Overseas histopathologists wanting to secure a job in the UK via the postgraduate qualification route will need to attain Fellowship of the Royal College of Pathologists in Histopathology or FRCPath in Histopathology, a sub-specialty exam of FRCPath. FRCPath is the UK qualification and a GMC-recognised postgraduate route.
International Medical Graduates (IMGs) from any country in the world can sit the sub-specialty FRCPath in Histopathology examinations, provided certain eligibility criteria are met. These are summarised below along with a broad look at the following topics:
What is FRCPath in Histopathology?
Eligibility for overseas doctors
FRCPath in Histopathology structure and format
FRCPath in Histopathology: Part 1 - MCQ/EMQ
FRCPath in Histopathology: Part 2 - Practical Examination
As an overseas candidate where can I take the exams and how much will it cost me?
How do I apply?
How to prepare and what resources are available?
Passed? What next?
What is FRCPath in Histopathology?
Set against the Curriculum for Specialty Training in Histopathology, the examinations are designed to recognise histopathologists close to the end of their training who can demonstrate sufficient knowledge and technique for independent practice. In other words, completion of the full set of exams (Part 1 & 2) demonstrates your ability to work at consultant level.
Eligibility for overseas doctors:
Below we outline the eligibility for overseas doctors looking to sit both FRCPath Histopathology exams. For international candidates, the eligibility criteria for FRCPath specialty examinations can be a little confusing when looking online so IMG Connect spoke to the Royal College directly in an effort to clarify this.
Time spent in histopathology training is stated as a requirement of eligibility and the Royal College do consider equivalents to NHS training programmes though there is no list of countries with accepted or unaccepted training programmes. The royal college advises you should speak to your Educational Supervisor or Sponsor (if you have one) who can advise you if you are ready or eligible to sit the Examinations if you are unsure. Remember, there are many overseas doctors applying for all parts of the FRCPath exams so don’t be put off applying!
Top Tip: If you have the required months training in a recognised programme in your country for Histopathology specifically, the chances are you will be eligible.
Eligibility for Part 1:You are required to have trained in a recognised training programme in Histopathology for a period of no less than 12 months.
Did you know? Candidates who have passed the FRCPath Part 1 examination in Histopathology who, after appropriate training, can attempt the Part 2 examination in one of the following: Forensic Pathology, Neuropathology or Paediatric Pathology.
Eligibility for Part 2: The Royal College expects you to have at least three years of specialty training specific to Histopathology in your own country. Furthermore, the Royal College strongly advises candidates to attempt Part 2 at least 12 months after passing Part 1.
FRCPath in Histopathology structure and format:
The FRCPath examinations consist of two parts:
Part 1 – One paper comprised of 125 multiple choice questions (SBAs and EMQs)
Part 2 – six-part practical examination held over two consecutive days.
Part 1 examination:
FRCPath Histopathology Part 1 One comprises of 125 multiple choice questions in both single-best-answer (SBAs) and extended-matching-questions (EMQs).
The exam is orientated towards assessing your overall knowledge and understanding of:
histopathology/ cytopathology
basic science underpinning pathology (inc. molecular biology)
full range of autopsy practices undertaken in an NHS District General Hospital
Part 2 Practical Examinations:
The exams consists of six components taken over two days, summarised below:
Part 2 Practical examinations
Surgical history
20 cases in 20-minute slots
Cytopathology
8 cases in 20-minute slots
Macroscopic pathology
4 cases with 20-minute reviews followed by 20-minute discussions
OSPEs
2 20-minute stations
Long cases
4 20-minute stations
Frozen sections
6 cases in 2, 20-minute stations.
One meeting with examiners in separate 20-minute station.
Surgical history: 20 cases are provided in 10 pairs of haematoxylin and eosin (H&E) stained slides in 20-minute slots over 3-hours 20 minutes of the second morning. The cases will represent a range of difficulties, with some proving complex cases requiring detailed description, differential diagnosis and special techniques or cases not diagnosable on a single H&E.
Cytopathology: Held on the first morning of the exam. Eight non-gynaecological cytology cases will be provided in pairs in 20-minute slots.
Macroscopic Pathology: This part is designed to allow candidates to demonstrate their capabilities in discussing gross pathology and familiarity with block selection in the context of the RCPath Minimum Datasets. Four cases provided in the form of photographs of gross pathology specimens. Two 20-minute slots will be provided for 2 cases, followed by 20-minute discussions with 2 examiners.
OSPEs: 2 x 20-minute stations. One of which is conducted face-to-face with 2 examiners while the other is a written exercise only. Possible topics can include management/clinical governance type and MDT type cases.
Long Cases: 4 x 20-minutes stations provided on the first afternoon including cases which cannot conventionally be covered in a single H&E stained section.
Frozen Sections: 6 cases viewed in 2 x 20-minutes stations (3 cases per station) before meeting with a pair of examiners in a 20-minute station. You need to take notes and be able to provide the examiners with a bottom-line diagnosis only, to form basis for discussion in face to face meetings.
Where can I take the exams and how much will they cost me?
The COVID-19 pandemic has caused disruption to Royal College exams across all specialties, and unfortunately the RCPath exams have been affected also. For the most up-to-date news on the RCPath examinations please refer to their website here.
FRCPath Part 1 (current COVID-19 arrangements): In 2022, the Part 1 examination will be offered using online delivery to candidates. This means you can take the exam remotely and will not need to travel overseas to sit the exam, or attend an examination centre. The College will deliver the written components of these examinations through a company called TestReach, the Oral components (including oral OSPE stations) will be delivered using a video-conferencing platform such as Zoom or Microsoft Teams and for the written examinations, candidates will be given the opportunity to trial the TestReach system to familiarise themselves with it ahead of the examination. You can read more about the new, remote examination process further here on our website.
Previously, the Part 1 examination was sat in multiple overseas centres and once the pandemic is under better control globally, it is highly anticipated the Royal College will return to previous set-ups.
The FRCPath Part 1 exam costs £622. You can see how the Royal College breaks down the cost here on their website.
FRCPath Part 2 (current COVID-19 arrangements): Part 2 exams will be held in person in the UK in 2022. There will be no online delivery for the exam.
Keep an eye on the RCPath website for the most up-to-date news on the exams.
The FRCPath Part 2 exam costs £1,308. You can see how the Royal College breaks down the cost here on their website.
How do I apply?
Applications must be made via the Royal College of Pathologists website, with applications only available once an application window is opened by the Royal College. This is usually twice a year, in SPrin and in Autumn.
How do I prepare for RCPath exams and what study resources are available?
With lots of resources available online, we have discussed with consultants the best place to start looking for materials relating to the exams. Most recommended starting with the Royal College, who have created useful resources to help you to prepare for the exams.
Curriculum: Questions are set against the Curriculum for Specialist Training in Histopathology We recommend getting to know the curriculum as early as possible and using it as a road map for your study plan.
Regulations and Guidelines: Before applying for FRCPath examinations, the Royal College recommends you read both the General & Specialty Specific regulations and guidelines:
General Regulations and Guidelines
Royal College - Histopathology Regulations & Guidelines
Sample Questions:Testing yourself against previous exam questions is always a recommended way to prepare. Histopathology Part 1 sample questions
Cancer Datasets and Tissue Pathways: The College’s datasets for Histopathological Reporting on cancers have been written to help pathologists work towards a consistent approach for the reporting of the more common cancers and to define acceptable practices in handling pathology specimens. Whilst these are not specific to FRCPath examinations they are certainly relevant to the wider practice in histopathology.
IMG Connect advice:
Part 2 – food and drink:With multiple exams taking place for Part 2 in one day bring supplies! It will be a long day and there may not be access to food.
Hiring a microscope: For Part 2 you will be required to sit examinations in the UK and will require a microscope. The examination centres will not provide equipment for any applicants so you will need to hire a microscope in advance. There are a few companies easily accessible through a web search, find a microscope and book well in advance of the exam. You can arrange for the company to drop off and pick up the microscope from the exam centre, don’t worry!
I passed the FRCPath exams! What next?
First of all, congratulations! After you have passed both parts of FRCPath in Histopathology you can apply for a full registration with a license to practice. Once the GMC have approved your application, you can work as a histopathologist in the UK.
Don’t hesitate to get in touch with an IMG Consultant to discuss UK job options in Histopathology, including discussions regarding a typical doctor salary in the UK and the most suitable locations for you.
The Royal College makes it clear that individuals who reach the standard required to pass the FRCPath examination in their chosen specialty are deemed to have the necessary professional competence to practice unsupervised. FRCPath also greatly contributes to the Certificate Confirming Eligibility for Specialist Registration (CESR), the alternative route to the Specialist Register for doctors who do not complete their training in an approved UK training programme.
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:
Are you an overseas psychiatrist taking the postgraduate route to GMC registration through the MRCPsych exams? Are you interested in sitting the exams in the future?
As part of IMG Stories, we're introducing Dr Bilal Zafar, a psychiatrist who has recently sat and passed the MRCPsych Paper A exam. Bilal will be sharing his experiences of the first of the Royal College of Psychiatrists exams, taking you through his preparation, experience of sitting the exam and sharing some hot tips for international MRCPsych aspirants.
1. Tell us about yourself... what should the IMG Community know about Bilal Zafar?
My name is Dr. Bilal Zafar and I'm from Karachi, Pakistan. I graduated from Dow University of Health Sciences (DUHS) in 2018 and cleared my FCPS residency entrance exam from College of Physicians & Surgeons, Pakistan. Currently, I'm working as a psychiatry resident at Liaquat National Hospital in Pakistan. I am also Editor in-chief at MEDizzy UK, Global Executive Member at Oli Health Magazine Turkey, and an i-act manager for mental health certified by the Royal College of Psychiatrists, UK. I served as an ambassador for Banja Luka International Medical Congress (BLIMC) 2019, the 25th Scientific Congress of Hellenic Medical Students and the 13th International Forum for Medical Students and Junior Doctors from Pakistan.
More recently in 2022, I excelled in the MRCPsych Paper A examination by Royal College of Psychiatrists.
2. What motivated you to sit the MRCPsych exams?
When I started my residency, I was originally convinced to aim for PLAB, however during my practice, I watched one of my supervisors clear all the Royal College exams. This inspired me to switch to my focus to MRCPsych.
3. At what point in your career and training did you sit the MRCPsych Paper A exam?
I took the MRCPsych Paper A exam in December 2021. For me, the timing was appropriate as I was in the second year of my residency, therefore more aware of the fundamentals. By this point, I had built enough thorough clinical experience to tackle Paper A.
4. How far in advance did you start preparing for the MRCPsych Paper A and how much time did you spend on revision?
I started studying for MRCPsych Paper A soon after clearing my FCPS entrance exam. I had initially allocated 2 hours of studying daily, but as I was at the beginning of my residency so my dedicated study time fluctuated. However, I did my best to adhere to my study plan. When I was around 6 months away from the MRCPsych Paper A exam date, I started aggressive preparation. This is what I recommend to everyone; you will never feel ready for the exam. Book a place, start your preparation and take the exam!
5. Did you benefit from speaking to senior colleagues or peers about the exam? Did you study with other candidates?
I was grateful to find very professional, concerned and co-operative senior colleagues. Their thorough guidance and support provided me with the strategy and study materials for this exam. Around 6 weeks before the exam, I joined a study group of IMGs (which I found through IMG Connect) where I found an amazing study partner. She had more than 5 years' experience in clinical psychiatry, and together we solved MCQs and discussed concepts - her experience benefited me a lot!
6. You are one of the creators of the fantastic MEDizzy UK Journal. How has this impacted your study and practice as a psychiatrist?
MEDizzy is the world's fastest growing medical learning communities. I joined the community 4 years ago. Back then, I was doing my internship and preparing for the residency entrance exam. For me, MEDizzy is a door to non-stop medical exposure, and I've learned a lot from the app and journal. MEDizzy journal was launched in 2020 and since then I've served as Editor-in-Chief. We serve the global medical community with the latest news, medical cases, medical technology, inspirational interviews and much more. I must say, sometimes it becomes difficult to maintain a work and study balance and there's no perfect formula for this. I would say my studies have made me what I am today and MEDizzy polished me.
7. How did you manage to juggle other commitments whilst studying for the exam (without panicking)?
Sometimes I don't know, myself! After booking my exam, I created a study plan. At the same time, I had to juggle my residency, medical writing on Fiverr, MEDizzy projects and, most importantly, my wedding. It was scheduled for the day after my MRCPsych Paper A exam. I was tangled in multiple commitments and you can only imagine the difficulty. Fortunately, I could manage my personal life, residency and exam and passed the exam on my first attempt, despite the odds. The key is to remain calm and believe that nothing in this world is impossible.
8. What resources did you use to prepare and practice for the MRCPsych Paper A exam?
I relied on SPMM notes, SPMM high yield MCQs and mock exams. For my MRCPsych Paper A, I used a retro approach to studying. In this technique, I first solved the MCQs of any topic and studied the same topic later from the SPMM notes. I practiced mock exam questions 6 times. Always remember - revision is the key. You may cover a long list of topics but if you don’t revise what you studied earlier you won’t retain this information. While practicing questions, read them carefully and memorise the explanations. Lastly, I also used the Shorter Oxford Textbook of Psychiatry and Kaplan Neuroanatomy.
9. What is the single best resource you would recommend for IMGs to use when preparing for the MRCPsych Paper A and why?
SPMM and SPMM only. The mock exams and practice questions are similar to real exam questions. Take the mock exams 6 weeks prior to the actual exam and solve them in the provided time. This will give you real insight about your time management and retention and recall power.
10. Let's face it, exams are not everyone's favourite day out... so on the day of the exam, what did you do to relax?
Nobody should study on the day of exam. This makes you more anxious. For me, I was getting married the very next day and I had so much going around at home and in my mind. My exam was at 12pm, so I woke up at 7am, took a shower, got dressed, and left for the examination centre at 10:00 am.
11. What was your experience like on the day?
My experience was overwhelmingly amazing! It was an online exam at a local examination centre. In the exam there were 3 sections of 50 questions each. We had an option to take a break after completing each section, but I didn’t take any breaks as I thought it might disturb my continuity. Most of the questions were doable for me as I had practiced mock questions. However, there were some entirely new questions as well. In every section, I gave a reasonable amount of time to at least 5 questions. The rest of them didn’t take much time. Therefore, I completed the exam in 2 hours.
12. What was the most challenging part of the exam?
The most challenging part of the exam was the EMIs. They took a fair amount of time and I had to recall my basic concepts and put them together to solve these questions.
13. In hindsight, would you have done anything differently?
After the exam, I was confident about my performance. I thought I'd taken a good approach to the exam and ws confident in the results.
14. What nuggets of advice would you give to any MRCPsych Paper A aspirants?
I would recommend that you not wait for the ‘right time' or a time when you're ‘fully prepared'. There is neither a right time nor any point when you're completely prepared. Book the test, make full use of the question banks, take mock exams, start studying and sit your exam.
15. What did you do to celebrate passing the exam?
On the day the exam results were to be released, I was at home, and my wife and I were anxiously waiting for the email from the Royal College. The moment we saw “PASS” in the email, my wife literally shouted “You did it, Bilal!”. It was a priceless moment. Later that night, we arranged a gathering of close friends and family to celebrate my achievement.
16. What are your plans going forward?
So far, I am a candidate for FCPS (Psych) and MRCPsych. My plan is to take the intermediate module of FCPS in August 2022 and then take MRCPsych Paper B in September 2022. I aim to complete MRCPsych by next year. As far as MEDizzy is concerned, we aim to expand the community by initiating new projects such as the ambassador program and advancing MEDizzy Inspire where we interview the most deserving personalities from the world of medicine who can become inspiration for young healthcare professionals.
Join the IMG Psychiatrists Facebook group for access to a community of like-minded overseas MRCPsych aspirants.
For news and updates on all things psychiatry, follow us on social media and join the conversation.
In response to the high number of inquiries we've had from overseas pathologists about the arrangements for the Autumn sitting of the FRCPath Histopathology Part 2 exam, we've been in contact with the Royal College of Pathologists and have summarised these updates under the headings below.
When will the FRCPath Histopathology Part 2 exam be held?
The publicised dates for the exam are Tuesday 11 and Wednesday 12 October 2022, although these are subject to change due to the ongoing COVID-19 pandemic.
The withdrawal deadline for the exams is Friday 15 July 2022.
Can I sit the FRCPath Histopathology Part 2 exam in Autumn 2022?
The RCPath guidance which asks candidates to wait to sit the Part 2 exam the year after passing the Part 1 exam was in place to avoid overwhelming the limited capacity of the exam centres. Those who were successful in the Spring 2021 Part 1 exam are able to sit the Part 2 exam in Spring 2022. If the College needs to prioritise bookings, it will be done in the same way as previously. Therefore, if there is a requirement for candidates who have passed in Spring 2022 to wait until Spring 2023 to apply, a notice will be put on the News section of the examinations page around the end of May/ beginning of June.
It is therefore important to check regularly for updates to the examinations page, which you can do here.
Where can I sit the FRCPath Histopathology Part 2 exam in Autumn 2022?
Details on the Autumn 2022 sitting of FRCPath Part 2 have yet to be finalised, however, unlike Spring 2022, it may be possible to arrange to sit the exam in Irbid (Jordan), Dubai (UAE) or Cairo (Egypt) if there are sufficient applicants. The availability of FRCPath Part 2 examination centres outside the UK will be indicated on the Royal College website (when the application window opens for Autumn 2022 at the end of May) and candidates should contact the Examinations Department to express their interest in taking the exam in the available centre when they make their application.
We therefore advise that you keep an eye on the RCPath application page here.
Will the College have any microscopes available for me to use for the exam?
The College's overall policy is that the College and centres have no obligation to provide microscopes. Candidates can bring their own as this is equipment they are familiar with, or can hire a microscope. Some overseas centres may be more able to provide microscopes and if that is the case it would be stated on the letter sent to candidates with their centre confirmation.
If you would like to borrow a microscope for your FRCPath Histopathology Part 2 exam, we advise that you check well in advance what the options are for your chosen centre, or are available to you online.
If you have any further questions about the FRCPath exams, your route to the UK as an overseas histopathologist, or any other aspect of GMC Registration, the NHS or relocating to the UK, please get in touch with us here.
We'd also like to invite you to join the IMG Histopathologists online community - as well as support on Royal College exams, our Facebook group of international pathologists and dedicated pathology recruiters offers guidance on other aspects of working in the UK, including finding NHS posts and CESR.
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:
For many overseas psychiatrists, as well as UK based trainees, the MRCPsych exams can be overwhelming. 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?
To help a little, in this blog we will explore MRCPsych Paper A 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 A?
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 A?
#IMG Tips
Passed? What next?
If you know what you're looking for, skip ahead to the relevant section!
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.
Full MRCPsych satisfies the postgraduate requirements for full GMC registration for international psychiatrists taking this route towards working in the UK.
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 A
Paper A is a three-hour written exam covering the scientific and theoretical basis of psychiatry.
The exam, comprised of 150 questions, is worth 150 marks:
two-thirds multiple choice questions (MCQ), and
one-third extended matching item questions (EMI)
Exam structure and marking
Paper A covers the following sections of the current syllabus:
The percentage split and marks allocation on the 150-mark exam is broken down as follows:
Section
Percentage
Marks
Behavioural Science and Socio-cultural Psychiatry
16.67%
25 marks
Human Development
16.67%
25 marks
Basic Neurosciences
25%
37 - 38 marks
Clinical Psychopharmacology
25%
37 - 38 marks
Classification and Assessment in Psychiatry
16.67%
25 marks
Eligibility
Trainee psychiatrists from any country in the world can sit the MRCPsych examinations providing that they meet the eligibility requirements.
You are eligible to sit Paper A if you are a fully registered medical practitioner.
Exam locations and dates
We have good news – in response to the COVID-19 pandemic, the Royal College of Psychiatrists has made the decision to move all MRCPsych exams online! 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 immensely easier for international doctors to complete their Royal College exams and work towards GMC registration within a normal timeframe and with reduced disruptions.
Examination dates (at the time of writing) are as follows:
Examination Date
Application Period
Results Publication Date
1 December 2022
26 September - 7 October 2022
15 February 2023
Exams are usually held twice a year – and we will regularly check the Royal College website for updates and changes.
Applications
To apply, you’ll need to complete the Royal College online application form. This form is only available during the published application dates and must be submitted prior to the closing date. If you miss the cut off, 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 A fees for 2021:
PMPT Trainees and Affiliates (UK & Ireland Centres) - £486
Non-PMPT Trainees and Affiliates (UK & Ireland Centres) - £539
Preparation
With lots of resources available online, we have discussed with our IMG Psychiatry Community the best place to start looking for 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. We’ve collated these 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 access this here.
Sample Papers: These will help you prepare and polish your exam techniques and are a good idea to regularly benchmark your knowledge against the syllabus. In addition, sample questions will help you work quickly on the day, you will already know what to expect. The sample papers 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 marked, so you can maximise your exam skills and give yourself the best chance of a pass. Marking schemes can be found 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.
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 early – preparation is key and the best way to avoid last-minutes stress and cramming.
Use the Royal College website – this should be your best friend...or at least one of them. There are so many useful resources on these – what better place to start your revision?
Join our online support community - for all things psychiatry, including access to a community of likeminded psychiatrists and MRCPsych aspirants, follow IMG Connect on social media and join the conversation.
Passed? What next?
If you are completing the papers in order, the next step will be to apply for Paper B. For more information take a look at our blog where we explore MRCPsych Paper B and everything you need to know about how to sit the exam, including syllabus, dates, results, fees and preparation.
For more useful blogs & articles on the MRCPsych exams, registrations & qualifications to help you find your dream job in the NHS - take a look at our IMG library.
Good luck in your MRCPsych Paper A exam!
The Dermatology SCE is the higher postgraduate qualification provided by the Royal College of Physicians as a specialist qualification for dermatologists. It is one of 11 SCEs offered by the College and offers physicians a higher postgraduate qualification than MRCP which can be used to demonstrate to prospective employers the achievement of a standard equivalent to UK specialist doctors.
Here we take a closer look at the MRCP (UK) Dermatology Specialty Certificate Examination for doctors who have chosen to specialise in dermatology. We cover the content of the exam, as well as fees and the eligibility criteria, which we’ve summarised below with a broad look at the following topics:
What is the SCE in Dermatology?
Where does the SCE fit into my training?
What is the structure of the Dermatology SCE?
How do I apply for the exams and what do they cost?
Where can I sit the exams as an overseas dermatologist?
How should I prepare for the exams as an IMG?
I’ve passed? What’s next?
Skip ahead to the relevant section if you know what you're looking for.
MRCP (UK) SCE in Dermatology
The dermatology specialty certificate exam is administered as a compulsory element of assessment towards the Certificate of Completion of Training (CCT) in dermatology for all UK trainees.
The purpose of an SCE is to:
ensure that certified specialists have sufficient knowledge of their specialty to practice safely and competently as consultants
complement workplace-based assessments
provide a rigorous national assessment to establish public confidence
offer a challenge similar to sub-specialty certification examinations in North America
The SCE as Part of Training in Dermatology
Since the MRCP(UK) exams are taken during the Internal Medicine Training years (ST1-ST3), the dermatology SCE allows physicians to demonstrate that they are able to practice independently at a consultant level.
The SCE has no fixed entry requirements (both for UK and overseas candidates); however, UK trainees would normally sit the SCE in their penultimate year of higher specialty training (ST6). UK trainees should have made at least one attempt at the dermatology SCE by the time of their penultimate year assessment.
For an in-depth guide to the MRCP exams, see our IMG Resources library here.
Exam Structure
The SCE comprises 200 questions which assesses candidates on a wide range of common and important disorders, as set out in the syllabus of the curriculum. This should be taken as an indication of the likely number of questions for each section – the actual number may vary:
Topic
Number of questions
Cutaneous allergy
10
Dermatopathology
10
Dressings & wound care
10
Formulation & systemic therapy
10
General dermatology & dermatology in primary health care
50
Genito-urinary disorders and oral medicine
10
Infectious disease
10
Paediatrics & genetics
30
Photodermatology
10
Psychodermatology
5
Skin biology & research
15
Skin oncology
20
Skin surgery and cosmetic dermatology
10
Total
200
There are two three-hour papers, with the questions in each category distributed across both papers.
All SCEs are computer-based and are administered by Pearson VUE at a test centre in the UK or internationally.
Dermatology SCE Applications
The SCEs are held once a year and all applications are made online through the My MRCP(UK) account, found in the Upcoming Exams section of the Royal College website.
The application process is as follows:
Register online through My MRCP(UK) (candidates have the opportunity at this point to register any special arrangements)
Request a preferred test country and city
Pay applicable examination fee
Application is confirmed via an automatically generated email
Receive test centre confirmation email from Pearson VUE within four weeks of the examination date.
The Royal College of Physicians has created a helpful video guide on SCE applications which you can watch here.
Cost
The cost of the SCE exams are as follows:
UK centres: £665
International centres: £833
Exam Centres
UK Centres
Candidates who choose to sit the dermatology SCE in the UK must contact Pearson VUE to book their test. There are around 137 test centres throughout the UK for each SCE, and the Royal College of Physicians advise that candidates should book their exam as early as possible to secure their preferred test centre, since bookings operate on a first come first served basis.
International Centres
Candidates are given a choice of regions and are then asked to nominate a particular city in that region as their desired test location. The Royal College of Physicians passes this request to Pearson VUE once the application period has closed, and Pearson VUE will confirm final test centre details to candidates via email at least three weeks before the examination date. If the exam is not available in the requested location, candidates will be offered a choice of the nearest available test centres.
Please note, international candidates should not book their own test directly with Pearson VUE - attempting to do so may delay a candidate's application.
The full list of international test centres for the SCE can be found here.
Preparation and Resources for the Dermatology SCE
It can be difficult for IMGs to know where to start with their preparation and revision, particularly as the exam requires a wide breadth of knowledge around the curriculum and should involve reading textbooks, journals and guidelines.
This list should provide a good starting point for any international dermatologists preparing to sit the SCE:
Curriculum - Applicants are tested on a range of common and important disorders in Dermatology as set out in the Joint Royal Colleges of Physicians Training Board’s Specialty Training Curriculum for Dermatology. We recommend getting to know the curriculum as early as possible and using it as a blueprint for your study.
Below are some other good reading materials and sources:
Textbooks
Rook's Textbook of Dermatology - Eds DA Burns, SM Breathnach, N Cox, CE Griffiths
Textbook of Pediatric Dermatology - Eds AD Irvine, PH Hoeger, AC Yan
Dermatology - Eds JL Bolognia, JL Jorizzo, RP Rapini
McKee’s Pathology of the Skin - JE Calonje, T Brenn, A Lazar, P McKee
Journals
British Journal of Dermatology (BJD)
Clinical and Experimental Dermatology (CED)
Journal of the American Academy of Dermatology (JAAD)
Journal of Investigative Dermatology
The Journal of the American Medical Association (JAMA)
Websites
British Association of Dermatologists (BAD)
British Society for Investigative Dermatology (BSID)
British Society for Cutaneous Allergy
British Society for Medical Dermatology
British Society for Dermatological Surgery (BSDS)
DermIS (dermatology image resource)
eMedicine online reference
DermNet NZ (New Zealand dermatology society)
Dermatology e-learning resource
Sample questions: It is a good idea to regularly assess your knowledge and progress using example questions from the current exam syllabus. You can find these here.
For an overview of how to prepare for exams, including advice on study groups, online community support, the best use of online resources & Royal College materials and courses, check out at our blog: IMG Connects Top Tips for exam preparation.
I’ve passed? What’s next?
Congratulations – what an achievement! With your higher postgraduate qualification, you will be able to apply for NHS roles above ST3 which are likely more suited to your seniority and experience – nice one.
Don’t hesitate to get in touch with an IMG medicine recruitment specialist to discuss GMC registration, dermatology positions in the NHS, salaries, suitable UK locations and hospitals for you, and relocation.
To receive the latest news and updates, including the Royal Colleges, GMC registration and the NHS, follow us on social media and join the conversation.
The NHS offers an extensive training scheme and career development for medical oncologists, and the quality of this programme is recognised as a gold standard across the medical community.
The training provided to UK medical oncology trainees is regularly reviewed and updated, in keeping with advances and progression in the landscape of oncology around the world and throughout the profession.
In this article, we will explore the training pathway for medical oncologists in the UK, covering the following topics:
What is the NHS Training Pathway?
How do you enter the training pathway?
What does the specialty training programme look like for medical oncology?
What happens after completing the medical oncology training programme?
Can I enter specialty training in the UK as an IMG?
Skip ahead to the relevant section if you know what you’re looking for.
The NHS Medical Oncology Training Pathway
The NHS training pathway is the name given to the complete programme undertaken by UK trainees, from medical school to the completion of specialist training within i.e. within medical oncology.
It is important for IMGs to understand this as it helps to provide an understanding of at what stage they can most likely enter the system if they are interested in postgraduate training in the UK.
Entering the NHS Training Pathway
After graduating from medical school, doctors with receive provisional registration from the GMC which allows them to enter the Foundation programme (a two-year work-based training programme).
Upon completion of the first year (FY1), doctors will gain full registration with the GMC and will be able to apply for further study and training in a specialised area I.e. medicine – this is known as Internal Medicine Training (IMT), formerly known as Core Training (CT).
Specialty Training in Medical Oncology
The Specialty Training programme in Medical Oncology runs over a 6-year period, and doctors will usually take the indicated time, or slightly longer to complete the Specialty Training programme.
Successful applicants entering into year one of specialty training (ST1), will follow the Joint Royal Colleges of Physicians Training Board 2021 Medical Oncology Curriculum, which sets the expected syllabus as well as required assessments and workload case numbers.
Medical oncology training as an uncoupled programme
As medical oncology is a medicine specialty, aspiring oncology trainees will complete a period of core/ internal medicine training that lasts a period of two years.
This is followed by an open competition to enter a higher specialty training post. It is important to note that the application following core training is competitive and does not guarantee a specialty training post.
Medical oncology higher specialty training will be in total (including OCS) an indicative four-year clinical training programme leading to single accreditation in the specialty. There are no critical progression points during higher specialty medical oncology training, though trainees will be subject to an annual review of progress via the ARCP process and will have to complete all curriculum requirements including passing the medical oncology Specialty Certificate Examination (SCE) prior to obtaining CCT.
Foundation Training (FY1 – FY2)
The foundation programme usually involves six different rotations or placements in medical or surgical specialties. These rotations enable trainees to practise and gain competence in basic clinical skills and forms the bridge between medical school and speciality training.
Selection
Here, trainees will either choose to enter into either Internal Medicine Training or into training to become a general practitioner.
Specialty Training (ST1 – ST6+)
Internal Medicine Stage 1 Training (ST1 – ST2)
In this first stage of the Internal Medicine training programme, trainees develop a solid foundation of professional and generic clinical capabilities, preparing them for participation in acute medicine at a senior level and to manage patients with acute and chronic medical problems in outpatient and inpatient settings. You can find the Curriculum for Internal Medicine Stage 1 Training here.
This will culminate in trainees sitting the MRCP (UK) exams. For more information on the Royal College of Physicians examination suite, take a look at our IMG Resources library here.
Please note, trainees must pass the MRCP examinations prior to beginning Specialty Training in Medical Oncology.
Selection
Here, trainees will either choose to continue with Internal Medicine Training for a further year, to continue with training in a specialty that supports acute hospital care, or to provide primarily out-patient based services in e.g. oncology.
Medical oncology recruitment into ST4 posts usually occurs after 2 years of Internal Medicine Stage 1 training. However, trainees who complete the full three-year IMT programme are also eligible and there is no preferential selection for trainees who have completed either two or three years of training.
Oncology Common Stem (ST3)
The Oncology Common Stem (OCS) has a duration of one year and usually takes place in year 3 of specialty training. Here, the focus is on a trainee’s development of the common oncology capabilities relating to the key areas of overlap between the two specialties (medical and clinical oncology), as well as continuing to develop the generic capabilities expected of all doctors.
Clinical Oncology and Medical Oncology are the two main medical specialities that manage patients with non-haematological malignancy. They often work in partnership with each other, and both offer systemic therapy to patients, but only clinical oncologists administer radiotherapy and there are other differences in work-pattern, approach and focus.
Medical oncologists will have the scientific understanding which underpins radiation-based cancer treatments. During the OCS training year, trainees will gain knowledge of radiotherapy planning and delivery. This will enable them to coordinate the care of cancer patients with the wider multidisciplinary team (MDT), managing patients throughout a treatment pathway.
The curricula for medical and clinical oncology have been aligned to reflect this relationship and include aspects of common training that constitute the Oncology Common Stem (OCS), improving transferability and flexibility for trainees who wish to move between the two specialties.
Please note that medical oncology trainees will not be expected to independently plan or deliver radiation-based cancer treatments.
Medical Oncology Specialty Training & Maintenance of Common Capabilities (ST4 – ST6)
Following successful completion of OCS, medical oncology trainees will complete a subsequent higher specialty-specific programme, this takes place from year 4 – 6. The focus here for trainees is on acquiring medical oncology-specific capabilities, alongside consolidation and further development of the common oncology and generic capabilities.
Trainees will then sit the Medical Oncology Specialty Certificate Examination, usually in the penultimate year of higher specialty training. The globally-recognised exam offers medical oncologists a postgraduate qualification which demonstrates achievement of a standard required of UK specialist trainees.
Please note, the medical oncology SCE is a compulsory component of assessment for the achievement of Certificate of Completion of Training (CCT).
To learn more about the medical oncology SCE, read our detailed blog here.
Completion of the Medical Oncology Specialty Training Programme
Upon completion of the medical oncology training programme, the choice is made whether the trainee will be awarded a Certificate of Completion of Training (CCT) in Medical Oncology. This will be based on high-level learning outcomes – capabilities in practice (CiPs) set out in the curriculum by the Royal College. You can find the 2021 curriculum here.
At this point, medical oncologists are recommended to the GMC for the award of CCT and entry onto the specialist register and can now take permanent consultant posts in the NHS.
Specialist Registration for overseas doctors
Doctors who completed part or all of their medical oncology training outside the UK are eligible for specialist registration through the CESR or CESR-CP pathways. To learn more about specialist registration for overseas doctors, read our blog here.
Joining the Medical Oncology Specialty Training Programme as an IMG
It is possible for overseas doctors to join the Specialty Training programme in Medical Oncology in the UK, however it is very competitive.
IMGs interested in UK specialty training must have:
Full GMC registration
Completion of a minimum 12-month (FY1 equivalent) internship
English language test
PLAB
AND
12 months post-internship experience by the time you begin ST1
Please note, whilst UK trainees are not given priority for specialty training spaces, it can be extremely difficult to join the Specialty Training programme without prior NHS experience.
So here you have it, the NHS Specialty Training pathway for medical oncology trainees in a nutshell. The training programme forms the basis of medical oncology training in the UK, and for overseas oncologists interested in joining the training programme, good knowledge of the pathway allows you to better understand the alignment of your overseas training with the relevant stage of Specialty Training for medical oncology in the UK.
Join the IMG Oncologists Facebook group for access to a community of like-minded oncologists and dedicated oncology recruiters.
In this group you will find tailored resources for oncology IMGs, including access to our MRCP crash courses, completely free to all doctors.
You can access our IMG Oncologists community here.
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:
IMGs often have questions about the best ways to prepare for the MRCPsych Paper B exam, particularly with a new exam format and so many online materials geared towards UK trainees and applicants.
So, what study materials, courses and support are available for international psychiatrists? Here we have compiled some of the best guidance and resources to help in your preparation for the Paper B exam. We will also address some of the changes in the availability of test centres and exam delivery as a result of the COVID-19 pandemic.
The topics we’ll cover are as follows:
What is MRCPsych Paper B?
How do I get started with my preparation?
What other resources are available?
How has the exam been affected by COVID-19?
#IMG Tips
Passed? What’s next?
If you know what you’re looking for, skip ahead to the relevant section.
If you’d like an overview of the entire examination series, take a look at the article published in our IMG Resources library here.
MRCPsych Paper B
Let’s begin with a quick recap of the second exam in the MRCPsych examination suite.
MRCPsych Paper B is a three-hour written exam which asses critical review and the clinical topics in psychiatry.
The 150-mark paper comprises It is made up of around two-thirds multiple-choice questions (MCQ) and one-third extended matching item questions (EMI). One third of the paper covers critical review, with the other two thirds covering clinical topics.
The breakdown of the sections is as follows:
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 Paper B exam here.
Preparation
It can be tough to know the best place to start, and after talking with some psychiatry consultants (both IMGs and UK trainees), the consensus was that the Royal College website is the best place to begin. There are some great resources on their website to help applicants to prepare for the exam. 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. As such, it is a good idea to understand how the exam is marked 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.
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.
Other resources
IMG Connect has a library of written resources geared towards preparation for the Paper B exam. If you’re interested in any of these, please get in touch here and we would be delighted to share these with you.
Other online resources available for the exam include a mixture of paid and free resources. These include:
SPMM Starter Study Materials: A range of comprehensive study materials and subject-based question banks with evidence-based answers and explanations (SPMM HiYield and SmartRevise). These are available for 6 months from the date of purchase for the price of £299 and can be found here.
SPMM Video Lectures: A course covering the most important questions pertaining to clinical and critical appraisal topics. This is delivered through 19 hours of viewing - 10.5 hours of clinical topics and 8.5 hours of critical appraisal. Also provided is a PDF of Q-Bank to print and practice. These are available for 3 months from the date of purchase for the price of £199 and can be found here.
Brainscape Flashcards: Sets of web and mobile flashcards with hundreds of questions across all of the syllabus covered in the MRCPsych Paper B exam. This free resource can be used as either revision or practice material and is available here.
Superego Café Question Bank: This question bank provides over 500 multiple choice questions to help you prepare for your examination. The question bank includes constantly updated revision questions and is available as a mixed variety to reflect the MRCPsych Paper B examination. This can be accessed here.
BMJ Revision Questions: The BMJ has created an app-based revision resource with over 270 core questions, including the SBA and EMQ formats that will be seen in the exam. They are available at several price points dependent on the duration of access, from £29.99 for one month to £129.99 for 12 months. These are available here.
Get Through MRCPsych Paper B: Written by authors with recent exam success, the book provides candidates with realistic and up to date MCQ and EMIs, closely matched to themes appearing most often in the Paper B exam. This can be found here.
TrickCyclists Exam Notes: A series of psychiatry notes specifically tailored to the MRCPsych Paper B exam, including the nine topics covered by the exam and more. They are available in word and PDF format and are free to be used, distributed and modified. They are available here.
Courses
The SPMM and MRCPsychMentor resources are the most highly recommended by IMG psychiatrists we have spoken to and are available in different formats depending on your revision needs.
MRCPsych Mentor Mock Exam
A three-hour long exam which simulates exam conditions with a mock exam paper comprising new questions not available in the question bank. It includes a revision mode, timed tests, extensive performance analysis and powerful question review functions.
Duration
6 weeks
Cost
£15
Next start date
On demand
Website
www.mrcpsychmentor.com/mocka/index.php
SPMM Booster Mock Exams
These practice tests are simulations of the real exam prepared to the exam blueprint, allowing you to identify your weakest areas before the actual exam. This package includes access to 6 individual practice papers, comprising reconstructed questions from the most recent exams. Subscriptions can be purchased only 10 weeks before the College exam date.
Duration
N/A
Cost
£249
Next start date
On demand
Website
spmmcourse.com/local/coursepackages.php
IMG Psychiatrists MRCPsych Paper B Crash Course
This is a tailored MRCPsych Paper A course for overseas psychiatrists. This course offers weekly sessions covering the exam and its various domains. This is accompanied by practice MCQs and EMQs for exam-style practice, 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 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 Paper B Study Course by joining the Facebook group here.
How the exam has been affected by COVID-19
As a result of the pandemic, all MRCPsych exams have moved online. Applicants from Singapore and Hong Kong who intended to sit exams in local centres are also invited to apply for the online sitting of the exam. You can learn more about the online exams for MRCPsych in the blog we've written here.
The application process for the exam takes 15 – 20 minutes where candidates will need a valid debit/ credit card, as well as the email address and full details of your sponsor. Further details on the application process can be found here.
#IMG Tips
Start your revision early – starting in advance allows you to pace yourself and get ahead of the stresses of last-minute revision and anxiety.
Build on your existing knowledge and experience – you’re being tested on things which you’ll likely be familiar; take your experiences and use that to bolster any new information you learn through your revision.
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; take what’s available online and maximise their impact on your preparation.
Maintain a work-life balance – whilst you should dedicate time to study for the exam, it’s important to avoid burnout by setting aside time away from work and revision to reset and clear your mind.
Join the online psychiatry community - for news and updates about all things psychiatry for IMGs, follow IMG Connect on social media and join the conversation here.
For regular news and updates on the Royal College and all things histopathology, follow IMG Connect on social media using the links below:
Passed? What next?
Great stuff, this is a massive achievement and you deserve to put your feet up for a while! After a well-earned break, you can apply to sit the CASC exam, which you are eligible for once you’ve passed the MRCPsych Paper A and Paper B exams. 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 Resources library.
Overseas medical oncologists looking to register with the GMC through the postgraduate qualification route will need to attain Membership of the Royal College of Physicians (MRCP UK).
Here we take a closer look at the MRCP (UK) examinations for doctors who have chosen their specialism in medical oncology, including a breakdown of each exam, fees and eligibility.
International Medical Graduates (IMGs) from any country in the world can sit the MRCP examinations, provided certain eligibility criteria are met. These are summarised below along with a broad look at the following topics:
What is MRCP (UK)?
Where does MRCP fit into my oncology training?
How are the MRCP exams structured?
Eligibility for overseas doctors
How do I apply for the exams and what do they cost?
Where can I sit the exams as an overseas medical oncologist?
How should I prepare for the exams as an IMG?
I’ve passed, what’s next?
Skip ahead to the relevant section if you know what you're looking for.
What is MRCP(UK)?
The Royal College of Physicians is the professional body responsible for the specialty of medicine throughout the UK. Among many other duties, its role is to set and monitor the educational curriculum for those training to enter the profession.
As medical oncology comes under the umbrella of medicine, the postgraduate exams for medical oncologists are set and delivered by the Royal College of Physicians. For clinical oncologists, the Royal College of Radiologists are the overseeing body for training and exams. You can learn more about the clinical oncology postgraduate route here.
The MRCP examinations assess a candidate’s knowledge of basic medical sciences, as well as clinical skills required for the diagnosis and management of disease. The exams are designed to test both applied basic science and principles of medicine to the level of a UK trainee with two to three years postgraduate experience.
Therefore, completion of MRCP will allow you to work in the UK from ST3 level upward, with seniority beyond ST3 level dependent on experience.
MRCP (as a postgraduate qualification) is one of the two main routes an overseas doctor can take to gain full GMC registration, the other being the PLAB route. For in-depth information on each of the MRCP exams, see our IMG Resources library here.
MRCP as Part of Training in Oncology
Full MRCP (UK) is a requirement for all oncologists wishing to go on to a specialty training post in the UK.
For doctors who wish to find more senior roles in the NHS which are reflective of their current practice and experience, IMG Connect advise that MRCP (UK) would be the best route to take to GMC registration.
MRCP (UK) Exams Structure
The MRCP exam has three parts as outlined below:
MRCP (UK) Part 1
The first exam in the MRCP exam suite tests a sample of medical knowledge skills and behavior are specified in the UK specialty training curriculum for core medical training / internal medicine training.
The first examine that MRCP suite is designed to assess the candidate's knowledge and understanding of the clinical silences relevant to medical practice and of common or important disorders to a level appropriate for entry to specialist training.
The examination has a two-paper format - each paper is 3 hours long and contains 100 multiple choice questions in a ‘best of five’ format. The paper both tests core knowledge and comprehension as well as a candidate's ability to interpret information and solve clinical problems.
Each question has five options: one correct answer and four alternatives to the correct answer.
The exam is also designed to help prepare candidates for the more challenging Part 2 written and PACES exam.
Specialty
Number of questions
Cardiology
14
Clinical Pharmacology and Therapeutics
15
Clinical sciences
25
Dermatology
8
Endocrinology, diabetes and metabolic medicine
14
Gastroenterology and Hepatology
14
Geriatric medicine
8
Haematology
14
Infectious diseases
14
Neurology
14
Oncology
5
Medical ophthalmology
4
Palliative medicine and end of life care
4
Psychiatry
9
Renal medicine
14
Respiratory medicine
14
Rheumatology
14
Total
200
For more detailed information on the content of the exam, see the Royal College website here.
MRCP (UK) Part 2
The second exam in the exam suite builds on the knowledge assessed in Part 1 and again tests the acquisition of a representative sample of medical knowledge skills and behavior.
The questions will usually have a clinical scenario, may include the results of investigations and may be illustrated with images such as clinical photographs, pathology slides, inheritance trees ECGs, X-rays, CT and MR scans and echocardiograms.
Questions are asked about the diagnosis investigation management and prognosis of patients using multiple choice questions in a ‘best of five’ format.
Specialty
Number of questions
Cardiology
19
Clinical Pharmacology and Therapeutics
18
Dermatology
9
Endocrinology, diabetes and metabolic medicine
19
Gastroenterology and Hepatology
19
Geriatric medicine
9
Haematology
9
Infectious diseases
19
Medical ophthalmology
3
Neurology
17
Oncology, Palliative medicine & end-of-life care
9
Psychiatry
3
Renal medicine
19
Respiratory medicine
19
Rheumatology
9
Total
200
For more detailed information on the content of the exam, see the Royal College website here.
MRCP (UK) PACES
The MRCP (UK) Practical Assessment of Clinical Examination Skills (PACES) assesses a candidate’s ability to carry out essential clinical skills.
There are five clinical stations where there are either patients with a given condition, or trained stand-ins (surrogates). At each station, there are two independent examiners who will observe and evaluate the candidates' performance.
PACES Carousel
For more detailed information on the content of the exam, see the Royal College website here.
Eligibility for Overseas Medical Oncologists
Part 1
To be eligible for MRCP (UK) Part 1, you must have a GMC recognised Primary Medical Qualification and a minimum of 12 months postgraduate experience in medical employment.
Part 2 & PACES
To be eligible for MRCP (UK) Part 2 & PACES, you must have passed Part 1 within the last seven years.
Please note, whilst it is not essential to successfully complete Part 2 to sit PACES, the Royal College strongly advises you to do so, as pass-rates are much lower for those who sit PACES before passing Part 2.
Applications
Applications for all MRCP exams are made online through My MRCP(UK) account, via the Royal College website. You will need to create an account and submit evidence of your primary medical qualification, then make a payment online to confirm your application.
The cost of the MRCP exams are as follows:
Candidate
Part 1
Part 2
PACES
UK
£460
£460
£657
International
£616
£616
£1,202
Exam Centres
The MRCP exams are held 4 times a year and can be sat in several locations around the world, including the UK, Manama, Dhaka, Cairo, Accra, Hong Kong, Reykjavik, Chennai, Hyderabad, Kerala, Kolkata, Mumbai, New Delhi, Erbil, Amman, Nairobi, Kuwait City, Kuala Lumpur, Malta, Kathmandu, Muscat, Karachi, Lahore, Doha, Jeddah, Riyadh, Singapore, Sri Lanka, Khartoum, Abu Dhabi, Dubai, New Jersey, Barbados, Jamaica, Trinidad and Harare.
Please note that the number of sittings for each exam varies between countries – you can find the full list of cities and dates here.
The Part 1 and Part 2 exams are held online in the UK for candidates within the UK and Republic of Ireland.
During the COVID-19 pandemic, there is limited availability of spaces for the PACES exam, and whilst every effort will be made to provide as many places as possible, if the number of applications for the exam exceeds the places available, candidates in UK training will be prioritised.
Preparation and Resources
With lots of resources available online, we have discussed with IMGs the best place to start looking for 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. These include:
Curriculum: Applicants are tested on a range of common and important disorders in General Medicine as set out in the Joint Royal Colleges’ Specialty Training Curriculum for Core Medical Training. We recommend getting to know the curriculum as early as possible and using it as a roadmap for your study.
Sample questions for Part 1 & Part 2: It is a good idea to regularly benchmark your knowledge by testing yourself using example questions from the current exam syllabus provided by the Royal College see below:
Part 1
Part 2
PACES scenarios: To familiarise yourself with the format of the PACES exam, take a look at sample scenarios from the stations. You can find these here.
IMG Oncologists
Join the IMG Oncologists Facebook group for access to a community of like-minded MRCP aspirants and dedicated oncology recruiters.
In this group you will find tailored resources for oncology IMGs, including access to our MRCP crash courses, completely free to all doctors.
You can access our IMG Oncologists community here.
For an overview of how to prepare for exams, including advice on study groups, online community support, the best use of online resources & Royal College materials and courses, take a look at our blog: IMG Connects Top Tips for exam preparation.
For more information on the MRCP exams including structure, preparation, dates and a content drill down, see the blogs we’ve written on each part of the examination suite:
MRCP (UK) Part 1
MRCP (UK) Part 2
MRCP (UK) PACES
I’ve passed, what’s next?
First of all, congratulations! This is a massive achievement and you deserve to put your feet up after all that hard work. With full MRCP, you can now apply for a full GMC registration with a license to practice (once you’ve passed an English language exam). Once the GMC has approved your application, you can work as a doctor in the UK. Nice one!
Get in touch
Don’t hesitate to contact an IMG oncology recruitment specialist to discuss GMC registration, oncology positions in the NHS, including typical NHS salaries, the most suitable UK locations and hospitals for you, and relocation.
For regular news and updates on the Royal College and all things oncology, follow IMG Connect on social media using the links below:
There are several routes overseas Emergency Medicine doctors can take to GMC registration & securing an NHS emergency medicine job.
Whether you are from inside or outside of Europe, will need to satisfy certain criteria to fully register with the Emergency Medical Council (GMC) before beginning their journey in the NHS. As an overseas doctor, the criteria you need to meet depends on where you currently live and practice, either inside the EEA (& associated countries) or outside the EEA.
This article is designed to give you a snapshot of the steps you need to take to start your journey to the UK, no matter where in the world you live.
Inside the EEA – click here
Outside the EEA – click here
“Doctors from countries around the world play a vital and significant role in our NHS and in the delivery of safe patient care. This is not only welcome but is part of the continuous exchange of knowledge in healthcare and should be strongly encouraged. They make an invaluable contribution to the NHS.”
Joint statement from the Royal College of Physicians
Inside the EEA
Firstly, it is important to note that where we refer to EEA in this article this refers to all countries inside the EU, including Lichtenstein, Iceland & Norway.
If you qualified as a doctor inside the EEA or Switzerland, then the good news is that you don’t need to demonstrate your medical knowledge and skills to work as a doctor in the UK – you have already done this, and thanks to the EU your qualification is deemed equivalent.
In addition, you will not need to apply for a visa from the UK Home Office.
So, the main hurdle that you will face is demonstrating that your English skills are of a high enough standard to practice safely as a doctor in the UK & NHS.
English Language Testing
Any international doctor, regardless of specialty, experience or country of origin, must demonstrate they have sufficient competence of the English language.
You can do this by passing either of the following:
IELTS – International English Language Testing System
OET – Occupational English Test
Take a look at our helpful articles below for detailed information on both tests:
IELTS – a guide for overseas doctors
OET – a guide for overseas doctors
GMC Registration
Having passed your English Language Test, you can now apply for full registration with a license to practice with the GMC. For full GMC registration you must provide evidence of:
Evidence of English language capabilities (IELTS or OET)
AND
Evidence of sufficient skill and knowledge (your equivalent qualifications)
Understand the registration process in full & by reading our article here: IMG Resources - GMC Registration for overseas doctors
Job search
We recommend starting the job search as early as possible. Demand for European doctors in the NHS is ever-increasing - the NHS welcomes you with open arms!
At IMG Connect we specialise in securing jobs for European doctors in the UK and can offer you a wider range of jobs than are readily available online.
Our network extends to psychiatry services and HR departments across the UK, so no matter what your grade or specialty we can ensure you will be interviewing for roles well in advance of any relocation plans.
In addition, your dedicated consultant, with a specialty knowledge of Emergency Medicine, will negotiate on your behalf ensuring you get the most competitive salary.
Our aim is to have a job offer on the table before your GMC registration is complete, giving you the peace of mind of having an agreed contract in place - leaving you to carefully plan your relocation to the UK.
Take a look at our most recent jobs: Job Search
Relocation
Obviously, any doctor’s journey isn’t all exams, registrations and language tests… there’s also the small matter of relocation and settling into life in the UK.
Once you have secured your role in the UK, we focus on supporting you and your family with all your relocation plans. This can include, but is not exclusive to, securing accommodation, travel planning, setting up bank accounts & national insurance numbers – every step of the way we are here to help.
Have a read through our IMG Library and take in all the beautifully organised information on relocation and UK life to immeasurably help your first days, weeks and months in the UK. Take a look here: IMG Resources – Relocation & UK Life
Outside of the EEA
If you qualified as a doctor outside the EEA, then you will have to demonstrate that both your medical knowledge & skills and English Language capabilities meet the level required to practice safely in the UK. In addition, you will need to apply for a visa from the UK Home Office.
Here we summarise the requirements for Emergency Medicine doctors, looking at the following:
English Language Testing
Evidence of Knowledge & Skills - PLAB, MRCEM/FRCEM or equivalents
Tier 2 Visas
Full GMC Registration
English Language Testing
Any international doctor, regardless of specialty, experience or country of origin, must demonstrate they have sufficient competence of the English language.
You can do this by passing either of the following:
OET – Occupational English Test
IELTS – International English Language Testing System
Take a look at our helpful articles below for detailed information on both tests:
IELTS – a guide for overseas doctors
OET – a guide for overseas doctors
Evidence of Knowledge & Skills in Medicine
Overseas doctors must prove to the GMC they have sufficient knowledge & skills to practice safely in the UK. This can be done through three main routes:
PLAB
Royal College qualification of MRCEM/ FRCEM
GMC - recognised or equivalent qualifications
Route 1 - PLAB
The PLAB exam is a two-part exam that assesses a doctor’s ability to work safely as an SHO in the NHS, as such it does not demonstrate ability in Medicine specifically.
For this reason, PLAB tends to be a route for junior doctors who have not already chosen their field of specialisation in medicine.
That said, for some senior doctors PLAB can be an attractive option, offering a quicker route to the UK, whilst still securing competitive salaries. If taking this option, international doctors can then take up training or a more senior post once they have established themselves in the NHS.
Take a look through our comprehensive guides on PLAB:
PLAB – a guide for overseas doctors
PLAB 1 – a closer look
PLAB 2 – a closer look
Route 2 - Royal College Qualification of MRCEM
Attaining a Royal College qualification is a preferred path for doctors who have already chosen their field of specialism i.e. medicine. For senior Emergency Medicine doctors taking this route, they will gain access to more senior, well-paid jobs in the specialism of their choice.
The Royal College of Emergency Medicine is the Professional Body that regulates the specialism of medicine in the UK, and Fellowship of the Royal College of Physicians (MRCEM/ FRCEM) is the full qualification attainable by examination.
For overseas doctors, attaining MRCEM will satisfy the knowledge & skill criteria for GMC registration and facilitate application for more senior roles in UK emergency medicine.
Take a look at our complete guide on Membership of the Royal College of Emergency Medicine to understand more: MRCEM – a guide for overseas doctors
Route 3 - GMC Recognised or Equivalent Qualifications
Some overseas qualifications are recognised by the GMC and accepted for registration purposes. This means to say these qualifications are considered as meeting the same standards as the Royal College qualifications.
There are psychiatry qualifications from several countries around the world that are currently accepted by the GMC.
Find out if your qualification is accepted by the GMC here: Overseas accepted postgraduate qualifications
Tier 2 Visa
If you are a doctor applying from outside the EEA region you will almost certainly need to apply for a visa to work in the UK.
Applying as a doctor or nurse has never been easier and there is currently no-restriction on the Certificate of Sponsorship (CoS) applications that a hospital can make. Furthermore, the list of specialties on the shortage occupation list is due for imminent review and expansion beyond its current list of specialties, potentially widening the scope for easier immigration processes across all specialties in healthcare.
Understand Tier 2 visas and Certificates of Sponsorship in depth by taking a look at our article: Tier 2 Visa application process & documents needed
Wondering whether you can relocate with your family? Take a look at our blog on the Tier 2 dependent visa below: Tier 2 Dependant visa - can i bring my family with me to the UK?
GMC Registration
With everything in place, you can apply for full registration with a license to practice with the GMC. Remember, for full GMC registration you must provide evidence of:
Evidence of English language capabilities
AND
Evidence of sufficient skill and knowledge (PLAB, MRCEM/ FRCEM or equivalent)
Understand the registration process in full & by reading our article here: GMC Registration for overseas doctors
Job search
We recommend starting the job search as early as possible. Demand for Non-EEA doctors in the NHS is increasing - the NHS welcomes you with open arms!
At IMG Connect we specialise in securing jobs for overseas doctors in the UK and can offer you a wider range of jobs than is readily available online.
Our network extends to Emergency Medicine services and HR departments across the UK, so no matter what your grade or specialty we can ensure you will be interviewing for roles well in advance of any relocation plans.
In addition, your 1-1 consultant, with a specialty knowledge of emergency medicine, will negotiate on your behalf, ensuring you get the most competitive salary.
Giving you the peace of mind of agreeing your new contract, perhaps even before your GMC registration is complete.
Take a look at our most recent jobs: Job Search
Relocation
Obviously, any doctor’s journey isn’t all exams, registrations and language tests… there’s also the small matter of relocation and settling into life in the UK.
Once you have secured your role in the UK, we will focus on supporting you and your family with all of your relocation plans. This can include, but is not exclusive to, securing accommodation, travel planning, setting up bank accounts & national insurance numbers – every step of the way we are here to help.
Have a read through our IMG Library and take in all the beautifully organised information on relocation and UK life to immeasurably help your first days, weeks and months in the UK. Take a look here: IMG Resources – Relocation & UK Life
IMG Jobs
Search and find live emergency medicine NHS doctor jobs in the UK
IMG Resources
Read more useful articles on finding an NHS trust doctor jobs, doctor salary & relocation for emergency medicine specialists
Get in Touch
Get in touch using the buttons above (and below) to discuss emergency medicine doctor job opportunities in the NHS, including discussions regarding, CESR, a typical doctor salary in the UK and the most suitable NHS job & hospital locations for you.
For the latest news and updates on all things emergency medicine, including the Royal College, GMC registration and the NHS, follow us on social media and join the conversation.
GMC Registration can be a long and complex process. With a few options available for demonstration evidence of skills and knowledge, it can be difficult for IMGs to decide the best route to take to register with the GMC.
For international doctors planning their route to the UK, there are essentially two main pathways to consider – postgraduate qualifications (for psychiatrists, this is MRCPsych) or PLAB.
Whilst these are the most common routes to GMC registration, this is not an exhaustive list. There are other options such as Royal College sponsorship and GMC-approved qualifications or licensing exams, and you can read more about these here.
Here we provide a summary of both of the main pathways and briefly consider their benefits.
PLAB for GMC Registration
MRCPsych for GMC Registration
Which is better for me as an overseas psychiatrist, PLAB or MRCPsych?
#IMG Tips
How do I get started?
Professional & Linguistics Assessment Board (PLAB)
The first and most common route we’ll be discussing, which tends to be popular among junior doctors, is PLAB.
PLAB is a two-part exam (one written and one practical element), which assesses whether a candidate is at least as capable as a doctor starting the second year of their Foundation Programme Training and can therefore work safely as an SHO in the NHS.
The GMC has a useful video summary of the PLAB exams which you can watch here, or for a more detailed overview, see our IMG Resources library.
MRCPsych - UK Postgraduate Qualification for Psychiatrists
The UK’s postgraduate qualifications are a more popular route for senior overseas doctors, and those looking to gain posts in the NHS which are reflective of their experience.
Within psychiatry, this can be done by attaining Membership of the Royal College of Psychiatrists. The Royal College of Psychiatrists is the professional body that regulates the specialism of psychiatry in the UK, and Membership of the College of the Royal College of Psychiatrists (MRCPsych) is the full qualification attained through these examinations. Take a look at our IMG Resources library for complete guides on MRCPsych to learn more.
PLAB vs MRCPsych
Both MRCPsych and PLAB are legitimate routes that demonstrate skills and knowledge and will allow you to register with the GMC and work in the UK. To decide which route is best for you, you’ll need to consider the benefits of each and how they align with your needs and priorities in moving to the UK.
Seniority of Positions in the NHS
It would be difficult for an overseas psychiatrist to obtain a more senior post in the NHS without either MRCPsych, a GMC-approved training programme, or extensive experience from a similar, English speaking healthcare system. PLAB alone will not give overseas doctors access to senior posts in the NHS.
Specialty Training
To practice as a consultant in the UK, you must have gone through specialty training and will need a GMC-recognised postgraduate qualification to do so, whether a qualification from the country in which you completed your specialty training, or MRCPsych.
Only one type of evidence is required to demonstrate skills and knowledge, so once you pass MRCPsych, you would not need to additionally sit the PLAB exams. However, due to the more specialised nature of MRCPsych, psychiatrists may want to sit the MRCPsych exams at a later date, to allow them access to more senior roles and competitive salaries.
Time
PLAB has two stages and can take anywhere between 3-9 months to prepare from start to finish.
MRCPsych has three stages, the last of which must be taken after at least 36 months of postgraduate experience in psychiatry and can take anywhere between 24-36 months to prepare from start to finish.
Cost
MRCPsych costs just under £2,000 for the three exams. All MRCPsych exams can now be sat online, so there is no longer the added expense of international travel. You can read about the changes to the exam format here.
PLAB costs £1,189, and both exams are sat in person. PLAB 1 can be taken in the UK or several overseas centres, which you can find here. PLAB 2 must be taken in the UK.
So, for PLAB 2, candidates will have to travel to the UK, meaning that the additional cost of visas, accommodation and flights must be factored in.
It’s important to note that these costs can rise if re-sits of the exams are necessary.
Summary
PLAB, as an exam which examines a doctor’s ability to work safely as a Senior House Officer (SHO), does not assess ability in psychiatry specifically. For this reason, PLAB tends to be a route for junior doctors who have not already chosen their field of specialisation in medicine, I.e., psychiatry.
PLAB allows doctors to enter the UK system much faster than other routes and for this reason alone, it is favoured by international doctors when considering their path to the UK.
MRCPsych involves three more difficult examinations and takes more time to prepare for. However, for overseas doctors, attaining MRCPsych will allow you to jumpstart your career in the UK, as you don't need PLAB or Core Training.
Additionally, MRCPsych will facilitate the application for more senior roles in UK psychiatry than PLAB.
#IMG Tips
Determine your priorities – your goals and timeline for relocating to the UK are important in deciding which route is best for, and this is different for everyone.
Plan well ahead – depending on the route you choose, you may be embarking on a long journey through these exams, so plan how you will fit them into your life and how best to prepare to maintain a good work-life balance at the same time.
Find a support network – once you know which exams you will sit, find a support network of others who are also preparing for the exam. A great way to do this is to join the IMG Psychiatrists Facebook group, an online psychiatry community of UK and NHS psychiatry aspirants and dedicated psychiatry recruiters. You’ll find advice, guidance and news and updates about all things psychiatry for IMGs. Join the conversation here.
Getting started
Once you’ve decided which exams are best for you, it’s time to delve deeper into the exams and what they entail. For more useful blogs and articles on PLAB or MRCPsych exams, registrations and qualifications to help you find your dream job in the NHS - take a look at our IMG Resources library.
Or if you have any questions on PLAB or postgraduate qualifications, please get in touch with our psychiatry recruiters here. They will be more than happy to help you.
To receive the latest news and updates on all things psychiatry, including the Royal College, GMC registration and the NHS, follow us on social media and join the conversation.
Are you an overseas psychiatrist preparing to take the MRCPsych CASC exam?
International doctors often have questions about how to prepare for the CASC exam, particularly when there are so many materials and information online which can be overwhelming or mostly geared towards UK applicants and trainees.
What study materials, courses and support are available for IMGs? Here we have compiled some of the best advice and resources available to help in your preparation for the exam.
The topics we’ll cover are as follows - skip to one of these sections if you know what you're looking for:
What is MRCPsych CASC?
How do I get started with my preparation?
What other resources are available?
#IMG Tips
How have the exams been affected by COVID-19?
What’s next for me?
If you’d like an overview of the entire examination series, take a look at the article published in our IMG Library here.
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, and after talking with some psychiatry consultants (both IMGs and UK trainees), 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 to prepare for the exam.
Royal College Materials
Syllabus: this is the best place to start - you should always plan your study and preparation around the topics within the curriculum to start you off on the best path to success. You can find this here.
CASC candidate guide: this handy guide contains information on domain-based marking, candidate instructions, pass mark, exam criteria and grade descriptors, which you can access here.
Blueprint: the CASC blueprint is a more detailed breakdown of the skills being assessed within the exam and the categories and stations candidates should expect to find. This is available here.
Marksheets: copies of the marksheets which are used in the exam are available online for history, management and examination and allow candidates to familiarise themselves with the marksheets in advance, found here.
Sample stations videos: you can watch videos of sample stations from a face-to-face examination – this will be similar to what you can expect on the day as the principles will remain the same for online exams. You can access these here.
What other 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.
Other online resources available for the exam include a mixture of paid and free resources. These include:
Books
These are the most highly rated books for MRCPsych CASC on Amazon:
Pass the CASC for MRCPsych – Seshni Moodliar (£34.70)
Get Through MRCPsych CASC – Melvyn W. B. Zhang (£45)*
How to Pass the MRCPsych CASC – Andrew Iles (£33.99)
* Get Through MRCPsych CASC is particularly highly regarded by recent CASC candidates who have passed the exam.
Other resources
Passing the MRCPsych Exams – an insider’s guide: a useful guide to the MRCPsych CASC exam written by former trainees and members of the Psychiatric Trainees’ Committee (PTC). This can be found here.
MRCPsych CASC flashcards: flashcards created by a former candidate who has passed the exam. 136 flashcards which cover different aspects of the exam. These are available for free here on Brainscape.
CASC Cluster Cards – Oxfordpsych revision cards written by a consultant psychiatrist in the UK. This is a set of 100 CASC scenarios with instructions and guidance to remember. These can be found here at a cost of £169.
CASC Videos – SPMM: 86 exam stations performed by consultants and role players under exam conditions, featuring advice and tips from examiners for each task. 6 months access is priced at £180 and is available on demand. These are available here.
Oxfordpsych – access to the Oxfordpsych online video bank featuring short and long instruction CASC stations, covering the range of stations and tasks listed in the CASC blueprint. 6 months access costs £169 and £99 for 3 months and can be found here.
Online courses
CASC Prepare mock exam
This exam consists of 16 stations which have all featured in previous RCPsych CASC exams. The mock will be conducted in the format of the actual exam and detailed written feedback on RCPsych marking sheets will be provided after the exam. Other aspects of the exam such ass time management, and communication strategies will also be discussed.
Duration
4 hours
Cost
£310
Next start date
Ongoing
Website
https://www.cascprepare.com/mock-exam
Oxfordpsych CASC mock exam
These online exams are based on the RCPsych CASC blueprint. Candidates take the 16 stations under exam conditions and interview with professional actors with CASC experience. Candidates will receive written feedback for each station.
Duration
4 hours
Cost
£475
Next start date
Autumn 2022
Website
http://www.oxfordpsychcourse.co.uk/index.php/online-registration
CASC Master mock exam
This mock exam is carried out over skype or zoom and has 8 continuous stations with one 20-minute break, followed by the final 8 stations. It is set according to the CASC blueprint and is available with or without an actor.
Duration
4 hours
Cost
£325
Next start date
TBC
Website
https://www.cascmaster.com/skypemockcasc
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 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.
#IMG Tips
Start your revision early – starting in advance allows you to pace yourself and get ahead of the stresses of last-minute revision and anxiety.
Find the right materials for you – whether its online courses, books or flashcards, try to figure out what the best materials are to jumpstart your preparation
Speak to your peers and colleagues – your senior colleagues may have been through this process themselves and may have helpful tips and guidance to share. Or maybe you’ll find a like-minded peer with whom you can be study buddies! Take advantage of those around you to support you on this journey.
Practise, practise, practise - Our IMGs have shared that it’s crucial that you practice your clinical examinations as often as possible, preferably under the supervision of a senior colleague which will allow you to receive feedback.
Join our online psychiatry community - for news and updates about all things psychiatry for IMGs, follow IMG Connect on social media and join the conversation.
I've passed, what’s next?
Once you’ve passed MRCPsych CASC, you’ve completed the Royal College of Psychiatrists examination suite. Great stuff, this is a massive achievement! Armed with this and your English language test, you are ready to apply for full GMC registration with license to practice.
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 jobs postings which you can tailor to your desired grade, specialty and sub-specialism, sign up here.
If you have any questions about any element of CASC, the Royal College exams as a whole or any other queries related to the processes involved in IMGs coming to the UK to work in the NHS, please get in touch and our psychiatry specialist will be more than happy to assist you.
For access to a community of like-minded MRCPsych aspirants 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.
If you have applied for an exam which is held in a UK test centre, you will need a UK Visitor Visa to enter the UK and sit the exam.
Here we have put together the main information you will need as well as useful links to get you started and we will look at the following:
How do I apply?
Online application for UK Visa
What supporting documents do I need to prepare and provide?
What costs can I expect in the UK?
What happens if my visa application is refused?
The first thing to suggest, is that as soon as you receive your results for the first exams e.g. FRCPath Part 1, PLAB 1 etc., start planning the date that you want to sit the in-person exam. This will not only help you prepare for the test itself, but also will ensure that when you apply for the Visitor Visa, you will be prepared for the visa application and appointment, and able to visit the UK within the 6-month visa period.
It is worth noting, that no matter what the guidance and instructions are, visa applications can prove different for everyone, so start working on the application early.
If you are not sure if you need a visa – you can check here.
You can apply for a Standard Visitor Visa if you are a doctor and are coming to the UK to sit an in-person exam, such as an OSCE, PLAB 2 or FRCPath Part 2 exam. The option you require is a Work, Academic visit or Business visa and the duration is less than six months.
How do I apply?
The UK Visa Application for UK examinations can be described in two parts:
Online application for the required type of visa.
Submission of supporting documents and providing biometric data (photo, fingerprints) at a visa application centre.
Let’s take a look at each part in more detail.
Online Application for the UK Visitor Visa
As part of the online application, you will be required to book an appointment at a visa application centre, you can check the locations available here.
You can complete the application in stages; however we advise that you prepare all of the required documentation first, and then complete the online form and upload everything you need in one go.
A standard UK visa currently costs £95.
Supporting Documents
It is important to note that the required documents will vary from person to person, however two documents are necessary for every applicant:
Your valid passport
The email confirmation of your exam (from the relevant Royal College or GMC)
You will then typically require the following:
Cover Letter
If your trip is self-funded you will need:
Salary certificate
Bank statements
Letter of Support from your financial guarantor (if applicable)
This is only required if your trip is financed by another person (i.e. family member).
Affidavit affirming the declaration of the financial sponsorship
This is done before a notary public and will have to be translated into English.
Letter of recommendation
Any letter of recommendations will need to come from senior colleagues at your current workplace.
Bank Statements
Typically 6 months worth (either yours or your sponsor's if applicable).
Monthly payslip
A clear copy is needed with all information visible.
Income/Salary Certificate (Yours/Sponsors)
Evidence of Home Address
Deeds or Nationality Certificate or Home electricity bill where the address is written. This will need to be translated and notarised.
A ‘No Objection Letter’ issued by your employer
A ‘No Objection Letter’ for visa is a legal certificate issued by your employer agreeing for you to take off the days for you visit to the UK. In addition, the letter states that you have contractual obligations to return to your country of residence at your workplace.
Confirmation of your accommodation in the UK
Or, invitation letter from friends or family with whom you will be staying. You may also require a Council tax and utility bill of the accommodation address. If it’s a family that you’re staying with, you don’t need to worry about proving Sponsorship. If they are just providing accommodation (and your father or mother is your financial guarantor), a simple invitation letter stating your name, your passport number, duration and purpose of your stay is sufficient along with their contact details. The council tax and utility bill is just to prove that the address exists by their name.
Evidence of family members in your home country whilst you travel
These would include Passport copies or National ID copies of your family members.
To complete the online application, here are the required entries:
Your name
Passport details
Your National ID number, if you have one
Your email
Travel information/plan: the date you will arrive in the UK and the date you will leave the UK. The arrival date is more important. The itinerary in your cover letter should explain this in more detail.
Choose business, including sports and entertainment as the main reason for your visit
After answering 'No's to organised group, travelling with partner, visiting a company or getting paid for business activities—choose Take the PLAB or OSCE
In Give details, write down your full itinerary, taken from your cover letter in full sentences
Personal information: Your home address
Parent details: Father’s and mother’s name, dates of birth
Employment details
If you are employed and sponsoring yourself, then IMG recommend you arrange for two papers from your employer from the above list a) Salary Certificate b) No Objection Certificate
Your own bank account details with bank statements (for the last six months)
How much money are you planning to spend on your visit
Details of who is covering the costs, if you are not yourself
UK accommodation details
Travel histories in UK or other countries
Any details of visa refusals
Other histories regarding whether you have any criminal convictions
Any other relevant information you wish to provide, you can leave this blank
Finally comes the declaration page and it asks you to choose an appointment (date and time) with a visa application centre. Please note that you don’t have to choose immediately, especially if you don’t have all the supporting documents ready. Just save it there and a link will be sent to your email. But as above, IMG Connect recommends that you have all of the supporting documents prepared before starting your UK Visitor Visa application.
What costs can I expect in the UK?
Whilst your exam(s) will be taken across no more than two days, we advise for candidate to allow themselves a few days for climatisation and revision prior to the exam. When budgeting*, make sure that you book flights, hotels and UK transport to and from the airport in advance to save money.
Once in the UK, a typical low-cost budget for a comfortable stay will include approximately:
£40 - £60 per night for accommodation depending on your test venue
£15 - £25 for food per day
£20 for transport per day
£50 for Airport transfers (return journey)
*remember to consider flights & travel insurance costs in your total budget
Always remember to use price comparison websites or Airbnb to find the best value for money and shortest journey to amenities and test venues.
What happens if my visa application is refused?
You will receive a letter from the Home Office detailing the reasons for rejecting the application - don’t worry, you can apply again. If this happens to you, get in touch with your IMG Connect consultant who would be happy to help you re-apply.
Getting started
Don’t hesitate to get in touch here, or 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.
For advice, guidance and news and updates for IMGs, join the conversation through the links below: