PLAB - a guide for overseas doctors

  • November 05, 2021
 

Passing PLAB helps the GMC ensure doctors have the knowledge & skills to practice in the UK.

The PLAB test assesses an overseas doctor's ability to work safely in the NHS, showing the GMC they have skills necessary to work at senior house officer level (SHO). IMGs from any country in the world can sit the examinations provided certain eligibility criteria are met. These are summarised below along with the following topics:

An Overview of PLAB

PLAB is as a licensing examination to assess whether an International Medical Graduate (IMG) is eligible to obtain GMC registration. 

The exam is designed to ensure that doctors who qualified abroad have the right knowledge and skills to practise medicine in the UK.

Whilst PLAB does not demonstrate proficiency in any particular specialty, it does prove that an IMG is at least as capable as an F2 or SHO.

Who needs to take the PLAB test?

If you graduated from a medical school outside the UK, EEA, or Switzerland, you probably need to sit the PLAB test or attain a recognised postgraduate qualification. 

If you are an EEA doctor, and qualified at an EEA institution, then your postgraduate qualification will automatically satisfy the GMC skills and knowledge criteria and don’t need to sit PLAB. 

PLAB Structure

There are two parts to the PLAB test. 

PLAB 1 is a written exam made up of 180 multiple choice questions which you must answer within three hours. Each starts with a short scenario followed by a question. You need to choose the right answer out of the five possible answers given. You can sit part 1 in a number of countries, as well as in the UK. 

Take a closer look at PLAB 1 here.

PLAB 2 is a practical objective structured clinical exam, known as an OSCE. It's made up of 18 scenarios, each lasting eight minutes and aims to reflect real life settings including a mock consultation or an acute ward. Part 2 tests run throughout the year at the GMC’s own clinical assessment centre in the UK, only. 

Take a closer look at PLAB 2 here.


You need to pass both parts of the test before you can apply for registration with a license to practice medicine in the UK.  


Eligibility

To be eligible for the PLAB test you must meet the following criteria: 

  • Your Primary Medical Qualification (PMQ) must be awarded by an institution listed in the World Directory of Medical Schools. Before starting the process, we recommend that you check that your Primary Medical Qualification is accepted in the UK. 
  • You must also have taken and passed the English Language Test (IELTS or OET) with the relevant scores. For IELTS you must have attained a score of at least 7.5 overall and a minimum of 7.0 for all the four language skills. For OET you must have scored at least grade B in each testing area. 
  • At least 12 months’ postgraduate clinical experience in a teaching hospital, or another hospital approved by the medical registration authorities in the appropriate country (the test can be taken without this experience, but the candidate will only be granted limited registration at the grade of House Officer – the grade occupied by new medical graduates).

At what stage should I take the exam? 

For IMGs we recommend that you apply for the PLAB exams after the completion of an internship or house job, as that makes you eligible for full GMC registration. 

However, you can sit the PLAB at any time in your career, so long as you have a recognised Primary Medical Qualification. IMGs in our community advise the earlier the better! 

Before you can sit the tests, you need to set up a GMC online account and show the GMC that your medical qualification and level of English are acceptable. Once you have done that you can sit Part 1 of the PLAB test.

For further information visit the General Medical Council website.

Test Centres

Part 1 is run four times a year, both in the UK and in a number of overseas centres. A full list of dates, locations and contact details can be found here.

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.

Cost

The fee for Part 1 of the PLAB test is currently £255

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

Booking the PLAB Test

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. 

Remember, before you book, you must have an acceptable overseas primary medical qualification and the necessary knowledge of English. 

Preparation

PLAB 1 can be taken under your own preparation, but for PLAB 2 most IMGs advise that they have benefited from attending specific courses geared at 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 some 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, your booking confirmation and stationary. 

For identification, the venue will accept any one of the following.

  • Passport
  • UK Immigration and Nationality Department identification document
  • Home Office travel document
  • Booking confirmation
    • Bring the booking confirmation that includes your GMC booking reference number

For stationery

  • You should bring HB pencils, an eraser and a pencil sharpener.

PLAB Attempts

For PLAB 1, you can take the test 4 times. If you have not passed after 4 attempts, to be eligible to take the test again you must have completed a further 12 months experience of clinical practice or post graduate qualification. 

You can only apply for PLAB 2 after the results for PLAB 1 are issued. You must pass PLAB 2 within 2 years of the date you passed PLAB 1. 

Results

PLAB 1 results are available around 6 weeks after you have taken the exam. 

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.

Passed? What next?

Once you have passed both parts of your PLAB examinations, 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. 


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Relevant Jobs

This is a good opportunity for any FRCPath or European-qualified histopathologists to join a friendly, high calibre department in the North East of England. The department are looking for experienced but hungry histopathologists to join them for a long-term post, and the trust will support candidates working on the Portfolio Pathway in Histopathology (formerly known as CESR). The trust will consider both UK and overseas applicants.

What is the NHS Foundation Trust like?

The NHS Foundation Trust serves as a district general hospital, providing essential healthcare services to the local population. Under its management, various healthcare facilities in the region. Consistent positive evaluations from the Care Quality Commission (CQC) underscore its commitment to delivering high-quality patient care, safety, and efficiency. The catchment area of this trust encompasses the north east, ensuring residents have access to comprehensive healthcare close to home. Through its services, the trust plays a vital role in promoting community health and well-being, contributing to a stronger, healthier population.

What is the department & team like?

The department have been centralized at a state-of-the-art Pathology Centre located at the NHS Foundation Trust\'s main hospital. These services cater to the local population in the North East. The consolidation of Cellular Pathology Services, completed in 2014, marks an innovative reorganization in pathology services. Satellite hot lab facilities are available at the NHS Foundation Trust\'s other sites. The NHS Foundation Trust leads this service, and the appointed individual will be contracted.

Pathologists are equipped with high-quality IT infrastructure to facilitate remote attendance at Multidisciplinary Team Meetings (MDTs). In cases where physical presence is required, a departmental electric car or a hopper service is available for transportation. Digital pathology implementation is underway progressively for pathologists interested in participation.

Career Development & Further Opportunities Available

The department will in time be moving towards a specialist reporting model and there will be opportunity to carve out your lead role in either the GI, head & neck, and urology sub-specialties. 

Life in North East

The North East of England offers a diverse mix of rural landscapes and urban centers, providing doctors with a range of living options. Residents can explore historic sites like Hadrian\'s Wall or enjoy scenic walks along the Northumberland coast. The area boasts reputable schools and universities such as Durham University. Transportation links are efficient, connecting the region to major cities like Newcastle and Sunderland, as well as airports for convenient travel. Housing options vary from picturesque villages to modern city apartments, accommodating different preferences and lifestyles.

AM I ELIGIBLE FOR THIS ROLE?

Non-EEA candidates: 

  • FRCPath
  • Experience in Histopathology

EEA candidates: 

  • Specialist certification in Histopathology
  • Experience in Histopathology 

UK candidates: 

  • CCT, CESR or within 6-12 months of specialist registration 
  • Experience in Histopathology
100,000 +
A Welsh Health Board are looking to appoint an experienced consultant histopathologist to work in a joint clinical and educational supervisor to four innovative CESR Fellows, all FRCPath Histopathology holders. 

This is a unique opportunity to work in a developing initiative that will bring immense social good to the local the people of Wales. 

Short / mid / long-term ambitions for this role.

Short-term, there is the opportunity to work a close group of four international doctors, with specialist qualifications in histopathology including FRCPath. You\'ll have the opportunity to shape the careers of hungry pathologists ready to absorb all the knowledge and experience from an experienced NHS colleague like yourself.

Mid-term you\'ll be jointly responsible for the successful portfolio submissions for these individuals, helping the laboratory at Glangwili General Hospital to establish a newly qualified consultant team to provide stability and excellent pathological services for the patients of Wales, UK.

Long-term, the potential is enormous. As part of ‘A Regional Collaborative for Health’ or ARCH a regional hub for South and West Wales is being built in Swansea, to house a 30-35 consultant lead service for histopathology alone. Fully digitalised regional services for half the Welsh landmass would be provided via one central and digitalised hub. 

Life in the area

It\'s a beautiful life with Wales offering beaches, beautiful forest, lakes and mountains all available to you in your free-time. It\'s a low cost of living and a a bit of a dream for the right person. We can chat more about that over our call. 
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IMG Connect are representing a Southern-based molecular oncology facility with a fully equipped laboratory, integrated process platforms, an in-house bioinformatics team, and a huge genetic database for precise and updated reporting.

The UK Lab is based in Surrey, and the facility is ISO 15189 accredited and ISO 27001 certified.

The department provides the latest technology and several years of extensive research offering highly effective treatment solutions to cancer patients for whom, multiple lines of treatment have failed.

The UK lab receives samples that are received from private practices around the UK, Europe and USA. 

Responsibilities:

With roughly two hours of work needed per day, mostly remote, with twice weekly attendance onsite likely required, the pathologists responsibilities will be along the lines of the below.
  • Authorisation of reports (molecular and tissue)
  • Sectioning slides / assessing tumour content - to help identify which sections can be used for processing samples.
  • Approving & signing reports.
    • Signing out molecular reports - training will be given.
    • Signing out solid organ cancer reports
    • Turnaround time is required within 24-hours. 
 Any successful candidate will be given a laptop and training to enable successful completion of the role.

Eligibility:
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  • Right to work in the UK
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  • FRCPath or Specialist Registration is not required for this post
40,000 - 82,400

An exceptional NHS job opportunity awaits a Middle Grade Microbiologist to join the Microbiology Pathology Department at an \"outstanding\" rate NHS Trust.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.
 

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)

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