UKMLA – Transitioning from PLAB: a guide for IMGs

  • October 14, 2022
 

The UKMLA or MLA (Medical Licensing Assessment) is a new assessment being introduced by the GMC to replace PLAB (Professional and Linguistic Assessments Board) for international medical graduates (IMGs) and UK medical students. 

The UKMLA will be the new standard test of the core knowledge, skills and behaviours needed to practise safely in the UK. 

In this blog we will be taking a closer look at the assessment and the transition from PLAB, focusing on some key questions: 

Skip ahead to the relevant section if you know what you’re looking for. 

Introducing the UKMLA

Currently, PLAB is the assessment used to ensure doctors who qualified abroad have the right knowledge and skills to practise medicine in the UK. Once an IMG has completed both parts of PLAB, they are eligible for full GMC registration. 

For UK trainees however, full registration is gained on moving to the second year of the Foundation Programme (F2/ FY2) in an approved training programme. 

There is therefore no standard used for both UK medical graduates and international doctors, so the GMC has created the MLA with the stated aim of setting a common threshold for safe practice in the UK, regardless of where a doctor was educated or trained. 

UKMLA Candidates

From 2024, all IMGs who would have sat the PLAB test will take the MLA if they’re applying for registration with a licence to practise in the UK. This means that if you are an overseas doctor taking another route to GMC registration, this is still available to you if you are eligible. 

UK medical students graduating in the academic year 2024-25 will also need to pass the MLA as part of their medical school degree, before they can join the medical register. 

You can find more information about your possible routes to the UK as an international doctor in our detailed guide here

Transitioning from PLAB to MLA

Until 2024, IMGs will still be able to apply for PLAB in order to gain GMC registration. As overseas doctors wanting to come to the UK through this route will be in different stages of the process, the GMC has laid out the following guidelines which will be in place during the transition to the UKMLA: 

Passed both parts of PLAB

There will be no changes here: you will still have up to two years from the date that you passed PLAB to apply for full GMC registration with a licence to practise. 

Passed PLAB 1, but not attempted PLAB 2

As long as you passed PLAB 1 within the past two years, you won't need to take the AKT. However, instead of PLAB 2, you will take the CPSA. 

Once you pass the CPSA, you'll be able to apply for full registration with a licence to practise (this must be within two years of passing the CPSA). 

Attempted PLAB 1, but not passed it

You will sit the AKT. 

There will be a maximum number of attempts and any previous attempts at PLAB 1 will count towards this maximum number. The GMC is currently still finalising that maximum number. 

After passing the AKT, you will need to take the CPSA within two years. 

Passed PLAB 1 and attempted PLAB 2, but not passed

As long as you passed PLAB 1 within the past two years, you won't need to take the AKT. 

Instead of PLAB 2, you will take the CPSA.  

There will be a maximum number of attempts and any previous attempts at PLAB 2 will count towards this maximum number. The GMC is currently still finalising that maximum number. 

Once you pass the CPSA, you'll be able to apply for full registration with a licence to practise (this must be within two years of passing the CPSA). 

Structure & Format of the UKMLA

The UKMLA will be composed of two parts: the applied knowledge test (AKT) and the clinical and professional skills assessment (CPSA). Both components will assess a range of things, all of which are outlined in the MLA learning outcomes. The main purpose of the MLA is to assess the knowledge and competencies related to safe medical practice in the UK. 

1. The applied knowledge test (AKT)

This is planned to be an on-screen exam, with multiple choice questions. It will test your ability to apply medical knowledge to different scenarios. The AKT will be similar to the current PLAB 1 exam. 

The AKT for overseas doctors will be set by the GMC, whereas for UK medical students, the exam will be run by medical schools. Information from the UK exams will be used to ensure that the assessment is comparable and consistent, where appropriate.  

The test is expected to be held four times a year for international candidates, at a number of locations worldwide. 

You will need to pass the AKT before you can take the CPSA.  

2. The clinical and professional skills assessment (CPSA)

The CPSA for international doctors will be held at the GMC’s clinical assessment centre in Manchester. The CPSA will be similar to the current PLAB 2 exam. 

For UK medical students, the CPSA will be set and run by their medical school. Each UK medical school calls the CPSA something different e.g. an Objective Structured Clinical Examination (OSCE), however the GMC will set requirements that all CPSAs must meet. 

Exam Structure

The MLA content map tells you more about the topics and areas that your AKT and CPSA assessments could cover. 

The MLA has three overarching themes: readiness for safe practice, managing uncertainty, and delivering person-centred care; and six sections, called domains. 

  • Areas of clinical practice, such as mental health and surgery 
  • Areas of professional knowledge, such as biomedical sciences and medical ethics and law 
  • Clinical and professional capabilities, such as assessing and managing risk and safeguarding vulnerable patients 
  • Practical skills and procedures, as set out in the list of practical skills and procedures that supplements the GMC’s Outcomes for graduates (2018) 
  • Patient presentations, which relates to signs, symptoms, investigation results and other relevant patient-related issues typically seen by doctors in a first appointment within the UK Foundation Programme e.g. a chronic rash or breast lump 
  • Conditions, which are pathophysiological diseases or clinical diagnoses typically seen by doctors in a first appointment within the UK Foundation Programme e.g. asthma and eating disorders 

In the future, sample questions will be provided by the GMC for the AKT so that you can get a better feel for the test. 

Other Key Information

Cost

Similarly to PLAB, you will have to pay a fee to sit the UKMLA as an IMG. The fees have yet to be set by the GMC, but will be published once determined.  

EEA Graduates

Decisions about whether EEA graduates will need to sit the MLA from 2024 will be informed by government-led agreements and trade deals. The GMC will provide an update on this situation once there is more information about future arrangements. 

English Language Requirements

The MLA won't change the GMC’s English language requirements for registration. You must still prove that you have the necessary knowledge of English to practise safely in the UK. 

Sources

https://www.gmc-uk.org/education/medical-licensing-assessment  

https://www.gmc-uk.org/education/medical-licensing-assessment/uk-students-guide-to-the-mla 


The introduction of the UKMLA is a significant change to one of the most popular routes taken by IMGs wanting to work in the NHS. Despite the change, there are always several options available to overseas doctors wanting to relocate to the UK. Feel free to get in touch with our team to discuss your options. 

Read more useful articles on exams, NHS jobs and salaries in our IMG Resources library. 

            

 

Relevant Jobs

105,504 - 139,882
An NHS hospital in South West England is looking for a Consultant Gastroenterologist with an interest in gastrointestinal endoscopy and general gastroenterology. The Gastroenterology department is made up of a team of consultants and supported by middle-grade doctors. This role is open to both UK-based and international candidates, with preference given to those holding MRCP (UK) or equivalent and CCT in Gastroenterology +/- General Internal Medicine (GIM).

Anyone requiring portfolio support (formally known as CESR) can have their required support discussed on a case-by-case basis.

JOB REQUIREMENTS AND DETAILS
  • Candidates must hold MRCP (UK) or equivalent and be eligible for CCT in Gastroenterology +/- GIM (or obtain within six months of interview).
  • Experience in gastrointestinal endoscopy, ward-based gastroenterology, and outpatient services is required.
  • The salary will be between £93,666 – £126,281 per annum, dependent on experience or grade.
CORE DUTIES OF THIS ROLE
  • Provide treatment and care for gastroenterology patients, including inpatient, outpatient, and endoscopy services.
  • Participate in the on-call rota for gastroenterology emergencies and out-of-hours ward cover.
  • Engage in teaching and training of junior doctors, contributing to their professional development.
  • Support clinical governance activities, including audits, quality initiatives, and structured judgement reviews.
LIFE IN SOUTH WEST ENGLAND

This hospital is located in a scenic region of South West England, offering a mix of urban and rural living. Candidates can choose to live in a lively market town with excellent amenities or opt for a more peaceful setting in the surrounding countryside. The region provides good transport links, excellent schools, and a variety of leisure activities including hiking, cycling, and water sports.

Historically, this area is known for its rich cultural heritage, historic landmarks, and strong local traditions, making it a great 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 & 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 to 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
105,504 - 139,882

An excellent NHS hospital in the UK is seeking a Consultant in Dermatology with a focus on skin cancer and paediatric dermatology. The department consists of three experienced consultants and is supported by a diverse team of middle-grade doctors. This role is open to both UK-based and international candidates, with preference for those holding GMC Specialist registration or equivalent.

Portfolio support (formerly CESR) is available and can be discussed on a case-by-case basis.

JOB REQUIREMENTS AND DETAILS

  • GMC Registration with a licence to practice is required for this role, and individuals with a special interest in skin cancer and paediatric dermatology are encouraged to apply.
  • The salary will range from £105,504 and £139,882 per annum, based on experience.

CORE DUTIES OF THIS ROLE

  • Deliver high-quality dermatology care, specializing in skin cancer and paediatric dermatology.
  • Engage in the education and training of junior staff and medical students.
  • Participate in clinical governance, audit, and continuing medical education.
  • Contribute to the Cornwall Skin Cancer MDT and other department activities.

LIFE IN THE REGION

The area offers a perfect mix of urban and rural living. The main city provides vibrant city life, while rural areas offer quiet retreats with breathtaking views of the coastline. There are excellent transport connections with easy access to London, and multiple leisure opportunities are available, including outdoor activities like hiking and sailing.

The region is rich in history, particularly maritime history, and is home to several iconic landmarks. The local hospital is a significant part of the community, offering outstanding medical services.

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
105,504 - 139,882

A leading NHS hospital in the UK is seeking a Consultant in Hepatology to join its growing Gastroenterology and Hepatology team. The department consists of experienced consultants and specialist nurses, providing a dedicated hepatology service. 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.
  • The role includes responsibilities in outpatient hepatology, inpatient care, and endoscopy.
  • The salary will range from £105,504 to £139,882 per annum, based on experience.

CORE DUTIES OF THIS ROLE

  • Deliver specialist hepatology care, including managing liver disease, cirrhosis, and hepatobiliary conditions.
  • Work as part of a multi-disciplinary team, collaborating with gastroenterologists, radiologists, and oncologists.
  • Participate in endoscopic procedures, including diagnostic and therapeutic interventions.
  • Take part in teaching, training junior doctors and medical students.
  • Engage in clinical governance, research, and quality improvement projects.
  • Contribute to the on-call gastroenterology service and weekend cover.

LIFE IN THE REGION

This role is based in a highly desirable UK region, known for stunning landscapes, excellent transport links, and a rich cultural history. The area offers outstanding schools, a range of family-friendly activities, and a fantastic work-life balance.

With historic landmarks, world-famous attractions, and a modern healthcare infrastructure, the region provides an ideal environment for professionals looking to develop their careers.

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.
96,990 - 107,155
An independent healthcare service is looking for a Staff Grade Psychiatrist to join a Community Mental Health Team. The department comprises a multidisciplinary team providing care for individuals with severe mental health challenges. This role is open to both international applications and UK-based doctors.

JOB REQUIREMENTS AND DETAILS
  • A medical degree, full professional registration, and suitable psychiatric qualifications are required for this role. Experience in community or inpatient mental health services is essential.
  • The salary will be competitive and dependent on experience or grade.
CORE DUTIES OF THIS ROLE
  • Conduct psychiatric assessments and formulate treatment plans for individuals with severe mental health challenges with adult populations. 
  • Participate in multidisciplinary team meetings and care planning sessions.
  • Provide supervision to junior doctors and engage in research or quality improvement projects.
  • Maintain professional standards through continuous learning and contribution to educational activities.
LIFE IN THE REGION

This position is based in a location offering both urban and rural living options, with easy access to local amenities, beaches, and countryside homes. Families will appreciate the excellent schools, transport links, and diverse leisure activities available in the area. The region is known for its rich history, scenic landscapes, and vibrant community, making it an attractive place to live and work.
105,504 - 139,882
An NHS district general hospital in South West England is looking for an Interventional Radiology Consultant with an interest in vascular and non-vascular intervention. The Radiology department consists of a team of interventional radiologists and is supported by a large team of middle-grade doctors. This role is open to both international and UK-based doctors, with preference given to those holding FRC or equivalent, Radiology training CCT or CESR.

Anyone requiring portfolio support (formally known as CESR) can have their required support discussed on a case-by-case basis.

JOB REQUIREMENTS AND DETAILS
  • Candidates must hold FRCR or equivalent, full GMC registration, and Radiology training
  • Three years of Radiology speciality training is required for this role, and anyone with a experience in Vascular and Non-Vascular IR should apply.
  • The salary will be between £93,666 – £126,281 per annum dependent on experience or grade.
CORE DUTIES OF THIS ROLE
  • Perform a wide range of vascular and non-vascular interventional radiology procedures, including aneurysm repair, peripheral and visceral revascularisation, catheter-assisted thrombolysis, and embolisation procedures.
  • Provide on-call interventional radiology services as part of a regional network rota, covering vascular and non-vascular cases.
  • Contribute to diagnostic imaging and reporting, as well as participation in vascular and aortic aneurysm MDTs, IR clinics, and general radiology reporting.
  • Support the teaching and training of junior doctors, radiographers, and medical students, with opportunities for research and development.
LIFE IN SOUTH WEST ENGLAND

Located in a scenic region of South West England, this hospital serves both urban and rural communities. Candidates can choose to live in a bustling market town with easy access to major cities or opt for a more peaceful setting in the countryside, surrounded by national parks and coastal areas. The region offers excellent schools, strong transport links, and a wide range of leisure activities including hiking, cycling, and watersports.

Historically, this area is known for its rich cultural heritage, historic landmarks, and vibrant local traditions, making it an attractive 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 & 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 to 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

Search Vacancies

Ask a question

Check your salary

error: Content is protected !!