FRCPath vs PLAB - GMC registration for overseas pathologists

  • April 13, 2023
 

GMC Registration is a complex process. For histopathologists who’ve qualified outside the EEA region there are two main pathways to consider – FRCPath and PLAB.

Whilst these are the most common routes to GMC registration, this is not an exahaustive list. There are other options such as Royal College sponsorship and GMC-approved qualifications or licensing exams, and you can read more about these here.

Here we will give a summary of both of the main routes and briefly consider their benefits. 

Professional & Linguistics Assessment Board (PLAB) 

The first and most popular route with most junior doctors is PLAB

PLAB is a two-part exam (one written one practical), and which assesses whether you are at least as capable as a doctor starting the second year of their Foundation Programme Training and can therefore work safely as an SHO in the NHS. 

The GMC have created a video summary of the PLAB exams which you can watch hereor for a more detailed overview, see our IMG Resources library

FRCPath - UK Postgraduate Qualification 

The UK postgraduate qualification for histopathology – FRCPath Histopathology - is the most popular and recommended route for overseas doctors who have completed a training or residency programme, and will be looking for senior pathology positions in the NHS.  

By completing both parts of the FRCPath you are awarded Fellowship of the Royal College of Pathologists. The Royal College of Pathologists is the professional body that regulates the pathology specialties in the UK. Take a look at our IMG Resources library for complete guides on FRCPath for histopathology to learn more. 

PLAB vs FRCPath 

Both are legitimate routes and will allow you to register with the GMC and work in the UK. To decide which route is best for you, you’ll need to consider the benefits of each and how they align with your priorities and needs in moving to the UK. 

 

Seniority of Positions in the NHS 

Histopathology is a consultant led specialty in the UK, and it would be difficult for an overseas pathologist to obtain a more senior post without FRCPath, or extensive experience from a similar, English speaking healthcare system. PLAB alone will not give overseas doctors access to senior posts in the NHS.  

Time  

PLAB has two stages and can take anywhere between 3-9 months to prepare from start to finish. 

FRCPath has two stages and can take anywhere between 18-30 months to prepare from start to finish.  

Cost  

FRCPath costs just under £1,930 and whilst the Part 2 exam is an in-person exam, the Part 1 exam can be taken online. You can read about the changes to the FRCPath 1 delivery here

PLAB costs £1,189, and both exams are sat in person. PLAB 1 can be taken in the UK or several overseas centres, which you can find here. PLAB 2 must be taken in the UK.  

For both FRCPath Part 2 and PLAB 2, candidates will have to travel to the UK, meaning that the additional cost of visas, accommodation and flights must be factored in.  

It’s important to note that these costs can rise if re-sits of the exams are necessary. 

Summary 

PLAB, as an exam which assesses a doctor’s ability to work safely in the UK, does not demonstrate ability in histopathology specifically. For this reason, PLAB tends to be a route for junior doctors who have not already chosen their field of specialisation in medicine. 

Additionally, PLAB can facilitate GMC registration much faster than other routes – so if you feel you can attain an offer of employment in the UK with your overseas experience only – but GMC registration is the one thing standing in your way – PLAB may be a good option for you.  

FRCPath involves two more difficult examinations and takes more time to prepare for. Attaining FRCPath in Histopathology will allow you to jumpstart your career in the UK, you’ll most likely be able to take a consultant role. You would not need PLAB or Core Training in addition to FRCPath.  

Additionally, histopathology in the UK is also a consultant-led specialism, and FRCPath demonstrates competency to practice unsupervised as a consultant.  

#IMG Tips 

  1. Determine your priorities – your goals and timeline for relocating to the UK are important in deciding which route is best for, and this is different for everyone. 
  2. Plan well ahead – depending on the route you choose, you may be embarking on a long journey through these exams, so plan how you will fit them into your life and how best to prepare to maintain a good work-life balance at the same time. 
  3. Find a support network – once you know which exams you will sit, find a support network of others who are also preparing for the exam. A great way to do this is to join IMG Histopathologists, an online pathology community of UK and NHS histopathology aspirants and dedicated histopathology recruiters. You’ll find advice, guidance and news and updates about all things histopathology for IMGs. Join the conversation here

Getting started 

Once you’ve decided which exams are best for you, it’s time to delve deeper into the exams and what they entail. For more useful blogs and articles on PLAB or FRCPath exams, registrations and qualifications to help you find your dream job in the NHS - take a look at our IMG Resources library.  

Or if you have any questions on PLAB or Postgraduate qualifications, feel free to get in touch with our histopathology consultants here.


For regular news and updates, follow IMG Connect on social media using the links below.

            

 

Relevant Jobs

93,666 - 126,281

A unique opportunity awaits Histopathologists, especially Consultants, to join a dynamic team of 35 professionals at the Histopathology Department within a prestigious NHS Foundation Trust. Engaged in diverse diagnostic tasks, the department encourages research and teaching, offering a platform for career growth. This role is ideal for overseas Histopathologists interested in the UK NHS, with a focus on those specializing in the EEA or experienced IMGs aiming to fulfill CESR requirements.

The Histopathology Department boasts a skilled team of consultants and junior doctors, equipped with cutting-edge facilities for accurate diagnostics. Handling a wide range of cases annually, the department ensures timely and precise reports, contributing to patient care.

The department is part of an NHS Foundation Trust that is considered as a leading healthcare institution, emphasizes staff well-being, inclusivity, and equal opportunities. With 23,500 staff, the Trust is dedicated to creating a compassionate work environment where every team member can thrive. The commitment to inclusivity is deeply ingrained, driven by diverse staff networks and a Fairness Taskforce led by the CEO.

The career development opportunities at University Hospitals Birmingham NHS Foundation Trust extend to research and development initiatives. Actively participating in regional and national research programs and clinical trials, the Trust supports staff in project planning and submission. This role presents a compelling prospect for experienced international histopathologists pursuing CESR and specialist registration in the UK NHS.

ARE YOU ELIGIBLE FOR THIS ROLE?

EEA Candidates:

  • Experience of working in Histopathology (essential) 

Non-EEA Candidates:

  • FRCPath or PLAB (essential)

  • Experience of working for Histopathology (essential)

UK based applicants

  • Experience of working in Histopathology (essential)

88364 - 119133

A compelling opportunity awaits a Consultant Histopathologist at South Tees Hospitals NHS Foundation Trust, renowned for its \"good\" overall rating by the CQC. This pivotal NHS job offers the chance to contribute significantly to pathology services within the Tees Valley Collaborative Service. Collaborating with a skilled team of 12 consultants, the role involves delivering a comprehensive cellular pathology reporting service to a diverse population across several towns, and totaling 1.6 million residents.

This role is particularly advantageous for overseas Consultant Histopathologists aspiring to establish themselves in the NHS. Suited for candidates with specialization in the European Economic Area (EEA) or experienced International Medical Graduates (IMGs) seeking completion of the Certificate of Eligibility for Specialist Registration (CESR), it provides a unique pathway for professional growth.

The Histopathology Department at The James Cook University Hospital stands as a beacon of diagnostic excellence, equipped with a dedicated team of consultants and junior doctors. With a robust staffing quota, the department handles a diverse caseload, offering comprehensive care ranging from routine diagnostics to complex pathology. State-of-the-art facilities, including a modern operating suite with 20 theatres and a 33-bedded critical care unit, underscore the commitment to precision and cutting-edge diagnostics.

The department is part of an NHS Foundation Trust that oversees a diverse healthcare landscape, including their main hospitals that is a major teaching and trauma center with 1,024 beds, a 24-hour acute admissions unit, and an emergency department. The NHS Foundation Trust has another hospital, integral to community care, complements the trust\'s commitment to excellence across Middlesbrough and Northallerton.

The Trust\'s dedication to research and development is evident through active participation in regional and national research programs and clinical trials. The Research and Effectiveness department within the Trust facilitates project coordination, supporting innovation. A specialized member of the research staff brings expertise in managing the pathological aspects of clinical trials.

It is part of the Middlesbrough, the urban hub, offers residents a dynamic living experience with access to scenic parks, cultural attractions, quality schools, and Teesside University. Robust transportation links connect Middlesbrough locally and to major cities and airports. Housing options, from historic residences to modern developments, cater to diverse preferences, ensuring a vibrant urban lifestyle with green spaces and educational excellence.

This opportunity, tailor-made for experienced international histopathologists, aligns with the aspiration to achieve CESR and specialist registration within the UK NHS. It not only offers a stimulating professional environment but also serves as a gateway to making a meaningful impact on healthcare.

ARE YOU ELIGIBLE FOR THIS ROLE?

EEA Candidates:

  • Experience of working in Histopathology (essential) 

Non-EEA Candidates:

  • FRCPath or PLAB (essential)

  • Experience of working for Histopathology (essential)

UK based applicants

  • Experience of working in Histopathology (essential)

93,666-126,281

Experienced Pathology Consultants from around the globe are encouraged to apply for consultant roles in one of the largest Foundation Trusts in the South East of England. The trust actively seeks experienced consultants, whether or not they are currently on the specialist register, with a commitment to supporting those not on the register for CESR if that is their preference. This Trust, boasting nearly 10,000 staff and an annual budget exceeding £715 million in 2019/20, operates two large general hospitals in the East of England that consistently perform well according to their CQC reports.

The Histopathology department at this Trust is on a trajectory of advancement, aiming to incorporate the latest technologies and innovations to meet the current and future challenges of the modern NHS. An exciting collaboration with a large teaching hospital and tertiary center in China is underway, promising extensive opportunities for research and teaching within the Histopathology department. The post holder will play a crucial role in surgical pathology and cytopathology, engaging with a dynamic and multidisciplinary team.

The work environment within the Histopathology department is characterized by surgical cut-up performed by Consultant Pathologists, Specialty Registrars, and Biomedical Scientists. Two biomedical scientists have completed the Diploma of Expert Practice in Histological dissection (cut-up), with ongoing training for another. Technical staff handle small biopsies, while Consultant Pathologists report all FNA and non-cervical cytology specimens. Although there is no sub-specialization in surgical histology or diagnostic cytology at present, lead pathologists for each cancer site act as contact points within the department, actively participating in multidisciplinary meetings. Importantly, there is no on-call commitment, and the post holder has the option to undertake coronial post-mortem examinations by direct agreement with local coroners services.

Currently, there are six consultant pathologists, with capacity for two more, including the current vacancy. The Histopathology and Blood Science services are fully accredited by UKAS, participating in both interpretative and technical EQA schemes. The hospital itself holds HTA approval as an institution.

Beyond the professional realm, life in the region offers an enviable quality of life in a historic town. The area features a wealth of affordable housing in one of the most attractive parts of Britain, while remaining in proximity to one of London\'s major airports and all the facilities of the capital. Families will find excellent schools and a range of leisure facilities to enhance their living experience. Relocation support, including detailed information through a relocation document, is available for those interested in exploring this exciting opportunity further.

Are you eligible for this role?
To be considered for this role you must meet the following requirements:

  • Specialist Registration in Histopathology or
  • FRCPath and extensive consultant experience or
  • GMC registration with reporting experience in a similar healthcare system
Experience from similar healthcare systems with similar reporting methods will be considered for these roles. Any consultant pathologists not on the specialist register for histopathology will be supported for CESR if that is their desire.
£93-126k

Exciting Consultant Opportunity in Cardiothoracic Histopathology!

Are you a highly motivated Consultant in Cardiothoracic Histopathology seeking a rewarding NHS job in the UK? Look no further! This exceptional opportunity offers a dynamic environment for career growth. With a commitment to delivering tertiary cardiothoracic services, you will be part of a team that stands as an innovative and dynamic unit, now in its 11th year of excellence. You will be an integral part of a small, dedicated team delivering tertiary care services.

This position is particularly advantageous for individuals aiming to pursue a CESR (Certificate of Eligibility for Specialist Registration) pathway in their career development within the NHS. The role not only promises a challenging and stimulating professional journey but also provides essential CESR support for those seeking specialization in Cardiothoracic Histopathology in the UK.

Joining the Histopathology Department means becoming part of a team of experienced professionals. The department maintains a robust staffing quota, ensuring a seamless workflow and high-quality patient care. Handling a diverse caseload that includes a wide range of histopathology and cytology cases, the team\'s expertise allows for precise diagnoses and comprehensive treatment planning.

The department is equipped with state-of-the-art facilities, providing the necessary tools for accurate analyses and efficient reporting. As a Consultant, you will play a crucial role in contributing to the comprehensive range of tertiary histopathology diagnostic services offered to the local catchment area of Essex and beyond by the CTC Histopathology department.

The department sits within one of the largest NHS Foundation Trusts in the country. With a workforce of approximately 15,000, it serves a diverse population of 1.2 million people. The Trust manages three renowned hospitals. Its commitment to excellence is reflected in its commendable Care Quality Commission (CQC) rating. They prioritizes the professional development of its staff. By joining the Trust, you gain access to personal development opportunities, appropriate training for your role, and support to succeed. The Trust is dedicated to ensuring the health, well-being, and safety of its workforce and provides opportunities for staff to engage in decisions affecting both individual roles and the services provided.

The hospital is situated in a town that offers a well-rounded living experience. It provides a unique blend of urban and suburban living. The town retains urban conveniences while offering a rural escape through the surrounding countryside. Residents can enjoy various activities, from scenic walks to exploring the parks! The area boasts quality schools and proximity to renowned universities, making it an ideal location for families and individuals alike. Robust transportation links connect the town to major cities and airports, ensuring convenient accessibility. Housing options are diverse, ranging from modern developments to charming suburban homes, accommodating a variety of preferences.

Seize this exceptional opportunity to contribute to the forefront of Cardiothoracic Histopathology while enjoying a balanced and fulfilling lifestyle in the vibrant town of Basildon. Apply today to become a part of the dedicated team at the Essex Cardiothoracic Centre, shaping the future of healthcare in the UK. 

ARE YOU ELIGIBLE FOR THIS ROLE?

EEA Candidates:

  • Experience of working in Histopathology (essential) 

Non-EEA Candidates:

  • FRCPath or PLAB (essential)

  • Experience of working for Histopathology (essential)

UK based applicants

  • Experience of working in Histopathology (essential)

An excellent NHS Trust is currently seeking Consultant Histopathologists for a locum position. This role offers the chance to work alongside a team of ten pathologists within one of the Eastern Region\'s leading healthcare organizations. The Trust is known for its comprehensive acute services. The position is suitable for candidates with EEA specialization or experienced IMGs pursuing CESR.

The NHS Trust is a district general hospital trust comprising three hospitals. It serves the communities of three towns, consistently achieving a commendable CQC rating for its commitment to high-quality healthcare services.

The Histopathology Department is a vital healthcare component, staffed by experienced histopathologists, including consultants and junior doctors. Equipped with cutting-edge facilities, the department ensures precise diagnoses for a diverse caseload, from routine biopsies to complex cancer evaluations. Annually, the department handles a substantial number of histopathology and cytology cases, making it an ideal environment for professionals seeking career growth in histopathology.

The hospital is situated in a town that offers both urban and rural settings within reach. The area features diverse schooling options and excellent transportation links, including rail services to London, easy access to major cities, and airports. Housing choices range from modern apartments to family-friendly homes, making it an appealing destination for medical professionals and families alike.

Apply now and get the chance to contribute to the provision of high-quality healthcare services in a dynamic and supportive environment. Experience career growth and an enriching life in an urban area with a touch of scenic beauty.

ARE YOU ELIGIBLE FOR THIS ROLE?

EEA Candidates:

  • Experience of working in Anatomical Pathology
  • Specialist European Qualification in Anatomical Pathology

Non-EEA Candidates:

  • FRCPath
  • Experience of working in Anatomical Pathology

UK based applicants

  • Experience of working in Anatomical Pathology
  • Within 6 - 12 months of completing CCT

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