FRCR (Oncology) vs PLAB - GMC registration for overseas clinical or radiation oncologists
- February 14, 2022
GMC Registration can be a long and complex process. With a few options available for clinical oncologists to provide evidence of their skills and knowledge, it can be difficult for IMGs to decide the best route to take to register with the GMC.
For international doctors considering their route to the UK, there are essentially two main pathways to consider: PLAB and the postgraduate route - FRCR (Oncology).
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 pathways and briefly consider their benefits.
- PLAB for GMC Registration
- FRCR (Oncology) for GMC Registration
- Which is better for me as an overseas pathologist, PLAB or FRCR (Oncology)?
- #IMG Tips
- How do I get started?
Professional & Linguistics Assessment Board (PLAB)
The first and most common route which is often a popular choice among junior doctors is PLAB.
PLAB is a two-part exam with one written and one practical element, that assesses whether candidates are at least as capable as doctors 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.
FRCR (Oncology) - UK Postgraduate Qualification for Clinical or Radiation Oncologists
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 clinical or radiation oncology, this can be done by attaining Fellowship of the Royal College of Radiologists. The Royal College of Radiologists is the professional body that regulates the specialism of clinical oncology in the UK.
Fellowship of the Royal College of Radiologists (FRCR Oncology) is the full qualification attained through these postgraduate exams for clinical or radiation oncology. The exams assess a candidate’s knowledge and clinical understanding against the Specialty Training Curriculum for Clinical Oncology. FRCR (Oncology) has three components, with two written and one clinical and oral element.
For complete guides on FRCR (Oncology), take a look at our IMG Resources library.
It is important to note that the FRCR (Oncology) exams are for clinical or radiation oncologists only. Overseas clinical oncologists are not required to also sit the MRCP (UK) exams.
PLAB vs FRCR (Oncology)
FRCR (Oncology) is a legitimate route that demonstrates skills and knowledge and will allow oncologists 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 exam, as well as how they align with your needs and priorities in moving to the UK.
Seniority of Positions in the NHS
It may be difficult for an overseas clinical oncologist to obtain a more senior post within the NHS without FRCR (Oncology), GMC-approved training, 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.
FRCR (Oncology) has three stages, the last of which must be taken after at least 36 months of postgraduate experience in clinical or radiation oncology.
These exams can take anywhere from between 24-36 months to prepare from start to finish.
Cost
The FRCR (Oncology) exams cost just over £1,600, but all the exams are sat in person and there are only a few overseas exam centres.
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 within 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 the total cost of each exam can rise if re-sits 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 oncology 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., oncology. 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.
FRCR (Oncology) involves three more difficult examinations and takes more time to prepare for. However, for overseas oncologists, attaining FRCR (Oncology) will allow you to jumpstart your career in the UK, as you will not need PLAB or Core Training.
The Royal College of Radiologists’ exams will facilitate the application for more senior roles in UK oncology 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.
- Join the community - join the IMG Oncologists Facebook group for access to a community of like-minded FRCR (Oncology) aspirants and dedicated oncology recruiters.
In this group you will find tailored resources for oncology IMGs, including access to our FRCR (Oncology) crash courses, completely free to all doctors.
You can access our IMG Oncologists community here.
Getting started
Once you’ve decided which exams are best for you, it’s time for a deep dive into the exams and what they entail. For more useful blogs and articles on PLAB, FRCR (Oncology), GMC registration and finding your dream job in the NHS - take a look at our IMG Resources library.
If you have any further questions on PLAB or postgraduate qualifications, please get in touch with our oncology specialists here. We’d be more than happy to help you.
For advice, guidance and news and updates about all things oncology for IMGs, join the conversation through the links below
Relevant Jobs
An NHS hospital in London is looking for a Locum Consultant in Medical Oncology with an interest in GI and Lung malignancies. The Oncology department comprises a team of 16 Consultant Oncologists and is supported by a multidisciplinary team of nurses, pharmacists, and radiographers. This Medical Oncology job is open to both international applications and UK-based doctors, though those with European Specialist registration or MRCP qualifications 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
Applicants should have full GMC registration, MRCP (or equivalent), and substantial experience in Medical Oncology. Interest in Lung and GI malignancies is essential. The salary will be between £105,504- £139,882 dependent on experience.
CORE DUTIES OF THIS ROLE
- Provide specialist care for Breast and Lower GI cancer patients, including outpatient and radiotherapy services.
- Actively participate in multidisciplinary team meetings for Lung and GI malignancies.
- Engage in research, clinical audits, and teaching activities to support professional development.
- Contribute to the Acute Oncology Service (AOS) and provide clinical supervision for junior medical staff.
LIFE IN LONDON
London offers a dynamic and diverse environment with a mix of bustling urban areas and quieter suburban neighborhoods. It provides access to world-class educational institutions, excellent transport links, and a wide range of cultural, leisure, and historical attractions. London’s rich history and multicultural vibrancy make it an ideal location for both professional development and personal fulfillment.
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 and recruitment practices.
- 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 guided throughout by one of our dedicated relocation executives, including:
- Document gathering and checking.
- COS and visa application support if applicable.
- Assistance with sourcing short- and long-term accommodation.
- Travel arrangements.
- Family support for finding schools and other aspects of pastoral care.
An NHS hospital in the Midlands is looking for a Consultant Medical Oncologist with an interest in Breast and Colorectal cancers. The Oncology department comprises a team of 2 Medical Oncologists and 10 Clinical Oncologists and is supported by a large team of middle-grade doctors. This Oncology job is open to both international applications and UK-based doctors, though those with European Specialist registration or MRCP/FRCR qualifications 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
Applicants should have full GMC registration, MRCP and FRCR (or equivalent), and substantial experience in Medical Oncology. Interest in Breast and Colorectal cancers is essential. The salary will be between £105,504 - £139,882, dependent on experience.
CORE DUTIES OF THIS ROLE
- Provide comprehensive oncological care, including management of Breast and Colorectal cancer patients.
- Attend and actively participate in relevant multidisciplinary team meetings.
- Engage in clinical audits, teaching, and research initiatives.
- Participate in the on-call rota and provide clinical supervision for junior medical staff.
LIFE IN THE MIDLANDS
The Midlands offers a mix of vibrant urban areas and picturesque rural settings. The region provides excellent schools, efficient transport links to major UK cities, and an array of leisure activities including cultural events, historical sites, and opportunities for outdoor adventures. The Midlands\' rich industrial and cultural heritage adds to its appeal, making it an excellent place to live and work.
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 and recruitment practices.
- 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 guided throughout by one of our dedicated relocation executives, including:
- Document gathering and checking.
- COS and visa application support if applicable.
- Assistance with sourcing short- and long-term accommodation.
- Travel arrangements.
- Family support for finding schools and other aspects of pastoral care.
An NHS hospital in Wales is looking for a Consultant in Clinical Oncology with an interest in Breast and Gynaecological cancers. The Oncology department comprises a team of consultant and is supported by a large team of specialty doctors and registrars. This Clinical Oncology job is open to both international applications and UK-based doctors, though those with European Specialist registration or FRCR/MRCP 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
Applicants should have full GMC registration, FRCR/MRCP (or equivalent), and substantial experience in Clinical Oncology. Interest in Breast and Gynaecological cancers is essential. The salary will be between £105,504- £139,882 dependent on experience.
CORE DUTIES OF THIS ROLE
- Provide comprehensive oncological care, including outpatient and inpatient management of Breast and Gynaecological cancer patients.
- Attend and actively participate in relevant multidisciplinary team meetings.
- Contribute to clinical audits, teaching, and research initiatives.
- Participate in the on-call rota and provide clinical supervision for junior medical staff.
LIFE IN WALES
Wales is renowned for its stunning landscapes, from the dramatic peaks of Snowdonia to its serene coastline. Urban living can be enjoyed in bustling towns, while rural options offer peace and natural beauty in the countryside. The area provides excellent schools, reliable transport links to major UK cities, and a wealth of leisure opportunities, including outdoor pursuits, cultural festivals, and historical landmarks. Wales’ rich cultural heritage and medieval history make it a unique and rewarding place to live and work.
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 and recruitment practices.
- 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 guided throughout by one of our dedicated relocation executives, including:
- Document gathering and checking.
- COS and visa application support if applicable.
- Assistance with sourcing short- and long-term accommodation.
- Travel arrangements.
- Family support for finding schools and other aspects of pastoral care.
An NHS hospital in the East of England is looking for a Fixed-Term Consultant in Clinical Oncology with an interest in Breast. The Oncology department comprises a team of 11 Clinical Oncologists and 4 Medical Oncologists, supported by specialty doctors and trainees. This role is open to both international and UK-based doctors, though those with European Specialist registration or FRCR 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
Applicants should have full GMC registration and significant experience in clinical oncology. Interest in Breast is essential. The salary will be between £105,504- £139,882 dependent on experience.
CORE DUTIES OF THIS ROLE
- Provide comprehensive service for oncology management, particularly for Breast tumour sites, attending MDTs as needed.
- Participate in a consultant rota for emergency duties and reciprocal cover during absences.
- Engage in teaching, research, and audit activities within the Oncology department.
- Undertake clinical supervision for junior doctors and trainees as required.
LIFE IN THE EAST OF ENGLAND
The hospital is based in a historic city known for its rich cultural heritage and picturesque architecture. Residents can choose between vibrant urban living or a peaceful rural lifestyle in nearby charming villages. The region offers excellent schools, convenient transport links, and a variety of leisure activities, including cultural events, outdoor pursuits, and family-friendly attractions. Historically, the area has played a significant role in British agriculture and is celebrated for its contributions during World War II.
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 hospital in the East Midlands is looking for a Locum Consultant in Clinical Oncology with an interest in Gynaecological and Skin cancers. The Oncology department comprises a team of 24 consultants and is supported by a large team of specialist doctors and registrars. This Clinical Oncology job is open to both international applications and UK-based doctors, though those with European Specialist qualifications or FRCR/MRCP 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
Full GMC registration, FRCR/MRCP (or equivalent), and oncology experience at SpR or equivalent level are required for this role. Anyone with an interest in Gynaecological and Skin cancers should apply. The salary will be between dependent on experience or grade.
CORE DUTIES OF THIS ROLE
- Provide high-quality oncology services, including radiotherapy and systemic therapies, for Head and Neck and Skin cancers.
- Participate in multidisciplinary team meetings and clinical governance activities.
- Engage in clinical trials and contribute to research initiatives.
- Supervise and mentor junior medical staff and participate in teaching programmes.
LIFE IN THE EAST MIDLANDS
The East Midlands offers a mix of urban living in thriving cities and serene rural landscapes in the surrounding counties. Urban living can be enjoyed in bustling towns and cities, while rural options include charming villages and countryside retreats. The region has excellent schools, efficient transport links to London and the North, and diverse leisure opportunities including cultural festivals, historical landmarks, and outdoor activities. Its rich history and cultural diversity make it a highly desirable place to live and work.
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 and recruitment practices.
- 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 guided throughout by one of our dedicated relocation executives, including:
- Document gathering and checking.
- COS and visa application support if applicable.
- Assistance with sourcing short- and long-term accommodation.
- Travel arrangements.
- Family support for finding schools and other aspects of pastoral care.