MRCPsych vs PLAB - GMC registration for overseas psychiatrists
- March 11, 2022
GMC Registration can be a long and complex process. With a few options available for demonstration evidence of skills and knowledge, it can be difficult for IMGs to decide the best route to take to register with the GMC.
For international doctors planning their route to the UK, there are essentially two main pathways to consider – postgraduate qualifications (for psychiatrists, this is MRCPsych) or PLAB.
Whilst these are the most common routes to GMC registration, this is not an exhaustive 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 provide a summary of both of the main pathways and briefly consider their benefits.
- PLAB for GMC Registration
- MRCPsych for GMC Registration
- Which is better for me as an overseas psychiatrist, PLAB or MRCPsych?
- #IMG Tips
- How do I get started?
Professional & Linguistics Assessment Board (PLAB)
The first and most common route we’ll be discussing, which tends to be 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 and can therefore work safely as an SHO in the NHS.
The GMC has a useful video summary of the PLAB exams which you can watch here, or for a more detailed overview, see our IMG Resources library.
MRCPsych - UK Postgraduate Qualification for Psychiatrists
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.
Within psychiatry, this can be done by attaining Membership of the Royal College of Psychiatrists. The Royal College of Psychiatrists is the professional body that regulates the specialism of psychiatry in the UK, and Membership of the College of the Royal College of Psychiatrists (MRCPsych) is the full qualification attained through these examinations. Take a look at our IMG Resources library for complete guides on MRCPsych to learn more.
PLAB vs MRCPsych
Both MRCPsych and PLAB are legitimate routes that demonstrate skills and knowledge 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 needs and priorities in moving to the UK.
Seniority of Positions in the NHS
It would be difficult for an overseas psychiatrist to obtain a more senior post in the NHS without either MRCPsych, 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.
Specialty 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 MRCPsych.
Only one type of evidence is required to demonstrate skills and knowledge, so once you pass MRCPsych, you would not need to additionally sit the PLAB exams. However, due to the more specialised nature of MRCPsych, psychiatrists may want to sit the MRCPsych exams at a later date, to allow them access to more senior roles and competitive salaries.
Time
PLAB has two stages and can take anywhere between 3-9 months to prepare from start to finish.
MRCPsych has three stages, the last of which must be taken after at least 36 months of postgraduate experience in psychiatry and can take anywhere between 24-36 months to prepare from start to finish.
Cost
MRCPsych costs just under £2,000 for the three exams. All MRCPsych exams can now be sat online, so there is no longer the added expense of international travel. You can read about the changes to the exam format 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.
So, for 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 examines a doctor’s ability to work safely as a Senior House Officer (SHO), does not assess 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, I.e., psychiatry.
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.
MRCPsych involves three more difficult examinations and takes more time to prepare for. However, for overseas doctors, attaining MRCPsych will allow you to jumpstart your career in the UK, as you don't need PLAB or Core Training.
Additionally, MRCPsych will facilitate the application for more senior roles in UK psychiatry 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. A great way to do this is to join the IMG Psychiatrists Facebook group, an online psychiatry community of UK and NHS psychiatry aspirants and dedicated psychiatry recruiters. You’ll find advice, guidance and news and updates about all things psychiatry 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 MRCPsych 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, please get in touch with our psychiatry recruiters here. They will be more than happy to help you.
To receive the latest news and updates on all things psychiatry, including the Royal College, GMC registration and the NHS, follow us on social media and join the conversation.
Relevant Jobs
Consultant Psychiatrist (General Adult Psychiatry) – Republic of Ireland
Location: Republic of Ireland - South
Salary: €222,215 to €266,925 per annum
Organisation: Health Service Executive (HSE), Ireland
Specialism: General Adult Psychiatry
Job Type: Inpatient and Community Services
A trust in the South of the Republic of Ireland is seeking a Consultant Psychiatrist with expertise in General Adult Psychiatry to lead a multidisciplinary team delivering both inpatient and community mental health services. The psychiatry department consists of a diverse and well-established team, including Consultant Psychiatrists, Nurse Team Leads, Community Mental Health Nurses, Occupational Therapists, Psychologists, Support Workers, and other allied health professionals.
This role offers an excellent opportunity to work across varied settings, contributing to high-quality care for adults with complex mental health needs. Applicants with European Specialist qualifications or UK CCT are strongly encouraged to apply, and both internationally based and Ireland-based doctors are welcome.
Job Requirements and Details
- Consultant-level experience in General Adult Psychiatry.
- Eligible for Medical Council of Ireland (MCI) registration with an equivalent European or UK specialist certification.
- Prior experience in adult mental health services is essential.
- Salary ranges from €222,215 to €266,925, depending on experience and qualifications.
Core Duties of the Role
- Provide clinical leadership in General Adult Psychiatry across both inpatient and community settings.
- Supervise and support the development of junior doctors and multidisciplinary colleagues.
- Deliver patient-centred care in collaboration with a skilled multidisciplinary team.
- Contribute to ongoing service development and quality improvement within the department.
Life in the Republic of Ireland – South Region
The South of Ireland is known for its high quality of life, combining vibrant urban life with the tranquillity of coastal and rural living. The region offers beautiful landscapes, excellent schools, rich cultural traditions, and a welcoming community. Well-connected transport links and a variety of recreational and family-oriented opportunities make it a fantastic place to live and work.
How IMG Connect Will Support You
By applying through IMG Connect, you will benefit from dedicated support throughout your relocation and recruitment journey, including:
- CV and application preparation tailored to Irish medical systems.
- Interview preparation, including two in-depth coaching sessions.
- Contract and salary negotiations to ensure you receive the best relocation package.
Once placed, our relocation team will assist with:
- Document collection and verification
- Visa and work permit guidance
- Short- and long-term accommodation solutions
- Travel planning and pastoral support for you and your family, including school search and local integration
This is an exciting opportunity to join a progressive and supportive mental health service, delivering high-impact care in General Adult Psychiatry within one of Ireland’s most scenic and vibrant regions.
Consultant Psychiatrist (Old Age Psychiatry) – Republic of Ireland
Location: Republic of Ireland - South
Salary: €222,215 to €266,925 per annum
Organisation: Health Service Executive (HSE), Ireland
Specialism: Old Age Psychiatry
Job Type: Inpatient and Community Services
A trust in the South of the Republic of Ireland is seeking a Consultant Psychiatrist with expertise in Old Age Psychiatry to lead a multidisciplinary team providing both inpatient and community services. The psychiatry department consists of a diverse team of professionals including Consultant Psychiatrists, Nurse Team Leads, Community Mental Health Nurses, Healthcare Support Workers, Care Home Liaison Nurses, Young Onset Dementia Nurses, Occupational Therapists, Psychologists, Dementia Post-Diagnostic Support, Care Managers, and other support staff.
This role offers a unique opportunity to work across both inpatient and community services, allowing for a broad and varied clinical experience in the field of old age mental health care. The position is open to both international applicants and those already based in Ireland, and those with equivalent qualifications such as a European Specialist qualification or CCT in the UK are strongly encouraged to apply.
Job Requirements and Details
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Consultant level experience in psychiatry.
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Eligible for Medical Council of Ireland (MCI) registration with equivalent European certification.
-
Prior experience in Old Age Mental Health is essential.
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Salary will range from €222,215 to €266,925 depending on experience and qualifications.
Core Duties of the Role
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Provide clinical leadership in Old Age Psychiatry services across both inpatient and community settings.
-
Supervise and support the training and professional development of junior doctors.
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Work collaboratively with the multidisciplinary team to provide high-quality care to patients.
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Participate in the development and improvement of services within the department.
Life in the Republic of Ireland - South Region
The South of Ireland offers a wonderful blend of vibrant urban areas and peaceful rural settings. With stunning coastlines, charming villages, and bustling cities, it’s an ideal location for both professional and personal life. Major cities offer excellent cultural, recreational, and family-oriented opportunities.
Transport links are efficient, and the region is home to highly regarded schools, a wealth of outdoor activities, and a rich cultural scene. Ireland\'s unique history and traditions provide a welcoming and enriching experience.
How IMG Connect Will Support You
When applying through IMG Connect, you’ll receive the full support of an expert recruitment team who will be your recruitment and relocation partners throughout the process. We will support you with:
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CV preparation with a bespoke session with one of our specialists.
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Application support with expert knowledge of Irish medical specialties and recruitment processes.
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Interview preparation including at least two video calling interview sessions.
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Contract and salary negotiations for the best possible relocation package, including accommodation and other benefits.
Once you have accepted your new role, IMG Connect’s relocation team will guide you through the entire transition, including:
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Document gathering and verification.
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Visa and work permit assistance if required.
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Accommodation support for both short- and long-term housing.
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Travel and relocation assistance, including support for your family in finding local schools or any other necessary pastoral care.
This is an exciting opportunity to join a dynamic team and contribute to the ongoing development of services in the field of Old Age Psychiatry in the Republic of Ireland\'s South Region.
A Health Board on the South Wales coast is seeking a Consultant Psychiatrist to join a central clinic as part of an evolving mental health service committed to delivering a 24-hour single point of admission, supported by two treatment wards and five dynamic community mental health teams.
This is a fantastic opportunity to lead clinical change within a supportive and multidisciplinary environment, where collaboration with management and clinical colleagues is highly valued.
This opportunity is open to both UK-based and international doctors, with CESR portfolio support available to help progress toward specialist registration.
Job Requirements and Details
Qualifications: Full GMC registration with a licence to practise, MRCPsych preferred, CCT or equivalent specialist qualification and training in Psychiatry.
Experience: Applicants must have significant experience in general adult psychiatry.
Desirable: Previous leadership roles, community mental health experience, and involvement in service development or clinical governance.
Salary: £106,000 to £154,760 per annum, dependent on experience and length of service.
Core Duties of This Role
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Take overall clinical responsibility for outpatient care, including the development and oversight of Care and Treatment Plans.
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Provide leadership and supervision to the multidisciplinary team, with clear delegation of responsibilities.
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Contribute to service planning in line with the strategic direction of the Health Board.
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Provide educational supervision to junior medical staff, supporting training and development in line with Royal College guidelines.
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Actively participate in quality assurance, clinical governance, risk management, and clinical audit processes.
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Fulfil on-call commitments on a 1:14 rota, with prospective cover across the SBUHB area.
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Engage in continuous professional development, including annual job plan review and maintenance of Royal College CPD requirements.
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Opportunities for involvement in research and innovation are encouraged and supported.
Living and Working on the South Wales Coast
The South Wales coast offers a unique blend of coastal beauty and urban convenience. With stunning beaches, nearby national parks, and a thriving cultural scene, the region provides a high quality of life for professionals and families.
The area is well connected, with excellent schools, vibrant communities, and strong transport links to Cardiff, Bristol, and London. Whether you\'re seeking outdoor adventure or a peaceful place to call home, the South Wales coast offers an ideal setting for both work and leisure.
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 will assist you with:
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CV preparation with a bespoke session from one of our NHS recruitment specialists.
-
Application support tailored to psychiatric roles and NHS expectations.
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Two comprehensive video interviews to prepare for your NHS panel.
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Contract negotiation including salary, relocation, and service expectations.
Post-offer, your IMG Connect relocation executive will guide you through:
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Visa sponsorship (including COS and application support).
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Accommodation search assistance.
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Family relocation support (schools, childcare, etc.).
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Local area orientation and integration advice.
A trust in the West Midlands is looking for a Specialist Doctor in Child and Adolescent Mental Health with an interest in community-based care for children and young people. This exciting role supports the a CAMHS team, providing vital services to a diverse population across both urban and rural settings. The multidisciplinary team includes mental health practitioners, psychologists, psychotherapists, social workers, occupational therapists, and administrative support staff.
This opportunity is open to both UK-based and international doctors, with CESR portfolio support available to help progress toward specialist registration.
Job Requirements and Details
Qualifications: Full GMC registration with a license to practice and at least six years of CAMHS experience.
Desirable: Experience working with children and young people in mental health or multidisciplinary settings.
Salary: £96,990 - £107,155 per annum, dependent on experience.
Core Duties of This Role
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Comprehensive psychiatric assessment, care planning, and evidence-based treatment for children and adolescents.
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Leadership and consultation within a multidisciplinary team, with opportunities for supervision and teaching.
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Liaison with professionals in education, paediatrics, social care, and adult mental health services.
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Contribution to clinical governance, service development, and quality improvement.
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Participation in clinical audits, peer reviews, and regular MDT meetings.
Life in the West Midlands
The West Midlands offers a blend of vibrant towns and peaceful countryside, giving professionals and families the flexibility to choose a lifestyle that suits them. The region features outstanding schools, excellent transport links (M5, M50, and nearby airports), and a wealth of leisure activities, from historical landmarks to outdoor exploration in areas like the Malvern Hills.
With strong educational institutions and a rich cultural history, the West Midlands supports both personal and professional growth in a balanced and welcoming environment.
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 practices.
-
At least two video calling interview preparation sessions.
-
Contract and offer negotiations for salary, relocation packages, tenure, and more.
Once you’ve accepted your new role, you’ll be guided by one of our dedicated relocation executives who will assist you all the way to starting your new role, including:
-
Document gathering and checking.
-
COS and Visa application support, if applicable.
-
Assistance with finding accommodation.
-
Family support for schools and pastoral care.
A UK-based mental health service is seeking a Consultant Child & Adolescent Psychiatrist to join their Neurodevelopmental Team. This is a part-time (0.8 FTE), permanent post, offering an exciting opportunity to take on a senior clinical leadership role within a well-established specialist service for children and adolescents with complex neurodevelopmental conditions.
The team operates within a multidisciplinary framework, delivering comprehensive assessments, pharmacological treatment, and evidence-based care for young people. The role is ideal for experienced consultants looking to shape service delivery while maintaining strong clinical involvement.
This opportunity is also open to international applicants, particularly those eligible for inclusion on the GMC Specialist Register and who will be applying via CESR.
JOB REQUIREMENTS AND DETAILS
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Job Title: Consultant Child & Adolescent Psychiatrist – Neurodevelopmental Team
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Contract: 8 Programmed Activities (PAs) per week – Part-Time
- Contract Type: Permanent
- Salary: £105,000 – £139,000 (pro rata, dependent on experience)
Applicants must have:
- Full GMC registration with a licence to practise
- GMC Specialist Register in Child & Adolescent Psychiatry
- Section 12(2) MHA approval, or a willingness to complete this upon appointment
- Experience working in child, adolescent, or neurodevelopmental psychiatric services
- Strong leadership, multidisciplinary collaboration, and communication skills
- The ability to travel independently across service sites, including schools and service users\' homes
CORE DUTIES OF THIS ROLE
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Lead on psychiatric assessments, diagnosis, and pharmacological treatment planning for young people with complex and/or high-risk neurodevelopmental presentations.
- Provide consultation and guidance to the multidisciplinary team, as well as external agencies including paediatrics, schools, Tier 4 providers, and primary care.
- Maintain clinical oversight for young people under the care of the team, participating in emergency assessments and the consultant out-of-hours rota.
- Attend and contribute to weekly multidisciplinary team meetings and clinical formulations.
- Collaborate with carers, families, and professionals to co-create effective, evidence-based care plans.
- Support transitions from child to adult mental health services in line with protocol.
- Fulfil duties under the Mental Health Act, including conducting assessments and contributing to reports and tribunals as required.
- Maintain clear and timely medical documentation and support audit and quality improvement initiatives.
MANAGEMENT & STRATEGIC RESPONSIBILITIES
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Provide senior clinical leadership in partnership with the non-medical Clinical Team Lead.
- Contribute to the development of service-wide clinical guidelines and care pathways.
- Support service planning and transformation initiatives based on emerging need.
- Actively participate in governance activities, clinical audit, and performance monitoring.
- Engage with stakeholders and external partners at strategic and operational levels.
LIFE IN THE REGION
This role is based in a well-connected and scenic part of the UK, ideal for those who enjoy a balance between urban accessibility and countryside living. With excellent road and rail links, London is just 1 hour by train and car, offering easy commuting and travel.
The area is highly attractive for families, with access to top-rated schools, green open spaces, and a vibrant local community. Whether you\'re seeking historic towns, cultural attractions, or tranquil rural retreats, this region offers something for everyone.
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 interview preparation sessions.
- Contract and offer negotiations for salary, relocation packages, tenure, and more.
Once you have accepted your new role, you’ll be supported by one of our dedicated relocation executives, who will guide you through the process, 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 other aspects of pastoral care.