but it will also give you a chance to discuss your concerns with doctors in similar situations. It is a great forum and platform for a successful first year in the NHS.
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MRCEM OSCE (Part C) – preparation, revision, resources and courses
The MRCEM OSCE exam requires a considerable amount of revision and preparation....
And we are often asked by Emergency Medicine doctors where they should look for MRCEM OSCE resources, online revision materials, mock stations and preparation courses.
Here we compile the best advice, tips, courses and resources available for the Membership of the Royal College of Emergency Medicine (MRCEM) OSCE exam whilst also address some understandable concerns about the effect of COVID-19 on availability of test centres and upcoming exams.
What is the MRCEM OSCE?
The MRCEM OSCE consists of 18 stations (16 patient encounters & 2 rest stations), each one lasting for about 7 minutes. The MRCEM OSCE exam will not only test your theoretical knowledge, but also your resus skills and communication skills. Even candidates who are working in an emergency medicine department (ED or ER) often find these OSCEs difficult. Even if you have a strong background knowledge in Emergency Medicine the exams can still be tricky due to a heavy reliance on testing your communication skills and etiquette.
Preparation is therefore vital for all doctors who intend to take the MRCEM OSCE (part C) exam. This can be broken down into the following:
Practical day-to-day work (colleague observations & feedback, peer groups, study groups)
Online revision resources (subscriptions, reading materials, tutorials, videos)
Courses (face to face, online)
In general, emergency medicine course tutors advise setting aside at least 2-3 months preparation in addition to your Emergency Medicine experience.
How has the COVID-19 coronavirus afffected MRCEM exam centres & dates?
The Royal College of Emergency Medicine took the difficult decision to cancel all events for the months of April, May and June following the escalation of the virus. As the UK and most of the world remain in some form of lockdown, the Royal College has not announced when it is expecting to open up it's centres again. Understandably this will be tied into government advice and that of the WHO whilst most examiners involved in the OSCE examinations will be tied into urgent clinical duties.
IMG Connect is keeping a very close eye on the examination schedule and will keep all our IMGs informed as soon as the College publishes some updates. You can find the updated exam schedule here.
However, this does not mean you cannot use the time to prepare for your OSCE!
So how to get started?
The first step is to ensure you are familiar enough with the Royal College of Emergency Medicine Curriculum (2015), and to use this to create your study plan covering the whole curriculum, whilst also identifying areas of weakness to strengthen.
Take a look through Mastering Emergency Medicine – a practical guide to re-enforce your solid background in Emergency Medicine knowledge before you start approaching the stations. Note that this book was first published in 2009, and some aspects may be slightly outdated.
Familiarise yourself with the stations, techniques and format by watching online videos and tutorials - you can find both free and paid tutorials online.
YouTube has many great videos available to get you started, covering basics of examination and OSCE guides through to mock OSCE scenarios:
Mcleods Examination videos (Basics of examination)
OSCE guides - Geeky Medics
Bromley webinars and tutorials
Watching these videos before you start your practice sessions (and then repeatedly throughout your study plan) will give you a huge boost.
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Resources for Emergency Medicine OSCE support
General advice is to use a variety of resources, including reading materials, online subscriptions to videos and tutorials, podcasts and videos. The following have helped IMGs on their journey to successful completion of the MRCEM OSCE:
Bromley Emergency Courses online tutorials:
Revision communication videos
Revision examination videos
Revision procedure videos
MRCEM OSCE course Podcast
Geeky Medics – Emergency Medicine
Practical work - peer groups and senior colleague observations
The best way to practice and solidify what you have learnt from your studies is to organise group sessions and observations at work.
Observations at work
Ask senior colleagues to observe and offer feedback to you on a regular basis on the EM ward. Receiving quality feedback in a formal setting is widely regarded as fundamental to your advances in emergency medicine practice.
Group sessions
When organising a peer group of Emergency Medicine OSCE aspirants, advice is to have a maximum of three/four persons per group. Three works very well because you can each play a role during role play sessions.
When conducting role plays, you may want to organise yourselves as follows:
Patient (use instructions for the actor provided in the textbooks, remember each patient has a back story and there are many aspects the actor must show, including emotion)
Exam Candidate
Examiner (takes notes, observes, marks the checklist and gives immediate and detailed feedback on all aspects of the marking sheet)
Remember to take turns and swap roles, work as the patient, exam candidate and the examiner. Stick to the exam format, for example set a time limit of about 7 minutes which will allow you to get a clear understanding of how to pace yourself and finish before 7 minutes. Remember not to be too fast, or too slow, helping you to make every second count.
Feedback is crucial to improving your practice. As you practice together, look at the checklists after you perform each station and find out if you are missing anything.
When taking up the examiner role ensure to give detailed feedback covering all marking criteria (intro, examination, body language and winding up - the four key areas that can improve your score). Once the examiner has delivered their feedback, discuss as a group, considering how to improve in all aspects of the exam criteria.
Build stamina
Once you have a routine in place for peer group practical OSCE simulations, build up towards completing a full set of stations. This should be done for each member of your group. The exam can be tiring, which can in turn affect your performance on the day of the exam. For example, if exhausted at the final stations, it can be hard to maintain your clear communication and positive body language, so a full run through will help you to understand what it will be like on the day and what you need to do to ensure that you are consistently performing.
Record sessions
Try recording your group scenarios. IMGs who have done this repeatedly informed us that this was one of the single most important methods for seeing first-hand how to improve. We are after all our own worst critics! Take notes on the way you enter the room, move, talk, express yourself, your non-verbal cues, body language and interactions.
Take a course
There are various workshops organised by expert course tutors in Emergency Medicine designed to help you pass. You can find these online and anecdotal evidence suggests that taking a face to face course improves your chances of passing the MRCEM OSCE exam.
Speak to an IMG Consultant to check what courses might be suitable for you, if there is not a course where you live, it may be possible for us to organise one for you and your peers.
Is a course necessary?
Many overseas doctors preparing for their FRCEM or MRCEM Emergency Medicine examinations wonder if they should take a course as part of their preparation. In short, we advise that all IMGs should attend as many courses as possible. The knowledge gained on an MRCEM or FRCEM course goes well beyond the exam.
One issue is of course that courses cost a considerable amount of money, but if you consider that taking a course increases your chances exponentially of passing the examinations first time, the cost is offset by not having to pay to re-sit and all the additional costs that come with it (i.e. flights & accommodation).
Finding courses can be tricky
So take some time to work out what you specifically need help with and the stage you are at in the process. Search online to find the course that will suit your needs the most.
Speak to your peers, some may have attended a course that they felt had a positive impact on the learning and preparation.
Once you think you have found a course that suits your needs, such as an MRCEM OSCE course, check reviews posted by other IMGs to be sure of the quality of the tutoring.
If you have found a course that suits your needs, has good reviews recommendations from your peers, then it will likely be worth the investment. As a direct result you will likely pass the exams much quicker, helping you to secure the Emergency Medicine job that you want in the NHS.
On the day of exam - tips from IMGs
Passing any exam is not easy, passing the Membership of the Royal College of Emergency Medicine (MRCEM) OSCE examination even more so. In speaking with IMGs about their journey through the MRCEM OSCE exams, we have heard many thoughts about what it takes to pass. To help IMGs preparing to take the test, here we share some tips from past examinees and OSCE course tutors.
Firstly, it is good to know that every IMG taking the test is in the same position as you, perhaps anxious about how to prepare and worried about the exam day. We are told that the exam is just an ordinary day on the ward, so why then do so many excellent practicing EM physicians struggle to pass at first attempt?
It is perhaps important to say that the advice below is not just from not just those IMGs who passed first time, but from those who had to learn from their mistakes and take the test a second or even third time.
The most common thing that we hear is that IMGs must adapt their skill set to the requirements of the NHS system as well as changing their mindset to be able to work under intense observation.
Further reasons they struggle are:
1. Anxiety
Experiencing anxiety during exams is completely natural and the fact that the OSCE stations are only 7 minutes adds to this in the Part C. The only way to combat exam anxiety is to accept that is both natural and inevitable. The best way to prepare and suppress the adrenergic surge is with practice, practice and more practice. The best way to practice is under exam conditions and if possible, this should be timed and observed by different examiners.
We are not of the opinion that this practice should be done last minute in the week before the exam, instead, your practice should start long before this point. Ask your senior colleagues in the ED to observe and comment upon your history taking and examination skills. If you can get into a routine of doing this with 3 to 5 patients per day you will be able to run through nearly all of the most likely scenarios in only 12 shifts. Another great strategy is to teach OSCEs to the more junior doctors within the department. Teaching can be a powerful learning tool and has helped many aspirants with their revision.
2. Lack of practice
Make no mistake – the exam is very tough. Over 50% of candidates failed the 2016 sitting. Unless you are freakishly good at cramming you will need to set aside at least 3 months to prepare. IMGs will all study in different ways. Remember you have been through many exams all on your own. Whatever revision method works for you, stick to it. Once you know that you are going to study, make a revision plan and stick to it.
Practice in any way that you can. As above, be sure to ask senior colleagues to observe and offer feedback to you on a regular basis on the EM ward.
To practice out of work, form a small group of colleagues who are also taking the test and run through role plays, taking turns to be patient, doctor or examiner.
Pay careful attention to time keeping as it is very common for candidates to run out of time, particularly in history taking and communication skills stations.
3. Lack of familiarisation with curriculum
If you don’t know what you could be tested on, you won’t know what to prepare. The MRCEM OSCE is mapped to the competences of Year 1-3 of the Emergency Medicine 2015 Curriculum which is available on the 2015 Curriculum page. You should familiarise yourself with the Year 1-3 competences in preparation for sitting this examination.
4. Not being able to communicate effectively
Many IMGs have made the mistake of thinking that communication is only about what you say, not considering how you say it, and what you look like when you are saying it. Of course, you may be anxious, which can make you behave differently and say things in a different way. So, if you have practiced as above, make sure you incorporate practicing communicating not just focusing on what you say, but also your body language when saying it. Remember that between 70% of our communication is non-verbal!
Try to speak audibly and clearly and if at all possible, sit at the same level as the patient with an open posture. Attempt to make a connection with the patient, maintain good eye contact and give them your undivided attention. Treat actors and mannequins as if they are real patients, interact with them in the same way that you would on the EM ward.
Be direct and to the point but deliver any bad news in a sensitive and empathetic manner. Always check whether the patient has understood what you have said and ask if they have any questions.
5. Reading and deciphering the instructions
It is vitally important to read the instructions very carefully before entering a station. Easy marks are frequently lost by nervous or over-confident candidates that have overlooked key information or made assumptions by misreading. This is a mistake many IMGs have made, so learn from their mistakes and be sure to read everything carefully. Once read, make a plan of how you will approach the scenario. Once your minute is up… deep breath and smile!
If you have any questions about how to prepare for the MRCEM OSCE exam, including advice on courses, resources, mock scenarios, online materials and revision books, then don’t hesitate to get in touch with an IMG Consultant.
CLICK HERE & REGISTER FOR FREE & UP TO DATE MRCEM RESOURCES
IMG Jobs
Search and find live emergency medicine NHS doctor jobs in the UK
IMG Resources
Read more useful articles on finding an NHS trust doctor jobs, doctor salary & relocation for emergency medicine specialists
Get in Touch
Don’t hesitate to get in touch using the buttons above (and below) to discuss emergency medicine doctor job options in the NHS, including discussions regarding a typical doctor salary in the UK and the most suitable hospital locations for you.
Specialty Doctor in Emergency Medicine job, with CESR programme
Experienced overseas Emergency Medicine trust doctors, or consultants who have completed specialist training, can apply for specialty doctor posts in the NHS with CESR programmes included in the job plan.
So, if you are committed, motivated and enthusiastic in embracing the CESR application once in the UK, this could be the best route towards gaining entry to the specialist register. Many trusts are piloting such projects, which will support you via a CESR programme tailored to your needs.
Specialist Register for Emergency Medicine
All consultants (other than a locum consultant appointments) must be on the specialist register of the General Medical Council (GMC). To be eligible to apply for specialist registration with the GMC, doctors must have successfully completed a GMC-approved training programme leading to CCT, or applied for a certificate confirming Eligibility for Specialist Registration (CESR).
Doctors who have not completed a full GMC-approved training programme and wish to have their training, qualifications and experience assessed for eligibility for entry onto the specialist register must make an application under The General and Specialist Medical Practice Order for a CESR.
Working with IMG Connect & our NHS Clients
Working with our NHS clients, we are offering CESR Specialty doctor roles, with the opportunity of being mentored by CESR Consultants to guide you in your application toward CESR and to participate in a job plan that is tailored to your needs.
Such CESR programmes are locally developed and targeted for both International Doctors coming to work in the NHS and non-trainees wanting to apply for a CESR in Emergency Medicine.
As an Emergency Medicine doctor your CESR programme will include dedicated one-to-one mentoring and a course mapped on the GMC domains for successful completion of your application.
Benefits of the CESR programme
Such Specialty doctor vacancies will give you the benefit of support on your journey to achieving consultant status, give you the opportunity to adapt to working in the NHS, and help you to further your career at the most senior level.
Furthermore, job plans will typically provide you with a dedicated mentor for CESR applicants by Emergency Medicine CESR Consultants who will take you through the application process.
In some circumstances practical experience will be delivered via simulation and workshops where you are at the centre of the learning experience.
Most NHS trusts have experienced Emergency Medicine CESR consultants who will be available to give you support, mentorship and coaching.
The post are intended to provide the emergency medicine clinician with the support and training required to successfully complete all aspects of the CESR process and attain specialist registration, allowing you to take a substantive emergency medicine post and work as a consultant in the NHS.
IMG Jobs
Search and find live emergency medicine NHS doctor jobs in the UK
IMG Resources
Read more useful articles on finding an NHS trust doctor jobs, doctor salary & relocation for emergency medicine specialists
Get in Touch
Don’t hesitate to get in touch using the buttons above (and below) to discuss emergency medicine doctor job options in the NHS, including discussions regarding a typical doctor salary in the UK and the most suitable hospital locations for you.
FRCEM Primary - a closer look
To help make your FRCEM journey a success - here we’ll take a closer look at FRCEM Primary, including eligibility, dates, fees & exam centers.
We will also provide some tips to give you the best chance of passing first time - giving you FRCEM success and moving closer towards full Membership of the Royal College of Emergency Medicine (MRCEM).
Designed to help you prepare and sit the exam, we consider the following topics:
What is the FRCEM Primary?
What is the content and structure?
Can I sit the exam more than once?
What is the curriculum?
Am I eligible?
How can I apply?
Where and when can I take the exam? How much will it cost me?
How do I prepare for each exam and what resources are available?
Passed? What next?
What is the FRCEM Primary?
The FRCEM Primary Examination is the first examination in a series of three and is mapped to the Emergency Medicine 2015 Curriculum. You can find more detailed information provided in the RCEM Basic Sciences Curriculum (June 2010) which is available here or as a downloadable PDF
The MRCEM Part A has been replaced by the FRCEM Primary exam with effect from August 2016.
Completion of the FRCEM examinations (Primary/Intermediate/Final) results in the award of Fellowship of the Royal College of Emergency Medicine.
The Royal College strongly advises all applicants to familiarise themselves with the Basic Sciences Curriculum when preparing to sit the FRCEM Primary Examination.
General advice is to get to know the curriculum as early as possible and use it as a road map for your study plan.
What is the content and structure?
The FRCEM Primary exam consists of one 3-hour paper of 180 multiple choice, single best answer questions (SBAQs).
You must choose one best answer from a choice of five feasible answers.
The paper will examine all the domains of knowledge in the Basic Sciences Curriculum including:
Anatomy
Physiology
Pathology
Microbiology
Pharmacology
Evidence Based Medicine
Can I sit the exam more than once?
Candidates are permitted a maximum of six attempts in which to pass the FRCEM Primary Examination.
Previous attempts at the MRCEM Part A examination prior to August 2016 do not count towards the number of available attempts.
The examination is conducted in English and candidates are advised that IELTS Level 7 is the expected standard for completion of the FRCEM examinations. Remember, you will need to have a pass of 7.5 average in all areas of IELTS to complete your GMC registration.
What is the curriculum?
The blueprint for the FRCEM Primary Examination is as follows:
Category
Sub-Category
Questions
Anatomy
Upper limb
Lower limb
Thorax
Abdomen
Head and Neck
Central Nervous System Cranial Nerve Lesions
60
Physiology
Basic cellular physiology
Respiratory physiology
Cardiovascular physiology
Gastrointestinal physiology
Renal physiology
Endocrine physiology
60
Pharmacology
Gastrointestinal pharmacology
Cardiovascular system
Respiratory system
Central Nervous System
Infections
Endocrine system
Fluids and electrolytes
Muscoskeletal system
Immunological products and vaccines Anaesthesia
27
Microbiology
Principles of microbiology
Pathogen groups
18
Pathology
Inflammatory responses
Immune responses
Infection
Wound healing
Haematology
9
Evidence Based Medicine
Statistics Study methodology
Principles of critical appraisal
6
TOTAL
180
Am I eligible?
To be eligible you must hold a Primary Medical Qualification (PMQ) that is recognised by the GMC for registration purposes.
You do not need to be registered with the GMC to enter.
Don’t forget! You may need a visa to enter a different country to sit the exam. Failure to check this could prevent you from sitting the exam and your examination fee will not be refunded.
How can I apply?
All applications are made online.
Please note, the application can take some time to complete so it is always advisable to apply well in advance of the deadlines.
Applications submitted after the application period will not be accepted.
Links to all application forms and application windows are available here.
Where and when can I take the exam? How much will it cost me?
Exam dates and locations for 2019 are currently available, these are regularly updated by the Royal College and can be found here.
Dates dates for 2020 have not yet been released – IMG Connect will post these as soon as they become available.
Examination
Centre
Fees
FRCEM Primary
Short Answer Question Paper
London, Dublin, Edinburgh, Leeds, Cardiff
£310
Chennai, Hyderabad, New Delhi, Reykjavik, Kuala Lumpur, Muscat
£390
How do I prepare for the exam and what resources are available?
With lots of resources available online, we have discussed with IMGs the best place to start looking for materials relating to the exams. Most IMGs recommended starting with the Royal College, who have created useful resources to help you to prepare for the exams. See below:
Curriculum:
Applicants are tested on a range of common and important disorders in Emergency Medicine as set out in the Emergency Medicine Training Curriculum 2015.
Information Packs:
These provide detailed information for the relevant examination components so that you can best prepare for your studies and what to expect on the day:
FRCEM Primary
Sample questions:
Test your knowledge using example questions from the current exam syllabus provided by the Royal College, see below:
• Primary – sample questions
Glossary of Terms:
The royal college uses many terms that may cause confusion, so take plenty time to understand the terms and definitions used in this guide.
Candidates are expected to be rigorous in their use of these terms.
Glossary of terms used in RCEM exams.
Online resources:
There are lots of resources online, such as videos on YouTube, FRCEM courses and useful reading materials. We think that these are a great addition to your study plan, just be sure to check your sources.
For a useful overview of how to prepare for exams, including advice on study groups, online community support, best use of online resources & Royal College materials and courses, take a look at our blog: IMG Connects Top Tips for exam preparation
Passed? What next?
If you are completing the papers in order, the next step will be to apply for FRCEM Intermediate Certificate. For more information take a look at our blog where we explore FRCEM Intermediate and everything that you need to know about how to sit the exam, including syllabus, dates, results, fees and preparation.
IMG Jobs
Search and find live emergency medicine NHS doctor jobs in the UK
IMG Resources
Read more useful articles on finding an NHS trust doctor jobs, doctor salary & relocation for emergency medicine specialists
Get in Touch
Don’t hesitate to get in touch using the buttons above (and below) to discuss emergency medicine doctor job options in the NHS, including discussions regarding a typical doctor salary in the UK and the most suitable hospital locations for you.
Passing the MRCEM OSCE – tips from IMGs
Passing any exam is not easy, passing the MRCEM OSCE examination, even more so.
In speaking with IMGs about their journey through the MRCEM OSCE exams, we have heard many thoughts about what it takes to pass. To help IMGs preparing to take the test, here we share some tips from past examinees and OSCE course tutors.
Firstly, it is good to know that every IMG taking the test is in the same position as you, perhaps anxious about how to prepare and worried about the exam day. We are told that the exam is just an ordinary day on the ward, so why then do so many excellent practicing EM physicians struggle to pass at first attempt?
It is perhaps important to say that we felt it was important to give advice from not just those IMGs who passed first time, but from those who had to learn from their mistakes and take the test a second or even third time.
In this article we take a broad look at some of the main reasons that good candidates have cited as contributing to their failure to pass.
The most common thing that we hear is that IMGs must adapt their skill set to the requirements of the NHS system as well as changing their mindset to be able to work under intense observation.
IMGs have told us that the main reasons they struggle are:
Nerves
Lack of practice
Lack of familiarisation with the test
Lack of understanding of the curriculum
Not being able to communicate effectively
Reading and deciphering the instructions
CLICK HERE & REGISTER FOR FREE & UP TO DATE MRCEM RESOURCES
Anxiety
Experiencing anxiety during exams is completely natural and the fact that the OSCE stations are only 7 minutes adds to this in the Part C. The only way to combat exam anxiety is to accept that is both natural and inevitable. The best way to prepare and suppress the adrenergic surge is with practice, practice and more practice. The best way to practice is under exam conditions and if possible, this should be timed and observed by different examiners.
We are not of the opinion that this practice should be done last minute in the week before the exam, instead, your practice should start long before this point. Ask your senior colleagues in the ED to observe and comment upon your history taking and examination skills. If you can get into a routine of doing this with 3 to 5 patients per day you will be able to run through nearly all of the most likely scenarios in only 12 shifts. Another great strategy is to teach OSCEs to the more junior doctors within the department. Teaching can be a powerful learning tool and has helped many aspirants with their revision.
Lack of practice
Make no mistake – the exam is very tough. Over 50% of candidates failed the 2016 sitting. Unless you are freakishly good at cramming you will need to set aside at least 3 months to prepare. IMGs will all study in different ways. Remember you have been through many exams all on your own. Whatever revision method works for you, stick to it. Once you know that you are going to study, make a revision plan and stick to it.
Practice in any way that you can. As above, be sure to ask senior colleagues to observe and offer feedback to you on a regular basis on the EM ward.
To practice out of work, form a small group of colleagues who are also taking the test and run through role plays, taking turns to be patient, doctor or examiner.
Pay careful attention to time keeping as it is very common for candidates to run out of time, particularly in history taking and communication skills stations.
Lack of familiarisation with curriculum
If you don’t know what you could be tested on, you won’t know what to prepare. The MRCEM OSCE is mapped to the competences of Year 1-3 of the Emergency Medicine 2015 Curriculum which is available on the 2015 Curriculum page. You should familiarise yourself with the Year 1-3 competences in preparation for sitting this examination.
REQUEST A CV REVIEW & SALARY ESTIMATION
Not being able to communicate effectively
Many IMGs have made the mistake of thinking that communication is only about what you say, not considering how you say it, and what you look like when you are saying it. Of course, you may be anxious, which can make you behave differently and say things in a different way. So, if you have practiced as above, make sure you incorporate practicing communicating not just focusing on what you say, but also your body language when saying it. Remember that between 70% of our communication is non-verbal!
Try to speak audibly and clearly and if at all possible, sit at the same level as the patient with an open posture. Attempt to make a connection with the patient, maintain good eye contact and give them your undivided attention. Treat actors and mannequins as if they are real patients, interact with them in the same way that you would on the EM ward.
Be direct and to the point but deliver any bad news in a sensitive and empathetic manner. Always check whether the patient has understood what you have said and ask if they have any questions.
Reading and deciphering the instructions
It is vitally important to read the instructions very carefully before entering a station. Easy marks are frequently lost by nervous or over-confident candidates that have overlooked key information or made assumptions by misreading. This is a mistake many IMGs have made, so learn from their mistakes and be sure to read everything carefully. Once read, make a plan of how you will approach the scenario. Once your minute is up… deep breath and smile!
IMG Jobs
Search and find live emergency medicine NHS doctor jobs in the UK
IMG Resources
Read more useful articles on finding an NHS trust doctor jobs, doctor salary & relocation for emergency medicine specialists
Get in Touch
Don’t hesitate to get in touch using the buttons above (and below) to discuss emergency medicine doctor job options in the NHS, including discussions regarding, CESR, a typical doctor salary in the UK and the most suitable NHS job & hospital locations for you.
How can I find a Gastroenterology Medicine job in the NHS?
NHS jobs for Gastroenterology Medicine doctors from outside of the UK can be found in a variety of ways, which for some doctors can sometimes be time consuming and confusing.
Working with IMG Connect will give you easy access to vacancies for consultants, clinical fellows, registrars, specialty doctors, trust doctors, as well as LAS posts.
The IMG Connect job search is a dedicated online recruitment service for overseas doctors looking to secure a job in the NHS. View out latest Doctor Jobs in the NHS, here.
Save time and get expert advice based on your preferences
Performing a job search online can take up a lot of your time, so at IMG Connect we are here to do the time-consuming work for you. Upon registering, you will have a dedicated consultant whose role is to find jobs that match your skills, and apply for NHS jobs on your behalf.
You can receive jobs updates by E-mail to view new posts to suit your job search every day.
Create a profile – it takes 30 seconds
It really is that easy, so why not take advantage of our resources, time and energy to find you the right job in the NHS suited to your preferences. By providing us with some key details we can quickly assess which jobs are best suited to your preferences, and even email you job alerts for new exciting roles which we think will interest you!
We understand you, and our clients
When looking for a Gastroenterology Medicine job in the NHS, it can be hard to try to find out key information before applying, such as:
what specialty specific training there will be?
Am I likely to get a training post after taking this role?
Can the trust support CESR applicants and is their CESR programme established enough for my needs?
What career progression is available for me with the Gastroenterology Medicine Specialty?
What is the job plan and how much time will I spend on the ward?
What is it like to work and live there?
What salary will I get paid, and can I get extra pay for additional shifts?
It can be tricky to get all the answers you want before applying online, so we spend our time getting to know both our clients and you, finding out as much key information as possible to help you to make the right decisions. Including details on the Gastroenterology Medicine department, hospital & trust, as well as an overview of what it is like to live in the area, including housing and the cost of living, as well as access to schools for your children, childcare and finding work for spouses.
Making an impact
We will also provide you with top tips on CV writing, job applications and interviews, ensuring that your application and interview makes the most impact with our NHS clients.
Making it personal
Once registered, you can quickly search and apply for NHS jobs using our job search, and take advantage of many useful articles written to support you through your journey to the UK. In addition, when you sign up to 'job alerts' we will automatically email you each time a relevant Gastroenterology Medicine vacancy comes available that you may be interested in.
Once logged in, you can also save job details and make applications.
By registering with IMG Connect, you will:
Have a dedicated consultant who understands your preferences and will do the time-consuming job searches and applications for you.
Find your ideal NHS position amongst thousands of unadvertised vacancies - from consultant to registrar, or specialty doctor to SHO.
Be the first to hear about new vacancies – registering with IMG Connect means that your CV will gain priority with our NHS clients, and will professionally represented by international recruitment experts.
To help you find a job in the NHS simply follow these easy steps:
Register with IMG Connect
Fill in the 'Personal details' section.
Arrange a chat with your dedicated IMG Consultant
Sign up to receive 'job alerts’
Search our live Gastroenterology Medicine jobs
Searching for Gastroenterology Medicine jobs in the NHS could not be easier
If you want to find out more about the many different Gastroenterology Medicine roles available within the NHS - it only takes a minute to register with IMG Connect and receive expert advice and representation. We have helped many overseas Gastroenterology Medicine into consultant, specialty doctor, registrar, clinical fellow and staff grade NHS roles, whilst offering expert guidance to many more IMGs on NHS doctor pay, royal college qualifications and English language testing. We’d be happy to help you!
How can I find a psychiatry job in the NHS?
Vacancies for psychiatrists from outside of the UK can be found in a variety of ways, which for some doctors can sometimes be time consuming and confusing. Working with IMG Connect will give you easy access to vacancies for consultants, clinical fellows, registrars, specialty doctors, trust doctors, as well as LAS posts.
The IMG Connect job search is a dedicated online recruitment service for overseas doctors looking to secure a job in the NHS. View out latest Doctor Jobs in the NHS, here.
Save time and get expert advice based on your preferences
Performing a job search online can take up a lot of your time, so at IMG Connect we are here to do the time-consuming work for you. Upon registering, you will have a dedicated consultant whose role is to find jobs that match your skills, and apply for NHS jobs on your behalf.
You can receive jobs updates by E-mail to view new posts to suit your job search every day.
Create a profile – it takes 30 seconds
It really is that easy, so why not take advantage of our resources, time and energy to find you the right job in the NHS suited to your preferences. By providing us with some key details we can quickly assess which jobs are best suited to your preferences, and even email you job alerts for new exciting roles which we think will interest you!
We understand you, and our clients
When looking for a psychiatry job in the NHS, it can be hard to try to find out key information before applying, such as:
What specialty specific training there will be?
Am I likely to get a training post after taking this role?
Can the trust support CESR applicants and is their CESR programme established enough for my needs?
What career progression is available for me within the psychiatry specialty?
What is the job plan and how much time will I spend on the ward?
What is it like to work and live there?
What salary will I get paid, and can I get extra pay for additional shifts?
It can be tricky to get all the answers you want before applying online, so we spend our time getting to know both our clients and you, finding out as much key information as possible to help you to make the right decisions. Including details on the psychiatry department, hospital & trust, as well as an overview of what it is like to live in the area, including housing and the cost of living, as well as access to schools for your children, childcare and finding work for spouses.
Making an impact
We will also provide you with top tips on CV writing, job applications and interviews, ensuring that your application and interview makes the most impact with our NHS clients.
Making it personal
Once registered, you can quickly search and apply for NHS jobs using our job search, and take advantage of many useful articles written to support you through your journey to the UK. In addition, when you sign up to 'job alerts' we will automatically email you each time a relevant Psychiatry vacancy comes available that you may be interested in.
Once logged in, you can also save job details and make applications.
By registering with IMG Connect, you will:
Have a dedicated consultant who understands your preferences and will do the time-consuming job searches and applications for you.
Find your ideal NHS position amongst thousands of unadvertised vacancies - from consultant to registrar, or specialty doctor to SHO.
Be the first to hear about new vacancies – registering with IMG Connect means that your CV will gain priority with our NHS clients, and will professionally represented by international recruitment experts.
To help you find a job in the NHS simply follow these easy steps:
Register with IMG Connect
Fill in the 'Personal details' section.
Arrange a chat with your dedicated IMG Consultant
Sign up to receive 'job alerts’
Search our live psychiatry jobs
Searching for psychiatry jobs in the NHS could not be easier
If you want to find out more about the many different psychiatry roles available within the NHS - it only takes a minute to register with IMG Connect and receive expert advice and representation. We have helped many overseas psychiatrists into consultant, specialty doctor, registrar, clinical fellow and staff grade NHS roles, whilst offering expert guidance to many more IMGs on NHS doctor pay, royal college qualifications and English language testing. We’d be happy to help you!
MRCEM - a guide for overseas emergency medicine doctors
Attaining Membership of the Royal College of Emergency Medicine or MRCEM is required to attain GMC Registration and start your Emergency Medicine career in the NHS.
International Medical Graduates (IMGs) from any country in the world can sit the MRCEM examinations, provided certain eligibility criteria are met. These are summarised below along with a broad look at the following topics:
What is MRCEM?
MRCEM Route
Eligibility for overseas doctors
Where can I take the exams & how much will they cost me?
How do I apply?
How to prepare and what resources are available
Should I take an MRCEM course?
Passed? What next?
What is the Royal College of Emergency Medicine?
The Royal College of Emergency Medicine is the professional body responsible for the specialty of Emergency Medicine throughout the UK. Amongst many other duties, its role is to set and monitor the educational curriculum for those training to enter the profession in the UK.
CLICK HERE & REGISTER FOR FREE & UP TO DATE MRCEM RESOURCES
What is MRCEM?
Membership of the Royal College is awarded to candidates who pass three examination components.
There have been a few changes to the MRCEM and FRCEM examination structure over the last few years, as such there are currently two routes to an accreditation in Emergency Medicine, both leading to RCEM Membership.
These two routes are:
Membership of the Royal College of Emergency Medicine (MRCEM)
Fellowship of the Royal College of Emergency Medicine (FRCEM)
MRCEM & FRCEM are one several different routes an overseas emergency medicine doctor can take full GMC registration. Read our blogs on acceptable postgraduate qualifications and PLAB if you are unsure what route to take.
For doctors who wish to take more senior roles reflective of their current practice, IMG Connect advise that MRCEM or FRCEM would be the best route to take.
Please note, aplicants that pass a specific combination of MRCEM and FRCEM examinations can still be awarded Membership of the Royal College by Examination (MRCEM). This would still satisfy postgraduate requirements for GMC registration.
MRCEM Examination route:
The alternative route, Membership by Examination (MRCEM), is offered to candidates who have passed all of the following components:
FRCEM Primary or (MRCEM Part A)
One written paper, three-hours total
FRCEM Intermediate SAQ (replaces MRCEM Part B)
Short Answer Question paper - 3 hour paper comprised of 60, 3-mark questions
MRCEM OSCE
Practical examination setting with 18, seven-minute stations
Eligibility for MRCEM Examinations:
Eligibility for FRCEM Primary:
To be eligible you must hold a Primary Medical Qualification (PMQ) that is recognised by the GMC for registration purposes.
Eligibility for FRCEM Intermediate:
To be eligible you must hold a PMQ recognised by the GMC, have completed an equivalent to the UK Foundation Programme and have passed FRCEM Primary Examination after 1st August 2016.
You will also be eligible if you have been granted exemption from the FRCEM Primary as a result of obtaining MRCS or MRCSI after 1st January 2012.
Eligibility for MRCEM OSCE:
To be eligible to enter the MRCEM OSCE (Part C) you must meet the following requirements:
Hold a medical qualification approved by the GMC and
Have completed the UK Foundation Programme of equivalent (electronic evidence required at point of application) and
Have passed the FRCEM Primary examination after 1st August 2016 or
Have passed the MRCEM Part A examination after 1st August 2012 and prior to 31st July 2016 and
Have passed the FRCEM Intermediate SAQ after 1st August 2016 or
Have passed the MRCEM Part B examination after 1st August 2012 and prior to 31 July 2016 and
Have 36 months experience including 6 months experience in Emergency Medicine at a level above Foundation Year 1 (post full registration)
Where can I take the exams & how much will they cost me?
Examination and application dates are regularly updated by the Royal College and can be found here.
Please remember, applications made outside of the application period will not be accepted.
Examination
Location
Fees
FRCEM Primary
Short Answer Question Paper
UK
£310
Iceland, Malaysia, Oman, India
£390
FRCEM Intermediate Certificate
SAQ
UK
£305
Iceland, Malaysia, Oman
£385
MRCEM
OSCE
UK
£450
India
£450
How can I apply?
All applications are made online and links to all application forms and windows are available here. It is worth noting, the application can take some time to complete so it is always advisable to apply well in advance of the deadlines.
Please remember, applications submitted after the application period will not be accepted.
How do I prepare for each exam and what resources are available?
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.
Curriculum:
Applicants are tested on a range of common and important disorders in Emergency Medicine as set out in the Emergency Medicine Training Curriculum 2015.
We recommend getting to know the curriculum as early as possible and using it as a road map for your study plan.
Information Packs:
These provide detailed information for the relevant examination components so that you can best prepare for your studies and what to expect on the day:
FRCEM Primary
FRCEM Intermediate
MRCEM OSCE
SAQ Blueprint:
The blue print for the new Intermediate SAQ exam can be found on page 8 of the FRCEM Intermediate examination pack, downloaded from the RCEM website here.
Sample questions:
Test your knowledge using example questions from the current exam syllabus provided by the Royal College, see below:
Primary – sample questions
Intermediate - Sample SAQs are included in the Information Pack
Glossary of Terms:
The royal college uses many terms that may cause confusion, so take plenty time to understand the terms and definitions used in this guide. Candidates are expected to be rigorous in their use of these terms.
Glossary of terms used in RCEM exams.
Examination Report:
The Royal College recently began to publish reports on the performance of those sitting FRCEM examinations. Below is the first report published and helps to break down results for those in training and those out of training.
2018 Examination report.
Online resources:
There are lots of resources online, such as videos on YouTube, FRCEM courses and useful reading materials. We think that these are a great addition to your study plan, just be sure to check your sources.
For a useful overview of how to prepare for exams, including advice on study groups, online community support, best use of online resources & Royal College materials and courses, take a look at our blog: IMG Connects Top Tips for exam preparation.
As ever at IMG Connect we believe in preparation. In order to succeed in the clinical exam, IMGs have told us that it is vital that you practice your clinical examinations as frequently as possible, preferably under the supervision of a senior colleague. This will give you confidence in approaching and examining patients with examiners present.
Should I take a course to prepare for the OSCE?
Whilst it is not essential to take a course when preparing for the MRCEM or FRCEM OSCEs - there is no doubt it will help your preparations both technically and mentally, and should be considered an investment towards your future career plans. Have a read of our blog on recommended MRCEM courses for Emergency Medicine doctors.
Passed? What next?
First of all, congratulations! After you have passed all parts of FRCEM or MRCEM you can apply for a full registration with a license to practice. Once the GMC have approved your application, you can work as a doctor in the UK.
IMG Jobs
Search and find live emergency medicine NHS doctor jobs in the UK
IMG Resources
Read more useful articles on finding an NHS trust doctor jobs, doctor salary & relocation for emergency medicine specialists
Get in Touch
Don’t hesitate to get in touch using the buttons above (and below) to discuss emergency medicine doctor job options in the NHS, including discussions regarding, CESR, a typical doctor salary in the UK and the most suitable NHS job & hospital locations for you.
The NHS - is it free?
It will come as a relief to those moving to the UK from overseas to know that the NHS is free to all at the point of delivery.
Put simply, the NHS belongs to you and is run for the people of the UK. It exists to help you and your family to stay healthy and improve your wellbeing. It helps you to keep mentally and physically well.
The NHS was founded on a common set of principles and values that bind together the communities and people it serves – the patients and public of the UK – and of course the amazing staff who work for it.
Provided you are resident in the UK, you and your family can access free GP & hospital treatment.
Some people in the UK are also entitled to free prescriptions; to check your eligibility, click here. In Scotland prescriptions are free for all patients.
You should register with the NHS as soon as you can have relocated to the UK. To do so is simple. Once you arrive in the UK, check for GP practices near you, and if they are taking new patients all you have to do is register. It is quick and easy, simply complete a registration form. Once submitted your GP will register you with the NHS, and you will receive an NHS number.
Once registered, you can attend your local GP at no cost.
Find out more about registering with your GP practice, here.
You can search for your local GP service here, the search also gives you access to reviews, overviews of facilities and services that each service offers.
In summary, the NHS is available to all. It is free at the point of delivery, access to NHS services is based on clinical need, not an individual’s ability to pay.
IMG Jobs
Search and find live NHS doctor jobs in the UK
IMG Resources
Read more useful articles on finding an NHS trust doctor job, pay scales & doctor’s salary in the UK, relocation and much more!
Get in Touch
Don’t hesitate to get in touch using the buttons above (and below) to discuss doctor job options in the NHS, including discussions regarding a typical doctor salary in the UK and the most suitable hospital locations for you.
FRCPath in Haematology – an overview
Overseas Haematologists wanting to secure a role in the UK via the postgraduate qualificaiton route will need to attain Fellowship of the Royal College of Pathologists or FRCPath in Haematology, a sub-specialty exam of FRCPath. FRCPath is the UK Royal College qualification and the recommended route for histopathologists looking to work in the UK as a specialist or consultant.
International Medical Graduates (IMGs) from any country in the world can sit the sub-specialty FRCPath in Haemotology examinations, provided certain eligibility criteria are met. These are summarised below along with a broad look at the following topics:
What is FRCPATH in Haematology?
Eligibility for overseas doctors
FRCPath Haematology structure and format
FRCPATH in Haematology Part 1
FRCPATH in Haematology Part 2
As an overseas candidate where can I take the exams and how much will they cost me?
How do I apply?
How to prepare and what resources are available?
Passed? What next?
What is FRCPath in Haematology?
Set against the Specialty Training Curriculum for Haematology, the examinations are designed to assess a trainee’s knowledge, skills and behaviours in field of Haematology. The exams recognise haematologists close to the end of their training who can demonstrate sufficient knowledge and technique for independent practice. In other words, completion of the full set of exams (Part 1 & 2) demonstrates your ability to work at consultant level.FFRCPath, along with MRCP(UK), is a mandatory requirement for Specialist Registration in Haematology. You can read our overview on MRCP(UK) here.
The FRCPath exam is split into 2 parts:
Part 1 – two written papers sat on the same day, comprised of essay and multiple-choice questions.
Part 2 – held over three days, the exams comprise of three written components and one oral examination
Eligibility for FRCPath in Haematology:
Below we outline the eligibility for overseas doctors looking to sit both FRCPath Haematology exams. For international candidates, the eligibility criteria for FRCPath specialty examinations can be a little confusing when looking online so IMG Connect spoke to the Royal College directly to clarify this.
Time spent in haematology training is stated as a requirement of eligibilty. The Royal College do consider equivalents to NHS training programmes though there is no definitive list of countries with accepted or unaccepted training programmes. The royal college advises you should speak to your Educational Supervisor or Sponsor (if you have one) who can advise you if you are ready or eligible to sit the Examinations if you are unsure. Remember, there are many overseas doctors applying for all parts of the FRCPath exams so don’t be put off applying!
Top Tip: If you have the required months training in a recognised programme in your country for Haematology specifically, the chances are you will be eligible.
Eligibility for Part 1: You are required to have trained in a recognised training programme in haematology for a period of no less than two years.
Eligibility for Part 2: The Royal College expects you to have at least three years of specialty training specific to Haematology in your own country before applying. Furthermore, you cannot sit Part 2 examination until 12 months after successfully completing Part 1.
Structure of FRCPath Haematology:
The exam is split into 2 parts with 5 individual examinations in total. This makes it one of the more complex examinations
Structure and content for FRCPath Haematology Part 1:
The exam is split into 2 parts with 5 individual examinations in total.
Part 1 comprises two written papers, Paper 1 (Essay Paper) and Paper 2 (MCP Paper)
Part 2 comprises three written papers, and one Oral exam
Part 1, Paper 1 (essay paper) – four essay questions each addressing an important area of laboratory or clinical practice in one of the four areas:
Blood transfusion
General haematology
Haematological oncology
Haemostasis & thrombosis
Part 1, Paper 2 (MCP paper) – 125 questions of both multiple choice and extended matching format. 50 questions will be best from five whilst 75 are extended matching and examines knowledge of:
blood transfusion 25%
general haemotology 25%
haematological oncology 25%
haemostasis & thrombosis 25%
Most questions are structured around clinical or laboratory vignettes and are designed to assess clinical judgement and ability to apply, rather than just recall knowledge. Questions map to the Haematology training curriculum. The blueprint from which the questions are developed can be found on the Royal College website.
Structure and content for FRCPath Haematology Part 1:
3 written papers and 1 oral examination as below.
Morphology SAQs
Morphology, Long cases
1.5 hour
1.5 hour
12 short answer questions
3 questions long answer
Transfusion
2-hour
10 questions
Coagulation
2-hour
8 questions
Oral Examination
1 hour
8 topics
The exam is held simultaneously over 3 days in the UK only and evaluates your knowledge, skills and clinical judgement in important areas within the Haemotology. The questions in the written papers adopt a short answer format which requires you to provide a concise response, these answers can be given in short words, phrases or lists.
Top Tip: A series of questions may relate to ‘clinical vignette’ building on case information. Clinical vignettes are patient related cases and scenarios that have educational value for a wider audience.
Morphology - SAQs: This section is up to 12 questions answered in 1 hour 30 minutes. Each question requires you to examine 1-2 of either of the following:
microscope slides
flow cytometry plots
additional laboratory data
quality assurance
Morphology - Long cases: This sections comprises 3 questions answered in 1 hour 30 minutes. Each question will provide a case history and contains several parts which require either:
Interpretation of slides, lab results or other clinical investigations
Provide a report and make diagnosis
Recommend clinical investigations and interventions
Transfusion: This section consists of 10 questions answered in 2 hours. Each question will provide a case history or lab results requiring you to:
Interpret data
Make diagnosis
Recommend further investigation or treatment
Coagulation: This section consists of 8 questions answered in 2 hours. Each question will provide a case history or lab results requiring you to:
Interpret data
Make diagnosis
Recommend further investigation or treatment
Oral Examination: The oral examination assesses your ability to evaluate problems and demonstrate good clinical judgement whilst assessing your ability to communicate clearly and effectively. The exam covers 8 topics over 1 hour, with two 30-minute oral exams with two pairs of examiners.
First Exam - 2 topics in coagulation & 2 topics in transfusion medicine
Second Exam - 2 topics in general laboratory haematology & 2 topics in haematological oncology
Where can I take the exams and how much will they cost me?
FRCPath in Haematology - Part 1: In Spring 2021, the Part 1 examination will be offered using online delivery to candidates. This means you can take the exam remotely and will not need to travel overseas to sit the exam, or attend an examination centre. The College will deliver the written components of these examinations through a company called TestReach, the Oral components (including oral OSPE stations) will be delivered using a video-conferencing platform such as Zoom or Microsoft Teams and for the written examinations, candidates will be given the opportunity to trial the TestReach system to familiarise themselves with it ahead of the examination. You can read more about the new, remote examination process further here on our website. Previously, the Part 1 examination was sat in multiple overseas centres and once the pandemic is under better control globally, it is highly anticipated the Royal College will return to previous set-ups.
The FRCPath Part 1 exam costs £622. You can see how the Royal College breaks down the cost here on their website.
FRCPath in Haematology - Part 2: Haematology Part 2 is one of the few exams that can be sat overseas. Availability of overseas Part 2 examination centres will be indicated on the website and candidates should contact the Examinations Department to express their interest in taking the examination in the available centre. In 2021 no overseas Part 2 examinations will take place in the Spring session, and it is highly unlikely an overseas centre will be available for Haematology in 2021.
The FRCPath Part 2 exam costs £1,308. You can see how the Royal College breaks down the cost here on their website.
How do I apply?
Applications must be made via the Royal College of Pathologists website, with applications only available once an application window is opened by the Royal College.
How to prepare and what resources are available?
With lots of resources available online, we have discussed with consultants the best place to start looking for materials relating to the exams. Most recommended starting with the Royal College, who have created useful resources to help you to prepare for the exams.
Curriculum: The content of the exam is set against the Haematology Training Curriculum. We recommend getting to know the curriculum as early as possible and using it as a road map for your study plan.
Regulations and Guidelines: Before applying for FRCPath examinations, the Royal College recommends you read both the General & Specialty Specific regulations and guidelines:
General Regulations and Guidelines
Royal College - Haematology Regulations & Guidelines
Past papers: Test your knowledge using example questions from the current exam syllabus provided by the Royal College, see below:
Part 1 – six past papers
Part 2
MCQ/EMQ
Blueprint for MCQ Examination: The blueprint from which the MCQ questions are developed..
British Society of Haematology guidelines: Compulsory reading material for exams and day-to-day clinical practice. Make sure to read them, understand them and know the recommendations made in bold. Be aware that the guidelines are a few years old and imminently due for review.
British Society for Haematology educational resources: Click here for the British Society for Haematology edcuational resources. Morphology image bank, case reports, practice essay questions, EMQs, MCQs and tutorials. Signup and login required but you don’t need to be a member to make use of the BSH’s bank of essay questions, MCQs and EMQs
Blood Journal: How I treat articles: Click here for easy-to-read helpful overviews of most haematological conditions
Ihaematology.com: http://www.ihaematology.com/ is a great revision site created by previous candidates.
Haembase: Click here for Haembase. This is a general revision resource for those preparing for FRCPath examinations
Our on-the-day exam advice:
Part 2 – food and drink: With multiple exams taking place for Part 2 in one day bring supplies! It will be a long day and there may not be access to food.
Hiring a microscope: For Part 2 you will be required to sit examinations in the UK and will require a microscope. The examination centres will not provide equipment for any applicants so you will need to hire a microscope in advance. There are a few companies easily accessible through a web search, find a microscope and book well in advance of the exam. You can arrange for the company to drop off and pick up the microscope from the exam centre, don’t worry!
Top Tip: At IMG Connect we recommend speaking to anyone you know who has sat and passed the exam and get their personal hints and tips. We would also be happy to help you arrange anything you need for the exam day.
I passed the FRCPath Heamatology exams! What next?
First of all, congratulations! After you have passed all parts of FRCPath Haematology you can apply for a full registration with a license to practice. Once the GMC have approved your application, you can work as a doctor in the UK and given the high standards of the FRCPath Haematology examinations, you will most likely be eligible to practice as a consultant in the NHS.
How to find a Hindu Temple in the UK
Hinduism is the fourth largest religion in the UK, with the Hindu community reaching some just under 1 million people.
Britain is home to one of the most diverse Hindu communities in the world. With such rich diversity, Temples and prayer rooms can be found in every corner of the country.
Hindu communities can be found across the UK, and are represented in all areas of British economic, cultural, political and working life. The NHS has a tradition of encouraging faith or religion to be expressed, with prayer rooms and chaplains provided in every trust across the UK.
The Council of Hindu Temples website provides a directory of all UK Temples.
The website is intended primarily for people looking for a Temple when in an unfamiliar area. But you can use it to find your closest Temple.
You can also find excellent information on the British Hindu community from the following:
The Hindu Forum of Britain
The Hindu Council UK
IMG Jobs
Search and find live NHS doctor jobs in the UK
IMG Resources
Read more useful articles on finding an NHS trust doctor job, pay scales & doctor’s salary in the UK, relocation and much more!
Get in Touch
Don’t hesitate to get in touch using the buttons above (and below) to discuss doctor job options in the NHS, including discussions regarding CESR, a typical doctor salary in the UK and the most suitable NHS jobs & hospital locations for you.
How can I find a stroke medicine job in the NHS?
Vacancies for stroke medicine specialists from outside of the UK can be found in a variety of ways, which for some doctors can sometimes be time consuming and confusing. Working with IMG Connect will give you easy access to vacancies for consultants, clinical fellows, registrars, specialty doctors, trust doctors, as well as LAS posts.
The IMG Connect job search is a dedicated online recruitment service for overseas doctors looking to secure a job in the NHS. View out latest Doctor Jobs in the NHS, here.
Save time and get expert advice based on your preferences
Performing a job search online can take up a lot of your time, so at IMG Connect we are here to do the time-consuming work for you. Upon registering, you will have a dedicated consultant whose role is to find jobs that match your skills, and apply for NHS jobs on your behalf.
You can receive jobs updates by E-mail to view new posts to suit your job search every day.
Create a profile – it takes 30 seconds
It really is that easy, so why not take advantage of our resources, time and energy to find you the right job in the NHS suited to your preferences. By providing us with some key details we can quickly assess which jobs are best suited to your preferences, and even email you job alerts for new exciting roles which we think will interest you!
We understand you, and our clients
When looking for a stroke medicine job in the NHS, it can be hard to try to find out key information before applying, such as:
What specialty specific training there will be?
Am I likely to get a training post after taking this role?
Can the trust support CESR applicants and is their CESR programme established enough for my needs?
What career progression is available for me within the stroke medicine specialty?
What is the job plan and how much time will I spend on the ward?
What is it like to work and live there?
What salary will I get paid, and can I get extra pay for additional shifts?
It can be tricky to get all the answers you want before applying online, so we spend our time getting to know both our clients and you, finding out as much key information as possible to help you to make the right decisions. Including details on the stroke medicine department, hospital & trust, as well as an overview of what it is like to live in the area, including housing and the cost of living, as well as access to schools for your children, childcare and finding work for spouses.
Making an impact
We will also provide you with top tips on CV writing, job applications and interviews, ensuring that your application and interview makes the most impact with our NHS clients.
Making it personal
Once registered, you can quickly search and apply for NHS jobs using our job search, and take advantage of many useful articles written to support you through your journey to the UK. In addition, when you sign up to 'job alerts' we will automatically email you each time a relevant Stroke medicine vacancy comes available that you may be interested in.
Once logged in, you can also save job details and make applications.
By registering with IMG Connect, you will:
Have a dedicated consultant who understands your preferences and will do the time-consuming job searches and applications for you.
Find your ideal NHS position amongst thousands of unadvertised vacancies - from consultant to registrar, or specialty doctor to SHO.
Be the first to hear about new vacancies – registering with IMG Connect means that your CV will gain priority with our NHS clients, and will professionally represented by international recruitment experts.
To help you find a job in the NHS simply follow these easy steps:
Register with IMG Connect
Fill in the 'Personal details' section.
Arrange a chat with your dedicated IMG Consultant
Sign up to receive 'job alerts’
Search our live stroke medicine jobs
Searching for stroke medicine jobs in the NHS could not be easier
If you want to find out more about the many different stroke medicine roles available within the NHS - it only takes a minute to register with IMG Connect and receive expert advice and representation. We have helped many overseas stroke medicine specialists into consultant, specialty doctor, registrar, clinical fellow and staff grade NHS roles, whilst offering expert guidance to many more IMGs on NHS doctor pay, royal college qualifications and English language testing. We’d be happy to help you!
Just received your MRCEM OSCE results....what's next?
Today is the day! The MRCEM OSCE results have been released...
IMG Connect wishes all emergency medicine specialists good luck with their results today - we hope you all achieve the result you deserve!
Whether your passed or failed, here we'll offer some suggestions on what to do next...
Passed the MRCEM OSCE, what's next?
Didn't pass MRCEM OSCE?
I passed the MRCEM OSCE, what's next?
So, what next? First things first, you deserve to celebrate and get some relaxation in! Emergency Medicine doctors who have attained full MRCEM and secured a job in the NHS, all tell us that the MRCEM OSCE is a tough examination and it is an emotional moment when you pass. So much hard work goes into to reaching this stage, so book yourself a holiday! Or at least kick off your shoes and put your feet up :-)
You are now well on your way to being eligible to apply for an take an Emergency Medicine post in the UK. There are a few key steps before you're ready to go:
English language test
GMC registration
Apply for NHS jobs
1. English Language Test
You may be wondering whether you need to take an English exam now that you have passed MRCEM OSCE. This is a requirement for all overseas doctors and is needed for GMC registration. For doctors who have worked for at least 2 years in an English speaking country, employer references for English can be used to demonstrate a suitable level of competence in English.
Passing your English language exams is an important next step for many Emergency Medicine doctors that pass their MRCEM. Take a look at these helpful blogs and articles from the IMG Library on OET, IELTS and preparing for English language exams, including a side-by-side comparison of the two tests.
IMG Library: OET - a series of blogs and articles relating to the Occupational English Test (OET)
IMG Library: IELTS - a library of articles and blogs and articles centered on the Internation English Language Testing System (IELTS)
IMG Library: English Language Tests - a library of all our helpful blogs and articles on English Language Testing, written specifically for international doctors.
2. GMC Registration
Armed with your complete MRCEM, you can now apply for full GMC registration with licence to practice. There are a few checks involved in the GMC registration process such as the verification of your medical license and obtaining a certificate of good standing, however, we are more than happy to talk you through the process with little to no worries or effort on your part. Once your application has been approved, you are eligible to work in the NHS. Nice one!
3. Apply for NHS Jobs
Now is also a good time to start thinking about the steps you should take in finding the right job for you in the NHS, or wherever you are considering your next role. There may be many questions running through your mind such as, do I need to take an English exam first? What grade will I be eligible for? Or perhaps most importantly, how do I find an A&E job in the UK?
To jumpstart your job search, click here for up-to-date NHS Emergency Medicine jobs.
As specialists in the recuitment of overseas MRCEM qualified A&E doctors, whether its preparing your CV for professional representation or finding you a great role with a fantastic salary, IMG Connect is here to help.
Register your details with IMG Connect to receive a one-to-one personalised service from one of our Emergency Medicine Specialists. We have a team that helps specifically international Emergency Medicine doctors like yourself in securing work across the UK & Ireland. Register today and one of our team will get back to you immediately!
I didn't pass the MRCEM OSCE
If you did not pass the MRCEM OSCE - don't worry! The overall pass rate for those that attempt a second time is extremely high (90%+) so your hard work and dedication will pay off very soon! Take some time out to relax and enjoy life and come back stronger. These moments will only make you stronger and a better doctor in the long run so as the British say, chin up and strong upper lip!
At IMG Connect we've take the time to prepare and collate the best preparation resources for the FRCEM OSCE - and we would be delighted to share these with you. Click on the buttons below to either register with the IMG Connect team so we can talk you through this or request the MRCEM OSCE resources to help you pass the next time - without fail!
If you have any questions about how to secure an NHS job in Emergency Medicine or prepare for the MRCEM OSCE (including advice on dates, fees, courses, resources, mock scenarios, online materials and revision books) then don’t hesitate to get in touch with an IMG Consultant.
FRCEM Intermediate SAQ – a closer look
Here we’ll take a closer look at the second stage of your FRCEM success in the examinations – FRCEM Intermediate SAQ.
We’ll consider its purpose, structure and content, eligibility, dates, exam centers and provide some revision tips to give you the best chance of passing first time and moving clser towards full Membership of the Royal College of Emergency Medicine (MRCEM).
Designed to help you prepare and sit the exam, we consider the following topics:
What is FRCEM Intermediate Certificate?
Am I eligible?
Exemptions & equivalent examinations
Where can I take the exam?
How much will it cost me?
How can I prepare for the exam?
Passed? What next?
What is the FRCEM Intermediate SAQ?
The FRCEM Intermediate Certificate is the second examination in a series of three and is mapped to the Competencies of Year 1-3 of the Emergency Medicine 2015 Curriculum (ACCS Plus).
The FRCEM Intermediate SAQ comprises of a 3-hour paper of 60, 3-mark questions.
A full break down of the blueprint is found on the FRCEM Intermediate Regulations & Information Pack.
A summarised blueprint for the SAQ can be found below.
Curriculum Category
Questions
Common Competences
7
Clinical Presentations – Core Major & Acute Presentations
18
Anaesthetic Competences CT1&2
4
ICM within ACCS
2
Acute Presentations – Additional Adult ST3
6
Paediatric Presentations – Makor & Acute Presentations
11
Practical Procedures (ACCS)
12
Total
60
Am I eligible?
To be eligible you must hold a Primary Medical Qualification (PMQ) recognised by the GMC, have completed an equivalent to the UK Foundation Programme (Internship?) and have passed FRCEM Primary Examination after 1st August 2016.
You will also be eligible if you have been granted exemption from the FRCEM Primary as a result of obtaining MRCS or MRCSI after 1st January 2012.
MRCEM Part B in place of FRCEM Intermediate SAQ:
MRCEM Part B passes obtained prior to August 2012 are deemed time expired, therefore you are required to pass the FRCEM Intermediate SAQ examination.
If you passed the MRCEM Part B examination after 1 August 2012 you are deemed to have passed an equivalent examination to the FRCEM Intermediate SAQ examination.
Where and when can I take the exam? And how much will it cost me?
Examination and application dates are regularly updated by the Royal College and can be found here.
Venues and Fees for both intermediate examinations are below:
Examination
Location
Fees
FRCEM Intermediate Certificate
SAQ
UK
£305
Iceland, Malaysia, Oman
£385
How can I apply?
All applications are made online.
Please note, the application can take some time to complete so it is always advisable to apply well in advance of the deadlines.
Applications submitted after the application period will not be accepted.
Links to all application forms and application windows are available here.
How do I prepare for each exam and what resources are available?
With lots of resources available online, we have discussed with IMGs the best place to start looking for materials relating to the exams. Most IMGs recommended starting with the Royal College, who have created useful resources to help you to prepare for the exams. See below:
Curriculum: Applicants are tested on a range of common and important disorders in Emergency Medicine as set out in the Emergency Medicine Training Curriculum 2015.
The examination is conducted in English and candidates are advised that IELTS Level 7 is the expected standard for completion of the FRCEM examinations. Remember, you will need to have a pass of 7.5 average in all areas of IELTS to complete your GMC registration.
Information Packs:
These provide detailed information for the relevant examination components so that you can best prepare for your studies and what to expect on the day.
You can download this here: FRCEM Intermediate
SAQ Blueprint:
The blueprint for the Intermediate SAQ exam can be found on page 8 of the FRCEM Intermediate examination pack, downloaded from the RCEM website here.
SJP Blueprint:
The blueprint for the new Intermediate SJP exam can be found on page 11 of the FRCEM Intermediate examination pack, downloaded from the RCEM website here.
Sample questions:
Test your knowledge using example questions from the current exam syllabus provided by the Royal College: Intermediate Certificate – sample SJP questions
Glossary of Terms:
The Royal College uses many terms that may cause confusion, so take plenty time to understand the terms and definitions using this guide.
Candidates are expected to be rigorous in their use of these terms.
Glossary of terms used in RCEM exams.
Examination Report:
The Royal College recently began to publish reports on the performance of those sitting FRCEM examinations. Below is the first report published and helps to break down results for those in training and those out of training.
2018 Examination report.
Online resources:
There are lots of resources online, such as videos on YouTube, FRCEM courses and useful reading materials. We think that these are a great addition to your study plan, just be sure to check your sources.
Passed? What next?
First of all, congratulations! After you have passed FRCEM Intermediate you can apply to sit the Final Examination. Take a look at our article on FRCEM Final Examination where we explore everything you need to know about how to sit the exam, including syllabus, dates, fees, results and preparation.
IMG Jobs
Search and find live emergency medicine NHS doctor jobs in the UK
IMG Resources
Read more useful articles on finding an NHS trust doctor jobs, doctor salary & relocation for emergency medicine specialists
Get in Touch
Don’t hesitate to get in touch using the buttons above (and below) to discuss emergency medicine doctor job options in the NHS, including discussions regarding a typical doctor salary in the UK and the most suitable hospital locations for you.
Anaesthetics – A Doctor’s Route to the UK (European & Non-European)
All anaesthetics doctors looking to secure a job and work in the UK, whether you are from inside or outside of Europe, will need to satisfy certain criteria to fully register with the General Medical Council (GMC) before beginning their journey in the NHS.
As an anaesthetist, the criteria you need to meet depends on where you currently live and practice, either inside the EEA (& associated countries) or outside the EEA.
This article is designed to give you a snapshot of the steps you need to take to start your journey to the UK, no matter where in the world you live.
Inside the EEA – click here
Outside the EEA – click here
“Doctors from countries around the world play a vital and significant role in our NHS and in the delivery of safe patient care. This is not only welcome but is part of the continuous exchange of knowledge in healthcare and should be strongly encouraged. They make an invaluable contribution to the NHS.”
Joint statement from the Royal College of Physicians
Inside the EEA
Firstly, it is important to note that where we refer to EEA in this article this refers to all countries inside the EU, including Lichtenstein, Iceland & Norway.
If you qualified as an anaesthetist inside the EEA or Switzerland, then the good news is that you don’t need to demonstrate your medical knowledge and skills to work as a doctor in the UK – you have already done this, and thanks to the EU your qualification is deemed equivalent.
In addition, you will not need to apply for a visa from the UK Home Office.
So, the main hurdle that you will face is demonstrating that your English skills are of a high enough standard to practice safely as a doctor in the UK & NHS.
English Language Testing
Any international doctor, regardless of specialty, experience or country of origin, must demonstrate they have sufficient competence of the English language.
You can do this by passing either of the following:
OET – Occupational English Test
IELTS – International English Language Testing System
Take a look at our helpful articles below for detailed information on both tests:
IELTS – a guide for overseas doctors
OET – a guide for overseas doctors
GMC Registration
Having passed your English Language Test, you can now apply for full registration with a licence to practice with the GMC.
For full GMC registration you must provide evidence of:
Evidence of English language capabilities (IELTS or OET)
AND
Evidence of sufficient skill and knowledge (your equivalent qualifications)
Understand the registration process in full & by reading our article below:
IMG Library - GMC Registration for overseas doctors
Job search
We recommend starting the job search as early as possible. Demand for European anaesthetists in the NHS is ever increasing - the NHS welcomes you with open arms!
At IMG Connect we specialise in securing jobs for European doctors in the UK and can offer you a wider range of anaesthetics jobs than are readily available online.
Our network extends to Anaesthetics services and HR departments across the UK, so no matter what your grade or specialty we can ensure you will be interviewing for roles well in advance of any relocation plans.
In addition, your dedicated consultant, with a speciality knowledge of anaesthetics, will negotiate on your behalf ensuring you get the most competitive salary.
Our aim is to have a job offer on the table before your GMC registration is complete, giving you the peace of mind of having an agreed contract in place - leaving you to carefully plan your relocation to the UK.
Take a look at our most recent jobs:
Job Search
Relocation
Obviously, any doctor’s journey isn’t all exams, registrations and language tests… there’s also the small matter of relocation and settling into life in the UK.
Once you have secured your role in the UK, we focus on supporting you and your family with all your relocation plans. This can include, but is not exclusive to, securing accommodation, travel planning, setting up bank accounts & national insurance numbers – every step of the way we are here to help.
Have a read through our IMG Library and take in all the beautifully organised information on relocation and UK life to immeasurably help your first days, weeks and months in the UK.
IMG Library – Relocation & UK Life
Brexit
Many anaesthetists have questioned how the UK’s withdrawal from the European Union (EU) will affect doctors from Europe already working in the UK, and those who may wish to work here in the future.
Whilst we are still pushing for a halt to Brexit, we've been keeping a close eye on policies and developments to ensure that we keep our doctors as up to date as possible. While we await more information from the UK Government about what our future relationship with Europe will look like, what is clear is that European doctors are most welcome in the NHS with or without Brexit.
At IMG Connect we do not see Brexit as an end to EEA doctors relocating to the UK, far from it… you are in demand and we will support with all the necessary requirements for entry to the UK, whatever the outcome.
Take a look at our Brexit articles for more information:
IMG Library - Brexit
Outside of the EEA
If you qualified as an anaesthetist outside the EEA, then you will have to demonstrate that both your medical knowledge & skills and English Language capabilities meet the level required to practice safely in the UK.
In addition, you will need to apply for a visa from the UK Home Office.
Here we summarise the requirements for anaesthetics doctors, looking at the following:
English Language Testing
Evidence of Knowledge & Skills - PLAB, FRCA or equivalents
Tier 2 Visas
Full GMC Registration
English Language Testing
Any international doctor, regardless of specialty, experience or country of origin, must demonstrate they have sufficient competence of the English language.
You can do this by passing either of the following:
OET – Occupational English Test
IELTS – International English Language Testing System
Take a look at our helpful articles below for detailed information on both tests:
IELTS – a guide for overseas doctors
OET – a guide for overseas doctors
Evidence of Knowledge & Skills in Anaesthetics
Overseas doctors must prove to the GMC they have sufficient knowledge & skills to practice safely in the UK. For anaesthetists this can be done through three main routes:
PLAB
Royal College qualification of FRCA
GMC - recognised or equivalent qualifications
Route 1 - PLAB
The PLAB exam is a two-part exam that assesses a doctor’s ability to work safely as an SHO in the NHS, as such it does not demonstrate ability in anaesthetics specifically.
For this reason, PLAB tends to be a route for junior doctors who have not already chosen their field of specialisation in medicine.
That said, for some senior doctors PLAB can be an attractive option, offering a quicker route to the UK, whilst still securing competitive salaries. If taking this option, anaesthetists can then take up training or a more senior post once they have established themselves in the NHS.
Take a look through our comprehensive guides on PLAB:
PLAB – a guide for overseas doctors
PLAB 1 – a closer look
PLAB 2 – a closer look
Route 2 - Royal College Qualification:
Attaining a Royal College qualification is a preferred path for doctors who have already chosen their field of specialism i.e. anaesthetics. For senior Anaesthetists taking this route, they will gain access to more senior, well-paid jobs in the specialism of their choice.
The Royal College of Anaesthetists is the Professional Body that regulates the specialism of Anaesthetics in the UK, and Fellowship of the Royal College of Anaesthetists is the full qualification attainable by examination.
For overseas doctors, attaining Primary FRCA (one-part of the full qualification) will satisfy the knowledge & skill criteria for GMC registration and facilitate application for more senior roles in UK anaesthesia.
Take a look at our complete guide on Membership of the Royal College of Anaesthetists to understand more:
FRCA – a guide for overseas doctors
Route 3 - GMC Recognised or Equivalent Qualifications:
Some overseas qualifications are recognised by the GMC and accepted for registration purposes. This means to say these qualifications are considered as meeting the same standards as the Royal College qualifications.
There are anaesthesiology qualifications from several countries around the world that are currently accepted by the GMC, EDAIC being one common example.
Find out if your qualification is accepted by the GMC below:
Overseas accepted postgraduate qualifications
Tier 2 Visa
If you are a doctor applying from outside the EEA region you will almost certainly need to apply for a visa to work in the UK.
Applying as a doctor or nurse has never been easier and there is currently no-restriction on the Certificate of Sponsorship (CoS) applications that a hospital can make.
Furthermore, the list of specialties on the shortage occupation list is due for imminent review and expansion beyond its current list of specialties, potentially widening the scope for easier immigration processes across all specialties in healthcare.
Understand Tier 2 visas and Certificates of Sponsorship in depth by taking a look at our article:
Tier 2 Visa application process & documents needed
Wondering whether you can relocate with your family? Take a look at our blog on the Tier 2 dependant visa below:
Tier 2 Dependant visa - can i bring my family with me to the UK?
GMC Registration
With everything in place, you can apply for full registration with a licence to practice with the GMC. Remember, for full GMC registration you must provide evidence of:
Evidence of English language capabilities
AND
Evidence of sufficient skill and knowledge (PLAB, FRCA Primary, EDAIC or equivalent)
Understand the registration process in full & by reading our article below:
GMC Registration for overseas doctors
Job search
We recommend starting the job search as early as possible. Demand for Non-EEA anaesthetists in the NHS is increasing - the NHS welcomes you with open arms!
At IMG Connect we specialise in securing jobs for overseas doctors in the UK and can offer you a wider range of jobs than is readily available online.
Our network extends to anaesthetics services and HR departments across the UK, so no matter what your grade or specialty we can ensure you will be interviewing for roles well in advance of any relocation plans.
In addition, your 1-1 consultant, with a speciality knowledge of anaesthetics, will negotiate on your behalf, ensuring you get the most competitive salary. Giving you the peace of mind of agreeing your new contract, perhaps even before your GMC registration is complete.
Take a look at our most recent jobs:
Job Search
Relocation
Obviously, any doctor’s journey isn’t all exams, registrations and language tests… there’s also the small matter of relocation and settling into life in the UK.
Once you have secured your role in the UK, we will focus on supporting you and your family with all of your relocation plans. This can include, but is not exclusive to, securing accommodation, travel planning, setting up bank accounts & national insurance numbers – every step of the way we are here to help.
Have a read through our IMG Library and take in all the beautifully organised information on relocation and UK life to immeasurably help your first days, weeks and months in the UK.
IMG Library – Relocation & UK Life
Brexit
Many anaesthetists have questions about how the UK’s withdrawal from the European Union (EU) will affect doctors from outside of the EEA already working in the UK, and those who may wish to work here in the future.
Whilst we are still pushing for a halt to Brexit, we've been keeping a close eye on policies and developments to ensure that we keep our doctors as up to date as possible. While we await more information from the UK Government about what our future relationship with Europe will look like, what is clear is that there are no current changes to immigration entry requirements for non-EEA doctors.
Overseas doctors are most welcome in the NHS with or without Brexit… you are in demand and we will support with all the necessary requirements for entry to the UK.
Take a look at our Brexit articles for more information:
IMG Library - Brexit
IMG Jobs
Search and find live NHS anaesthetics jobs in the UK
IMG Resources
Read more useful articles on finding an NHS trust doctor job, pay scales & doctor’s salary in the UK, relocation and much more!
Get in Touch
Don’t hesitate to get in touch using the buttons above (and below) to discuss doctor job options in the NHS, including discussions regarding CESR, a typical doctor salary in the UK and the most suitable NHS jobs & hospital locations for you.
Tax 101 for doctors – how much tax will I pay?
As an NHS employee, you will pay Income Tax and National Insurance on your wages through the PAYE system.
Overseas doctors will have tax and national insurance automatically deducted from their monthly salary. How much deducted depends on how much you earn.
PAYE stands for Pay As You Earn.
Some income is tax free. You can earn a certain amount of income each year, called your Personal Allowance, before you need to pay any Income Tax.
The personal allowance is a fixed amount set against your gross income.
In all four UK countries, the Personal Allowance is set at £12,500 (tax free income). It is worth noting that if you earn more than £125,000 you will not receive a personal allowance.
The Personal Allowance will also be set at £12,500 for 2020/21.
Any pay above the personal allowance is then taxed according to your salary and pension.
How much you pay is fixed as a percentage according to a band system. In Scotland the tax bands vary from those set in England, Wales and Northern Ireland, see below:
Tax bands in Scotland
Band
Taxable income
Scottish tax rate
Personal Allowance
Up to £12,500
0%
Starter rate
£12,501 to £14,549
19%
Basic rate
£14,550 to £24,944
20%
Intermediate rate
£24,945 to £43,430
21%
Higher rate
£43,431 to £150,000
41%
Top rate
over £150,000
46%
Tax bands in England, Wales & Northern Ireland
Band
Taxable income
Tax rate
Personal Allowance
Up to £12,500
0%
Basic rate
£12,501 to £50,000
20%
Higher rate
£50,001 to £150,000
40%
Additional rate
over £150,000
45%
Your NHS employer will set your salary and you will be automatically set up to pay your pension, tax and national insurance. However, at IMG Connect we think that it’s important to check you have the right tax code and are paying the right amount.
You can check that you are paying the right amounts using this online government tool. This will allow you to check the following your Personal Allowance and tax code are accurate. As well as helping you to understand how much tax you’ve paid in the current tax year and how much you’re likely to pay for the rest of the year.
Can I make any more savings?
You will get tax relief on your pension payments. The NHS pension scheme is an attractive one, with very few schemes in the UK even coming close to this benefit. Find out more about your NHS benefits here.
PLAB 1 - a closer look
Earlier in our Postgraduate Qualifications blog series, we took a general look at PLAB examinations and all its various parts as a whole. Now we’ll take a closer look at the first stage of your PLAB journey – PLAB 1.
Here we consider everything that you need to know about the exam including syllabus, dates, fees and preparation by covering at the following topics:
What is PLAB 1?
What does PLAB test you on?
What's the format of PLAB 1?
Where can I sit PLAB 1?
How do I book?
Can I book online?
How much does it cost?
How do I prepare and what resources are available?
What can I expect on the day of the exam?
How many times can I sit the test?
When will I receive my results?
Passed? What next?
What is PLAB 1?
PLAB 1 tests your ability to apply your knowledge for the care of patients at the house level, or Foundation year 2 in the UK (12 months of medical practice). Questions relate to current best practice in the UK, and equipment routinely used in UK hospitals. You’ll need to answer the questions in relation to published evidence and not according to your local arrangements. Remember, this is an exam for entry into the UK Healthcare system.
Still unsure on PLAB as a whole? Take a look at a more general overview of the PLAB examinations.
What does PLAB test you on?
The exam covers the common, important and acute conditions (those common in emergency departments) seen by trainees entering the second year of the Foundation Programme (FY2), and the management of long-term conditions seen in primary care.
What's the format of PLAB 1?
PLAB 1 is a written exam made up of 180 multiple choice questions, with the test lasting three hours in total. Each starts with a short scenario followed by a question. You need to choose the correct answer out of the five possible answers given.
The GMC have created a helpful guide setting out what the PLAB test covers, you can download it here.
Where can I sit PLAB 1?
You can sit the exam in both the UK and several overseas locations. PLAB 1 is run four times a year in the UK, and twice a year at a number of overseas venues hosted by the British Council.
Overseas venues are listed here with contact details.
At IMG Connect we advise that you check the closing date for applications for the closest venue. Also, be sure to submit your application in advance as applications submitted after the closing date will not be considered.
How do I book?
Before you book a PLAB exam you must have:
an acceptable overseas primary medical qualification.
a GMC Online account to book or cancel the exam.
the necessary knowledge of English – before you can book a test you will need to provide your English language test scores. If you've taken the International English Language Testing System (IELTS) test or the Occupational English Test (OET), you can complete this in the 'My Tests' section at GMC Online.
Can I book online?
You can book your PLAB 1 examination using your GMC Online account. Simply go to GMC Online where you can view available dates and book under the My Tests section.
How much does it cost?
The PLAB 1 test costs £235. Please note, this fee increased from the 1st April 2019.
How do I prepare and what resources are available?
We have discussed this question at length with IMGs and the GMC, and whilst there are many resources to choose from online, we recommend the following GMC guides to help you start your preparations:
The PLAB Blueprint:
This is a helpful guide to what will be included in the exam. Our IMGs advise this is the best place to start with your preparations. The Blueprint sets out clearly all of the topics and skills needed to pass the exam.
Download the PLAB Blueprint here.
The Foundation Programme curriculum: The topics and skills covered in the PLAB Blueprint are identical to those undertaken by doctors starting their second year of Foundation Programme Training (FY2).
You can find the Foundation Programme curriculum here
Guidance and interactive tools:
The GMC ‘Good Medical Practice’ document explains the core advice to doctors on the standards expected of them. During PLAB 1 you will be expected to demonstrate the professional values and behaviours set out in ‘Good Medical Practice’ when you take the exam and when you practise as a doctor in the UK.
You can test your knowledge of Good Medical Practice using the following online tools:
explanatory guidance
Good Medical Practice in action interactive online tool
Welcome to UK practice interactive online tool
Courses:
You do not need to attend a study or coaching course to pass, but many candidates choose to do so. PLAB 1 can be passed under your own preparation, however PLAB 2 usually requires further study and courses.
There are many courses and materials out there. If you are unsure of how to approach your study preparations, don’t hesitate to ask an IMG Consultant for some recommendations or guidance on which course or resource to use.
Remember, we speak to IMGs who've passed these exams on a daily basis and are more than happy to pass on their wisdom!
What can I expect on the day of the exam?
First of all, once booked, the GMC will advise you on what time to arrive. You will likely be there for approximately four hours in total.
Do I need to bring anything to the test?
You will need to bring Identification, your booking confirmation and stationery:
For identification, the venue will accept any one of the following:
Passport
UK Immigration and Nationality Department identification document
Home Office travel document
If by accident you don't have one of the above you can take the exam but you'll need to provide your identification document later in the process.
Booking confirmation:
Bring the booking confirmation that includes your GMC booking reference number
Stationery:
You should bring HB pencils, an eraser and a pencil sharpener.
How many times can I sit the test?
For PLAB 1, you can take the test 4 times. If you have not passed after 4 attempts, to be eligible to take the test again you must have completed a further 12 months experience of clinical practice or post graduate qualification.
When will I receive my results?
PLAB 1 results are available around 6 weeks after you have taken the exam.
Passed? What next?
Once you have passed PLAB 1, you can take the PLAB 2 examination in the UK. Read our blog for more information on how to sit PLAB 2, which includes everything that you need to know about how to sit the exam, syllabus, dates, results, fees and preparation.
IMG Jobs
Search and find live NHS doctor jobs in the UK
IMG Resources
Read more useful articles on finding an NHS trust doctor job, pay scales & doctor’s salary in the UK, relocation and much more!
Get in Touch
Don’t hesitate to get in touch using the buttons above (and below) to discuss doctor job options in the NHS, including discussions regarding CESR, a typical doctor salary in the UK and the most suitable NHS jobs & hospital locations for you.
How can I find a histopathology job in the NHS?
The histopathology job market in the UK is fantastic.
Vacancies for histopathologists coming from outside of the UK can be found in a variety of ways, and it can be a little confusing navigating the minefield that is GMC registration, a job search and considering what steps you need to take when relocating to the UK. Working with IMG Connect will give you easy access to vacancies for trained histopathologist, though remember your job opportunities will vary depending on what qualifications you hold, and how advanced your GMC registration is.
The IMG Connect job search is a dedicated online recruitment service for overseas doctors looking to secure a job in the NHS.
Save time and get expert advice based on your preferences
Performing a job search online can take up a lot of your time, so at IMG Connect we are here to do the time-consuming work for you. Upon registering, you will have a dedicated consultant whose role is to find jobs that match your skills, and apply for NHS jobs on your behalf.
You can receive jobs updates by E-mail to view new posts to suit your job search every day.
Create a profile – it takes 30 seconds
It really is that easy, so why not take advantage of our resources, time and energy to find you the right job in the NHS suited to your preferences. By providing us with some key details we can quickly assess which jobs are best suited to your preferences, and even email you job alerts for new exciting roles which we think will interest you!
We understand you, and our clients
When looking for a pathology job in the NHS, it can be hard to try to find out key information before applying, such as:
What specialty specific training or development will be avialable to you?
Can the trust support CESR applicants and is their CESR programme established enough for my needs?
What is the job plan and how much time will I spend my time?
What is it like to work and live there?
How does a histopathology department operate in the NHS?
What salary will I get paid, and can I earn extra through additional duties or private work?
It can be tricky to get all the answers you want before applying online, so we spend our time getting to know both our clients and you, finding out as much key information as possible to help you to make the right decisions. Including details on the pathology department, hospital & trust, as well as an overview of what it is like to live in the area, including housing and the cost of living, as well as access to schools for your children, childcare and finding work for spouses.
Making an impact
We will also provide you with top tips on CV writing, job applications and interviews, ensuring that your application and interview makes the most impact with our NHS clients.
Making it personal
Once registered, you can quickly search and apply for NHS jobs using our job search, and take advantage of many useful articles written to support you through your journey to the UK. In addition, when you sign up to 'job alerts' we will automatically email you each time a relevant Pathology vacancy comes available that you may be interested in. Once logged in, you can also save job details and make applications.
By registering with IMG Connect, you will:
Have a dedicated consultant who understands your preferences and will do the time-consuming job searches and applications for you.
Find your ideal NHS position amongst thousands of unadvertised vacancies - from consultant to middle grade
Be the first to hear about new vacancies – registering with IMG Connect means that your CV will gain priority with our NHS clients, and will professionally represented by international recruitment experts.
To help you find a job in the NHS simply follow these easy steps:
Register with IMG Connect
Fill in the 'Personal details' section.
Arrange a chat with your dedicated IMG Consultant
Sign up to receive 'job alerts’
Search our live pathology jobs
Searching for pathology jobs in the NHS could not be easier
If you want to find out more about the many different pathology jobs available within the NHS - it only takes a minute to register with IMG Connect and receive expert advice and representation. We have helped many overseas pathologists into consultant, specialty doctor, registrar, clinical fellow and staff grade NHS roles, whilst offering expert guidance to many more IMGs on NHS doctor pay, royal college qualifications and English language testing. We’d be happy to help you!
British social norms – mind your P’s and Q’s!
Moving to a new country means adapting to new ways of doing things.
Before relocating, one of the most important things to know is what the typical cultural and social norms are. As an overseas doctor from another country, you may naturally do things differently. So, this article introduces you to a few things that you need to know about British culture and social norms before you arrive.
The British are punctual, especially doctors!
Being late for work or meetings is considered to be rude. If you’re going to be late to an appointment, contact those involved as soon as you know you will be late. But don’t worry, amongst friends and social gatherings it isn’t considered a problem, British people are late all the time!
Never jump the queue.
In many countries jumping to the front of the queue is normal, but in the UK, people may not be very happy with you and will most likely let you know just how unhappy they are. Expect a ticking off, or a 'tut' to let you know. So, as annoying as queuing is, standing patiently in the queue is normal and expected.
Don’t get too close.
In the UK, it’s normal to keep arm’s length between yourself and the person you are speaking with. As a doctor of course this is standard practice across the world. But in social situations, any closer is assumed to be uncomfortable for those native to the UK. Of course, this does not mean that you can't be friendly!
Be polite - say “please”, “thank you”, and “sorry”.
You will probably get tired of saying these so often, but these are normal parts of everyday conversation and interactions. As an international doctor, you may not be used to this, but you will get used to it very quickly.
Shake hands, pat on the back or kiss on the cheek?
This one can get confusing. At work, a handshake is the only expected and accepted way of greeting colleagues. For obvious reasons. However, amongst friends, British people shake hands, have a brief hug and pat on the shoulder, or give a ‘peck on the cheek’ (kiss) when greeting a friend or family member. It isn’t that simple though, if you are not a close friend or family member, then the physical touch can sometimes be considered unusual or uncomfortable, shaking hands is best in this situation. So, when greeting people, you will have to judge for yourself the most appropriate way to go about it.
Give up your seat.
Like most corners of the world, the Brits show respect for older adults, pregnant women or disabled people. For example, if you are travelling, you are expected to give up your seat if someone who is pregnant, disabled or older, gets on board and there is no other seat. If an older adult or someone who is disabled seems to be struggling with something, you are also expected to approach them and offer your help.
Note, the same can be said for people who are visibly distressed, have fallen unwell, are lost or could benefit from some assistance.
These social norms will help you get along with your new friends and colleagues whilst you settle into your new life in the UK.
Get in touch
We are of course always here to help you to understand what to expect and once you have started in your new job, we can offer support on any situations that arise which may require some friendly advice. Get in touch here.
MRCP PACES - What if I can't secure an exam place?
Exam places for MRCP PACES have been hard to secure in some countries. This increase in demand has continued through to 2021, so what can you do to maximise your chances of securing an examination place?
We have discussed this with Royal College of Physicians, who advised that they are working to grow capacity internationally. However, this will not have an immediate impact on the number of spots available across the world.
With so many overseas doctors missing out on a spot, we have put together some of the main discussion points to help you to broaden your chances of sitting the exam as soon as possible.
All applications submitted during the application period will be treated equally, with spaces being allocated using a random lottery model. Some spaces are reserved for local trainees and some priority can be given for applicants near the end of their eligibility periods.
So, to maximise your chance of success, we suggest that not only do you apply to your closest PACES exam centre, but also to 3 more centres that you are able to travel to.
Apply to more centres
Why should I apply for more centres? The maths is easy, more applications equals more chance of securing a place. They way that it works is that if you are not successful with your 1st preference (most local centre), then you will be considered for a space in your 2nd choice centre, and so on until you secure a spot.
Of course, this means that you must be willing to travel to sit the exam. This can be costly, especially if you have to travel to a different country, flights and hotels are not cheap! As such, we suggest taking some time to carefully choose the locations that will not only have the possibility of a spare place, but where your costs will be kept to a minimum.
Candidates will be notified on the outcome of their application within 2 weeks from the closing date, giving you time to plan your travel if necessary.
Whilst this advice does not guarantee a place to sit the exam, it will increase your chances.
If you are not sure what to do, or have any other questions regarding the PACES exam, get in touch with an IMG Connect specialist.
Take a look at our IMG library for more information regarding postgraduate exams & PACES
IMG Jobs
Search and find live NHS doctor jobs in the UK
IMG Resources
Read more useful articles on finding an NHS trust doctor job, pay scales & doctor’s salary in the UK, relocation and much more!
Get in Touch
Don’t hesitate to get in touch using the buttons above (and below) to discuss doctor job options in the NHS, including discussions regarding CESR, a typical doctor salary in the UK and the most suitable NHS jobs & hospital locations for you.
PLAB - a guide for overseas doctors
Passing PLAB helps the GMC ensure doctors have the knowledge & skills to practice in the UK.
The PLAB test assesses an overseas doctor's ability to work safely in the NHS, showing the GMC they have skills necessary to work at senior house officer level (SHO). IMGs from any country in the world can sit the examinations provided certain eligibility criteria are met. These are summarised below along with the following topics:
Do I need to take the PLAB test?
What is the PLAB test?
How many parts to the PLAB test
What are the entry requirements?
What do I need to get started?
At what stage should I take the exam?
Where and when can I sit the test outside of the UK?
What does it cost?
How do I book my test place?
How do I prepare for PLAB?
Do I need to bring anything to the test?
How many times can I sit the test?
When will I receive my results?
Passed? What next?
Do I need to take the PLAB test?
If you graduated from a medical school outside of the UK, EEA, or Switzerland, you probably need to sit the PLAB test or attain a recognised postgraduate qualification.
If you are an EEA doctor, and qualified at an EEA institution, then your postgraduate qualification will automatically satisfy the GMC skills and knowledge criteria and don’t need to sit PLAB.
What is the PLAB test?
PLAB is as a licensing examination to assess whether an International Medical Graduate (IMG) is eligible to obtain GMC Registration or not.
Technically, it is not a certification, rather it simply makes you eligible for full GMC registration.
How many parts to the PLAB test?
There are two parts to the PLAB test.
PLAB 1 is a written exam made up of 180 multiple choice questions which you must answer within three hours. Each starts with a short scenario followed by a question. You need to choose the right answer out of the five possible answers given. You can sit part 1 in a number of countries, as well as in the UK.
Take a closer look at PLAB 1 here.
PLAB 2 is a practical objective structured clinical exam, known as an OSCE. It's made up of 18 scenarios, each lasting eight minutes and aims to reflect real life settings including a mock consultation or an acute ward. Part 2 tests run throughout the year at the GMC’s own clinical assessment centre in the UK, only.
Take a closer look at PLAB 2 here.
You need to pass both parts of the test before you can apply for registration with a license to practice medicine in the UK.
To find out more about each part of the PLAB test we have created a more in depth look at each section, however we have summarised the key points below.
What are the entry requirements for the PLAB test?
To be eligible for the PLAB test you must meet the following criteria:
Your Primary Medical Qualification (PMQ) must be awarded by an institution listed in the World Directory of Medical Schools. Before starting the process, we recommend that you check that your Primary Medical Qualification is accepted in the UK.
You must also have taken and passed the English Language Test (IELTS or OET) with the relevant scores. For IELTS you must have attained a score of at least 7.5 overall and a minimum of 7.0 for all the four language skills. For OET you must have scored at least grade B in each testing area.
At least 12 months’ postgraduate clinical experience in a teaching hospital, or another hospital approved by the medical registration authorities in the appropriate country. (The test can be taken without this experience, but the candidate will only be granted limited registration at the grade of House Officer – the grade occupied by new medical graduates).
At what stage should I take the exam?
For IMGs we recommend that you apply for the PLAB exams after the completion of an internship or house job, as that makes you eligible for Full GMC Registration, not limited.
However, you can sit the PLAB at any time in your career, so long as you have a recognised Primary Medical Qualification. IMGs in our community advise the earlier the better!
What do I need to do to get started?
Before you can sit the tests, you need to set up a GMC online account and show the GMC that your medical qualification and level of English are acceptable. Once you have done that you can sit Part 1 of the PLAB test.
For further information visit the General Medical Council website.
Where and when can I sit the test outside of the UK?
Part 1 is run twice a year in a number of countries. A full list of dates, locations and contact details can be found here.
Part 2 can be taken in the UK only. When you book your PLAB 2 test place online, you will be able to see which venue is available for you. Currently, the main test venue is in Manchester, with test centres also in Cambridge and London. You can find more details here.
What does it cost?
The fee for Part 1 of the PLAB test is currently £235 (as of 1st April 2019)
The fee for Part 2 of the PLAB test is currently £860 (as of 1st April 2019)
How do I book my test place?
You can book online using your GMC Online Account. You will be able to view available dates and venues and book under the My Tests section.
Remember, before you book, you must have an acceptable overseas primary medical qualification and the necessary knowledge of English.
How do I prepare for PLAB?
PLAB 1 can be taken under your own preparation, but for PLAB 2 most IMGs advise that they have benefited from attending specific courses geared at this test. It is also advisable to plan ahead for PLAB 2, so that you can ensure that you can complete everything within one Visitor Visa time period (6 months).
We have explored the UK Visitor Visa for PLAB 2 in more detail here, but let’s look briefly at booking PLAB 2 in some detail as you will have to arrange a UK Visitor Visa in order to sit the test.
Take some time to consider when you want to sit the PLAB 2 exam, it takes time to study for the test itself, but you also need to start the process of your Visa application. To apply for your UK Visitor Visa, you must complete an online UK Visa application for PLAB. This takes two steps, online application, and submission of supporting documents in a Visa application centre.
Remember to plan ahead! Once you have applied for your UK Visitor Visa, you must complete PLAB 2 within 6 months.
Do I need to bring anything to the test?
You will need to bring Identification, your booking confirmation and stationary.
For identification, the venue will accept any one of the following.
Passport
UK Immigration and Nationality Department identification document
Home Office travel document
Booking confirmation
Bring the booking confirmation that includes your GMC booking reference number
For stationery
You should bring HB pencils, an eraser and a pencil sharpener.
How many times can I sit the test?
For PLAB 1, you can take the test 4 times. If you have not passed after 4 attempts, to be eligible to take the test again you must have completed a further 12 months experience of clinical practice or post graduate qualification.
You can only apply for PLAB 2 after the results for PLAB 1 are issued. You must pass PLAB 2 within 2 years of the date you passed PLAB 1.
When will I receive my results?
PLAB 1 results are available around 6 weeks after you have taken the exam.
When PLAB 2 results are available the GMC will send you an email to provide access to the results in the ‘My Tests’ section of the GMC online account.
Passed? What next?
Once you have passed both parts of your PLAB examinations, you can apply for a full registration with a license to practice. Your application must be approved within 2 years of passing part 2 of the test. Once the GMC have approved your application, you can work as a doctor in the UK.
IMG Jobs
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How do I find an emergency medicine job in the NHS?
Vacancies for Emergency Medicine doctors from outside of the UK can be found in a variety of ways, which for some doctors can sometimes be time consuming and confusing.
Working with IMG Connect will give you easy access to vacancies for consultants, clinical fellows, registrars, specialty doctors, trust doctors, as well as LAS posts.
The IMG Connect job search is a dedicated online recruitment service for overseas doctors looking to secure a job in the NHS. View out latest Doctor Jobs in the NHS, here.
Save time and get expert advice based on your preferences
Performing a job search online can take up a lot of your time, so at IMG Connect we are here to do the time-consuming work for you. Upon registering, you will have a dedicated consultant whose role is to find jobs that match your skills, and apply for NHS jobs on your behalf.
You can receive jobs updates by E-mail to view new posts to suit your job search every day.
Create a profile – it takes 30 seconds
It really is that easy, so why not take advantage of our resources, time and energy to find you the right job in the NHS suited to your preferences. By providing us with some key details we can quickly assess which jobs are best suited to your preferences, and even email you job alerts for new exciting roles which we think will interest you!
We understand you, and our clients
When looking for an Emergency Medicine job in the NHS, it can be hard to try to find out key information before applying, such as:
what specialty specific training there will be?
Am I likely to get a training post after taking this role?
Can the trust support CESR applicants and is their CESR programme established enough for my needs?
What career progression is available for me with the Emergency Medicine Specialty?
What is the job plan and how much time will I spend on the ward?
What is it like to work and live there?
What salary will I get paid, and can I get extra pay for additional shifts?
It can be tricky to get all the answers you want before applying online, so we spend our time getting to know both our clients and you, finding out as much key information as possible to help you to make the right decisions. Including details on the Emergency Medicine department, hospital & trust, as well as an overview of what it is like to live in the area, including housing and the cost of living, as well as access to schools for your children, childcare and finding work for spouses.
Making an impact
We will also provide you with top tips on CV writing, job applications and interviews, ensuring that your application and interview makes the most impact with our NHS clients.
Making it personal
Once registered, you can quickly search and apply for NHS jobs using our job search, and take advantage of many useful articles written to support you through your journey to the UK. In addition, when you sign up to 'job alerts' we will automatically email you each time a relevant Emergency Medicine vacancy comes available that you may be interested in.
Once logged in, you can also save job details and make applications.
By registering with IMG Connect, you will:
Have a dedicated consultant who understands your preferences and will do the time-consuming job searches and applications for you.
Find your ideal NHS position amongst thousands of unadvertised vacancies - from consultant to registrar, or specialty doctor to SHO.
Be the first to hear about new vacancies – registering with IMG Connect means that your CV will gain priority with our NHS clients, and will professionally represented by international recruitment experts.
To help you find a job in the NHS simply follow these easy steps:
Register with IMG Connect
Fill in the 'Personal details' section.
Arrange a chat with your dedicated IMG Consultant
Sign up to receive 'job alerts’
Search our live emergency medicine jobs
Searching for Emergency Medicine jobs in the NHS could not be easier
If you want to find out more about the many different Emergency Medicine roles available within the NHS - it only takes a minute to register with IMG Connect and receive expert advice and representation. We have helped many overseas Emergency Medicine into consultant, specialty doctor, registrar, clinical fellow and staff grade NHS roles, whilst offering expert guidance to many more IMGs on NHS doctor pay, royal college qualifications and English language testing. We’d be happy to help you!
Specialist register / CESR - what are my options in the NHS?
CESR acts as a route to applying for substantive (permanent) consultant jobs for doctors who have not followed a specialty training programme in the United Kingdom.
In a nutshell it is the option available to doctors practicing as consultants from overseas who wish to gain specialist registration in the UK. Some doctors choose to apply from overseas, others work with IMG Connect to secure a job in the NHS geared at helping them gain entry to the specialist register once in the UK.
If you are working as a consultant in your home country and are eligible for specialist registration in the UK, then as an overseas doctor (IMG) you have a couple of options. Here we focus on applying for CESR from abroad as well as the alternative route, applying for a Specialty Doctor or Fixed Term Consultant job in the UK before applying for CESR with support of your NHS employer.
Both routes lead to gaining CESR and entry to the Specialist Registration, meaning that you can work as a substantive consultant in the NHS. Both take hard work, preparation, evidence gathering, time and dedication. Both options have the same end goal, specialist registration.
It is important to say that no matter how you choose to apply, the CESR process involves submitting a large volume of evidence to demonstrate that you have the equivalent experience, skills and competencies as a doctor who has taken the specialty training route in the UK. Whether applying from overseas or not, some doctors are asked to complete additional experiences to meet this strict standard. Because of this, the process can be lengthy.
Applying for CESR from overseas
This is a great option for Consultants who are not constrained by time and have an understanding department that will support the additional gathering of evidence.
The GMC reckons that it takes between 6 – 9 months between submitting your application and receiving a decision. At IMG Connect our experience tells us that is takes a similar amount of time to gather the evidence prior to submitting. In addition, you must have completed the evidence in the first place in real workplace and clinical scenarios. This can take twice as much time as preparing and submitting. Put simply, the process can be time consuming and laborious.
Add to this the issue of completing and gathering evidence against the CESR application from overseas. It can prove challenging to ensure that you have completed the full complement of competencies for CESR applications. This can result in the GMC asking for further evidence, adding more time to the process. You may have to identify gaps in your learning and then resolve them. It is not all bad though, this is good practice and will benefit you in the long run.
Applying for a specialty doctor job and/or fixed term consultant post before applying for CESR
For doctors who are keen to secure entry to the Specialist register quickly, and work in the UK as soon as possible, then taking up a Specialty Doctor role with CESR programme, or a Fixed Term Consultant post with CESR programme/support is a good option.
Many NHS hospitals or trusts in the UK will offer access to support, clinical experience and study or preparation time for CESR. This is often built into the weekly job plan, but in some circumstances, this may be arranged informally. Either way, this is a good way for overseas consultants to quickly gather the right evidence for their application with the support of their peers, senior colleagues and NHS employer. This can shorten the time spent on the application overall.
If this sounds like the best option for you, it is wise to start gathering and signing off evidence in your current consultant post. That way you will already have some or most of the required evidence for CESR in place, allowing you to quickly focus on any elements that are missing once in the UK and working in the NHS
Secure a job in the NHS with CESR
Securing a job as a Specialty Doctor with CESR programme, or a job as a Fixed Term Consultant with CESR programme/support, gives you instant exposure to the UK system, NHS experience and a great start to your career in the NHS.
To discuss whether applying for CESR from overseas or securing a job as a Specialty Doctor or Fixed term consultant with CESR programme is the right route for you towards specialist registration, speak with an IMG Connect consultant, register or send your CV.
IMG Jobs
Search and find live NHS doctor jobs in the UK
IMG Resources
Read more useful articles on finding an NHS trust doctor job, pay scales & doctor’s salary in the UK, relocation and much more!
Get in Touch
Don’t hesitate to get in touch using the buttons above (and below) to discuss doctor job options in the NHS, including discussions regarding a typical doctor salary in the UK and the most suitable hospital locations for you.
Training, development and career progression in Emergency Medicine
One of the main reasons that overseas doctors want to work in the Emergency Medicine departments across the UK, is the excellent opportunity for access to training such as the Specialist Training Programme, career progression, including CESR, and sub-specialty development.
This short article provides useful information on the training and development available, how to access the training, the best route to becoming a consultant in the UK with entry to the specialist register, no matter what stage of your training.
Emergency Medicine Training, leading to CCT
We start with an overview of the Emergency Medicine Training in the NHS. Trainees may enter the emergency medicine training programme via:
The EM (Emergency Medicine) core training programme at ST1. This is a three-year core training programme (starting from ST1 and ending at ST3).
For the first two years, trainees will spend 6 months in EM, Intensive Care Medicine, Anaesthetics and Acute Medicine. This is followed by a further year in trauma and paediatric EM.
The start of specialty training (ST4-6) subject to having achieved the necessary competences required for completion of ST3.
Once ST6 is completed, then a doctor will be added to the specialist register for medicine and hold the title of CCT. This means that they can apply for and practice at a consultant level in the NHS.
CESR
For senior Emergency Medicine doctors (experienced specialty doctors, consultants and heads of departments) there is also the option of CESR. You can apply directly for CESR from overseas, or secure a post in the NHS with CESR support and complete your application in the UK. This is a good option for those wanting to take up their first role in the NHS as a speciality doctor (leading to consultant) or as a locum consultant.
Applying from abroad can be lengthy, and it is certainly not the quickest route towards specialist registration. Most IMGs prefer to secure a post with CESR support, so speak to your IMG Consultant to learn more about the best route to the UK for senior doctors seeking consultant jobs in Emergency Medicine.
Most senior Emergency Medicine job vacancies advertised will offer support with CESR, access to training and career progression, and senior managers will encourage you to develop your own professional interests.
Emergency medicine departments in the NHS are particularly supportive of doctors seeking to develop both personally and professionally. To find out what jobs are on offer take a look here.
If you think that a Specialty Doctor post with CESR support is suited to you, or if you are a consultant or head of department, then you can find out more information here.
For further advice on how to secure the right job for you in the NHS, take a look at our the following article.
IMG Jobs
Search and find live emergency medicine NHS doctor jobs in the UK
IMG Resources
Read more useful articles on finding an NHS trust doctor jobs, doctor salary & relocation for emergency medicine specialists
Get in Touch
Don’t hesitate to get in touch using the buttons above (and below) to see what Emergency Medicine job opportunities there are for you, including access to CESR support, Core and Specialty training.
Answering NHS interview questions – the STAR method
Here we explore the best way to answer NHS interview questions requiring detailed answers.
The main thing to remember is that it is important to answer any NHS interview question honestly, providing details from your own clinical perspective and experiences.
One useful approach to structuring your answers is called the STAR technique.
STAR stands for Situation, Task, Action, Result
The technique is designed to help you to formulate clear, concise and relevant answers to competency-based or behavioural questions (questions that require you to give specific examples demonstrating particular skills, attributes or behaviours). During your NHS job interview you will be asked to provide details or descriptions of a time when you have faced a problem or challenge, what steps you took to deal with it and what the outcome or results were.
In answering competency-based or behavioural NHS interview questions, you should consider how to provide information for the panel to evaluate your mindset and your skillset. NHS employers will analyse your behaviours, values and approach to situations defined against the skills and qualities that high-level doctors have exhibited in the role you are applying for.
In your answers to NHS interview questions, employers are looking for evidence of your clinical skills, problem solving skills, analytical ability, perseverance, team work and collaboration, quantitative skills, or expertise.
STAR can be used to answer such questions; each letter stands for a part of your answer.
S – Situation
Describe the context of the job, task or challenge that you were facing. Be specific.
T – Task
Describe your duty or responsibility in this particular situation.
A – Action
Describe how you completed the task or met the challenge. Focus on what you did, not what anyone else did. Say “I”.
R - Result
Finally, explain the outcome or results that came about as a direct result of your actions. Emphasise what was achieved and what you learnt.
We can’t predict what questions you will be asked during an NHS interview, but you’ll benefit from preparing several scenarios from the jobs you’ve held and what you anticipate will be required in the job you are applying for.
We advise that you make a list of the skills and/or experiences that are required for the job. Take a look at the job description or personal specification to find the skills/qualities required in the role and match these to your qualifications or experience. Then, consider specific examples of occasions when you displayed those skills. For each example, name the situation, task, action, and result.
We also suggest that IMGs take a look at our series of articles on preparation for NHS interviews, giving you the best chance of securing the doctor role that you want in the UK.
IMG Jobs
Search and find live NHS doctor jobs in the UK
IMG Resources
Read more useful articles on finding an NHS trust doctor job, pay scales & doctor’s salary in the UK, relocation and much more!
Get in Touch
Don’t hesitate to get in touch using the buttons above (and below) to discuss doctor job options in the NHS, including discussions regarding CESR, a typical doctor salary in the UK and the most suitable NHS jobs & hospital locations for you.
How can I find a rheumatology job in the NHS?
Working with IMG Connect will give you easy access to rheumatology jobs for consultants, clinical fellows, registrars, specialty doctors, trust doctors, as well as LAS posts.
Vacancies for rheumatologists from outside of the UK can be found in a variety of ways, which for some doctors can sometimes be time consuming and confusing.
The IMG Connect job search is a dedicated online recruitment service for overseas doctors looking to secure a job in the NHS. View out latest Doctor Jobs in the NHS, here.
Save time and get expert advice based on your preferences
Performing a job search online can take up a lot of your time, so at IMG Connect we are here to do the time-consuming work for you. Upon registering, you will have a dedicated consultant whose role is to find jobs that match your skills, and apply for NHS jobs on your behalf.
You can receive jobs updates by E-mail to view new posts to suit your job search every day.
Create a profile – it takes 30 seconds
It really is that easy, so why not take advantage of our resources, time and energy to find you the right job in the NHS suited to your preferences. By providing us with some key details we can quickly assess which jobs are best suited to your preferences, and even email you job alerts for new exciting roles which we think will interest you!
We understand you, and our clients
When looking for a Rheumatology job in the NHS, it can be hard to try to find out key information before applying, such as:
what specialty specific training there will be?
Am I likely to get a training post after taking this role?
Can the trust support CESR applicants and is their CESR programme established enough for my needs?
What career progression is available for me within the Rheumatology Specialty?
What is the job plan and how much time will I spend on the ward?
What is it like to work and live there?
What salary will I get paid, and can I get extra pay for additional shifts?
It can be tricky to get all the answers you want before applying online, so we spend our time getting to know both our clients and you, finding out as much key information as possible to help you to make the right decisions. Including details on the rheumatology department, hospital & trust, as well as an overview of what it is like to live in the area, including housing and the cost of living, as well as access to schools for your children, childcare and finding work for spouses.
Making an impact
We will also provide you with top tips on CV writing, job applications and interviews, ensuring that your application and interview makes the most impact with our NHS clients.
Making it personal
Once registered, you can quickly search and apply for NHS jobs using our job search, and take advantage of many useful articles written to support you through your journey to the UK. In addition, when you sign up to 'job alerts' we will automatically email you each time a relevant Rheumatology vacancy comes available that you may be interested in.
Once logged in, you can also save job details and make applications.
By registering with IMG Connect, you will:
Have a dedicated consultant who understands your preferences and will do the time-consuming job searches and applications for you.
Find your ideal NHS position amongst thousands of unadvertised vacancies - from consultant to registrar, or specialty doctor to SHO.
Be the first to hear about new vacancies – registering with IMG Connect means that your CV will gain priority with our NHS clients, and will professionally represented by international recruitment experts.
To help you find a job in the NHS simply follow these easy steps:
Register with IMG Connect
Fill in the 'Personal details' section.
Arrange a chat with your dedicated IMG Consultant
Sign up to receive 'job alerts’
Search our live rheumatology jobs
Searching for Rheumatology jobs in the NHS could not be easier
If you want to find out more about the many different rheumatology roles available within the NHS - it only takes a minute to register with IMG Connect and receive expert advice and representation. We have helped many overseas rheumatologists into consultant, specialty doctor, registrar, clinical fellow and staff grade NHS roles, whilst offering expert guidance to many more IMGs on NHS doctor pay, royal college qualifications and English language testing. We’d be happy to help you!
NHS CESR Applications for Emergency Medicine or ED Consultants
In this article we provide guidance on evidence to be supplied for an application onto the Specialist Register for Emergency Medicine, with a Certificate of Eligibility for Specialist Registration or CESR.
What is CESR in Emergency Medicine in the NHS?
As a Emergency Medicine doctor, attaining CESR will mean you are qualified to practice independently as a Emergency Medicine or ED consultant in the NHS. Have a read through our CESR articles found in the IMG Library to understand a little more.
Do I need MRCEM to attain a CESR in Emergency Medicine?
Yes, Emergency Medicine is one of the few specialism where there are no recognised equivalents to MRCEM. Any doctor wishing to attain Specialist Registration via the CCT route will attain FRCEM in addition.
What is the indicative period of training for a CCT in Emergency Medicine?
The indicative period of training for a CCT in Emergency Medicine is six years and it is very unlikely that an applicant would achieve the competencies required for a CCT in a shorter period of time.
The evidence you collect for your CESR application should reflect this period of training, which consists of:
Two years in the Acute Care Common Stem (covering areas of Emergency Medicine, Anaesthetics, Intensive Care Medicine and Acute Medicine)
Four years of training in Emergency Medicine (covering areas of Paediatric EM, EM and EM ultrasound)
CESR applicants will need to demonstrate they have achieved the competences in each of these areas.
The EM ultrasound competences (EMUS) can be shown by completing the triggered assessments outlined in the EM curriculum (level 1 or equivalent).
The assessments forms for Core Ultrasound can be found in the RCEM EMUS booklet (Appendix 2).
The first three years of training make up Core Specialty Training, the final years of training are known as Higher Specialty Training.
For complete details please refer to the Emergency Medicine Curriculum documentation.
Submitting Evidence
Do not submit original documents – this is very important.
All your copies, other than qualifications you’re getting authenticated must be accompanied by a proformas signed by the person who is attesting to the validity and accuracy of your evidence (your verifier).
It is very important that you read an explanation of how to do this in the GMC’s important notice about evidence.
How much evidence should you submit?
The GMC recognises that doctors will often not have all the evidence required for a complete CESR application, often many doctors will start their application and delay starting their application until they are able to gather all the evidence.
The evidence must cover the knowledge, skills and qualifications to demonstrate the required competencies in all areas of the Emergency Medicine Curriculum.
If evidence is missing from any one area of the curriculum, then the application will fail.
If you have a piece of evidence that is relevant to more than one domain, do not include multiple copies in your bundle. Instead include one copy and list it in your evidence list under each relevant area, stating that the document is located elsewhere.
The GMC asks that only evidence that is strictly relevant is sent as it will help them to process the application quicker. The guidance on compiling your evidence will help you to decide what is relevant and what is not – make sure you are reading the latest version on the GMC website – here.
It is important to note that evidence that is more than five years old will be given less weight than more recent evidence, so you may not need to include it. As a general guide, an application for CESR could expect to see around 800-1000 pages of evidence.
The types of evidence are divided into four different domains, the GMC recommends that you apportion the evidence provided as per the pie chart below:
Please note, you cannot compensate for evidence lacking in one area by providing more evidence in another area.
Make sure to anonymise your evidence:
It is very important to anonymise your evidence before submitting it to the GMC.
You must remove the following:
All patient identifying details
Details of patients’ relatives
Details of colleagues that you have assessed, written a reference for, or who have been involved in a complaint you have submitted. This includes:
Names (first and last)
addresses
contact details such as phone numbers or email addresses
NHS numbers & other individual patient numbers
GMC numbers
In Summary:
If you have any questions or uncertainties, please do not hesitate to get in touch with the IMG Connect team. However, your official point of reference for any queries should the GMC – they can answer and provide the most updated information on CESR applications for overseas Emergency Medicine doctors looking to work as NHS Consultants in Emergency Medicine.
IMG Jobs
Search and find live emergency medicine NHS doctor jobs in the UK
IMG Resources
Read more useful articles on finding an NHS trust doctor jobs, doctor salary & relocation for emergency medicine specialists
Get in Touch
Don’t hesitate to get in touch using the buttons above (and below) to discuss emergency medicine doctor job options in the NHS, including discussions regarding, CESR, a typical doctor salary in the UK and the most suitable NHS job & hospital locations for you.
MRCEM or FRCEM - Courses
Many overseas doctors preparing for their FRCEM or MRCEM Emergency Medicine examinations wonder if they should take a course as part of their preparation.
In short, we advise that all IMGs should attend as many courses as possible. The knowledge gained on an MRCEM or FRCEM course goes well beyond the exam.
One issue is of course that courses cost a considerable amount of money, but if you consider that taking a course increases your chances exponentially of passing the examinations first time, the cost is offset by not having to pay to re-sit.
Finding courses can be tricky, so take some time to work out what you specifically need help with and the stage you are at in the process. Search online to find the course that will suit your needs the most.
REGISTER TODAY FOR DISCOUNTED COURSES
Speak to your peers, some may have attended a course that they felt had a positive impact on the learning and preparation.
Once you think you have found a course that suits your needs, such as an MRCEM OSCE course, check reviews posted by other IMGs to be sure of the quality of the tutoring.
When purchasing the Emergency Medicine course, if you have found a course that suits your needs, has good reviews recommendations from your peers, then it will likely be worth the investment. As a direct result, you will likely pass the exams much quicker, helping you to secure the Emergency Medicine job that you want in the NHS.
If you need some advice on choosing an Emergency Medicine MRCEM or FRCEM course to help you on your journey to securing a job in the NHS, don’t hesitate to get in touch with IMG Connect.
IMG Jobs
Search and find live emergency medicine NHS doctor jobs in the UK
IMG Resources
Read more useful articles on finding an NHS trust doctor jobs, doctor salary & relocation for emergency medicine specialists
Get in Touch
Don’t hesitate to get in touch using the buttons above (and below) to discuss emergency medicine doctor job options in the NHS, including discussions regarding, CESR, a typical doctor salary in the UK and the most suitable NHS job & hospital locations for you.
Preparing for PACES - where do I start?
As an overseas doctor where should you start with your PACES exam preparation?
With lots of resources available online, we discussed with successful candidates for them the best place to start looking for exam materials. Whilst there are lots of fantastic courses available for IMGs to help pass their PACES exam first time, most IMGs recommended starting their preperation with free resources from the Royal College of Physicians. Using these will give you strong foundations to further suppliment with any further studies or courses which you may decdie to invest in.
We have provided the Royal College's official resources below:
Curriculum
PACES station 4 examiner guidance examples
PACES sample scenarios
Videos - what to expect on the day
PACES candidate videos
Candidate guidenotes
PACES marksheets
General Exam Tips & Preparation
Passed? What next?
It is recommended that to give yourself the best chance, you gain clinical experience involving care of emergency patients, adults and children.
We advise you to regularly invite senior colleagues to observe and provide feedback on your clinical assessments, so you will be comfortable with the PACES format and give you confidence in approaching and examining patients with examiners present.
Curriculum:
Applicants are tested on a range of common and important disorders in General Medicine as set out in the Joint Royal Colleges Specialty Training Curriculum for Core Medical Training.
We recommend getting to know the curriculum as early as possible, using it as a road map for your study plan.
PACES station 4 examiner guidance examples:
This useful guide contains examples of the types of statements found in the examiner guidance section of station 4 scenarios. This will help you to understand what the examiner is looking for.
PACES sample scenarios:
These will provide you with the most accurate and relevant scenarios to prepare you for the real thing. Sample scenarios cover Station 2, 4 & 5 (‘history taking’, ‘communication skills and ethics’ and ‘clinical consultations’ respectively.
Most of these have been previously used in a recent exam, but please note that during the exam you will only receive the section marked ‘information for the candidate’.
Videos - what to expect on the day:
These helpful videos will give you a true reflection of what to expect on the day of the exam, easing some of the pressure and ensuring you can focus on the task at hand.
PACES candidate video:
Whilst there are lots of useful videos online that are easy to find, the PACES candidate video contains important information about the exam, and practical examples of how the exam will run.
Candidate guidenotes:
These guidenotes created by the Royal College help IMGs to understand what to expect on the day, from your arrival to the completion of the test.
PACES Marksheets:
To help you understand how PACES is marked here are some examples of full marksheets.
It can also be useful to understand how IMGs have failed the exam in the past, as this will give you the best chance to pass first time. The ‘how I failed PACES’ guide provides tips to help you to identify where you might be going wrong, along with practical advice to help you to improve.
General Exam Tips & Preparation:
For a useful overview of how to prepare for exams, including advice on study groups, online community support, best use of online resources & Royal College materials and courses - take a look at our blogs on exam tips and preparation.
Passed? What next?
First of all, congratulations! After you have passed all parts of MRCP(UK) you can apply for a full registration with a license to practice. Once the GMC have approved your application, you can work as a doctor in the UK.
IMG Jobs
Search and find live NHS doctor jobs in the UK
IMG Resources
Read more useful articles on finding an NHS trust doctor job, pay scales & doctor’s salary in the UK, relocation and much more!
Get in Touch
Don’t hesitate to get in touch using the buttons above (and below) to discuss doctor job options in the NHS, including discussions regarding CESR, a typical doctor salary in the UK and the most suitable NHS jobs & hospital locations for you.
Route to CESR - Emergency Medicine jobs
CESR acts as a route to applying for substantive (permanent) consultant jobs in Emergency Medicine for doctors who have not followed a specialty training programme in the United Kingdom.
In a nutshell it is the option available to emergency medicine doctors practicing as consultants, or at a senior level from overseas who wish to gain specialist registration in the UK. Some doctors choose to apply from overseas, others work with IMG Connect to secure a job in the NHS geared at helping them gain entry to the specialist register once in the UK.
If you are working as an Emergency Medicine consultant, or at a senior level in your home country and are eligible for specialist registration in the UK, then as an overseas doctor (IMG) you have a couple of options. Here we focus on applying for CESR from abroad as well as the alternative route, applying for a Specialty Doctor or Fixed Term Consultant job in the UK before applying for CESR with support of your NHS employer.
Both routes lead to gaining CESR and entry to the Specialist Register, meaning that you can work as a substantive consultant in the NHS. Both take hard work, preparation, evidence gathering, time and dedication. Both options have the same end goal, specialist registration.
It is important to say that no matter how you choose to apply, the CESR process involves submitting a large volume of evidence to demonstrate that you have the equivalent experience, skills and competencies as a doctor who has taken the specialty training route in the UK. Whether applying from overseas or not, some doctors are asked to complete additional experiences to meet this strict standard. Because of this, the process can be lengthy.
Applying for CESR from overseas
This is a great option for emergency medicine consultants who are not constrained by time and have an understanding department that will support the additional gathering of evidence.
The GMC reckons that it takes between 6 – 9 months between submitting your application and receiving a decision. At IMG Connect our experience tells us that is takes a similar amount of time to gather the evidence prior to submitting. In addition, you must have completed the evidence in the first place in real workplace and clinical scenarios. This can take twice as much time as preparing and submitting. Put simply, the process can be time consuming and laborious.
Add to this the issue of completing and gathering evidence against the CESR application from overseas. It can prove challenging to ensure that you have completed the full complement of competencies for CESR applications. This can result in the GMC asking for further evidence, adding more time to the process. You may have to identify gaps in your learning and then resolve them. It is not all bad though, this is good practice and will benefit you in the long run.
Applying for a specialty doctor job and/or fixed term consultant post before applying for CESR
For senior emergency medicine doctors who are keen to secure entry to the Specialist Register quickly, and work in the UK as soon as possible, then taking up a Specialty Doctor role with CESR programme, or a Fixed Term Consultant post with CESR programme/support is a good option.
Many NHS hospitals or trusts in the UK will offer access to support, clinical experience and study or preparation time for CESR. This is often built into the weekly job plan, but in some circumstances, this may be arranged informally. Either way, this is a good way for senior emergency medicine doctors to quickly gather the right evidence for their application with the support of their peers, senior colleagues and NHS employer. This can shorten the time spent on the application overall.
If this sounds like the best option for you, it is wise to start gathering and signing off evidence in your current consultant post. That way you will already have some or most of the required evidence for CESR in place, allowing you to quickly focus on any elements that are missing once in the UK and working in the NHS
Find an emergency medicine job in the NHS with CESR
Securing a job as a Specialty Doctor with CESR programme attached, or a job as a Fixed Term Consultant with CESR programme/support attached, gives you instant exposure to the UK system, NHS experience and a great start to your career in the NHS.
To discuss whether applying for CESR from overseas or securing a job as a Specialty Doctor or Fixed term consultant with CESR programme is the right route for you towards specialist registration, speak with an IMG Connect consultant, register or send your CV.
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How do I find the right school for my children?
One of the biggest concerns IMGs relocating with families will have, is how to find the right school for their children in the UK.
The good news is that the educations system is excellent, and education is free!
If you are bringing children to the UK with you, the first thing you will need to do is apply for a place in the school you want them to go to. To do this you will need to get in touch with your local council to ask about the schools in the catchment area, and find out where places are available.
You can then apply for places in schools through the local council, applications usually opening a year before you want your child to start. More information about the process is available here. Children normally begin school in the September after they turn four and usually you can apply for a place in a state school at any point in the year.
There are many options that parents have when deciding which school is best for their children, including faith schools, free schools, academies, technology colleges, boarding schools, private or paid for schools, or grammar schools to name a few.
All children living in England, Scotland, Wales, Northern Ireland and Ireland are entitled to a free place at a state school.
If you choose to send your child to a free state school, then your local council will decide which school your child is given a place at.
All schools have admission criteria to decide which children get places. The school or local council usually set these.
Admission criteria are different for each school. For example, schools may give priority to children:
who live close to the school (catchment area)
who have a brother or sister at the school already
from a particular religion (for faith schools)
who do well in an entrance exam (for selective schools, for example grammar schools or stage schools)
who went to a particular primary school (a ‘feeder school’)
Councils usually use 'catchment areas' to decide where your child is given a place at school.
A catchment area is an area around a school. Any children who live in this area are given a place at the school.
Most councils publish catchment area maps on their website.
You can find out where your child will be given a place at school by looking on your local council's website.
See below useful links to how to register, depending on country:
Scotland
England & Wales
Northern Ireland
Ireland
If you choose to send your child to a paid school, then you can ask the team at IMG connect to help you further, including advice on how to check the school’s standards, costs and how to contact them directly.
If you want to know more about schooling in the UK, have a chat with our team or take a look at our relocation blogs.
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Tackling Brexit in the NHS
Since the UK voted to leave the EU in 2016, the countries exit (now commonly known as Brexit), has raised many questions in the healthcare sector centred on the implications for workforce management and planning.
With some European doctors publicly stating that they either intend to leave the UK, or are uncertain as to the future plans to remain a staff member of the NHS, their decisions pose important questions – are European doctors welcome in the NHS and what is being done to encourage doctors to stay in post?
Speaking with senior NHS figures, it is clear that the contribution of European doctors and healthcare professionals is greatly valued. To add, workforce managers and service leads have advised in no uncertain terms that they do not wish to lose any of their workforce, far from it – services up and down the country are trying to attract more doctors to their services. Brexit they say, is an unfortunate stumbling block at a time when demand is increasing for healthcare. It is therefore a major hurdle that the NHS needs to overcome in order to continue to bring experienced healthcare staff to the UK.
What might not be clear amongst the bad press surrounding Brexit, is that in 2018, the Government actually relaxed its rules on the immigration of overseas doctors seeking relocation to the UK, considerably increasing the number of Visas made available.
Further evidence of the demand for overseas doctors can be found in the recent White Paper advising the government to add all grades and specialities of medicine to the shortage occupation list. Whilst this is yet to become government policy, the report makes clear the ever-growing demand for European and Non-European doctors.
With ministers agreeing to expand the number of doctors allowed into the UK and changes to the shortage occupation lists in the pipeline, Brexit very much goes against the grain.
So, with a conflicting backdrop of Brexit set against the welcoming approach to European doctors in the NHS, where does recruitment of the best doctors to the UK stand?
Sources tell us that the government is set to continue to encourage doctors to the UK, taking on board proposals to increase the shortage occupation list to all medical doctors, as well as many other areas of healthcare professionals. Good news.
The issue that the NHS faces, is the growing media storm and political posturing around the Brexit debate. This toxic masculinity and surge to the right of centre in British right-wing politics is putting a large number of Europeans off their previously planned immigration. It can also be said that this atmosphere has triggered a small but growing exodus from the NHS.
The government now finds itself in a position where it is trying to explain its response to demand for staff in the NHS and its plans for Brexit, both very different approaches and rhetoric – can it have it both ways?
Focusing on NHS services, Directors, lead consultants and HR managers cannot be clearer – all Europeans doctors will be welcomed with open arms, and all current members of the NHS are highly valued for their continuing contributions. The praise goes further, Royal Colleges from all specialties, the General Medical Council and the British Medical Association have all unequivocally stated that they wish to support their European colleagues.
In addition, these organisations have increased their efforts to attract European candidates in an effort to combat the negative publicity brought about by Brexit. But, Brexit is having an immediate impact on retention, planning and hiring of new staff.
The NHS in England alone was short of nearly 10,000 doctors, with latest figures across the whole of the UK showing further increases in demand. Such figures do not reveal the full picture, with locums filling many posts, the real number of vacancies is likely 25% higher.
NHS operating departments continue to make it clear that staffing is their main problem when trying to combat the rising need for a varied healthcare system. What can be done to combat the negative stem caused by Brexit, and redress the balance in favour of the NHS?
Some attempts have been made in recent years to increase numbers in University as well as attracting junior doctors to the MTI scheme, however such efforts have fallen short.
In fact, the NHS will need to build its reliance on quality overseas doctors to take up fixed term and permanent service posts, an attractive option compared to either expensive temporary staff, or facing the prospect of competing for UK trainees, whose numbers remain very low.
Our hope is that there will be continued drive to employ talented and committed international doctors to help deliver services.
Starting with the local needs of each hospital or Trust in detail to create bespoke searches for the best talent, the best quality staff can be found. And rather than finishing at the point of placement, retention and after care services that ensure overseas doctors settle into their roles quickly, feel valued and integrate in their communities are crucial to successful relocation and retention. Such an approach will offset the negativity mindset and decrease in available candidates brought about by Brexit.
Supporting doctors with practical support & information surrounding their relocation ensures that they can focus on their work. Offering advice on engaging with their communities and new team can bring about a positive mindset. And connecting employers with a wider pool of candidates, most suited to the Trust values and fit, can ensure prolonged partnerships with European and non-European doctors.
All in all, staffing demands caused by Brexit, coupled with the need to increase the skills base in the NHS, can be offset with agencies and HR departments being accountable for the challenges they face. Turning things around in the attraction of workforce supply to the NHS.
What we know so far is that the status of already registered doctors is guaranteed. What is not clear is whether the current arrangements for registration will remain the same, with European Mutual Recognition continuing unaffected.
In all Brexit outcomes, the NHS will need to engage in more international recruitment. Take rural and hard to reach areas, as a good example of where even without Brexit, NHS organisations face challenges to attract greater staffing numbers.
With improved partnerships, focused on overseas recruitment, we can jointly attempt to maintain the number of EEA doctors remaining and joining the medical register.
In summary, the NHS remains an attractive place for overseas doctors to work and train, and the NHS remains committed to supporting all European colleagues and future colleagues. However, the challenge to recruit the best and most committed candidates is growing. Demand is increasing for overseas recruitment; we all must pay our part to maintain the positive impact that employing and supporting Europeans doctors has on our patient care.
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EDAIC - a guide for overseas anaesthetics doctors
In this article we look in more detail at an alternative route for overseas Anaesthetists looking to work in the UK – the European Diploma of Anaesthesiology and Intensive Care (EDAIC).
International Medical Graduates (IMGs) from any country in the world can sit the EDAIC examinations, provided certain eligibility criteria are met. These are summarised below along with a broad look at the following topics:
What is EDAIC?
Content and structure
Am I eligible?
Dates, Fees and Venues for the EDAIC examinations
How should I prepare and what resources are available?
Passed? What next?
What is EDAIC?
EDAIC is a multilingual, end-of-training, two-part examination covering the relevant basic sciences and clinical subjects appropriate for a specialist in anaesthesiology.
Doctors with full EDAIC will simply require a pass in IELTS or OET for full GMC registration with a license to practice in the UK.
The questions are set against the Syllabus for Anaesthetic and Intensive Care training, set by the European Union of Medical Specialists (UEMS).
The exams aim to assess your knowledge of the following:
Basic sciences relevant to anaesthesiology & intensive care
Clinical Anaesthesiology inc. obstetrics, anaesthesia & analgesia
Resuscitation & emergency medicine
Intensive care
Management of chronic pain
To find out what grade a successful completion of full EDAIC will allow you to work as in the UK contact your IMG consultant for more information.
Content and structure of EDAIC:
EDAIC comprises of two mandatory components:
Part 1 – two multiple choice question papers
Part 2 – oral examination
In addition, there are two optional components:
On-line Assessment (OLA) – computer based online test
In-training Assessment (ITA) – multiple choice question paper
Part 1 Examination:
Pat 1 of EDAIC consists of two multiple-choice papers, each with sixty questions. Each paper is two hours in duration.
Paper A concentrates on the basic sciences of Anaesthesia.
Paper B concentrates on internal and emergency medicine, general, regional & special anaesthesia including pain and intensive care medicine.
Part 2 Examination:
Part 2 is held over one day and consists of four 25-minute oral examinations that each embrace the same range of basic sciences and clinical subjects covered in Part 1.
The oral examinations consist of ‘Guided Questions’ -where candidates are given a brief written presentation 10 minutes before meeting the examiners.
Two of the examinations will concentrate on basic sciences whilst the other two on clinical topics.
X-rays, CT Scans, MRI and Ultrasound images are also used during the oral examinations.
Am I eligible?
Eligibility for EDAIC Part 1 simply requires a medical degree.
Eligibility for Part 2 requires:
a pass in EDAIC Part 1
AND
certification in anaesthesia in any country
OR
Applicants to be in the final year of training in anaesthesiology, in one of the European member states of the World Health Organisation
Please note the following exceptions:
If you graduated as a specialist in Pakistan, you must have the FCPS or equivalent to be eligible for EDAIC Part 2.
Diplomas in anaesthesiology issued in Pakistan and with a curriculum of a shorter duration than FCPS (such as MCPS) can be accepted for EDAIC Part 1, not Part 2.
Holders of FCPS (or equivalent) are not exempt from EDAIC Part 1.
Holders of the FRCA or FCAI / FCARCSI are exempt from Part 1 examination.
Dates, Fees and Venues for the EDAIC examinations:
Examination
Fees
Exam Dates & Venues
EDAIC Part 1
€340 (inc. 1-year ESA membership)
*Part 1 reduced fee €150 (inc. 1-year ESA membership)
EDAIC Part 1 – full list of dates, venues can be found here
EDAIC Part 2
€550 first attempt
€340 following attempts
(€650 for Part 2 Brazil – Sao Paulo)
EDAIC Part 1 – full list of dates, venues can be found here
On-line Assessment
€50
EDAIC OLA – full list of dates, venues can be found here
In-training Assessment
€100
EDAIC ITA – full list of dates, venues can be found here
Authentication of EDAIC by external institution
€50
n/a
Total (at first attempt)
€1090
€900 reduced fee*
Part 1 registration fee will include a free 1-year ESA membership which starts on 1st January of the year following registration for Part 1 Exam.
Please note, those applying for Part 1 examination in a country where the exam is mandatory or has official recognition (Argentina, Austria, Egypt, Finland, Hungary, Malta, Poland, Portugal, Romania, Slovenia, Switzerland, Netherlands and Turkey) AND who are registered on the national medical register of said country, are entitled to a reduced Part 1 fee.
This also includes 1-year free ESA membership.
How should I prepare for the examinations and what resources are available?
We have discussed this at length with IMGs who have recently passed the exam. With so much material available for free on the European Society of Anaesthesiology website we suggest the following as a great foundation for your preparations.
ESA offers several supporting tools to help candidates prepare for the European Diploma in Anaesthesiology and Intensive Care (EDAIC) Part I and Part II Examinations, including:
Syllabus
EDAIC aims at covering the Syllabus to Postgraduate Training Programme of the European Board of Anaesthesiology.
We recommend getting to know the curriculum as early as possible and using it as a road map for your study plan.
Diploma Guide
The EDAIC diploma guide includes information on regulations, structure and various sample examination papers and example report forms.
The Basic Sciences Anaesthetic Course (BSAC):
This is a 3-day course, aimed at improving your understanding of different areas of basic science. Register here.
ESA E-Learning Platform:
This includes helpful E-Learning modules to help you prepare for examinations, go to the ESA Academy to start your learning.
EDAIC Webinars:
The ESA have created a series of webinars to support your learning, these can be accessed on the eLearning platform.
On-line Assessment (OLA) and In-training Assessment (ITA):
You can use these helpful tools (On-Line Assessment (OLA) and In-Training Assessment (ITA)) to test your knowledge and identify which subjects require further study.
Sample questions:
The ESA have created sample questions in different languages to help you prepare for all sections of the EDAIC exams:
Part 1
Part 2
Please note, the links above provide these sample questions in English. All other languages can be found here.
Part 2 explainer video:
This is a useful sample exam video, helping you understand what to expect on the day so you can focus on the task at hand.
The ESA have also produced a guide to preparing for your exam and a recommended reading list to support the curriculum.
Passed? What next?
First of all, congratulations! Once you have passed both parts of your EDAIC examination you can apply for a full registration with a license to practice. Once the GMC have approved your application, you can work as a doctor in the UK.
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NHS CESR Applications for Geriatrics or Elderly Care Consultants
As an IMG, what documents should you submit for your CESR application in Geriatric Medicine?
In this article we look at the specialty specific guidance on documents to be supplied in evidence for an application for entry onto the Specialist Register for Geriatrics or Elderly Care Medicine with a Certificate of Eligibility for Specialist Registration or CESR.
What is CESR in Geriatric Medicine in the NHS?
As a Geriatrician, attaining CESR will mean you are qualified to practice independently as a Geriatrics consultant in the NHS. Have a read through our CESR articles found in the IMG Library to understand a little more.
Do I need MRCP to attain a CESR in Geriatric Medicine?
No, but whilst it is always a benefit to attain MRCP you do not require it to attain CESR in Geriatric Medicine, though you may have already attained this depending on which route you have taken for GMC registration.
Any doctor wishing to attain Specialist Registration via the CCT route must attain MRCP(UK).
What is the indicative period of training for a CCT in Geriatrics?
The indicative period of training for a CCT in Geriatric Medicine is seven years and it is highly unlikely that you would achieve the competencies required for a CCT in a shorter period of time.
This training consists of the following:
2 years in Core Medical Training OR
Acute Care Common Stem (ACCS) OR
AND
Five years training in Geriatrics
Therefore, CESR applicants must demonstrate that they have achieved the competencies in each of these areas.
For a complete list of competencies refer to the Geriatric Medicine Curriculum documentation.
Submitting Evidence:
Do not submit original documents – this is very important.
All your copies, other than qualifications you’re getting authenticated must be accompanied by a proformas signed by the person who is attesting to the validity and accuracy of your evidence (your verifier).
It is very important that you read an explanation of how to do this in the GMC’s important notice about evidence.
How much evidence should you submit?
The GMC recognises that doctors will often not have all the evidence required for a complete CESR application, often many doctors will start their application and delay starting their application until they are able to gather all the evidence.
The evidence must cover the knowledge, skills and qualifications to demonstrate the required competencies in all areas of the Geriatric Medicine Curriculum. If evidence is missing from any one area of the curriculum, then the application will fail.
If you have a piece of evidence that is relevant to more than one domain, do not include multiple copies in your bundle. Instead include one copy and list it in your evidence list under each relevant area, stating that the document is located elsewhere.
The GMC asks that only evidence that is strictly relevant is sent as it will help them to process the application quicker. The guidance on compiling your evidence will help you to decide what is relevant and what is not – make sure you are reading the latest version on the GMC website – here.
It is important to note that evidence that is more than five years old will be given less weight than more recent evidence, so you may not need to include it. As a general guide, an application for CESR could expect to see around 800-1000 pages of evidence.
The types of evidence are divided into four different domains, the GMC recommends that you apportion the evidence provided as per the pie chart below:
Please note, you cannot compensate for evidence lacking in one area by providing more evidence in another area.
Make sure to anonymise your evidence:
It is very important to anonymise your evidence before submitting it to the GMC. You must remove the following:
All patient identifying details
Details of patients’ relatives
Details of colleagues that you have assessed, written a reference for, or who have been involved in a complaint you have submitted. This includes:
names (first and last)
addresses
contact details such as phone numbers or email addresses
NHS numbers & other individual patient numbers
GMC numbers
In Summary:
If you have any questions or uncertainties, please do not hesitate to get in touch with the IMG Connect team. However, your official point of reference for any queries should the GMC – they can answer and provide the most updated information on CESR applications for overseas Geriatricians looking to work as NHS Consultants in Geriatrics.
How can I find childcare & how much does it cost?
It is typical to hear people around the world say that childcare can be difficult to find and costly. Affordable child care is one of the main priorities for many working parents. And with a large number of overseas doctors relocating with their families, child care is a big issue.
The good news in the UK is that you can get help finding and paying for childcare.
Even better, if you work for the NHS, then you are entitled to additional support through the Tax-free childcare scheme.
How much does childcare cost?
The average cost of sending a child under 2 years of age to nursery is:
Part time - £125 per week
Full time - £240 per week
The average cost of an after-school club for one working week is £60.
Playgroups or pre-school groups (usually organised by the school or nursery directly), typically cost £2 - £10 per session. Sessions are normally two – three hours before and after standard working hours.
A registered childminder could cost on average £250 per week full time, and £150 per week part time (costs will be slightly higher in London).
If you have read our articles on schooling, you will remember that nursery schools, if provided by the state, are free for all children.
There is help you can get with childcare costs, for example with tax free childcare you can get up to £2,000.
Help is provided if you select childcare run by an approved childcare provider, such as:
registered childminder, playscheme, nursery or club
childminder with an Ofsted-registered childminding agency
registered school
home care worker working for a registered home care agency
Try this useful tool for checking what childcare can be made available for you.
Tax free childcare scheme:
A scheme is in place aimed at helping reduce the cost of childcare for NHS employees.
The scheme is administered through online accounts, opened by parents on the get-tax-free-childcare website. Parents pay money into the account, which is used to pay for childcare with registered providers.
Parents can pay money into their childcare account as and when they like, and for every £8 paid in, the government will add £2, up to a maximum of £2,000 government support per child, per year (£4,000 for children with disabilities).
The scheme is open to parents of children up to and including the age of 11 (16 for children with disabilities).
What else is available?
Some employers offer additional support to families, giving that little bit extra to make the work life balance more sustainable. Extra help could include workplace nurseries, directly contracted childcare, advice services and community groups.
Checking childcare providers:
It is important to check that the provider you wish to use is suitable for your child, working to high standards, and approved for use under the tax-free scheme.
You can check if a childcare provider is approved or search for one using the following websites:
England through Ofsted
Wales through the Care and Social Services Inspectorate Wales
Scotland through the Scottish Care Inspectorate
Northern Ireland through the local early years team register
You can get help paying for childcare provided by a school, for example nursery school fees. State schools are free, so when it comes to childcare you can only get help paying for care that is outside school hours, for example after school clubs or breakfast clubs
Steps to follow:
If you want to check how much support you can receive and how to find the right provider, follow these steps:
Check how much free childcare you can receive using the government online tool: Government Childcare Calculator
Check where you can get childcare:
England
Wales
Scotland
Northern Ireland
Get help paying for childcare:
You can get help with childcare costs for children under 18. You might be able to apply for:
Tax-Free Childcare
Tax credits
Universal Credit
You could also get free hours childcare. You might be able to apply for:
free education and childcare for 2 year olds
15 hours free childcare for 3 to 4 year olds
30 hours free childcare for 3 to 4 year olds
Advice and support is provided by the government, local councils and education organisations. We advise you to speak with your IMG consultant, who can help you establish where to start, answer any questions you may have and point you in the right direction to getting the best start for your children in the UK.
You will also find that parents in the UK, as well as staff in the NHS and education system, will be keen to support and help you with advice. The parental community in the UK is strong and supportive, with networks of like-minded families sharing experiences and contacts.
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Radiology – a Doctor’s Route to the UK (European & Non-European)
There are several routes overseas radiologists can take to GMC registration & securing an NHS radiology job.
Whether you are from inside or outside of Europe, all international radiologists will need to satisfy certain criteria to fully register with the General Medical Council before beginning their journey in the NHS. The criteria you need to meet depends on where you currently live and practice, either inside the EEA (& associated countries) or outside the EEA. This article is designed to give you a snapshot of the steps you need to take to start your journey to the UK, no matter where in the world you live.
Inside the EEA – click here
Outside the EEA – click here
“Doctors from countries around the world play a vital and significant role in our NHS and in the delivery of safe patient care. This is not only welcome but is part of the continuous exchange of knowledge in healthcare and should be strongly encouraged. They make an invaluable contribution to the NHS.”
Joint statement from the Royal College of Physicians & Radiologists
Inside the EEA
Firstly, it is important to note that where we refer to EEA in this article this refers to all countries inside the EU, including Lichtenstein, Iceland & Norway.
If you qualified as a radiologist inside the EEA or Switzerland, then the good news is that you don’t need to demonstrate your medical knowledge and skills to work as a doctor in the UK – you have already done this, and thanks to the EU your qualification is deemed equivalent. In addition, you will not need to apply for a visa from the UK Home Office.
So, the main hurdle that you will face is demonstrating that your English skills are of a high enough standard to practice safely as a doctor in the UK & NHS.
English Language Testing
Any international doctor, regardless of specialty, experience or country of origin, must demonstrate they have sufficient competence of the English language. You can do this by passing either of the following:
IELTS – International English Language Testing System
OET – Occupational English Test
Take a look at our helpful articles below for detailed information on both tests:
IELTS – a guide for overseas doctors
OET – a guide for overseas doctors
REGISTER TODAY FOR 10-20% DISCOUNT ON LANGUAGE COURSES
GMC Registration
Having passed your English Language Test, you can now apply for full registration with a licence to practice with the GMC. For full GMC registration you must provide evidence of:
Evidence of English language capabilities (IELTS or OET)
AND
Evidence of sufficient skill and knowledge (your equivalent qualifications)
Understand the registration process in full & by reading our article: IMG Resources: GMC Registration for overseas doctors
Job search
We recommend starting the job search as early as possible. Demand for European radiologists in the NHS is ever increasing - the NHS welcomes you with open arms!
At IMG Connect we specialise in securing jobs for European doctors in the UK and can offer you a wider range of radiology jobs than are readily available online. Our network extends to Radiology services and HR departments across the UK, so no matter what your grade or specialty we can ensure you will be interviewing for roles well in advance of any relocation plans.
In addition, your dedicated consultant, with a speciality knowledge of radiology, will negotiate on your behalf ensuring you get the most competitive salary.
Our aim is to have a job offer on the table before your GMC registration is complete, giving you the peace of mind of having an agreed contract in place - leaving you to carefully plan your relocation to the UK.
Take a look at our most recent jobs: Job Search
Relocation
Obviously, any doctor’s journey isn’t all exams, registrations and language tests… there’s also the small matter of relocation and settling into life in the UK.
Once you have secured your role in the UK, we focus on supporting you and your family with all your relocation plans. This can include, but is not exclusive to, securing accommodation, travel planning, setting up bank accounts & national insurance numbers – every step of the way we are here to help.
Have a read through our IMG Library and take in all the beautifully organised information on relocation and UK life to immeasurably help your first days, weeks and months in the UK. You can browse our articles here: IMG Resources: Relocation & UK Life
Brexit
Many radiologists have questioned how the UK’s withdrawal from the European Union (EU) will affect doctors from Europe already working in the UK, and those who may wish to work here in the future.
We've been keeping a close eye on policies and developments to ensure that we keep our doctors as up to date as possible. While we await more information from the UK Government about what our future relationship with Europe will look like. What is clear is that European doctors are most welcome in the NHS with or without Brexit.
At IMG Connect we do not see Brexit as an end to EEA doctors relocating to the UK, far from it… you are in demand and we will support with all the necessary requirements for entry to the UK, whatever the outcome.
Take a look at our Brexit articles for more information: IMG Resources: Brexit
Outside of the EEA
If you qualified as a radiologist outside the EEA, then you will have to demonstrate that both your medical knowledge & skills and English Language capabilities meet the level required to practice safely in the UK. In addition, you will need to apply for a visa from the UK Home Office.
Here we summarise the requirements for radiology doctors, looking at the following:
English Language Testing
Evidence of Knowledge & Skills - PLAB, FRCR or equivalents
Tier 2 Visas
Full GMC Registration
English Language Testing
Any international doctor, regardless of specialty, experience or country of origin, must demonstrate they have sufficient competence of the English language.You can do this by passing either of the following:
IELTS – International English Language Testing System
OET – Occupational English Test
Take a look at our helpful articles below for detailed information on both tests:
IELTS – a guide for overseas doctors
OET – a guide for overseas doctors
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Evidence of Knowledge & Skills in Radiology
Overseas radiologists must prove to the GMC they have sufficient knowledge & skills to practice safely in the UK. For radiologists this can be done through three main routes:
PLAB
Royal College qualification of FRCR
GMC - recognised or equivalent qualifications
Route 1 - PLAB:
The PLAB exam is a two-part exam that assesses a doctor’s ability to work safely as an SHO in the NHS, as such it does not demonstrate ability in radiology specifically. For this reason, PLAB tends to be a route for junior doctors who have not already chosen their field of specialisation in medicine.
That said, for some senior doctors PLAB can be an attractive option, offering a quicker route to the UK, whilst still securing competitive salaries. If taking this option, radiologists can then take up training or a more senior post once they have established themselves in the NHS.
Take a look through our comprehensive guides on PLAB:
PLAB – a guide for overseas doctors
PLAB 1 – a closer look
PLAB 2 – a closer look
Route 2 - Royal College Qualification of FRCR:
Attaining a Royal College qualification is a preferred path for doctors who have already chosen their field of specialism i.e. radiology. For senior radiologists taking this route, they will gain access to more senior, well-paid jobs in the specialism of their choice.
The Royal College of Radiologists is the Professional Body that regulates the specialism of Radiology in the UK, and Membership of the Royal College of Radiologists (FRCR) is the full qualification attainable by examination.
For overseas doctors, attaining FRCR will satisfy the knowledge & skill criteria for GMC registration and facilitate application for more senior roles in UK Radiology.
Take a look at our complete guide on Membership of the Royal College of Radiologists to understand more: IMG Resources: FRCR – a guide for overseas radiology doctors
Route 3 - GMC Recognised or Equivalent Qualifications:
Some overseas qualifications are recognised by the GMC and accepted for registration purposes. This means to say these qualifications are considered as meeting the same standards as the Royal College qualifications. There are Radiology qualifications from several countries around the world that are currently accepted by the GMC.
Find out if your qualification is accepted by the GMC below: IMG Resources: Overseas accepted postgraduate qualifications
Tier 2 Visa:
If you are a doctor applying from outside the EEA region you will almost certainly need to apply for a visa to work in the UK.
Applying as a doctor or nurse has never been easier and there is currently no-restriction on the Certificate of Sponsorship (CoS) applications that a hospital can make. Furthermore, the list of specialties on the shortage occupation list is due for imminent review and expansion beyond its current list of specialties, potentially widening the scope for easier immigration processes across all specialties in healthcare.
Understand Tier 2 visas and Certificates of Sponsorship in depth by taking a look at our article: IMG Resources: Tier 2 Visa application process & documents needed
Wondering whether you can relocate with your family? Take a look at our blog on the Tier 2 dependant visa below:
IMG Resources: Tier 2 Dependent visa - can i bring my family with me to the UK?
GMC Registration
With everything in place, you can apply for full registration with a licence to practice with the GMC. Remember, for full GMC registration you must provide evidence of:
Evidence of English language capabilities
AND
Evidence of sufficient skill and knowledge (PLAB, FRCR or equivalent)
Understand the registration process in full & by reading our article below:
IMG Resources: GMC Registration for overseas doctors
Job search
We recommend starting the job search as early as possible. Demand for Non-EEA Radiologists in the NHS is increasing - the NHS welcomes you with open arms!
At IMG Connect we specialise in securing jobs for overseas doctors in the UK and can offer you a wider range of jobs than is readily available online. Our network extends to Radiology services and HR departments across the UK, so no matter what your grade or specialty we can ensure you will be interviewing for roles well in advance of any relocation plans.
In addition, your 1-1 consultant, with a speciality knowledge of Radiology, will negotiate on your behalf, ensuring you get the most competitive salary. Giving you the peace of mind of agreeing your new contract, perhaps even before your GMC registration is complete.
Take a look at our most recent jobs: Job Search
Relocation
Obviously, any doctor’s journey isn’t all exams, registrations and language tests… there’s also the small matter of relocation and settling into life in the UK.
Once you have secured your role in the UK, we will focus on supporting you and your family with all of your relocation plans. This can include, but is not exclusive to, securing accommodation, travel planning, setting up bank accounts & national insurance numbers – every step of the way we are here to help.
Have a read through our IMG Library and take in all the beautifully organised information on relocation and UK life to immeasurably help your first days, weeks and months in the UK. Take a look here: IMG Resources: Relocation & UK Life
Brexit
Many Radiologists have questions about how the UK’s withdrawal from the European Union (EU) will affect doctors from outside of the EEA already working in the UK, and those who may wish to work here in the future.
Whilst we are still pushing for a halt to Brexit, we've been keeping a close eye on policies and developments to ensure that we keep our doctors as up to date as possible. While we await more information from the UK Government about what our future relationship with Europe will look like, what is clear is that there are no current changes to immigration entry requirements for non-EEA doctors.
Overseas doctors are most welcome in the NHS with or without Brexit… you are in demand and we will support with all the necessary requirements for entry to the UK.
Take a look at our Brexit articles for more information: IMG Resources: Brexit
IMG Jobs
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UK Visitor Visa for PLAB 2
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.
It is worth noting, that no matter what the guidance and instructions are, a Visa application 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 to prepare all of the required documentation first, and the complete the online form and upload everything you need in one go.
A standard UK visa currently costs £95.
What supporting documents do I need to prepare and provide?
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.
To complete the online application, here are the required entries:
Your name.
Passport details.
Your National ID number, if you have one.
Your email.
Travel information/plan: The date you will arrive in 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 and it asks you to choose an appointment (date and time) with a visa application centre. Please note that you don’t have to choose immediately, especially if you don’t have all the supporting documents ready. Just save it there and a link will be sent to your email. But as above, at IMG Connect we recommend that you have all of the supporting documents prepared before starting your UK Visitor Visa for PLAB 2 application.
What costs can I expect in the UK?
Whilst the exam is taken in one day, we advise for candidate to allow themselves a few days for climatisation and revision prior to the exam. When budgeting, make sure that you book flights, hotels and UK transport to and from the airport in advance to save money.
Once in the UK, a typical low-cost budget for a comfortable stay will include approximately:
£40 - £60 per night for accommodation depending on your test venue
£15 - £25 for food per day
£20 for transport per day
£50 for Airport transfers (return journey)
*remember to consider flights & travel insurance costs in your total budget
Always remember to use price comparison websites or Airbnb to find the best value for money and close to transport & test venues.
What happens if my visa application is refused?
You will receive a letter from the Home Office detailing the reasons for rejecting the application. Don’t worry, you can apply again. If this happens to you, get in touch with your IMG Connect consultant who would be happy to help you re-apply.
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Confirmation of Maintenance for Tier 2 Visa
The confirmation of maintenance is an essential part of your Tier 2 UK visa application.
Your Tier 2 visa application will be immediately rejected without a confirmation of maintenance, here we'll take a close look at it's purpose, how to get one from your employer and what happens if you can't.
What is the Confirmation of Maintenance?
The Confirmation of Maintenance can also be known as an NHS Letter of Maintenance.
It is a confirmation from your sponsor that they will maintain and accommodate you, if necessary, for your first month of employment.
Usually this is confirmed on your Certificate of Sponsorship (CoS) along with evidence of prospective earnings.
Please note, a letter from your hospital certifying maintenance is not an acceptable method of certification.
What is the purpose?
The certification is used to ensure that you and any dependents joining are able to support themselves without recourse to public funds.
Will my hospital offer maintenance?
Most Tier 2 sponsors guarantee their prospective employees’ maintenance by stating on the CoS they will cover the applicant’s maintenance and accommodation costs for the first month of employment in the UK.
Only ‘A-rated’ sponsors have this option which covers the vast majority of employers with Tier 2 sponsorship licenses.
What if my trust will not guarantee maintenance?
This is unusual but not unheard of.
If the trust will not guarantee maintenance then you must prove that you have personal savings of at least £945 continuously for a 90-day period, no more than 31 days prior to the date of your application.
This would be included as part of your Tier 2 visa application.
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OET - a guide for overseas doctors
The Occupational English Test (OET) medicine version is specifically designed for healthcare professionals.
The exam tests your ability in reading, writing, speaking and listening and it is used by overseas doctors to demonstrate their ability to communicate effectively in English to support their application to register and practice medicine in the UK.
For doctors who prefer OET, compared to IELTS, the good news is that OET is now accepted by both the GMC and the UK Home Office - meaning that only one test now required for both UK registration and visa purposes
As an IMG coming to work in the UK, there are different scenarios in which you’ll need to provide a pass in an English test. In this article, we outline the key facts about OET, including the following topics:
What is the OET?
Content and structure
Listening
Reading
Writing
Speaking
What scores do I need?
Does time matter?
When and where can I sit the test?
How can I prepare?
What resources are available online for each subtest?
Passed? What next?
CLICK HERE & REGISTER FOR 10-20% DISCOUNT ON ENGLISH LANGUAGE COURSES
What is the OET?
The OET tests communication in English with an emphasis in medical and healthcare professional settings.
It is recognised by the General Medical Council (GMC), and is fast becoming a common choice to prove a candidate’s ability to communicate in a healthcare environment, such as the NHS.
As an overseas doctor you must select and sit the medicine version of the test, this is the only one accepted by the GMC for the purposes of registration for a license to practice.
Content and structure:
The OET tests your ability in four areas of English language communication:
Reading (45 minutes)
Writing (60 minutes)
Speaking (45 minutes)
Listening (20 minutes)
Listening:
This section consists of three parts and tests a candidate’s ability to understand a range of materials, such as lectures or consultations.
Part A – consultation extracts (5 minutes each)
You will listen to two recorded patient consultations and will be assessed on identifying specific information. You will also complete the healthcare professionals’ notes using the information that you have heard during the consultation.
Part B – Short extract of workplace discussion (1 minute each)
Here, you are tested on your ability to identify detail, understand conversation, meaning and reasons or purpose contained in the discussion. You will hear 6 short extracts and answer multiple-choice questions on each. Example extracts could be a consultation dialogue, team meetings or professional handovers.
Part C – presentation extracts (5 minutes each)
This tests your ability to follow a recorded healthcare related presentation or interview. You will listen to two extracts covering different topics and will then answer 6 multiple choice questions on each extract.
What does the listening sub-test assess?
The listening sub-test assesses your ability to identify specific information and details, to understand conversations, reasons for comments and the opinions of the speakers.
Reading:
In this section you are expected to demonstrate your ability to read and understand texts related to healthcare. This sub-test consists of three parts.
Part A – expeditious reading task (15 minutes)
This tests your ability to quickly and efficiently locate specific information from short texts. The texts will all relate to the same topic, and you will answer 20 questions in total.
Part B and C (45 minutes)
Part B consists of 6 short text extracts from a healthcare setting, sourced from the workplace. It assesses your ability to identify detail, understand context, main points and overall gist of a text. Example texts are hospital policies or guidelines, manuals, instruction guides, internal communications between staff.
Answers are multiple-choice, and you will be asked three questions per text.
Part C consists of two texts on topics of interest to healthcare professionals. Each text is 800 words in total. Here you will be tested on your ability to identify detailed meaning and opinion. Each text has eight multiple choice questions.
What does the Reading sub-test assess?
Each reading sub-test assesses different skills:
Part A, to read quickly, skim and scan across a variety of texts, in order to identify specific information.
Top tip, familiarise yourself with the conventions of medical texts, the structures, presentation of both numerical and textual content.
Part B, to understand detail and main points.
Top tip for Part B is to excel at identifying ideas or points within paragraphs, or sentences.
Part C, to understand meaning and opinion presented to you. This covers a longer text.
Top tip, the focus here is to understand the wider context, from sentence to paragraph level.
Writing:
This tests your ability to communicate effectively in a healthcare context, such a writing a referral letter. You will be given one task with a healthcare focus relating to the usual demands in the medical workplace.
The task is to write a letter, usually a referral. However, this can on occasion be a letter of discharge or advice for a patient. You will be provided with some materials to assist with context, and information to use in your writing.
How is the writing assessed?
overall execution and completion
use of the correct and most suitable language
overall comprehension and use of the materials provided
grammar, punctuation & spelling
cohesion, presentation, structure and layout
Top tip, reading more will considerably improve your writing skills.
Speaking:
This section tests your ability to communicate effectively in a role-play based on a typical healthcare scenario. Each role-play takes about five minutes each.
The test will start with an introduction and short warm up conversation. Then the role-play will begin one-by-one and you have three minutes to prepare for each.
How is the speaking assessed?
intelligibility (pronunciation)
appropriate use of language
relationship building
understanding and incorporating the patient’s language
providing structure
information gathering
information giving
What scores do I need?
For the GMC to accept your Occupational English Test (OET) certificate you will need to score a grade B or above in each test area.
These scores must be achieved in the same test, and this must be your most recent sitting of the OET.
Remember, for the GMC to accept your OET certificate, you must take the medicine version of the test.
Does time matter?
Each sub-test is timed, and you will need to practice how to give each section the right amount of time. You will have to be efficient and work quickly, dedicating the right amount of time to each question and text.
When and where can I sit the test?
You can sit the OET in test venues around the world and they offer the tests 14 times per year. To find out if there is a test venue that suits you take a look at the official website.
How can I prepare?
OET can be challenging. So, make sure you are as prepared as possible before sitting the exam.
OET involves learning a wide range of healthcare related and profession specific language.
To get the right score, this must be at an advanced level.
CLICK HERE & REGISTER FOR 10-20% DISCOUNT ON ENGLISH LANGUAGE COURSES
You don’t need to pay take a course. However, it is highly advisable to attend a course, and/or language classes, successful IMGs have advised that this helped them improve their standards in all areas of the test, including improved general levels of English.
Most overseas doctors advise that they improved by attending specific OET courses, and this also helps you to get used to the test format and timings.
We strongly recommend that you start preparing for the exams as far in advance as you possibly can.
Establish your level of English, and work out what areas you will need to focus on. Identify your weaknesses, set goals for yourself and plan a revision timetable.
What resources are available online for each subtest?
Listening online resources:
A good start would be to watch and listen to extracts online, here are a few options:
BBC Factual Podcasts
BBC Health Matters
OET Listening Subtests
Reading online resources:
Read short, medium and long extracts online.
Why not try the following resources:
British Medical Journal
ABC health newsletter
OET Reading sub-test
Writing online resources:
To improve writing skills, we recommend reading and writing! Read short, medium and long extracts online. Write short extracts, re-write articles and write on your own journal.
Why not try the following resources:
British Medical Journal
Free Medical Journals
OET Writing sub-test
Speaking online resources:
To improve speaking skills, we recommend speaking! Speak with colleagues and friends in English as much as you can. You can also record yourself reading aloud or speaking and then play back your recording, assessing yourself.
Why not try the following resources:
British Medical Journal
Free Medical Journals
OET Sample Test Video
We have also created a useful blog series on Exam Tips and Revision Guidance, which includes tips for studying at home.
Passed? What next?
If you have your OET in place you are in a prime position to apply and interview for jobs.
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How can I find a neurology job in the NHS?
NHS jobs for neurologists from outside of the UK can be found in a variety of ways, which for some doctors can sometimes be time consuming and confusing.
Working with IMG Connect will give you easy access to vacancies for consultants, clinical fellows, registrars, specialty doctors, trust doctors, as well as LAS posts.
The IMG Connect job search is a dedicated online recruitment service for overseas doctors looking to secure a job in the NHS. View out latest Doctor Jobs in the NHS, here.
Save time and get expert advice based on your preferences
Performing a job search online can take up a lot of your time, so at IMG Connect we are here to do the time-consuming work for you. Upon registering, you will have a dedicated consultant whose role is to find jobs that match your skills, and apply for NHS jobs on your behalf.
You can receive jobs updates by E-mail to view new posts to suit your job search every day.
Create a profile – it takes 30 seconds
It really is that easy, so why not take advantage of our resources, time and energy to find you the right job in the NHS suited to your preferences. By providing us with some key details we can quickly assess which jobs are best suited to your preferences, and even email you job alerts for new exciting roles which we think will interest you!
We understand you, and our clients
When looking for a Neurology job in the NHS, it can be hard to try to find out key information before applying, such as:
What specialty specific training there will be?
Am I likely to get a training post after taking this role?
Can the trust support CESR applicants and is their CESR programme established enough for my needs?
What career progression is available for me within the Neurology Specialty?
What is the job plan and how much time will I spend on the ward?
What is it like to work and live there?
What salary will I get paid, and can I get extra pay for additional shifts?
It can be tricky to get all the answers you want before applying online, so we spend our time getting to know both our clients and you, finding out as much key information as possible to help you to make the right decisions. Including details on the neurology department, hospital & trust, as well as an overview of what it is like to live in the area, including housing and the cost of living, as well as access to schools for your children, childcare and finding work for spouses.
Making an impact
We will also provide you with top tips on CV writing, job applications and interviews, ensuring that your application and interview makes the most impact with our NHS clients.
Making it personal
Once registered, you can quickly search and apply for NHS jobs using our job search, and take advantage of many useful articles written to support you through your journey to the UK. In addition, when you sign up to 'job alerts' we will automatically email you each time a relevant Neurology vacancy comes available that you may be interested in.
Once logged in, you can also save job details and make applications.
By registering with IMG Connect, you will:
Have a dedicated consultant who understands your preferences and will do the time-consuming job searches and applications for you.
Find your ideal NHS position amongst thousands of unadvertised vacancies - from consultant to registrar, or specialty doctor to SHO.
Be the first to hear about new vacancies – registering with IMG Connect means that your CV will gain priority with our NHS clients, and will professionally represented by international recruitment experts.
To help you find a job in the NHS simply follow these easy steps:
Register with IMG Connect
Fill in the 'Personal details' section.
Arrange a chat with your dedicated IMG Consultant
Sign up to receive 'job alerts’
Search our live neurology jobs
Searching for Neurology jobs in the NHS could not be easier
If you want to find out more about the many different neurology roles available within the NHS - it only takes a minute to register with IMG Connect and receive expert advice and representation. We have helped many overseas neurologists into consultant, specialty doctor, registrar, clinical fellow and staff grade NHS roles, whilst offering expert guidance to many more IMGs on NHS doctor pay, royal college qualifications and English language testing. We’d be happy to help you!
NHS CESR Applications for Respiratory or Pulmonary Consultants
In this article we look at the specialty specific guidance on documents to be supplied in evidence for an application for entry onto the Specialist Register for Respiratory Medicine with a Certificate of Eligibility for Specialist Registration or CESR.
What is CESR in Respiratory Medicine in the NHS?
As a respiratory medicine or pulmonary specialist, attaining CESR will mean you are qualified to practice at consultant level in the NHS in Respiratory Medicine. Have a read through our CESR articles found in the IMG Library to understand a little more.
Do I need MRCP to attain CESR in Respiratory Medicine?
No, whilst it is always a benefit to attain MRCP and you may have already attained MRCP as by ways of registering with the GMC, you do not require MRCP to attain CESR in Respiratory Medicine. Any doctor wishing to attain Specialist Registration via the CCT route must attain MRCP (UK).
What is the indicative period of training for a CCT in Respiratory Medicine?
The indicative period of training for CCT in Respiratory Medicine is six years full-time training and it is highly unlikely that a CESR applicant could achieve these competencies required in less time.
The structure of the CCT training programme is:
• 2 years in Core Medical Training or Acute Care Common Stem (ACCS)
How does IMT fit into this? CMT no longer exists as of Aug 2019.
• 4 years training in Respiratory Medicine
Applicants need to demonstrate that they have achieved the competencies in both of these areas. For complete details have a read through the Respiratory Medicine Curriculum documentation.
Submitting Evidence:
Do not submit original documents – this is very important.
All your copies, other than qualifications you’re getting authenticated must be accompanied by a proformas signed by the person who is attesting to the validity and accuracy of your evidence (your verifier).
It is very important that you read an explanation of how to do this in the GMC’s important notice about evidence.
How much evidence should you submit?
The GMC recognises that doctors will often not have all the evidence required for a complete CESR application, often many doctors will start their application and delay starting their application until they are able to gather all the evidence.
The evidence must cover the knowledge, skills and qualifications to demonstrate the required competencies in all areas of the Respiratory Medicine Curriculum documentation. If evidence is missing from any one area of the curriculum, then the application will fail.
If you have a piece of evidence that is relevant to more than one domain, do not include multiple copies in your bundle. Instead include one copy and list it in your evidence list under each relevant area, stating that the document is located elsewhere.
The GMC asks that only evidence that is strictly relevant is sent as it will help them to process the application quicker. The guidance on compiling your evidence will help you to decide what is relevant and what is not – make sure you are reading the latest version on the GMC website – here.
It is important to note that evidence that is more than five years old will be given less weight than more recent evidence, so you may not need to include it. As a general guide, an application for CESR could expect to see around 800-1000 pages of evidence.
The types of evidence are divided into four different domains, the GMC recommends that you apportion the evidence provided as per the pie chart below:
Please note, you cannot compensate for evidence lacking in one area by providing more evidence in another area.
Make sure to anonymise your evidence:
It is very important to anonymise your evidence before submitting it to the GMC. You must remove the following:
All patient identifying details
Details of patients’ relatives
Details of colleagues that you have assessed, written a reference for, or who have been involved in a complaint you have submitted. This includes:
names (first and last)
addresses
contact details such as phone numbers or email addresses
NHS numbers & other individual patient numbers
GMC numbers
In Summary:
If you have any questions or uncertainties, please do not hesitate to get in touch with the IMG Connect team. However, your official point of reference for any queries should the GMC – they can answer and provide the most updated information on CESR applications for senior Respiratory doctors looking to work as NHS Consultants in Respiratory Medicine.
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NHS CESR Applications for Acute Medicine or Acute Internal Medicine Consultants
Here we will look closely at the application for CESR in acute and general medicine.
In particular, we will explore the specialty specific guidance on providing evidence for an application for entry onto the Specialist Register for Acute Internal Medicine or Acute Medicine with a Certificate of Eligibility for Specialist Registration or CESR.
What is CESR in Acute Internal Medicine in the NHS?
As an Acute Medicine specialist, attaining CESR will mean you are qualified to practice at consultant level in the NHS in Acute Medicine. Have a read through our CESR articles found in the IMG Resources library to understand a little more.
Do I need MRCP to attain CESR in Acute Medicine?
No, whilst it is always a benefit to attain MRCP and you may have already attained MRCP as by ways of registering with the GMC, you do not require MRCP to attain CESR in Acute Internal Medicine.
Any doctor wishing to attain Specialist Registration via the CCT route must attain MRCP(UK).
What is the indicative period of training for a CCT in Acute Internal Medicine?
The indicative period of training for a CCT in Acute Internal Medicine is six years and it is highly unlikely that you would achieve the competencies required for a CCT in a shorter period of time.
This training consists of the following:
2 years in Core Medical Training OR
Acute Care Common Stem (ACCS) OR
AND
Four years training in Acute Internal Medicine
Therefore, CESR applicants must demonstrate that they have achieved the competencies in each of these areas.
For a complete list of competencies refer to the Acute Internal Medicine Curriculum documentation.
Submitting Evidence
Do not submit original documents – this is very important.
All your copies, other than qualifications you’re getting authenticated must be accompanied by a proformas signed by the person who is attesting to the validity and accuracy of your evidence (your verifier).
It is very important that you read an explanation of how to do this in the GMC’s important notice about evidence.
How much evidence should you submit?
The GMC recognises that doctors will often not have all the evidence required for a complete CESR application, often many doctors will start their application and delay starting their application until they are able to gather all the evidence.
The evidence must cover the knowledge, skills and qualifications to demonstrate the required competencies in all areas of the Acute Internal Medicine Curriculum.
If evidence is missing from any one area of the curriculum, then the application will fail.
If you have a piece of evidence that is relevant to more than one domain, do not include multiple copies in your bundle. Instead include one copy and list it in your evidence list under each relevant area, stating that the document is located elsewhere.
The GMC asks that only evidence that is strictly relevant is sent as it will help them to process the application quicker. The guidance on compiling your evidence will help you to decide what is relevant and what is not – make sure you are reading the latest version on the GMC website – here.
It is important to note that evidence that is more than five years old will be given less weight than more recent evidence, so you may not need to include it.
As a general guide, an application for CESR could expect to see around 800-1000 pages of evidence.
The types of evidence are divided into four different domains, the GMC recommends that you apportion the evidence provided as per the pie chart below:
Please note, you cannot compensate for evidence lacking in one area by providing more evidence in another area.
Make sure to anonymise your evidence:
It is very important to anonymise your evidence before submitting it to the GMC.
You must remove the following:
All patient identifying details
Details of patients’ relatives
Details of colleagues that you have assessed, written a reference for, or who have been involved in a complaint you have submitted. This includes:
Names (first and last)
addresses
contact details such as phone numbers or email addresses
NHS numbers & other individual patient numbers
GMC numbers
In Summary:
If you have any questions or uncertainties, please do not hesitate to get in touch with the IMG Connect team. However, your official point of reference for any queries should the GMC – they can answer and provide the most updated information on CESR applications for overseas Acute Medicine doctors looking to work as NHS Consultants in Acute Medicine.
IMG Jobs
Search and find live NHS doctor jobs in the UK
IMG Resources
Read more useful articles on finding an NHS trust doctor job, pay scales & doctor’s salary in the UK, relocation and much more!
Get in Touch
Get in touch using the buttons above (and below) to discuss acute & general medicine job opportunities in the NHS, including discussions regarding CESR, a typical doctor salary in the UK and the most suitable NHS jobs & hospital locations for you.
NHS CESR Applications for Haematology Consultants
In this article we look at the specialty specific guidance on documents to be supplied in evidence for an application for entry onto the Specialist Register for Haematology with a Certificate of Eligibility for Specialist Registration or CESR.
What is CESR in Haematology in the NHS?
As a Haematologist, attaining CESR will mean you are qualified to practice at consultant level in Haematology in the NHS. Have a read through our CESR articles found in the IMG Library to understand a little more.
Do I need MRCP or FRCPath in Haematology to attain CESR in Haematology?
No, but whilst it is always a benefit to attain MRCP, or FRCPath, or both (you may have already attained either of these by ways of registering with the GMC) you do not require MRCP or FRCPath in Haematology to attain CESR in Haematology.
Any doctor wishing to attain Specialist Registration via the CCT route must attain MRCP(UK) and FRCPath in Haematology.
What is the indicative period of training for a CCT in Haematology?
The indicative period of training for a CCT in Haematology is seven years and it is highly unlikely that you would achieve the competencies required for a CCT in a shorter period of time.
This training consists of the following:
2 years in Core Medical Training OR
Acute Care Common Stem (ACCS) OR
AND
Five years training in Haematology
Therefore, CESR applicants must demonstrate that they have achieved the competencies in each of these areas. For a complete list of competencies refer to the Haematology Curriculum documentation.
Submitting Evidence:
Do not submit original documents – this is very important.
All your copies, other than qualifications you’re getting authenticated must be accompanied by a proformas signed by the person who is attesting to the validity and accuracy of your evidence (your verifier).
It is very important that you read an explanation of how to do this in the GMC’s important notice about evidence.
How much evidence should you submit?
The GMC recognises that doctors will often not have all the evidence required for a complete CESR application, often many doctors will start their application and delay starting their application until they are able to gather all the evidence.
The evidence must cover the knowledge, skills and qualifications to demonstrate the required competencies in all areas of the Haematology Curriculum. If evidence is missing from any one area of the curriculum, then the application will fail.
If you have a piece of evidence that is relevant to more than one domain, do not include multiple copies in your bundle. Instead include one copy and list it in your evidence list under each relevant area, stating that the document is located elsewhere.
The GMC asks that only evidence that is strictly relevant is sent as it will help them to process the application quicker. The guidance on compiling your evidence will help you to decide what is relevant and what is not – make sure you are reading the latest version on the GMC website – here.
It is important to note that evidence that is more than five years old will be given less weight than more recent evidence, so you may not need to include it. As a general guide, an application for CESR could expect to see around 800-1000 pages of evidence.
The types of evidence are divided into four different domains, the GMC recommends that you apportion the evidence provided as per the pie chart below:
Please note, you cannot compensate for evidence lacking in one area by providing more evidence in another area.
Make sure to anonymise your evidence:
It is very important to anonymise your evidence before submitting it to the GMC. You must remove the following:
All patient identifying details
Details of patients’ relatives
Details of colleagues that you have assessed, written a reference for, or who have been involved in a complaint you have submitted. This includes:
names (first and last)
addresses
contact details such as phone numbers or email addresses
NHS numbers & other individual patient numbers
GMC numbers
In Summary:
If you have any questions or uncertainties, please do not hesitate to get in touch with the IMG Connect team. However, your official point of reference for any queries should the GMC – they can answer and provide the most updated information on CESR applications for overseas Haematologists looking to work as NHS Consultants in Haematology.
IMG Jobs
Search and find live NHS Pathlology jobs offering CESR in the UK
IMG Resources
Read more useful articles on finding an CESR, NHS trust doctor job, pay scales & doctor’s salary in the UK, relocation and much more!
Get in Touch
Don’t hesitate to get in touch using the buttons above (and below) to discuss doctor job options in the NHS, including discussions regarding CESR, a typical doctor salary in the UK and the most suitable hospital locations for you.
Emergency Medicine - finding a job in the NHS
Here we look at finding an NHS doctor job in emergency medicine and why you should choose a career in the NHS.
We will explore the growing demand for Emergency Medicine specialists, offering guidance on how to find the right job suited to your own professional preferences, discussing how to research work in the NHS ER, criteria for GMC registration, (MRCEM, FRCEM & IELTS exemption) as well as some useful resources to get you started.
Growth in Emergency Medicine means that the NHS will rely on recruiting more overseas emergency medicine specialists in order to meet growing demand to fill jobs across the country. Emergency care departments and the doctors who work within them are the foundations of the NHS. Staff working in EDs in the UK deliver high quality patient care for all patients presenting with minor or critical life-threatening and life-changing conditions.
We hope that you too will consider working in some of the best ERs in the world across the NHS.
First steps towards your new job in the NHS:
A stable workforce within the ED departments across the UK is crucial, as such at IMG Connect we have developed a specialist approach to Emergency Medicine recruitment.
Responding to staffing challenges within EDs in the NHS, we have created a dedicated department for Emergency medicine specialists, where you will work with a dedicated consultant who makes it their responsibility to know your chosen field inside and out.
We have taken steps to ensure that IMG Connect and NHS organisations collectively work to help recruit and retain the very best specialists, ensuring a large enough workforce with the right skills, behaviours and values to deliver care in our EDs.
No matter what stage you are at in the process of relocating to the UK, you can speak with a specialist consultant in Emergency medicine, who will work with you to establish the areas that we can offer the most effective support for you.
Why choose to work in Emergency Medicine in the UK?
The Emergency Department is where the public know to come when they need help, they value the service and in return you have the privilege of helping people when they are most in need. Here are a few of the reasons to work in Emergency Medicine in the NHS:
You work with the full range of illness and injury, in all types of patients.
The ED department in the UK means that you will see the ‘best bits’ of all the specialties.
There are no long ward rounds.
Flexible working exists in all departments, giving you the chance to have a better quality of life. Don’t believe the myths!
Flexible working as a consultant is the most flexible in the NHS.
Flexible sessional working allows for a more family friendly environment.
The Emergency Department is the front door of the Hospital and the ‘shopwindow’ of the NHS.
Staff morale is high, despite working in a challenging environment.
You will work as part of a team - with a shared team spirit and camaraderie
You will have access to excellent opportunities to develop a special interest in almost any subspecialty or area of interest.
Career progression and stability is always available
Access to CESR and the specialist register is widespread, and hospitals are highly supportive to overseas doctors to make sure that this progression happens
Recognised subspecialties and niche personal interests are encouraged
Consultant vacancies have increased making this specialism more and more of a attractive career choice in EM
EM is an excellent career choice for those looking for flexibility and balance.
Do some research:
Don’t just take our word for it, we advise that you do some research online to explore the various opportunities and experiences that await you in the Emergency Department in the NHS.
There are many free resources available to help you explore what it is like to work in an ED in the UK, here are a few that we think will be useful:
The Royal College of Emergency Medicine
Paediatric Emergency Medicine UK
Emergency Medicine Trainees’ Association (EMTA)
Forum for Associate Specialist and Staff Grade Doctors in Emergency Medicine (FASSGEM)
The Royal College of Emergency Medicine (Careers)
The Royal College of Emergency Medicine (Training)
Health Careers
Don’t forget, we are always here to answer any questions you may have and offer our support in any way we can.
Find out what jobs are available:
There has been significant investment in the UK geared towards growing the number of ED trust doctors, SHOs, specialty doctors and consultants over recent years. There are many ways to get access to these jobs, including online via NHS jobs, through networks of doctors, and through an agency, such as IMG Connect.
You can search jobs and apply for Emergency Medicne jobs here.
Working with an IMG Connect specialist in Emergency Medicine you will receive access to the widest possible range of current and future vacancies in the UK. Better still, your consultant will spend time getting to know you personally, understanding both your personal and professional relocation needs.
A key benefit in terms of working with a specialist is that they will be able to give you an honest assessment of each job, including but not exclusive to, advice on the following: the hospital, standards and CQC reports, working in the ED, the local area, cost of living, housing, quality of life, job expectations and career progression. Advice that is designed to ensure you can settle into life in the UK and focus on your career in the NHS.
Speak to a consultant today to discuss your career options in the NHS and get the widest access to jobs and advice.
Get the right qualifications:
All Emergency Medicine doctors looking to secure a job and work in the UK, whether you are from inside or outside of Europe, will need to satisfy certain criteria to fully register with the Emergency Medical Council (GMC) before beginning their journey in the NHS.
If you qualified as a doctor outside the EEA, then you will have to demonstrate that both your medical knowledge & skills and English Language capabilities meet the level required to practice safely in the UK.
In addition, you will need to apply for a visa from the UK Home Office.
Take a look at our articles on each qualification:
English Language Testing
Evidence of Knowledge & Skills
PLAB
MRCEM
FRCEM
Tier 2 Visas
Full GMC Registration
English language exemption:
Many trusts or hospitals will be able to offer English Language test exemption for overseas doctors in emergency medicine specifically. This is a process that can be used when an ER needs to meet demand for doctors quickly.
Not every hospital will accept IELTS exemption, so relying on this process means that the number of available posts could be reduced slightly. That said, a great number of our NHS partners are able to offer this exemption, to establish what this could mean for you, our best advice is to speak to an IMG Consultant to discuss further.
In summary, Emergency Medicine in the NHS has developed into one of the most exciting and rewarding careers, offering great opportunity for career progression through the specialist training programme or CESR. It attracts individuals who thrive on challenge and variety and can offer professional development in areas of personal interest.
Working with an IMG Consultant specialist in Emergency Medicine will give you access to the best advice and job opportunities. As well as helping you to make decisions about the hospitals you wish to work in, they will also ensure you and your family relocate and settle into your new life in the UK.
IMG Jobs
Search and find live emergency medicine NHS doctor jobs in the UK
IMG Resources
Read more useful articles on finding an NHS trust doctor jobs, doctor salary & relocation for emergency medicine specialists
Get in Touch
Get in touch using the buttons above (and below) to discuss emergency medicine job opportunities in the NHS, including discussions regarding, CESR, a typical doctor salary in the UK and the most suitable NHS job & hospital locations for you.
Pathology – A Doctor’s Route to the UK (European & Non-European)
There are several routes an overseas pathologist can take to GMC registration & practicing radiology in the NHS.
All pathologists looking to secure a job in the NHS, whether you are from inside or outside of Europe, will need to satisfy certain criteria to fully register with the General Medical Council before beginning their journey in the NHS. As a pathologist, the criteria you need to meet depends on where you currently live and practice, either inside the EEA (& associated countries) or outside the EEA.
This article is designed to give you a snapshot of the steps you need to take to start your journey to the UK, no matter where in the world you live.
Inside the EEA – click here
Outside the EEA – click here
“Doctors from countries around the world play a vital and significant role in our NHS and in the delivery of safe patient care. This is not only welcome but is part of the continuous exchange of knowledge in healthcare and should be strongly encouraged. They make an invaluable contribution to the NHS.”
Joint statement from the Royal College of Physicians & Pathologists
Inside the EEA
Firstly, it is important to note that where we refer to EEA in this article this refers to all countries inside the EU, including Lichtenstein, Iceland & Norway.
If you qualified as a pathologist inside the EEA or Switzerland, then the good news is that you don’t need to demonstrate your medical knowledge and skills to work as a doctor in the UK – you have already done this, and thanks to the EU your qualification is deemed equivalent. In addition, you will not need to apply for a visa from the UK Home Office.
So, the main hurdle that you will face is demonstrating that your English skills are of a high enough standard to practice safely as a doctor in the UK & NHS.
English Language Testing
Any international doctor, regardless of specialty, experience or country of origin, must demonstrate they have sufficient competence of the English language. You can do this by passing either of the following:
IELTS – International English Language Testing System
OET – Occupational English Test
Take a look at our helpful articles below for detailed information on both tests:
IELTS – a guide for overseas doctors
OET – a guide for overseas doctors
REGISTER TODAY FOR 10-20% DISCOUNT ON LANGUAGE COURSES
GMC Registration
Having passed your English Language Test, you can now apply for full registration with a licence to practice with the GMC. For full GMC registration you must provide evidence of:
Evidence of English language capabilities (IELTS or OET)
AND
Evidence of sufficient skill and knowledge (your equivalent qualifications)
Understand the registration process in full & by reading our article below: IMG Resources - GMC Registration for overseas doctors
Job search
We recommend starting the job search as early as possible. Demand for European pathologists in the NHS is ever increasing - the NHS welcomes you with open arms!
At IMG Connect we specialise in securing jobs for European doctors in the UK and can offer you a wider range of pathology jobs than are readily available online.
Our network extends to Pathology services and HR departments across the UK, so no matter what your grade or specialty we can ensure you will be interviewing for roles well in advance of any relocation plans. In addition, your dedicated consultant, with a speciality knowledge of pathology, will negotiate on your behalf ensuring you get the most competitive salary.
Our aim is to have a job offer on the table before your GMC registration is complete, giving you the peace of mind of having an agreed contract in place - leaving you to carefully plan your relocation to the UK.
Take a look at our most recent jobs: Job Search
Relocation
Obviously, any doctor’s journey isn’t all exams, registrations and language tests… there’s also the small matter of relocation and settling into life in the UK.
Once you have secured your role in the UK, we focus on supporting you and your family with all your relocation plans. This can include, but is not exclusive to, securing accommodation, travel planning, setting up bank accounts & national insurance numbers – every step of the way we are here to help.
Have a read through our IMG Library and take in all the beautifully organised information on relocation and UK life to immeasurably help your first days, weeks and months in the UK. Take a look here: IMG Resources – Relocation & UK Life
Brexit
Many pathologists have questioned how the UK’s withdrawal from the European Union (EU) will affect doctors from Europe already working in the UK, and those who may wish to work here in the future.
We've been keeping a close eye on policies and developments to ensure that we keep our doctors as up to date as possible. While we await more information from the UK Government about what our future relationship with Europe will look like, what is clear is that European doctors are most welcome in the NHS with or without Brexit.
At IMG Connect we do not see Brexit as an end to EEA doctors relocating to the UK, far from it… you are in demand and we will support with all the necessary requirements for entry to the UK, whatever the outcome.
Take a look at our Brexit articles for more information: IMG Library - Brexit
Outside of the EEA
If you qualified as a pathologist outside the EEA, then you will have to demonstrate that both your medical knowledge & skills and English Language capabilities meet the level required to practice safely in the UK. In addition, you will need to apply for a visa from the UK Home Office.
Here we summarise the requirements for pathology doctors, looking at the following:
English Language Testing
Evidence of Knowledge & Skills - PLAB, FRCPATH or equivalents
Tier 2 Visas
Full GMC Registration
English Language Testing
Any international doctor, regardless of specialty, experience or country of origin, must demonstrate they have sufficient competence of the English language. You can do this by passing either of the following:
IELTS – International English Language Testing System
OET – Occupational English Test
Take a look at our helpful articles below for detailed information on both tests:
IELTS – a guide for overseas doctors
OET – a guide for overseas doctors
REGISTER TODAY FOR 10-20% DISCOUNT ON LANGUAGE COURSES
Evidence of Knowledge & Skills in Pathology
Overseas doctors must prove to the GMC they have sufficient knowledge & skills to practice safely in the UK. For pathologists this can be done through three main routes:
PLAB
Royal College qualification of FRCPATH
GMC - recognised or equivalent qualifications
Route 1 - PLAB:
The PLAB exam is a two-part exam that assesses a doctor’s ability to work safely as an SHO in the NHS, as such it does not demonstrate ability in pathology specifically. For this reason, PLAB tends to be a route for junior doctors who have not already chosen their field of specialisation in medicine.
That said, for some senior doctors PLAB can be an attractive option, offering a quicker route to the UK, whilst still securing competitive salaries. If taking this option, pathologists can then take up training or a more senior post once they have established themselves in the NHS.
Take a look through our comprehensive guides on PLAB:
PLAB – a guide for overseas doctors
PLAB 1 – a closer look
PLAB 2 – a closer look
Route 2 - Royal College Qualification of FRCPath:
Attaining a Royal College qualification is a preferred path for doctors who have already chosen their field of specialism i.e. Pathology. For senior pathologists taking this route, they will gain access to more senior, well-paid jobs in the specialism of their choice.
The Royal College of Pathologists is the Professional Body that regulates the specialism of Pathology in the UK, and Membership of the Royal College of Pathologists (FRCPATH) is the full qualification attainable by examination.
For overseas doctors, attaining FRCPATH will satisfy the knowledge & skill criteria for GMC registration and facilitate application for more senior roles in UK Pathology.
Take a look at our complete guides on Membership of the Royal College of Pathologists as per your sub-specialty to understand more:
FRCPATH in Haematology – a guide for overseas doctors
FRCPATH in Medical Microbiology – a guide for overseas doctors
FRCPATH in Histopathology – a guide for overseas doctors
Route 3 - GMC Recognised or Equivalent Qualifications:
Some overseas qualifications are recognised by the GMC and accepted for registration purposes. This means to say these qualifications are considered as meeting the same standards as the Royal College qualifications. There are Pathology qualifications from several countries around the world that are currently accepted by the GMC.
Find out if your qualification is accepted by the GMC below: IMG Library - Overseas accepted postgraduate qualifications
Tier 2 Visa
If you are a doctor applying from outside the EEA region you will almost certainly need to apply for a visa to work in the UK. Applying as a doctor or nurse has never been easier and there is currently no-restriction on the Certificate of Sponsorship (CoS) applications that a hospital can make.
Furthermore, the list of specialties on the shortage occupation list is due for imminent review and expansion beyond its current list of specialties, potentially widening the scope for easier immigration processes across all specialties in healthcare.
Understand Tier 2 visas and Certificates of Sponsorship in depth by taking a look at our article:
IMG Library - Tier 2 Visa application process & documents needed
Wondering whether you can relocate with your family? Take a look at our blog on the Tier 2 dependant visa below:
Tier 2 Dependant visa - can i bring my family with me to the UK?
GMC Registration
With everything in place, you can apply for full registration with a licence to practice with the GMC. Remember, for full GMC registration you must provide evidence of:
Evidence of English language capabilities
AND
Evidence of sufficient skill and knowledge (PLAB, FRCPATH or equivalent)
Understand the registration process in full & by reading our article: IMG Library - GMC Registration for overseas doctors
Job search
We recommend starting the job search as early as possible. Demand for Non-EEA pathologists in the NHS is increasing - the NHS welcomes you with open arms!
At IMG Connect we specialise in securing jobs for overseas doctors in the UK and can offer you a wider range of jobs than is readily available online. Our network extends to pathology services and HR departments across the UK, so no matter what your grade or specialty we can ensure you will be interviewing for roles well in advance of any relocation plans.
In addition, your 1-1 consultant, with a speciality knowledge of pathology, will negotiate on your behalf, ensuring you get the most competitive salary. Giving you the peace of mind of agreeing your new contract, perhaps even before your GMC registration is complete.
Take a look at our most recent jobs: Job Search
Relocation
Obviously, any doctor’s journey isn’t all exams, registrations and language tests… there’s also the small matter of relocation and settling into life in the UK.
Once you have secured your role in the UK, we will focus on supporting you and your family with all of your relocation plans. This can include, but is not exclusive to, securing accommodation, travel planning, setting up bank accounts & national insurance numbers – every step of the way we are here to help.
Have a read through our IMG Library and take in all the beautifully organised information on relocation and UK life to immeasurably help your first days, weeks and months in the UK.
IMG Library – Relocation & UK Life
Brexit
Many pathologists have questions about how the UK’s withdrawal from the European Union (EU) will affect doctors from outside of the EEA already working in the UK, and those who may wish to work here in the future.
We've been keeping a close eye on policies and developments to ensure that we keep our doctors as up to date as possible. While we await more information from the UK Government about what our future relationship with Europe will look like, what is clear is that there are no current changes to immigration entry requirements for non-EEA doctors.
Overseas doctors are most welcome in the NHS with or without Brexit… you are in demand and we will support with all the necessary requirements for entry to the UK.
Take a look at our Brexit articles for more information: IMG Library - Brexit
IMG Jobs
Search and find live NHS Pathlology jobs in the UK
IMG Resources
Read more useful articles on finding an NHS trust doctor job, pay scales & doctor’s salary in the UK, relocation and much more!
Get in Touch
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.
Paediatrics – A Doctor’s Route to the UK (European & Non-European)
There are several routes overseas paediatricians can take to GMC registration and securing an NHS paediatrics job.
Whether you are from inside or outside of Europe, will need to satisfy certain criteria to fully register with the General Medical Council (GMC) before beginning their journey in the NHS.
The criteria you need to meet depends on where you currently live and practice, either inside the EEA (& associated countries) or outside the EEA. This article is designed to give you a snapshot of the steps you need to take to start your journey to the UK, no matter where in the world you live.
Inside the EEA – click here
Outside the EEA – click here
“Doctors from countries around the world play a vital and significant role in our NHS and in the delivery of safe patient care. This is not only welcome but is part of the continuous exchange of knowledge in healthcare and should be strongly encouraged. They make an invaluable contribution to the NHS.”
Joint statement from the Royal College of Physicians
Inside the EEA
Firstly, it is important to note that where we refer to EEA in this article this refers to all countries inside the EU, including Lichtenstein, Iceland & Norway.
If you qualified as a paediatrician inside the EEA or Switzerland, then the good news is that you don’t need to demonstrate your medical knowledge and skills to work as a doctor in the UK – you have already done this, and thanks to the EU your qualification is deemed equivalent. In addition, you will not need to apply for a visa from the UK Home Office.
So, the main hurdle that you will face is demonstrating that your English skills are of a high enough standard to practice safely as a doctor in the UK & NHS.
English Language Testing
Any international doctor, regardless of specialty, experience or country of origin, must demonstrate they have sufficient competence of the English language. You can do this by passing either of the following:
IELTS – International English Language Testing System
OET – Occupational English Test
Take a look at our helpful articles below for detailed information on both tests:
IELTS – a guide for overseas doctors
OET – a guide for overseas doctors
GMC Registration
Having passed your English Language Test, you can now apply for full registration with a licence to practice with the GMC. For full GMC registration you must provide evidence of:
Evidence of English language capabilities (IELTS or OET)
AND
Evidence of sufficient skill and knowledge (your equivalent qualifications)
Understand the registration process in full & by reading our article below: IMG resources - GMC Registration for overseas doctors
Job search
We recommend starting the job search as early as possible. Demand for European paediatricians in the NHS is ever increasing - the NHS welcomes you with open arms!
At IMG Connect we specialise in securing jobs for European doctors in the UK and can offer you a wider range of paediatrics jobs than are readily available online.
Our network extends to Paediatrics services and HR departments across the UK, so no matter what your grade or specialty we can ensure you will be interviewing for roles well in advance of any relocation plans.
In addition, your dedicated consultant, with a speciality knowledge of paediatrics, will negotiate on your behalf ensuring you get the most competitive salary.
Our aim is to have a job offer on the table before your GMC registration is complete, giving you the peace of mind of having an agreed contract in place - leaving you to carefully plan your relocation to the UK. Take a look at our most recent jobs: Job Search
Relocation
Obviously, any doctor’s journey isn’t all exams, registrations and language tests… there’s also the small matter of relocation and settling into life in the UK.
Once you have secured your role in the UK, we focus on supporting you and your family with all your relocation plans. This can include, but is not exclusive to, securing accommodation, travel planning, setting up bank accounts & national insurance numbers – every step of the way we are here to help.
Have a read through our IMG Library and take in all the beautifully organised information on relocation and UK life to immeasurably help your first days, weeks and months in the UK.
IMG Resources – Relocation & UK Life
Brexit
Many paediatricians have questioned how the UK’s withdrawal from the European Union (EU) will affect doctors from Europe already working in the UK, and those who may wish to work here in the future.
While we await more information from the UK Government about what our future relationship with Europe will look like, what is clear is that European doctors are most welcome in the NHS with or without Brexit.
At IMG Connect we do not see Brexit as an end to EEA doctors relocating to the UK, far from it… you are in demand and we will support with all the necessary requirements for entry to the UK, whatever the outcome. Take a look at our Brexit articles for more information: IMG Resources - Brexit
Outside of the EEA
If you qualified as a paediatrician outside the EEA, then you will have to demonstrate that both your medical knowledge & skills and English Language capabilities meet the level required to practice safely in the UK. In addition, you will need to apply for a visa from the UK Home Office.
Here we summarise the requirements for paediatrics doctors, looking at the following:
English Language Testing
Evidence of Knowledge & Skills - PLAB, MRCPCH or equivalents
Tier 2 Visas
Full GMC Registration
English Language Testing
Any international doctor, regardless of specialty, experience or country of origin, must demonstrate they have sufficient competence of the English language. You can do this by passing either of the following:
IELTS – International English Language Testing System
OET – Occupational English Test
Take a look at our helpful articles below for detailed information on both tests:
IELTS – a guide for overseas doctors
OET – a guide for overseas doctors
Evidence of Knowledge & Skills in Paediatrics
Overseas paediatricians must prove to the GMC they have sufficient knowledge & skills to practice safely in the UK. For paediatricians this can be done through three main routes:
PLAB
Royal College qualification of MRCPCH
GMC - recognised or equivalent qualifications
Route 1 - PLAB:
The PLAB exam is a two-part exam that assesses a doctor’s ability to work safely as an SHO in the NHS, as such it does not demonstrate ability in Paediatrics specifically. For this reason, PLAB tends to be a route for junior doctors who have not already chosen their field of specialisation in medicine.
That said, for some senior doctors PLAB can be an attractive option, offering a quicker route to the UK, whilst still securing competitive salaries. If taking this option, paediatricians can then take up training or a more senior post once they have established themselves in the NHS.
Take a look through our comprehensive guides on PLAB:
PLAB – a guide for overseas doctors
PLAB 1 – a closer look
PLAB 2 – a closer look
Route 2 - Royal College Qualification of MRCPCH:
Attaining a Royal College qualification is a preferred path for doctors who have already chosen their field of specialism i.e. Paediatrics. For senior paediatricians taking this route, they will gain access to more senior, well-paid jobs in the specialism of their choice.
The Royal College of Paediatricians is the Professional Body that regulates the specialism of Paediatrics in the UK, and Membership of the Royal College of Paediatrics and Child Health (MRCPCH) is the full qualification attainable by examination.
For overseas doctors, attaining MRCPCH will satisfy the knowledge & skill criteria for GMC registration and facilitate application for more senior roles in UK Paediatrics. Take a look at our complete guide on Membership of the Royal College of Paediatrics and Child Health to understand more: MRCPCH – a guide for overseas doctors
Route 3 - GMC Recognised or Equivalent Qualifications:
Some overseas qualifications are recognised by the GMC and accepted for registration purposes. This means to say these qualifications are considered as meeting the same standards as the Royal College qualifications. There are Paediatrics qualifications from several countries around the world that are currently accepted by the GMC.
Find out if your qualification is accepted by the GMC below: IMG Resources - Overseas accepted postgraduate qualifications
Tier 2 Visa
If you are a doctor applying from outside the EEA region you will almost certainly need to apply for a visa to work in the UK.
Applying as a doctor or nurse has never been easier and there is currently no-restriction on the Certificate of Sponsorship (CoS) applications that a hospital can make. Furthermore, the list of specialties on the shortage occupation list is due for imminent review and expansion beyond its current list of specialties, potentially widening the scope for easier immigration processes across all specialties in healthcare.
Understand Tier 2 visas and Certificates of Sponsorship in depth by taking a look at our article: IMG Resources - Tier 2 Visa application process & documents needed
Wondering whether you can relocate with your family? Take a look at our blog on the Tier 2 dependant visa below: IMG Resources - Tier 2 Dependant visa - can i bring my family with me to the UK?
GMC Registration
With everything in place, you can apply for full registration with a licence to practice with the GMC. Remember, for full GMC registration you must provide evidence of:
Evidence of English language capabilities
AND
Evidence of sufficient skill and knowledge (PLAB, MRCPCH or equivalent)
Understand the registration process in full & by reading our article below: IMG Resources - GMC Registration for overseas doctors
Job search
We recommend starting the job search as early as possible. Demand for Non-EEA paediatricians in the NHS is increasing - the NHS welcomes you with open arms!
At IMG Connect we specialise in securing jobs for overseas doctors in the UK and can offer you a wider range of jobs than is readily available online. Our network extends to paediatrics services and HR departments across the UK, so no matter what your grade or specialty we can ensure you will be interviewing for roles well in advance of any relocation plans.
In addition, your 1-1 consultant, with a speciality knowledge of paediatrics, will negotiate on your behalf, ensuring you get the most competitive salary. Giving you the peace of mind of agreeing your new contract, perhaps even before your GMC registration is complete.
Take a look at our most recent jobs: Job Search
Relocation
Obviously, any doctor’s journey isn’t all exams, registrations and language tests… there’s also the small matter of relocation and settling into life in the UK.
Once you have secured your role in the UK, we will focus on supporting you and your family with all of your relocation plans. This can include, but is not exclusive to, securing accommodation, travel planning, setting up bank accounts & national insurance numbers – every step of the way we are here to help.
Have a read through our IMG Library and take in all the beautifully organised information on relocation and UK life to immeasurably help your first days, weeks and months in the UK. Take a look here: IMG Resources – Relocation & UK Life
Brexit
Many paediatricians have questions about how the UK’s withdrawal from the European Union (EU) will affect doctors from outside of the EEA already working in the UK, and those who may wish to work here in the future.
Whilst we are still pushing for a halt to Brexit, we've been keeping a close eye on policies and developments to ensure that we keep our doctors as up to date as possible. While we await more information from the UK Government about what our future relationship with Europe will look like, what is clear is that there are no current changes to immigration entry requirements for non-EEA doctors.
Overseas doctors are most welcome in the NHS with or without Brexit… you are in demand and we will support with all the necessary requirements for entry to the UK.
Take a look at our Brexit articles for more information: IMG Resources - Brexit
IMG Jobs
Search and find live NHS paediatrician jobs in the UK
IMG Resources
Read more useful articles on finding an NHS trust doctor job, pay scales & doctor’s salary in the UK, relocation and much more!
Get in Touch
Don’t hesitate to get in touch using the buttons above (and below) to discuss doctor job options in the NHS, including discussions regarding CESR, a typical doctor salary in the UK and the most suitable NHS jobs & hospital locations for you.
Emergency Medicine – A Doctor’s Route to the UK (European & Non-European)
There are several rotues overseas Emergency Medicine doctors can take to GMC registration & securing an NHS emergency medicine job.
Whether you are from inside or outside of Europe, will need to satisfy certain criteria to fully register with the Emergency Medical Council (GMC) before beginning their journey in the NHS. As an overseas doctor, the criteria you need to meet depends on where you currently live and practice, either inside the EEA (& associated countries) or outside the EEA.
This article is designed to give you a snapshot of the steps you need to take to start your journey to the UK, no matter where in the world you live.
Inside the EEA – click here
Outside the EEA – click here
“Doctors from countries around the world play a vital and significant role in our NHS and in the delivery of safe patient care. This is not only welcome but is part of the continuous exchange of knowledge in healthcare and should be strongly encouraged. They make an invaluable contribution to the NHS.”
Joint statement from the Royal College of Physicians
Inside the EEA
Firstly, it is important to note that where we refer to EEA in this article this refers to all countries inside the EU, including Lichtenstein, Iceland & Norway.
If you qualified as a doctor inside the EEA or Switzerland, then the good news is that you don’t need to demonstrate your medical knowledge and skills to work as a doctor in the UK – you have already done this, and thanks to the EU your qualification is deemed equivalent.
In addition, you will not need to apply for a visa from the UK Home Office.
So, the main hurdle that you will face is demonstrating that your English skills are of a high enough standard to practice safely as a doctor in the UK & NHS.
English Language Testing
Any international doctor, regardless of specialty, experience or country of origin, must demonstrate they have sufficient competence of the English language.
You can do this by passing either of the following:
IELTS – International English Language Testing System
OET – Occupational English Test
Take a look at our helpful articles below for detailed information on both tests:
IELTS – a guide for overseas doctors
OET – a guide for overseas doctors
CLICK HERE & REGISTER FOR 10-20% DISCOUNT ON ENGLISH LANGUAGE COURSES
GMC Registration
Having passed your English Language Test, you can now apply for full registration with a licence to practice with the GMC. For full GMC registration you must provide evidence of:
Evidence of English language capabilities (IELTS or OET)
AND
Evidence of sufficient skill and knowledge (your equivalent qualifications)
Understand the registration process in full & by reading our article here: IMG Resources - GMC Registration for overseas doctors
Job search
We recommend starting the job search as early as possible. Demand for European doctors in the NHS is ever increasing - the NHS welcomes you with open arms!
At IMG Connect we specialise in securing jobs for European doctors in the UK and can offer you a wider range of jobs than are readily available online.
Our network extends to psychiatry services and HR departments across the UK, so no matter what your grade or specialty we can ensure you will be interviewing for roles well in advance of any relocation plans.
In addition, your dedicated consultant, with a speciality knowledge of Emergency Medicine, will negotiate on your behalf ensuring you get the most competitive salary.
Our aim is to have a job offer on the table before your GMC registration is complete, giving you the peace of mind of having an agreed contract in place - leaving you to carefully plan your relocation to the UK.
Take a look at our most recent jobs: Job Search
Relocation
Obviously, any doctor’s journey isn’t all exams, registrations and language tests… there’s also the small matter of relocation and settling into life in the UK.
Once you have secured your role in the UK, we focus on supporting you and your family with all your relocation plans. This can include, but is not exclusive to, securing accommodation, travel planning, setting up bank accounts & national insurance numbers – every step of the way we are here to help.
Have a read through our IMG Library and take in all the beautifully organised information on relocation and UK life to immeasurably help your first days, weeks and months in the UK. Take a look here: IMG Resources – Relocation & UK Life
Brexit
Many overseas doctors have questioned how the UK’s withdrawal from the European Union (EU) will affect doctors from Europe already working in the UK, and those who may wish to work here in the future.
Whilst we are still pushing for a halt to Brexit, we've been keeping a close eye on policies and developments to ensure that we keep our doctors as up to date as possible. While we await more information from the UK Government about what our future relationship with Europe will look like, what is clear is that European doctors are most welcome in the NHS with or without Brexit.
At IMG Connect we do not see Brexit as an end to EEA doctors relocating to the UK, far from it… you are in demand and we will support with all the necessary requirements for entry to the UK, whatever the outcome.
Take a look at our Brexit articles for more information: IMG Resources - Brexit
Outside of the EEA
If you qualified as a doctor outside the EEA, then you will have to demonstrate that both your medical knowledge & skills and English Language capabilities meet the level required to practice safely in the UK. In addition, you will need to apply for a visa from the UK Home Office.
Here we summarise the requirements for Emergency Medicine doctors, looking at the following:
English Language Testing
Evidence of Knowledge & Skills - PLAB, MRCEM/FRCEM or equivalents
Tier 2 Visas
Full GMC Registration
English Language Testing
Any international doctor, regardless of specialty, experience or country of origin, must demonstrate they have sufficient competence of the English language.
You can do this by passing either of the following:
OET – Occupational English Test
IELTS – International English Language Testing System
Take a look at our helpful articles below for detailed information on both tests:
IELTS – a guide for overseas doctors
OET – a guide for overseas doctors
CLICK HERE & REGISTER FOR 10-20% DISCOUNT ON ENGLISH LANGUAGE COURSES
Evidence of Knowledge & Skills in Medicine
Overseas doctors must prove to the GMC they have sufficient knowledge & skills to practice safely in the UK. This can be done through three main routes:
PLAB
Royal College qualification of MRCEM/FRCEM
GMC - recognised or equivalent qualifications
Route 1 - PLAB:
The PLAB exam is a two-part exam that assesses a doctor’s ability to work safely as an SHO in the NHS, as such it does not demonstrate ability in Medicine specifically.
For this reason, PLAB tends to be a route for junior doctors who have not already chosen their field of specialisation in medicine.
That said, for some senior doctors PLAB can be an attractive option, offering a quicker route to the UK, whilst still securing competitive salaries. If taking this option, international doctors can then take up training or a more senior post once they have established themselves in the NHS.
Take a look through our comprehensive guides on PLAB:
PLAB – a guide for overseas doctors
PLAB 1 – a closer look
PLAB 2 – a closer look
Route 2 - Royal College Qualification of MRCEM:
Attaining a Royal College qualification is a preferred path for doctors who have already chosen their field of specialism i.e. medicine. For senior Emergency Medicine doctors taking this route, they will gain access to more senior, well-paid jobs in the specialism of their choice.
The Royal College of Emergency Medicine is the Professional Body that regulates the specialism of medicine in the UK, and Fellowship of the Royal College of Physicians (MRCEM/FRCEM) is the full qualification attainable by examination.
For overseas doctors, attaining MRCEM will satisfy the knowledge & skill criteria for GMC registration and facilitate application for more senior roles in UK emergency medicine.
Take a look at our complete guide on Membership of the Royal College of Emergency Medicine to understand more: MRCEM – a guide for overseas doctors
CLICK HERE & REGISTER FOR FREE & UP TO DATE MRCEM RESOURCES
Route 3 - GMC Recognised or Equivalent Qualifications:
Some overseas qualifications are recognised by the GMC and accepted for registration purposes. This means to say these qualifications are considered as meeting the same standards as the Royal College qualifications.
There are psychiatry qualifications from several countries around the world that are currently accepted by the GMC.
Find out if your qualification is accepted by the GMC here: Overseas accepted postgraduate qualifications
Tier 2 Visa
If you are a doctor applying from outside the EEA region you will almost certainly need to apply for a visa to work in the UK.
Applying as a doctor or nurse has never been easier and there is currently no-restriction on the Certificate of Sponsorship (CoS) applications that a hospital can make. Furthermore, the list of specialties on the shortage occupation list is due for imminent review and expansion beyond its current list of specialties, potentially widening the scope for easier immigration processes across all specialties in healthcare.
Understand Tier 2 visas and Certificates of Sponsorship in depth by taking a look at our article: Tier 2 Visa application process & documents needed
Wondering whether you can relocate with your family? Take a look at our blog on the Tier 2 dependant visa below: Tier 2 Dependant visa - can i bring my family with me to the UK?
GMC Registration
With everything in place, you can apply for full registration with a licence to practice with the GMC. Remember, for full GMC registration you must provide evidence of:
Evidence of English language capabilities
AND
Evidence of sufficient skill and knowledge (PLAB, MRCEM/FRCEM or equivalent)
Understand the registration process in full & by reading our article here: GMC Registration for overseas doctors
Job search
We recommend starting the job search as early as possible. Demand for Non-EEA doctors in the NHS is increasing - the NHS welcomes you with open arms!
At IMG Connect we specialise in securing jobs for overseas doctors in the UK and can offer you a wider range of jobs than is readily available online.
Our network extends to Emergency Medicine services and HR departments across the UK, so no matter what your grade or specialty we can ensure you will be interviewing for roles well in advance of any relocation plans.
In addition, your 1-1 consultant, with a speciality knowledge of emergency medicine, will negotiate on your behalf, ensuring you get the most competitive salary.
Giving you the peace of mind of agreeing your new contract, perhaps even before your GMC registration is complete.
Take a look at our most recent jobs: Job Search
Relocation
Obviously, any doctor’s journey isn’t all exams, registrations and language tests… there’s also the small matter of relocation and settling into life in the UK.
Once you have secured your role in the UK, we will focus on supporting you and your family with all of your relocation plans. This can include, but is not exclusive to, securing accommodation, travel planning, setting up bank accounts & national insurance numbers – every step of the way we are here to help.
Have a read through our IMG Library and take in all the beautifully organised information on relocation and UK life to immeasurably help your first days, weeks and months in the UK. Take a look here: IMG Resources – Relocation & UK Life
Brexit
Many overseas doctors have questions about how the UK’s withdrawal from the European Union (EU) will affect doctors from outside of the EEA already working in the UK, and those who may wish to work here in the future.
Whilst we are still pushing for a halt to Brexit, we've been keeping a close eye on policies and developments to ensure that we keep our doctors as up to date as possible. While we await more information from the UK Government about what our future relationship with Europe will look like, what is clear is that there are no current changes to immigration entry requirements for non-EEA doctors.
Overseas doctors are most welcome in the NHS with or without Brexit… you are in demand and we will support with all the necessary requirements for entry to the UK.
Take a look at our Brexit articles for more information: IMG Resources - Brexit
IMG Jobs
Search and find live emergency medicine NHS doctor jobs in the UK
IMG Resources
Read more useful articles on finding an NHS trust doctor jobs, doctor salary & relocation for emergency medicine specialists
Get in Touch
Get in touch using the buttons above (and below) to discuss emergency medicine doctor job opportunities in the NHS, including discussions regarding, CESR, a typical doctor salary in the UK and the most suitable NHS job & hospital locations for you.
Surgery - A Doctor's Route to the UK (European & Non-European)
There are several routes and overseas surgeon can take to GMC registration and securing an NHS surgery job.
Whether you are from inside or outside of Europe, will need to satisfy certain criteria to fully register with the General Medical Council (GMC) before beginning their journey in the NHS. As a surgeon, the criteria you need to meet depends on where you currently live and practice, either inside the EEA (& associated countries) or outside the EEA.
This article is designed to give you a snapshot of the steps you need to take to start your journey to the UK, no matter where in the world you live. With that in mind, we have outlined the process for both EEA doctors and Non-EEA doctors so follow the link below that is relevant to you!
Inside the EEA – click here
Outside the EEA – click here
“Doctors from countries around the world play a vital and significant role in our NHS and in the delivery of safe patient care. This is not only welcome but is part of the continuous exchange of knowledge in healthcare and should be strongly encouraged. They make an invaluable contribution to the NHS.”
Joint statement from the Royal College of Physicians
Inside the EEA
Firstly, it is important to note that where we refer to EEA in this article this refers to all countries inside the EU, including Lichtenstein, Iceland & Norway.
If you qualified as a surgeon inside the EEA or Switzerland, then the good news is that you don’t need to demonstrate your medical knowledge and skills to work as a doctor in the UK – you have already done this, and thanks to the EU your qualification is deemed equivalent.
In addition, you will not need to apply for a visa from the UK Home Office.
So, the main hurdle that you will face is demonstrating that your English skills are of a high enough standard to practice safely as a doctor in the UK & NHS.
English Language Testing
Any international doctor, regardless of specialty, experience or country of origin, must demonstrate they have sufficient competence of the English language.
You can do this by passing either of the following:
OET – Occupational English Test
IELTS – International English Language Testing System
Take a look at our helpful articles below for detailed information on both tests:
IELTS – a guide for overseas doctors
OET – a guide for overseas doctors
REGISTER TODAY FOR 10 - 20% DISCOUNT ON LANGUAGE COURSES
GMC Registration
Having passed your English Language Test, you can now apply for full registration with a licence to practice with the GMC.
For full GMC registration you must provide evidence of:
Evidence of English language capabilities (IELTS or OET)
AND
Evidence of sufficient skill and knowledge (your equivalent qualifications)
Understand the registration process in full & by reading our article: IMG Resources - GMC Registration for overseas doctors
Job search
We recommend starting the job search as early as possible. Demand for European surgeons in the NHS is ever increasing - the NHS welcomes you with open arms!
At IMG Connect we specialise in securing jobs for European doctors in the UK and can offer you a wider range of surgery jobs than are readily available online.
Our network extends to surgery services and HR departments across the UK, so no matter what your grade or specialty we can ensure you will be interviewing for roles well in advance of any relocation plans.
In addition, your dedicated consultant, with a speciality knowledge of surgery, will negotiate on your behalf ensuring you get the most competitive salary.
Our aim is to have a job offer on the table before your GMC registration is complete, giving you the peace of mind of having an agreed contract in place - leaving you to carefully plan your relocation to the UK.
Take a look at our most recent jobs: Job Search
Relocation
Obviously, any doctor’s journey isn’t all exams, registrations and language tests… there’s also the small matter of relocation and settling into life in the UK.
Once you have secured your role in the UK, we focus on supporting you and your family with all your relocation plans. This can include, but is not exclusive to, securing accommodation, travel planning, setting up bank accounts & national insurance numbers – every step of the way we are here to help.
Have a read through our IMG Library and take in all the beautifully organised information on relocation and UK life to immeasurably help your first days, weeks and months in the UK. Take a look here: IMG Resources – Relocation & UK Life
Brexit
Many surgeons have questioned how the UK’s withdrawal from the European Union (EU) will affect doctors from Europe already working in the UK, and those who may wish to work here in the future.
Whilst we are still pushing for a halt to Brexit, we've been keeping a close eye on policies and developments to ensure that we keep our doctors as up to date as possible. While we await more information from the UK Government about what our future relationship with Europe will look like, what is clear is that European doctors are most welcome in the NHS with or without Brexit.
At IMG Connect we do not see Brexit as an end to EEA doctors relocating to the UK, far from it… you are in demand and we will support with all the necessary requirements for entry to the UK, whatever the outcome.
Take a look at our Brexit articles for more information: IMG Resources - Brexit
Outside of the EEA
If you qualified as a surgeon outside the EEA, then you will have to demonstrate that both your medical knowledge & skills and English Language capabilities meet the level required to practice safely in the UK.
In addition, you will need to apply for a visa from the UK Home Office.
Here we summarise the requirements for surgery doctors, looking at the following:
English Language Testing
Evidence of Knowledge & Skills - PLAB, MRCS or equivalents
Tier 2 Visas
Full GMC Registration
English Language Testing
Any international doctor, regardless of specialty, experience or country of origin, must demonstrate they have sufficient competence of the English language.
You can do this by passing either of the following:
OET – Occupational English Test
IELTS – International English Language Testing System
Take a look at our helpful articles below for detailed information on both tests:
IELTS – a guide for overseas doctors
OET – a guide for overseas doctors
REGISTER TODAY FOR 10 - 20% DISCOUNT ON LANGUAGE COURSES
Evidence of Knowledge & Skills in Surgery
Overseas surgeons must prove to the GMC they have sufficient knowledge & skills to practice safely in the UK. For surgeons this can be done through three main routes:
PLAB
Royal College qualification of MRCS
GMC - recognised or equivalent qualifications
PLAB:
The PLAB exam is a two-part exam that assesses a doctor’s ability to work safely as an SHO in the NHS, as such it does not demonstrate ability in surgery specifically.
For this reason, PLAB tends to be a route for junior doctors who have not already chosen their field of specialisation in medicine.
That said, for some senior doctors PLAB can be an attractive option, offering a quicker route to the UK, whilst still securing competitive salaries. If taking this option, surgeons can then take up training or a more senior post once they have established themselves in the NHS.
Take a look through our comprehensive guides on PLAB:
PLAB – a guide for overseas doctors
PLAB 1 – a closer look
PLAB 2 – a closer look
Route 2 - Royal College Qualification:
Attaining a Royal College qualification is a preferred path for doctors who have already chosen their field of specialism i.e. surgery.
For senior surgeons taking this route, they will gain access to more senior, well-paid jobs in the specialism of their choice.
The Royal College of Surgeons is the Professional Body that regulates the specialism of surgery in the UK, and Membership of the Royal College of Surgeons (MRCS) is the full qualification attainable by examination.
For overseas doctors, attaining MRCS will satisfy the knowledge & skill criteria for GMC registration and facilitate application for more senior roles in UK surgery.
Take a look at our complete guide on Membership of the Royal College of Surgeons to understand more: MRCS – a guide for overseas doctors
GMC - recognised or equivalent qualifications:
Some overseas qualifications are recognised by the GMC and accepted for registration purposes. This means to say these qualifications are considered as meeting the same standards as the Royal College qualifications.
There are surgery qualifications from several countries around the world that are currently accepted by the GMC.
Find out if your qualification is accepted by the GMC here: Overseas accepted postgraduate qualifications.
Tier 2 Visa
If you are a doctor applying from outside the EEA region you will almost certainly need to apply for a visa to work in the UK.
Applying as a doctor or nurse has never been easier and there is currently no-restriction on the Certificate of Sponsorship (CoS) applications that a hospital can make.
Furthermore, the list of specialties on the shortage occupation list is due for imminent review and expansion beyond its current list of specialties, potentially widening the scope for easier immigration processes across all specialties in healthcare.
Understand Tier 2 visas and Certificates of Sponsorship in depth by taking a look at our article: Tier 2 Visa application process & documents needed
Wondering whether you can relocate with your family?
Take a look at our blog on the Tier 2 dependant visa: Tier 2 Dependant visa - can i bring my family with me to the UK?
GMC Registration
With everything in place, you can apply for full registration with a licence to practice with the GMC.
Remember, for full GMC registration you must provide evidence of:
Evidence of English language capabilities
AND
Evidence of sufficient skill and knowledge (PLAB, MRCS or equivalent)
Understand the registration process in full & by reading our article here: GMC Registration for overseas doctors
Job search
We recommend starting the job search as early as possible. Demand for Non-EEA surgeons in the NHS is increasing - the NHS welcomes you with open arms!
At IMG Connect we specialise in securing jobs for overseas doctors in the UK and can offer you a wider range of jobs than is readily available online.
Our network extends to surgery services and HR departments across the UK, so no matter what your grade or specialty we can ensure you will be interviewing for roles well in advance of any relocation plans.
In addition, your 1-1 consultant, with a speciality knowledge of surgery, will negotiate on your behalf, ensuring you get the most competitive salary. Giving you the peace of mind of agreeing your new contract, perhaps even before your GMC registration is complete.
Take a look at our most recent jobs: Job Search
Relocation
Obviously, any doctor’s journey isn’t all exams, registrations and language tests… there’s also the small matter of relocation and settling into life in the UK.
Once you have secured your role in the UK, we will focus on supporting you and your family with all of your relocation plans. This can include, but is not exclusive to, securing accommodation, travel planning, setting up bank accounts & national insurance numbers – every step of the way we are here to help.
Have a read through our IMG Library and take in all the beautifully organised information on relocation and UK life to immeasurably help your first days, weeks and months in the UK. Take a look here: IMG Resources – Relocation & UK Life
Brexit
Many surgeons have questions about how the UK’s withdrawal from the European Union (EU) will affect doctors from outside of the EEA already working in the UK, and those who may wish to work here in the future.
Whilst we are still pushing for a halt to Brexit, we've been keeping a close eye on policies and developments to ensure that we keep our doctors as up to date as possible. While we await more information from the UK Government about what our future relationship with Europe will look like, what is clear is that there are no current changes to immigration entry requirements for non-EEA doctors.
Overseas doctors are most welcome in the NHS with or without Brexit… you are in demand and we will support with all the necessary requirements for entry to the UK.
Take a look at our Brexit articles for more information: IMG Resources - Brexit
IMG Jobs
Search and find live NHS surgery jobs in the UK
IMG Resources
Read more useful articles on finding an NHS trust doctor job, pay scales & doctor’s salary in the UK, relocation and much more!
Get in Touch
Get in touch using the buttons above (and below) to discuss doctor job opportunities in the NHS, including discussions regarding CESR, a typical doctor salary in the UK and the most suitable NHS jobs & hospital locations for you.
7 tips for successful & happy relocation to the UK
Completing your exams and registrations is one thing, moving to another country is another...
All in all, IMGs aspiring to work in the NHS have an awful lot to get done. We know this and is why we exist as a company - to guide and support international doctors on their journey to becoming a doctor in the UK. Here we'll look at 7 mental approaches to making sure your early weeks, months and hopefully years in the UK are sucessful and happy ones!
1. Right Mentality
When approaching this new challenge, remember the right mentality is key to enjoying your new life and flourishing in your new job. It is understandable that you might be a touch nervous before moving, but whatever your mindset before leaving home try to embrace the new challenge with enthusiasm and a positive mindset.
2. Build your support networks
Having someone’s support is essential and even the most resilient of characters would struggle without it. Support can come from many different places and sources, from your friends or family back home or those you are closest to in the UK.
Online forums and communities, like our IMG Community, can be incredibly helpful when questions or experiences that you have and you can likely get a response in minutes to a problem that has bothered you for a while.
3. Building your social and professional networks
At IMG Connect we are big believer in building and utilizing the communities around us, both online and in real life. Ask your peers at work for advice where you need it and think about attending the various professional or social gatherings that you come to be aware of.
It is worth remembering, most people love to share their experiences and offer their advice, whether your peers or new friends you have made in the UK. Use these as opportunities to get to know people around you better.
4. Be socially brave and integrate with your community
Always throw yourself into social scenarios and don’t be afraid to introduce yourself to new people. The quicker you settle into your new job and home, the quicker you will be feeling comfortable and happy in your day to day!
5. Be patient
Adjusting to a new system and new country will take time – remember that. It may take a number of months to get things where you want them and up to a year to feel at home in your new scenery. Don’t be afraid of this, just be aware and be patient.
6. Be resilient and remember why you’re doing this
Deciding to relocate to the UK would certainly not have been a decision you took lightly. Remember all the reasons you took the decision to move in the first place, and don’t lost sight of them. Things will invariably get tough at some stage but keep your goals in in throughout.
7. Remember your importance and the good that you do
Finally, remember the amazing things you do every day as a doctor, and what a valuable service you provide to NHS and the British population. You should never forget the importance of your job and positive impact it has on the community around you.
For more useful blogs & articles on relocation, life & culture in the UK & NHS – take a look at our IMG Library.
IMG Jobs
Search and find live NHS doctor jobs in the UK
IMG Resources
Read more useful articles on finding an NHS trust doctor job, pay scales & doctor’s salary in the UK, relocation and much more!
Get in Touch
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.
NHS Staffing – demands & the role of overseas doctors
The NHS is estimated as the 4th biggest employer in the world, employing more than 1.7million...
Despite the scale of the NHS labour force, it still does not have enough staff to meet demand. In this article we will explore the reasons why International Medical Graduates (IMGs) want to work in the NHS, the demand for more staff across the UK in every aspect of UK Healthcare, and some of the reasons working in the NHS can be beneficial for you.
'The United Kingdom (and the NHS) has been, and remains, a popular place to work for doctors and other members of the medical profession'
In the UK, as well as across the globe, it has been well documented that demands on health services have been increasing year on year since the millennium. Advances in technology and medicine, wider ranges of healthcare, and an ageing population all play their part. It can also be said that improved practices, safer staffing numbers and planning strategies have also contributed to increasing demand.
Shortfalls in staff, leading to greater demand for overseas practitioners
Over the past few decades shortfalls in NHS Staff across the UK have increased in part due to the slowing growth in training sufficient numbers of staff. When domestic supply slows, the NHS looks to International Recruitment. Current figures estimate that roughly 13 – 15% of hospital and community staff are recorded as having non-British nationality.
The NHS is one of the most efficient, most egalitarian and most comprehensive public health services in the world.
Unemployment levels in the UK are at an all-time high, yet despite this there are many areas of high jobs demand. According to the UK Bureau Visa Department, the UK is experiencing severe shortages in 3 main skill areas which are: engineering, healthcare and art & entertainment. So, for International Medical Graduates (IMGs) looking to build a long-term career, with good salaries, they need look no further than the UK and the NHS.
Strengths within NHS attract overseas doctors
The strengths of the NHS, such as training, quality and ethos, continues to attract many overseas doctors. Many choose to work in the NHS because of the attractive salaries and benefits. But the work offers much more: the chance to enhance your clinical experience as part of a team of 1.7 million NHS employees, many of whom have come to the UK from across the globe. All of whom are proud to work for the NHS, and care passionately about its growth and development.
The NHS is committed to offering learning and development opportunities for all employees. No matter where you start within the NHS, you will have access to the highest quality training and be given every chance to progress within the organisation and to develop unique skills.
The NHS doesn’t stand still, there’s always more to learn. With a progressive and forward-thinking plan, there is always new equipment, new procedures; there’s always something to keep you progressing in your career in the UK, or for your return to your home country to enhance practice.
There's a growing market for international health practitioners to work in the UK, and demand is very high. With a professional health qualification and an IMG Connect consultant you can pick a lot of the UK in which to work.
Senior NHS figures have told IMG Connect that recruitment has to be approached in line with changes to the way health and care services are delivered and in demand. That means a much more sophisticated approach to understanding where professionals will be needed, at least in the medium to long term.
With that in mind, IMG Connect offers an opportunity for some fresh thinking on the process of recruiting international doctors to UK Healthcare. A comprehensive Recruitment, Relocation and Retention service for permanent doctors only, helping to considerably reduce costs and time to hire.
NHS directors increasingly demand a significant focus on aligning values and fit and after care, in order to build a fully complimented and sustainable workforce to meet demands.
With the level of demand for healthcare continuing to rise, the need for overseas staff will continue to increase.
Put simply, the NHS is reliant on IMGs who want to start a career in a progressive, welcoming and rewarding environment.
If you are a client, we would be delighted to discuss your staffing requirements and develop a bespoke solution and hiring plan. Taking time to understand your Trust and the type of doctor that will thrive in your culture, IMG Connect looks to form successful working partnerships that continue beyond the initial placement.
If you are an IMG, we offer a personalised recruitment & relocation service to any International Medical Graduate looking to find work in the UK. IMG Connect can help you start and progress your career, with advice and guidance on every aspect of planning, finding the right job, navigating legislation and relocating. This service can be summarised into four key areas of support and guidance:
Exams, registration and Medical Qualifications
Job search & interview preparation
UK Visa & Immigration
Relocation, aftercare & ongoing career support
IMG Jobs
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IMG Resources
Read more useful articles on finding an NHS trust doctor job, pay scales & doctor’s salary in the UK, relocation and much more!
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Get in touch using the buttons above (and below) to discuss doctor job opportunites in the NHS, including discussions regarding a typical doctor salary in the UK and the most suitable hospital locations for you.
NHS Interview Questions for Doctors
NHS doctor interviews require preparation....
And familiarising yourself with NHS interview questions & answers will help you make a great impression to a potential employer. This helpful article on NHS interviews for doctors is aimed at helping you prepare for different scenarios as well as questions and answers to create a good impression.
In this article we look at the following topics:
Preparing for your interview
Where do I start with my research?
What can i do to prepare?
Preparing for the types of questions you may be asked
FAQs
Clinical questions
Competency-based questions
Direct questions
Behavioural skills questions
Prepare questions to ask the interviewers
Preparing for your NHS doctor interview:
Getting invited to an interview means you’ve passed the first hurdle – your CV must have made a good impression so now it's time to prepare. There are some key questions to consider before you start:
What do you know about the employer? (hospital & trust)
What do you know about the service?
What do you know about the job?
What do you know about the team structure?
Who will you be reporting to?
What will the interview be like?
Who will be interviewing you?
What questions do you need to prepare?
For doctors, these are just a few of the interview questions that you should now be asking yourself as you start to prepare for your NHS interview. Why? Knowing as much as possible about the vacancy that you are interviewing for will help you answer questions with relevant points, ask questions to spark conversation, sound confident and well researched, overall helping you to make a good impact.
Where do I start with my research?
Know the trust and department
Firstly, find out about the employer and the job. Speak with your IMG Consultant who knows the hospital or trust well, they can provide you with reading materials & information packs, job descriptions, information on recent developments, trust objectives and values.
In some circumstances we will be able to arrange an informal chat with someone working in the Trust, or even better an IMG who has recently joined the Trust and has been through the same situation.
We always recommend taking a broad look at the trust online, use their official website to understand the trust structures, departments and services, as well as recent advances within the department you are applying for and the training programmes offered.
It is important to take the time to learn about their department and organisation. Knowing the job you are applying for will give you a better chance of securing it.
Know the interview panel
Secondly, discuss with your IMG Connect consultant and find out what the interview will involve, making sure you are prepared.
Consider who will be on the panel and what their roles are. Do some homework and look up the hospital online, you may be able to find some key information to help you to understand your panel in more detail. Use LinkedIn to connect with panel members, or just to look at their experience and contributions to the trust as a whole.
What can I do to prepare?
Think about preparing in the following areas to give yourself the best chance of success in your interview:
Job description & person specification:
Get to know what the trust wants, and work this into your answers, matching to your skills and experience. Take time to review and analyse the content of your current CV matched to the specifications of the job that you want and the Trust you want to work for. Consider how you will contribute to the service and how you will meet or exceed their standards.
Trust vision and values:
Look up the trust values, measure yourself against them and consider what you will offer to the service.
Explore the Trust values and policies for best practice and consider how you will meet/achieve these in your daily work as well as in your career. Conduct research on the hospital and familiarise yourself with any recent developments and advances within the team you are applying for. Consider the training programmes offered via the hospital and the structure of department and staffing.
Selling yourself:
Your CV functions as a way of recording all your achievements, skills, and experiences, and your interview is your opportunity to share these and sell them to your prospective employer. You will likely be asked questions regarding your career, so review your CV regularly with a focus on points relevant for the role you are interviewing for.
Preparing questions and answers for your interview:
You will be asked a range of questions throughout your interview, some short and direct, others more detailed and clinically specific. As such we advise to prepare a wide range of questions and answers to give you a head start in the interview and every chance of success.
Preparing for the types of interview questions for doctors that you may be asked:
Before we look at each type of NHS interview questions for doctors in detail, it is important to say that you should prepare concise answers. These should of course be full of facts and detail but be succinct – stick to two or three sentences where you can.
FAQs:
As part of the interview you will likely be asked a few FAQs, these can be hard to predict and can be general in nature. The interview panel will want to know why you are an excellent fit for the job. Try to answer without giving too much, or too little personal information.
These relate to you, your ambition, how you cope in situations, working in the UK, personality traits and so on. Prepare a number of answers you can rely on. We have included some recent examples below:
FAQs
Tell me about yourself.
Why do you want to work here?
Why do you want to work in this specialty?
Where do you see yourself in 3 – 5 years?
Do you have an interest in… further training? Research? Teaching? Audit?
Why do you want to work in the NHS?
What do you know about our service?
What do you know about us?
What impact would you like to make here?
What concerns you about a career in this specialty?
What are the challenges facing this specialty in the next five years?
Is the clinical governance system really necessary?
What are the main issues facing the NHS over the next five years?
If you could change one thing in the NHS what would it be?
Do you think doctors are misrepresented by the media?
What do you want from your career?
Looking over your CV, could you pick two or three achievements which you are most proud of?
If you could go back to your first day of medical school and do all of your training again, what would you do differently?
We are interviewing many high calibre candidates, why should we appoint you?
Clinical questions:
Undoubtedly you will be asked relevant questions in a clinical context, do your homework on the service and relate this to your own practice. Clincial questions are hard to predict, so prepare a wide range of responses and review your own practice against the trust you are applying for.
Consider how you deal with certain aspects of your role, including:
Clinical techniques
Equipment
Prescribing
History taking and management planning
Clinical judgement
Physical examination procedures
Knowledge of specialism
Ethical dilemmas & practice
Professional behaviour
Trust policies
Communication & team discussions
Input from senior colleagues
Remember, interview panels want to feel confident that you will be able to adapt quickly to practice in the UK, so don’t forget you will be working in the NHS and all answers should reflect current practice in the UK.
Competency-based questions (typically clinical questions):
Many clinical questions will ask you to explain what you would do, often these require detailed answers, with several variables. Competency-based questions are focused on actual experiences and ask specific questions that require you to give examples from past experiences.
Reflect on your practice, how you deal with situations, and how you work with your multidisciplinary team to ensure the best care and outcomes for the patient.
The STAR framework (Situation, Task, Action, Result) is a useful model for describing your capability and competency. When preparing answers these should be in depth, a lack of depth means your answer lacks impact. The STAR technique will ensure your answers are structured, don’t talk in broad terms – give specific examples.
Briefly describe:
S - the background to the specific situation
T - the task being undertaken, specifically describe your responsibility
A - what action you took
R - describe the result of your actions
Example competency-based questions:
Give an example of a time when someone has complained about your work or when you’ve known that someone wasn’t pleased with your work?
Give an example of a time you had to work with a group of people on a project or another job?
Describe a recent patient interaction which shows your ability to create trust and what steps would you take to develop an effective relationship with your patient.
Can you please detail a time when a new and different approach to your patient proved beneficial? What did you do and what was the outcome?
Direct questions:
Whilst most questions will be broad, be prepared for direct questions, such as:
What specifically qualifies you for this position?
What do you know about us?
Why do you want this job?
Where do you see yourself in 3 years?
Take a second to compose your answer and avoid a jumbled response.
Behavioural skills questions:
These cover a wide range of behavioural skills necessary to be successful in your NHS role, i.e. communication, problem solving, teamwork, managing others, organisation, empathy and so on. As these can be hugely varied in nature, we have included a table of examples:
Communication Skills
Describe a situation where your communication skills had a positive effect upon patient care.
How do you know that you are a good communicator?
How would you like to develop your skills further?
Give an example of how your communication skills have enabled you to develop effective relationships with your colleagues.
Describe a time when you found it difficult to communicate with a colleague or patient. What did you do and how did you feel?
Problem Solving and Decision Making
Describe a difficult problem you have faced at work. How did you contribute to the solution?
Give an example of a difficult decision you have made recently. How did you decide what to do?
Describe a time when you felt that you made the wrong decision. How did you feel and what has happened as a result?
What is your strategy dealing with difficult problems at work?
Do you always know the right thing to do in any given situation?
Managing Others and Team Involvement
Describe a time when you have led a team successfully.
Describe a time when you have supported a colleague with a work related issue.
Outline a situation where you have had to motivate work colleagues to do something that they did not agree with.
Which do you prefer, leading a team, or being a team member?
Empathy and Sensitivity
Why is it important for doctors to demonstrate empathy and sensitivity?
Describe a situation where your sensitivity to a patient's perspective altered the way that you managed their care?
Describe a situation where you have demonstrated sensitivity or empathy towards one of your colleagues.
Do you really need to show sensitivity and empathy to be a good doctor or are clinical skills and knowledge more important?
Organisation and Planning
How do you keep yourself organised at work?
What strategies do you use to plan your work effectively?
How do you cope when unexpected and unplanned work is added to your workload?
What advice would you give to an FY1 doctor on their first day, about being organised at work?
How have your planning skills had a positive impact upon those around you?
Vigilance and Situational Awareness
Describe an example of when your awareness of a developing situation at work, enabled you to avoid a problem or difficulty.
What impact has clinical governance had on your work to date?
Why is vigilance an important attribute to have for this specialty?
Describe a situation where you lacked awareness of a developing situation, resulting in difficulty for you, your colleagues, or a patient.
Coping with Pressure
How do you cope with pressure?
Describe a situation where you found yourself under conflicting pressures. What did you do to resolve them to the satisfaction of everyone involved?
What do you do when you can no longer cope with the pressures of your workload?
What strategies do you have in place to manage your workload and the pressure that you are under?
How have you used your initiative to manage your work effectively, and reduce the pressure that you are under?
Professional Integrity
Give an example of a clinical scenario where you made a mistake. What did you do about it?
What do you understand by the term 'professional integrity' and can you give an example where you have shown professional integrity at work?
Why is it important for doctors to demonstrate integrity in all elements of their work?
Is it ever justifiable to bend or break the rules at work? Have you ever done so?
What would you do if you overheard a senior colleague making an inappropriate remark to a patient?
How would you respond if one of your patients asked you out on a date?
Clinical Knowledge and Expertise
Describe a difficult clinical scenario you have been involved in. How did you contribute?
Describe the most interesting case you have been involved in recently. How did you contribute to the management of the case?
Describe a situation where management of a patient did not go as planned. What happened and what did you learn?
You may also be asked a range of questions about particular clinical scenarios relevant to your specialty.
Research Skills
Why is research important?
Describe your last audit.
Is it important for all doctors to undertake research?
Which is more important - research or teaching? Which do you prefer?
Tell us about your publications.
Prepare questions to ask the interviewers:
“Do you have any questions?”
This is almost always asked at the end of an interview. Asking some questions can show you are interested and have done your research. Topics can include training, department structure and staffing, recent advances in the service, technology, equipment and clinical procedures.
Try to treat your NHS interview like a conversation, with well-prepared questions that are based on the job description, service structure and patient care delivery, as well as the vision of the trust as a whole.
For more articles on making a success of your NHS interview, including preparing for interview questons for doctors, take a look at these articles.
IMG Jobs
Search and find live NHS doctor jobs in the UK
IMG Resources
Read more useful articles on finding an NHS trust doctor job, pay scales & doctor’s salary in the UK, relocation and much more!
Get in Touch
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.
IELTS - FAQs
We have put together the most common FAQs asked by IMGs.
IELTS can be challenging and, without proper preparation, it is not uncommon for doctors to fail at their first attempt, so we will answer the following important questions:
What is the IELTS?
Do I need to sit an English Language Test?
Does the GMC accept IELTS?
Can I use my IELTS to support my Visa application?
Which version should I take? Academic, Academic UKVI or General?
Can I take the IELTS test a few times and combine my score?
What is the test format?
Where can I sit the exam?
When can I take IELTS?
Should I sit the paper or electronic version?
Can I cancel my application?
Is the IELTS test completed in one day?
When will I receive my results?
If I don’t pass, can I re-sit?
Do I need to take a study course?
Should I study?
Where can I find study materials?
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What is the IELTS?
IELTS is the International English Language Testing System which tests English language skills worldwide.
The exam tests your ability in reading, writing, speaking and listening.
Do I need to sit an English Language Test?
Yes, IELTS is chosen by different regulatory bodies to ensure that doctors and other healthcare professionals have the correct level of English to communicate at a high level with patients and colleagues, so as to provide safe and effective care.
Does the GMC accept IELTS?
Yes, as part of the GMC registration, the GMC require all doctors to demonstrate their level of English making them eligible to receive a license to practice in the UK, subsequently practicing medicine safely.
IELTS is one of two options accepted by the GMC, the other being OET
What score do I need?
For the GMC to accept your IELTS certificate you must achieve an overall score of 7.5 across all four areas, with no less than a 7.0 in in each testing area.
Can I use my IELTS to support my Visa application?
Yes, the pass score for a Tier 2 General Visa is 4.0 overall, and in each of the four skills. This does not change the requirements for GMC Registration, see above.
IELTS Academic UKVI is acceptable for both GMC and Tier 2 Visa applications, and for this reason can be an attractive route towards registration.
Not only will this save on fees, but also will ensure that only one test is taken.
Which version should I take? Academic, Academic UKVI or General?
You should take the Academic UKVI version;
IELTS Academic will only satisfy the GMC, but IELTS UKVI will satisfy both GMC registration and your visa application.
Can I take the IELTS test a few times and combine my score?
No, you must achieve your results in one sitting, and this must be your most recent sitting of the test.
What is the test format?
IELTS has four parts:
Listening (30 minutes)
Reading (60 minutes)
Writing (60 minutes)
Speaking (11–14 minutes)
The total test time is 2 hours and 45 minutes.
Where can I sit the exam?
IELTS is currently offered in over 120 countries, with more than 500 centres available.
When can I take IELTS?
IELTS is available on 48 fixed dates a year – up to four times a month, depending on your locality.
Should I sit the paper or electronic version?
It is up to you, but your choice will change the venues that are open to you, check the IELTS website for more information on booking a test.
The paper-based test requires you to sit at a desk with the question papers and answer sheets for the reading, listening and writing tests.
The computer-based test requires you to sit the reading, listening and writing tests in front of a computer with the questions presented on the screen.
Can I cancel my application?
If you cancel your application more than 5 weeks before the test date, you will receive a refund minus an administration charge. If you cancel within 5 weeks of the test date, you will be charged the full fee unless you have a medical reason.
Is the IELTS test completed in one day?
This depends on your test centre. The listening, reading and writing components of the test are always completed one after the other, with no break. The speaking test may be taken up to 7 days either before or after the test date. Check with your test centre for more details.
When will I receive my results?
The test report will be posted to you 13 days after your test date. Some test centres also provide SMS alerts and an Online Results Service, check with your centre for more information.
Keep your Test Report Form in a secure place as you only receive one copy and you will need it later!
If I don’t pass, can I re-sit?
You can sit the test as many times as necessary.
However, this will cost you more money, so at IMG Connect we advise that you prepare as best you can for every test. If you don’t pass the test, then do additional study before taking the test again.
Do I need to take a study course?
No, you don’t need to take a course. However, it is highly advisable to attend a course, and/or language classes.
Most IMGs advise that they improved by attending specific IELTS courses, and this also helps you to get used to the test format and timings.
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Should I study?
Yes, we strongly recommend that you start preparing for the exams as far in advance as you possibly can.
Establish your level of English, and work out what areas of weakness you will need to focus on. Set goals for yourself, and plan a revision timetable.
Where can I find study materials?
To prepare for the tests, there are lots of online resources and practice materials available. A good start is the IELTS and British Council websites.
You can also find practice papers online.
We also recommend joining an IMG Community to share ideas and questions with doctors also taking the tests.
Don’t forget! You must select the Academic UKVI version of the test, this is the only version accepted to support your GMC and Visa applications.
IMG Jobs
Search and find live NHS doctor jobs in the UK
IMG Resources
Read more useful articles on finding an NHS trust doctor job, pay scales & doctor’s salary in the UK, relocation and much more!
Get in Touch
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.
English Language Tests – what are my options?
For IMGs passing an English Language test is an essential part of the GMC Registration process.
As an overseas doctor looking to work in the UK, there are different scenarios in which you’ll need to provide a pass in an English Language Test. This article should hopefully help you decide which one would suit you best and includes the following topics:
Who needs an English Language Test?
What are your options?
What are IELTS & OET?
Which should you choose?
Which test is accepted by who?
Which is easier?
Where and when can I sit the English Language Tests?
How can I prepare for the English Language Tests?
What resources are available?
How else can I study at home?
In summary
Who needs an English Language Test?
If you are an overseas doctor wanting to work in the UK, you must prove your English Language capabilities to enable you to register with the GMC (General Medical Council). To prove your capabilities you must successfully pass an English Language test.
We advise all overseas doctors intending to relocate to the UK, whether via PLAB or postgraduate routes, to start their English Language Test preparations as early as possibl, you may not be able to pass at first attempt.
What are your options?
In short, you have two options:
IELTS (International English Language Testing System)
OET (Occupational English Test)
Both are used to test the English language levels of healthcare professionals in different parts of the world.
Importantly, both are used to demonstrate the correct levels of English have been attained for registration to work in the UK healthcare system.
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What are IELTS & OET?
These English Language Tests are chosen by different regulatory bodies to ensure that doctors and other healthcare professionals have the correct level of English to communicate at a high level with patients and colleagues, so as to provide safe and effective care.
For IMGs relocating to the UK, it is important to start by saying that both the IELTS and OET are accepted by the General Medical Council (GMC).
However, it is also important to note that OET is not accepted for Tier 2 Visa applications, which we will explore later.
IELTS:
IELTS is designed for people wanting to work or study in the UK. IELTS has a non-academic version, but be careful, for overseas doctors it is the Academic IELTS UKVI version that you want.
IELTS consists of 4 sections, Reading, Writing, Speaking and Listening.
To pass an average score of 7.5 or above is required, with all areas scoring above 7.0.
OET:
OET is language assessment designed for healthcare professionals. It has many versions, so be careful to select the relevant course for an IMG, the medical version.
OET is fast becoming a popular choice and is equally recognised by the GMC as an accurate test of English for doctors.
OET consists of 4 sections, Reading, Writing, Speaking and Listening. To pass a grade of B (or above) is required in all areas.
Which should you choose?
IELTS gives a broader test of the English language, not just workplace specific. IMGs who took this option have told us that their preparation has had a positive impact on their life in the UK, outside of the workplace.
However, it is also true that OET focuses more on the language that is relevant to healthcare professionals. Many overseas doctors tell us that they like this option as it tested their ability within the context of the medical profession.
Both are accepted by the GMC, so for the purposes of GMC registration only, one is not better than the other.
Both are now accespted for your Tier 2 Visa sponsorship with the Home Office.
For EEA doctors, you do not require a visa and only need to satisfy the GMC’s English language criteria.
If you have qualified outside of the EEA, your English Language Tests will need to satisfy both the GMC and the UK Home Office.
We have created the table below to help you check if you are taking the right test:
YES (7.5 overall, no less than 7.0 in all sections)
GMC registration
Tier 2 Visa (CoS)
Academic IELTS
YES (7.5 overall, no less than 7.0 in all sections)
NO
Academic IELTS UKVI
YES (7.5 overall, no less than 7.0 in all sections)
YES (4.0 in all sections)
OET
YES (Score of B+ in all areas)
YES
Which is easier?
This really falls down to a matter of preference.
Both are difficult and require hard work and exam study. Why not take a look at our tips for preparing for English Language Exams at home.
Some will find the OET works well for them as it covers healthcare specific language, meaning that you can make good use of your existing healthcare knowledge and vocabulary.
IELTS is not specific to the healthcare profession, it is taken by professionals from all industries. So, the topics covered are more general.
If your English level is good enough, neither OET or IELTS will hold you back.
There is no evidence to suggest that one test is easier than the other.
Here is a comparison chart to help:
IELTS Academic UKVI
OET
Test time
2 hrs 45 mins
Approx. 3 hrs
Listening
30 mins
You will be asked to listen to 4 recordings and answer questions based on what you’ve heard. The recordings will be two lectures or monologues and have two spoken conversations. The questions will ask you to ‘fill in the blanks’ or ‘match the following’, as well as ask you to label, complete sentences and more.
50 mins
This section is broken into two, part A and B.
Part A will ask you to take notes on a consultation, and part B will ask you to fill in the blanks and answer multiple choice questions after listening to a healthcare lecture.
Reading
1 hr
You will be given three passages of text taken from journals and newspapers etc. You will then be asked to answer questions and complete tasks based on the reading material provided. Some of the questions may be multiple choice, true or false, note completion, identification etc.
1 hr
This is split into two parts, part A and B. Part A is made up of 4 short texts – you fill in the blanks and complete a summary of the topic being discussed. Part B requires you to read two longer texts and answer multiple choice questions about each.
Writing
1 hr
This includes two tasks. The first is 20 minutes, you will need to study and write about some data or graphs provided.
The second task will ask you to write an essay based on a broad subject.
45 mins
This test will require you to read some case notes and write a discharge, follow up or referral letter based on the notes.
Speaking
15 mins
This is split into three parts. Each part is a general discussion. Firstly, this will be a discussion on topics such as family, hobbies and interests. This is followed by task card topics, which you will be given with a topic to speak about.
20 mins
This task starts with a short warm up discussion with the examiner. The main test then comprises of two role plays, in which you will play a doctor, and the examiner will play a patient. The interaction will be based on a selected topic card.
Accepted for GMC registration
YES if you take the Academic IELTS UKVI option (7.5 overall, no less than 7.0 in all sections)
YES if you take the medicine version (Score of B+ in all areas)
Accepted for Tier 2 Visa
YES if you take the Academic IELTS UKVI option (4.0 in all sections)
YES
Cost (£)
£200
£349
Where and when can I sit the English Language Tests?
IELTS is available in over 140 countries, with tests held up to 4 times per month. Check if there is a venue near where you live.
OET is available 14 times per year in 40 countries, with the number of cities and venues increasing each year. Check if is there is a venue near where you live.
How can I prepare for the English Language Tests?
IELTS and OET can be challenging, so make sure you are as prepared as possible before sitting the exam.
Preparing for any English Language Test, whether you have chosen IELTS or OET, requires learning a huge amount of vocabulary, learning how to write specific reports or essays, using a high level of grammar and structure and learning how to engage with a range of scenarios and acquire a set of key exam techniques.
You should take time to research each area of the test in detail, but don’t worry, help is at hand, and we will explore some of the best resources online.
Your preparation for each test will need to be different.
This doesn’t mean that one will require more or less preparation, just that you will need to study varied pathways and prepare different topics and vocabulary.
IELTS involves learning a much wider amount of vocabulary on a range of academic subjects so that you will be prepared to read academic texts quickly and effectively, understand lectures, talks and questions, giving opinion in detail.
You will have to prepare how to write reports on a variety of data and essay types.
Written texts are to be of a high standard, including complex structures and grammar.
OET involves learning a wide range of healthcare related and profession specific language. The test will require you to follow clinical scenarios, understand medical texts and talks. You will need to write a healthcare letter, such as a referral. To get the right score, this must be at an advanced level.
Successful IMGs who have passed, told us that learning key exam techniques helps you to work quickly and effectively during the test day.
What resources are available?
For IELTS, the British Council provide free online preparation on their website.
The British Council also offer the IELTS word power app. It's a great way to prepare for your test no matter where you are. Download the app here.
The IELTS publication Information for Candidates has valuable information about the way the test is run and what to expect on the day.
For OET practice, you can buy helpful OET guidance packs online.
The OET also offer a preparation portal full of material to help you study for the test, including free practice materials.
How else can I study at home?
Successful IMGs have told us that one of the most effective ways to improve their general level of English and help them on their journey to improving their English Language scores in both IELTS and OET, is to study at home.
Whilst exam papers are an essential weekly part of your overall study plan, too many exam papers can lead to boredom or frustration.
Most find the following helpful (and enjoyable):
Listen to podcasts
Speak to native English speakers (you can always give us a call!)
Watch relevant YouTube videos for your chosen exam
Watch movies
Listen to radio
Read articles relevant to your exam
In summary:
Neither exam is easier than the other. Both Academic IELTS UKVI and OET Medicine show you have an advanced level in English. It really is up to you!
You may find OET simpler to understand as it is healthcare related and tests the language you use in daily practice.
The same can be said about IELTS, you may find the general nature of the topics more suited to you.
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OET vs IELTS – as an overseas doctor, which should I choose?
For overseas doctors looking to register with GMC, passing an English Language test is essential.
Doctors regularly ask us which test is the most suited for IMGs to sit and which is more suited to the medical professional? There are different scenarios in which you’ll need to provide a pass in an English test. This article should hopefully help you decide which English Language Test would suit you best and includes the following topics:
What are IELTS & OET?
Which test is accepted by which registration body?
What are the similarities and differences?
What do I need to score in each test for GMC registration?
Where and when can i sit the English Language Exams?
How do I prepare for the exam?
Which test should I choose?
Can i get offered an exemption?
If you are an IMG relocating to the UK to start a doctors job, you will be required to take an English Language exam, enabling you to register with the GMC (General Medical Council).
What are IELTS & OET?
Both IELTS (International English Language Testing System) and OET (Occupational English Test) are used to test the English language levels of healthcare professionals in different parts of the world.
They are chosen by different regulatory bodies to ensure that doctors and other healthcare professionals have the correct level of English to communicate at a high level with patients and colleagues, so as to provide safe and effective care.
For international doctors relocating to the UK, it is important to start by saying that both the IELTS and OET are accepted by the General Medical Council (GMC).
DOCTORS - REGISTER TODAY FOR 10-20% DISCOUNT ON ENGLISH LANGUAGE COURSES
Which test is accepted by which registration body?
The good news is that recent changes to the rules means that both IELTS and OET are accepted for GMC registration and your Tier 2 visa for both EEA and non-EEA applicants. Check out the recent updates here.
We have created the table below to help you check if you are taking the right test:
GMC registration
Tier 2 Visa (CoS)
Academic IELTS
YES (7.5 overall, no less than 7.0 in all sections)
NO
Academic IELTS UKVI
YES (7.5 overall, no less than 7.0 in all sections)
YES (4.0 in all sections)
OET
YES (Score of B+ in all areas)
YES
OET and Tier 2 visas: Only one test now required for both UK registration and visa purposes.
What are the similarities and differences?
Similarities:
Each consists of four areas, one for each English language skill: reading, listening, writing and speaking.
Both tests take place in one day.
Both give a graded score (not pass or fail)
Both are recognised by the GMC and other healthcare regulatory bodies in the UK
Differences:
The content of each exam is different.
IELTS tests overall academic English (as an IMG you must select the Academic IELSTS UKVI test as this is the one recognised by the healthcare regulatory bodies, i.e. GMC & Home office).
What does this mean in practice? This includes the ability to write essays, follow lectures, understand academic articles, journals and newspapers, discuss a wide range of topics including social, environmental, educational and cultural trends.
The OET is different, the OET has been designed specifically for medical professionals, including nursing, medicine, radiography, occupational therapists and so on. Be sure to choose the correct exam for you - medicine!
The OET tests healthcare English, including the ability to communicate effectively in medical scenarios, write referral letters, understand a patient consultation, or follow a text from a medical journal.
Your preparation will need to be different
This doesn’t mean that one will require more or less preparation, just that you will need to study varied pathways and prepare different topics and vocabulary.
IELTS involves learning a much wider amount of vocabulary on a range of academic subjects so that you will be prepared to read academic texts quickly and effectively, understand lectures, talks and questions, giving opinion in detail.
You will have to prepare how to write reports on a variety of data and essay types.
Written texts are to be of a high standard, including complex structures and grammar.
OET involves learning a wide range of healthcare related and profession specific language. The test will require you to follow clinical scenarios, understand medical texts and talks. You will need to write a healthcare letter, such as a referral. To get the right score, this must be at an advanced level.
Successful IMGs who have passed, have told us that learning a range of exam techniques helps you to work quickly and effectively during the test day.
What do I need to score in each test for GMC registration?
IELTS:
IELTS is marked out of 9 in each paper. For GMC registration an overall score of 7.5 must be achieved, with a minimum of 7.0 in each area of the test.
OET:
OET is marked grades A to E in each paper. For GMC registration a minimum of grade B is required in all areas to pass the exam, or a point score of 350 points across all areas of the test.
Where and when can I sit the English Language Tests?
IELTS is available in over 140 countries, with tests held up to 4 times per month. Check if there is a venue near where you live.
OET is available 14 times per year in 40 countries, with the number of cities and venues increasing each year. Check if is there is a venue near where you live.
How do I prepare for either exam?
Preparing for any English Language Test, whether you have chosen IELTS or OET, requires learning a huge amount of vocabulary, learning how to write specific reports or essays, using a high level of grammar and structure, learn how to engage with a range of scenarios and acquire a set of key exam techniques.
You should take time to research each area of the tests in detail, but don’t worry, help is at hand, for more information on how to prepare, take a look at our blog series on English Language testing.
Can I be exempted from the english language test?
Some specialisms that are hard to fill such as emergency medicine and various specialist medicines, however NHS hospitals do not like offering exemptions - and they are only offered to candidates who exhibit excellent language capabilties at interview. IMG Connect strongly recommends all doctors to practice for and pass an English language test. Get in touch if you would like to know more about exemptions or think you are eligible.
Which test do I choose?
Neither exam is easier than the other. Both IELTS 7.5 and OET B show you have an advanced level in English. It really is up to you!
You may find OET simpler to understand as it is healthcare related and tests the language you use in daily practice.
The same can be said about IELTS, you may find the general nature of the topics more suited to you.
I have my ELT in place, what next?
Depending on what other qualifications you have in place, you may have to pass an accepted postgraduate qualification in order to be eligible for full GMC registration. Regardless, passing your english test is a huge acheivement and will take you that one giant step closer to working in the NHS. So congratulations!
For more useful blogs & articles on English Language Tests to help you find your dream job in the NHS - take a look at our IMG Library.
Don’t hesitate to get in touch with an IMG Consultant to discuss UK job options in the NHS and English Language Tests, including discussions regarding a typical doctor salary in the UK and the most suitable locations for you.
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Trust Doctor Jobs in the NHS
NHS trust doctor jobs are paid well with numerous posts available across the UK.
Trust doctors are employed by the NHS in service posts, and therefore for training purposes only are not regulated by Royal College or Deanery. They are an attractive way for both the NHS and IMGs to ensure doctors are secured into posts quickly. The work of a trust doctor is often indistinguishable from that of a training post, and can therefore be an attractive option for trusts, paving way for the recruitment of overseas doctors.
In this article will explore the both, with particular focus on service jobs. We will include the following topics:
What is a trust doctor?
Could I take a training post instead?
What are the benefits of a trust doctor job?
How do I secure a trust doctor job in the NHS?
What is a trust doctor?
Trust doctor jobs in the NHS cover a range of grades and apply to all specialities. It is a term applied to a doctor who is working in the NHS in a non-training post.
Typically, the title trust doctor is applied to a doctor working at Senior House Level (FY1 & 2), however the term has now become synonymous with all grades.
It is now a term most commonly applied to doctors from FY1 to ST3, but can be applied to specialty doctors by some trusts.
Trust doctors work in career posts without specialist recognition, but often doctors doing service level jobs secure an ‘approved post’ and complete specialist training, others continue to progress using their experience as the platform.
Many of the doctors accepting service posts are from overseas, this can be a quick way to enter the NHS system and start your career in the UK.
Could I take a training post instead?
Yes, training posts in the NHS are very attractive. However, competition for places on training posts within the NHS is highly competitive.
As such for IMGs interested in securing a place on a training post in the NHS, we advise that IMGs obtain a trust doctor or SAS doctor post, depending on experience, for 1 – 2 years. Following which you will be able to apply for a training post, for which you will be given priority.
Not only will this approach give you the best chance of securing excellent training and career progression opportunities in the NHS, it will also give you the chance to settle in to the UK, get to know your trust better, and help you understand the training post that will suit you the most.
Trust doctor posts also offer very competitive rates, so whilst you are getting to know the NHS and settling into life in the UK, you can also ensure that you are financially rewarded
What are the benefits of a trust doctor job?
No matter what grade you are working at, there are benefits to a trust doctor role.
Less competition and route to more training
The majority of IMGs are keen to enter training pathways at some point, but competition for these positions is very high. Places are offered to UK based applicants first, then EEA followed by Non-EEA applicants.
As such, it can be difficult to get a training post when applying for your first NHS role.
However, competition for trust doctor roles are not nearly so competitive and can lead to successful applications for training programmes.
Quicker route to securing your first post
For overseas doctors applying for trust doctor posts, as opposed to a training post, the process can be quicker. Less competition and a high demand for doctors will ensure that IMG Connect can secure you interviews quickly.
Financial reward
Trust doctor jobs typically offer competitive salaries, with some harder to fill locations able to offer additional incentives. Speak with your IMG Consultant for more information.
Allowing you time to settle into the UK and NHS
Taking a trust doctor role can be a great way to allow yourself time to settle into your new job and enjoy living in the UK. By taking on a new culture, employer and healthcare system all at once, you may feel more comfortable taking on a service post avoiding all the extra commitment and learning associated with a training role.
More patient focused roles and less responsibility
Trust doctor posts are usually more focused on meeting NHS service requirements compared to trainee roles. Many doctors simply prefer a role where they can spend more time with patients, without the pressured commitment to training, admin and competition associated with training roles. This gives you more time to do the job you love.
Balance between work and personal life
When taking a service post such as a Trust doctor post, additional working hours and on call commitments can be optional. You will also be given the option to increase your overall hours through weekend and shift work, which will increase your overall take home pay. In most circumstances it is up to you how you want to approach balancing a life at home with work commitments & financial rewards.
Freedom to consider all parts of the UK
Entering a training post is not only a commitment to the programme over a number of years, but also the geographical location that the deanery covers. By taking a trust doctor service role instead, you could complete a one year contract and relocate to a different part of the UK altogether after completing the contract.
REGISTER TODAY TO DISCUSS TRUST DOCTOR VACANCIES IN YOUR SPECIALISM.
How do I secure a trust doctor job in the NHS?
There are many reasons why a trust doctor job can be a great option for IMGs when considering their first NHS post and it is clear that service doctors are vital to the day to day running of the NHS.
Of course, many doctors will be keen to get straight onto the specialty training programme, with a clear vision of achieving consultant status. The NHS training programme is recognised the world over for its quality and innovation and as such places are at a premium.
Regardless of the route you wish to take, IMG Connect will support any doctor pursing either path and can offer guidance and advice throughout either process.
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MRCP Part 2 – a guide for overseas medicine doctors
MRCP Part 2 is the second of three exams to attain full MRCP UK.
This article is written for overseas doctors taking the MRCP route to GMC registration, written to help you prepare fir & sit the Part 2 examination. We consider the following topics:
What is MRCP Part 2?
Am I eligible to sit MRCP Part 2?
What is the exam content & format?
Where I can take the exam?
When is the exam sat and when can I apply?
How much does it cost?
How can I prepare for the exam?
Passed? What next?
What is MRCP Part 2?
Building on the knowledge assessed in Part 1, the exam tests your acquisition of a representative sample of medical knowledge, skills and behavior as specified in the UK Specialty Training Curriculum for Core Medical Training.
It is designed to test your application of clinical understanding and capacity to make clinical judgements, including:
prioritisation of diagnostic or problem lists
investigation planning
selection of a plan for immediate management
selection a plan for long-term management
assessment prognosis
Am I eligible to sit MRCP Part 2?
You are eligible if you have passed the MRCP(UK) Part 1 examination. A reminder that to be eligible for Part 1, you require 12 months experience and a recognised Primary Medical Qualification.
The Part 2 written examination moved to a single day format at the beginning of 2018. The new examination consists of two, three-hour papers each with 100 questions.
What is the examination format and content?
A good understanding of the examination format is a great foundation for your exam preparation, so below we have summarised the Royal College’s guidance on the Part 2 examination format and content.
Format:
The exam consists of two-papers, sat over the course of one day in an examination hall. Each paper is 3 hours in duration and contains 100 multiple choice questions in ‘best of five’ format (200 questions in total).
Composition of the papers are as follows:
Specialty
Number of questions *
Cardiology
19
Dermatology
9
Endocrinology and metabolic medicine
19
Gastroenterology
19
Geriatric Medicine
9
Hematology
9
Infectious diseases and GUM
19
Neurology
17
Nephrology
19
Oncology and palliative medicine
9
Ophthalmology
3
Psychiatry
3
Respiratory Medicine
19
Rheumatology
9
Therapeutics and toxicology
18
Total
200
*This should be taken as an indication of the likely number of questions – the actual number may vary by up to 2%. A proportion of the questions will be on adolescent medicine.
Question Content:
Questions are centred on the diagnosis, investigation, management and prognosis of a patient.
They usually have a clinical scenario and may include results of investigations and images such as:
clinical photographs
pathology slides
inheritance trees
ECGs, X-rays, CT and MR scans and echocardiograms.
In addition to testing core knowledge & comprehension, the exam assesses your ability to interpret information and solve clinical problems.
Best of Five question format and marking:
There will be five options: one correct answer and four alternatives to the correct answer.
The four distractors will be closely related to the preferred option but less correct, therefore acting as plausible alternatives.
Each correct answer is awarded one mark and there is no negative marking.
A more detailed explanation of the marking system used can be found here on the exam pass mark page of the Royal College website in MRCP(UK) Regulations.
Where can I take the exam?
MRCP(UK) Part 2 can be taken in the UK and overseas, see below:
*Please note these differ slightly from MRCP(UK) Part 1 examination centers
** UK test centres dependent on availability
Exam
UK Test Centres
Overseas Test Centres
MRCP(UK) Part 2
Edinburgh
Manchester
Newcastle
Glasgow
Belfast
Birmingham
Cardiff
London
Bahrain (Manama)
Bangladesh (Dhaka)
Egypt (Cairo)
Hong Kong
Iceland (Reykjavik)
India (Chennai, Kerela, Kolkata, Mumbai, New Delhi)
Iraq (Baghdad, Erbil)
Jordan (Amman)
Kenya (Nairobi)
Kuwait (Kuwait City)
Malaysia (Kuala Lumpur)
Malta
Myanmar (Yangon)
Oman (Muscat)
Pakistan (Karachi, Lahore)
Qatar (Doha)
Saudi Arabia (Jeddah, Riyadh)
Singapore
Sri Lanka
Sudan (Khartoum)
United Arab Emirates (Abu Dhabi, Dubai)
United States of America (New Jersey)
West Indies (Barbados, Jamaica, Trinidad)
When is the exam sat and when can I apply?
Exam dates and their application periods can be found here.
It is important to note that you must apply for each MRCP exam during the specified application period. Application made outside of the designated period will not be accepted.
How much does the exam cost?
UK applications cost £419
International applications cost £594*
Please note, the application process and fees applicable for Hong Kong and Singapore centres differ. Applications should be made directly to the administration team for this centre.
How can I prepare for the exam?
With lots of resources available online, we have discussed with IMGs the best place to start looking for materials relating to the exams. Most IMGs recommended starting with the Royal College, who have created useful resources to help you to prepare for the exams. See below:
Curriculum: Applicants are tested on a range of common and important disorders in General Medicine as set out in the Joint Royal Colleges Specialty Training Curriculum for Core-Medical Training.
We recommend getting to know this as early as possible, using it as a road map for your study plan.
MRCP(UK) mock exams: We suggest registering for the MRCP mock exams here. These will provide you with the most accurate and relevant mock questions to prepare you for the real thing.
Sample questions: Test your knowledge using example questions from the current exam syllabus provided by the Royal College, found herePart 2 sample questions
For a useful overview of how to prepare for exams, including advice on study groups, online community support, best use of online resources & Royal College materials and courses - take a look at our blog: IMG Connects Top Tips for exam preparation.
Passed? What next?
Now you have passed your MRCP Part 2 you can apply to take PACES - the practical and final examination within the MRCP set of examinations.
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What postgraduate routes are available for overseas doctors?
Recognised postgraduate qualifications are essential to work in the NHS with full GMC registration.
The GMC must be satisfied you have sufficient knowledge and skills before it grants you a license to practice, and for international doctors there are various routes to be considered. Your experience and desired role in the NHS should help shape the route you take option for you. The following postgraduate routes are available to you:
PLAB
UK Postgraduate Qualification (Royal College Qualification)
Recognised or Equivalent Postgraduate Qualification
PLAB:
The first and most popular route for more junior doctors is the Professional and Linguistic Assessments Board or PLAB as its commonly known. It is a two-part exam, with Part 1 taken all over the world and the second part taken in the UK only. It is a quick and relatively simple set of examinations for overseas doctors to work in the NHS.
Have a read through our detailed and helpful blog series on the PLAB tests for more information.
UK Postgraduate Qualifications / Royal College qualifications:
One of the most popular routes for overseas doctors is to attain a UK Postgraduate Qualification through one of the UK's Royal Colleges.
There are twenty-four Royal Colleges in existence in the UK, and they are the professional bodies responsible for the individual medical specialties they cover. Amonst their many duties, their role is to set and monitor the educational curriculum for those training to enter their respecitive professions.
UK trainees will sit a series of examinations set by their Royal College depending on what medical speciality they have chosen and these generally are set to a higher level of specialism and training when compared to the PLAB examinations.
Attaining a Royal College Qualification will of course satisfy GMC postgraduate criteria for full registration and are often the route for more senior international candidates looking to work in the UK. Certainly, if you want to
Have a read through our Postgraduate Qualifcation section to find the qualification set against your specialty. The entire list of Royal College examinations can be found below.
Alternatively, have a look through our blog on PLAB v Royal College to help you decide.
CLICK ON THE QUALIFICATION BELOW TO READ A USEFUL GUIDE FOR IMGs.
Awarding Body
Qualification
Royal College of Anaesthetists
Primary FRCA examination
Royal College of Emergency Medicine
Membership of the College of Emergency Medicine
(MCEM/MRCEM)
Royal College of Obstetricians and Gynaecologists
Membership of the Royal College of Obstetricians and Gynaecologists
(MRCOG)
Royal College of Paediatrics and Child Health
Membership of the Royal College of Paediatrics and Child Health
Royal College of Pathologists
Fellowship of the Royal College of Pathologists
(FRCPath) by examination only
Haematology, Histopathology, Medical Microbiology
Royal College of Physicians and Surgeons of Glasgow
Fellowship of the Royal College of Physicians and Surgeons of Glasgow
(FRCS Glasg Ophthalmology)
Royal College of Physicians London
Royal College of Physicians Edinburgh
Royal College of Physicians and Surgeons of Glasgow
Membership of the Royal College of Physicians MRCP (UK)
Royal College of Psychiatrists
Membership of the Royal College of Psychiatrists
(MRCPsych)
Royal College of Radiologists
Fellowship of the Royal College of Radiologists (FRCR)
Royal College of Surgeons Edinburgh
Membership of the Royal College of Surgeons of Edinburgh
(MRCS Ed Opthalmology)
Royal College of Surgeons of England
Royal College of Surgeons of Edinburgh
Royal College of Physicians and Surgeons of Glasgow
Any of the following:
Intercollegiate Membership of the Royal College of Surgeons - MRCS
Intercollegiate Membership of the Royal College of Surgeons - (MRCS (ENT))
Collegiate Membership of the Royal College of Surgeons - (MRCS)
Fellowship of the Royal College of Surgeons - (following examination) (FRCS)
Recognised or Equivalent Postgraduate Qualifications
Another option is to attain a GMC recognised overseas qualification. These overseas qualifications are recognised by the GMC as equivalent and will be accepted as evidence that you have the necessary knowledge, skills and experience to apply for full registration with a licence to practise.
Have a read through our blog on GMC Recognised Postgraduate Qualifications to find out if your qualification is on the list and recognised by the GMC.
Please note, you must be granted full registration with a license to practice within three years of passing your postgraduate qualification.
Recognised Equivalent Qualifications:
Country
Awarding Body
Qualification
America
American Board of Pediatrics (ABP)
Diplomate of the American Board of Pediatrics - General Pediatrics
America
American Board of Anaesthesiology
Certificate of the American Board of Anaesthesiology
America
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
Australia/New Zealand
Royal Australasian College of Physicians
FRACP Adult medicine or evidence of three years of basic training (PREP) + achievement of RACP written and clinical examinations
OR
FRACP Paediatrics or evidence of three years basic training (PREP) + achievement of RACP written and clinical examinations
Australia/New Zealand
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
Australia/New Zealand
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)
Bangladesh
Bangladesh College of Physicians and Surgeons
Fellowship in Anaesthesia or Anaesthesiology awarded since July 1999
Canada
The Royal College of Physicians and Surgeons of Canada
The Royal College of Physicians and Surgeons of Canada - diagnostic radiology examination
Europe
European Academy of Anaesthesiology or European Society of Anaesthesiology
European Diploma in Anaesthesiology and Intensive Care
Hong Kong
Hong Kong College of Physicians
Membership of the Hong Kong College of Physicians
Ireland
College of Anaesthetists of Ireland
Fellowship of the Faculty or the College of Anaesthetists
Ireland
Royal College of Physicians in Ireland
MRCP Medicine (Medicine of Childhood)
Ireland
Royal College of Surgeons in Ireland
MRCS (collegiate examination)
MRSCI (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
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
FCPS Paediatrics Pakistan
Fellowship in Anaesthesiology awarded since1998
Singapore
National University of Singapore
Master of Medicine (Paediatrics)
Master of Medicine (Internal Medicine) including MRCP (UK)
Singapore
Joint Committee on Specialist Training Singapore
Master of Medicine (MMED) Singapore, plus MRCP (UK) awarded since 1 July 2010
South Africa
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
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, (Paediatrics)
Doctor of Medicine or MD (medicine) awarded after January 2017
Doctor of Medicine or MD (surgery) awarded after July 2017
West Africa
West African College of Physicians
Fellowship of the West African College of Physicians (Paediatrics)
West Indies
University of the West Indies
Doctor of Medicine (Anaesthesia) awarded since September 2003
(Course title has since changed to Doctor of Medicine (Anaesthesia and Intensive care)
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Doctor jobs & their NHS salaries
There are many different grades of doctors with respective pay sacles in the NHS.
The following is a brief overview of the different types of doctor, their pay and roles they fulfill within the UK's National Health Service and in this article we will look at the following:
Designations of UK doctors
Medical students
Junior doctors
SAS doctors
Consultants
Trust doctors
General Practitioners
Locum doctors
Academic doctors
Pay and conditions circulars
Designations of UK doctors:
Other than for medical students, all doctors we list below are medically qualified and can use the title Dr before their name. For historical reasons in the UK, surgeons may use the title ‘Mr’, ‘Mrs’, ‘Miss’ or ‘Ms’. A doctor that is a university professor may also use the title ‘Professor’ instead of ‘Dr’.
Medical students:
Medical students usually undertake a five-year course of study for undergraduate or a four-year postgraduate course to become a doctor.
Two years studying basic medical sciences is followed by three years more clinically focused training, during which they will work in hospital wards under the supervision of consultants.
Following completion of their medical degree, newly qualified doctors gain provisional registration with the GMC. They will receive their primary medical qualification which is typically denoted in the UK by either: MBBS, MBChB, BM, MB BCh.
Junior doctors:
Medical graduates enter the medical workforce as junior doctors. They are employed on a national negotiated contract on a two-year work-based training programme known as the Foundation Programme. The Foundation Programme is the first level of clinical training for a qualified doctor, bridging the gap between medical school and Specialty Training.
The Foundation Programme is carried out in hospitals over two years which are referred to as FY1 and FY2. Upon completion of FY1, a doctor will gain full registration with the GMC.
Completion of FY2 allows doctors to apply for further study and training in a specialised area of medicine, known as Specialty Training. Doctors enter Specialty Training at ST1 and the length and type of training will depend on the specialty chosen – specialist training can take up to eight years.
In the most junior hospital trainee post of Foundation Year 1 (FY1) your basic salary is £27,689. In year two this increases to £32,050.
If you are a doctor starting your Specialty Training in 2019, your basic salary starts at £37,935 and can progress to £48,075.
Staff Grade, Associate Specialist and Specialty Doctors (SAS Doctors):
SAS doctors are in non-training roles where the doctor has at least four years of postgraduate training, two of which being in a relevant specialty (FY1, FY2 and two years specialist training). This means doctors can move into these posts at various levels of experience and seniority whilst also gaining experience and promotion within the grade itself.
SAS doctors are typically more focused on meeting service requirements when compared to trainee or consultant roles. Often, they have considerably fewer administrative duties when compared to consultants and can have very ‘hands on’ roles with lots of patient contact. Specialty doctors currently earn from £40,037 to £74,661 basic pay. As an overseas doctor, there are many factors that will determine where on this pay scale an HR department places you, so it is hard to provide one general rule to help you estimate what salary you might be eligible for.
Whilst the titles staff grade, specialty doctor and associate specialist are all commonly used, recent changes to terminology means that all SAS doctors are now on Specialty Doctor contracts.
WANT TO KNOW HOW YOU FIT INTO THE NHS PAY SCALES? CLICK HERE TO REGISTER FOR CONSULTATION AND ADVICE.
Consultants:
Consultants are senior doctors that have completed full specialist medical training in a specialised area of medicine and are listed on the GMC’s specialist register, gaining the accreditation CCT. Doctors can also meet the criteria for specialist registration via the CESR route, consider your eligibiiity for CESR here.
Consultants have clinical and administrative responsibilities in managing SAS and junior doctors.
Consultants currently earn from £79,860 to £107,668 basic pay and as an international doctor, your years' completed as a consultant will place you on this scale.
Trust doctors:
Trust doctors in the NHS are employed for service posts, and trust doctor is a term applied to a doctor who is working in the NHS in a non-training post. Trust doctor jobs in the NHS cover a range of grades and apply to all specialities.
Typically, the title trust doctor is applied to a doctor working at Senior House Level (FY1 & 2), however the term has now become synonymous with all grades. It is now a term most commonly applied to doctors from FY1 to ST3 but can be applied to specialty doctors by some trusts.
Many of the doctors accepting service posts are from overseas as this can be a quick way to enter the NHS system and start your career in the UK.
Trust doctor posts also offer very competitive rates, so whilst you are getting to know the NHS and settling into life in the UK, you can also ensure that you are financially rewarded.
Locum Doctors:
Locums doctors are fully qualified doctors who temporarily cover a position, often covering things like sick leave or maternity. All doctors can work as a locum aside from FY1 doctors and it can be done via an agency or NHS locum post. Overseas consultants not yet on the specialist register can apply for locum consultant positions, not substantive.
Academic Doctors:
Academic doctors often combine clinical care with teaching and research, doing so to develop the science of medicine. They can be any grade of doctor from an FY2 to a consultant, GP or SAS doctor. Common academic job titles, in order of seniority are:
Prof Professor
CSL Senior Clinical Lecturer / Associate Professor
CRF Clinical Research Fellow
CL Clinical Lecturer
ACF Academic Clinical Fellow
Pay and Conditions Circulars:
Current national salary scales for all medical and dental staff are published in pay and conditions circulars on the NHS Employers website.
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What Brexit means for you
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 endeavour 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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