Where Can I Take the MRCPsych CASC Exam? A Complete Guide for International Psychiatrists If you're an international psychiatrist preparing for the MRCPsych CASC exam, one of your first questions might be, “Where can I take the CASC exam?” With several international centres now available, candidates have greater flexibility than ever before. This guide will explain the current exam centres, the application process, and key details to help you on your path to UK specialist registration. What is the MRCPsych CASC Exam? The MRCPsych CASC (Clinical Assessment of Skills and Competencies) exam is the final stage in the Membership of the Royal College of Psychiatrists examination series. It is a practical assessment designed to test candidates on their clinical and communication skills across 16 stations, where they interact with patients (played by actors) in simulated clinical scenarios. Before you can sit the CASC exam, you need to: Have passed both MRCPsych Paper A and Paper B. Have at least 24 months of post-foundation clinical experience in psychiatry. For further eligibility criteria and full details on how to apply, visit the RCPsych’s official exam application page. Where Can I Take the MRCPsych CASC Exam? The MRCPsych CASC exam is held at three key locations worldwide. Candidates can choose the centre that best suits their location and travel needs: United Kingdom (Sheffield) The primary CASC exam centre is located in Sheffield, UK. Most UK-based candidates and many international candidates choose this centre. The exam is conducted twice a year, typically in January and September. Singapore For candidates based in Asia, Singapore offers a convenient location. This centre runs the CASC exam once annually in June. Doha, Qatar The newest centre is located in Doha, providing a more accessible option for candidates in the Middle East. The Doha location holds the exam once annually in November. These three locations ensure the CASC exam is accessible to international psychiatrists, providing multiple options to suit different geographical regions. How to Apply for the MRCPsych CASC Exam Applications for the CASC exam must be submitted through the RCPsych’s online application portal. It’s crucial to keep an eye on the key dates and deadlines for each exam sitting. You can find the full schedule of exam dates, application deadlines, and other important updates on the RCPsych Exam News and Updates page. Key points to remember when applying: Be sure to apply early, as places at each centre can fill up quickly. Double-check your eligibility criteria to avoid any delays in processing your application. Make sure all documents (e.g., proof of experience, qualifications) are ready and uploaded during the application process. Recent Updates on CASC Exam Centres and Dates As of 2025, the CASC exam centres are located in the UK, Singapore, and Doha. This international spread reflects the growing demand for more accessible exam locations for international psychiatrists. Additionally, the RCPsych regularly updates candidates on any changes in exam schedules, policies, or application processes. Candidates are encouraged to check the RCPsych exam news page for any updates, including the latest on registration dates, exam format, and more. FAQs About the MRCPsych CASC Exam for International Candidates 1. Can I take the MRCPsych CASC exam outside of the UK? Yes, you can take the CASC exam in Singapore or Doha, Qatar, in addition to the UK. All centres follow the same schedule, offering exams in January and September. 2. When is the CASC exam held? The CASC exam is held several times a year, in January, June, September and November. 3. How do I choose my CASC exam centre? You can choose the exam centre that is most convenient for you (Sheffield, Singapore, or Doha) when you apply for the exam through the RCPsych application portal. 4. How do I prepare for the MRCPsych CASC exam? Preparation involves practice with clinical scenarios, focusing on communication, diagnosis, and patient management skills. Consider attending mock exams and study groups specifically tailored to the CASC format, and join our online IMG Psychaitrist group for free courses and resources. You will join a group of UK and international psyhciatrists working towards MRCPsych.  Final Thoughts The MRCPsych CASC exam is a significant milestone for international psychiatrists looking to gain UK specialist registration. With exam centres in the UK, Singapore, and Doha, it’s now more convenient for overseas candidates to take this essential step. Be sure to regularly check the RCPsych exam news page for updates and ensure all your documents and requirements are in order before applying.

As an overseas health and care professional, the main route to the UK is via the HCPC registration. The Health & Care Professionals Council is the regulator for 16 health and care professions across the UK. This article is tailored for psychology practitioners who have completed professional training outside the UK and who wish to apply to work in the NHS.  Overseas psychologists from any country in the world can register with the HCPC in the UK and use the protected ‘practitioner psychologist’ titles such as clinical psychologist or counselling psychologist, thus qualifying them to practice in the UK.  The process is summarised below along with a broad look at the following topics: How can I practice in the UK? Which route is for me? I qualified and practice outside of the UK, am I eligible? Am I eligible for full clinical equivalence? What is the role of the standards of proficiency? What are the standards of proficiency for practitioner psychologists? How do I demonstrate that I have met the standards of proficiency? How to apply via European Mutual Recognition (EMR) How to apply via International Application Application steps What documents will be required? What if I am unsuccessful? English language proficiency Is the HCPC enough? What about the British Psychological Society (BPS)? Successful? What next? How can I practice in the UK? To practice in the UK using any of the HCPC regulated terms, including clinical psychologist or counselling psychologist, you have to satisfy the HCPC that you have broadly equivalent skills to those who trained in the UK.  The HCPC check equivalence based on the British qualification which is at Doctorate level.  If your degree is from outside the UK then the HCPC will want to assess all your qualifications and experience to see what you need to add to reach their standard for a clinical psychologist, or where you would need to join the training path if you have moved to the UK already.  The type of HCPC application you make depends on your country of origin and training. There are two application routes:  European Mutual Recognition (EMR) - this applies if you trained in an EU country. International application - for those trained outside of the EU, where additional checks for qualifications and language proficiency are required. This is to ensure that overseas applicants meet the UK's safety and competency standards Which route is for me?  It all depends on where you have trained and qualified, EEA or outside the EEA.   EEA:  If you have trained and are a citizen of an EU member state, then you are eligible for European Mutual Recognition (EMR). If you are eligible for EMR then you must apply via this route.  EMR ensures that EEA qualifications are recognised across Europe as equivalent, and therefore you will only require your English language proficiency to complete your application.  Outside the EEA:  If you have trained outside the EU, then you are eligible for an international application.  Both routes follow the same process, the skills, education and training you submit via your application forms are assessed by Registration Assessors, who make a decision within 60 working days.  I qualified and practiced outside the UK, am I eligible?  To be eligible to apply for registration via the international route, you must have undergone relevant training in psychology and be fully qualified to practice your profession To be eligible to apply for registration based on European Mutual Recognition you must be: a citizen of a relevant European State  fully qualified to practice your profession in a relevant European State other than the United Kingdom Your application will be assessed against the standards of proficiency for practitioner psychologists.  We advise that before you apply you should check you meet, or exceed, the professional standards all registrants must meet in order to become registered in psychology. Am I eligible for full clinical equivalence? To be eligible for full clinical equivalence (i.e. to be able to secure a job in the NHS as a Clinical Psychologist) you have to demonstrate you have met:  Meet all the competencies required for a UK Doctorate in Clinical Psychology: This includes knowledge and skills in psychological assessment, intervention, and evaluation. Demonstrate experience with all core client groups: These include working with adults, older people, children, and individuals with learning disabilities. NHS job roles often require clinicians to show competency in treating a broad range of conditions and client types​. Produce a doctoral standard research project: You need to demonstrate you can conduct research at a doctoral level, contributing to the field of psychology. What is the role of the standards of proficiency? The purpose of HCPC registration is to establish the minimum threshold standards that all registrants must meet to practice safely and effectively.  They set clear expectations for overseas psychologists’ knowledge and abilities for when they start practicing in the UK. What are the standards for practitioner psychologists?  When applying for registration you will have to ensure that your meet 15 standards of proficiency. We have listed the titles below:  A registrant practitioner psychologist must be able to: 1. Practice safely and effectively within their scope of practice 2. Practice within the legal and ethical boundaries of their profession 3. Maintain fitness to practice (ensuring physical and mental health that allows safe practice) 4. Practice as an autonomous professional, exercising their own professional judgement 5. Be aware of the impact of culture, equality and diversity on practice 6. Practice in a non-discriminatory manner 7. Maintain confidentiality and understand its importance 8. Effective communication with service users, carers, and colleagues 9. Work appropriately with others 10. Maintain records appropriately and efficiently 11. Reflect on and review practice to continually improve 12. Assure the quality of their practice by using evidence-based methods 13. Understand the key concepts of the knowledge base relevant to their profession 14. Draw on appropriate knowledge and skills to inform practice 15. Understand the need to establish and maintain a safe practice environment Request a copy of the full standards and proficiency document for psychologists. How do I demonstrate that I have met the standards of proficiency in my application?  Include as much as detail possible: You will be asked to provide detailed information about your experience, education or training. Include as much relevant information as possible in your application. Detail all your experience: The HCPC will assess the courses that you have completed. Some courses may be broader with less in-depth coverage, while others are more detailed but have a narrower scope. To mitigate any shortfalls in your qualifications, you should detail as much of your relevant experience as possible. TOP TIP: HCPC assessors make their determinations based on all the information that you provide. So, provide as much as you can!  How to apply via European Mutual Recognition (EMR):  The EMR application process follows a similar format to that of the international applications process. The skills, education and training you submit via the EMR application forms are assessed by Registration Assessors, who make a decision within 60 working days.  How to apply via International Application: The International application process follows the format above. The skills, education and training you submit are assessed by Registration Assessors, who make a decision within 60 working days.  Application steps?  The process follows four steps: Step 1 - submit forms and pay fee of £539 Step 2 - processing Step 3 - assessment by the HCPC Step 4 - decision letter A successful decision letter will confirm your addition to the HCPC register.  What documents will be required?  You will require the following to support your application:  identity documentation qualifications  good standing and character declaration – part of application declaration regarding background checks – part of application Original documents that are not in English will have to be accompanied with a translated version.  TOP TIP: We advise that you prepare your documents and experience as early as possible before making your application, this will not only save you time, but give you the chance to add and edit the content you will provide. Increasing your chances of success! Step 1 - Submit forms and pay fee Once you have gathered your documents and have fully considered your experience matched to the standards of proficiency, you can submit your forms and pay the application fee.  The HCPC will take a scrutiny payment of £495 at this stage.  You will receive a confirmation receipt and payment.  You will also receive your application reference number. This reference number is important, and you should use this each time you contact the HCPC to discuss your application. TOP TIP: If your application is not accepted for processing because of missing information, the HCPC will return it to the address on the form. You will then need to resubmit your application. To avoid this, ensure you have prepared all of your evidence and documentation as above.  Download and complete your form, then send them by post to the address on the front page of the application. Download the application form for registration – EMR Download the application form for registration – International application Step 2 – Processing During this period (4 weeks from receipt of application), the HCPC will contact your education provider, any relevant regulatory or professional bodies and any professional referees.  This is to verify the information that you have provided in your application.  You do not need to do anything until the HCPC have notified you of the outcome of the next stage of the process.  Step 3 - Assessment The next stage is the assessment of your regulated education and training and any other relevant education, training or experience included in your application. Your application will be sent to two assessors from the practitioner psychology register.  They will consider all the information that you have submitted before making their recommendation to the HCPC. What are they assessing?  To be eligible for full clinical equivalence (to be able to get a job in the NHS as a Clinical Psychologist) you have to demonstrate:  you have met all the competencies required to get a doctorate in the UK experience of all the core client groups (working age adults, older people, children and families, people with learning disabilities) or core competencies you have a doctoral standard piece of research. First, they will compare your regulated education and training with HCPC standards of proficiency. If any shortfalls are identified, they will check your submission to see if these have been made up through any other relevant education, training or experience that you have provided details for.  They will then send a recommendation to the Education and Training Committee (ETC). This recommendation will be then reviewed by the ETC who will send their decision to you. TOP TIP: The HCPC can only base their decision on the information provided in the application. They do not contact referees, training institutions, or employers to obtain further information about your training or work experience. So, remember to provide as much experience, training and relevant education as possible.  The HCPC will send a Record of Assessment to you within 60 working days of receipt. This Record of Assessment may include a request for further information which will prolong the processing time of your application.  Again, for this reason it is important that you include as much relevant information as possible when you submit your application. Step 4 - Decision letter You will be notified of the outcome of your application in writing. In successful cases this will confirm your addition to the Register.  What if I am unsuccessful?  If you have not been successful in your HCPC application, it is likely that there was some information missing from your application to demonstrate that you meet the standards of proficiency.  The HCPC will return your application to the address you provided, you can then add more detailed information to your application forms and resubmit.  If, however, you have failed the application, the following will apply depending on the route that you have applied through:  International application rejected:  you may be able to appeal the decision. You can find out more about appeals here.  EMR application rejected: your choices are different. If you're a national of an EEA country, and are entitled to practice, you will be required to complete a period of adaptation or an aptitude test to rectify shortfalls in your knowledge or experience. You can find out more about the period of adaptation here.  English language proficiency:  The ability to communicate in English is of course crucial to working effectively in the healthcare profession in the UK. If you are applying via the International Application then you must obtain one of the following scores: IELTS – 7.0 average in all areas, with no element below 6.5 TOEFL – minimum score of 100/120 If applying via the EMR Application, and are a National of a relevant EEA state, then you are exempt.  Please note that Speach & Language Therapists must obtain higher scores, contact us for more information.  Is the HCPC enough? What about the British Psychological Society (BPS)?  The professional body for psychologists in the UK is the BPS. It is not necessary to be a member to practice, however they have a parallel process for achieving chartered status, which may be of value to some psychologists.  The BPS can provide you with Graduate Basis for Chartered membership (GBC) which is a way of acknowledging your Bachelor’s degree covers enough psychology in enough depth to be a foundation for further study. It is a standard given to certain degrees in psychology in the UK, and international qualifications can be given this status by the BPS.  To practice in the UK using any of the protected/regulated terms, including clinical psychologist or counselling psychologist, you have to satisfy the HCPC that you have broadly equivalent skills to those who trained in the UK. You can find more information on BPS membership here. Successful? What next?  First of all, congratulations! Once you have been granted registration with the HCPC, you can apply for work as a practitioner psychologist in the UK.  For more useful blogs & articles on exams, registrations & qualifications to help you find your dream job in the NHS - take a look at our IMG Resources library. If you have attained HCPC registration don’t hesitate to get in touch with your IMG Consultant to discuss UK job options in psychology, including discussions regarding a typical psychologist’s salary in the UK and the most suitable locations for you.  Connect with us             

FRCPath Part 1 Online   In response to the ongoing challenges posed by the COVID-19 pandemic, the Royal College of Pathologists has continued to offer the FRCPath Part 1 exams online. This includes FRCPath Part 1 in Histopathology, Haematology, and Microbiology. This means that FRCPath Part 1 can be taken from the comfort of your own home. This development allows the College to continue offering the FRCPath Part 1 exam to both UK trainees and overseas pathologists. Please note that the delivery of FRCPath Part 2 remains offline, with examinations being conducted in person. FRCPath Part 1 Delivery The format of the Part 1 exam remains unchanged – 125 SBA (single best answer) and EMQs (extended matching questions) which aim to assess the candidate's overall knowledge and understanding of histo/cytopathology, basic science underpinning pathology (including microbiology), and full understanding of autopsy practices undertaken in an NHS District General Hospital. FRCPath Part 2 is available in multiple overseas centres; in Irbid, Jordan, Cairo, Egypt or Dubai, UAE. These centres will be offered on an annual basis in either Spring or Autumn session subject to there being sufficient candidates to run the centre. All other Diploma practical, Part 1 practical and Part 2 examinations can only be taken in the UK The online exam is delivered through a company called TestReach. Candidates will have the opportunity to trial the examination software before the exam to familiarise themselves with it ahead of time. The TestReach system is fully proctored, and candidates will need to complete both an IT systems and environment check before the exam. These checks will ensure that candidates' devices are suitable for the exam and that they are in an environment that satisfies exam conditions, i.e., where they do not have access to textbooks or other revision materials. For more information on the online examination, see the College website here, or read their FAQs here. How to Apply The application window for the Autumn 2024 sitting of the FRCPath Part 1 exam will open at the end of July and close in mid-September. While the examination date has yet to be finalized, candidates are advised to apply early and may withdraw their place for a refund if the examination date is unsuitable. The cost of the exam is £700. For up-to-date information on exam and application dates, keep an eye on the College website here. For more information on FRCPath in Histopathology, take a look at our collection of articles and blogs here, where we explore the full examination suite, including a detailed look at the structure and format, fees, preparation, and resources. If you are looking for general information that any overseas doctors might need to know, check out our IMG Resources library. We hope this is helpful for any overseas doctors preparing to sit their FRCPath Part 1 exam, and the team here at IMG Connect wish you the best of luck! Don’t forget to share your progress and successes with us using the hashtag #imgstories on social media. We love to hear from you. Join the online histopathology community – connect with like-minded histopathologists and dedicated pathology recruiters in the IMG Histopathologists Facebook group.  For regular news and updates on the Royal College and all things histopathology, follow IMG Connect on social media using the links below:             

The MRCPsych exams can be overwhelming for overseas Psychiatrists and UK trainees alike.  Where do you turn for study materials? How do you prepare for the exams? What are the exams dates and fees? Where can I sit the exam? How can I find support online?    In this blog we will explore MRCPsych Paper B and everything that you need to know about how to sit the exam, taking a detailed look at the following topics:  An overview of MRCPsych What is MRCPsych Paper B? How is the exam structured and marked? Am I eligible to sit this exam? As an international psychiatrist, when and where can I sit the exam? Where and how do I apply? How much will the exam cost? What is the best way to prepare for MRCPsych B? #IMG Tips Passed? What next? Skip to the relevant section if you know what you’re looking for.  An overview of MRCPsych  The MRCPsych exams are the central components of psychiatry training in the UK. The examination series is designed to test the candidate’s knowledge of basic medical sciences as well as the clinical skills needed for diagnosis and management within psychiatry.  For IMGs taking this route, full MRCPsych satisfies the postgraduate requirements for full GMC registration.  The exams within the series are as follows:  MRCPsych Paper A  MRCPsych Paper B  MRCPsych CASC  For a more general overview of the MRCPsych examinations via our IMG Resources, please click here.  MRCPsych Paper B  Paper B is a three-hour written exam which asses critical review and the clinical topics in psychiatry.  Each questions is worth 150 marks, comprised of 150 questions:  One third - critical review  Two thirds - clinical topics  Exam structure and marking  Paper B will cover the following sections of the syllabus:  Organisation and Delivery of Psychiatric Services  General Adult Psychiatry  Old Age Psychiatry  Psychotherapy  Child and Adolescent Psychiatry  Substance Misuse/Addictions  Forensic Psychiatry  Psychiatry of Learning Disability  Critical Review  In Paper B, the percentage split, and marks allocation for the 150-mark exam will be approximately:  Eligibility    Trainees from any country in the world can sit the MRCPsych Examinations providing that they meet the eligibility requirements.  You are eligible to sit Paper B if you are a fully registered medical practitioner. It is also recommended that you have 12 months experience in Psychiatry before attempting Paper B.  Exam locations and dates  Since the Pandemic, commencing from 2021, the Royal College of Psychiatrists has made the decision to move all MRCPsych exams online and will remain this way for the forseeable future. This means you can sit the MRCPsych exams from your home country with submission and preparation details available on the Royal College website. This change makes it much easier for international psychiatrists to complete their Royal College exams and work towards GMC registration within a normal timeframe and with reduced disruptions.  Exams are usually held three times a year – you will find the most up-to-date information on exam and application dates on the Royal College website. Applications  To apply you’ll need to complete the Royal College online application form. The form is only available during the published application dates and must be submitted prior to the closing date. If you miss the cut-off date, your application will not be considered.  For new overseas candidates, you will need to register for a Royal College login first.  You will need to provide the following:  Personal details  Primary Medical Qualifications & Registration  Training  Written paper selection  Fees  At the end of your application, you will be directed to an online payment system where you can pay by credit or debit card, so make sure you have your details ready.  Once your application is complete you will receive two confirmation emails, one to confirm receipt of the application and one to confirm the payment has been received.  See below for MRCPsych Paper B fees for 2024:  PMPT Trainees and Affiliates (UK & Ireland Centres) - £496 Non-PMPT Trainees and Affiliates (UK & Ireland Centres) - £550 Preparation  With lots of materials online, we have discussed with our community of international psychiatrists as to the best resources and materials relating to the exams. Most IMGs recommended starting with the Royal College, who have created useful resources to help you to prepare for the exams. See below:  Syllabus: We always suggest that this is the best place to start – plan your study around the curriculum topics and make a road map to your success in the exams. You can find this here.  Current critical review syllabus: For Paper B, candidates will need to ensure that they make optimal use of the MRCPsych Paper B critical review - evidence-based practice syllabic content, available here.  Sample Papers: These will help you polish your exam techniques and are a good way to regularly benchmark your knowledge against the syllabus. Additionally, they will help you work quickly on the day as you will already know what to expect. The samples can be found here. Marking schemes: Candidates pass or fail the written papers based on their performance, and not how well you perform against other candidates. As such, it is a good idea to understand how the exam is worked, so you can maximise your exam skills, giving you the best chance of a pass. These can be accessed here.  Sample exam: These can help you understand the exact format of the exam and to familiarise yourself with the online exam environment. This is available here, you'll need scroll down to see 'Taking Papers A and B onine: Sample Exam'. Online exam guidance: Detailed guidance written specifically to guide candidates in preparing for an sitting an online exam, including technology checks and timings. The guidance can be accessed here.  The Royal College also suggest taking a look at Passing the MRCPsych - an insider’s guide - a useful resource to help you to get over the first steps. This is available here.  #IMG Tips  Start your revision early – preparation is key, and what better way to avoid last-minute stress?  Choose the best resources for you – whether it’s the Royal College materials, online courses or flash cards, try to figure out what works best for you.  Join our online support community – why not be part of a community of like-minded psychiatrists and MRCPsych aspirants? Join IMG Connect on social media for a place to ask questions and share resources.  Passed? What next?  Now that you have passed Paper A and B you are now eligible to sit the CASC exam. For more information take a look at our blog we will explore MRCPsych CASC and everything that you need to know about how to sit the exam, including syllabus, dates, results, fees and preparation.  For more useful blogs & articles on exams, registrations & qualifications to help you find your dream job in the NHS - take a look at our IMG library.             

In this blog, we’ll be covering some of the key aspects of the CASC exams, as well as introducing you to the team at PassTheCASC, an online learning and resource platform for MRCPsych CASC aspirants. We will be covering:  What is MRCPsych CASC?  Why does MRCPsych CASC Matter? What resources are available? The 3-Keys Tutorial Examples CASC Simulator What is MRCPsych CASC?  Let’s begin with a quick recap of the CASC exam. The Clinical Assessment of Skills and Competencies or CASC is a practical exam which takes the format of an OSCE and tests your clinical skills in a range of competencies.  It is made up of two circuits of individual stations made up of:  Five stations on history taking, including risk assessment  Five stations on examination, including physical and mental state  Six stations on patient management  For full guidance on the structure of the exam, visit the examination page of the Royal College website or see our detailed blog on the MRCPsych CASC exam here.  Getting started with preparation It can be tough to know the best place to start, psychiatry consultants (both IMGs and UK trainees) as well as the team at PassTheCASC, it seems the general consensus was that the Royal College website is the best place to begin. There are some great resources on their website to help applicants prepare for the exam.  Why does MRCPsych CASC Matter? The value of holding MRCPsych CASC cannot be understated, serving as both a symbol of your medical competence as a psychiatrist and giving you a competitive edge in the NHS job market. Attaining full MRCPsych demonstrates to potential employers that you have the necessary knowledge, skills, and experience to provide high-quality care to patients. To secure and work in an NHS job at the Speciality Doctor grade, and above, many NHS Trusts will list MRCPsych CASC as essential criteria.  MRCPsych also provides a stepping stone for further specialist training and can significantly enhance career prospects for international psychiatrists, more easily facilitating entry into more senior positions in the NHS, such as speciality doctor, the new specialist grade and consultant roles.   What resources are available?  IMG Connect have a library of written resources geared towards preparation for the CASC exam. If you’re interested in any of these, please get in touch here and we would be delighted to share these with you.   IMG Psychiatrists MRCPsych CASC Crash Course This is a tailored MRCPsych CASC course for overseas psychiatrists sitting the CASC exam. This course offers weekly sessions covering the entire exam and its various domains, including marking and station requirements. This is accompanied by small group role-play sessions to allow IMGs to practice stations across various scenarios with feedback on each station, delivered by an experienced NHS psychiatrist and specialist psychiatry recruiters. These sessions are completely free to all doctors. The course is supplemented by additional advice and guidance on MRCPsych CASC as a whole, GMC registration support, as well as guidance and webinars on other topics such as finding work in the NHS, relocation support and specialist registration. You can access our IMG Psychiatrists CASC Study Course by joining the Facebook group here. Partnering with PassTheCASC

Guest blog, written by Dr Jon Turvey, Core Psychiatry Trainee, Leicestershire Partnership NHS Trust  Dreams of providing quality psychiatric care within the dynamic medical landscape of a job in the NHS, often lead overseas psychiatrists from healthcare systems around the world to embark on the journey towards Membership of the Royal College of Psychiatrists (MRCPsych).  As a crucial milestone on the path to a career in psychiatry within the UK, the MRCPsych examinations provide an internationally recognised credential that sets the bar for clinical excellence, comprehensive medical knowledge and training, and confident decision-making skills in the field.  In this blog, we’ll be covering some of the key aspects of the Paper A and B exams, as well as introducing you to PassMRCPsych, an online learning and resources platform for MRCPsych aspirants, summarised in the headings below:  Why does MRCPsych matter? An overview of MRCPsych Paper A Unpacking MRCPsych Paper B IMG Psychiatrists partners with PassMRCPsych Mapping your MRCPsych journey Using PassMRCPsych for exam success Why does MRCPsych Matter? The value of holding MRCPsych cannot be understated, serving as both a symbol of your medical competence as a psychiatrist and giving you a competitive edge in the NHS job market. Attaining full MRCPsych demonstrates to potential employers that you have the necessary knowledge, skills, and experience to provide high-quality care to patients.  MRCPsych also provides a steppingstone for further specialist training and can significantly enhance career prospects for international psychiatrists, more easily facilitating entry into more senior positions in the NHS, such as specialty doctor, the new specialist grade and consultant roles.   An overview of MRCPsych Paper A Paper A is a written exam comprising 150 multiple-choice questions (MCQs) and extended-matching questions (EMQs), sat over 3 hours and now held online, through test centres. Paper A forms the foundation of the MRCPsych and focuses on the basic sciences that underline psychiatric practice. It touches on areas such as neurosciences, psychology, and social sciences, which are the cornerstone of psychiatry and set the scene for more advanced topics.  The average pass mark is typically around 60-70%, although this varies slightly depending on the difficulty of the paper for each diet. As per the latest statistics from the Royal College website, approximately 65% of candidates pass Paper A each diet.   You can find a detailed breakdown of the Paper A exam here.  Unpacking MRCPsych Paper B Similarly to Paper A, Paper B comprises 150 MCQs and EMQs sat over 3 hours through a remote test centre. Paper B requires an understanding of more nuanced clinical topics like psychopathology, treatment protocols, and management strategies for psychiatric disorders. It's about applying your foundational knowledge to real-world scenarios and demonstrating effective clinical decision-making.  For Paper B, the average pass mark usually ranges around 65-70%, with a pass rate of approximately 60%.  See here for an in-depth overview of the Paper B exam.  Partnering with PassMRCPsych As an exciting development in our provision of medical education, IMG Connect and PassMRCPsych have forged a partnership to offer extensive support to overseas doctors preparing for the MRCPsych exams. This collaboration aims to ensure your exam success through a series of exam-focused webinars and a continuously evolving and up-to-date revision resource to keep pace with the demands of the MRCPsych exams, along with discounts on revision course subscriptions.  Mapping Your Journey: A 4-Month Study Plan Navigating the MRCPsych exams is no easy feat. It demands rigorous and methodical preparation for UK trainees and IMGs alike. Here's a 4-month study plan for each exam to keep your preparation on track:  Month 1: Get to Grips with the Syllabus - Familiarise yourself with the syllabus and identify key areas that you need to focus on (these may be areas you are less familiar with or those not covered by your current practice). Use this month to dive into the revision notes on PassMRCPsych. Join the IMG Psychiatrists Facebook group for access to Paper A and Paper B study courses to support your study alongside your PassMRCPsych resources.  Month 2: Deep Dive into Topics - In this month, start working on each topic systematically. Use the revision notes to ensure you cover every aspect and create your own short notes for quick revision closer to the exam date.  Month 3: Challenge Yourself - This is the month to test your knowledge. Attempt the MCQs in the question bank regularly. This will help you gauge your understanding and identify areas of weakness. Don’t forget to read the explanations when you get the answers wrong!  Month 4: Revise and Review - Revision is the key to retaining information. Revisit your short notes, attempt more MCQs, and make full use of the PassMRCPsych mock tests to familiarise yourself with the exam pattern. This final month should be dedicated to reinforcing your learning, particularly on topics which you need to keep in your short-term memory.  Remember, while this study plan serves as a roadmap, you should adapt it to suit your personal learning style and pace e.g., time available to prepare and external commitments. The aim is to ensure comprehensive understanding and effective retention of knowledge.  PassMRCPsych - Your Companion in Success The seemingly vast MRCPsych syllabus might appear intimidating, but with the right guidance and resources, passing Paper A and Paper B can transform from an uphill task into an achievable goal. Here's where PassMRCPsych comes into play.  The online platform is armed with resources tailored specifically to the MRCPsych syllabus, from comprehensive revision notes that decode every topic in the syllabus, to an MCQ question bank with over 5000 questions, and mock exams providing the perfect opportunity to test your knowledge under timed conditions.  Better still, PassMRCPsych can also be used through a mobile app (on both iOS and Android), ensuring that your study materials are just a tap away and facilitating the seamless switch from studying at your desk to revising on-the-go.   It’s important to acknowledge that the MRCPsych exams come with a not insignificant cost. Understanding the financial constraints that often accompany rigorous exam preparations, PassMRCPsych offers highly competitively priced subscriptions which ensure that every aspirant, regardless of their budget, has access to top-notch preparation resources.  Dr Aisha, a satisfied user, shared her experience:   "PassMRCPsych.com was instrumental in my MRCPsych journey. The meticulous revision notes, the challenging MCQs, and the realistic mock exams provided an unparalleled learning experience. The convenience of a mobile app made it possible for me to study anywhere, anytime. And the affordable subscription didn't put a dent in my pocket while offering unparalleled resources."  Your Future Awaits With your career goals within reach, embark on your journey towards conquering the MRCPsych exams by subscribing to PassMRCPsych for Paper A and Paper B. Utilise their exhaustive resources and mock exams, and watch your preparation transform into success!  For a walkthrough of the PassMRCPsych platform and resources, join the IMG Psychiatrists Facebook group.  To receive the latest news and updates on all things psychiatry, including the MRCPsych, GMC registration and the NHS, follow us on social media and join the conversation.             

Following an extensive review of its assessment strategy, the Royal College of Psychiatrists has announced changes to the delivery of the MRCPsych examinations. MRCPsych Paper A and B will remain online for the foreseeable future, and the CASC exam will remain online for the May 2023 diet, moving back to an in-person exam from September 2023. Online MRCPsych Written Papers The written MRCPsych papers (Paper A and Paper B) will continue to be delivered through a test centre of your choosing (including international centres). This exciting development was of course accelerated by the COVID-19 pandemic, enabling MRCPsych examinations to be delivered for both overseas doctors and UK trainees. The structure of MRCPsych Papers A and B remains that candidates complete 150 questions. From these questions, roughly 100 are multiple choice with single answers and 50 are extended matching questions which ask a series of multiple choice questions about information in a single question stem.  The online system is straightforward, requiring only a few checks and guidelines to follow to help you make the process a success.  In-person CASC Exam Subject to final GMC approval, from September 2023 the CASC exam will be delivered face-to-face in the UK, with international centres for face-to-face delivery set to be introduced in 2024. There will be no further online diets after May 2023. Face-to-face delivery enables candidates to better demonstrate that they meet the key capabilities outlined in the 2022 curriculum. After consultation with stakeholders, it was clear that the validity and reliability of the examination was of prime importance, and that face-to-face assessment is the optimal way to assess the clinical skills required for psychiatric practice. The structure of the MRCPsych CASC exam remains unchanged - candidates complete two circuits, each of eight stations. An examiner will evaluate your performance and the invigilator would be on hand to make sure that everything runs to plan.  The September 2023 exam will be held in Sheffield, with international centres to be confirmed for 2024 onwards. If you are an overseas candidate for whom this change will delay when you will sit CASC, email the Royal College who are able to extend validity periods according to individual circumstances. Getting started An online application form must be completed and takes around 15 minutes. For full guidance on the application, please visit the Royal College website here. Join the IMG Psychiatrists Facebook group to become part of a community of like-minded MRCPsych aspirants and dedicated psychiatry recruiters. In the group you will find tailored resources for Psychiatry IMGs including our MRCPsych Crash Course.  This course offers weekly sessions covering the entire exam and its various domains, including marking and station requirements. This is accompanied by small group role play sessions to allow IMGs to practice stations across various scenarios with feedback on each station, delivered by an experienced NHS psychiatrist and specialist psychiatry recruiters. These sessions are completely free to all doctors. You can access our CASC Study Course by joining the Facebook group here. Connect with us  Don’t hesitate to get in touch using the buttons above (and below) and chat with an IMG Consultant to discuss your options for NHS roles with CESR support and start your journey towards Specialist Registration with IMG Connect.  For access to a community of like-minded psychiatry IMGs and dedicated psychiatry recruiters, join the IMG Psychiatrists Facebook group.    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.               

Many junior doctors applying for Specialty Training in the UK will need to take the MSRA or Multi-Specialty Recruitment Assessment.   The MSRA plays an important role in the shortlisting and assessment process for entry into postgraduate training in several specialties for ST1 and CT1 level jobs, by assessing essential competencies.  In this blog, we will be taking a closer look at the assessment, focusing on some key questions summarised below:  Who needs to sit the MSRA? How is the assessment formatted? What is the structure of the MSRA? Where can I take the MSRA and how much does the assessment cost? How can I prepare for the assessment? #IMG Tips Skip ahead to the relevant section if you know what you’re looking for.  MSRA Specialties At present, the MSRA is being used within the following specialties:  ACCS-Emergency Medicine  Anaesthetics  Child and Adolescent Psychiatry  Clinical Radiology  Community Sexual & Reproductive Healthcare  Core Psychiatry Training  Core Surgical Training  General Practice  Neurosurgery  Nuclear Medicine  Obstetrics and Gynaecology  Ophthalmology  Not every specialty uses the MSRA in the same way, however on the whole, candidates’ scores from the MSRA are used as part of CT and ST recruitment to shortlist for interviews and selection centres, as well as making up part of your overall ranking (with the rest coming from interviews selection centres).   For example in 2023, GP, CAMHS, and Core Psychiatry Training will not have any interviews or selection centres and 100% of your rank will be determined by your MSRA scores. Core Surgical Training will also be using the MSRA in shortlisting for the first time this year.  MSRA Format The MSRA is a single computer-based exam comprising two papers: Professional Dilemmas (PD) and Clinical Problem Solving (CPS). As an exam used across many specialties for entry into Specialty Training, the MSRA assesses a foundation level of competence.  There is an optional five-minute break between the two papers. If candidates choose to take a longer break, the extra time will be subtracted from the time available to complete the CPS paper.  A combination of question types is used within the assessment, primarily extended matching questions (EMQ) and single best answer (SBA) questions, however the assessment may also include multiple best answer (MBA) questions: up to 3 correct answers, picture questions: may include skin lesions, blood reports, ECGs etc., and algorithm questions – drag boxes to the right part of the algorithm or select the correct answer from a list.  Structure of the MSRA The MSRA last 170 minutes and is divided into two sections: Professional Dilemmas (PD) and Clinical Problem Solving (CPS).  Professional Dilemmas (PD)  The Professional Dilemmas (PD) paper is a Situational Judgement Test (SJT) which measures how a candidate’s judgement regarding challenging professional dilemmas they may face.  The PD paper is not a test of knowledge of problem-solving ability or knowledge specific to specialty training within any specialty, but aims to assess professional attributes which are considered important for successful progression through training and performance in one’s clinical role.   Time: 95 minutes  Number of questions: 50  Context: the PD component is set within the context of Foundation Training with the candidate assuming the role of an F2 doctor. There is also a mixture of settings such as a hospital (across a variety of wards or placements), general practice and out-of-hours clinics.  Core competencies: professional integrity, coping with pressure, empathy and sensitivity (you can find more information on the behavioural indicators linked to these competencies here).  Clinical Problem Solving (CPS)  The Clinical Problem Solving (CPS) paper assesses a candidate’s ability to apply clinical knowledge and make clinical decisions in everyday practice.  Again, the CPS scenarios are based on Foundation level clinical practice. They test a candidate’s ability to synthesise and apply medical knowledge (not just knowledge recall).  Questions may relate to the investigation, diagnosis or management of common and important diseases as well as rare presentations.  Time: 75 minutes  Number of questions: 86  Context: the CPS covers 12 clinical topic areas relevant to general medicine. Each test paper includes a balance of scenarios which cover all 12 topics, including:   Cardiovascular   Dermatology / ENT / Eyes  Endocrinology / Metabolic  Gastroenterology / Nutrition  Infectious disease / Haematology / Immunology / Allergies / Genetics  Musculoskeletal   Paediatrics   Pharmacology and therapeutics  Psychiatry / Neurology   Renal / Urology   Reproductive   Respiratory  Core competencies: investigation, diagnosis, emergency, prescribing, management (you can find more information on these domains here).  Exam Centres for the MSRA The MSRA is held remotely and is delivered in partnership with Work Psychology Group and Pearson VUE. Candidates will need to register for an account with Pearson VUE and once invited, they can book an assessment at a centre, date and time of your choosing (subject to availability).  The MSRA is delivered globally on several consecutive days in many Pearson VUE Computer Testing Centres. You can find your nearest Pearson VUE assessment centre by visiting the Pearson VUE website.  The exam itself is free to sit, but depending on the centre you choose, there may be additional travel and accommodation costs. It’s therefore advisable to book your seat as soon as possible for the best chance of securing a nearby centre.  Preparation for the MSRA On the whole, your previous (and current) experience working as a junior doctor will have prepared you for most of the questions and scenarios within the MSRA, although to different extents, depending on where you have gained your experience.   However, as your MSRA scores are often added to the interview score to determine overall rank, or even to exempt you from interview, it may be advantageous to attempt to score as highly as possible.  Blueprint: First and foremost, you should use the MSRA blueprint to better understand the target domains.  Sample questions: Sample questions for both papers are available on the Health Education England Medical Education Hub. You can access these here.  Commercial resources: Exam revision courses, books and online question banks are available, although these are not officially endorsed, and you can find some of the most popular providers below:  Medibuddy  Passtest  eMedica  Passmedicine  4,000 Question bank and mock tests  1,950 Question bank and mock tests  2,200 Question bank and mock tests  2,500 Question bank and mock tests  £30 - £50  £35 - £55  £49 - £119  £25 - £30   #IMG Tips Start early – Once you have decided to sit the test, plan well in advance to give yourself enough time to prepare and score as highly as possible.  Take a test tutorial – You can take a practice test to familiarise yourself with the controls and screen layouts in advance – see Pearson VUE or Oriel for details.  Negative marking - One mark is given for each correct answer and negative marking is not used within the assessment, so try to answer all questions, even when unsure.  Read carefully - Read the instructions and questions carefully – you may often be looking for the most suitable answer, rather than the only correct one.  Sources https://medical.hee.nhs.uk/medical-training-recruitment/medical-specialty-training/general-practice-gp/how-to-apply-for-gp-specialty-training/what_x0027_s-in-the-msra/structure-of-the-msra   https://medical.hee.nhs.uk/medical-training-recruitment/medical-specialty-training/general-practice-gp/how-to-apply-for-gp-specialty-training/taking-the-msra   https://www.bmj.com/careers/article/a-guide-to-the-multi-specialty-recruitment-assessment-msra-   https://heeoe.hee.nhs.uk/sites/default/files/msra_test_blueprint_information_nov_2019.pdf   The MSRA is a key examination for many IMGs developing their careers by entering Specialty Training. UK training programmes are very competitive and particularly for overseas doctors unfamiliar with the NHS system, taking the time for extensive preparation for the MSRA can greatly impact your chances of being successful in joining a training programme.  Read more useful articles on exams, NHS jobs and salaries in our IMG Resources library.  For regular news and updates, follow IMG Connect on social media using the links below:              

Overseas doctors often have questions about the best ways to prepare for the PLAB exams, particularly with so many online resources available with varying reviews and price points.   So, what study preparation, materials, courses and support are available for international doctors? We have compiled some of the best guidance and resources to help you in your preparation for the PLAB 2 exam.   The topics we will cover are as follows:  What is the PLAB 2 exam? What do I need in preparation for the PLAB 2 exam? What resources are available? Tips for tackling PLAB 2 Passed? What’s next? For an overview of the entire examination series, have a look at our article in the IMG Resources library here.  A Recap of PLAB 2 Let’s begin with a quick recap of the final exam in the PLAB examination suite.   PLAB 2 covers the common, important and acute conditions (those common in emergency departments) seen by trainees entering the second year of the Foundation Programme (FY2), and most importantly a trainee’s ability to apply knowledge to the care of patients.  Questions relate to current best practice in the UK, and you’ll need to answer the questions in relation to published evidence and not according to practices within your local arrangements. There are three domains across which trainees will be assessed:  Data gathering, technical and assessment skills  Clinical management skills  Interpersonal skills  For full guidance on the structure of the exam, see our detailed blog on the PLAB 2 exam here.  Preparation The PLAB 2 exam is held at two assessment centres in Manchester in the UK only. Which of the two centres your exam will be held in will be contained in your booking confirmation, including the address.  You can book your PLAB 2 examination using your GMC Online account where you can view available dates and book under the My Tests section – you will already have created an account for the PLAB 1 exam.  Before you can book a space for PLAB 2, you must already have passed PLAB 1.  Resources for PLAB 2 There are many resources to choose from online in starting your preparation for PLAB 2, however we recommend the following GMC guides to help you start your preparation.  The PLAB Blueprint: this is a helpful guide to what will be included in the exam. Our IMGs advise this is the best place to start with your preparations. The blueprint sets out clearly all the topics and skills needed to pass the exam. Download the PLAB Blueprint here.  MLA Content Map: the GMC will be introducing the UKMLA in 2024 and in anticipation of this, the content map should also be used during preparation. The questions and stations in PLAB 2 will remain the same. The content map is available here.  The Foundation Programme curriculum: the topics and skills covered in the PLAB Blueprint are identical to those undertaken by doctors starting their second year of Foundation Programme Training (FY2). The curriculum can be found here.  Guidance and interactive tools: the GMC ‘Good Medical Practice’ document explains the core advice to doctors on the standards expected of them. In the exam you will be expected to demonstrate the professional values and behaviours set out in ‘Good Medical Practice'.  You can test your knowledge of Good Medical Practice using the following online tools:  Explanatory guidance  Good Medical Practice in action interactive online tool  Welcome to UK practice interactive online tool  Avoiding common PLAB 2 errors: You can read the GMC’s examiners’ top tips on how to avoid common errors in the part 2 exam here.  Top tips from an examiner: You can find a list of top tips for PLAB from the perspective of an examiner here.  Sample OSCE station: you can find an example of what you will experience in your PLAB 2 stations here.  Getting Started  Below is some of our best advice for IMGs preparing to sit PLAB 2.   1. Apply for your visa well in advance The application process consists of two parts: the online application and the submission of supporting documents. You can find a detailed guide to the application process here.  2. Consider other essentials for the exam You will need evidence of English language proficiency as well as a GMC online account and these (particularly your English exam) will need to be prepared in advance.  3. Start your revision early Starting in advance allows you to pace yourself and get ahead of the stresses of last-minute revision and anxiety.   4. Familiarise yourself with the structure of the exam day The GMC have produced a handy guide of what you will encounter when you go to sit the exam. You can find this here.  5. Think about your personal learning style and use this to plan effective revision Consider the ways you study best and use them to your advantage. You do not need to attend a study or coaching course to pass PLAB 2 and can be passed under your own preparation - if you choose to do so, please be thorough in assessing different providers.  6. Try to form a study group Team up with other like-minded doctors or colleagues preparing for PLAB 2 to allow you to share resources and support.  7. Try to take some time off work before the exam You’ll likely be preparing for the exam alongside full-time work, so, if possible, take around 5-7 days somewhere in the run-up to the exam for some intense revision.  Passed? What next?  Once you have passed PLAB 2, you are eligible for GMC registration with license to practise. Great stuff!   You may want to start looking for NHS jobs and with the click of a button, you can receive them directly to your inbox. To receive job postings which you can tailor to your desired grade, specialty and location, sign up for our NHS job alerts.  For more useful articles on registrations and career and relocation support for your journey to the UK, take a look at our IMG library.              

GMC Registration can be a long and complex process. With several options available for overseas doctors to demonstrate evidence of their skills and knowledge, it can be difficult to decide the best route to take to register with the GMC.   For international doctors planning their route to the UK, the two most common and popular routes by far are the UK postgraduate qualifications (MRCPCH for paediatricians) or PLAB. Here we provide a summary of both pathways and briefly consider their benefits to help you make the best choice in your journey to the UK as an IMG.  GMC Registration for Overseas Doctors PLAB for GMC Registration MRCPCH for GMC Registration Which is better for me as an IMG: PLAB or MRCPCH? #IMG Tips How do I get started? Skip ahead to the relevant section if you know what you’re looking for.  GMC Registration for Overseas Doctors Registering with the GMC is a multi-stage process, including key timings actions and documents. To receive full registration, international doctors must provide evidence of:   What is often the most long and challenging part of the process is providing sufficient evidence of skills and knowledge, however, you can check whether you have a GMC-accepted postgraduate qualification here.  There are 5 ways in which an overseas doctor can demonstrate their skills and knowledge:  PLAB  Acceptable Postgraduate Qualification / Licensing Examination  Relevant European Qualification  Sponsorship / MTI  CESR / CESR-CP / CEGPR  Please note that only one type of evidence is required to demonstrate skills and knowledge for GMC registration.  Of these routes, the most accessible are PLAB and the Acceptable Postgraduate Qualification because they are two of the only routes that do not depend on the country you’ve trained in – the UK postgraduate exams and PLAB can be sat by doctors.  For a detailed breakdown of all the routes available to IMGs, see our blog here.  Professional & Linguistics Assessment Board (PLAB) The first and most common route we’ll be discussing, which is particularly 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 (FY2 or F2) and can therefore work safely as an SHO (Senior House Officer) in the NHS.  The GMC has produced a useful video summary of the PLAB exams which you can watch here, or for a more detailed overview, see our IMG Resources library.  MRCPCH - UK Postgraduate Qualification for Paediatricians 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.  For paediatrics, this can be done by attaining Membership of the Royal College of Paediatrics and Child Health. The Royal College of Paediatrics and Child Health (RCPCH) is the professional body that regulates the specialism of paediatrics in the UK, and MRCPCH is the full qualification attained through these examinations.  Take a look at our IMG Resources library for complete guides on MRCPCH to learn more.  PLAB vs MRCPCH Both MRCPCH and PLAB are respectable routes that demonstrate skills and knowledge and will allow an international doctor to register with the GMC and work in the UK. To decide which route of the two 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 paediatrician to obtain a more senior post in the NHS without either MRCPCH, 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.  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 MRCPCH.  Time PLAB has two stages and can take anywhere between 3-9 months to prepare from start to finish.  MRCPCH has four stages, the last of which must be taken after at least 30 months of postgraduate experience with at least 12 months involving the care of emergency paediatric patients and can take anywhere between 24-36 months to prepare from start to finish.  Cost MRCPCH has varying costs depending on whether you sit the exams in the UK or overseas. If sitting the exam in the UK, the exams can cost around £1,985, whereas sitting the exams overseas can cost up to £3,235.   PLAB costs £1,189, and whilst PLAB 1 can be sat in many overseas centres around the world, PLAB 2 is only delivered in the UK. You can find a list of overseas centres for PLAB 2 here.  So for both MRCPCH and PLAB, candidates will have to travel to the UK, meaning that the additional cost of visas, accommodation and flights must be factored in.  It’s also 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 an SHO, does not assess ability in paediatrics 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., paediatrics.  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.  MRCPCH involves three more difficult examinations and takes more time to prepare for. However, for overseas doctors, attaining MRCPCH will allow you to jumpstart your career in the UK, as you don't need PLAB or Core Training.  Additionally, MRCPCH will facilitate the application for more senior roles in UK paediatrics 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.   Sources https://www.rcpch.ac.uk/education-careers/examinations/mrcpch-about https://www.gmc-uk.org/registration-and-licensing/join-the-register/plab https://www.gmc-uk.org/registration-and-licensing/join-the-register/before-you-apply/evidence-to-support-your-application 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 MRCPCH, registrations and qualifications to help you find your dream job in the NHS - take a look at our IMG Resources library.   Don’t hesitate to get in touch with one our recruitment specialists if you would like to discuss your options in the NHS once you have completed PLAB or MRCPCH.   Follow us on social media through the links below for regular news and updates on the Royal Colleges, relocating to the UK and working in the NHS:              

As most overseas doctors may know, there are some non-UK Postgraduate Qualifications that are recognised by the GMC as equivalent. An equivalent qualification will be accepted by the GMC as evidence of the necessary knowledge, skills and experience to apply for full registration with a license to practice. The qualifications listed below are currently accepted by the GMC and are recognised as meeting the same standards as UK postgraduate qualifications. However, this does not mean they are the same in every way, and they do not guarantee entry to the UK Specialty training. What if my qualification is listed below? If your postgraduate qualification is listed below then you will simply need to provide evidence of English Language capabilities by passing an English Language Test (typically IELTS or OET) in order to satisfy the criteria for full registration with the GMC. Read through our blogs on English Language Testing to help answer any questions you may have on the matter. Alternatively, get in touch with one of our IMG Connect consultants (using the details at the bottom of this page) or send us an email with your details and we'll get back to you immediately to talk through any questions or next steps. What if my qualification is not listed below? If your qualification is not listed as equivalent, then you will be required to complete a Royal College Postgraduate Qualification or PLAB. You can use the GMC application finder to find the application that’s right for you. It is important to note, you must be granted full GMC registration within three years of passing your postgraduate qualification. Country Awarding Body Qualification Australia/New Zealand  Australian and New Zealand College of Anaesthetists Fellowship of the Australian and New Zealand College of Anaesthetists Australia/New Zealand The Royal Australian and New Zealand College of Ophthalmologists Fellowship of the Royal Australian and New Zealand College of Ophthalmologists (FRANZCO) awarded since January 2010   The Australasian College for Emergency Medicine Fellowship of the Australasian College for Emergency Medicine (FACEM) awarded since 2001 Australia/New Zealand   The Royal Australasian College of Physicians  FRACP Adult medicine or evidence of three years of basic training (PREP) + achievement of RACP written and clinical examinations Australia/New Zealand   The Royal Australian and New Zealand College of Psychiatrists Fellowship of The Royal Australian and New Zealand College of Psychiatrists (FRANZCP) awarded since January 2012 Australia/New Zealand  The Royal Australian and New Zealand College of Radiologists  Fellowship of The Royal Australian and New Zealand College of Radiologists (FRANZCR) (Clinical Radiology) Fellowship of The Royal Australian and New Zealand College of Radiologists (FRANZCR) (Radiation Oncology) Australia/New Zealand  The Australian College of Rural and Remote Medicine Fellowship of the Australian College of Rural and Remote Medicine (FACRRM) awarded since 1 January 2013 Australia/New Zealand The Royal Australian College of General Practitioners Fellowship of the Royal Australian College of General Practitioners (FRACGP) awarded since 1 January 2007 Australia/New Zealand The Royal New Zealand College of General Practitioners Fellowship of the Division of Rural Hospital Medicine (FDRHMNNZ) awarded since 1 January 2012 Australia/New Zealand The Royal New Zealand College of General Practitioners Fellowship of the Royal New Zealand College of General Practitioners (FRNZCGP) awarded since 1 January 2012 Bangladesh  Bangladesh College of Physicians and Surgeons Fellowship in Anaesthesia or Anaesthesiology awarded between July 1999 and October 2019 Canada  The Royal College of Physicians and Surgeons of Canada The Royal College of Physicians and Surgeons of Canada - diagnostic radiology examination Canada The College of Family Physicians of Canada (CFPC) Certification in the College of Family Physicians of Canada (CCFP) awarded since 1 January 2009 Europe European Academy of Anaesthesiology or European Society of Anaesthesiology (previously the European Academy of Anaesthesiology or European Society of Anaesthesiology) Diplomate of European Society of Anaesthesiology and Intensive Care (DESAIC) (previously the Diplomate of European Academy of Anaesthesiology DEAA) or Diplomate of European Society of Anaesthesiology (DESA)) Europe European Society of Intensive Care Medicine (ESICM) European Diploma of Intensive Care (EDIC) awarded since January 2015 Hong Kong Hong Kong College of Physicians Membership of the Hong Kong College of Physicians Ireland College of Anaesthesiologists of Ireland  Fellowship of the College of Anaesthesiologists of Ireland (previously Fellowship of the College of Anaesthetists of Ireland) Ireland Royal College of Physicians in Ireland Membership of the Royal College of Physicians of Ireland (MRCPI) in General Medicine, awarded after 1 January 2007 Membership of the Royal College of Physicians of Ireland (MRCPI) in Paediatrics (Medicine of Childhood), awarded after 1 January 2007 Membership of the Royal College of Physicians of Ireland (MRCPI) in Obstetrics and Gynaecology, awarded after 1 January 2007 Membership of the Faculty of Occupational Medicine (MFOM), awarded after 1 January 2007 Membership of the Faculty of Public Medicine (MFPHMI), awarded after 1 January 2007 Ireland Royal College of Surgeons in Ireland MRCS (collegiate examination) MRSC (intercollegiate examination) MRSC (ENT) (intercollegiate examination) Fellowship of the Royal College of Surgeons Ireland (FRCSI) Fellowship of the Faculty or the College of Anaesthetists of the Royal College of Surgeons in Ireland Fellowship of the Faculty of Radiologists in Clinical Radiology of the Royal College of Surgeons in Ireland (FFR RCSI) Malaysia  Ministry of Health Master of Medicine (MMED) Malaysia with MRCP (UK) awarded since 1 July 2010 This must include four years of clinical experience (required to complete MMED) plus two years of training Singapore  National University of Singapore Master of Medicine (Internal Medicine) including MRCP (UK)  Singapore  Joint Committee on Specialist Training Singapore  Master of Medicine (MMED) Singapore, plus MRCP (UK) awarded since 1 July 2010 South Africa  College of Anaesthetists of South Africa Fellowship of the College of Anaesthetists of South Africa FCA (SA) South Africa  Colleges of Medicine of South Africa  Fellowship of the College of Radiologists of SA FC Rad Diag (SA) - Diag Rad awarded after 1 October 2013 South Africa  College of Family Physicians of South Africa Fellowship of the College of Family Physicians of South Africa (FCFP(SA)) awarded since 1 January 2007 Sri Lanka  University of Colombo, Sri Lanka Doctor of Medicine or MD (Anaesthesiology) Doctor of Medicine or MD, (Obstetrics and Gynaecology) Doctor of Medicine or MD (medicine) awarded after January 2017 Doctor of Medicine or MD (surgery) awarded after July 2017 United States American Board of Anaesthesiology Certificate of the American Board of Anaesthesiology   The American Board of Radiology  The American Board of Radiology diagnostic radiology examination West Indies  University of the West Indies Doctor of Medicine (Anaesthesia) awarded between September 2003 and May 2014 (Course title has since changed to Doctor of Medicine (Anaesthesia and Intensive care)) IMG Jobs  Search and find live NHS doctor jobs in the UK IMG Resources Read more useful articles on finding an NHS trust doctor job, pay scales & doctor’s salary in the UK, relocation and more!   Get in Touch Don’t hesitate to get in touch using the buttons above (and below) to discuss doctor job options in the NHS, including discussions regarding a typical doctor salary in the UK and the most suitable hospital locations for you. 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Many Hong Kong psychiatrists complete MRCPsych as part of their training or are at least aware of the exam. Membership of the Royal College of Psychiatrists examinations (MRCPsych) is one of the best ways for Hong Kong psychiatrists to register with the GMC and find psychiatry jobs in the NHS.  The exams can be taken by International Medical Graduates (IMGs) from any country in the world, provided certain eligibility criteria are met. Here we provide a summary of these exams from a Hong Kong perspective, along with a broader look at the topics below:  Where does MRCPsych fit in for Hong Kong Psychiatrists? What does MRCPsych mean for Hong Kongers? MRCPsych can lead to CESR or Specialist Registration in the UK An overview of MRCPsych and how can Hong Kong Psychiatrists use it for GMC registration Eligibility for Hong Kong Psychiatrists What is the exam content and format? Assessment Portfolio Sponsorship Requirements How do I apply for the exams? How much will it cost me? As a Hong Kong psychiatrist, where can I sit the exams? How can I prepare for the MRCPsych examinations IMG Tips Passed? What next? Skip ahead to the relevant section if you know what you’re looking for.  Where does MRCPsych fit in for Hong Kong Psychiatrists? Postgraduate training in Hong Kong is governed by the Hong Kong College of Psychiatrists, and historically, psychiatric training in Hong Kong has aligned closely with the UK system of postgraduate education. Most psychiatrists in Hong Kong obtain membership of the Royal College of Psychiatrists (MRCPsych) as part of their post graduate training.   The structure of postgraduate training in Hong Kong also closely follows expectations for UK Trainees by covering the same 6 years of higher specialist training. In Hong Kong, the first three years of basic training incorporate the pre-MRCPsych training scheme, which gives the trainee the opportunity to take the MRCPsych examinations at a similar time in the process to the UK.   What does MRCPsych mean for Hong Kongers?  The mental health service in Hong Kong has undergone tremendous change over the last 20-30 years, developing a solid foundation in training, legislation, research and academic work. Hong Kong has fast developed a highly regarded psychiatry service and workforce. This level of training and service, coupled with membership of the Royal College of Psychiatrists (MRCPsych) means that Hong Kong Psychiatrists, including specialists and trainees, fit very well into the UK system.   Links through IMG Connect to several of the top performing trusts in the UK, has seen several Hong Kong psychiatrists flourish in the NHS, year on year.   MRCPsych can lead to CESR or Specialist Registration in the UK  With the parallels in post-graduate specialist training and qualifications like MRCPsych and FHKCPsych, and the high level of experience of Hong Kong Psychiatrists, Hong Kongers are able to enter CESR programmes successfully, gaining specialist registration in the UK reasonably quickly.  Hong Kong Psychiatrists possess the right level of skills, experience and qualifications required for a psychiatrist to apply for CESR. Upon entering the UK system, typically in a job with CESR support, HK psychiatrists can work towards completing the CESR application process with the support of their new employer, leading to being a specialist psychiatrist in the UK.   What is MRCPsych and how can Hong Kong Psychiatrists use it for GMC registration?   The MRCPsych examinations are the main component of specialty training for psychiatrists in the UK. The Royal College exams are designed to test your knowledge of basic medical sciences as well as the clinical skills required for diagnosis and management within psychiatry.   For IMGs from Hong Kong, MRCPsych is one of the two main routes to full GMC registration - you can find a range of articles covering these routes in our resource library here: Royal College or PLAB route.   For psychiatrists who wish to take more senior roles reflective of their current practice, IMG Connect advise that MRCPsych would be the best route to take, rather than PLAB.     As above, Hong Kong Psychiatrists who possess full MRCPsych can register to work in the UK. Whether 3 years into specialist training, or complete in all aspects of the postgraduate programme in Hong Kong, whether working as an Associate Consultant, Consultant or Professor, using the MRCPsych postgraduate route to GMC registration is applicable to you.   Psychiatrists in all main specialisms of psychiatry are eligible for registration and very much in demand to fill vacancies within the NHS.  A very successful route for Hong Kong Psychiatrists has been to secure a non-training post in the NHS, often appointed as a Specialty Doctor, Specialist Grade. Coupled with a developed CESR support programme, a non-training post can ensure swift progress to specialist registration in the UK. CESR will be a requirement for Hong Kong Psychiatrists to allow an appointment to a permanent consultant post.   For Hong Kong Psychiatrists who have not yet sat the examinations, in the following sections of this blog we will provide an overview of the format, dates, fees and exam centres, as well as look at how to prepare.   Eligibility for Hong Kong Psychiatrists   The MRCPsych examinations can be taken by any registered doctor in Hong Kong.    Each examination has different criteria, to complete the full MRCPsych a Hong Kong doctor must be registered with the medical council of Hong Kong, or any recognised medical board if working elsewhere overseas. They must also complete the Assessment Portfolio for Overseas Candidates demonstrating that they have complete 3 years of equivalent training.   For each part of the exam the Royal College suggest the following eligibility criteria:   MRCPsych Paper A  You are eligible for Paper A if you are a fully registered medical practitioner (in Hong Kong or elsewhere)  MRCPsych Paper B  It is a recommended to have at least 12 months experience in psychiatry before taking this examination.   Clinical Assessment of Skills and Competencies (CASC)  You have a pass in both Paper A and B; AND  You can demonstrate you have sponsorship in place. Sponsorship forms must be submitted by an appropriate medical education lead confirming that the eligibility requirements to sit the MRCPsych examinations have been met; AND  You have 24 months post internship experience in Psychiatry; AND  (Overseas candidates) Assessment portfolio  Exam content and format  The MRCPsych examinations consist of two written papers (Paper A + Paper B) and one clinical examination (CASC).   Paper A – The scientific and theoretical basis of psychiatry  This is a three-hour written paper, worth 150 marks and comprising of 150 questions made up of approximately two thirds multiple choice questions (MCQ) and one third extended matching item questions (EMI).   It covers the following sections of the syllabus:   Behavioural Science and Socio-cultural Psychiatry  Human Development  Basic Neurosciences  Clinical Psychopharmacology  Classification and Assessment in Psychiatry  Paper B - Critical review and the clinical topics in psychiatry  This is a three-hour written paper, worth 150 marks and comprising of 150 questions. The content includes one third critical review and two thirds on clinical topics.   It covers the following sections of the syllabus:   Organisation and delivery  General adult  Old age  Psychotherapy  Child & adolescent  Substance misuse  Forensic  Learning disability  Critical review  CASC - Clinical Assessment of Skills and Competencies  The CASC is based on a format similar to OSCEs. Specifically, the examination consists of two circuits which must be completed on the same day.  In total, the circuit includes 16 stations, made up of:   Five stations on history taking, including risk assessment  Five stations on examination, including physical and mental state  Six stations on patient management   Stations consist of several elements with instructions provided to all candidates, marked against the examiners construct.   These have a standardised format with elements in common between stations of a similar type. Find out more here.  For a more detailed guide on the recent MRCPsych exam changes, read our blog on Online MRCPsych Examinations.  Assessment Portfolio for Hong Kong Psychiatrists  The assessment portfolio should demonstrate achievement of equivalent competencies to those defined in the ARCP documented on the application form, including competencies in Psychotherapy AND Child and Adolescent Psychiatry, or Learning Disability, by the time of application.  In addition, you must demonstrate that you have undertake the following activities as part of your structured job plans:  Observation in interviewing patients in ward rounds for specified reasons   Observation in interviewing patients in out-patient or community settings or other contexts for specified reasons   Assessment via formal presentation of cases with their medical notes; discuss management of cases with their Clinical or Educational Supervisor  Formal assessment of competencies in Child and Adolescent Psychiatry or Learning Disability AND Psychotherapy  Assessments and achievement of competencies should take place in a range of settings and psychiatric specialties with structured, documented feedback on performance having been provided.    Whilst there is no assessment criteria form available, (this is incorporated into the online submission), take a look at the ARCP assessment portfolio form for CT1-3 in the UK, which should help give you a starting point for your own portfolio.   For Hong Kong Psychiatrists, the good news is that since the Hong Kong College of Psychiatrists embarked on the expansion and development of formal specialisms in psychiatry, the core competencies required by the Royal College in the UK are easier to gain access to than in other parts of the world. At the time of writing, the Hong Kong College oversees the following clinical divisions: general adult psychiatry, old age psychiatry, child and adolescent psychiatry, psychotherapy, addiction psychiatry, rehabilitation psychiatry and learning disability.     Postgraduate training in Hong Kong allows for MRCPsych aspirants to apply for the examinations with confidence.   Sponsorship Requirements  Hong Kong MRCPsych candidates must have a sponsor in place in order to support evidence that their three years of training satisfy Royal College criteria of having achieved equivalent competencies at appropriate competency levels (year 1, 2, 3) for each component of the examination.   Sponsorship is required by all applicants for entry to the CASC exam and your sponsor should be an appropriate medical education lead, confirming you have met the requirements to sit the MRCPsych examinations.  Acceptable sponsors in Hong Kong include:   College Tutor  Training Programme Director  Educational Supervisor  Head of School  Director of Medical Education (or equivalent)  Head of Department of Psychiatry  Consultant responsible for employee/trainee appraisal  Once your sponsor has authorised your application, you will receive a confirmation email from the Royal College, and you will be asked to complete your application and proceed to payment.  Applications for Hong Kong Doctors To apply from Hong Kong, you will need to complete an online application form which takes about 15 – 20 minutes. Applications must be submitted no later than 3:30pm UK time (10:30pm HK time) on the last day of the application period.  Note: the online application form for Paper A, B and CASC will only be available during the published application dates and applications submitted after this will not be accepted.  You can sit Paper A and B in any order. You will be required to enter contact details and training history, including your medical registration. If applying for the CASC, you will also need to provide the contact details of your sponsor.  After you have completed the written exam, you have 1,643 days to sit the CASC – you can find specific time limits here.  Exam Costs and Payment  Payment is made by Visa or Mastercard credit/debit card, and the costs for 2021 are as follows:  Candidate  Paper A  Paper B  CASC  PMPT Trainees and Affiliates (UK & Ireland Centres)  £486 (~HK$5228)  £437 (~HK$4701)  £1,004 (~HK$10,799)  Non-PMPT Trainees and Affiliates (UK & Ireland Centres)  £539 (~HK$5797)  £485 (~HK$5217)  £1,115 (~HK$11,993)  Exam Locations  Due to the ongoing difficulties presented by the COVID-19 pandemic, the CASC examination will not be run in Hong Kong in 2022.  The good news is that changes have been made and all examinations for MRCPsych can be taken online. Hong Kong psychiatrists can now sit all three MRCPsych exams without leaving the country, and even from the comfort of your own home. This makes it easier for HK doctors to complete the MRCPsych examinations and work towards their GMC registration within a normal time frame.   Exam dates  These are the exam dates available at the time of writing.  Paper A  Diet  Date of Examination  Application Period  Publication of Results  2  8 December 2021  4 - 22 October 2021  11 February 2022  1  14 June 2022  4 – 14 April 2022  22 July 2022  2  6 December 2022  3 – 14 October 2022  15 February 2022    Paper B  Diet  Date of Examination  Application Period  Publication of Results  1  29 March 2022  25 January – 4 February 2022  13 May 2022  2  4 October 2022  25 July – 5 August 2022  4 November 2022    CASC - UK & Ireland  Diet  Date of Examination  Application Period  Publication of Results  1  10 – 21 January 2022  1 – 12 November 2021  25 February 2022  2  12 – 23 September 2022  6 – 17 June 2022  31 October 2022    How do I prepare for the MRCPsych examinations?   With lots of materials online, we have discussed with IMGs the best exam resources and materials for Hong Kong doctors. Most IMGs recommended starting with the Royal College, who have created useful resources to help you to prepare for the exams. See below:   Syllabus: We always suggest that this is the best place to start – plan your study around the curriculum topics and make a road map to your success in the exams. You can find this here.  Current critical review syllabus: For Paper B candidates will need to ensure that they make optimal use of the MRCPsych Paper B Critical Review Evidence Based Practice Syllabic Content.   Sample Papers: These will help you prepare and polish your exam techniques. They are helpful in familiarising yourself with the exam format to allow you to work quickly and efficiently on the day, and are a good way to benchmark your knowledge and progress against the syllabus.   Paper A sample questions Paper B sample questions Marking schemes (Paper A and B): Candidates pass or fail the written papers based on their performance, and not how well you perform against other candidates. As such, it is a good idea to understand how the exam is worked, so you can maximise your exam skills, giving you the best chance of a pass. Marking schemes can be found here.   Marking scheme (CASC): A good start with CASC preparation is to get to know how you will be assessed, take a look at the criteria for scoring a pass mark in CASC, as well as the History Marksheet, Management Marksheet and Examination Marksheet.   CASC examination guide: The Royal College have produced a helpful guide for candidates which provides information on stations, role plays and assessment.   CASC preparation videos: Here you will have the opportunity to see CASC stations in action. This will give you a good idea of what to expect and help you prepare.   CASC Blueprint: This helpful summary details stations in some detail and gives a useful overview of the exam format.   The Royal College also suggest taking a look at Passing the MRCPsych - an insider’s guide - a useful guide to help you to get over the first steps.   #IMG Tips  Start preparing early - as ever at IMG Connect, we believe in preparation. Early preparation gives you the best chance for success and lessens the need for the dreaded last-minute cramming.  Join a study group – a great way to share resources, tips and meet new friends at the same time! To join an international study group, get in touch on our Facebook community group, see below.   Practise, practise, practise – psychiatry IMGs preparing in Hong Kong have told us that it is vital that you practise your clinical examinations, even better if under the supervision of a colleague who has already passed the exams  Join the online psychiatry community – connect with like-minded psychiatrists and dedicated psychiatry recruiters in the IMG Psychiatrists Facebook group.  For regular news and updates on the Royal College and all things psychiatry, follow IMG Connect on social media using the links below:              Passed? What’s next?   Whether you completed MRCPsych as part of your postgraduate training some time ago, or have recently completed the examinations, you can apply for a full GMC registration with license to practice. Once the GMC has approved your application, you can work as a doctor in the UK.  This is a great time to get in touch with us to discuss your route towards and preparation for GMC registration, or to find psychiatry jobs in the NHS if you’re further along in the process. In the meantime, why not have a look at our blog on Finding Psychiatry Jobs in the UK for Hong Kong Doctors.   If you’ve passed part of the MRCPsych exams, it’s time to look ahead to your next exam. You can find comprehensive guides to each of the MRCPsych exams in the IMG Resources library.