PLAB 2 – a closer look for overseas doctors

  • April 13, 2023
 

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:

Skip ahead to the relevant section if you know what you're looking for.

A Recap of PLAB 2

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.

For a general overview of the PLAB examinations, click here

Exam Content 

The exam syllabus covers everything a UK trained doctor might expect to see on the first day of Foundation Year 2 (FY2 / F2) and tests your ability to apply knowledge to the care of patients.

Marking of the scenarios relates 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).

Exam Structure

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.

 

Booking an Exam Space

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 venues are in Manchester. You can find more details here.

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. 

Exam Cost

The fee for Part 2 of the PAB test is currently £934.

Preparation

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 you would on the ward at work.


Revision Resources

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:

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! 


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 email you to provide access to the results in the ‘My Tests’ section of the GMC online account.

Exam Attempts

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's 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. 


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.

Follow us on social media through the links below for regular news and updates on the Royal Colleges, relocating to the UK and working in the NHS: 

            

 

Relevant Jobs

40,000 - 82,400

An exceptional NHS job opportunity awaits a Middle Grade Microbiologist to join the Microbiology Pathology Department at North Tyneside General Hospital. Northumbria Healthcare NHS Foundation Trust, rated \"outstanding\" by the CQC, offers an innovative environment. The role involves diagnosing and managing infections caused by microorganisms, contributing significantly to patient well-being.

This is an ideal chance for overseas Microbiologists or Middle Grade Doctors to establish themselves in the UK NHS system, with potential CESR support. Suitable for EEA-specialized candidates or experienced IMGs seeking career advancement.

What is the NHS Foundation Trust like?

This NHS Foundation Trust is a dynamic organization with an £180 million turnover, employing 12,000 staff to serve 500,000 people across acute and community healthcare services. Recognized for excellence by the CQC in 2016 and 2019, it primarily serves an urban population but extends its care across a rural expanse from the River Tyne to the River Tweed, offering picturesque landscapes. The Trust operates three major hospitals and numerous community facilities, including the state-of-the-art Specialist Emergency Care Hospital. With ongoing capital investments, it ensures modern, purpose-built facilities and expands its services to meet evolving healthcare needs.

They provide an extensive array of specialties, boasting some of the region\'s largest specialist departments. These include the foremost trauma and orthopaedics service, a significant cardiology department, and one of the region\'s most expansive units for colorectal surgery services.

The NHS Foundation Trust prioritizes supporting its staff in achieving a healthy work-life balance, irrespective of individual circumstances. Applicants unable to work full-time due to personal reasons will still be considered for the position, and adjustments to job responsibilities can be discussed on a case-by-case basis upon appointment.

What is the Department & Team like?

The Clinical Support and Cancer Services Business Unit manages Radiology, Pharmacy, and Pathology departments, as well as cancer services, across several hospitals. These services also extend to six community hospitals. With modern facilities and dedicated staff, the Pathology department, including the microbiology laboratory, benefits from significant capital investment and supports medical education initiatives.

The Microbiology team offers clinical consultation services through various channels such as ward rounds, telephone, email, and multi-disciplinary team meetings. They collaborate closely with Infectious Diseases, Infection Prevention and Control, Public Health teams, and the laboratory. Encouragement for networking with Consultant Microbiologists in the Newcastle area is given to improve patient care across organizational boundaries.

The microbiology laboratory holds a central position within the hospital complex. It comprises 240 m² of laboratory space and 74 m² of office space, established during the hospital\'s original construction in 1987. Specimens from clinical areas within the North East site are transported to the laboratory via a vacuum air tube system, while collections from GP practices and other hospital sites across the region are managed through regular courier and van services.

Life like in North East

The North East of the UK offers a diverse landscape, blending urban hubs like Newcastle and Sunderland with picturesque rural areas. Residents enjoy a vibrant cultural scene, from historic sites like Durham Cathedral to sandy beaches along the Northumberland coast. The region hosts reputable universities such as Newcastle University and Durham University, complemented by excellent schools. Transportation links are robust, with rail and road networks connecting to major cities and airports like Newcastle International Airport. Housing options range from city center apartments to suburban family homes and quaint countryside cottages, catering to varied lifestyles and preferences.
 

£50,373 - £91,584

An opportunity for a SAS grade Anaesthetists to work for an established NHS Trust that prides itself on delivering high quality care and services. . 
This is a great opportunity for overseas Anaesthesia specialists who want to establish themselves in the NHS, and grow their consultant career. The post is suitable for candidates holding specialisation in the EEA, or for experienced anaesthetists IMGs looking to complete CESR.

WHAT IS THE NHS FOUNDATION TRUST LIKE? 
The Trust is one of the largest teaching hospital trusts in England, serving a regional, national and international population. In April 2018 the trust now has a turnover of £1.6bn, over 2,700 beds and employs more than 20,000 members of staff. It also provides the city wide vascular service including a vascular emergency service and endovascular service. A dedicated elective paediatric surgical unit for patients over the age of 1 has been set up and offers trauma, ophthalmic, ENT and general surgery.

The trust consist of 4 hospitals covering all sub-specialisms along with excellent support in their CESR pathways to develop their professional careers. 

WHAT IS THE DEPARTMENT & TEAM LIKE? 
The anaesthetic department also provides a consultant led acute pain service, a pre- operative assessment service as well as support for anaesthetics in remote areas such as endoscopy and radiology. The pioneering techniques in surgery and pain control that have been developed whilst treating military patients are used for civilian surgery in the UK and elsewhere, and are progressed through the Surgical Reconstruction and Microbiology Research Centre (SRMRC).
With almost 200 Consultants based over the four main hospital sites, the trust currently provide anaesthetic and ICU cover in excess of 400 sessions/week across both the Trust and those hospitals with which we have service level agreements.

WHAT IS LIFE LIKE IN THIS AREA?
Fancied by most IMG\'s, the area has an internal airport connected to all major cities in the UK along with excellent road and train routes around the country. With low cost of living compared to all the other cities, the area has vibrant independent restaurants, shops and bars throughout the centre and popular districts. 
New bars and shops open frequently as the city continues to build its youthful and unique identity. There is so much diversity and history within the area that the shops, food and venues reflect this. Old icons such as the Custard Factory host alternative shops and bars, just a short walk from the city center. 

There\'s excellent schooling covering off both private and public schooling around the area with people from different cultures and backgrounds in the area. 

WHAT OPPORTUNITIES ARE AVAILABLE TO YOU?

The Trust have wellbeing groups that organise regular ‘coffee & gas’ meetings, support the trainee buddy system and raises awareness of mental health issues and support systems. They also produce a monthly newsletter featuring department news and colleague profiles and is soon to launch in-house mentoring. The Trust is committed to the development and maintenance of the highest clinical standards through individual appraisal. This will include the audit of personal and clinical practice, as well as involvement in departmental and specialty reviews. It will also involve attention to continuing professional development, in order to meet the requirements for continuing medical education as expected by the relevant Royal College.
The successful applicant would be expected to have an active interest in the areas of both teaching and research. Our junior anaesthetic training has recently been adapted to reflect the new RCOA Anaesthesia curriculum. Due to the number of specialties covered at the Trust, they are able to deliver the vast majority of the curriculum across our four sites except advanced paediatric case. 

ARE YOU ELIGIBLE FOR THIS ROLE?

EEA Candidates:

  • Experience of working in Anaesthetics
  • Relevant European Qualification (recognised by GMC)
Non-EEA Candidates:
  • FRCA Primary, EDAIC, or equivalent
  • Experience of working in Anaesthetics
UK based applicants
  • Experience of working in Anaesthetics
  • Within 6 - 12 months of completing CCT
This is a great opportunity for any experienced physicians interested in Anaesthesia working CESR or specialist registration in the UK.
52,530 - 82,240

An outstanding opportunity for a psychiatrist to join Forensic Psychiatry Department as Specialty Doctor that has received outstanding ratings from the CQC on three occasions. You will offer psychiatric input and conduct assessments, both psychiatric and physical, for patients on two wards. One ward is a self-contained low secure rehabilitation unit situated away from the main hospital premises, while the other is a medium secure rehabilitation ward. This role offers exposure to a broad spectrum of clinical presentations, including personality, affective, anxiety, psychotic, neurodevelopmental, and substance-related disorders. Moreover, it provides a platform for developing knowledge and understanding of forensic mental health sections. This position also offers CESR support for those seeking progression within the UK NHS Jobs system.

This is a great opportunity for overseas Specialty Doctors who want to establish themselves in the NHS, and grow their career. The post is suitable for candidates holding specialisation in the EEA, or for experienced IMGs looking to complete CESR.

What is the NHS Trust like?

The Mental Health NHS Trust is a leading provider of mental health service serving a population of 1.2 million. With five main inpatient sites and 25 community locations, they offer comprehensive support for both mental and physical health needs, catering to young people and adults alike. From managing phobias and anxiety to addressing conditions like bipolar disorder and schizophrenia, their services are diverse and inclusive. They integrate community health services with mental health care, enabling simultaneous treatment of conditions such as diabetes and mental health issues, promoting holistic patient care.

Forensic Psychiatry Team & Department

The Forensic Service enjoys a stellar reputation, earning an \'Outstanding\' rating from the Care Quality Commission. The Forensic Service delivers care in low and medium secure environments, featuring specialized facilities such as the National Stalking Clinic and the Fixated Threat Assessment Centre (FTAC). These services focus on evaluating and managing risks for prominent individuals. 

The inpatient service consists of one acute assessment and treatment medium secure male 4 4 ward, four treatment and intervention medium secure male wards, one female medium secure ward, one medium secure and one low secure male learning disability ward, one low secure male FICU ward and 4 low secure male wards. There are currently 25 Consultant Forensic Psychiatrists in post, working with 5 senior psychiatric trainees who rotate with posts at other forensic psychiatric services in the region. There are 5 junior psychiatric trainees, coming from the UCH training schemes. The service currently employs 10 specialty doctors, working in the prisons and in the rehabilitation parts of the service.

Life in the area

The area offers a blend of urban and suburban living, providing both rural escapes and city conveniences. Residents can explore scenic parks or enjoy activities at different parks. The area boasts a range of quality schools and easy access to universities like Middlesex University. Transport links are excellent, with frequent trains to central London and nearby cities, as well as efficient connections to major airports. Housing options vary from historic cottages to modern apartments, catering to diverse preferences and lifestyles.

Career Development and Opportunities Available

With an extremely active education/teaching programme supported by the consultant team, there is opportunity to work towards and complete CESR, RCPsych exams, get involved in active research and many aspects of CPD. 

Participation in research and educational activities will be encouraged.

ARE YOU ELIGIBLE FOR THIS ROLE?
EEA Candidates:

  • Experience of working in Forensic Psychiatry (Desirable)

Non-EEA Candidates:

  • MRCPsych
  • Experience of working in Forensic Psychiatry (Desirable)

UK based applicants

  • Experience of working in Forensic Psychiatry (Desirable)
93,666 - 126,281

An excellent opportunity to join the dynamic team at an esteemed organization recognized for its excellence by the CQC. This is an opportune moment to become part of the Acute Medicine and Medicine Specialties Teams. With a strong history of achievements, they are committed to delivering exceptional patient-centered care. They seek a passionate and driven Acute and General Physicians to contribute to their mission of providing top-tier medical care across various clinical settings. This is a high performing and supportive department for overseas doctors new to the NHS, or UK-based doctors looking to further careers in the UK.

This is a great opportunity for overseas Consultants who want to establish themselves in the NHS, and grow their consultant career. The post is suitable for candidates holding specialisation in the EEA, or for experienced IMGs looking to complete CESR.

What is the NHS Foundation Trust like?

The NHS Foundation Trust stands as one of the nation\'s largest integrated healthcare organizations, delivering both hospital and community services to a populace exceeding 650,000 individuals. Renowned for their ambition and innovation, they boast a skilled workforce comprising over 7,000 dedicated colleagues. Operating across two acute sites for hospital services and encompassing centers and community hospitals in six towns for planned care, they extend their services even to patients\' residences.

Recognized as a high-performing entity with a history of accomplishments, the Trust has functioned as an integrated acute and community services provider since 2011 and achieved foundation trust status in 2007. Guided by their strategic framework \"Our Patients Matter,\" they articulate their short- and long-term objectives and delineate the path to their realization. This framework underscores their commitment to providing the safest, most compassionate, and seamlessly coordinated care to the communities they serve.

Within this NHS Foundation Trust, medical professionals are presented with a plethora of career prospects and exposure to diverse care settings rarely encountered elsewhere. Additionally, they have the opportunity to reside and practice in some of the most culturally rich and picturesque locations across the country!

What is the Department & Team like?

Within the Trust, there are 5 Care Groups: Urgent & Emergency Care, Integrated Medical Specialties, Surgery, Family Health, and Clinical Specialist Services. The Acute Care Team is housed under the Urgent & Emergency Care division. The Acute & General Medicine Department prides itself on delivering comprehensive and compassionate care to patients across a wide spectrum of medical conditions. Staffed by a dedicated team of consultants and junior doctors, the department ensures round-the-clock coverage to meet the needs of their patients. Their department handles a diverse range of cases, including but not limited to respiratory illnesses, cardiovascular conditions, gastrointestinal disorders, and infectious diseases. With access to state-of-the-art diagnostic and treatment facilities, including advanced imaging technologies and specialist clinics, they are equipped to provide timely and effective care to their patients.

The Acute & General Medicine Department boasts modern and well-equipped facilities, designed to optimize patient care and comfort. They have a 30-bedded Acute Medical Assessment Unit. On average, their department handles a significant number of acute and general medicine cases each year, reflecting the trust and confidence placed in their services by the community they serve. They prioritize patient safety, quality of care, and efficient service delivery, ensuring that each patient receives personalized attention and tailored treatment plans to facilitate their recovery and well-being.

The unit is adequately staffed and the working shifts are designed to ensure more doctors are present during the busy period of the day i.e. late evenings. They address the busy winter months by arranging extra locum cover during this busy period. In addition to the acute medicine registrar(s), there is a middle grade doctor, 1 IMT doctor and 4 FY1 doctors with staggered shifts throughout the day. In addition, there will be an on call registrar and 2 on call IMT doctors with staggered shifts. The night team comprises of one registrar, two FY2/IMT and one FY1 supported by an outreach nurse on most nights. 

What is life like in the area?

The North East of the UK offers a diverse mix of rural and urban settings, providing doctors with a range of living options. Residents can explore stunning coastal areas like Northumberland\'s beaches or venture inland to scenic national parks such as the North Pennines. The region is home to respected schools and universities, including Newcastle University. Transportation links are robust, with efficient road and rail networks connecting residents to major cities like Newcastle, Durham, and Sunderland, as well as international airports. Housing options range from quaint cottages in picturesque villages to modern apartments in vibrant city centers, catering to various lifestyles.

Career Development & Opportunities Available
 


ARE YOU ELIGIBLE FOR THIS ROLE?
EEA Candidates:

  • Experience of working in Acute & General Medicine

Non-EEA Candidates:

  • MRCP
  • Experience of working in Acute & General Medicine

UK based applicants

  • Experience of working in Acute & General Medicine
93,666 - 126,281

An excellent opportunity to join the dynamic team at an esteemed organization recognized for its excellence by the CQC. This is an opportune moment to become part of the Acute Medicine and Medicine Specialties Teams. With a strong history of achievements, they are committed to delivering exceptional patient-centered care. They are seeking dynamic and motivated Consultant Gastroenterologists to become part of their welcoming and enthusiastic gastroenterology team. This presents a chance to join a dedicated gastroenterology team committed to delivering the highest quality comprehensive service. The service is aiming to broaden its focus on sub-specialty interests such as ERCP/EUS, nutrition, IBD, and Liver disease.

This is a great opportunity for overseas Consultants who want to establish themselves in the NHS, and grow their consultant career. The post is suitable for candidates holding specialisation in the EEA, or for experienced IMGs looking to complete CESR.

What is the NHS Foundation Trust like?

The NHS Foundation Trust stands as one of the nation\'s largest integrated healthcare organizations, delivering both hospital and community services to a populace exceeding 650,000 individuals. Renowned for their ambition and innovation, they boast a skilled workforce comprising over 7,000 dedicated colleagues. Operating across two acute sites for hospital services and encompassing centers and community hospitals in six towns for planned care, they extend their services even to patients\' residences. Recognized as a high-performing entity with a history of accomplishments, the Trust has functioned as an integrated acute and community services provider since 2011 and achieved foundation trust status in 2007. Guided by their strategic framework \"Our Patients Matter,\" they articulate their short- and long-term objectives and delineate the path to their realization. This framework underscores their commitment to providing the safest, most compassionate, and seamlessly coordinated care to the communities they serve. Within this NHS Foundation Trust, medical professionals are presented with a plethora of career prospects and exposure to diverse care settings rarely encountered elsewhere. Additionally, they have the opportunity to reside and practice in some of the most culturally rich and picturesque locations across the country!

What is the Department & Team like?

The Gastroenterology department is renowned for its excellence in patient care and comprehensive services. Led by a team of experienced and dedicated consultants, alongside skilled junior doctors, the department provides a wide range of diagnostic and therapeutic interventions for patients with gastrointestinal disorders. This encompasses conditions such as inflammatory bowel disease (IBD), liver disease, gastrointestinal cancers, functional gastrointestinal disorders, and gastrointestinal bleeding. Facilities within the department include state-of-the-art endoscopy suites equipped for various procedures including gastroscopy, colonoscopy, and advanced procedures like endoscopic ultrasound (EUS) and endoscopic retrograde cholangiopancreatography (ERCP). Additionally, the department offers specialized clinics for conditions such as inflammatory bowel disease, hepatology, and nutrition. On average, the department handles a significant number of gastroenterology cases each year, providing timely and effective care to patients across the region. With a commitment to excellence and innovation, the gastroenterology team continues to deliver high-quality care to patients with gastrointestinal disorders.

What is life like in the area?

The North East of the UK offers a diverse mix of rural and urban settings, providing doctors with a range of living options. Residents can explore stunning coastal areas like Northumberland\'s beaches or venture inland to scenic national parks such as the North Pennines. The region is home to respected schools and universities, including Newcastle University. Transportation links are robust, with efficient road and rail networks connecting residents to major cities like Newcastle, Durham, and Sunderland, as well as international airports. Housing options range from quaint cottages in picturesque villages to modern apartments in vibrant city centers, catering to various lifestyles.

Career Development & Opportunities Available

ARE YOU ELIGIBLE FOR THIS ROLE?
EEA Candidates:

  • Experience of working in Gastroenterology

Non-EEA Candidates:

  • MRCP
  • Experience of working in Gastroenterology

UK based applicants

  • Experience of working in Gastroenterology

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