MRCPCH vs PLAB - GMC Registration for IMG Paediatricians
- December 06, 2022
GMC Registration can be a long and complex process. With several options available for overseas doctors to demonstrate evidence of their skills and knowledge, it can be difficult to decide the best route to take to register with the GMC.
For international doctors planning their route to the UK, the two most common and popular routes by far are the UK postgraduate qualifications (MRCPCH for paediatricians) or PLAB. Here we provide a summary of both pathways and briefly consider their benefits to help you make the best choice in your journey to the UK as an IMG.
- GMC Registration for Overseas Doctors
- PLAB for GMC Registration
- MRCPCH for GMC Registration
- Which is better for me as an IMG: PLAB or MRCPCH?
- #IMG Tips
- How do I get started?
Skip ahead to the relevant section if you know what you’re looking for.
GMC Registration for Overseas Doctors
Registering with the GMC is a multi-stage process, including key timings actions and documents. To receive full registration, international doctors must provide evidence of:
What is often the most long and challenging part of the process is providing sufficient evidence of skills and knowledge, however, you can check whether you have a GMC-accepted postgraduate qualification here.
There are 5 ways in which an overseas doctor can demonstrate their skills and knowledge:
- PLAB
- Acceptable Postgraduate Qualification / Licensing Examination
- Relevant European Qualification
- Sponsorship / MTI
- CESR / CESR-CP / CEGPR
Please note that only one type of evidence is required to demonstrate skills and knowledge for GMC registration.
Of these routes, the most accessible are PLAB and the Acceptable Postgraduate Qualification because they are two of the only routes that do not depend on the country you’ve trained in – the UK postgraduate exams and PLAB can be sat by doctors.
For a detailed breakdown of all the routes available to IMGs, see our blog here.
Professional & Linguistics Assessment Board (PLAB)
The first and most common route we’ll be discussing, which is particularly popular among junior doctors, is PLAB.
PLAB is a two-part exam (one written and one practical element), which assesses whether a candidate is at least as capable as a doctor starting the second year of their Foundation Programme Training (FY2 or F2) and can therefore work safely as an SHO (Senior House Officer) in the NHS.
The GMC has produced a useful video summary of the PLAB exams which you can watch here, or for a more detailed overview, see our IMG Resources library.
MRCPCH - UK Postgraduate Qualification for Paediatricians
The UK’s postgraduate qualifications are a more popular route for senior overseas doctors, and those looking to gain posts in the NHS which are reflective of their experience.
For paediatrics, this can be done by attaining Membership of the Royal College of Paediatrics and Child Health. The Royal College of Paediatrics and Child Health (RCPCH) is the professional body that regulates the specialism of paediatrics in the UK, and MRCPCH is the full qualification attained through these examinations.
Take a look at our IMG Resources library for complete guides on MRCPCH to learn more.
PLAB vs MRCPCH
Both MRCPCH and PLAB are respectable routes that demonstrate skills and knowledge and will allow an international doctor to register with the GMC and work in the UK. To decide which route of the two is best for you, you’ll need to consider the benefits of each and how they align with your needs and priorities in moving to the UK.
Seniority of Positions in the NHS
It would be difficult for an overseas paediatrician to obtain a more senior post in the NHS without either MRCPCH, a GMC-approved training programme, or extensive experience from a similar, English-speaking healthcare system. PLAB alone will not give overseas doctors access to senior posts in the NHS.
Training
To practice as a consultant in the UK, you must have gone through specialty training and will need a GMC-recognised postgraduate qualification to do so, whether a qualification from the country in which you completed your specialty training, or MRCPCH.
Time
PLAB has two stages and can take anywhere between 3-9 months to prepare from start to finish.
MRCPCH has four stages, the last of which must be taken after at least 30 months of postgraduate experience with at least 12 months involving the care of emergency paediatric patients and can take anywhere between 24-36 months to prepare from start to finish.
Cost
MRCPCH has varying costs depending on whether you sit the exams in the UK or overseas. If sitting the exam in the UK, the exams can cost around £1,985, whereas sitting the exams overseas can cost up to £3,235.
PLAB costs £1,189, and whilst PLAB 1 can be sat in many overseas centres around the world, PLAB 2 is only delivered in the UK. You can find a list of overseas centres for PLAB 2 here.
So for both MRCPCH and PLAB, candidates will have to travel to the UK, meaning that the additional cost of visas, accommodation and flights must be factored in.
It’s also important to note that these costs can rise if re-sits of the exams are necessary.
Summary
PLAB, as an exam which examines a doctor’s ability to work safely as an SHO, does not assess 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, I.e., paediatrics.
PLAB allows doctors to enter the UK system much faster than other routes and for this reason alone, it is favoured by international doctors when considering their path to the UK.
MRCPCH involves three more difficult examinations and takes more time to prepare for. However, for overseas doctors, attaining MRCPCH will allow you to jumpstart your career in the UK, as you don't need PLAB or Core Training.
Additionally, MRCPCH will facilitate the application for more senior roles in UK paediatrics than PLAB.
#IMG Tips
- Determine your priorities – your goals and timeline for relocating to the UK are important in deciding which route is best for, and this is different for everyone.
- Plan well ahead – depending on the route you choose, you may be embarking on a long journey through these exams, so plan how you will fit them into your life and how best to prepare to maintain a good work-life balance at the same time.
- Find a support network – once you know which exams you will sit, find a support network of others who are also preparing for the exam.
Sources
https://www.rcpch.ac.uk/education-careers/examinations/mrcpch-about
https://www.gmc-uk.org/registration-and-licensing/join-the-register/plab
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 MRCPCH, registrations and qualifications to help you find your dream job in the NHS - take a look at our IMG Resources library.
Don’t hesitate to get in touch with one our recruitment specialists if you would like to discuss your options in the NHS once you have completed PLAB or MRCPCH.
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
A leading NHS hospital is seeking a Consultant Paediatrician with an interest in Respiratory Medicine. The Paediatric Respiratory department includes a team of experienced consultants and middle grade doctors. This is an excellent opportunity for UK-based and international applicants, particularly those with MRCPCH or equivalent specialist qualifications.
JOB REQUIREMENTS AND DETAILS
- CCT or equivalent qualification and specialist registration in Paediatrics with an interest in Respiratory Medicine.
- Proven experience in Paediatric Respiratory care and clinical leadership.
- Salary range: £105,504 - £139,882 per annum, dependent on experience or grade.
CORE DUTIES OF THIS ROLE
- Lead the Paediatric Respiratory service, providing specialist care for complex cases.
- Support and develop junior doctors and medical staff.
- Contribute to clinical governance and service development.
LIFE IN SOUTH WEST
South West England offers a dynamic mix of coastal, rural, and urban living, with excellent transport links and a rich cultural and historical heritage. From stunning landscapes like Dartmoor and the Jurassic Coast to vibrant cities such as Bristol and Exeter, the region provides a high quality of life for families and professionals alike.
HOW WILL IMG CONNECT SUPPORT YOU?
When applying with IMG Connect you’ll have the full support of an expert recruitment team who will be your recruitment and relocation partners throughout the process. We\'ll support you with:
- CV Preparation with a bespoke session with one of our specialists
- Application support with expert knowledge of NHS specialisms & recruitment practice
- At least two video calling interview preparation sessions
- Contract and offer negotiations for salary, relocation packages, tenure and more
- Document gathering and checking
- COS and Visa Application support if applicable
- Support sourcing short- and long-term accommodation
- Travel Arrangements
- Family support for finding schools and any other aspects of pastoral care
A leading NHS hospital in the UK is seeking a Consultant in Community Paediatrics to join its growing team. The department includes experienced consultants, associate specialists, and middle-grade doctors, providing high-quality paediatric care. This role is open to both UK-based and international candidates, with preference for those holding CESR or entry on the GMC Specialist Register.
Portfolio support (formerly CESR) is available and can be discussed on a case-by-case basis.
JOB REQUIREMENTS AND DETAILS
- Full GMC Registration and CESR or entry on the GMC Specialist Register are required.
- Training in Safeguarding, Neurodisability, or Social Paediatrics is highly desirable.
- The salary will range from £105,504 and £139,882 per annum (pro rata), based on experience.
CORE DUTIES OF THIS ROLE
- Deliver expert care in Community Paediatrics, supporting children with developmental and safeguarding needs.
- Collaborate with a multi-disciplinary team, including specialist nurses, therapists, and social care teams.
- Participate in safeguarding assessments, neurodevelopmental clinics, and complex case reviews.
- Engage in medical education, clinical governance, and service development initiatives.
LIFE IN THE REGION
The hospital is located in a beautiful UK region, known for its high quality of life, excellent transport links, and access to scenic coastal and countryside areas. Families benefit from great schools, a range of outdoor activities, and a thriving cultural scene.
With a strong maritime history and modern healthcare infrastructure, the region provides an exceptional working environment for medical professionals.
HOW WILL IMG CONNECT SUPPORT YOU?
When applying with IMG Connect, you’ll have the full support of an expert recruitment team who will be your recruitment and relocation partners throughout the process. We\'ll support you with:
- CV preparation with a bespoke session with one of our specialists.
- Application support with expert knowledge of NHS specialisms & recruitment practice.
- At least two video calling interview preparation sessions.
- Contract and offer negotiations for salary, relocation packages, tenure, and more.
Once you have accepted your new role, you’ll then be supported and led throughout by one of our dedicated relocation executives who will guide you all the way to starting your new role, including:
- Document gathering and checking, COS and Visa Application support if applicable.
- Support sourcing short- and long-term accommodation.
- Travel arrangements and family support for finding schools and any other aspects of pastoral care.
A general hospital on a scenic island is looking for a Consultant in Paediatric Medicine with an interest in general paediatrics and neonatology. The paediatric department comprises a team of 6 consultants supported by 7 middle-grade doctors. This paediatrics job is open to both international (IMG) applications and UK-based doctors, though those with equivalent specialist qualifications or Royal College certifications are most encouraged to apply.
Anyone requiring portfolio support (formally known as CESR) can have their required support discussed on a case-by-case basis.
JOB REQUIREMENTS AND DETAILS
NHS experience, MRCOG / European specialist paediatrics qualifications and extensive experience in paediatrics and neonatology are required for this role. Anyone with an interest in acute paediatrics or neonatal transport should apply. The salary will be between £56 to 103k dependent on seniority and experience.
CORE DUTIES OF THIS ROLE
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Deliver acute and ambulatory medical care to children, including neonatal care.
-
Participate in a non-resident on-call rota covering paediatrics and neonates.
-
Conduct ward rounds and outpatient clinics, with significant focus on direct clinical care.
-
Engage in departmental teaching, governance, and training activities.
LIFE ON THE ISLAND
This island offers an ideal mix of urban and rural lifestyles, with vibrant towns and serene coastal villages. The region features great transport connections, including quick access to the mainland, and a wide variety of excellent schools, recreational opportunities, and family-friendly activities. Historically significant, the island is celebrated for its wartime history and beautifully preserved castles and coastlines.
An NHS hospital in the South East region is looking for a Specialty Doctor in General Paediatrics with an interest in Neonatology or another special interest. The Paediatrics department comprises a team of 15 consultants and is supported by a large team of middle-grade doctors. This Paediatrics job is open to both international applications and UK-based doctors, though those with European Specialist qualifications or MRCPCH are most encouraged to apply.
Anyone requiring portfolio support (formally known as CESR) can have their required support discussed on a case-by-case basis.
JOB REQUIREMENTS AND DETAILS
At least three years of experience in General Paediatrics, including Neonatal medicine at a middle-grade level, are required for this role. Anyone with an interest in developing their subspecialty expertise should apply. The salary will be between £52,530 and £82,400 dependent on experience or grade.
CORE DUTIES OF THIS ROLE
- Support the inpatient service, SSPAU, and level 1 SCBU.
- Participate in a 1:8 Tier 3 Rota providing general paediatric services.
- Provide teaching and participate in education activities in General Paediatrics.
- Contribute to clinical governance, incident reporting, and audit projects.
LIFE IN SOUTH EAST ENGLAND
The hospital is located in a well-connected area, with towns such as Eastbourne and Bexhill-on-Sea offering both urban and rural living options. There are excellent schools, transport links, and leisure facilities for both adults and families. The region has a rich history, including its role in the famous 1066 Battle of Hastings, which shaped British history.
HOW WILL IMG CONNECT SUPPORT YOU?
When applying with IMG Connect you’ll have the full support of an expert recruitment team who will be your recruitment and relocation partners throughout the process. We\'ll support you with:
- CV Preparation with a bespoke session with one of our specialists
- Application support with expert knowledge of NHS specialisms & recruitment practice
- At least two video calling interview preparation sessions
- Contract and offer negotiations for salary, relocation packages, tenure, and more
Once you have accepted your new role, you’ll then be supported and led throughout by one of our dedicated relocation executives who will guide you through all the way to starting your new role including:
- Document gathering and checking COS and Visa Application support if applicable
- Support sourcing short- and long-term accommodation
- Travel Arrangements Family support for finding schools and any other aspects of pastoral care
We are looking to recruit a Consultant Paediatrician in the Channel Islands, a UK territory sitting off the coast of France and just a 1 hour flight from London. This job presents a great opportunity to advance your medical career in the UK.
The health service, separate from the NHS, is an integrated, taxation-funded system, free at the point of delivery, managed by the Health and Community Services Department on the island. Key benefits of working there are higher salaries than the NHS, lower taxes and sunnier weather.
Consultant Pay range - £110,257 to £164,372
Single rate of tax - 20%.
The Service
The service is committed to delivering high-quality healthcare services to its community. Funded by local authorities, the Trust oversees a comprehensive range of health services including hospital care, public health, and environmental health. With a modern hospital featuring a significant number of acute beds and specialized facilities, the Trust ensures exceptional care for both residents and seasonal visitors. The organization emphasizes excellence in patient care and continuous improvement, making it a prominent healthcare provider in its region.
Department & Team
The Paediatrics Department at this service provides essential care to children and includes a dedicated team of Paediatric Consultants, Staff Grades, and trainee doctors. The department offers a full spectrum of services such as Neonatal Care, Acute Paediatric Medical Care, and Ambulatory Care. With strong links to tertiary centers, the department ensures access to advanced medical treatments and maintains a robust governance system to support high standards of patient care and continuous professional development.
Continued Professional Development
This NHS job offers further training & accreditation within Paediatrics, including CESR Portfolio Pathway Support, access to specialty training, and the opportunity to develop sub-specialist interests. The Trust is committed to your professional growth, providing generous study leave, financial support for relevant courses, and opportunities for involvement in clinical audits and teaching. This support will help you achieve your career goals and meet the requirements for revalidation and ongoing professional development.
Location
The region features diverse natural beauty, including stunning coastlines and scenic landscapes. With a moderate cost of living, excellent educational facilities, and a safe, welcoming community, it offers a balanced lifestyle. The area’s rich cultural heritage and local traditions add to its charm.
Financial benefits
Living in this location offers significant financial benefits. The flat income tax rate of 20% is notably advantageous compared to the UK, and a generous public sector pension scheme is provided, not constrained by UK lifetime or annual contribution limits. The consultant contract closely mirrors the UK model but offers higher incremental levels starting at £110,257 and with a top basic salary of £164,372.
Am I eligible for this role?
UK based candidates:
- Specialist Training in Paediatrics
- Consultant or Specialist Experience in Paediatrics
- RCPCH qualification
EEA candidates:
- Consultant or Specialist Experience in Paediatrics
- European Specialist Qualification
Non-EEA candidates:
- RCPCH qualification
- Specialist Training in Paediatrics
- Consultant or Specialist Experience in Paediatrics