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
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
-
Job Title: Consultant Child & Adolescent Psychiatrist – Neurodevelopmental Team
-
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
-
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
-
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.
A leading NHS mental health hospital in the East of England is looking for a Consultant Psychiatrist in Old Age Psychiatry with a focus on functional illness within inpatient care. The service sits within a well-integrated healthcare system combining mental and physical health services. The post is based on a 22-bed ward, supported by a multidisciplinary team including psychologists, occupational therapists, physiotherapists, and speech and language therapists. This Old Age Psychiatry job is open to both international and UK-based doctors, with MRCPsych or EEA specialist certification 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-
Consultant level experience in old age psychiatry
-
Be eligible for GMC registration, either with MRCPsych (Full), or EEA specialist certification
-
Consultants with an interest and prior experience in old age psychiatry and inpatient functional illness should apply
-
The salary will be between £105,504 to £139,882 dependent on experience or grade
-
Provide medical oversight and psychiatric input for 22 beds (14 for functional illness, 8 for organic illness) on an inpatient ward
-
Conduct psychiatric assessments, care planning, and contribute to regular MDT reviews
-
Supervise junior doctors and support their training and development
-
Collaborate with community teams including the Crisis Resolution and Home Treatment Team for Older People (CRHTT-OP)
-
Liaise with other services such as social care, physical health teams, and voluntary sector partners to ensure coordinated care
-
Engage in clinical documentation, audits, research, and educational activities
LIFE IN THE REGION
This region offers a balance of vibrant urban living and tranquil countryside settings. From lively city centres with extensive amenities to quiet villages rich in charm, there’s something for everyone. The area benefits from excellent rail and road connections (50 minutes to London) high-performing schools, and a diverse mix of leisure and cultural attractions.
Steeped in history, the region is known for its architectural heritage and community spirit, making it a highly desirable location for professionals and families 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
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 post, 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
An NHS Board in Eastern Scotland is looking for a Consultant Psychiatrist with experience in Old Age Psychiatry to lead an outpatient community team.. The Psychiatry department comprises a team of psychiatrists and multidisciplinary professionals including Nurse Team Lead, Community Mental Health Nurses, Community Mental Health Nurses, Healthcare Support Workers, Care Home Liaison Nurses, Young Onset Dementia Nurse, Occupational Therapists, Psychologist, Dementia Post Diagnostic Support, Care managers, DPDS Link Worker, Alzheimer Scotland Link Worker.
This Psychiatry job is open to both international applications and UK-based doctors, though those with European Specialist or MRCPsych or equivalent 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
-
Consultant level experience in psychiatry
-
Be eligible for GMC registration, either with MRCPsych (Full), or EEA specialist certification
-
Prior experience in Old Age mental health care.
Anyone with consultant experience in old age psychiatry should apply. The salary will be between £107,144 - £142,369 per annum, dependent on experience or grade.
CORE DUTIES OF THIS ROLE
-
Provide clinical leadership and management in Old Age Psychiatry services.
-
Supervise junior doctors and contribute to their training and professional development.
-
Work closely with multidisciplinary teams to deliver high-quality patient care.
-
Participate in service development and improvement initiatives within the department.
LIFE IN SCOTLAND
This location offers a blend of urban convenience and rural tranquillity, with easy access to major cities such as Edinburgh, Dundee, and Glasgow. Whether you prefer city living with vibrant culture and nightlife or coastal and countryside retreats with stunning landscapes, there are plenty of options.
The region has excellent transport links, making commuting easy, and offers high-quality schools and a wealth of recreational activities, including outdoor pursuits, cultural festivals, and family-friendly attractions.
Scotland is steeped in history, known for its ancient castles, famous universities, and contributions to global innovation. The country provides a unique cultural experience, rich in traditions and scenic beauty.
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
Anyone requiring portfolio support (formally known as CESR) can have their required support discussed on a case-by-case basis.
JOB REQUIREMENTS AND DETAILS
- Consultant level experience in psychiatry
- Be eligible for GMC registration, either with MRCPsych (Full), or EEA specialist certification
- Prior experience in adult community mental health care is desirable.
Anyone with an interest in community or inpatient psychiatry should apply. The salary will be between £107,144 - £142,369 per annum, dependent on experience or grade.
CORE DUTIES OF THIS ROLE
- Provide clinical leadership and management in General Adult Psychiatry services.
- Supervise junior doctors and contribute to their training and professional development.
- Work closely with multidisciplinary teams to deliver high-quality patient care.
- Participate in service development and improvement initiatives within the department.
LIFE IN SCOTLAND
This location offers a blend of urban convenience and rural tranquillity, with easy access to major cities such as Edinburgh, Dundee, and Glasgow. Whether you prefer city living with vibrant culture and nightlife or coastal and countryside retreats with stunning landscapes, there are plenty of options.The region has excellent transport links, making commuting easy, and offers high-quality schools and a wealth of recreational activities, including outdoor pursuits, cultural festivals, and family-friendly attractions.
Scotland is steeped in history, known for its ancient castles, famous universities, and contributions to global innovation. The country provides a unique cultural experience, rich in traditions and scenic beauty.
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
An NHS mental health hospital in the North West of England is looking for a Consultant in Old Age Psychiatry, with an interest in both functional and organic disorders. The Mental Health department is part of a well-established multidisciplinary team, working alongside Consultants, Specialty Doctors, and various healthcare professionals. This psychiatry job is open to both international applicants and UK-based doctors, though those with MRCPsych (Full) or an EEA equivalent qualification 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
- Minimum of two years\' experience in old age psychiatry.
- UK applicants with CTT and S12 and AC status preferred
- Be eligible for GMC registration, either with MRCPsych (Full) or an EEA qualification.
- Prior experience in old age inpatient mental health care is desirable.
- The salary will be between £105,504 - £139,882 per annum, dependent on experience or grade.
CORE DUTIES OF THIS ROLE
- Provide psychiatric care and assessments for adult and older adult patients with both functional and organic mental health conditions.
- Work closely with other Consultants, specialty doctors and the multi-disciplinary team to support care planning and patient management.
- Run inpatient services and contribute to continuity of care between community and inpatient settings.
LIFE IN THIS UK REGION
This region offers a mix of urban and rural living, with bustling towns and peaceful countryside options for residents. The area boasts excellent transport links, making it easily accessible from major UK cities. There are highly rated schools, a variety of leisure facilities, and plenty of green spaces, making it a great location for professionals and families alike. Historically, the region has played a key role in British heritage, with significant contributions to industry, culture, and transportation.
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 and family support for finding schools and any other aspects of pastoral care.