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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.
Click on the hyperlink below that relates to the country where you trained and passed your anatomic pathology residency (specialty training):
Did you train or qualify inside the EEA region? Click here
Did you train or qualify outside the EEA region? Click here
I trained inside the European Economic Area (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 trained & qualified as a pathologist inside the EEA or Switzerland, then you will have a number of different options potentially available to you. Depending on which country and what year you completed your resdiency or basic medical training, the GMC may automatically recognise your qualifications and grant you either Specialist Registration or General Registration in the UK. Find your countries GMC page here to ascertain if your qualifications will allow you to register for either general or specialist regsitration.
Basic Medical Training: If you have met the basic medical training requirements this 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 recognised postgraduate qualification or PLAB to register with a license to practice. You would be granted Full Registration - 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.
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 IELTS (International English Language Testing System) or the OET (OET – Occupational English Test) and some information on the tests can be founde below:
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. This would be either your IELTS, OET or an approved reference from your current or future employer.
AND
Evidence of sufficient skill and knowledge. As a pathologist this would either be FRCPath, PLAB or your recognised EEA-qualification.
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 histopathologists in the NHS is ever increasing and the NHS will welcome 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 will specialise in your field only - so you can take the benefits of having a market specialist working on your case, providing you with all the best opportunities that fit your career needs. Our aim is often 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 histopathology jobs here: 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
Tier 2 Visa (Health & Care Visa)
If you are a non-UK national 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?
Outside of the European Economic Area (EEA)
If you qualified as a histopathologist 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. As with all doctors coming from outside the UK, 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 IELTS (International English Language Testing System) or the OET (OET – Occupational English Test) and some information on the tests can be founde below:
IELTS – a guide for overseas doctors
OET – a guide for overseas doctors
Evidence of Knowledge & Skills in Pathology
Histopathologists who've trained from outside the EEA and UK 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 - Fellowship of the Royal College of Pathologists (FRCPath)
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:
PLAB – a guide for overseas doctors
PLAB 1 – a closer look
PLAB 2 – a closer look
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 Histopathology – a guide for overseas doctors
Tier 2 Visa (Health & Care Visa)
If you are a non-UK national 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 FRCPath qualified histopathologists in the NHS is incredibly high, and you will have a wide variety of job opportunities available across the UK. The FRCPath qualification indicates that you can practice independently, as a consultant in the NHS. 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 will specialise in your field only - so you can take the benefits of having a market specialist working on your case, providing you with all the best opportunities that fit your career needs. Our aim is often 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 histopathology jobs here: 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
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 or FRCR in order to register with the GMC. FRCR is the UK Royal College qualification and the recommended route for radiologists looking to work in the UK as a specialist or consultant who .
IMGs from any country in the world can sit the FRCR examinations, provided certain eligibility criteria are met. These are summarised below along with a broad look at the following topics:
What is FRCR Clinical 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 examination suite. The FRCR 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 will make it very difficult to attain a 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 Part 1 Oncology 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 Part 1 (Oncology) (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.
Final FRCR Part A (both must be passed in one sitting in order to attain a pass)
two separate single best answer papers
Final FRCR Part B
a reporting session
a rapid reporting session
an oral examination
The FRCR examinations form an essential component of training for Clinica Oncologists in the UK. For overseas doctors relocating to the UK, the 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.
hold a formal clinical radiology post in which they are actively receiving clinical radiology training.
no minimum period of clinical experience or training is required to enter the exams
Final FRCR Part A: To be eligible you must:
have passed the First FRCR examination
have acquired 24 months in a formal clinical radiology training post by the month which the examination is taken
Final FRCR Part B: To be eligible you must:
have passed the Final FRCR Part A
have acquired 34 months in a formal clinical radiology training post by the month which the examination is taken
Updates to the exam formats in light of COVID-19:
Given the disruption caused by COVID-19 it is advised to keep updating yourself of the RCR examination changes and updates posted on their website. This link here specifically takes you to the examination updates section. Information on the dates, fees and venues for the FRCR examinations are found withink. In light of the COVID-19 pandemic most exams have now moved online in some form or another, with remote proctering (invigilation) in place to prevent cheating and ensure continuation of exam settings.
First FRCR Examination in Clinical Radiology: An online invigilation (proctoring) element will be introduced for both modules from June 2021. This will enable you to sit both modules at a location of their choosing rather than attending an RCR exam venue. You will need to ensure minimum software, a stable internet connection and an appropriate examination environment. Our third-party proctoring service – Examity – provides a computer-readiness check prior to the examination to enable candidates to check suitability of their set-up. On the RCR page here you'll find a number of instruction and techincal support guides and videos - it is highly recommended to read through all of these before applying.
FRCR Part 2A (Radiology) - CR2A: This examination will be proctored online. The examination is delivered by a software (Speedwell) which can now be integrated with Examity’s examination proctoring system, allowing candidates to take secure high-stake examinations at home or at a place of the candidate’s choosing where they should have a stable internet connection, a quiet working atmosphere and must be on their own. See our remote invigilation (proctoring) guidance for further information.
FRCR Part 2B (Radiology) - CR2B: The reporting component of this examination will be computed based at the venue candidates have chosen. Candidates will receive a username and password to access the examination. The reporting instructional video and accompanying demonstration site should be viewed prior to the examination. The oral component will also be delivered to candidates in venues, via video conference, and further detail shows in the orals guidance video. Examination content will be shared via MS Teams and candidates will be able to take control of the mouse and access functionality to manipulate images. After 30 minutes candidates will move to the second room and complete the second 30-minute session of the oral exam with different examiners.
Content and structure for FRCR (Oncology)
First FRCR Examination: It is delivered on a digital platform and as such is now also available across 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 of this part 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 Oncologists 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 agains the curriculum and against the range of RCR-desingated skills required to be a competent oncologist in the NHS
the use of 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 here specifically takes you to the examination updates section. Information on the dates, fees and venues for the FRCR examinations are found within.
How do I apply for the FRCR examinations?
UK Trainees are given priority for examination places, whilst overseas candidates are offered those places not taken via a ballot system following the application closing date. If you've had your exam differed due to cancellations over the last year then 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 any of your studies. 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 have 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.
Paper A, B and CASC can now be taken from the comfort of your home. This exciting developmet has of course been accelerated by Covid-19, enabling MRCPsych examinations to be delivered during lockdowns.
Following the pandemic outbreak, the college has worked hard to bring orward their plans to launch online examinations and move online, the nearest date to this which the College could reasonably start exams is 7 October 2021.
Demand for the exams has increased, and furter online dates have been added by the Royal College. Paper B can be sat on either Wednesday 7 October or Thursday 19 November and Paper A on either Tuesday 1 or Tuesday 15 December.
The online MRCPsych written paper format:
The format of 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 straightorward, 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 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 straightorward, requiring only a few checks and guidelines to follow to help you make the process a success.
Candidates who were planning to enter the Singapore and Hong Kong CASCs are now welcome to apply to sit the online versions that will take place in January and September 2021.
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.
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
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
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
Coronavirus & RCEM Exams - update
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 well as delay the rease of certain results.
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 its centres again in 2020. 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 & results schedule and will keep all our IMGs informed as soon as the College publishes some updates. You can find the updated exam schedule here
Key exam updates for IMGs:
FRCEM Intermediate Results Day
The Intermediate SAQ is marked by examiners and therefore the results release date will be delayed until 12 June 2020.
REQUEST FREE & UP TO DATE FRCEM INTERMEDIATE RESOURCES
Current exam bookings
All current examination places will be honoured on the next available examination. The royal college are currently investigating options for revised sittings of the FRCEM Primary.However, will not be able to accommodate an additional MRCEM OSCE examination in 2020.
As soon as the trust set new exam dates, your place will be automatically transferred and you will be contacted directly.
There will be no additional fees to transfer your booking to the next available examination.
If your examination has been postponed you do not need to book your place on the next exam, you will be automatically rebooked and contacted. Do not book another exam.
REQUEST FREE & UP TO DATE OSCE RESOURCES
COVID-19 represents a major public health challenge for health services acorss the globe, especially for doctors in Emergency Departments. No doubt you will be under significant pressure as a result and we wish you well during these difficult and challenging times.
At IMG Connect we will be using our email updates, social media and website to provide relevant updates regarding for IMGs, although we strongly advise that you contact your relevant govenrmental bodies for specific health and travel related updates.
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.
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!
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.
REQUEST FREE & UP TO DATE OSCE RESOURCES
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!
REQUEST CV CONSULTATION & SALARY ESTIMATION
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.
REQUEST FREE & UP TO DATE OSCE RESOURCES
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!
REQUEST FREE & UP TO DATE INTERMEDIATE RESOURCES
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!
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.
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.
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 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 to. 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 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 Part 2 (current COVID-19 arrangements): Discussions are starting to take place about the possibility of delivering at least the Histopathology FRCPath Part 2 examination at an overseas centre in Autumn 2021. The Royal College is trying to accommodate as many international candidates as possible in the Autumn but priority will be given to the candidates entered for the January sitting.
The Spring session was delayed for overseas candidates given the state of the pandemic in the UK at the time and priority on Part 2 spaces will be given to those required to differ theri application. It is anticipated that the Royal College will open additional centres and exam dates to process the backlog of applicants, however this will only be clarified once the COVID-19 situation has been brought under more control globally. Keep an eye on the RCPath website for the most up-to-date news on royal college 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.
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. You can find more information about CESR in Histopathology here.
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.
MRCEM OSCE - Malaysia - Dates, Locations and Fees
International doctors (IMGs) can sit the final MRCEM OSCE exam in three locations: the UK, India and Malaysia (Kuala Lumpur).
Here we explore in brief the exam centres, dates, fees and how to apply online for the MRCEM OSCE exams in Malaysia (Kuala Lumpur).
Covid-19 & RCEM:
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 well as delay the rease of certain results.
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 its centres again in 2020. 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 & results schedule and will keep all our IMGs informed as soon as the College publishes some updates. You can find the updated exam schedule here
Current exam dates
2020 Exam dates for India have been released, these are:
Location
Date
MRCEM OSCE International (Kuala Lumpur)
7 – 9 July 2020 POSTPONED
Fees
The exam costs £650 in Malaysia, Kuala Lumpur. In the UK and India the exam costs £450.
Application windows
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. The application windows for Malaysia are below:
Location
Date
MRCEM OSCE Kuala Lumpur (7 – 9 July) POSTPONED
27 April 2020 to 22 May 2020
Results from the India examinations will be released on the following dates:
Location
Date
MRCEM OSCE Kuala Lumpur (7 – 9 July) POSTPONED
7 August 2020
Overseas candidates can also sit the MRCEM OSCE examination in India. Remaining dates for 2020 are as follows:
Location
Date
MRCEM OSCE (India)
23 – 25 November 2020
Please note that all dates are subject to change, you can check the most up to date calendar here.
CLICK HERE & REGISTER FOR FREE & UP TO DATE MRCEM RESOURCES
You can apply for the MRCEM OSCE Malaysia (Kuala Lumpur) examination, or indeed the full roster of Emergency Medicine examinations from the Royal College of Emergency Medicine (FRCEM or MRCEM) here. All applications must be made online and during the application window.
IMGs from all over the world take the MRCEM OSCE examination in Malaysia, India and the United Kingdom (UK) whilst on their journey towards securing an Emergency Medicine job in the NHS. If you want to discuss your options for MRCEM or Emergency Medicine exams, get in touch with your IMG consultant team, who would be happy to answer any questions you may have.
IMG Jobs
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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.
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!
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 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 test?
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 CASC exam?
The Clinical Assessment of Skills and Competencies (CASC) tests your skills in a range of clinical situations.
The CASC format is like an OSCE (Objective Structured Clinical Examination).
The CASC 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:
be observed interviewing patients in ward rounds for specified reasons
be observed interviewing patients in out-patient or community settings or other contexts for specified reasons
be assessed via formal presentation of cases with their medical notes; discuss management of cases with their Clinical or Educational Supervisor
be assessed formally 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?
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.
See below table of MRCPsych fees for 2020
Candidate
Paper A
Paper B
CASC
Non-PMPT Trainees and Affiliates (UK & Ireland Centres)
£518
£466
£1,093
Hong Kong, China
£661
£661
£1,491
Singapore
£661
£661
£1,491
Chennai, India
£661
£661
N/A
Muscat, Oman
£661
£661
N/A
Malta
£661
£661
N/A
Where can I sit the CASC test?
You can currently sit the CASC test in both the UK and two overseas venues, Hong Kong and Singapore.
2020 MRCPsych CASC Exam dates have been released, these are:
Location
Date
United Kingdom
21 – 24 January 2020
United Kingdom
8 – 11 September 2020
Hong Kong
13 – 15 May 2020
Singapore
7 – 9 October 2020
2020 fees have been released – the MRCPsych (CASC) costs £1,093 in the UK and £1,491 in Hong Kong and Singapore.
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. The application windows for London are below:
Location
Application Period
UK (Diet 1)
28 October – 15 November 2019
UK (Diet 2)
8 – 26 June 2020
Singapore
9 – 20 March 2020
Hong Kong
8 – 26 June 2020
Results from the CASC examinations will be released on the following date:
Location
Publication of results
UK (Diet 1)
14 February 2020
UK (Diet 2)
2 October 2020
Singapore
TBC
Hong Kong
6 November 2020
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!
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!
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.
CLICK HERE & REGISTER FOR FREE & UP TO DATE MRCEM RESOURCES
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
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MRCEM OSCE - London - Exam Dates, Location and Fees
International doctors (IMGs) can sit the final MRCEM OSCE exam in three locations: the UK, India and Malaysia.
Here we explore in brief the exam centres, dates, fees and how to apply online for the MRCEM OSCE exams in London (UK).
Covid-19 & RCEM
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 well as delay the rease of certain results.
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 its centres again in 2020. 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 & results schedule and will keep all our IMGs informed as soon as the College publishes some updates. You can find the updated exam schedule here
Current exam dates
2020 Exam dates for London have been released, these are:
Location
Date
MRCEM OSCE (London)
8 – 10 June 2020 POSTPONED
Fees
The MRCEM (OSCE) costs £450 in both the UK & India, and £650 in Malaysia.
Application window
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. The application windows for London are below:
Location
Date
MRCEM OSCE Kuala Lumpur (8 – 10 June) POSTPONED
17 February 2020 to 20 March 2020
Results from the London examination will be released on the following date:
Location
Date
MRCEM OSCE Kuala Lumpur (9 – 10 June) POSTPONED
10 July 2020
Overseas candidates can also sit the MRCEM OSCE examination in India and Malaysia. Dates for 2020 are as follows:
Location
Date
MRCEM OSCE (India)
22-24 June 2020 POSTPONED
MRCEM OSCE (India)
23-25 November 2020
MRCEM OSCE (Malaysia)
7 – 9 Julye 2020 POSTPONED
Please note that all dates are subject to change, you can check the most up to date calendar here.
CLICK HERE & REGISTER FOR FREE & UP TO DATE MRCEM RESOURCES
You can apply for the MRCEM OSCE London (UK) examination, or indeed the full roster of Emergency Medicine examinations from the Royal College of Emergency Medicine (FRCEM or MRCEM) here. All applications must be made online and during the application window.
IMGs from all over the world take the MRCEM OSCE examination in London, India and Malaysia whilst on their journey towards securing an Emergency Medicine job in the NHS. If you want to discuss your options for MRCEM or Emergency Medicine exams, get in touch with your IMG consultant team, who would be happy to answer any questions you may have.
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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.
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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!
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.
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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.
So you got your MRCEM OSCE Results....what next?
Today is the day! The MRCEM OSCE results are 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 MRCEM OSCE? Click here.
Not passed MRCEM OSCE? Click here.
I passed the MRCEM OSCE:
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 :-)
Then it is a good time to think about what steps you should take when finding the job you are looking for in the NHS, or wherever you may be considering finding your next role. Many considerations will enter your head such as do I need to my english exam? What grade will I be eligible for? What salary can I attain? And of course what are the ways I can actually find an A&E job in the UK?
As specialists in International Recruitment of MRCEM qualified Emergency Medicine doctors, whether it’s finding you an accredited English tutor, preparing your CV for professional representation or finding you a great role with a fantastic salary - IMG Connect is here to help.
Search Emergency Medicine Jobs:
Search all the lastest Emergency Medicine
Salary Review:
Check your NHS salary against the NHS pay scale and current vacancies in the UK.
CV Review:
Unsure whether your CV is in the right format for NHS hospitals? Request a CV review here to ensure your CV is in the best shape for any NHS employers looking for emergency medicine specialists like yourself!
Register:
Register your details with IMG Connect to receive a 1-2-1 personalised service from one of our Emergency Medicine Specialists. We have a team that recruits only 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!
English Testing:
Passing your english language exams is an important next step for many Emergency Medicine doctors that pass their MRCEM. Take a look at relevant blogs and articles from the IMG Library on OET, IELTS and Preparing for English Language Exams.
IMG Library: OET - numerous blogs and articles relating to the OET exams, written specifically for international doctors
IMG Library: IELTS - numerous blogs and articles relating to the OET exams, written specifically for international doctors
IMG Library: English Language Tests - many helpful blogs and articles on English Language Testing, written specifically for international doctors
I did not 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.
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!
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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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.
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.
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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!
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.
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.
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!
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.
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.
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!
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.
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!
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.
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 posts with CESR support - your new route to specialist registration in the UK
Hospitals across the UK are offering specialty doctor job plans with opportunity for CESR programmed support, giving doctors the chance to quickly work towards specialist registration.
For experienced IMGs this is a new and quick route to your first Consultant post. By taking up a service level job as a Specialty Doctor with CESR support as part of the job plan many IMGs are securing a great start to their future career inthe NHS taht is suited to their senior level experience.
If you are an overseas doctor looking for a Specialty Doctor job with the chance to work towards your Certificate of Eligibility for Specialist Registration (CESR), speak to the IMG Connect team to discuss if this is a suitable route for you. We have opportunities across the UK for doctors to take advantage of the CESR programme.
You can also send your CV to info@imgconnect.co.uk or register here. It takes 30 seconds to register!
By taking such posts in NHS trusts and hospitals you can join diverse, dynamic and inspiring groups of specialty doctors and acting Consultants all on the way to achieving their CESR as part of a tailored programme. In offering such job opportunities, hospitals will provide a supportive environment with protected time to fulfil all the requirements of the CESR application, gaining career-enhancing experiences as you do.
Acting up, dedicated peer groups, coaching & mentoring, scheduled learning and study time are some of the benefits that you could receive.
In such roles you will typically receive hands on support from consultant colleague and exposure to a wide range of experience to specifically aid competency achievement for your CESR application.
In some specialty doctor jobs with CESR programme you will rotate through various departments, dependent on your required experience.
Some hospitals will also provide the following as part of the CESR programme:
Supported Professional Activity (SPAs) sessions per week
Tailored experience to your CESR portfolio
Regular clinical supervision
A CESR mentor
Involvement in academic programme and medical student teaching
Support in gaining research competencies
SAS Tutor support
CESR / SAS support forums and meetings
IMG Jobs
Search and find live NHS doctor jobs in the UK with CESR
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) and chat with an IMG consultant to discuss the CESR job vacancies in the NHS and start your journey towards specialist registration and your first consultant post in the NHS.
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.
Changes to the MRCP PACES exam - 2020
MRCP (UK) have now put in place agreed changes to the PACES exam, effective from 2020. Thankfully for those preparing to take the exams in 2020 diets, the changes are not drastic. The exam board have developed the current format, making some stations more realistic.
The MRCP PACES exam will test the same clinical skills, and there will remain five stations throughout the exam. The change comes through some tweaks to the stations themselves.
The changes are designed to make the exam better reflect the experience that patients expect from their doctor.
From the current format, the following stations are being removed and replaced:
Station 2 - history-taking
Station 4 - 20 minute single communication and ethics encounter
Station 5 - brief clinical consultations
The above will be replaced by:
Communication Encounters
Two 10-minute communication encounters assessing you on your communication skills. These encounters will no longer include a question and answer section with the examiners, the encounter will be judged on observation alone.
Clinical Consultations
Two 20-minute clinical consultations will assess candidates across all seven skills. You will have 15 minutes to take a structured history, examine the patient, explain the likely diagnosis/management and then address any questions or concerns raised. There will then be a five-minute question and answer section with the examiners.
The new carousel will amend the sequencing of the encounters. Physical examination encounters will be aligned with communication encounters. This will ensure that examiners at each station contribute more judgements in each of the skills for each candidate improving reliability.
MRCP(UK) have created a set of useful videos to help explain the changes further: click here.
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.
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!
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.
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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PLAB 2 – a closer look for overseas doctors
In this blog we will explore PLAB 2 and everything that you need to know about how to sit the exam, including syllabus, dates, results, fees and preparation.
We will take a broad look at the following topics:
What is PLAB 2?
What topics does the exam cover?
How do you answer the questions?
Clinical examination
Practical skills
Interpersonal skills
Where and when can I book a place?
What does it cost? Fees.
How do I register? What happens next
How do I prepare for PLAB 2?
What resources are available?
When will I receive my results?
How many times can I sit the test?
Passed? What next?
For a general overview of the PLAB examinations, click here.
Firstly, let’s take a look again at what PLAB 2 is:
PLAB 2 is an objective structured clinical exam (OSCE), you should already be familiar with this format from your own medical training. It will consist of 18 scenarios, each lasting eight minutes and will reflect real life settings including a mock consultation or an acute ward.
What topics does the exam cover?
The exam syllabus covers everything a UK trained doctor might expect to see on the first day of Foundation Year Two (FY2) and tests your ability to apply knowledge to the care of patients.
Marking of the scenarios relate to current best practice in the UK. You should approach them in relation to published evidence and not according to your local arrangements.
Names of drugs referred to in the exam are those contained in the most recent edition of the British National Formulary (BNF).
How do you answer the questions?
The PLAB 2 exam will take approximately three hours and 10 minutes. You'll have one and a half minutes between test scenarios in order to read the instructions and patient information. There will be at least two rest stations, allowing you to take breaks.
You will be marked against three key areas for each scenario.
Data gathering, technical and assessment skills
i.e. History taking, physical examination, practical procedures, investigations leading to a diagnosis
Clinical management skills
i.e. Formulating a diagnosis, explaining something to the patient, formulating a management plan
Interpersonal skills
i.e. How you approach the station: whether you establish a rapport with the patient, how you use open and closed questioning, involving the patient and demonstrating your professionalism and understanding of ethical principles
When marking against the domains the examiner will assess your competency across a number of skill areas, these are:
Clinical examination
The examiner will assess you on your ability to conduct a physical examination of a simulated patient. This will usually be an actor who is trained to display signs when required, an anatomical model may also be used for certain examinations.
Practical skills
The examiner will assess you on your ability to perform common practical procedures. Again, they may ask you to deal with a simulated patient or an anatomical model.
These may include:
checking blood pressure
performing venepuncture
inserting a cannula into a peripheral vein
calculating drug dosage
giving intravenous injections
mixing and injecting drugs into an intravenous bag
giving intramuscular and subcutaneous injections
basic cardio-pulmonary resuscitation (adult and child)
suturing
interpreting an electrocardiogram (ECG), X-rays or results of other investigations
interpreting basic respiratory function tests
performing urinary catheterisation
taking a cervical smear
safe disposal of sharps.
Interpersonal skills
The GMC test these skills by observing the interaction between you and another person, usually a simulated patient or occasionally the examiner. The examiner will assess your approach to the patient throughout the examination.
This may include:
explaining diagnosis, investigation and treatment
involving the patient in the decision-making
communicating with relatives
communicating with health care professionals
breaking bad news
seeking informed consent/clarification for an invasive procedure or obtaining consent for a post-mortem
dealing with anxious patients or relatives
giving instructions on discharge from hospital
giving advice on lifestyle, health promotion or risk factors.
As in preparing for PLAB 1, the GMC’s ‘PLAB Blueprint’ sets out what to expect from the test, including the topics, skills and procedures that a doctor who passes the test would need to know and be able to do in practice. In addition, it provides details of the professional qualities expected of a doctor working in the UK.
Where and when can I book a place?
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? Fees.
The fee for Part 2 of the PAB test is currently £860 (as of 1st April 2019)
How do I register? What happens next?
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.
How do I prepare for PLAB 2?
For PLAB 2, most IMGs advise that they have benefited from attending specific courses geared towards 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 more 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 and your booking confirmation
For identification, the venue will accept any one of the following.
Passport
the booking confirmation that includes your GMC booking reference number
Don’t forget to dress as though you would on the ward at work.
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 the required knowledge, skills and behaviours you are expected to demonstrate in the exam.
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 2 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.
Test your knowledge of Good Medical Practice using:
explanatory guidance
Good Medical Practice in action interactive online tool
Welcome to UK practice interactive online tool.
You can also find several excellent videos online which provide you with helpful example scenarios.
Courses: For PLAB 2, IMGs usually advise that they have benefited from further study and attending PLAB 2 specific courses. We couldn’t agree more!
You may be worried about taking the exam, but remember that you will have done most of the clinical tasks before, and with real patients.
For a useful overview of how to prepare for exams, including advice on study groups, online community support, best use of online resources & GMC materials and courses, take a look at our blogs on Exam Tips and Revision
When will I receive my results?
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.
How many times can I sit the test?
For PLAB 2, you can take the test 4 times. To be eligible to take the test for an additional attempt if you have not passed after 4 attempts, you must have completed a further 12 months experience of clinical practice or post graduate qualification.
Passed? What next?
Once you have passed both parts (PLAB 1 and 2) 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.
Want more information?
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.
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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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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.
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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
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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.
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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!
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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!
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.
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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.
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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
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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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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.
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.
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.
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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!
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.
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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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How to find a mosque/masjid in the UK
Islam is the second largest religion in the UK, with the Muslim community reaching some 2.8 million people.
Britain is home to one of the most diverse Muslim communities in the world. With such rich diversity, mosques/masjids and prayer rooms can be found in every corner of the country.
Muslim 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 MuslimsInBritain.org website provides a directory of all UK and Ireland masjids/mosques, these are provided in list, Google Maps, satnav and smart-phone formats.
The website is intended primarily for people looking for a masjid when in an unfamiliar area. But you can use it to find your closest masjid/mosque.
You can also find excellent information on the British Muslim community from The Muslim Council of Britain.
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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.
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MRCEM OSCE exam – India centres, dates & fees
International doctors can sit the MRCEM OSCE in the UK, Kuala Lumpur and India.
India exam centres for 2020 are to be held in Kuchi & Hyderabad, however these are subject to change due to Covid-19. Here we explore the exam centres, dates, fees and how to apply online for the MRCEM OSCE exams in india.
Covid-19 & RCEM:
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 well as delay the rease of certain results.
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 its centres again in 2020. 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 & results schedule and will keep all our IMGs informed as soon as the College publishes some updates. You can find the updated exam schedule here
Current exam dates:
2020 Exam dates for India have been released, these are:
Location
Date
MRCEM OSCE International (India)
22 – 24 June 2020 POSTPONED
MRCEM OSCE International (India)
23 – 25 November 2020
Fees:
2020 fees are £450 for the UK and India. The exam costs £650 in the new OSCE centre based in Malaysia.
If you wish to take the examination at the India centre, you will pay the local administrator to pay the local fee.
Application Window:
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. The application windows for India are below:
Location
Date
MRCEM OSCE India (22 – 24 June) POSTPONED
23 March 2020 to 24 April 2020
MRCEM OSCE India (23 – 25 November)
27 July 2020 to 28 August 2020
Results:
Results from the India examinations will be released on the following dates:
Location
Date
MRCEM OSCE India (22 – 24 June) POSTPONED
24 July 2020
MRCEM OSCE India (23 – 25 November)
8 January 2021
Other locations
Overseas candidates can also sit the MRCEM OSCE examination in London and Malaysia. Dates for 2020 are as follows:
Location
Date
MRCEM OSCE (London)
8 – 10 June 2020 POSTPONED
MRCEM OSCE (Kuala Lumpur)
POSTPONED
Please note that all dates are subject to change, you can check the most up to date calendar here.
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You can apply for the MRCEM OSCE India examination, or indeed the full roster of Emergency Medicine examinations from the Royal College of Emergency Medicine (FRCEM or MRCEM) here. All applications must be made online and during the application window.
IMGs from all over the world take the MRCEM OSCE examination in India whilst on their journey towards securing an Emergency Medicine job in the NHS. If you want to discuss your options for MRCEM or Emergency Medicine exams, get in touch with your IMG consultant team, who would be happy to answer any questions you may have.
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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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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.
MRCP PACES - What if I can't secure an exam place?
Exam places for MRCP PACES have been hard to secure in some countries. We expect that there will be similar demand in 2020 & 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 Consultant.
Take a look at our IMG library for more information regarding postgraduate exams & PACES
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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.
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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.
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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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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
REGISTER TODAY FOR 10-20% DISCOUNT ON LANGUAGE COURSES
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
Search and find live radiology jobs in the UK
IMG Resources
Read more useful articles on finding an NHS trust doctor job, pay scales & doctor’s salary in the UK, relocation and much more!
Get in Touch
Don’t hesitate to get in touch using the buttons above (and below) to discuss doctor job options in the NHS, including discussions regarding a typical doctor salary in the UK and the most suitable hospital locations for you.
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.
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.
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.
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.
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.
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
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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!
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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.
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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?
For overseas doctors the main consideration is whether your English language test needs to be considered for GMC registration as well as 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. The good news is that recent changes to the rules means that both IELTS and OET are accepted for GMC registration and yoru Tier 2 visa. 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
There are however, more differences.
Differences:
The content of the 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? Well, 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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What is the GMC?
The GMC is the public body that maintains the register of Medical Practitioners in the UK.
The chief responsibility of the General Medical Council is to ‘protect, promote and maintain the health and safety of the public’ in addition to improving medical education and practice across the UK. They define their role with the four main duties below:
Decide which doctors are qualified to work in the UK
Oversee UK Medical education and training
Set the standards doctors need to follow throughout their career
When necessary, take action to prevent unsafe practice or patient safety being jeopardised
How does the GMC support itself?
Through people like you! The GMC is supported by fees paid by the doctors that make up its membership, and it became a registered charity in 2001.
Where is the GMC based?
The GMC has offices in Central London and Manchester and you will need to personally attend an ID check at one of these offices in order to complete your registration. This can also be a great opportunity to meet your IMG Consultant and get to know the UK a little before relocating!
Licensing and revalidating doctors in the UK
The GMC is also responsible for licensing and revalidating every doctor practising in the UK.
This is essential to continued practice and needs completing every 5 years. This will be very important for you in years to come. You can find out more about revalidation here.
How do I register with the GMC?
Registering with the GMC is a multi-staged process and requires deeper explanation! Find out how to become a fully registered member of the GMC by having a look at our blog on GMC Registration.
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MRCP(UK) PACES - a guide for overseas medicine doctors
PACES is the final exam in the MRCP UK examination series.
Attaining full MRCP UK will facilitate registration with the GMC for overseas doctors, allowing you to secure a job in one of the many medical specialties in the NHS, depending on your experience and specialisation. In this article we will consider the following:
What is PACES?
Am I eligible to sit MRCP PACES?
What is the content and format?
How is PACES marked?
As an overseas candidate where can I take the exam?
When should I take PACES?
How can I prepare for the exam?
Passed? What next?
What is PACES?
The Practical Assessment of Clinical Examination Skills (PACES) is designed to test the clinical knowledge and skills of trainee doctors who hope to enter higher specialist training (ST3). The exam sets rigorous standards to ensures trainees are competent across a wide range of skills and are ready to provide high-quality care to patients.
Am I eligible to sit MRCP PACES?
You must have passed the Part 1 written examination within the last seven years before taking PACES. The Royal College strongly advises trainees to apply after competing two years practical experience and Part 2 of the examination.
What is the content and format?
PACES is based on a format that is similar to OSCEs, a practical assessment in a clinical setting. There are five clinical stations with either patients with a given condition, or trained stand-ins (surrogates).
The exam is sat over a half-day and assesses seven core skills over five stations. IMGs can expect eight patient encounters assessed independently by a total of ten examiners (two at each station).
The seven core skills:
Physical examination – demonstrate correct, thorough, systematic, appropriate and professional technique of physical examination.
Identify physical signs – identifying physical signs correctly.
Clinical communication – elicit a clinical history relevant to the patient’s complaints, in a systematic, thorough and professional manner.
Differential Diagnosis – create a sensible, clinically assessed differential diagnosis for a patient.
Clinical Judgement – select an appropriate management plan for a patient or clinical situation. Select appropriate investigations or treatments for a patient that the candidate has clinically assessed.
Managing patients concerns – seeks, detect, acknowledge and address patients or relatives concerns, confirming their understanding and demonstrate empathy.
Maintain patient welfare – treat a patient or relative respectfully and sensitively in a manner that ensures their comfort, safety and dignity.
The PACEs Carousel:
The Carousel consists of five stations, each assessed by two independent examiners. Candidates start at any of the five stations, moving round the carousel at 20-minute intervals, until completed. A five-minute period between each station is given.
Candidates are marked on clinical skills at each encounter in the examination. An encounter is when a candidate has an interaction with a patient or a surrogate. Stations 2 and 4 involve one encounter, whereas stations 1, 3 and 5 have two encounters.
How is PACES marked?
PACES is marked on seven skills, A-G, these are:
Skill A: Physical examination (stations 1, 3 and 5)
Skill B: Identifying physical signs (stations 1, 3 and 5)
Skill C: Clinical communication (stations 2, 4 and 5)
Skill D: Differential diagnosis (stations 1, 2, 3 and 5)
Skill E: Clinical judgement (all stations)
Skill F: Managing patients’ concerns (all stations)
Skill G: Maintaining patient welfare (all stations)
Skill B, identifying physical signs, is often considered the most challenging skill to pass.
As an overseas candidate where and when can I take the exam?
It is a little more complicated than Part 1 or 2 exams and exam slots are often in short supply. Whilst the Royal College is working hard to increase the number of spaces, it is not always possible to offer a place to all applicants.
Priority is given to those candidates who are near the end of their stage 2 eligibility period. A full list of examination dates can be found here, please note these are subject to change.
Overseas centres, available spaces and fees are listed below:
Center
Spaces available
Fees
Center
Spaces available
Fees
Brunei
45
£1202
Malta
45
£1202
Egypt
90
£1202
Myanmar (Mandalay)
45
£1202
Hong Kong
75
HK$14,945
Myanmar (Yangon UM1)
75
£1202
India (Bengaluru)
45
£1202
Myanmar (Yangon UM2)
45
£1202
India (Chennai)
75
£1202
Oman
75
£1202
India (Hyderabad)
45
£1202
Qatar
45
£1202
India (Kochi)
60
£1202
Singapore
75
£1297
India (Kolkata)
45
£1202
Sri Lanka (Colombo)
45
£1202
India (New Delhi)
45
£1202
Sudan
45
£1202
Kuwait
60
£1202
United Arab Emirates (Al Ain)
45
£1202
Malaysia (Kuala Lumpur)
120
£1202
United Arab Emirates (Dubai inc. Sharjah)
60
£1202
Malaysia (Penang)
45
£1202
UK exam centres
The examination is run at clinical centres across the UK (England, Scotland, Wales and Northern Ireland); these vary from diet to diet.
When should I take PACES?
Royal College performance data provides some food for thought when considering when to apply for PACES. The data suggests:
Wait at least 36 months after graduation before applying.
Those taking the exam before this period were less likely to pass.
24-36 months post-graduation – 50% pass rate
36-48 months after graduation – 77%
Candidates that had already passed part 1 & 2 written examinations were significantly more likely to pass PACES at first attempt.
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 the curriculum as early as possible, using it as a road map for your study plan.
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.
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 on 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.
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.
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.
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GMC Registration - the online application
An application for GMC registration is completed online.
In this article we take an in depth look at putting together your online application for the GMC and cover the following topics:
Preparing and understanding what documents you need
Applying for Online Registration
Paying your registration fee
Providing the required evidence
GMC ID Checks
I've had my ID checked, what next?
Preparing and understanding what documents you need to apply for GMC online
All applicants must have prepared:
Evidence of English Language Test
Evidence to support your fitness to practise
Explanations for breaks in medical practise
Preparation specific to EEA Doctors:
Acceptable Primary Medical Qualification (PMQ).
Preparation specific to non-EEA Doctors:
Acceptable overseas PMQ (different from GMC recognised PMQ)
Verification of primary medical qualification
Knowledge and skills fit for UK practise (PLAB or Postgraduate Qualification)
Read our blog on accepted PMQs here.
Or read up on verifying your PMQ with the GMC here.
At IMG Connect we always recommend that you prepare all of your documentation and get organised before starting any application. If you do, completing the online application will prove to be much quicker.
Applying for GMC Online Registration
Applications are completed online here.
Paying your GMC registration fee online
For full information on fees and discounts available visit the GMC website.
Standard fees are £399 (please note these have recently increased from April 2019). Discounted fees of up to 50% are available depending on your gross annual worldwide income. If you are unsure if you qualify for a discount speak to your IMG Consultant at any time.
Providing the required evidence
Once you have made your online application the GMC will send you an email telling you what evidence you will need to provide copies of (which you will already have prepared).
Gather your documents and scan them as one PDF file.
Email these documents within 28 days of receiving this email to keep your application live.
Once the GMC have received your documents they will assess them and respond to you within five working days. At this point they will either ask for further evidence or consider your application complete.
If further evidence is required you will have 14 days to responds to keep your application live.
GMC ID Check
Congratulations! You are nearly there…
Now your online application is complete, the GMC will invite you to attend an ID check at one of the GMC offices in either London or Manchester. You must bring your original documents to this meeting.
If you do not attend your ID check within 3 months of your invitation your application will unfortunately be closed.
Attending the GMC check in London provides us with a great opportunity to meet our doctors face to face and introduce ourselves over a coffee or lunch. Your dedicated IMG Consultant would love to arrange this with you, should this fit in with you busy schedule of course.
I've had my ID checked by the GMC, what next?
Congratulations are in order!! Once you have attended your ID Check and presented your original documentation you are granted registration and can now work as a doctor in the UK.
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Verifying Qualifications with ECFMG via EPIC - guide for overseas doctors
Overseas doctors will need their medical qualifications verified before the GMC grants their registration.
In order to work in the NHS you need full registration with the GMC, and this involves independent verification of both primary medical degrees and your GMC recognised postgraduate qualification. The process of verification is is done by the Educational Commission For Foreign Medical Graduates (ECFMG) and applies if you:
Qualified at a medical school outside of the UK, European Economic Area (EEA) or Switzerland;
OR
are an international medical graduate with a European medical qualification (not including UK qualifications)
AND
do not already hold provisional registration.
Please note, only those with primary medical qualifications awarded outside of the UK and EU, and those who are not EU nationals but hold a primary medical qualification from the EU (but not the UK), need to use an Electric Portfolio of International Credentials (EPIC).
Start early!
At IMG Connect we strongly advise that you complete this part of the process as soon as possible. There are several factors that contribute to the length of the verification process, including the time it takes for the medical school to verify your qualification(s). Start the verification process well in advance of submitting your application to the GMC, as the GMC will close your application after 90 days.
Before you start:
Before your start the verification process, there are a couple of important steps to consider:
Create a GMC online account if you haven't already and check whether the GMC accepts your primary medical qualification and/or postgraduate qualification.
If your medical school is included on the list below then you should contact the GMC before starting the verification process.
on the GMC’s list of qualifications that are not acceptable
on the GMC’s list of qualifications that may be acceptable
not in the list of medical schools on GMC Online
Please note, if you hold refugee status in the UK and are applying to the GMC for registration with a license to practice medicine in the UK, you may be able to get help with your EPIC fees. Contact the GMC before using EPIC.
Which qualifications will I need to verify?
Depending on your experience, you will have one of the following two qualifications to verify through EPIC:
1. Primary Medical Qualification (Final Medical Diploma in EPIC) verification:
Most applicants will only need to have their primary medical qualification (PMQ) verified through EPIC. The primary medical qualification that the GMC requires is your Final Medical Diploma.
2. Acceptable Postgraduate Qualification (Specialist Qualification or Postgraduate Medical Education Credential in EPIC):
If you are applying through the acceptable postgraduate qualification route, you will need to have both your PMQ and your postgraduate qualification verified.
Setting up an on-line account:
Once you have established the correct documents to be verified, set up an on-line account (EPIC Account) via ECFMG EPIC
1. The first step to start using EPIC is to complete a request to establish an account. The request requires you to submit some basic personal information, details about your medical education, and, if applicable, details about your postgraduate medical education.
2. EPIC will then send you an e-mail to confirm receipt of your request to establish an EPIC Account.
3. Once your account request has been processed, they will send you an e-mail containing your EPIC ID and instructions on how to complete the final step in the account establishment process, completion of the EPIC Identification Form (EIF) to confirm your identity.
The GMC's instructions for EPIC verification are here however this we have outlined the steps above, so things shoud be fairly clear already.
General advice from IMG Connect:
Prepare and save yourself some time!
As always, at IMG Connect we advise it is best to gather your documents prior to starting any application. If you do, it should only take about 15 minutes to complete.
Before you begin, make sure you have the following available:
a full-colour photograph (passport style)
a scanned, full-colour copy of the photograph page of your current, unexpired passport
information about your medical education, including your medical school identification number (if applicable) and attendance and degree issue dates
your medical licensure information (if applicable), including any identification numbers
your ECFMG/USMLE Identification Number (if you have one)
your ECFMG International Credentials Services (EICS) Identification Number (if you have one)
Make sure you select the General Medical Council as you upload each qualification. By doing so, the GMC will automatically receive an update when your qualification has been verified. If you don’t do this, it could cause a delay.
How much does EPIC verification cost?
The fees are charged in USD and you’ll need to pay ECFMG directly. Full payment is due at the time you submit your request to establish an EPIC Account.
Setting up an account currently costs $125 and as of recently, the fee to verify a credential through EPIC increased to US$90 per credential. For more information on fees and payment, see the fees section of the EPIC website.
I've got my PMQ verified, what next?
Submit your application for registration to the GMC and provide your EPIC ID to the GMC.
You won’t be able to submit your application to the GMC until you have confirmation that your PMQ has been sent for verification. ECFMG will send you confirmation via e-mail.
You can also check the status by logging in to your EPIC Account. If you prefer, you can wait until after the qualification has been verified to submit your application, as it can take some time for the verification to be completed.
Once verification of a qualification has been received from the issuing institution and ECFMG has confirmed that the qualification is authentic, ECFMG will confirm this with the GMC. ECFMG will also notify you by e-mail that your qualification has been verified.
The Tier 2 Dependant Visa - can I bring my family to the UK?
As an overseas doctor, arranging both a Tier 2 visa and dependent visa can be challenging.
If you are intending to relocate with dependants you may be concerned as to whether you can bring your family with you, and at what stage this is possible? In this blog we outline the UK legislation rules in relation to your entry on a Tier 2 Visa, considering the following:
Tier 2 Dependant Visa
Who qualifies as a Tier 2 Dependent?
Evidence of Personal Savings
Required Documents for a Tier 2 Dependent visa
Can dependants work on a Tier 2 Dependent Visa?
Can you extend the Tier 2 Dependent Visa?
What are you permitted to do with a Tier 2 Dependent Visa?
What are you not permitted to do with a Tier 2 Dependent Visa?
How much will this cost me?
Once the visa application is successful, what happens next?
Tier 2 Dependant Visa:
Firstly, it is important to revisit the Tier 2 Visa briefly, as this is the most likely route to the UK for IMGs. The Tier 2 General visa is a UK work visa issued to highly skilled workers from outside the European Economic Area and Switzerland.
As a holder of Tier 2 General Visa, you will be permitted to bring dependents to the UK on a Tier 2 Dependent Visa. It can be used when applying for or already holding a Tier 2 visa.
Who qualifies as a Tier 2 Dependent?
Doctors residing in the UK under the Tier 2 Visa, or applying for a Tier 2 visa, are allowed to bring their dependents to the UK. There is a narrow list of who qualifies as a Tier 2 dependent, and is as follows:
Spouse
Unmarried or same-sex partner
Children aged under 18 at the time of application
Child over 18, if they’re currently in the UK as a dependent
Please note there can be a range of scenarios that affect eligibility for dependants, we recommend checking here before starting your application.
Evidence of Personal Savings:
As a requirement, you need to show proof that you have an extra £630 available for each dependent that you plan to bring to the UK (in addition to the £945 you are required to support yourself financially). If you present a bank statement to this effect, the money must have been in your bank account or your dependent’s bank account, for longer than 90 days before the application date.
You will not need to show proof of your savings if you have:
a fully approved (A-rated) sponsor
you possess a certificate of sponsorship that states your sponsor will provide each of your dependents with at least £630 per month should they need it
Documents must be submitted when applying in order to prove dependants falls under one of the above-mentioned criteria.
Required Documents for a Tier 2 Dependent visa:
A person applying to enter the UK as a dependent of a Tier 2 Visa holder, must submit the following documents during their Visa application interview:
Appointment sheet
Confirming dependant’s T2 visa appointment.
Passport
Valid for 6 months beyond the relocation date and must have at least one blank page in order to be able to affix visa.
Application form
Some locations only allow online applications - check with the UK embassy in your home country. If you can apply online, take the confirmation form with you to your appointment.
One UK visa photo in colour
Ensure these are 45mm high by 35mm wide, taken within the last month and printed to a professional standard.
Original birth certificate or marriage certificate
It must show dependent’s relationship to principal Tier 2 work visa holder.
Previous passports
These are needed to show previous travel history.
Translations of every document not in English
These must be official translations.
Tuberculosis screening
If you are from a listed country, you will need to provide a Tuberculosis Testing Clearance Certificate – read our blog for more information.
Document requirements vary depending on your country of residence, so you want to make sure before submitting your application. We advise you ask the embassy in your country of residence for a checklist before gathering the required documents.
Please note, your documents, including your passport, will remain at the embassy or consulate, during the time your application is being reviewed.
Can dependants work on a Tier 2 Dependent Visa?
Yes. If you come to the UK and you have the required age which permits you to work, then you are allowed to take a job according to your qualifications.
The only exception is that Tier 2 Dependents are not allowed to work as a doctor in training, they will need to complete their own Tier 2 Visa if planning to work as a doctor in the UK.
In addition, if you come to the UK as a Tier 2 Spouse Dependent then you are not allowed to switch your visa to a Tier 2 Visa once in UK, even if you find a job that requires highly skilled persons. You will have to return to your home country and apply from there in order to be able to obtain a Tier 2 Visa.
Can you extend the Tier 2 Dependent Visa?
Yes. Every person remaining in the UK as a dependent of a Tier 2 Visa holder, has the right to apply to extend their stay in the UK.
What are you permitted to do with a Tier 2 Dependent Visa?
These are the main activities you’re allowed to perform in the UK as a Tier 2 Dependent:
Stay in the UK for as long as the main Tier 2 migrant legally lives in the UK
Travel outside the UK
Work under certain restrictions
Study under certain conditions
Take a postgraduate course
Get married or enter into a civil partnership
Extend the visa
What are you not permitted to do in the UK with a Tier 2 Dependent Visa?
These are the activities you’re not allowed to perform in the UK as a Tier 2 Dependent:
Use the public funds and benefits
Work as a dentist/doctor in training, or as a sportsperson
Study in a restricted study field
How much will this cost me?
There are two costs to consider throughout this process:
your visa application fees with the home office
The exact fee for dependants will vary depending on whether or not your own Tier 2 visa falls under the national shortage list or not. This list can be found here.
immigration health surcharge
The surcharge is applicable every year of your visa at a cost of £400 (this can be checked using the government calculator here)
It is important to know, from the moment you pay the IHS surcharge you will be granted access to NHS healthcare services, free of charge.
Visa application costs below:
Up to 3 years – non-shortage occupation
Who’s applying
Fee (outside UK)
Fee for extending or switching (in the UK)
Yourself
£610
£704
All dependents
£610 per person
£704 per person
You as a citizen of Turkey or Macedonia
£555
£649
Up to 3 years – shortage occupation
Who’s applying
Fee (outside UK)
Fee for extending or switching (in the UK)
Yourself
£464
£464
All dependents
£464 per person
£464 per person
You as a citizen of Turkey or Macedonia
£409
£409
Once the dependant visa application is successful, what happens next?
First things first, congratulations! You are now just a few steps away from completing your journey to the UK and can now firm up your relocation plans, putting into action your relocation checklist. Request your relocation checklist here.
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FRCA - a guide for overseas anaesthetics doctors
One of the routes to GMC registration for an overseas anaesthetist is FRCA Primary.
IMGs from any country in the world can sit some, not all, of the FRCA examinations. Certain eligibility criteria must be met to sit primary whilst overseas doctors can only take the final part of the exams once they have started working in the NHS (UK). This is explained in further details below where we look at the following topics:
What is FRCA?
What is the structure and content of FRCA examinations?
As an overseas doctor am I eligible?
What is Temporary Exam Eligibility (TEE)?
What is the UK IAC?
As an overseas candidate where can I take the exam and how much will it cost me?
How to prepare and what resources are available?
Summary
The Royal College of Anaesthetists is the professional body responsible for the specialty of Anaesthetics throughout the UK. Amongst many other duties, its role is to set and monitor the educational curriculum for those training to enter the profession.
What is FRCA?
Anaesthetists become full members of the Royal College of Anaesthetists and attain Fellowship of the Royal College, and the designation of FRCA, once they have passed the two separate exams: the Primary and Final Examinations. Each exam consists of two parts taken separately.
FRCA is one of the many routes an anaesthetist can take when looking to satisfy the GMC postgraduate criteria for full registration with a licence to practice. It is important to note that Primary FRCA will suffice for the purposes of full registration with a license to practice, and full FRCA is not essential though of course desirable.
What is the structure and content of FRCA examinations?
Primary FRCA examinations:
Multiple Choice Question Examination (MCQ)
The Objective Structured Clinical Examination (OSCE) and Structured Oral Examination (SOE)
Final FRCA examinations:
Final Written exam consisting of; Multiple Choice Question exam (MCQ) and a Short Answer Question (SAQ) exam
The Structured Oral Examination (SOE)
The FRCA examinations form an essential component of training for anaesthetists in the UK and doctors who wish to complete the FRCA route, will be required to complete the final exam after substantial experience working in the UK.
As an overseas doctor am I eligible?
It is important to note that each of the FRCA exams have different eligibility criteria.
To sit the FRCA Primary Exams, you must be a member of the College or apply for Temporary Exam Eligibility (TEE) – see below. TEE will apply to most overseas doctors.
Primary FRCA MCQ:
You are eligible to enter the Primary FRCA MCQ paper if you:
hold national registration with an overseas Medical Council;
AND
have successfully applied for Temporary Examination Eligibility (TEE) with the College 3 months prior to the date of the examination
Primary FRCA OSCE and SOE:
You are eligible to enter the Primary FRCA OSCE and SOE if you:
meet the above criteria for the Primary FRCA MCQ paper
have passed the Primary FRCA MCQ paper
have been awarded an overseas competency in anaesthetics which is comparable to the UK IAC (see below)
Final FRCA:
You are eligible to enter the Final FRCA paper if you have:
completed 30 months of training in anaesthesia
at least 18 months must be spent in approved posts in the UK or Republic of Ireland – for international doctors a maximum of 12 months of overseas training in anaesthesia combined with 6 months working in an approved UK post will be accepted;
Evidence of having completed the required training will be needed, Core Level Training Certificate
What is Temporary Exam Eligibility (TEE)?
Non-UK Trainee applicants do not qualify for any membership category of the Royal College of Anaesthetists. As such the Royal College has introduced the TEE to allow overseas anaesthetist doctors who do not work in the UK to apply for the FRCA Primary Examinations.
Applicants must submit a Temporary Examinations Eligibility form three months before any examinations are applied for.
How do I apply for TEE?
You can apply for TEE using this application form.
Documents required on your first application are:
Proof of registration with an overseas Medical Council
Proof of attendance at or completion of anaesthetic training, including foundation training (internship)
If you intend to take the OSCE/SOE exams, you will be asked to provide further documentation to prove you have an equivalent of the UK Initial Assessment of Competency Certificate in Anaesthesia.
The TEE application costs £90, paid by bank transfer. Once payment is confirmed you will receive a TEE number, which you will use to support your application to sit the FRCA examinations.
What is the UK IAC? And how do I demonstrate equivalence?
The initial assessment of competence (IAC) is the first anaesthesia training milestone for trainees in the Anaesthesia training programme (ACCS training for anaesthesia, acute medicine, emergency medicine and intensive care).
The purpose of the IAC is to signify that the trainee has achieved a basic understanding of anaesthesia and is able to give anaesthetics at a level of supervision matching with the individual trainee’s skills and clinical cases. The IAC is not a licence for independent anaesthetic practice. The key point is that trainees are still under the supervision of a named consultant anaesthetist.
To support an application to sit the FRCA exams you must demonstrate that you have been awarded an overseas anaesthetic competency in anaesthetics which is comparable to the UK IAC.
Overseas anaesthetic competency certificates must be provided on application and prove clinical competency comparable to the UK Initial Assessment of Competency in Anaesthetics. Certificates must be accompanied by a letter of authentication in English from a senior anaesthetic consultant or notary.
The final decision on comparability of overseas IAC certificates lies with the Chair of the Primary Examination.
How do I apply for the Primary FRCA examinations?
Applications are complete online, simply click here, register, and follow the instructions for submitting documents and completing your application.
Where can I sit the FRCA exams?
Unfortunately, IMGs cannot sit the FRCA exams overseas.
Exams are held in London, Cardiff, Birmingham, Manchester, Belfast, Sheffield and Edinburgh. You can find up to date exam dates here.
How much do the exams cost?
Fees for exam diet 2018 / 2019
Primary MCQ
£325
Primary OSCE & SOE
£600
Primary OSCE
£330
Primary SOE
£300
Final Written Exam
£480
Final SOE
£565
What is the syllabus?
The syllabus for both the primary and final exams are linked to the Training Curriculum.
The Primary FRCA Examinations are blue printed to the Core Level Training Curriculum.
The Final FRCA examinations are blue printed to both the Core Level Training Curriculum and the Intermediate Level Training Curriculum.
*both include Intensive Care Medicine
How do I prepare?
With lots of materials online we have discussed with IMGs the best place to start looking for resources and materials relating to the exams. Most successful IMGs recommended starting with the Royal College, who have created useful resources to help you to prepare for the exams.
At IMG Connect we advise overseas candidates to be fully aware that questions used in the exam are drawn from the UK Anaesthetic Basic Level Training Curriculum. We suggest that you can use the curriculum as a road map to support your study plan.
Video series:
The exam run through video series is a useful tool to help familiarise yourself with what to expect on the exam day.
The Primary SOE support videos are designed to help trainees in preparation for exams.
The Primary FRCA examination videos also support with study for the MCQ.
More videos can be found at the College's YouTube Channel
eLearning Anaesthesia (e-LA):
The e-LA supports specialty training in anaesthesia. It provided materials for professional development of specialists seeking to refresh their knowledge.
Doctors working overseas can gain access to this resource via eIntegrity which provides a portal to all specialty e-Learning platforms.
If you are working outside the NHS, then modules are available for purchase via the eIntegrity website.
There are a number of modules available, of particular note for IMGs is Module 6: Exams Preparation.
e-LA also provides MCQ questions which are an accurate reflection of the questions included in the FRCA examinations.
Virtual Exam tours:
3D virtual exam tours have been created by the Royal College to provide a virtual experience to ensure that candidates are familiar with the process on the day.
OSCE exam floor
3D Tour
Successful IMGs have found practice questions are a valuable part of exam preparation. Remember these should be used in conjunction with other forms of research and studies.
I attained Primary FRCA, what next?
You will simply need to prove your English Language capabilities to satisfy GMC criteria for full registration.
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Monthly take-home pay: NHS Specialty Doctors
What does an NHS specialty doctor take-home as their monthly salary?
Overseas doctors frequently ask us what their monthly take-home pay would be when working as an NHS specialty doctor. So, to help IMGs plan for life in the UK we put together some examples to give a better idea of what you'll actually keep each month. We hope they are of use!
How much will I take home?
Firstly, take home pay in the UK is the amount that you will receive in your bank account after all deductions have been made from your annual salary. Deductions include Income Tax, National Insurance and NHS pensions.
It is important to state that this is just a guideline. We have based our figures on the gross salary for each pay threshold and have assumed that you do not have other sources of income.
The figures can be higher or lower depending on any additional responsibilities or hours worked, other sources of income you have, your final tax bracket, whether you opt out of pension, and whether you claim for your tax-deductible expenses.
Take home pay expectations:
Specialty Doctor pay threshold
Annual gross salary*
Estimated average monthly take home pay **
Min
£41,158
£2,635
1
£44,677
£2,835
2
£49,252
£3,094
3
£51,704
£3,219
4
£55,237
£3,389
5
£58,756
£3,560
6
£62,355
£3,733
7
£65,954
£3,907
8
£69,553
£4,081
9
£73,152
£4,255
10
£76,751
£4,429
*before tax and pension
**based on standard salary and not inclusive of additional payments for extra hours worked or pension deductions
To explore the pay & salary conditions across all doctor grades in the UK take a closer look here.
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Opening a new bank account in the UK
Once you've arrived in the UK, how do you set up a new bank account?
There are many things to consider when setting up your new life in the UK, one of which is opening a new bank account. To help, we put together a few tips and suggestions to get you started, including the following topics:
Options can be confusing
Do I need a new bank account?
How do you set up an account and what do you need?
Once your account is open, what next?
Monitoring your account
Which bank should I choose?
The main five banks
Ethical banking
There are various different, and whilst one type of bank will suit one person, it may not suit everyone. So, it is important to shop around and find the right bank account for you.
Options can be confusing
When choosing a bank account, it can get confusing. There can be accounts that are simple to set up, with no fees, or accounts that require a monthly fee. Equally, you now have the option of online banking with banks that have few or no local branches at all, or you may prefer a bank that has a branch nearby so you can pop in anytime.
We have taken a look at the easiest to set up, but as above, they may still not be the right account for you. If you want to discuss further after reading this blog, why not give us a call and one of our specialist consultants will answer any questions you may have.
Do I need a new bank account?
Before we look at specific examples, it is important to mention why setting up a bank account is important.
Firstly, you will need to notify your employer where to pay you!
And secondly, a good bank account will offer ease of use, support you in building your credit score (important for your future in the UK), pay bills, and easily check your balance.
How do you set up an account and what do you need?
Similar to a lot of adminstrative tasks, to set up an account you will need to make an appointment with the bank and bring along the right documents.
Setting up an appointment:
Most banks won’t let you drop in, so it is a good idea to call in advance and schedule in your appointment. The appointment will be focused on discussing your situation in order to open the account.
Required documents:
Once you have booked the appointment you can then start to prepare the documents to bring with you. Basically, one document to prove your identity and one to prove your address.
To prove your identity, you will need one of the following:
Passport
Driver’s licence
EU ID Card
Every bank has its own idea of how to prove your address, the following are widely accepted:
Tenancy agreement or mortgage statement
Electricity or gas bill, dated within the last 3 months
A current Council Tax bill
However, as an IMG you will be new to the UK, so you might not have any of the above as evidence of your address. The good news is that most banks will accept a letter of employment from your Trust (employer) written to the bank.
You can request an employment letter from your Trust HR department. This must confirm:
your home address
include your name
D.O.B
you are employed by the Trust
the starting date of your role
your salary
duration of the contract
It must be on letter headed paper, stamped, signed and dated. Speak to your IMG Consultant who will be happy to help you set this up.
Once your account is open, what next?
Once you have completed your meeting (usually around an hour), your account will be set up and ready to use.
Now that you have your new account number (8 digits) and sort code (6 digits) you can provide these to your payroll department ready for your first pay cheque!
Don’t forget you will also need your NI number! Read our blog on how to get yourself a NI number if you haven't already.
You will also receive your bank card and pin code in the post, these are usually delivered separately.
If you receive one but not the other a day or so after, then contact the bank and they will reissue these. These usually arrive approximately 5 working days after setting up the account, but your bank will advise on the specific number of days so that you can keep an eye out for their arrival.
Once arrived, you can use this to make payments everywhere, including online. If you want to change the pin, you can change this at most bank machines to something that you will remember! Be sure to choose memorably but randomly, not 1234!
Monitoring your account
Now that you are set up, most banks will offer an online account to monitor your income. Most have an app that you can download to your smart phone to manage outgoings and transfers.
Which bank should I choose?
With the banking market bringing a wide range of accounts and banks, it is hard to navigate through all of the accounts on offer.
The most important advice we can give is to shop around. Check online and compare what is on offer across a wide range of banks. Often, it can also be easier to open an account with one of the bigger UK banks.
Here are a few things to consider when selecting your account and discussing what is offered during your meeting with the bank:
Examine digital features – online and mobile access via apps and online banking etc. It is beneficial to access your account anywhere, helping you monitor your outgoings and identify fraud.
Check if the account has monthly fees – most standard current accounts don’t, but premium services usually have a monthly charge.
No minimum balance requirement - good banks don’t have these!
No limitations on the number of transactions – you want to be free to make as many, or little transactions as you want.
Free ATM access, so you can withdraw money when needed.
Check overdrafts and associated fees, you don’t want any unwanted charges.
Check if the bank has several branches, including one local to you. You may however prefer to use services offered online, which would open more options up to you.
Some banks offer specific accounts for people who have recently relocated to the UK, usually called new to the UK accounts.
You can also chat to an advisor online to answer any questions you may have before you make the decision to arrange an appointment, check the bank websites for webchat options.
Whatever type of banking suits you, it is always best to research extensively, especially online, which will give you a full idea of what they offer.
The main five banks:
The five main banks in the UK are:
Natwest
Royal Bank of Scotland
Lloyds Banking Group
Barclays
HSBC
Opening an account with these banks is usually easy, and they offer a range of accounts with online options.
Another popular option is to set up a Monzo account as they are very quick, easy to set up - whilst they offer a useful mobile app platform which makes it easy to keep track of your expenses. They also offer free payments and withdrawals outside of the UK whilst are an FSCS approved bank so offer the same security as one of the main five banks.
Ethical banking:
Ethical banks are those that invest your money transparently and only business, companies and investments that do not have a harmful impact on local communities and the environment. The following two are good options:
Triodos Bank offer a great option for Ethical Banking. They invest their money transparently and into projects and trusts that benefit local communities and the planet we live in. They do not invest in any fossil fuel companies or any business that has a harmful impact. Our directors and our business bank with Triodos.
Co-operative Bank offers a range of accounts and can be set up online easily.
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5 simple tips for Skype Interviews!
Inteviewing over skype is the typical method for NHS interviews for overseas doctors.
Regardless of your experience, your interview is your chance to make a good impression for a potential employer.
You must sell yourself and interviewing via video can make that hard. IMG Connect has arranged countless successful interviews and we'd be happy to share our experience and tips with you directly. However, here we share some tips and advice from doctors and employers:
1. Check your IT!!!
One of the biggest mistakes is not checking everything works before you are due to do your interview.
“test your equipment, check your camera and microphone are working. Then be logged on about 15 minutes in advance, just as you would for any interview, early! Also, make sure your username sounds professional, mine wasn’t and I recall that this was shared with the interviewer!”
Dr Arshad SHO in General Medicine
2. Think about the back drop
You might be at home doing this interview, but you still need to look and be professional.
“Interviewees should be careful in ensuring that the background is appropriate, I remember somebody was in their kitchen and it didn’t look great! First impressions count after all”
Francis, HR Manager
Be sure to switch off TV’s, ask the children to play in the other room and be as quiet as they can be.
3. Remember your body language still counts.
You cannot shake someone’s hand on Skype, but you still need to be aware of how you come across. You need to be engaging and since you are not in the room with them, you need to think about how you engage with the interviewers.
IMG, Dr Cardenas, said a good idea is “to give a pleasant nod of the head to acknowledge those doing the interview. And SMILE!”. He added that “candidates should still remember to use eye contact, look directly at the camera and not at themselves all the time!”.
Eye contact by Skype is just as important as in a face to face interview.
4. Dress for an interview
You might be at home, but staying in your dressing gown and pyjamas won’t go down well. It is also not a good idea to dress from the waist up, as some may suggest.
HR Manager Sarah advised, “You are in an interview, so dress like it, otherwise don’t expect to be hired!”
If you look professional, you will feel more confident.
5. Use a cheat-sheet
Not being in the same room as the interviewers means you can take advantage of little tips to help you through the most difficult questions.
IMG, Dr Cardenas, used this to his advantage:
“During my video interview, I had a prompt sheet, behind the screen at eye level, it gave me confidence, though nothing beats full preparation. The guys at IMG Connect made sure I was fully prepared and knew my stuff!”
Be careful though, for some this is distracting, and can stop you from concentrating on the question at hand or making eye-contact. It is after all better to be prepared!
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UK doctor monthly take-home pay - consultants
IMGs will want to know what an NHS consultant salary could mean as monthly take-home pay.
So, to help overseas doctors plan for life in the UK we put together some examples to give a better idea of what you'll actually keep each month. We hope they are of use!
How much will I take home?
Firstly, take home pay in the UK is the amount that you will receive in your bank account after all deductions have been made from your annual salary. Deductions include Income Tax, National Insurance and NHS pensions.
It is important to state that this is just a guideline. We have based our figures on the gross salary for each pay threshold and have assumed that you do not have other sources of income.
The figures can be higher or lower depending on any additional responsibilities or hours worked, other sources of income you have, your final tax bracket, whether you opt out of pension, and whether you claim for your tax-deductible expenses.
Take home pay expectations:
Consultant Doctor Scale
Annual gross salary*
Estimated average monthly take home pay **
1
£82,096
£4,688
2
£84,667
£4,812
3
£87,238
£4,936
4
£89,809
£5,060
5
£92,372
£5,184
6
£98,477
£5,479
7
£104,584
£5,775
8
£110,683
£6,069
*before tax and pension
**based on standard salary and not inclusive of additional payments for extra hours worked or pension deductions
To explore the pay & salary conditions across all doctor grades in the UK take a look at our series of blogs on career structure and pay for NHS doctors.
IMG Jobs
Search and find live NHS doctor jobs in the UK
IMG Resources
In our IMG Resources library you can read more useful articles on finding an NHS trust doctor job, pay scales & doctor’s salary in the UK, relocation and much more!
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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.
MRCPCH - a guide for overseas paediatrics doctors
Overseas paediatricians taking the postgraduate route to GMC Registration must attain full MRCPCH.
Membership of the Royal College of Paediatrics and Child Health (MRCPCH) can be sat by international doctors from any country in the world provided certain eligibility criteria are met. These are summarised below along with a broad look at the following topics:
What is MRCPCH?
Am I eligible?
Sponsors for the Clinical Exam
MRCPCH Theory - structure and content
MRCPCH Clinical – structure and content
Where and when can I take the exams? How much will it cost me?
How do I apply?
How to prepare and what resources are available
Passed? What next?
The Royal College of Paediatrics and Child Health is the professional body responsible for the specialty of Paediatrics throughout the UK. Amongst many other duties, its role is to set and monitor the educational curriculum for those training to enter the profession.
What is MRCPCH?
Paediatricians become full members of the Royal College of Paediatrics and Child Health and achieve the designation MRCPCH once they have passed four separate postgraduate medical exams.
The MRCPCH examinations consist of 3 theory exams and 1 clinical exam:
Foundation of Practice (FOP) - theory examination (basic child health)
Theory and Science (TAS) - theory examination (basic scientific, physiological and pharmacological principles upon which clinical practice is based)
Applied Knowledge in Practice (AKP) - theory examination (knowledge synthesis/evaluation, clinical decision making and management)
MRCPCH Clinical examination - multi station OSCE
* Theory exams can be taken in any order of preference.
For overseas doctors relocating to the UK, the MRCPCH is one of two options to support full GMC registration (postgraduate qualification or PLAB route). For doctors who wish to take on more senior roles reflective of their current practice, IMG Connect advise that the MRCPCH would be the best route to securing their dream job in the NHS.
Am I eligible for the MRCPCH exams?
Theory Exams:
To be eligible you must hold a Primary Medical Qualification (PMQ) that is recognised by the GMC for registration purposes.
MRCPCH Clinical:
You must pass the 3 theory exams in order to be eligible for the final MRCPCH clinical examination.
All MRCPCH clinical candidates must be proposed by 2 sponsors, who will certify that you have a good period of training in paediatrics and can be considered as ready to take the exam. You can take the exams at any stage in your career, however current advice is that in order to optimise your chances of success in the MRCPCH Clinical examination you should have:
completed a period of training lasting two and a half years
spent no less than 12 months in posts involving the care of emergency paediatric patients
spent six months of your first year after graduation as a house paediatrician; if not, an additional six months in a post involving the care of emergency paediatric patients.
Sponsors for the clinical exam:
As we mentioned above, candidates for the clinical examinations must have two sponsors who will declare you have covered the required amount of training in paediatrics which matches the exam syllabus and consider you ready to take the exam. You will be asked to provide each sponsors personal and work details, and they will be notified if you receive a poor mark.
The examination is conducted in English and candidates are advised that IELTS Level 7 is the expected standard for completion of the MRCPCH examinations. Remember, you will need to have a pass of 7.5 average in all areas of IELTS to complete your GMC registration.
What is the structure and content for MRCPCH examinations?
As above, the MRCPCH examinations consists of 4 parts:
3 theory exams
1 clinical exam
Theory exams:
Candidates will sit 3 theory examinations; each test is administered on a computer and the tests can be taken in any order.
There are usually 3 sittings for each exam per year.
Each exam is 2 hours and 30 minutes, unless you have been allocated additional time.
Foundation of Practice (FOP) theory exam:
This exam assesses a candidate’s knowledge, understanding and clinical decision making. It aims to ensure that you have reached the same standard as someone entering core training (ST1 equivalent)
Questions are typically a combination of:
Single Best Answer Questions (SBAs) – 70 questions
Extended Matching Questions (EMQs) – 10 questions
Extended Matching Questions (EMQs) require you to choose the best option from a list of ten possible options, all are feasible, but only one is completely correct.
Theory and Science (TAS) theory exam:
This tests basic scientific, physiological and pharmacological principles of clinical and evidence-based practice.
It uses the same format for questioning as the FOP exam.
Applied Knowledge in Practice (AKP):
This tests your knowledge, understanding and clinical decision making based on a standard of someone entering their core specialist training (ST1 equivalent).
The exam uses the format N of Many - giving two or three answers that are required from a longer list.
For example, there can be more than one answer from a scenario since there may be two equally important investigations that should be complete, or three abnormalities from a scan or x-ray.
When sitting the AKP using the format N of Many, remember that each question carries its own weighting – pay attention to how many marks each question is worth in the test and answer accordingly.
Clinical examination:
The MRCPCH clinical examination forms the final part of the exams. Remember, you must have passed all 3 theory tests in order to be eligible to sit this test.
This test will be taken in a hospital setting and you will follow a circuit of 12 scenarios. You should be familiar with this type of test (OSCE) from your medical training. Examiners will assess performance during each scenario, which will include actors (children, young people and adults).
The aim of the clinical examination is to assess whether candidates have reached the standard in clinical skills expected of a newly appointed ST4 in the UK.
Candidates are expected to demonstrate proficiency in:
communication
history taking and management planning
establishing rapport with both parents and children
physical examination
child development
clinical judgement
organisation of thoughts and actions
recognition of acute illness
knowledge of paediatrics and child health
professional behaviour
ethical practice
The Clinical Exam is guided by important educational principles while holding to the considerable standards of a clinical examination, including the examination of real children.
The Clinical Exam includes 10 objective assessments of each candidate. In most circumstances’ assessment is conducted by a different examiner at each clinical station, so performance at one station does not influence the next station. The test will include six ‘short case’ assessments, emphasising clinical examination. Stations are as follows:
Station 1: Child development – clinical assessment
Station 2 & 5: Communication skills
Station 3: History taking and management planning
Station 4: Clinical video scenarios
Station 6 – 10: Clinical examinations
The order in which candidates will take the circuit will vary. There are 4-minute breaks between stations, the entire circuit takes 152 minutes in total.
Where and when can I sit the exams? And how much do they cost?
Each country fee is different, please see below current exam fees (as of April 2019).
Theory exams:
Country
Theory Exams
Exam fee 2019
India, Malaysia, KSA, UAE, Oman, Myanmar, Sudan, Singapore, Jordan, Kuwait, Malta, Qatar, Sri Lanka, Trinidad
FOP - single paper
£390
TAS - single paper
£390
FOP and TAS - both papers
£653
AKP
£750
Egypt and Nepal
FOP - single paper
£363
TAS - single paper
£363
FOP and TAS - both papers
£589
AKP
£683
Hong Kong (HK)
FOP - single paper
TBC
TAS - single paper
TBC
FOP and TAS - both papers
TBC
AKP
TBC
*Not all countries will offer the exam at each sitting. If you would like to request an exam in another country, you can contact the MRCPCH
Clinical examinations:
Country
Fee
UK
£765
Egypt
£1,145
India
£1,428
KSA
£1,479
Malaysia
£1,255
Myanmar
£1,082
Oman
£1,479
Singapore (Conjoint MMED - MRCPCH Clinical fee)
£1,428
Sudan
£1,220
UAE
£1,479
Hong Kong
TBC
How do I apply for the exams?
To apply for the MRCPCH, you first need to register online for exams. You need an RCPCH online account (with an RCPCH number). Then you can complete a short registration form – you will require evidence of your primary medical qualification.
How do I register for exams?
You can register for exams at any time throughout the year. After your registration is accepted, you can apply for an exam but only during relevant open application periods. It takes at least 10 working days to process registration.During exam application periods the Royal College are not able to process registrations.
Register three to four weeks before exam application period opens to help ensure you do not miss your preferred exam diet. The best dates to register for exams are usually January, May and September.
How do I book an exam?
Log in to your RCPCH account
Go to My Account
From your dashboard, go to the Exams panel, and from your exam dashboard, follow links to apply
What do I need to bring to the exam?
You will need to bring one of the following forms of ID:
passport with photograph and signature - this must be current or no more than six months expired
valid driving license with photograph and signature
national identity card with photograph and signature.
Please note, only original documents will be accepted as proof of identification.
How can I prepare for the exams?
With lots of materials online we have discussed with IMGs the best place to start looking for resources and materials relating to the exams. Most IMGs recommended starting with the Royal College, who have created useful resources to help you to prepare for the exams. See below:
Theory Examination:
Theory Examination Syllabi: This document outlines the syllabus for MRCPCH theory examinations - MRCPCH Theory Examination Syllabi.
Theory exams structure and syllabus: Further information on FOP, TAS and AKP can be found in the theory exams structure and syllabus. This is to be read in combination with the Royal College’s Curriculum for Paediatrics. Within the Curriculum for Paediatrics you can read about the 11 domains and are able to download assessment strategy and generic syllabi for each training level.
Sample Papers: We recommend becoming familiar with the exam format and software, and you can practice with some sample papers here.
Clinical Examination:
Clinical Examination candidate guide: This is a comprehensive guide from the Royal College specifically covering the Clinical Examination. This includes station break downs, clinical video scenarios, general instructions and downloads amongst many other resources.
Anchor Statements: The Anchor Statements outline the expected standard for each station against which candidates are marked. We recommend you familiarise yourself with the criteria points for expected standards before sitting the exam.
Clinical Exam Technique: This guide covers the clinical examination in considerable depth, including:
examination technique
specifics on clinical areas
detail on short-cases
User guide for video station: A guide for Station 4: Clinical video scenarios can be downloaded here.
Clinical Exam: hints and tipsHints and tips specific to the clinical exam can be found on the MRCPCH clinical examination candidate guide (scroll down to find them).
As ever at IMG Connect, we believe in preparation. In order to succeed in the clinical exam, IMGs have told us that it is vital that you practise your clinical examinations as frequently as possible, preferably under the supervision of a senior colleague. This will give you confidence in approaching and examining children with examiners present.
Passed? What next?
First of all, congratulations! After you have passed all four parts of your MRCPCH examinations, you can apply for a full registration with a license to practice. Once the GMC have approved your application, you can work as a doctor in the UK.
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Can I drive in the UK on a foreign license?
I'm an overseas doctor planning to relocate to the UK. Can I drive immediately?
Good question, and IMGs asked this question frequently by IMGs planning their relcoation to the UK. In this article we’ll help you to arrange your UK driver’s licence by addressing the following questions:
Is my driver’s licence valid?
What is the difference for EU and non-EU driver’s licence holders?
Exchanging your licence
Is my driver’s licence valid?
Regardless of where you are relocating from, if you hold a foreign licence you will be able to drive in the UK immediately. For how long and under what conditions will depend on whether your licence is from an EU (or designated country) or non-EU country. You can check here to confirm your licence status.
What is the difference for EU and non-EU driver’s licence holders?
For an EU licence holder:
If you hold an EU driver’s licence you can drive on your current licence for up to 3 years. After this time, you must exchange your licence, rather than retake the test.
For non-EU licence holders:
If you hold a foreign driver’s licence and are now a resident in the UK, you can drive for a period of 12-months with your current licence. Within this 12-month period you will need to take and pass both your theory and practical drivers’ examination to continue driving in the UK.
Exchanging your licence:
You can exchange your foreign driver’s licence for a GB licence if it is from:
EU (no time limit for exchange applies)
Northern Ireland (no time limit for exchange applies)
Jersey, Guernsey or Isle of Man (must be exchanged before 12 months)
A designated country* (must be exchanged before 12 months)
* Andorra, Australia, Barbados, British Virgin Islands, Canada, Falkland Islands, Faroe Islands, Gibraltar, Hong Kong, Japan, Monaco, New Zealand, Republic of Korea, Singapore, South Africa, Switzerland and Zimbabwe
You can check whether you can exchange your licence here.
How do I exchange my licence?
To exchange your licence, you will need to get a D1 form from a post office that deals with DVLA transactions.Provide all requested details and send back the D1 form with your current driver’s licence.
A fee of £43 is payable by cheque or postal order and this takes roughly 3 weeks to process.
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Which Postgraduate Qualifications are GMC accepted?
The GMC recognise some overseas qualifications as equivalent to Royal College qualifications.
Listed below are the overseas postgraduate qualifications currently accepted by the GMC. This means to say these qualifications meet the same standards as UK postgraduate qualifications, though please note, this does not mean they are the same in every way and they do not guarantee entry to the UK Specialty training.
If your qualification is not listed as equivalent, then you will be required to complete a Royal College Postgraduate Qualification or PLAB. You can use the GMC application finder to find the application that’s right for you.
Country
Awarding Body
Qualification
America
American Board of 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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9 of the best British cultural events you cannot miss!
Life is not all about work!
It has been great to hear first-hand from overseas doctors who recently relocated to the UK the main reasons they have enjoyed their move and quickly settled into life in the UK.
The UK is bursting with events and festivals from top to bottom, and these can make some of the best shared experiences for you and your family to create memorable moments. We enjoy them so much that we have put together some of the best British cultural events that you simply have to experience!
1.The Royal Edinburgh Military Tattoo.
Taking place from the 2 – 24th August, this annual series of nightly performances brings the Edinburgh Skyline to life! Armed forces from the UK, across the Commonwealth and internationally, come to Edinburgh to perform. Music, dance, drama, and a mass of Pipers play against the backdrop of the castle.
2.Glastonbury Festival.
A five-day festival of performances, arts and crafts, Glastonbury is a community that pops up every year to enthral and bring people together. A huge line up of performers entertain over 170,000 people at the largest greenfield festival in the world! Just don’t forget your wellies (waterproof boots).
3.Chelsea Flower Show.
An annual garden extravaganza, bursting with creation and colour, this is not to be missed! This is regarded as the most important flower show in the world, and on your first visit you will see why! With displays of colour and cutting-edge garden design be prepared to be dazzled, just don’t expect to see any gnomes.
4.The Edinburgh Fringe.
Discover the world of arts in one city, an inspiring collection of the best performances and entertainment from not just the UK, but the whole world. Visitors come from all four corners of the globe to attend this annual event of arts, crafts, music, comedy, literature, theatre, dance, street performance and much, much more! You can even set up your own event if you feel brave enough!
5. Notting Hill Carnival.
This is the biggest street party in the whole of Europe. Taking place in London over three days and created by members of the British West Indian Community, this inaugural event attracts over a million people! It is a hugely significant event in British culture, celebrating diversity, music and carnival! Be ready to dance!
6. Hay on Wye Festival.
If literature is your thing, and let’s face it, it should be, then try this celebration of all things written in the village of books! Taking place in the beautiful Brecon Beacons, this ten-day festival invites writers, poets, broadcasters, radio shows and podcasters to share their work.
7.Liverpool Biennial.
A huge festival of contemporary visual art, and the best that the UK has to offer. Every two years the city opens its doors to a huge range of artists and their work. Projects span the city for the public to see, take a walk to odd locations, see public spaces transformed, unused buildings become a work of art, and Liverpool galleries burst with new exhibitions.
8.Great Exhibition of the North.
A true showcase for the North of England, artists, designers and businesses all combine forces to show off all that the North has to offer. Based in Newcastle, enjoy a free celebration throughout the whole summer of the Northern spirit and soul of the UK. Expect plenty of unforgettable experiences.
9.Guy Fawkes Night.
A festival enjoyed the length and breadth of the country, Guy Fawkes Night is open to all. Also known as Bonfires Night and Fireworks Night, it is easy to understand what to expect… local events take place in every village, town and city, so it won’t take you long to work out where to go and join the fun!
So, there we have it, 9 of the most unmissable events in British culture! Let us know if you have any favourites or anything new to add to the list, we would be delighted to hear from you!
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Fitness to practice for GMC registration
A fitness to practice is required for overseas doctors who want to register with the GMC.
This blog will break down what the rules are, and what evidence you will need to prepare and provide by looking at the following:
What is evidence of your fitness to practice?
Declaration of your fitness to practice
Supporting evidence
Certificate of good standing
How do I request a certificate of good standing?
Remember, at IMG Connect we always advise IMGs to prepare all documents before starting applications, it will save you time, and stress!
What is evidence of your fitness to practice?
As part of your GMC application, the GMC require you to provide evidence of your fitness to practice. This is broken down into two areas from your online application:
A declaration of your fitness to practice
Your supporting evidence
Declaration of fitness to practice:
As part of your online GMC application to join the register you must complete a declaration of fitness to practice. This declaration is only valid for 3 months, so ensure you get the timing right with your application, otherwise the GMC will ask you to complete a new one.
When completing your application online, you will be asked 12 questions in the fitness to practice character declaration section. You should complete the declaration by choosing YES or NO for each question.
These cover a range of fitness to practice topics, including previous convictions, disciplinary actions, conduct and so on.
It is important to say that you should always be honest in your answers.
Supporting evidence:
The GMC will ask you to provide supporting evidence of your fitness to practice, these are broken down into the following:
details of all postgraduate medical experience for the last five years or since you graduated
details of all postgraduate non-medical experience for the last five years or since you graduated*
details of all certain other activities for the last five years or since you graduated
a certificate of good standing from each medical regulatory authority you've been registered or licensed with
*If you have worked in a non-medical capacity it is also likely that you will be asked for employer references to cover this non-medical work.
Certificate of good standing
As above, you will require a certificate from your regulatory body to be sent to the GMC to confirm your good standing with them. The GMC will need a certificate of good standing from all of the countries you've been registered with in that time, even if you haven't been practising there. You can register for a certificate of good standing from your regulatory body in your home country, which they will send directly to the GMC.
Certificates of good standing and employer references are only valid for three months from the date that they are issued and must be valid on the date your application to the GMC is approved.
What is a certificate of good standing?
A certificate of good standing will show any restrictions on your practice, your registration history, including current license status, identity information and any current proceedings. It should be issued in English.
In the European Union these documents are known as certificates of current professional status.
How do I request a certificate?
You will need to contact your regulatory body and request this from them directly. You can find out which medical regulatory authority to contact using the Certificate of good standing database.
References:
When writing this article we have taken our information from the following sources:
https://www.gmc-uk.org
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Medical Defence: Insurance & Indemnity – do I need it?
Medical Defence, via insurance or immunity, can be important for international doctors.
As an overseas doctor there are many things to consider when setting up your new life in the UK, one of which is your medical defence and whether to pay for additional cover. In this article we will help explain medical defence, considering the following topics:
What is medical defence and do i need it?
What indemnity will my trust provide me?
Types of medical defence
Who can I get medical defence from?
IMG Connect's advice
What is medical defence and do I need it?
Unfortunately, human error is unavoidable and covering yourself against any claim is vital to the continuation of your career as a UK doctor. Appropriate medical defence will provide support for clinical negligence claims made against you whilst working in the UK.
It is a GMC requirement to have adequate or appropriate insurance in place to cover the full scope of your practice in the UK.
What indemnity will my trust provide me?
Your NHS Trust will provide you indemnity for the work you are assigned as part of your contract, and you are not legally obliged to take out separate indemnity.
However, your NHS Trust indemnity will cover the bare minimum and any extra work you do outside of the specific list of duties in your contract is not covered.
In addition, your Trust indemnity will not cover you for complaints made against you specifically. This includes Trust disciplinary hearings, GMC hearings, criminal investigations, coroner inquests or any private work you undertake.
In summary, it is strongly advisable to take out separate indemnity to cover you against all eventualities as a doctor.
Types of Medical Defence:
There are two types of medical defence:
Indemnity
Insurance
Indemnity works on the basis that the claim is covered as long as the cover was in place at the time the incident occurred.
Insurance only covers you whilst the policy is in place and/or for a defined period after – called the ‘run off’ period.
With the nature of work many doctors prefer indemnity over insurance, as claims can arise years after the event. This rings particularly true in cases involving children where 10+ years can pass before a claim is made.
Who can I get Medical Defence from?
There are three major Medical Defence Organisations (MDOs) who provide indemnity cover, not insurance. All of them are not-for-profit organisations rather than commercial companies and these are:
Medical Protection Society (MPS)
Medical Defence Union (MDU)
Medical and Dental Defence Union of Scotland (MDDUS)
The benefits of membership of the MDOs differ, it is important that you consider each one carefully before making a choice.
IMG Connect's advice:
Anyone you speak to will strongly advise a doctor working in the UK to take out separate indemnity insurance. This is vital to ensure you are covered at any point you actively practiced as a doctor in the UK. For avoidance of doubt, consider the significance of the risks for not doing so.
We would suggest treating your defence cover as if it were any other utility or provider, and shop around to make sure you get the most comprehensive package at the best value for money.
At IMG Connect we are not legal advisors and we want to make clear that we are offering our advice based on conversations with the GMC and any doctors we have worked with. We strongly advise you to seek a professional opinion to form the basis of your decision.
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12 Reasons why Great Britain is great!
We just love the UK, and so do our IMGs!
It has been great to hear first-hand from overseas doctors the main reasons why they have enjoyed their move and quickly settled into life in the UK. We enjoyed them so much that we have put together some of the best reasons why we think that Great Britain is great!
12. The cities.
There are currently a total of 69 cities in the UK, 51 in England, 7 in Scotland, 6 in Wales and 5 in Northern Ireland. Each one has its own diverse history and culture to explore. Cities in the UK are bursting with cultural diversity. They are truly multicultural places to live, work and visit, welcoming people from all over the world and embracing diversity. There are over 300 languages spoken in London alone, it can be said that the capital city of London is the most culturally diverse city in the world. It isn’t just London, cities have their roots in its people who live across its four countries, England, Scotland, Wales and Northern Ireland. Each one has its own traditions and customs to explore and get involved in, everyone is welcome to join the fun!
11. The National Parks.
The UK’s 15 National parks span the length and breadth of the country and are open to the Public at all times. From deep waters to high peaks, discover the unspoiled landscapes that are open to everyone. Both beautiful and rugged in equal measure, these breath-taking landscapes are truly special places for the whole family to enjoy. An adventure awaits you in the wilds of the mountains, or the ancient woodlands full of intrigue.
10. The weather.
Not the most reliable, but the British weather gets everyone obsessed. Everyone loves to talk about it, and why not! Hot sunny days at the beach, rainy days in the city, or rainbows across the landscape, the UK has it all – so join the fun and start talking about it! Just remember to pack an umbrella.
9. The music.
For decades British music has taken the world by storm. Blues, rock, folk, metal, ska, punk, rock’n’roll, jazz, classical, electronic, hip hop, pop… there is something for everyone with bustling music scenes up and down the country. Not only can you find British music to follow, but the UK is a hub for diverse musical tastes and cultural difference, with world music accessible with ease.
8. The Wildlife.
Get closer to nature and get outdoors. With plenty of outdoor attractions, parks and countryside to explore, you are never far away from spotting some of the British countryside’s finest, rarest and most magnificent species. From spotting Golden Eagles soaring high in the mountains, to falcons in the city. Or whale sharks to whales! The UK has a myriad of amazing wildlife to spot! And the good news… nothing is so poisonous it will kill you!
7. The history.
From ice ages to invasions, British History is diverse with traces left everywhere you look. Centuries of conquerors and migrants have shaped the United Kingdom, and there is plenty to explore. Historical sites, museums, castles and cathedrals will fascinate! Britain wasn’t always called Britain, in fact that was a name made up by the Romans!
6. The festivals.
From the annual International Festival and Fringe in Edinburgh, to Glastonbury or the Manchester International Festival, these events come in all shapes and sizes, helping make the UK a hub of creativity and cultural events that attract the biggest names from all over the world. Great fun for the whole family to enjoy, whatever your tastes.
5. Sporting events.
The British sporting calendar is vast. Major events in 2019 will include the Cricket World Cup, Rugby World Cup and the Women’s World Cup in football. But the month by month sporting calendar is packed full of unmissable events. Don’t just watch from the TV, you have to see these in real life!
4. The landmarks.
Everywhere you turn, you will see familiar sights, iconic buildings, bridges and streets. Architectural masterpieces like the Tower of London, the palace of Westminster, Buckingham Palace, Stonehenge, the Angel of the North, Tower Bridge, Blackpool Tower… the list is endless and are all amazing landmarks that everyone should visit.
3. The gardens.
The Brits take their gardening seriously, and thank goodness, because there are hundreds of wonderful gardens bursting with colour to enjoy. From grand estates like Abney House, to perfected wonders at Kew Gardens, or even the humble village garden, take a stroll and breathe in the intoxicating smell of honeysuckle.
2. The beaches!
Yes, that’s right, the beaches! Britain might not be famous for warm weather, but it has miles of unspoiled coastline and many beautiful beaches to explore. In Britain you are never that far away from a beach, even in London!
1. The people.
In such a small country, it might surprise some to know that Britain is one of the most diverse, rich and multicultural countries in the world. And we celebrate it at every chance we can get! Our strength lies in our diversity. We look forward to welcoming you with a warm smile!
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Setting up a UK mobile phone contract
Just arrived in the UK, how do I set up my mobile phone?
There are many things to consider when setting up your new life in the UK, one of which is how to get yourself a mobile phone contract. In this article we’ll help overseas doctors arrange a mobile phone contract by addressing the following questions:
Who are the main providers in the UK?
How can I check for the best coverage in my area?
What do I need to set up a contract?
Can I use my current handset?
What if I plan to be in the UK less than 12 months?
First, some general advice
At IMG Connect we strongly recommend doing some research by using several trusted market-comparison websites and looking at the reviews to help decide on your network provider.
The wrong contract might leave you stuck with a long contract, that proves to be unnecessarily expensive whilst offering poor signal in your area. If you rush this process and take out a contract that is not right, you will regret it. This comes from personal experience, so please do your homework!
Main Providers in the UK
The main providers are:
EE
Three Mobile
02
Vodafone
There are numerous other providers that ‘piggy-back’ off their service, but do not have their own network. The package you can get from a ‘piggy-back’ provider is potentially cheaper than the main provider who’s service they use – however the network quality will always be poorer than the main providers.
How can I check for the best coverage in my area?
Make sure to check the coverage and network availability in your area by using the Ofcom mobile and broadband checker.
Ofcom are the government approved authority for communications and tasked with ensuring people get the best service from their provider. You can raise any issues you have, free of charge, with Ofcom.
What do I need to set up a contract?
Once you’ve decided on your provider and package, most mobile phone companies will only require the following to open a contract:
Two proofs of address (utility bills, rental contracts etc.) which must show both your name and address.
Proof of Identification
Active bank account in order to set up a direct debit
Packages on offer:
There are two types of package you can consider; Contract or Pay-as-you-go
Contract:
Most providers offer a minimum contract of 12 months, SIM only.To get a handset included as part of your contract package typically you need a 24-month contract.
Pay-as-you-go:
Another option to consider is a pay-as-you-go sim card with no contract or handset. This will cost about £10 and can be up and running immediately.
Can I use my current mobile phone handset?
Yes, all sim-only packages will work with the device you already have.
What if I plan to be in the UK less than 12 months?
Whilst most IMGs prefer taking out a contract, if you do plan to be in the UK less than 12 months, a pay-as-you-go contract may be a better option.
In summary:
Only you will know what you are going to use your phone for, and which package will be right for you. If you are someone looking to call overseas regularly, think about WhatsApp calls, VOIP calling packages, facetime etc.
With regards to phone contracts, just make sure to get a number of different quotes on similar packages and use these to try and get a bargain for yourself with one particular provider. All networks tend to be flexible at some point and the general rule is, if you don’t ask, you don’t get!
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Working with IMG Connect – the process & benefits
IMG Connect helps international doctors to start, and progress their career in the NHS.
A bespoke and director led company, we can help you to find that hospital that will support your training and development in the UK. An added benefit is we help the NHS to save millions year on year simply by increasing the number of skilled international international doctors working in NHS!
We offer a personalised recruitment & relocation service to any international doctor looking to find work in the UK. IMG Connect can help you start and progress your career in the NHS, 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
As an overseas doctor, finding work in the UK is complex. Our approach is designed to simplify this process for you, so more time can be spent on job selection and interviews.
So, as an overseas doctor what are the benefits to working with IMG Connect and what happens when you register?
The Benefits:
We are set up to specifically help IMGs looking to work in the UK
First of all, it is worth remembering that IMG Connect is a specialist agency that dedicates to one thing only, helping international doctors find work & relocate to the UK.
If you are a doctor trying to take PLAB or Royal College Exams, register with the GMC or a get your Tier 2 visa it helps to work with someone who knows what they’re talking about!
Our service covers all the areas that are important to you
Our service can start from wherever you need it, from questions and advice on exams and registrations, to professional representation with an NHS hospital – we will be with you from start to finish.
Even after you’ve accepted a job our work together has barely begun. It is our goal to help you relocate painlessly to the UK, ensuring you and your family are happy from the moment you make the move.
Contact with us can continue for years after your placement should you need or want it.
In brief we label our service a Comprehensive Recruitment, Relocation and Aftercare package. All of this free of charge, from start to finish.
Bespoke representation
Getting your CV noticed by the right people is crucial, whether it’s a Clinical Director or Lead consultant, having someone to represent you personally goes a long way towards securing you an interview.
This is just not possible with online applications where your CV is bundled together with all the others.
Honest opinions beyond the technicalities of a role
We’ve worked in this field for 10 years now and have worked with almost every UK hospital at some point in our careers.
Whilst you would not only benefit from utilizing our network within the healthcare sector, we can give you an honest opinion, based on personal experience, as to what a hospital is really like and whether we think it would be the best fit for you.
Negotiating the best salary for you
It certainly helps to have someone who knows the NHS well when negotiating your salary. We’ve been in this field for a while now and know what the flexibilities are and where realistic negotiation can be found. We understand your importance to the NHS and will do everything we can to ensure you get the best salary possible for a doctor with your experience.
This is all sounds good! So how do I register and what happens when I do?
You can get in touch anytime, we’d be delighted to hear from you and introduce ourselves.
Alternatively, you can register your details here and one of the team will get back to you shortly.
The moment you register with IMG Connect you will have access to four key benefits:
1. A dedicated consultant working in your specialism only
Affording you the opportunity to build a long-standing working relationship with someone who knows your specialty inside out. We believe individual specialism is vital to proper customer service and expertise in the world of recruitment.
2. Access to hundreds of jobs across the UK
Benefit immediately from our extensive network. As an agency that works with every single hospital in the country, you will have immediate access to all jobs available in your sector. Depending on what stage you are at with your exams and registrations, we can have you interviewing almost immediately.
3. Access to our online learning and resource library
At the click of a button you will have access to a comprehensive & up to date resource library that contains all information needed for your move to UK - organised and easy to navigate for your convenience.
Access the IMG Resources library here.
4. An ever-growing online community of IMGs
It helps to get support from those around you.
Our online IMG Communities, on both Facebook and LinkedIn, can introduce you to like-minded people in a similar situation to yourself. With any questions you have, on any topic that is troubling you, just send a message to either group and receive an answer within minutes.
IMG Jobs
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IMG Resources
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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.
FRCR Clinical Radiology - a guide for overseas radiologists
Overseas Radiologists wanting to secure a role in the UK via the postgraduate qualificaiton route will need to attain Fellowship of the Royal College of Radiologists or FRCR in order to register with the GMC. FRCR is the UK Royal College qualification and the recommended route for radiologists looking to work in the UK as a specialist or consultant.
IMGs from any country in the world can sit the FRCR examinations, provided certain eligibility criteria are met. These are summarised below along with a broad look at the following topics:
What is FRCR?
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?
Radiologists 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 examination suite. The FRCR examinations aim to test a candidate’s knowledge and clinical understanding against the Specialty Training Curriculum for Clinical Radiology and the exams are a pre-requisite for anyone looking to go into a specialty training post as a radiologist in the UK. For more senior candidates, absence of FRCR will make it very difficult to attain a locum-consutant posts unless you have a recognised equivalent or specialist registration.
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:
First FRCR - two-part exam, each held on separate days, over a two-day period
Final FRCR Part A (both must be passed in one sitting in order to attain a pass)
two separate single best answer papers
Final FRCR Part B
a reporting session
a rapid reporting session
an oral examination
The FRCR examinations form an essential component of training for Radiologists in the UK. For overseas doctors relocating to the UK, the 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 radiology 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 jobs in radiology such as breast, cardiac, interventional, musculoskeletal and so on.
Eligibility for FRCR in Radiology:
First FRCR: To be eligible you must:
hold a Primary Medical Qualification (PMQ) that is recognised by the GMC for registration purposes.
hold a formal clinical radiology post in which they are actively receiving clinical radiology training.
no minimum period of clinical experience or training is required to enter the exams
Final FRCR Part A: To be eligible you must:
have passed the First FRCR examination
have acquired 24 months in a formal clinical radiology training post by the month which the examination is taken
Final FRCR Part B: To be eligible you must:
have passed the Final FRCR Part A
have acquired 34 months in a formal clinical radiology training post by the month which the examination is taken
Content and structure for FRCR - Diagnostic Radiology
First FRCR Examination: It is delivered on a digital platform and as such is now also available across a larger number of test centres than before. The First FRCR examination expects candidates to have sufficient knowledge of two modules:
the physical principles that are the foundation of diagnostic medical imaging
the anatomy needed to perform and interpret radiological studies.
The test is divided into two parts:
Anatomy - image viewing session delivered on an individual workstation
Physics - multiple choice written question (MCQ) paper
Final FRCR Part A: The Final FRCR Part A examines candidates on all aspects of clinical radiology and the basic sciences of physics, anatomy and the techniques as per the Specialty Training Curriculum for Clinical Radiology syllabus.
The examination comprises two single best answer papers, each containing 120 questions and covering a broad range of the core curriculum. Exams are 3 hours for each sitting. The paper comprises a mix of questions from across a wide range of the curriculum:
Cardiothoracic and Vascular
Musculoskeletal and Trauma
Gastro-intestinal
Genito-urinary, Adrenal, Obstetrics & Gynaecology and Breast Paediatric
Central Nervous and Head & Neck
Final FRCR Part B: This part to the assessment examines candidates on all aspects of clinical radiology against the curriculum and consists of three components. All components are examined by an image viewing session delivered on individual workstations.
a reporting station
rapid reporting session
an oral examination
Updates to the exam formats in light of COVID-19:
Given the disruption caused by COVID-19 it is advised to keep updating yourself of the RCR examination changes and updates posted on their website. This link here specifically takes you to the examination updates section. Information on the dates, fees and venues for the FRCR examinations are found withink. In light of the COVID-19 pandemic most exams have now moved online in some form or another, with remote proctering (invigilation) in place to prevent cheating and ensure continuation of exam settings.
First FRCR Examination in Clinical Radiology: An online invigilation (proctoring) element will be introduced for both modules from June 2021. This will enable you to sit both modules at a location of their choosing rather than attending an RCR exam venue. You will need to ensure minimum software, a stable internet connection and an appropriate examination environment. Our third-party proctoring service – Examity – provides a computer-readiness check prior to the examination to enable candidates to check suitability of their set-up. On the RCR page here you'll find a number of instruction and techincal support guides and videos - it is highly recommended to read through all of these before applying.
FRCR Part 2A (Radiology) - CR2A: This examination will be proctored online. The examination is delivered by a software (Speedwell) which can now be integrated with Examity’s examination proctoring system, allowing candidates to take secure high-stake examinations at home or at a place of the candidate’s choosing where they should have a stable internet connection, a quiet working atmosphere and must be on their own. See our remote invigilation (proctoring) guidance for further information.
FRCR Part 2B (Radiology) - CR2B: The reporting component of this examination will be computed based at the venue candidates have chosen. Candidates will receive a username and password to access the examination. The reporting instructional video and accompanying demonstration site should be viewed prior to the examination. The oral component will also be delivered to candidates in venues, via video conference, and further detail shows in the orals guidance video.
Examination content will be shared via MS Teams and candidates will be able to take control of the mouse and access functionality to manipulate images. After 30 minutes candidates will move to the second room and complete the second 30-minute session of the oral exam with different examiners.
As an overseas candidate, where & when can I sit the exams and how much will they cost me?
This link here specifically takes you to the examination updates section. Information on the dates, fees and venues for the FRCR examinations are found within.
How do I apply for the FRCR examinations?
UK Trainees are given priority for examination places, whilst overseas candidates are offered those places not taken via a ballot system following the application closing date.
The application process for Final FRCR Part B is a little different for overseas candidates. As an IMG you should not apply online, instead applications should be emailed directly to the Royal College.
How should I prepare for the FRCR 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 for these examinations can be found in the Specialty Training Curriculum for Clinical Radiology.
Instructional videos and demonstrations: The Royal College recommends that applicants familiarise themselves with the platform via the instructional videos and accompanying demonstration site found here.
Sample questions: The Royal College created useful sample questions and answer sheets to help you prepare for each exam:
FRCR Part 1 sample questions & answer sheet
Final FRCR Part A & answer sheets
Final FRCR Part B – sample image
General FRCR exam advice: There are also many useful resources to offer more general advice for each section of the FRCR examinations, including:
Anatomy examination advice
First FRCR instructions for candidates
Final FRCR Part A format and question advice
TNM Staging – required knowledge to answer questions
Final FRCR Part B – instructions for candidates
Examiners report – to help prepare for future sittings
I passed the FRCR 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 have approved your application, you can work as a doctor in the UK.
What NHS employee benefits can I expect?
Salary & employee benefits are important considerations when applying for jobs in the NHS.
The NHS is one of the most developed health systems in the world and doctors form an integral part of delivering high quality patient care. As such doctors are rewarded with competitive pay rates and benefits, some of which will not be afforded to you in other countries across the world. In this article we will discuss the NHS employee benefits, covering the following topics:
Annual leave
Pay enhancements
Personal development & career progression
Sick leave
Maternity leave
Paternity leave
Parental leave
NHS pension
NHS discounts
Doctors in training
Study leave
Study budget
Study sessions
Part-time training
The doctor salary package in the UK, including benefits, can as a whole, make working for the NHS an attraction for many overseas doctors.
Whatever grade or specialty you join, you will become an integral part of the NHS and as such enjoy one of the most competitive packages offered by a UK employer.
Everyone who works in the NHS is guaranteed an annual salary matched to their role, and even better are afforded the opportunity to increase this year on year through additional responsibilities and training & development.
All staff will receive an attractive annual leave package in addition to a range of benefits.
Annual leave:
You are entitled to be paid annual leave every year, the amount of annual leave you receive will increase depending on your level of service within the NHS.
You will also receive an additional 8 days of bank holidays.
The longer you work in the NHS, the more annual leave you get.
The table below summarises the current entitlement:
Length of service
Annual leave entitlement
0-5 years
27 days + 8 days bank holidays
After 5 years
29 days + 8 days bank holidays
After 10 years
33 days + 8 days bank holidays
Pay enhancements:
Pay enhancements reward out of hours working, shifts, overtime and on calls. This means that you can enhance your take home pay each month.
Personal development & career progression:
Each member of staff is given an annual review focused on their own progress and development designed to support their career aspirations.
Sick leave:
Sick days will not be deducted from your annual leave days. If you are unfortunate enough to get sick during annual leave, you may also be able to claim it back so you can use the annual leave another time.
Maternity leave:
Regardless of how long you’ve been working in the NHS, all pregnant employees are entitled to 1-year maternity leave. It is illegal for your employer to fire you during this time. Depending on how long you’ve been working in the NHS during pregnancy, you may also be entitled to maternity pay.
Paternity leave:
Fathers are entitled to 2 weeks paternity leave. This applies to same-sex partners as well as nominated carers for single mothers.
Shared parental leave:
The 1-year maternity leave can in some cases be shared between the parents.
Parental leave:
You are also entitled to 18 weeks parental leave for each child until your child reaches 18 years of age.
Some weeks may be paid but most of this leave is unpaid.
This is particularly useful for IMGs as it can be used for various things to ensure that your family is cared for and settled into life in the UK. For example, you can take agreed parental leave for things such as helping your child settle into school, if sick, staying with them in hospital, or just to spend more time with your children when you feel it is necessary.
NHS pension:
The NHS Pension is a good scheme when compared with other private pensions available both in the UK and worldwide. In the current financial market, we have found it hard to find a better one, it is generous and an excellent package overall.
All new permanent employees are automatically enrolled in the NHS Pension scheme.
NHS discounts:
A useful range of discounts for NHS employees are available with many shops and services. Don’t forget to ask any shop, restaurant, hotel or any service whether they offer discounts to NHS employees. You will be pleasantly surprised how many do, and can save a lot of money when taking holiday breaks in the UK, or shopping trips.
Doctors in training:
Doctors in training will receive the following additional benefits:
Study leave:
Trainees from FY2 and above will have an entitlement to receive paid study leave. For trainees this is usually 30 days per year with the majority allocated to compulsory teaching sessions provided by the training programme, and 10 days for the trainee to decide what to do with.
Study budget:
Trainees will have access to a small amount of money to attend courses and conferences. It usually does not cover all the expenses, but it undoubtedly helps.
Study sessions:
It is important to note that this is not the same as study leave, instead trainees will have a half day or 2 half days a week for study which can be used to work on audits, presentations, publications and research.
Most IMGs typically use study leave to attend courses, conferences, and study for exams.
Part-time training:
If you need to reduce your hours in order to balance work and other commitments like caring for children or an elderly family member, you can request to complete your training part-time. This is known as “less than full time training” or LTFT training.
The least you can work is 50%, remember this will mean you will take twice as long to complete your training.
Your annual pay with LTFT training will be considerably less than a full-time job. For IMGs it is important to note that this may have implications whilst working on a Tier 2 visa where you generally need to earn more than £30,000 per year.
For the full terms and conditions of working in the NHS, please read through the employee handbook.
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The Diploma for Child Health (DCH) - a guide for overseas paediatric doctors
The Diploma in Child Health (DCH) recognises competence in the care of children in specialties allied to paediatrics.
In this blog we will provide an overview of the DCH and consider the following topics:
What is the DCH?
Who is it for?
Structure and content of DCH
Am I eligible?
Where can I take the exam & how much will it cost me?
How do I apply?
How do I prepare and what resources are available?
Passed? What next?
What is the DCH?
The DCH is reflective of current practice in the UK and covers a syllabus mapped by a wide range of medical professions, including paediatrics and GPs. The DCH (Diploma in Child Health) comprises two exams. You must achieve a pass mark in both in order to be awarded DCH.
The exams are as follows:
Foundation of Practice (FOP) theory exam - this is shared with the MRCPCH (membership exam)
DCH Clinical exam
Who is it for?
The Diploma is aimed at those practitioners who want to consolidate their knowledge and skills in paediatrics and gain a qualification at the same time. According to the Royal College of Paediatrics and Child Health (RCPCH), the DCH is designed to give ‘recognition of competence in the care of children to general practitioner vocational trainees, staff grade doctors and senior house officers in paediatrics, and trainees in specialties allied to paediatrics’.
It not only helps to consolidate knowledge gained during paediatric training, but it also helps to focus and develop skills needed for the examination of children within primary and secondary care.
Candidates use the DCH as an opportunity for up-skilling, to drive learning and to gain an internationally recognised post graduate medical diploma.
The Royal College of Paediatrics and Child Health recommend that all candidates complete a short period of training in paediatrics before attempting the DCH Clinical examination. The aim of the examination is to assess whether candidates have reached the standard in clinical skills expected of a newly appointed General Practitioner who has completed a short period of training in paediatrics.
What does the syllabus cover?
It is important to note that the DCH has an independent syllabus from the MRCPCH. However, the theoretical elements of the Foundation of Practice theory exam are shared across both.
Before embarking on the diploma, we recommend IMGs take a detailed look at the DCH syllabus which outlines the competencies required in both knowledge and skills. It provides a summary list of topics which are covered, and specifies the depth of knowledge and skills required, as well as guidance for trainees on what they must be taught and learn.
Am I eligible to take DCH?
The Royal College for Paediatrics and Child Health recommend that overseas candidates have at least six months' paediatrics experience.
To be eligible, overseas candidates will simply need to hold a recognised medical qualification and be registered with the GMC.
You do not require a pass in English Language Tests to take the tests, however we have discussed this with several IMGs and it is important to note that a high standard of English will be required in order to pass. Don’t forget that you will require a sufficient pass in an English Language Test in order to complete registration with the GMC.
Structure and content of DCH:
The Diploma consists of two exams, one theory (FOP) and one clinical exam. You can take the exams in any order, or during the same exam period.
The Foundation of Practice theory exam (FOP) is computer-based and takes place three times a year in the UK and overseas. See our MRCPCH overview for more information on where you can sit the FOP theory exam, dates, times and costs.
How much does the DCH clinical exam cost? And where can I sit the exam?
Fees vary depending on where you sit the exam, see below fees for 2019.
Country
Exam fee
UK
£515
Egypt
£663
India
£663
Hong Kong
tbc
How do I apply for the exams?
To apply for the DCH (Diploma in Child Health), you first need to register online for exams. You just need to do this once.
You need an RCPCH online account (with an RCPCH number). Then you can complete a short registration form – you will require evidence of your primary medical qualification.
How do I register for exams?
You can register for exams at any time throughout the year. After your registration is accepted, you can apply for an exam but only during relevant open application periods.
It takes at least 10 working days to process registration.
During exam application periods we are not able to process registrations. Please register three to four weeks before exam application period opens to help ensure you do not miss your preferred exam diet. The best dates to register for exams are usually January, May and September.
How do I book an exam?
Log in to your RCPCH account
Go to My Account
From your dashboard, go to the Exams panel, and from your exam dashboard, follow links to apply
What do I need to know about the exam day?
Bring your ID:
You will need to bring one of the following forms of ID:
passport with photograph and signature - this must be current or no more than six months expired
valid driving license with photograph and signature
national identity card with photograph and signature
*Only original documents will be accepted.
For more information take a look at the Royal College of Paediatrics and Child Health website
How do I prepare?
With lots of materials online we have discussed with IMGs the best place to start looking for resources and materials relating to the exams. Most IMGs recommended starting with the Royal College, who have created useful resources to help you to prepare for the exams.
A good start is to take a look at Clinical Cases in Paediatrics: DCH Clinical Textbook . It will cost your £35 but is a logical foundation for a start to any revision.
Useful online revision courses include those run by PASTEST and the Institute of Child Health.
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?
If you pass both DCH Clinical and Foundation of Practice (FOP) exams, you will receive a Diploma certificate. This certifies you are a holder of the Diploma in Child Health (RCPCH).
IMG Jobs
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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.
How to obtain your National Insurance number (NI)
Attaining your national insurance (NI) number once in the UK is essential once in the UK.
Overseas doctors new to the UK will not have an NI number, and wll need to appy to ensure they are taxed and paid correctly. In this article we’ll help you to arrange your NI by addressing the following questions:
What is a National Insurance number?
Why do I need one?
When do I apply?
How do I apply?
I’ve got my National Insurance number, what next?
What is National Insurance?
National Insurance (NI) is a tax system in the United Kingdom paid by workers and employers for funding state benefits. It is a contributory form of insurance against illness and unemployment, and provides retirement pensions amongst other benefits.
Citizens of the United Kingdom pay National Insurance contributions to become eligible for State Pension and other benefits.
Why do I need a National Insurance number?
A National Insurance number is a unique number assigned to an individual looking to work in the UK. You will keep the same number all of your life.
Your NI number helps to make sure that the National Insurance contributions and tax you pay are properly recorded against your name.
It also acts as a reference number when communicating with the Department for Work and Pensions and HM Revenue & Customs (HMRC).
When can I apply?
You can only apply once you are living in the UK.
Once in the UK you can work for up to 12 weeks without an NI number. However, we strongly recommend applying within your first few days of moving to the UK.
How do I apply?
Call the National Insurance number application line on 0800 141 2075 between the hours:
8.30am - 5pm
Monday - Friday
The phone call will be a 5-10 minute process.
You’ll be asked some questions about why you need a National Insurance number, your background and circumstances. Following this call, you will be asked to attend an evidence of identity interview at your local job center which is followed by an email confirming the appointment.
They will ask you bring as many identity original documents as you can to the interview. Examples of documents which are acceptable are:
valid passport
National Identity card
residence permit or residence card including biometric immigration residency documents
full birth or adoption certificate
full marriage or civil partnership certificate
driving licence
In addition, you should provide:
evidence you are in work or looking for work
proof of address
*If relocating from outside the EU, you will also be asked for your residence permit.
I’ve got my National Insurance number, what next?
If you were asked to provide additional information you will need to do this by the agreed date.
If not, Jobcentre Plus will write to you and let you know whether your application was successful and what your National Insurance number is.
Provide your HR or Payroll department with your National Insurance number as soon as you have it.
Remember to keep the letter safe – you may need it in the future.
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NHS Doctor's Pay Scales in the UK - Explained
Understanding your NHS job's salary or pay is essential for overseas new to the UK.
The NHS is one of the most developed health systems in the world and doctors form an integral part of delivering high quality patient care, as such they are rewarded with competitive pay rates and benefits.
International doctors new to the NHS often ask about the pay scales, and it can be a confusing topic. Here we hope to bring some clarity here to help you understand the NHS grades and how they fit on the various NHS pay scales.
In this article we will take a look at the following topics:
Typical NHS doctor’s salary in the UK
FY1 & FY2
Specialist Training (ST1 – ST8)
Specialty doctors
Specialist Grade
Consultants
Where do I fit on the pay scale?
Doctors in training pay scale
Specialty Doctor pay scale
Specialist Grade pay scale
Consultant pay scale
Additional pay, benefits, pensions and terms and conditions
Trust doctor jobs and IMGs pay
It is important to note that the majority of overseas doctors will start their career in the UK in a fixed term trust doctor role (also known as a service post), before taking up a training position. Doctors across all grades can enter a service post which means to say that they are not in training or entering specialty training.
As such, most of our adverts for fixed term or permanent posts will be service level jobs, these are usually SAS doctor, consultant, SHO or Trust doctor posts at the equivalent of FY2, ST1/2, ST3+.These can be attractive due to the improved doctor’s salaries that can be negotiated for fixed term contracts, based on experience and demand.
The salary pay scales that we have included in this article are to be used as a guide or starting point for negotiating your trust doctor role (or service post).
Typical NHS doctor’s salary in the UK:
FY1 & FY2
In the most junior hospital trainee post of Foundation Year 1 (FY1) your basic salary is £28,808. In year two this increases to £33,345.
As a doctor in training you will earn a basic salary for 40 hours per week, plus pay for additional hours worked, 37% enhancement for nights, weekend allowance for weekend work, on call allowance and other possible pay premia.
Specialist Training (ST1 – ST8)
If you are a doctor starting your specialist training in 2019, your basic salary starts at £39,467 and can progress to £53,077.
As a doctor in training you will earn a basic salary for 40 hours per week, plus pay for additional hours worked, 37% enhancement for nights, weekend allowance for weekend work, on call allowance and other possible pay premia.
Specialty doctors
Specialty doctors currently earn from £45,124 to £77,519 basic pay.
The basic contract is for 40 hours. As a specialty doctor you can be paid for additional duties, extra hours worked, weekend work and on calls.
Specialist Grade
A key element of recent SAS contract reform is the introduction of a new grade, called the Specialist grade, which will provide an opportunity for career progression for highly experienced specialty doctors. Specialist Grade doctors can earn a basic of between £79,894 to £90,677.
Consultants
Consultants currently earn from £82,096 to £110,683 basic pay.
As a consultant you can be paid for additional duties and may be eligible for Clinical Excellence Awards, which reward outstanding performance. The basic contract is for 40 hours per week.
If you take on extra responsibilities (i.e. management or education) you can also expect to be paid additional supplements.
So where do I fit on the pay scale?
There are a few key points when considering where you fit on the pay scale:
Job title
Experience
Hours worked
Trusts can be different
Job title:
The first thing to consider is your job title.
At the Consultant level, it is straight forward, you will be a consultant. However, at the Specialty Doctor level, you could be working as an SAS doctor, a Specialty Doctor or a Trust Grade doctor. As an ST or SHO you could also work across several levels.
Each could command a different pay scale depending on the level of work and experience required.
Take some time to check the job title that you are applying and interviewing for, and subsequently the pay scale that you can expect.
Experience within your chosen field:
Next, consider the number of years of experience you have in your speciality, this is crucial to identifying your position on the pay scale.
This is important as an NHS Trust will calculate your pay for a Specialty Doctor in Medicine by deducting two of your years of experience to compensate for the Core Training years in the UK. Please note, for some specialties this does not apply, check with an IMG Consultant for more information.
Hours you will work:
The second thing to consider is how many hours you will be working. For both Specialty Doctors and Consultants the hours are usually established using PAs (programmed activities). Each PA is worth 4 hrs of your week, and a standard week is 40 hrs. A standard salary is based on a full working week of 10 PAs (40 hours). If you work above 10 PAs, then you will gain additional salary on top of your basic pay.
NHS trusts can be different:
The last thing to consider before we look at the pay scales, is that some NHS Trusts can interpret the pay scales and a doctor’s experience in different ways. All NHS Trusts should be following the same pay scale structures when recruiting and offering salaries to doctors, but this is not always the case!
This blog is a guideline, and if you are not sure of how to approach this discussion with a HR department, it can be very useful for an IMG Connect consultant to assist with the negotiations to ensure that your experience is always taken into account.
Pay scales:
Doctors in training pay scale
Service level jobs are in high demand at all levels of experience, each offering competitive rates of pay. It is also important to remember that once in the UK, you will have the option to apply for training, depending on your entry level.
The below pay scale reflects the pay at each level depending on the entry points to training, which are FY1, ST1/CT1 and ST3/4.
The salary is based on a standard working week of 10PAs (40 hours), if you work additional hours, on calls or weekend work, then your take home pay will increase as a result.
As above, use the below as a salary guide for service level posts. It is worthwhile checking with your IMG Consultant the best pay opportunities for you, it is highly conceivable that you can earn more than the pay scales below depending on experience and demand.
Specialty Register (StR) (Core Training)
Grade
Stage of training
Grade Code
Nodal Point
Value (£)
Foundation Doctor Year 1
FY1
MF01
1
28,808
Foundation Doctor Year 2
FY2
MF01
2
33,345
Specialty Register (StR) (Core Training)
CT1
MC51
3
39,467
CT2
MC52
39,467
CT3
MC53
4
50,017
Specialty Register (StR) (Core Training)
ST1 / SpR1
MS01
3
39,467
ST2 / SpR2
MS02
ST3 / SpR3
MS03
4
5
50,017
53,077
ST4 / SpR4
MS04
ST5 / SpR5
MS05
ST6 / SpR6
MS06
ST7 / SpR7
MS07
ST8 / SpR8
MS08
Specialty Doctor pay scale:
Service level specialty doctor jobs are in high demand in the UK at all levels of experience, each offering competitive rates of pay.
It is important to note that your pay will reflect your experience within your chosen field.
The pay code on the left-hand side of the table below correlates to the number of years’ experience that you qualify for in your chosen specialty, and the number of years that the HR department are going to attribute to you.
Remember to discount any years that you have worked in an internship. And if you are working in a medicine specialty, deduct any core training years.
In the first threshold, for every year of experience you gain, this entitles you to a pay rise. In the second threshold, you will receive an increase every two years, and in the third, every three years.
The salary is based on a standard working week of 10PAs (40 hours), if you work additional hours, on calls or weekend work, then your take home pay will increase as a result.
As above, use the below as a salary guide for service level posts in the UK. It is worthwhile checking with your IMG Consultant the best pay opportunities for you, it is highly conceivable that you can earn more than the pay scales below depending on experience and demand.
Pay Scale Code
Scale Value
Basic Salary (£)
Period before eligibility for next pay point
MC46-01
Min
45,124
2 years
MC46-02
45,124
1 year
MC46-03
1
49,745
1 year
MC46-04
2
55,790
2 years
MC46-05
55,790
1 year
MC46-06
3
58,756
1 year
MC46-07
4
62,978
3 years
MC46-08
62,978
2 years
MC46-09
62,978
1 year
MC46-10
5
66,614
2 years
MC46-11
66,614
1 year
MC46-12
6
70,249
3 years
MC46-13
70,249
2 years
MC46-14
70,249
1 year
MC46-15
7
73,883
3 years
MC46-16
73,883
2 years
MC46-17
73,883
1 years
MC46-18
8
77,519
-
Specialist Grade:
The introduction of a new Specialist grade will provide an opportunity for progression for highly experienced specialty doctors. The introduction of the role will help to recruit, motivate and retain senior doctors and contribute to SAS grades being a positive and fulfilling career choice. The new pay structure will enable SAS doctors to access the top of the pay scale more quickly than the current system, increasing the career average earnings.
Pay Scale Code
Scale Value
Basic Salary (£)
Period before eligibility for next pay point
MC70–01
Min
79,894
2 years
MC70-02
79,894
1 year
MC70-03
79,894
1 year
MC70-04
1
85,266
2 years
MC70-05
MC70-06
2
85,266
90,677
1 year
-
Consultant pay scale:
Service level consultant doctor jobs are in high demand in the UK at all levels of experience, each offering competitive rates of pay.
At the consultant grade, HR departments will look at your years of experience within your specialty, as a consultant.
On the table below, you can see that all you need to do is count up the total number of complete years of experience (12 months each) as a consultant, and then count down the rows to establish your salary position.
Like the above, the salary is based on a standard working week of 10PAs (40 hours), if you work additional hours, on calls or weekend work, then your take home pay will increase as a result.
Remember, use the below as a salary guide for service level posts in the UK. It is worthwhile checking with your IMG Consultant the best pay opportunities for you, it is highly conceivable that you can earn more than the pay scales below depending on experience and demand.
Years completed as a consultant
Threshold
Years complete as a consultant
Basic Salary (£)
Period of eligibility for next threshold
Pay scale code
1
0
82,096
1 year
YC72 Point 00
2
1
84,667
1 year
YC72 Point 01
3
2
87,238
1 year
YC72 Point 02
4
3
89,809
1 year
YC72 Point 03
5
4
92,372
5 years
YC72 Point 04
5
92,372
4 years
YC72 Point 05
6
92,372
3 years
YC72 Point 06
7
92,372
2 years
YC72 Point 07
8
92,372
1 year
YC72 Point 08
6
9
98,477
5 years
YC72 Point 09
10
98,477
4 years
YC72 Point 10
11
98,477
3 years
YC72 Point 11
12
98,477
2 years
YC72 Point 12
13
98,477
1 years
YC72 Point 13
7
14
104,584
5 years
YC72 Point 14
15
104,584
4 years
YC72 Point 15
16
104,584
3 years
YC72 Point 16
17
104,584
2 years
YC72 Point 17
18
104,584
1 years
YC72 Point 18
8
19
110,683
-
YC72 Point 19
Additional pay, benefits, pensions and terms & conditions
Current national salary scales for medical and dental staff are published in pay and conditions circulars on the NHS Employers website.
You may be eligible for additional pay on top of your basic salary if you work above the standard 10 PAs, work on call & weekends, or take on extra responsibilities. All doctors are eligible for NHS pensions and benefits.
For more information on NHS doctor benefits and pay arrangements take a look at our blog.
What if I fail my English Language Test?
English Language Tests are hard, it is common for overseas doctors to fail on the first or second attempt.
You have just got the results and sadly, you didn’t get the target score of 7.5 average for IELTS or four B’s for OET. What do you do? First things first, we would recommend a short outburst, a quintessentially polite British rant about how things are not fair, and then pick yourself up, and plan!
Unlike other tests in education where you only get one chance to pass, the same is not true for English Language Tests like IELTS and OET. That said, this doesn’t mean that you don’t have to worry about preparing, this could waste your time, and more importantly, your money! Another re-sit will cost you.
Don’t forget, learning a new language is challenging, complex and takes time. Just because you didn’t get the results the first time, if you are organised, patient and increase your practical work you will get there!
Learn from your mistakes
Initially, it is only natural to be disappointed because you didn’t pass. This is normal, so take your time to process the results and give yourself an opportunity to clear your head ready to determine what went wrong, and do something about it.
A lot of IMGs don’t get the required marks on the first go, some take a long time to get there, so don’t worry, you are not alone. The main thing to remember, is that it is very important to know where you went wrong, and how to improve.
Here are a few steps to help you if you don’t get the results you wanted:
1. Review your score in each area.
Identify the area where you struggled the most. Did you pass all areas except one? Or did you get the desired results in two areas, and fail the others? This tells you which area to focus on, where you may need further training or practice.
2. Count the marks
How far off was your score from passing? This is vital for you to establish which parts of the test to focus on so you can gain points in these areas for your resit. Think about the areas you struggled in, or left blank. Take your time to review and then practice these areas of the test and watch your score go up!
3. Expand your horizons
Using each English language skill in practice is essential to helping you get the desired outcome in each test. If you failed in one or two areas, then turn your focus on these and get practical!
Simply put, speak, listen, read & write more! Don’t forget to keep it interesting. See our top tips for learning at home to help you be more engaged in applying your learning on a daily basis.
4. Consider working with an accredited tutor
As an International Brand dedicated to helping international doctors to register with the GMC and find work in the NHS - we have lots of partnerships in place with trusted companies in many areas. One of these key areas is English Language Testing and IMG Connect works closely with a company called Specialist Language Courses. You can take a look at their website here.
Specialist Language courses work very professionally and are the UK's leading provider of online courses and tutoring. They are also one of the few accredited providers of OET and have provided consultation and guidance to the GMC on english language testing.
Success rates are 70% + for those who sign for their tutoring and you can receive a discount if introduced by IMG Connect.
Register with IMG Connect to request your discount on English Language Courses or get in touch with one of our IMG Consultants to discuss.
4. Get rid of the nerves
Most international doctors will have found speaking with the examiner daunting and nerve wracking. This is natural, called test anxiety. Which probably means that you will not have spoken as fluently as you could. What can you do? Try speaking English with someone you don’t usually speak with, or even better somebody you don’t know, in a situation you don’t usually find yourself. Being able to speak fluently, under pressure, whilst sounding natural, is one of the most important criteria of the test. This will ease your anxiety.
5. Plan for the next test
Some IMGs might wonder why they should make a plan, it takes time and some think that it might not be necessary. In fact, a good study plan will save you time, help you pace out your learning, cover more topics and keep you organised. As you will know what areas you need to focus on, it will help you to check you are covering all of the areas of weakness, and keep track of improvements. Try to include daily and weekly targets.
IMG Jobs
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IMG Resources
In our IMG Resources library you can read more useful articles on finding an NHS trust doctor job, pay scales & doctor’s salary in the UK, relocation and much more!
Get in Touch
Get in touch using the buttons above (and below) to discuss doctor job opportunities in the NHS, including discussions regarding a typical doctor salary in the UK and the most suitable hospital locations for you.
How can I find a Respiratory Medicine job in the NHS?
As an overseas doctor, how do you find NHS job opportunities in Respiratory Medicine?
Finding the right job opportunity in the NHS can sometimes be time consuming and confusing for IMGs. Working with IMG Connect will give you easy access to vacancies for consultants and middle grades positions across the UK.
The IMG Connect job search is a dedicated online recruitment service for overseas doctors looking to secure a job in the NHS. View out latest doctor jobs in the NHS, here.
Save time and get expert advice based on your preferences
Performing a job search online can take up a lot of your time, so at IMG Connect we are here to do the time-consuming work for you. Upon registering, you will have a dedicated consultant whose role is to find jobs that match your skills, and apply for NHS jobs on your behalf.
CLICK HERE TO RECEIVE THE LATEST RESPIRATORY MEDICINE JOBS BY EMAIL
Register & Create a profile – it takes 30 seconds
It really is that easy, so why not take advantage of our resources, time and energy to find you the right job in the NHS suited to your preferences. By providing us with some key details we can quickly assess which jobs are best suited to your preferences, and even email you job alerts for new exciting roles which we think will interest you!
CLICK HERE TO REGISTER YOUR DETAILS & PREFERENCES
We understand you, and our clients
When looking for a Respiratory Medicine job in the NHS, it can be hard to try to find out key information before applying, such as:
What specialty specific training there will be?
Am I likely to get a training post after taking this role?
Can the trust support CESR applicants and is their CESR programme established enough for my needs?
What career progression is available for me with the Respiratory Medicine Specialty?
What is the job plan and how much time will I spend on the ward?
What is it like to work and live there?
What salary will I get paid, and can I get extra pay for additional shifts?
It can be tricky to get all the answers you want before applying online, so we spend our time getting to know both our clients and you, finding out as much key information as possible to help you to make the right decisions. Including details on the Respiratory Medicine department, hospital & trust, as well as an overview of what it is like to live in the area, including housing and the cost of living, as well as access to schools for your children, childcare and finding work for spouses.
Making an impact
We will also provide you with top tips on CV writing, job applications and interviews, ensuring that your application and interview makes the most impact with our NHS clients.
Making it personal
Once registered, you can quickly search and apply for NHS jobs using our job search, and take advantage of many useful articles written to support you through your journey to the UK. In addition, when you sign up to 'job alerts' we will automatically email you each time a relevant Respiratory Medicine vacancy comes available that you may be interested in.
Once logged in, you can also save job details and make applications.
By registering with IMG Connect, you will:
Have a dedicated consultant who understands your preferences and will do the time-consuming job searches and applications for you.
Find your ideal NHS position 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 Respiratory Medicine jobs
Searching for Respiratory Medicine jobs in the NHS could not be easier
If you want to find out more about the many different Respiratory Medicine roles available within the NHS - it only takes a minute to register with IMG Connect and receive expert advice and representation. We have helped many overseas Respiratory Medicine into consultant, specialty doctor, registrar, clinical fellow and staff grade NHS roles, whilst offering expert guidance to many more IMGs on NHS doctor pay, royal college qualifications and English language testing. We’d be happy to help you!
IMG Jobs
Search and find live respiratory medicine 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 specialist medicine job opportunities in the NHS, including discussions regarding a typical doctor salary in the UK and the most suitable hospital locations for you.
How can I find a radiology job in the NHS?
As an overseas radiologist, how do you find NHS job opportunities in Radiology?
Vacancies for radiologists practicing outside of the UK can be found in a variety of ways. Some radiologists find it challenging to find the right job, that fits their training and relocation preferences whilst they will also find it hard to know about the local area.
Working with IMG Connect will give you easy access to vacancies for consultants, junior and senior middle grades whilst always offering clear training opportunities, CESR pathways and balanced job plans.
IMG Connect Job Search Page
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 NHS jobs radiology 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 radiology 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 radiology 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 radiology 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 Radiology 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 radiology jobs
Searching for radiology jobs in the NHS could not be easier
If you want to find out more about the many different radiology 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 radiologists 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!
IMG Jobs
Search and find live NHS radiology jobs in the UK
IMG Resources
In our IMG Resources library you can read more useful articles on finding an NHS trust doctor job, pay scales & doctor’s salary in the UK, relocation and much more!
Get in Touch
Get in touch using the buttons above (and below) to discuss radiology opportunities in the NHS, including discussions regarding a typical doctor salary in the UK and the most suitable hospital locations for you.
Our Values
At IMG Connect we take our social & professional responsibility seriously.
From the service we provide to our doctors, the recruitment services we provide to our hospitals and importantly the impact we have on the environment around us - our core values are the foundation for everything we do.
Our Recruitment Practices:
Honesty, clarity and diligence are the three values with which we conduct our business. We will always speak to our candidates before submitting their CV, be clear about their qualifications and motivations to our clients, whilst communicating clearly & promptly to both parties throughout the recruitment process. We believe this is the only way to conduct our business and should be the basis for any customer service relationship.
Furthermore, we are officially recognised by NHS Employers as an Ethical International Recruitment Agency and are on their Code of Practice recruitment agencies list found here.
Our Service to Doctors:
IMG Connect offers a free and comprehensive service for any international doctor wanting to work in the NHS. We provide expert & clear guidance on every stage a doctor must go through when attempting to secure a permanent role in the NHS, with a relationship and system in place that works way beyond a doctor’s placement to ensure their happiness and retention.
Our Carbon Footprint:
Our carbon impact is minimal, and we work hard to maintain this. By composting our food waste, economising our travel, using less electricity and only using green energy companies we ensure our carbon footprint is as low as we can practically keep it.
Ethical Banking:
We only use banks that invest ethically and in line with the values with which we run our business. This includes avoiding banks that that invest in fossil fuels and banking with those that invest towards a sustainable future for our planet.
Plastic-free and paper-free office
As much as possible, we do not use single use plastic in our office and day to day operations. Our office is stocked with fruit and vegetables from the shops and markets in our community whilst we cook in-house & eat as a team every day using the crockery and cutlery in our kitchen. Buying, cooking and eating local food also helps to minimise our carbon footprint.
IMG Jobs
Search and find live NHS doctor jobs in the UK
IMG Resources
In our IMG Resources library you can read more useful articles on finding an NHS trust doctor job, pay scales & doctor’s salary in the UK, relocation and much more!
Get in Touch
Get in touch using the buttons above (and below) to discuss doctor job opportunities in the NHS, including discussions regarding a typical doctor salary in the UK and the most suitable hospital locations for you.
NHS CESR Applications for Clinical Radiology Consultants
Most overseas radiologists coming to the UK want to attain their CESR in Radiology.
In this article we look at the specialty specific guidance on evidence required for entry onto the Specialist Register for Clinical Radiology. This is entry to the specialist registration with a Certificate of Eligibility for Specialist Registration or CESR.
What is CESR in Clinical Radiology in the NHS?
As a Clinical Radiology specialist, attaining CESR will mean you are qualified to practice at consultant level in the NHS in Clinical Radiology. Have a read through our CESR articles found in the IMG Library to understand a little more.
Do I need FRCR to attain CESR in Clinical Radiology?
Not necessarily. Whilst it is a benefit to attain FRCR, and you may have already attained MRCP or FRCR as your route to GMC registration, you do not necessarily require FRCR to attain CESR in Clinical Radiology. Any doctor wishing to attain Specialist Registration via the CCT route must attain FRCR.
What is the indicative period of training for a CCT in Clinical Radiology?
The indicative period of training for a CCT in Clinical Radiology is five years 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:
3 years in Core Training AND
2 years in Higher Training
During Higher Training, competence is expected to be achieved at Level 1 or Level 2 which indicates the greater degree of expertise to be achieved by those intending to practice in one or more special interest areas. CESR applicants must demonstrate that they have achieved the competencies in each of these areas.
You should refer to the Clinical Radiology Curriculum documentation before you make your application to ensure that you can demonstrate the required competencies.
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.
Please note you will also need to submit translations of any documents that are not in English and you must ensure the translations you submit meet the GMC translation requirements.
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 Radiology 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.
Types 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.
Key Evidence Requirements – advice from the FRCR’s Equivalence Committee:
Evidence must demonstrate that you have achieved ALL the requirements and competencies as set down in the relevant CCT curriculum.
Where you have worked in a specialised area for a substantial period of time, evidence will be required to the following effect:
That at one stage in your career you achieved the requirements and competencies of the relevant specialty curriculum
These skills have been maintained within the last five years
Your current specialised practice allows you to meet all of the domains above
You must submit evidence to demonstrate that you can practise competently and independently across the breadth of the CCT curriculum
Key Evidence Requirements – Summarised:
In summary you are expected to demonstrate competence across the core requirements of the radiology specific content of the curriculum:
breast, cardiac, emergency radiology, gastro-intestinal, general and non-vascular intervention, head and neck, moledcular imaging, musculoskeletal, neuroradiology, oncological, paediatric imaging, radionuclide radiology, thoracic, uro-gynaecological and vascular radiology, in the relevant technique-based areas (plain film including mammography, CT, US, MRI, nonvascular interventional procedures, fluoroscopy)
You are also expected to demonstrate the equivalent Level 1 and/or Level 2 competencies required for Higher training, in one or more areas of special interests.
Key Documents to submit with your application:
Take a look at the GMC’s SGPC – SSG document to affirm the information above and to understand the key documents recommended by the Royal College of Radiology’s Equivalence Committee.
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 Radiologists looking to work as NHS Consultants in Clinical Radiology.
IMG Jobs
Search and find live NHS radiology jobs in the UK
IMG Resources
In our IMG Resources library you can read more useful articles on finding an NHS trust doctor job, pay scales & doctor’s salary in the UK, relocation and much more!
Get in Touch
Get in touch using the buttons above (and below) to discuss radiology job opportunities in the NHS, including discussions regarding a typical doctor salary in the UK and the most suitable hospital locations for you.
MRCEM & FRCEM for overseas emergency medicine doctors
Overseas doctors taking the postgraduate route to GMC registration must attain MRCEM.
International Medical Graduates (IMGs) from any country in the world can sit the Royal College of Emergency Medicine examinations (MRCEM), provided certain eligibility criteria are met. FRCEM however can only be sat once practicing in the UK, so is not a suitable route for international doctors who have not yet practiced in the NHS. To help doctors understand the FRCEM and MRCEM exams the following guide will provide you with key information ocovering the exams, dates, fess, eligibility, preparation and application.
These are summarised below along with a broad look at the following topics:
What is FRCEM and what is MRCEM?
FRCEM Route
MRCEM Route
Eligibility for MRCEM
Eligibility for FRCEM
Where can I take the exam & how much will it 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.
What is FRCEM and what is MRCEM?
Membership or Fellowship 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.
CLICK HERE AND REGISTER FOR FREE & UP TO DATE MRCEM RESOURCES
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
FRCEM Examination route:
The Fellowship Examinations consists of the following components:
FRCEM Primary Examination
one, three-hour written paper
FRCEM Intermediate Certificate
Short Answer Question Paper (SAQ)
Situations Judgement Paper (SJP)
FRCEM Final Examination
Critical Appraisal (Short Answer Question Paper)
Quality Improvement Project (QIP)
Clinical Short Answer Question Paper
Objective Structured Clinical Examination (OSCE)
Membership or Fellowship of the Royal College is awarded to candidates who pass three examination components, using either route above.
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)
Eligibility for FRCEM 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 FRCEM Final Examination:
To be eligible you must have FRCEM Primary and FRCEM Intermediate Certificate, attained after 1st August 2016.
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
FRCEM Intermediate Cert.
(SJP)
UK
£200
Kuala Lumpur
£200
MRCEM
OSCE
UK
£450
India
£450
FRCEM Final
Clinical SAQ
UK
£300
FRCEM Final
Critical Appraisal SAQ
UK
£240
FRCEM Final
QIP
N/A
£150
FRCEM Final
OSCE
London
£420
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.
CLICK HERE AND REGISTER FOR FREE & UP TO DATE MRCEM RESOURCES
How do I prepare for each exam and what resources are available?
With lots of resources available online, such as FRCEM Sucess, 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
FRCEM Final Examination
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.
SJP Blueprint:
A blue print of the new Intermediate SJP exam can be found on page 11 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 Certificate – sample SJP questions
Final – successful QIP
Reducing referral rates of paediatric patients to plastic surgery
Management of fractured neck of femurs in the ED
Final – unsuccessful QIP
Critical Appraisal Questions – Advice to Candidates
Critical Appraisal – Most Frequently Offered Answers
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.
CLICK HERE AND REGISTER FOR DISCOUNTED MRCEM COURSES
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.
You can find a full range of articles covering MRCEM and FRCEM examinatins to help you to make a success of your preparations here.
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
In our IMG Resources library you can read more useful articles on finding an NHS trust doctor job, pay scales & doctor’s salary in the UK, relocation and much more!
Get in Touch
Get in touch using the buttons above (and below) to discuss 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.
General & Acute Medicine - A Doctor’s Route to the UK (European & Non-European)
Which routes can overseas internal medicine doctors take to GMC registration & securing jobs in the NHS?
All 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 General Medical Council (GMC). Here we cover all the medical specialties that fall within the broader reach of General & Specialist Medicine to include specialisms such as cardiology, respiratory medicine, dermatology, gastroenterology, haematology, elderly care or geriatric medicine and general & acute medicine.
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
IMG Jobs
Specialist Medicine: Click here to find live NHS specialist medicine job opportunities in the UK
General & Acute Medicine: Click here to find live NHS general & acute medicine job opportunities in the UK
IMG Resources
In our IMG Resources library you can read more useful articles on finding an NHS trust doctor job, pay scales & doctor’s salary in the UK, relocation and much more!
Get in Touch
Get in touch using the buttons above (and below) to discuss job opportunities in the NHS, including discussions regarding a typical doctor salary in the UK and the most suitable hospital locations for you.
Psychiatry - A Doctor's Route to the UK (European & Non-European)
Which routes can overseas psychiatrists take to GMC registration and securing an NHS job?
Whether you are from inside or outside of Europe, internatioal psychiatrists 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
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 psychiatrist 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 psychiatrists 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 psychiatry 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 Psychiatry, 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 in psychiatry: 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 through the IMG Resource library here: IMG Resources – Relocation & UK Life
Brexit
Many psychiatrists 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 psychiatrist 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 psychiatry doctors, looking at the following:
English Language Testing
Evidence of Knowledge & Skills - PLAB, MRCPsych 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 in our IMG Library for helpful articles and 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 Psychiatry
Overseas psychiatrists must prove to the GMC they have sufficient knowledge & skills to practice safely in the UK. For psychiatrists this can be done through three main routes:
PLAB
Royal College qualification of MRCPsych
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 psychiatry 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, psychiatrists 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 in our IMG Library:
PLAB – a guide for overseas doctors
PLAB 1 – a closer look
PLAB 2 – a closer look
Royal College Qualification:
Attaining a Royal College qualification is a preferred path for doctors who have already chosen their field of specialism i.e. psychiatry.
For senior psychiatrists taking this route, they will gain access to more senior, well-paid jobs in the specialism of their choice.
The Royal College of Psychiatrists is the Professional Body that regulates the specialism of psychiatry in the UK, and Membership of the Royal College of Psychiatrists (MRCPsych) is the full qualification attainable by examination.
For overseas doctors, attaining MRCPsych will satisfy the knowledge & skill criteria for GMC registration and facilitate application for more senior roles in UK psychiatry.
Take a look at our complete guide on Membership of the Royal College of Psychiatrists to understand more: IMG Resources: MRCPsych – 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 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: 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: 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, MRCPsych 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 psychiatrists 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 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 1-1 consultant, with a speciality knowledge of Psychiatry, 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 in psychiatry: 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 Resources: Relocation & UK Life
Brexit
Many psychiatrists 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 psychiatry 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.
MRCS - a guide for overseas surgery doctors
Here we take a close look at the MRCS exam for overseas surgeons looking to register with the GMC and find a job in the NHS.
International Medical Graduates (IMGs) from any country in the world can sit the MRCS examinations, provided certain eligibility criteria are met.
These are summarised below along with a broad look at the following topics:
The UK Royal Colleges of Surgery
What is MRCS?
What is the structure and content?
Am I eligible?
MRCS Part A - Written Examination
MRCS Part B - OSCE
How much will the exams cost me?
As an overseas doctor where can I take the exams?
How can I prepare and what resources are available?
Passed? What next?
The UK Royal Colleges of Surgery:
There are four Royal Colleges of Surgeons in the UK (Royal College of Surgeons of Edinburgh, Royal College of Surgeons of England, Royal College of Physicians and Surgeons of Glasgow, Royal College of Surgeons in Ireland).
All four of these colleges are professional bodies responsible for the specialty of surgery throughout the UK. Amongst many other duties, it is their role to set and monitor the educational curriculum for those training to enter the profession.
What is MRCS?
The Intercollegiate Membership exam of the Royal College of Surgeons tests the knowledge, experience and clinical competence expected of a doctor at the end of their core surgical training (ST2 level) and can be taken through any of the Royal Colleges mentioned above.
The MRCS examination syllabus and the format & content of this examination are common to all four colleges (Royal College of Surgeons of Edinburgh, Royal College of Surgeons of England, Royal College of Physicians and Surgeons of Glasgow, Royal College of Surgeons in Ireland).
Candidates can enter any part of the examination through any college, but may enter with only one college at each sitting. Completion of MRCS will allow you to work in the UK from ST3 level upward (ST3+), with seniority beyond ST3 level dependent on experience.
Upon successful completion of all parts of the examination, candidates will be elected as members of the college for which they have passed Part B of the exam. MRCS is one of two routes an overseas doctor can take full GMC registration (postgraduate qualification or PLAB route).
For doctors who wish to take more senior roles reflective of their current practice, IMG Connect advise that MRCS would be the best route to take and full MRCS is a pre-requisite for anyone looking to go onto a specialist training post as a surgeon in the UK.
What is the structure and content?
The MRCS exam is split into two parts:
MRCS Part A – written examination
MRCS Part B – Objective Structured Clinical Examination (OSCE)
Am I eligible?
Part A:
To be eligible you must hold a Primary Medical Qualification (PMQ) that is recognised by the GMC for registration purposes.
Part B OSCE:
You must pass Part A before applying for Part B. You can attempt Part A of the exam six times, and Part B four times.
MRCS Part A - Written Examination:
The content is designed to test your knowledge of both applied basic science and the principles of surgery in general to a level of a UK trainee with two to three years of postgraduate experience.
Part A of the Intercollegiate MRCS is a five-hour multiple choice question exam with two papers sat in one day. The questions are in single best answer format. The morning paper is 3 hours long and the afternoon paper is 2 hours long.
MRCS Part B – OSCE:
The OSCE is set in a practical setting and tests your ability to to integrate knowledge and experience in the following two areas:
Knowledge - Your understanding of anatomy, surgical pathology, applied surgical science & critical care
Skills – your application of clinical, procedural and communication skills in a practical setting.
The OSCE consists of 18 examined stations, each 9 minutes in duration, broadly divided into the two components above – knowledge and skills. Each station reflects elements of day-to-day clinical practice.
The knowledge component makes up eight of the stations. The skills component makes up ten of the stations. Candidates must pass both the knowledge and skills components to pass Part B.
How much will the exams cost me?
Part A of the Intercollegiate MRCS is £539 in the UK
Overseas centres will cost upwards of £539 and can include a local administration fee.
Part B of the Intercollegiate MRCS is £977.
Please note, fees can vary dependent on location.
As an overseas doctor, where can I take the exams?
Part A & B of the exams can be taken in several countries across the world, with locations in the UK, Africa, Asia, Middle East, Central Asia and Europe.
Should you require a visa in order to sit your examinations, the College will provide support letters after the closing date and when an application has been checked and the candidate is eligible. Requests for a Visa support letter must be made in writing.
The full list of countries is below:
Exam
UK
Country – Asia
Country – Middle East, Europe & Central Asia
Africa
MRCS Part 1 & 2 (OSCE)
Belfast
Bangladesh
Philippines
Afghanistan
Kuwait
Botswana
Nigeria
Cardiff
Burma
Singapore
Azerbaijan
Lebanon
Cameroon
Senegal
Coventry
Hong Kong
South Korea
Bahrain
Oman
Egypt
Sierra Leone
Dublin
India
Sri Lanka
Cyprus
Palestine
Ghana
Sudan
Edinburgh
Malaysia
Thailand
Iraq
Qatar
Kenya
Tunisia
London
Nepal
Vietnam
Jordan
Saudi Arabia
Morocco
Zambia
Manchester
Pakistan
Israel
United Arab Emirates
Namibia
Newcastle
Kazakhstan
Uzbekistan
Nottingham
Stirling
How can I prepare 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:
Syllabus:
The complete MRCS syllabus is contained within the General Medical Council approved curriculum for the Early Years of Surgical Training in the United Kingdom. It reflects the Core Surgical Training Syllabus of the Intercollegiate Surgical Curriculum Programme.
At IMG Connect we recommend getting to know the curriculum as early as possible and using it as a road map for your study plan.
Module Guidance:
Parts A&B both examine 10 modules and the specification for each module is detailed in the Guide to the Intercollegiate MRCS examination - published by the Royal College of Surgeons.
Royal College of England recommended courses:
Royal College of Surgeons of England
Part A guidance notes:
Candidate guidance notes that cover all four colleges, including information on examination procedure, admittance.
Content Guide:
The Intercollegiate Committee for Basic Surgical Examinations (ICBSE) produced this guide to the Intercollegiate MRCS examination which contains:
List of recommended textbooks and resources
Topics and skills that may be examined
Information and sample questions for both Part A & B
Intercollegiate MRCS Regulations:
Make sure to read through and familiarise yourself with the regulations for Membership Examinations. They are unilateral across all four colleges, you can find them here.
RCS Library resources:
The RCS Library contains excellent resources particularly useful for the MRCS examinations – they are available to affiliate members. Resources include Atlases, EBooks & Online Journals.
The Funky Professor:
These anatomy video lectures are available from the RCS. Each video is accompanied with a detailed slideshow, plus a test on content.
As ever at IMG Connect, we stronlgy believe in the right 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 with examiners present.
Passed? What next?
Once you have passed both parts of your MRCS examinations you can apply for a full registration with a license to practice. Once the GMC have approved your application, you can work as a doctor in the UK.
IMG Jobs
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CV writing - a comprehensive guide for overseas doctors
Regardless of what stage you are at in your medical career, as a doctor your CV if the first chance you get to make a good impression to a potential NHS employer. Here we take a look at the NHS CV format for doctors.
The decision maker reviewing your CV will likely only have a few minutes to review your CV in the first instance, so it is important to get it right! This helpful article on doctor CV writing is aimed at helping overseas doctors present relevant information to a prospective employer by covering the following topics:
Keeping your doctor CV up to date
Structure and content of your CV
A Doctor CV template
Responding to the job description
Cover letters
Style and format
Keeping your doctor CV up to date:
First things first, remember your CV is the story of your career, so you should regularly update and review your CV, allowing yourself the best opportunity of securing an interview.
Structure and content of your CV:
CV’s come in all shapes and sizes, and there is no agreed approach to how long they should be. However, we are finding that there is a trend towards shorter, more concise versions. So long as they are well structured, then the length doesn’t really matter.
Being concise doesn’t mean that you can’t include everything you need, just present it in a more succinct way and remember that quality is better than quantity.
Our advice is to keep your CV to around two - four pages of A4, though the British Medical Journal advise anything up to eight pages is ok.
Remember, your CV is generally the first point of contact you will have with a Trust Director, so the structure of your CV should establish a favourable image of your professionalism.
Getting the structure and content right, will also make it easy for you to tailor towards each job, hospital & Trust that you are applying for, every application can be different.
It is important to consider structuring your CV for GMC registration, not only does this mean that you don’t need to create several CV’s, but also means that you will be working to a recognised structure.
A doctor CV template:
The GMC recommend the following template for a medical doctor CV:
Section
Detail
Personal details
Your name on your CV must match your name on your proof of identity
Registrations
Give your GMC reference number (if applicable) or details of your Medical Council or Regulatory Body you are registered with.
Memberships
List your memberships of professional bodies.
Qualifications
List your qualifications, include IELTS, OET, PLAB, Royal College Postgraduate Qualification, Primary Medical Qualification
Employment history / work history – posts held
Start with the with the most recent position at the top (chronological order). Please show:
post title (give the title you were employed under)
dates you worked in the post, from and to, in the format DD/MM/YYYY
if the post is part-time, what percentage of whole time equivalent
institution name and location
the name of your supervisor (especially required for training posts)
give a brief job description of your duties, including level of supervision. Be concise. Include all relevant details.
Employment history – gaps in employment
Start with the most recent gaps in employment and work backwards.
List any gaps that span over 28 days and include a brief explanation.
Awards
List any awards you have received.
Research experience
Give a brief explanation of any research you have undertaken, or have participated in.
Publications
List your publications
Presentations
Give details of any presentations you have given. You may find it helpful to divide them up into international, national, regional and departmental to show their importance
Continuing Professional Development (CPD)
List your CPD activity in the last five years.
Conferences attended
Give details of any conferences you have attended. You may find it helpful to divide them up into international, national, regional and departmental to show their importance.
Courses attended
Give details of any courses you have attended. You may find it helpful to divide them up into international, national, regional and departmental to show their importance.
Audit
List and give a brief description of your audit activities.
Teaching and training experience
List and give a brief description of your teaching and training activities.
Management experience
List and give a brief description of your management activities.
Procedures
List the procedures you have performed.
Any extra professional activities
List any relevant extra activities.
For CV’s not being sent to the GMC, you can include the following extra sections:
Personal interests – show what you relate to and what your ethos for life is!
Referees – list at least two referees from your current and previous employer, include full name, position or grade, telephone number and email address.
We've created a sample CV template for overseas doctors to adopt. Request your CV template from IMG Connect here.
Responding to the job description:
In short, a job description will tell you what your employer will expect from you, as well as what you can expect from your employer. So, the first thing to consider is that your CV is a response to the job that you are applying for, it should be clear why you are the best person for this job.
It is important to note that a job description does not purport to cover all of the aspects involved in the job but will give you a good platform for CV (and interview) preparation.
Key points to look out for are:
Trust profile
Accountability
Duties & responsibilities
Reporting structure
Working relationships
Organisational expectations and values
Person specification
Please note that each trust or hospital will use different terms for the above categories.
Match to the job description:
Take some time to review and analyse the content of your current CV, matching it to the specifications of the job that you want and the Trust you want to work for.
Some of the information included in your CV may not be the most relevant to the job you want to apply for. Your CV functions as a way of recording all your achievements, skills, and experiences and keeping them up to date helps you to identify areas which are particularly relevant for the role you are applying to.
Change the layout to match the job description:
The actual order of the sections should match the priorities of the job description and specialty that you are applying for, see below for GMC suggested sections.
Try to highlight sections that match the job description and prioritise these sections in the CV by moving them further to the top, and less relevant sections to the bottom. If it isn’t relevant at all, don’t be afraid to remove it altogether.
This really means that you are selling yourself to the job specifically, for example put more relevant clinical audits or professional training to the top of the relevant section, and perhaps you could move this section further to the top of your CV so that it will be noticed.
For example, if you are applying for a post which has a strong teaching component then the teaching experience section should be placed before the management experience section.
Similarly, if the post has a strong academic component then the research, publications and presentations should move up straight after the audits section.
With IMG Connect we can offer you vacancies that are not advertised online, as such your IMG Consultant will provide the most recent job description and all relevant and up to date information purporting to the post. We will help you to tailor your CV accordingly, providing the hospital with a detailed overview of your skills and talents.
The decision maker reviewing your CV will likely only have a few minutes to review your CV in the first instance, so it is an important to get it right!
What if there is no job description?
In some circumstances a job description may not be available. You may be applying for a service job with IMG connect that is not advertised online, this means that your IMG consultant will discuss your CV directly with the Directors of the hospital or lead clinicians.
In this case, your IMG Consultant will offer guidance and support to tailor your CV accordingly. They will be able to secure as much information as required, providing you with the most relevant and up to date information covering all aspects of the role.
We can help you structure your CV accordingly. Send your CV to info@imgconnect.co.uk
Cover letters:
With IMG Connect we can offer you vacancies that are not advertised online, as such your IMG Consultant will provide the most recent job description and all relevant and up to date information purporting to the post.
They will help you to tailor your CV accordingly and provide the hospital with a detailed overview of your skills and talents, so you don’t need to worry about cover letters.
If you want to write a cover letter, they can be a good idea to accompany your CV. However, these are not always necessary, overall they will make little difference, it is your CV that really matters. An IMG Consultant can help establish if you need a cover letter at all.
In some circumstances your IMG Consultant will ask you to prepare a short cover letter if further explanation is required of suitability for a vacancy.
Style and format:
Keeping your CV professional, clear, concise and well-structured is essential for securing you an interview. We recommend using the following simple steps to help:
use a consistent professional font (i.e. 12-point Arial, Calibri or Times)
use bullet points
use professional short and simple sentences, be concise
use active wording when referring to skills, and focus on positive aspects (i.e. gained, confident, responsible for…)
subdivide experience
avoid personal statements, & don’t exaggerate… just present facts
be consistent with organisation and appearance under all categories of your CV
do not repeat
present chronologically
number each page
show your surname and initials at the top of each page
get your CV proofread by an IMG Consultant
Some final summarising thoughts…
Remember to keep your CV clear, concise and well-structured as this is essential for securing you an interview.
Once you have created your draft CV, get it proofread.
Use our template! Send us your CV using the links below and we can talk you through it.
Check out more helpful articles on CV writing and securing the right job in the NHS in our resource library.
IMG Jobs
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IMG Resources
For more useful blogs & articles on career structure, pay scales and a doctor’s salary in the UK - take a look at our IMG Library
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GMC Registration for overseas doctors
To work as a doctor in the NHS (UK) you will need to register with the General Medical Council (GMC).
The GMC is the public body that maintains the official register of medical practitioners within the United Kingdom and attaining full registration is a multi-step procces involving a number of different documents. The purpose of this article is to help guide overseas doctors through the various stages of GMC Registration by considering the following topics:
Why do I need GMC Registration?
How much will it cost me?
What are the requirements for GMC Registration?
What is the process?
Recognised GMC qualifications
English language capabilities
Registration and licensing history
Certificates of good standing
Knowledge and skill tests
ID Check
TOP TIP: Before you start the process, we always recommend that It is worth having a read of the GMC website page on required documents. These can change, as the GMC adapts to changes in healthcare, and current issues like the coronavirus. Of course, if you have any questions have a chat with your IMG Consultant and we can help you to clear up any uncertainties.
Why do I need GMC Registration?
The GMC's main responsibility is to protect, promote and maintain the health and safety of the public and one way in which it does this is by carefully controlling entry to the register. Any doctor that wants to work in the UK must be fully registered with a licence to practice with the GMC, whether working as a locum or permanent member of staff.
How much will it cost me?
Generally, GMC Registration will cost £390 but this may change depending on your circumstance. Once you are registered, you must pay an annual retention fee of £390 (which can be paid quarterly, monthly or in one lump sum). A full list of GMC Fees can be found here.
What are the requirements for GMC Registration?
These will depend on a number of factors which can be broken down into the following:
Your nationality
Where you gained your primary medical qualification
Whether or not you have completed a postgraduate training or internship
What is the process?
The registration process can be broken down into these six steps:
Check your primary medical qualification is GMC recognised
Evidence of English language capabilities
Registration and licensing history
Certificates of good standing
Knowledge and skills tests
ID checks
Recognised GMC qualifications:
If your primary medical qualification (PMQ) is from outside the UK or EEA, you need to make sure it is eligible for GMC registration. Check here to see if your PMQ is recognised or have a read through our blog on accetable overseas qualifications.
You will be required to have your PMQ independently verified before your license to practice is granted.
This is carried out by the Educational Commission for Foreign Medical Graduates (ECFMG) through their online EPIC system. For more information on verifying your PMQ and the EPIC system take a look at our blog here.
English language capabilities:
If English is not your native language, then you will need to pass an English Language Test (ELT), you can take either one of the following:
International English Language Testing System (IELTS)
Occupational English Test (OET)
Registration and licensing history:
You must provide all details for any registrations or medical licenses held in the last five years.
Certificates of good standing:
From each of your listed medical establishments, you’ll need to provide a Certificate of Good Standing (CGS). It is worth applying for these early on as they can take some time!
Knowledge and skill tests:
If you attained your Primary Medical Degree from a country outside the EEA region you'll need to demonstrate you have the necessary knowledge and skills to practice in the UK. This can be through a number of routes:
Passing the PLAB test
Providing evidence of an acceptable postgraduate qualification
Being eligible for entry onto the Specialist Register or GP Register
Gaining sponsorship by an approved sponsor
Take a look at our IMG Library, in particular our sections on Postgraduate Qualifications, PLAB and CESR for further reading. Of course, we'd be delighted to talk you through your options so either give us a call or request a call back and we'll get in touch very shortly.
To reaffirm, if you have attained your medical degree from an recognised institution from a country insdide the EEA region you will not need to demonstrate evidence of appropriate knowledge or skills.
ID Check:
Once all requested information is submitted, you will need to book an ID check with the GMC. This will require you to attend in person, at either the Manchester or London office. At this point your IMG Consultant will always make an effort to meet you in person & buy you a coffee. We always believe it is better to put a face to a name!
However, please note at this time of uncertainty and disrutpion caused by the coronavirus ID checks are not necessary. You can currently be granted a full license to practice without having shown your ID to the GMC first, however this is only a temporary measure.
Get in Touch
Don’t hesitate to get in touch using the buttons above (and below) to discuss doctor job options in the NHS, including discussions regarding a typical doctor salary in the UK and the most suitable hospital locations for you.
Tier 2 Visa – how do I apply and what’s the process?
Arranging your own UK visa and immigration as an overseas doctor can be challenging. In this series of articles we offer a helping hand with tier 2 visas, navigating UK visa requirements, guidance on certificates of sponsorship and point scoring systems.
In this article we focus on the Tier 2 visa application process and the documents you will need, looking specifically at the following:
What is a Tier 2 Visa?
What is the application process?
Online application form – the process
Online application form - documents & information needed
Certificate of Sponsorship
Cover letter for your application
Evidence of your knowledge of English
Criminal records certificate
Tuberculosis Test Clearance Certificate
Letter of maintenance & other documents
Appointment at your local visa application centre
How much will