As we anticipate the Royal College of Psychiatrists New Member's Ceremony for this year, let's explore what awaits attendees on this auspicious occasion!
As the new members assemble in the prestigious hall, they are met with enthusiastic applause and friendly faces. The ceremony commences with a captivating address by the president, establishing the ambience for the evening. Following this, the ceremony officially begins with a warm welcome from the president, followed by enlightening speeches from distinguished figures within the field.
Throughout the ceremony, voices from diverse specialities unite to honour the achievements of the latest additions to the Royal College of Psychiatrists. It's a jubilant affair, marked by inspirational narratives, heartfelt speeches, and a palpable sense of solidarity that fills the room. The event serves as a grand showcase, spotlighting the accomplishments and contributions of the newest members of the Royal College of Psychiatrists.
A pivotal moment of the ceremony is the presentation of certificates to the new members, symbolizing their dedication and perseverance. It's a proud moment not only for the individuals themselves but also for their families, whose unwavering support has been integral to their success. Upon attaining membership in the Royal College of Psychiatrists, individuals gain access to a wealth of resources and support networks.
To qualify for membership, individuals must fulfil specific criteria, including completing their core psychiatry training and successfully passing relevant examinations
Sources
https://www.rcpsych.ac.uk/members/rcpsych-ceremonies/new-members-ceremonies#:~:text=11%20and%2019%20October%202023%20and%201%20February%202024&text=Those%20who%20registered%20as%20Members,invited%20to%20attend%20these%20ceremonies.
Connect with us
Get in touch with us to find out more about The Royal College of Psychiatrists’ new member's event as an IMG! If you are attending, please join us on either the 21st or 28th of March or the 4th of April at the Leonardo Royal London Tower Bridge- opposite The Royal College of Psychiatrists building, for a celebratory drink!
As the Royal College of Psychiatrists New Member's Ceremony is coming up, we wanted to delve into what you could expect on the day!
As the new members gather in the grand hall, they are greeted with warm applause and welcoming smiles. The ceremony begins with a keynote by the president, setting the tone for the evening, the ceremony then kicks off with a warm welcome by the president, followed by speeches from prominent figures in the field.
During the ceremony, voices from various specialities come together to celebrate the accomplishments of the newest members of the Royal College of Psychiatrists. It is a joyous occasion filled with speeches, inspirational stories, and a sense of camaraderie that resonates throughout the room. The ceremony is a grand event that highlights the achievements and contributions of the newest members of the Royal College of Psychiatrists.
One of the highlights of the ceremony is the awarding of certificates to the new members. This moment serves as a tangible recognition of their hard work and commitment. It is a proud moment for both the individuals and their families, who have supported them throughout their journey. Upon becoming members of the Royal College of Psychiatrists, individuals gain access to a wide range of resources and support systems.
To be eligible for membership, individuals must meet certain criteria, including completing their core psychiatry training and passing the relevant examinations.
Sources
https://www.rcpsych.ac.uk/members/rcpsych-ceremonies/new-members-ceremonies#:~:text=11%20and%2019%20October%202023%20and%201%20February%202024&text=Those%20who%20registered%20as%20Members,invited%20to%20attend%20these%20ceremonies.
Connect with us
Get in touch with us to find out more about The Royal College of Psychiatrists’ new member's event as an IMG! If you are attending, please join us on either the 11th or 19th of October at the Leonardo Royal London Tower Bridge- opposite The Royal College of Psychiatrists building, for a celebratory drink!
Guest blog, written by Dr Jon Turvey, Core Psychiatry Trainee, Leicestershire Partnership NHS Trust
Dreams of providing quality psychiatric care within the dynamic medical landscape of a job in the NHS, often lead overseas psychiatrists from healthcare systems around the world to embark on the journey towards Membership of the Royal College of Psychiatrists (MRCPsych).
As a crucial milestone on the path to a career in psychiatry within the UK, the MRCPsych examinations provide an internationally recognised credential that sets the bar for clinical excellence, comprehensive medical knowledge and training, and confident decision-making skills in the field.
In this blog, we’ll be covering some of the key aspects of the Paper A and B exams, as well as introducing you to PassMRCPsych, an online learning and resources platform for MRCPsych aspirants, summarised in the headings below:
Why does MRCPsych matter?
An overview of MRCPsych Paper A
Unpacking MRCPsych Paper B
IMG Psychiatrists partners with PassMRCPsych
Mapping your MRCPsych journey
Using PassMRCPsych for exam success
Why does MRCPsych Matter?
The value of holding MRCPsych cannot be understated, serving as both a symbol of your medical competence as a psychiatrist and giving you a competitive edge in the NHS job market. Attaining full MRCPsych demonstrates to potential employers that you have the necessary knowledge, skills, and experience to provide high-quality care to patients.
MRCPsych also provides a steppingstone for further specialist training and can significantly enhance career prospects for international psychiatrists, more easily facilitating entry into more senior positions in the NHS, such as specialty doctor, the new specialist grade and consultant roles.
An overview of MRCPsych Paper A
Paper A is a written exam comprising 150 multiple-choice questions (MCQs) and extended-matching questions (EMQs), sat over 3 hours and now held online, through test centres. Paper A forms the foundation of the MRCPsych and focuses on the basic sciences that underline psychiatric practice. It touches on areas such as neurosciences, psychology, and social sciences, which are the cornerstone of psychiatry and set the scene for more advanced topics.
The average pass mark is typically around 60-70%, although this varies slightly depending on the difficulty of the paper for each diet. As per the latest statistics from the Royal College website, approximately 65% of candidates pass Paper A each diet.
You can find a detailed breakdown of the Paper A exam here.
Unpacking MRCPsych Paper B
Similarly to Paper A, Paper B comprises 150 MCQs and EMQs sat over 3 hours through a remote test centre. Paper B requires an understanding of more nuanced clinical topics like psychopathology, treatment protocols, and management strategies for psychiatric disorders. It's about applying your foundational knowledge to real-world scenarios and demonstrating effective clinical decision-making.
For Paper B, the average pass mark usually ranges around 65-70%, with a pass rate of approximately 60%.
See here for an in-depth overview of the Paper B exam.
Partnering with PassMRCPsych
As an exciting development in our provision of medical education, IMG Connect and PassMRCPsych have forged a partnership to offer extensive support to overseas doctors preparing for the MRCPsych exams. This collaboration aims to ensure your exam success through a series of exam-focused webinars and a continuously evolving and up-to-date revision resource to keep pace with the demands of the MRCPsych exams, along with discounts on revision course subscriptions.
Mapping Your Journey: A 4-Month Study Plan
Navigating the MRCPsych exams is no easy feat. It demands rigorous and methodical preparation for UK trainees and IMGs alike. Here's a 4-month study plan for each exam to keep your preparation on track:
Month 1: Get to Grips with the Syllabus - Familiarise yourself with the syllabus and identify key areas that you need to focus on (these may be areas you are less familiar with or those not covered by your current practice). Use this month to dive into the revision notes on PassMRCPsych. Join the IMG Psychiatrists Facebook group for access to Paper A and Paper B study courses to support your study alongside your PassMRCPsych resources.
Month 2: Deep Dive into Topics - In this month, start working on each topic systematically. Use the revision notes to ensure you cover every aspect and create your own short notes for quick revision closer to the exam date.
Month 3: Challenge Yourself - This is the month to test your knowledge. Attempt the MCQs in the question bank regularly. This will help you gauge your understanding and identify areas of weakness. Don’t forget to read the explanations when you get the answers wrong!
Month 4: Revise and Review - Revision is the key to retaining information. Revisit your short notes, attempt more MCQs, and make full use of the PassMRCPsych mock tests to familiarise yourself with the exam pattern. This final month should be dedicated to reinforcing your learning, particularly on topics which you need to keep in your short-term memory.
Remember, while this study plan serves as a roadmap, you should adapt it to suit your personal learning style and pace e.g., time available to prepare and external commitments. The aim is to ensure comprehensive understanding and effective retention of knowledge.
PassMRCPsych - Your Companion in Success
The seemingly vast MRCPsych syllabus might appear intimidating, but with the right guidance and resources, passing Paper A and Paper B can transform from an uphill task into an achievable goal. Here's where PassMRCPsych comes into play.
The online platform is armed with resources tailored specifically to the MRCPsych syllabus, from comprehensive revision notes that decode every topic in the syllabus, to an MCQ question bank with over 5000 questions, and mock exams providing the perfect opportunity to test your knowledge under timed conditions.
Better still, PassMRCPsych can also be used through a mobile app (on both iOS and Android), ensuring that your study materials are just a tap away and facilitating the seamless switch from studying at your desk to revising on-the-go.
It’s important to acknowledge that the MRCPsych exams come with a not insignificant cost. Understanding the financial constraints that often accompany rigorous exam preparations, PassMRCPsych offers highly competitively priced subscriptions which ensure that every aspirant, regardless of their budget, has access to top-notch preparation resources.
Dr Aisha, a satisfied user, shared her experience:
"PassMRCPsych.com was instrumental in my MRCPsych journey. The meticulous revision notes, the challenging MCQs, and the realistic mock exams provided an unparalleled learning experience. The convenience of a mobile app made it possible for me to study anywhere, anytime. And the affordable subscription didn't put a dent in my pocket while offering unparalleled resources."
Your Future Awaits
With your career goals within reach, embark on your journey towards conquering the MRCPsych exams by subscribing to PassMRCPsych for Paper A and Paper B. Utilise their exhaustive resources and mock exams, and watch your preparation transform into success!
For a walkthrough of the PassMRCPsych platform and resources, join the IMG Psychiatrists Facebook group.
To receive the latest news and updates on all things psychiatry, including the MRCPsych, GMC registration and the NHS, follow us on social media and join the conversation.
IMG Stories is our series introducing you to international doctors who we have helped to relocate to the UK - sharing their personal journeys from working overseas to securing a new job as a doctor in the NHS.
Today we introduce Brittany Meyer, a brilliant general adult psychiatrist who relocated to the UK from the US. Having completed the USMLE during her training, Brittany was able to gain full GMC registration with license to practise. She is now working in the NHS at West London Mental Health Foundation Trust, where she is making a fantastic impact on the service and wider community.
Tell us about yourself – what should the IMG community know about Brittany Meyer?
I am a US-trained psychiatrist now working as a specialty doctor in the NHS. I trained in psychiatry at Vanderbilt University Medical Center in Nashville, Tennessee, and following training, I worked at a consultant level in an intensive outpatient treatment centre specialising in OCD and anxiety.
My academic interests include catatonia, psychosis, OCD, and teaching, and I have a special love for opportunities that allow blending the arts and humanism with medicine.
What motivated you to move to the UK?
I moved to the UK to be with my fiancé, who is a born and bred Londoner. The pandemic was a major motivator to be in the same country finally! Luckily, I have dual US-UK citizenship, so this made the move over much simpler.
How did you manage to navigate and juggle the different aspects of registration whilst working full time?
During the registration process, at which point I had moved to the UK, I worked part-time for a tele-psychiatry service located in the USA, allowing me to treat patients from abroad. This was invaluable in terms of flexibility, and it prevented my clinical skills from becoming too rusty while I waited for my licensing to be approved.
My main struggle, if anything, was having so much unfamiliar unstructured time on my hands. I strongly recommend setting out a weekly schedule for yourself if you are in a similar situation, filled with other means of staying productive and gaining a sense of accomplishment you might otherwise get from your job. It’s also important to maximize such rare time to enjoy nourishing hobbies and interests - for example I learned to watercolour and spent many mornings at the V&A museum - and in hindsight wish I had been more proactive in seeking such activities out.
How did you find a general adult psychiatry job within the NHS?
I was hoping to find an outpatient mental health team position and Ruaidhri fully facilitated the job search. When I began the registration process, I felt quite disoriented, and it was difficult to find someone who had an incentive to talk me through my options and the steps to get there.
It was only when I found IMG Connect and Ruaidhri that I felt someone was in my corner, illuminating an otherwise confusing journey and assisting with each step along the way. It was no different for the job search, when Ruaidhri deftly handled the search and communication with NHS trusts to find a position for me. I am deeply indebted to Ruaidhri for not only the logistical work he put in on my behalf, but also the moral support along the way.
Tell us about a day in the life of a general adult psychiatrist in the NHS...
Learning an entirely new system has been quite an adjustment. In addition, I am working in a model that is new to the NHS, so the system is foreign in ways I didn’t expect, for example not having the ability to order blood work or imaging, or to even prescribe anything beyond very short-term medications. The team I work with has been incredibly welcoming and have helped orient me to resources like the BNF and Maudsley Prescribing Guidelines to orient me to standard practice.
Working in the NHS can be quite chaotic, and this is an especially challenging time in terms of staffing and funding within the system, but the difference I can make in my patients’ lives is striking.
What opportunities have become available to you through your work?
I am still in the infancy of my NHS career, but I am hoping to pursue teaching opportunities, particularly around the diagnosis and management of catatonia. I have found everyone to be very supportive and willing to connect me to those who can further this.
How are you settling into life in the UK?
London is a magical space. Having access to some of the best museums, opera, theatre, restaurants and architecture in the world is a luxury. I have also loved the flexibility of being so close to other amazing places in the UK and Europe, which has allowed me to spend time in France, Spain, Italy, Wales, Northern Ireland, and more. Being able to spend a weekend in another country the way we would visit another state in the US is incredible!
I hope to eventually have a role that blends more teaching and support of trainees and medical students with clinical care. I am very excited to get married in 2023 and hopefully become a dog parent as well!
You’re of course a British citizen, is living in London what you had expected?
Yes and no! Though a British citizen, I had only lived in Scotland as a small child and spent holidays with my family in Northern Ireland growing up. So the big city - especially a walkable city - was a new experience for me! I’ve really enjoyed not owning a car and using public transport, and I’ll admit I’m still adapting to the very small stores with fewer than the usual 500 options of cereal that the US touts.
What’s been the biggest challenge you’ve faced in moving to the UK?
Leaving family and friends, especially during the pandemic, was even more difficult than I expected. Not being able to have anyone visit in the first year of being in the UK was challenging. I think it is important to normalise that moving to a new place - even an incredibly exciting and vibrant place like London - can feel lonely at times, and that it is expected to have a period of transition that might not feel comfortable. However, London is feeling increasingly like home, and I have made wonderful friends since arriving.
What have you missed most about the US?
Target! Hidden Valley Ranch Dressing (for the very desperate like me, available for ten pounds at Partridge’s)! Tacos! Smiling and saying hello to strangers on the street!
Is there anything you wish you had known before you began your journey to the UK?
I wish I had found IMG Connect while living in the US so I could have prepared and submitted my application while living in the US before moving; this would have cut down on a lot of limbo time after I moved.
I also wish I had understood the CESR process for specialist registration while still in the US, as that would have allowed me to gather and anonymise patient documentation from my job there to support my CESR application; unfortunately I have now lost the right to access that documentation due to patient information protection laws. If you are considering applying for specialist registration and are still in your pre-NHS job, collect all the supporting documentation you can!
What has been your experience working with IMG Connect?
IMG Connect has been incredibly key in helping me to get licensed and find a position working as a doctor in the UK. Ruaidhri has been helpful in a multitude of ways: explaining a foreign system and where I might fit in, doing the groundwork of distributing my CV and liaising with HR departments to explore job possibilities, setting up interviews, guiding my licensing application, and supporting my appeal including with a written letter of support. I truly would not have been able to navigate this on my own - and had tried unsuccessfully before I found IMG Connect.
Do you have any tips or advice for international doctors who want to move to the UK?
I tried to seek information from a lot of different sources: forums, family friends who were practicing physicians in the UK, online blogs, the Royal College of Psychiatrists, the GMC. Ultimately the most helpful resource by far was IMG Connect: both the one-on-one tailored advice, as well as their handouts that break down the ins and outs of the UK system and guide you through exactly what documents you need to collect in what order, etc., to achieve licensing. It’s such a niche process that I found the only really helpful resource to be a service that is devoted to my precise needs as an internationally-trained doctor transitioning to the UK.
Moving to live and work in the UK is a big decision to make but can be massively rewarding in many ways. International doctors have the chance to find a new home and the NHS presents an incredible opportunity for IMGs to secure rewarding jobs, progress within their fields and explore adjacent opportunities such as CESR, writing publications, teaching opportunities and research.
Whatever route an overseas doctor may take on their journey to the UK, IMG Connect is here to support them through every step and welcome them to the IMG Family.
For regular news and updates, follow IMG Connect on social media using the links below:
IMG Stories is our series introducing you to international doctors who we have helped to relocate to the UK - sharing their personal journeys from working overseas to securing a new job as a doctor in the NHS.
Today we introduce Connie Chan, a brilliant perinatal psychiatrist who relocated to the UK from Hong Kong in 2022. Having passed the MRCPsych and English language exams, Connie received full GMC registration with license to practise. She is now working in the NHS at Lancashire & South Cumbria NHS Foundation Trust, where she is making a fantastic impact on the service and wider community.
Tell us about yourself – what should the IMG community know about Connie Chan?
I was born and trained in Hong Kong as a psychiatrist and have been working in perinatal mental health in the last 8 years, before I moved to practice in the UK in Spring 2022. I find working in perinatal mental health rewarding and it’s something I’m passionate about, so I was lucky to be able to find a job in the same sub-specialty in the UK.
What motivated you to move to the UK?
My main priority has always been my children’s education, so quite naturally, I had considered sending them to study in the UK, where the standard of schools (both private and state) is excellent and world-class. My kids are still young, and so rather than sending them to boarding schools, I preferred to relocate with them so that I would not miss out on seeing them grow up.
Tell us about your experience of completing MRCPsych as part of your training in Hong Kong...
I completed the Royal College of Psychiatrists examinations years ago, during a time when it was the norm in Hong Kong to do both our local professional exams and Royal College exams simultaneously. However, things have changed in my home city recently, and trainees can opt to complete the local membership examination only.
How did you manage to navigate and juggle the different aspects of registration whilst working full time?
I did not face any major setbacks in my registration, and it was quite smoothly done. My GMC registration only needed restoration, but when I made the decision to restore it, it was at the height of the COVID-19 pandemic, so the restoration process was delayed by the suspension of all identity checks.
How did you find a perinatal psychiatry job within the NHS?
I made IMG Connect aware of my intention to look for jobs in perinatal psychiatry and there were several openings around the country. Ruaidhri, the co-founder, helped me to line up interviews and with the preparation, and voila, I got the job.
Tell us about a day in the life of a perinatal psychiatrist in the NHS...
I am currently working in the community team of a perinatal psychiatric unit. We have multidisciplinary team meetings to discuss cases and I am amazed by the different perspectives contributed by different disciplines in the team to make discussions really meaningful, tailor-made and human-centred. I make home visits, do clinics and attend meetings, and have supervision with my line manager and supervise my junior doctors as well.
Work-life balance is something that is important to a lot of people. My previous job was more about meeting deliverables for the service pledge, which emphasised efficiency and service output, and sometimes led to staff burnout. Working in this new environment, I feel that I do have a choice.
What opportunities have become available to you through your work?
The Trust I am working in has quite a comprehensive programme for IMGs, including personal development, understanding the values of the NHS, general IMG support and advice and peer groups for CESR. It is a good way to become familiar with the system. There are also a lot of managerial training and professional updates available.
How are you settling into life in the UK?
I am living in Greater Manchester with about a 45-minute commute into work each way. I prefer living a little further from work as driving by myself can be a good time for my own mindfulness to clear my thoughts. On weekdays, things are quite busy and it takes some planning to get my kids off to school and for pickups, as well as working and cooking in the evening. At the weekend, it is really a time that I can unwind and have quality time with my children. We have so many new things to learn and to share and new places to explore together.
What have you enjoyed most about living in Greater Manchester?
There is the airport in Manchester which brings a lot of vibrancy to the city and the areas around it. The atmosphere of traveling and the mood for holidays is infectious. It makes friends stopping by for a visit whenever they come to visit the UK much easier. In fact, there are quite a lot of Hong Kong communities in the area, so it made my initial move feel less isolated and the transition period easier.
What’s been the biggest challenge you’ve faced in moving to the UK?
Living in a bigger place has been both a blessing and a curse. Manchester is the 2nd largest city in the UK, and living nearby allows me to have easy accessibility to many different things. However the vast area means to get from one place to another, I rely heavily on driving, and there is more to consider with regard to my children’s care and school runs. For me, driving is a challenge in winter as it gets dark earlier, and the rain makes the motorway quite daunting.
What have you missed about Hong Kong the most?
Definitely Hong Kong street food! There are just so many food delicacies there and they are a part of my cultural heritage that I am really proud of.
In hindsight, is there anything you would’ve done differently?
Honestly, I would do most things the same way. I would still choose to work with IMG Connect. But as a parent, I would try to plan my relocation to coincide with the beginning of the academic year for school admissions, so that it would be easier to find schools for the kids, as in-year transfers are more difficult.
What has been your experience working with IMG Connect?
My experience working with IMG Connect has been nothing short of amazing. I have been well taken care of on every level from job hunting, interview preparation, negotiations with human resources, to the choice of home, location, phone cards, school information, interesting places to visits, etc. My queries and my worries were always addressed and attended to, and that was massive help for someone like me with no prior connections in the UK.
Ruaidhri was really my guiding star in getting me through tricky situations, and it is a testament to how helpful and easily approachable everyone at IMG Connect is, from top to bottom.
Do you have any tips or advice for international doctors who want to move to the UK?
It is certainly a huge decision to make to relocate to the UK to work as a doctor. It is easier if one has a clear goal and works toward it step-by-step. Most importantly, I find it is the psychological preparedness to adapt to a new culture and work model that matters. It is never too late to make a new start.
Moving to live and work in the UK is a big decision to make but can be massively rewarding in many ways. International doctors have the chance to find a new home and the NHS presents an incredible opportunity for IMGs to secure rewarding jobs, progress within their fields and explore adjacent opportunities such as CESR, writing publications, teaching opportunities and research.
Whatever route an overseas doctor may take on their journey to the UK, IMG Connect is here to support them through every step and welcome them to the IMG Family.
For regular news and updates, follow IMG Connect on social media using the links below:
NHS Hospitals across the UK are offering specialty doctor job plans in Psychiatry with the opportunity for programmed CESR support, giving psychiatrists the chance to quickly work towards Specialist Registration.
For experienced IMGs, this is a new and relatively quick route to your first consultant post in Psychiatry.
By taking up a service level job as an SAS Doctor with CESR support as part of the job plan, many overseas psychiatrists are securing a great start to their career in the NHS that is suited to their senior level experience, whilst taking the time to acclimatize to the NHS and their Trust.
CESR Programmes for Specialty Doctors
By taking such posts in the NHS, you can join diverse, dynamic and inspiring groups of specialty doctors and acting consultants all on the way to achieving Specialist Registration as part of a tailored programme. You can read more about CESR for psychiatrists here.
In offering such job opportunities, Trusts will provide a supportive environment with protected time to fulfill all the requirements of the CESR application in Psychiatry and its sub-specialties, gaining career-enhancing experiences as you do.
Acting up, dedicated peer groups, coaching & mentoring, scheduled learning and study time are some of the benefits that you could receive in one of these roles.
In such roles you will typically receive hands on support from consultant colleagues and exposure to a wide range of experience to specifically aid competency achievement for your CESR application in relation to the Specialty Specific Guidance (SSG) for your sub-specialty.
In some specialty doctor jobs with CESR programme you will rotate through various departments, dependent on your required experience.
Some Mental Health Trusts will also provide the following as part of their CESR programme:
A number of Supported Professional Activity (SPAs) sessions per week
Tailored experience to your CESR portfolio
Regular clinical supervision
A CESR mentor
Involvement in academic programmes and medical student teaching
Support in gaining research competencies
SAS Tutor support
CESR / SAS support forums and meetings
Finding SAS Roles with CESR Support
If you are an overseas doctor looking for a Specialty Doctor job with the chance to work towards your Certificate of Eligibility for Specialist Registration (CESR) in Psychiatry, speak to the IMG Connect team to discuss if this is a suitable route for you.
We have opportunities across the UK for international psychiatrists to take advantage of the CESR programme.
You can also send your CV to info@imgconnect.co.uk or register here. It takes less than 30 seconds to register!
IMG Jobs
Search and find live Psychiatry jobs in the NHS with CESR support
IMG Resources Library
Browse our library for more useful articles on NHS jobs in psychiatry, salaries for doctors in the UK and postgraduate qualifications for psychiatrists and much more!
Connect with us
Don’t hesitate to get in touch using the buttons above (and below) and chat with an IMG Consultant to discuss your options for NHS roles with CESR support and start your journey towards Specialist Registration with IMG Connect.
For access to a community of like-minded psychiatry IMGs and dedicated psychiatry recruiters, join the IMG Psychiatrists Facebook group.
To receive the latest news and updates on all things psychiatry, including the Royal College, GMC registration and the NHS, follow us on social media and join the conversation.
Training in the NHS offers an extensive training scheme and career development for psychiatrists, with the quality and depth of this programme being recognised as a gold standard throughout the international medical community.
In line with developments and progression in psychiatry across the field and around the world, training provided to UK psychiatry trainees is regularly reviewed and updated. This should make the training programme attractive to UK graduates, as well as IMG psychiatrists seeking the best training programmes for their field and career development.
In this article, we will explore the training pathway for psychiatrists in the UK, with a broad look at 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 psychiatry?
What happens after completing the psychiatry training programme?
Can I enter specialty training in the UK as an IMG?
The NHS Training Pathway
The NHS training pathway refers to the complete programme for UK trainees, from foundation training to the completion of specialist or higher training, where candidates may be eligible for a CCT within their chosen specialism, such as General psychiatry or any of its sub-specialties.
It is important for IMGs to understand this process, as it clarifies what stage they can most likely enter the system if they are interested in training in the UK.
Entering the NHS Training Pathway
After graduating from medical school, doctors will 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, such as psychiatry – for psychiatry, this first stage is known as Core Psychiatry Training (CT).
Specialty Training in Psychiatry
The UK Specialty Training programme in Psychiatry is 6 years long, and whilst doctors may pass through training quicker depending on how quickly they achieve their competencies, this is rarely the case and psychiatrists will usually take the indicated time, or slightly longer to complete the Specialty Training programme.
Successful applicants entering year one of core psychiatry training (CT1), will follow the Royal College of Psychiatrists’ 2017 Specialist Training in Psychiatry Curriculum.
The Psychiatry training programme
The psychiatry specialty training scheme operates both as a run-through and uncoupled programme, though it is more often un-coupled.
Depending on where your application is successful, you may complete your period of core training, as well as the Royal College exams before making a further application for the next stage of training (requiring two applications). Alternatively, you may be able to apply for run-through training, which guarantees you complete both Core and Higher training in one region, as you are recruited for the full duration of Specialty Training.
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.
Selection
Here, trainees will either choose whether to enter GP (General Practitioner) training, internal medicine training (IMT) or core training in psychiatry (CT).
Core Psychiatry Training (CT1 – CT3)
This part of training takes place from year 1 to 3, where trainees will work and train in several different sub-specialties within psychiatry. They will gain a broad understanding of psychiatry by rotating between 6-month posts in the following sub-specialties:
General and Community Psychiatry - including Assertive Outreach, Crisis Home Treatment, Outreach for Homeless People, Early Intervention for Psychosis, Rehabilitation and Liaison Psychiatry.
Old Age Psychiatry - including Memory Clinics, Community Teams, Domiciliary Clinics, Young Onset Dementia, Day Hospital and Liaison Psychiatry.
Child and Adolescent Psychiatry - including Specialist Adolescent and Academic Psychiatry.
Substance Misuse
Learning Disability Psychiatry - including Specialist Asperger Services.
Forensic Psychiatry - including all levels of security.
By the end of CT3, trainees will need to have completed the MRCPsych exams.
Please note, trainees must pass the MRCPsych Paper A, Paper B and CASC exams in order to progress to higher psychiatry training.
For more information of the Royal College of Psychiatrists examination suite, take a look at our IMG Resources library here.
There are two opportunities per year to apply to core psychiatry training. Information about how to apply, including the person specifications, is available via the North West Deanery, who manage the recruitment process.
Selection
Here, trainees who are not currently training in a run-through programme will make applications to a deanery for higher psychiatry training in their chosen specialty. Selection is open by national competition.
Higher Psychiatry Training (ST4 – ST6)
This training takes place from years 4 – 6, where trainees will complete 3 years of yearly rotations in their chosen speciality, building on their core training and develop increasing levels of competence in clinical psychiatry.
There will also be opportunities to work in other sub-specialties including: addictions, eating disorders, neuro-psychiatry, perinatal and social & rehabilitation psychiatry.
Trainees will usually be allocated a certain number of PAs (programmed activities) weekly for special interest or research purposes. As well as sub-specialty opportunities, these can also be used towards educational opportunities such as local training days/conferences in relevant domains, from clinical leadership to humanities.
Completion of the Psychiatry Specialty Training Programme
Upon completion of the training programme, the choice is made as to whether the trainee will be awarded a Certificate of Completion of Training (CCT) in General Adult Psychiatry of one of its sub-specialisms. This will be based on criteria set out in the curriculum by the Royal College. You can find the 2021 curriculum here.
At this point, the psychiatrists are entered 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 psychiatry training outside of 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 Psychiatry Specialty Training Programme as an IMG
It is possible for overseas doctors to join the Specialty Training programme in Psychiatry 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 start begin ST1
Although UK trainees are not given priority for specialty training places, it can be very difficult to join the Psychiatry Specialty Training programme without NHS experience.
So here you have it, a broad overview of the NHS Psychiatry Specialty Training pathway for UK trainees. This training scheme is the core of psychiatry training in the UK, and for IMGs looking to join the training programme, understanding of the pathway allows you to better align your overseas training with the relevant stage you wound enter into Specialty Training in the UK.
Getting started
If you have any further questions about the UK training pathway or your route to the UK as an overseas psychiatrist, or would like guidance in finding NHS posts which offer CESR support, please get in touch with us here.
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.
In this article, we’ll be taking a closer look at the specific guidance on NHS applications for entry onto the Specialist Register through the Certificate of Eligibility for Specialist Registration (CESR) for psychiatrists.
We’ll cover the eligibility criteria, application process, and most importantly the required evidence, along with some other topics, summarised in the headings below:
What is CESR and who is it for?
Do overseas psychiatrists need MRCPsych for CESR?
What is the CESR equivalence process?
What evidence is required for a CESR in psychiatry?
Where will I find this evidence?
Submitting a CESR Application
How much does CESR cost?
How long does it take to receive a decision?
How long does it take to complete?
Do I have to complete CESR before I can work in the UK?
#IMG Tips
How do I get started?
Skip ahead to the relevant section if you know what you’re looking for.
An Introduction to CESR
The CESR, or Certificate of Eligibility for Specialist Registration, is the route to specialist registration for psychiatrists who have not completed a GMC-approved training programme but who are able to demonstrate that their specialist training, qualifications and experience are equivalent to the requirements for the award of CCT in the UK.
CESR holders can be appointed to substantive (or permanent) consultant positions in the NHS. As a psychiatrist, attaining specialist registration will mean you are qualified to practice independently as a psychiatry consultant in the NHS.
Psychiatrists must satisfy the GMC that their specialist training or specialist qualifications, when considered together, are equivalent to a CCT in the specialty in question. Doctors who have undertaken a minimum of 6 months training or obtained a specialist qualification and acquired specialist medical experience or knowledge as a psychiatrist within a non-training post, and are currently practicing, may apply to the GMC for assessment of their competencies.
Overseas doctors do not require CESR before moving to the UK to work in the NHS. Often, experienced psychiatrists will secure a post in the UK, and work towards CESR whilst in post. Typically, CESR is a preferred route towards specialist registration for overseas trained psychiatrists.
An overseas psychiatrists training may not have covered all the ground of the CCT curriculum, but they may be able to show competence in the missing area through experience in a fixed term Specialty Doctor, Specialty Grade, Associate Specialist, or Acting Consultant post in the NHS. In this case, overseas psychiatrists will likely complete the MRCPsych exams to gain GMC registration and start working in the NHS, before completing CESR.
MRCPsych for Specialist Registration
Overseas doctors looking to join the Specialist Register are not required to have completed the Royal College postgraduate exams. In this case, MRCPsych is only a requirement for doctors looking to attain Specialist Registration via the CCT route.
The standard test of knowledge in the CCT curriculum is the MRCPsych exam, so passing these exams confirms the attainment of the competencies of the core Curriculum.
However, if CESR applicants have not successfully completed MRCPsych, they must provide alternative evidence that demonstrates equivalent knowledge to psychiatrists who have passed the exams.
Even if the competencies covered by the exam require something that someone in your position would not routinely undertake (in your sub-specialty for example), you must still provide evidence of it – as the evaluators will not make assumptions outside of the evidence presented.
This is not to be confused with the requirements for registering for a full licence to practice with the GMC – many overseas applicants choose to complete MRCPsych.
Specialist Registration is additional to full registration with the GMC and is therefore not required to practice as a psychiatrist in the UK.
You can read more about the full MRCPsych examination suite in our IMG Resources library.
The CESR Equivalence Process
Equivalence refers to the process of assessing an overseas applicant’s training and experience against the current psychiatry training programme requirements, in order to be awarded CESR.
The equivalence process involves submitting a written body of evidence to the GMC, consisting of:
training and/or competence; AND
skills and knowledge
The Royal College of Psychiatrists will assess each application against the relevant Curriculum before providing a recommendation to the GMC, who will then make a decision.
Please note that Equivalence procedures are the responsibility of the GMC. Applications are made through their Certification Department and initial enquiries should be directed there.
Evidence Requirements for CESR in Psychiatry
Skills & Experience: The evidence provided for a CESR application in psychiatry must cover the knowledge, skills and qualifications to demonstrate the required competencies in all areas of the General Psychiatry Curriculum, and the Advanced Module in the sub-specialty you are applying in. If evidence is missing from any area of the curriculum, the application will fail.
Primary Evidence: To demonstrate that you can do what is required by the curriculum, you need to submit primary evidence of your clinical practice which shows how you work on a day-to-day basis: letters, reports, assessments etc. References, retrospective case summaries, and reflective notes can all be used in a CESR application, but by themselves they are not sufficient.
Audit & Governance: You are required to submit evidence of your active leadership in audit, including evidence that you have completed at least one audit cycle
Currency of evidence: Your evaluators will be looking for evidence of current competency, generally defined as within the last five years. If you have completed training before this point, it is crucial that you provide evidence of maintaining competency across the whole area of the curriculum.
The GMC asks that only evidence that is strictly relevant is sent as it will help them to process the application quicker. The guidance on compiling your evidence will help you to decide what is relevant and what is not – you can find this on the GMC website here.
As a general guide, the GMC usually expects to see about 800 - 1200 pages of evidence, divided into four different domains, reflecting those of Good Medical Practice. The GMC recommends that you apportion the evidence provided as shown below:
Domain 1 – Knowledge, skills and performance
Domain 2 – Safety and quality
Domain 3 – Communication, partnership and teamwork
Domain 4 – Maintaining trust
Please note, you cannot compensate for evidence lacking in one area by providing more evidence in another area.
The full list of evidence required for each domain can be found on the GMC website here.
Gathering Evidence for a CESR Application
Domain 1 – Knowledge, skills and performance
Qualifications
Primary Medical Qualification (PMQ)
Specialist medical qualification(s)
Curriculum or syllabus (if undertaken outside the UK)
Specialist registration outside the UK
Honours and prizes
Other relevant qualifications
Assessments and appraisals
Appraisals and assessments
RITAs, ARCPs and training assessments
360˚ and multi-source feedback
Awards and discretionary points letters
Personal development plans (PDP)
Logbooks, records of daily clinical practice and portfolios
Logbooks
Consolidation, cumulative data sheets, summary lists and annual caseload statistics
Medical reports
Case histories
Referral letters discussing patient handling
Patient lists
Departmental (or trust) workload statistics and annual caseload statistics
Rotas, timetables and job plans
Portfolios (electronic or revalidation)
Details of posts and duties (including both training and experience posts)
Employment letters and contracts of employment
Job descriptions
Job plans
Research, publications and presentations
Research papers, grants, patent designs
Publications within specialty field
Presentations, poster presentations
CPD and CME
CPD record certificates, certificates of attendance, workshops and at local, national and international meetings or conferences
CPD registration points from UK Medical Royal College (or equivalent body overseas)
Membership of professional bodies and organisations
Teaching timetables
Lectures
Feedback or evaluation forms from those taught
Letters from colleagues
Attendance at teaching or appraisal courses
Participation in assessment or appraisal and appointments processes
Domain 2 – Safety and quality
Participation in audit, service improvement
Audits undertaken by applicant
Reflective diaries
Service Improvement and clinical governance meetings
Safety
Health and safety
Domain 3 - Communication, partnership and teamwork
Communication
Colleagues
Patients
Partnership and teamwork
Working in multidisciplinary teams
Management and leadership experience
Chairing meetings and leading projects
Domain 4 – Maintaining trust
Acting with honesty and integrity
Honest and integrity
Equality and human rights (including disability, human rights, race, religion and ethnicity awareness and equal opportunities)
Data protection
Relationships with patients
Testimonials and letters from colleagues
Thank you letters, cards from colleagues and patients
Complaints and responses to complaints
Additional areas of evidence
Topics Covered in the MRCPsych Exams
Paper A:
Behavioural science and sociocultural psychiatry
Basic psychology
Social psychology
Social science and sociocultural psychiatry
Human development
Basic neurosciences
Neuroanatomy
Neurophysiology
Neurochemistry
Molecular genetics
Neuropathology
Clinical psychopharmacology
General principles
Pharmacokinetics
Pharmacodynamics
Adverse drug reactions
Classification and assessment in psychiatry
Paper B:
Organisation and delivery of psychiatric services
General adult psychiatry
Prevalence/incidence, aetiology, presentation, treatment and outcome of psychiatric disorder in adulthood
Disorders related to pregnancy and childbirth
General hospital psychiatry
Emergency psychiatry
Eating disorders
Psychosexual disorders
Old age psychiatry
Psychotherapy
Dynamic psychotherapy
Family therapy
Cognitive-behavioural therapies
Other therapeutic models
Effectiveness of psychotherapy
Group therapy
Child and adolescent psychiatry
Substance misuse/addictions
Forensic psychiatry
Relationship between crime and mental disorder
Psychiatry and the criminal justice system
Practicing psychiatry in a secure setting
Human rights legislation as it affects patients and psychiatric practice
Learning disability
Services
Epidemiology/Aetiology
Clinical
Research methods, statistics, critical review and evidence-based practice
Translation of clinical uncertainty into an answerable question
Systematic retrieval of the best available evidence
Critical appraisal of the evidence
Application of the results in practice
Evaluation of performance
All these topics covered in the MRCPsych exams can be found in the Core Training in Psychiatry curriculum.
For more guidance on the different types of evidence, see the specialty specific guidance from the GMC for psychiatry.
Validating the evidence
Original documents which are on headed paper with a hospital stamp and original signatures do not need additional validation.
All photocopied evidence should contain a hospital stamp on every page of each document, the validator’s name (printed and in full), job title (printed and in full) and original signature.
Submitting a CESR Application
All CESR applications are submitted online via GMC Online and if you have not already created an account, you can find a guide on how to do so here.
Electronic evidence is required for each of the different evidence sections of the CESR application. Once started, the online application remains open for 12 months, meaning that it can be used as a portfolio to gather evidence against each of the different sections.
Your electronic evidence can be in any of the following formats:
.doc
.pdf
.ppt
.xls
Formats outside of these are unlikely to be accepted.
The Online Application
You will be required to complete the following sections once you begin your application:
Specialty details
Qualification details and professional experience
Details of your referees
Registration and licensing history
Evidence summary
Details of your verifiers
Final declaration and payment
Additional Evidence
Once an Adviser on the Specialist Applications Team has reviewed your initial evidence, they will provide you with information on:
What evidence they’ve accepted
What evidence they’re unable to accept (including the reasons for this)
Advice and guidance on how your application could be strengthened
You’ll have up to 60 days to provide additional documentary evidence in support of your application (30 days if you’ve submitted a Review application).
For further information about the online application process, see the GMC’s User Guide.
The Cost of CESR Applications
All psychiatrists applying for Specialist Registration must pay a fee. For CESR, this fee is £1,676. For CESR-CP and CCT, the cost is £439.
How long does it take to receive a decision?
The GMC estimate that it can take between six and eight months to receive a decision, from the date you submit your CESR application.
How long does it take to complete?
As there is a substantial amount of evidence to gather for a CESR application, the process of preparing all the necessary documentation and applying for CESR can take even longer than this, and a typical candidate will usually set out to complete this within 1 – 3 years.
It is worth noting that more senior psychiatrists, such as consultants, are more likely to have achieved all the competences outlined in the curriculum.
The indicative period of training for a CCT in psychiatry is six years, so it is highly unlikely that you would achieve the competencies required for a CCT in a shorter period of time. Therefore, CESR is not suitable for more junior psychiatrists.
NHS Positions in the NHS without CESR
It is important to note that you can apply for more senior psychiatry roles such as a specialty doctor (SAS), specialist grade or acting consultant without being on the Specialist Register.
Similarly, overseas doctors do not require CESR before moving to the UK to work in the NHS.
When compared to a trainee post, you will likely receive better pay and responsibilities that are more appropriate to your level of experience. While working in these positions, you can collect evidence of your competences, particularly those specific to the UK psychiatry curriculum.
Across the UK there are several NHS Trusts with well-established CESR programmes of support for psychiatrists who have taken up a fixed term post with the view to completing CESR.
These positions also facilitate a faster route to working in UK and attaining Specialist Registration when compared to making an application for CESR from overseas, which can take an additional amount of time.
#IMG Tips
Research/think about the types of evidence you will need and begin to gather your evidence well in advance of making your application.
Gather evidence prospectively – this is much easier than retrospectively trying to pull together the evidence under additional pressures.
Make sure that your evidence is of the highest possible quality and is current – you will be assessed against the most recent curriculum.
Ensure that the evidence you collect demonstrates your competence across the whole of the psychiatry curriculum, not just your sub-specialty.
Remember to refer to the most up-to-date Psychiatry CCT Curriculum and Specialty Specific Guidance for the evidence requirements in your specialty.
Create a CESR ‘to-do list’ with sections under the GMC’s 4 domain headings – organise your evidence directly into these sections to manage your progress.
Do not submit original documents – all your copies, other than qualifications you’re getting authenticated must be accompanied by a proformas signed by the person who is attesting to the validity and accuracy of your evidence (your verifier).
Choose your referees carefully - they will need to be able to comment on direct observation of your clinical competences. At least six (from the last 5 years) are required but it would be preferable to give provide eight to ten (based on previous experience).
Reconstruct your CV from scratch so that it matches the application form - if you submit a CV that doesn’t contain the required information or you have not submitted all evidence as mentioned on the CV, this will delay your application.
Request a CV consultation with one of our experts
Ask an IMG Connect recruitment specialist about NHS psychiatry posts with CESR support. These are not always advertised by a Trust, but we can help you find a role which aligns well with your career goals in the NHS.
Join the IMG Psychiatrists community – as well as support on Royal College exams, our online community of international psychiatrists and dedicated psychiatry recruiters offers guidance on other aspects of working in the UK, including finding NHS posts and CESR.
Getting started
Attaining Specialist Registration through the CESR pathway can be a long but very rewarding process. Look at our introduction to CESR for psychiatrists for a full overview.
If you have any further questions about Specialist Registration, your route to the UK, or would like guidance in finding NHS posts which offer CESR support, please get in touch with us here.
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.
Overseas doctors often have questions about the best ways to prepare for MRCPsych Paper A, particularly with the changes to the exam format and so many online materials geared towards UK applicants and trainees.
So, what study preparation, materials, courses and support are available for international psychiatrists? We have compiled some of the best guidance and resources to help you in your preparation for the Paper A exam. We will also address some changes to 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 A?
How do I get started with my preparation?
What other resources are available?
How has the exam been affected by COVID-19?
#IMGTips
Passed? What’s next?
If you know what you’re looking for, skip ahead to the relevant section.
For an overview of the entire examination series, have a look at our article in the IMG Resources library here.
What is MRCPsych Paper A?
Let’s begin with a quick recap of the first exam in the MRCPsych examination suite.
MRCPsych Paper A is a three-hour written exam which covers the scientific and theoretical basis of psychiatry
The paper comprises 150 questions and is worth 150 marks, with two thirds being multiple choice questions (MCQ) and the other third, extended matching item questions (EMI).
The breakdown of the sections is as follows:
For full guidance on the structure of the exam, see our detailed blog on the MRCPsych Paper A exam here.
Preparation
It can be tough to know the best place to start, so we’ve spoken to some IMG psychiatrists and the consensus was that the Royal College website is the best place to begin. There are some great resources on their website to help candidates in their preparation for the exam. These include:
Syllabus: We always recommend this as the best place to start – plan your study around the curriculum topics for a road map to your success in the exam. You can find this here.
Sample papers: These will help you perfect your exam techniques and are an effective way to benchmark your knowledge against the syllabus. They will also help you work quickly on the day as you will already know what to expect. The sample papers can be found here.
Marking schemes: It’s always a good idea to understand how exams are marked so you can structure your revision accordingly, giving you the best chance of a pass. These are available here.
Sample exam: Samples of the exam are also helpful in fully understanding the format and to familiarise yourself with the online exam environment, particularly as this is a more recent change to the exam. This is available here.
Online exam guidance: This guidance has been written specifically to help candidates to prepare for sitting an online exam, including technology checks and timings that will be in place on the day. This will be more useful closer to the exam date. The guidance can be accessed here.
Passing the MRCPsych - an insider’s guide: the Royal College suggest having a look through this guide, which is a helpful resource to help you to get over the first steps, available here.
What other resources are available?
IMG Connect has a library of written resources geared towards preparation for the Paper A exam. If you’re interested in any of these, please get in touch here and we would be delighted to share these with you.
The most highly recommended resources are the SPMM and MRCPsychMentor resources. They are available in different formats depending on your revision needs:
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 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
MRCPsychMentor Revision Course: unlimited access to a bank of over 2000 questions, including some from previous exams. These are delivered in the same format as will be in the exam (MCQs and EMIs), with practice timed tests you can complete as many times as you like. You can access the course here.
MRCPsychMentor Mock Exam
There are two three-hour long exams available here which simulates exam conditions with mock exam papers of questions not available in the question bank. They include a revision mode, timed tests, extensive performance analysis and powerful question review functions.
Duration
6 weeks
Cost
£15 each
Next start date
On demand
Website
www.mrcpsychmentor.com/mocka/index.php
IMG Psychiatrists MRCPsych Paper A 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 A Study Course by joining the Facebook group here.
Other online resources available for the exam include a mixture of paid and free resources:
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.
TrickCyclists Exam Notes: A series of psychiatry notes specifically tailored to the MRCPsych Paper A 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.
How have the exams been affected by COVID-19?
As a result of the pandemic, all MRCPsych exams have moved online. You can learn more about the online exams for MRCPsych 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.
#IMGTips
Start your revision early – starting in advance allows you to pace yourself and get ahead of the stresses of last-minute revision and anxiety.
Divide your study time according to the marks percentage for each section – dividing your time in this way will ensure you’re putting most of your time towards what will gain you the most marks.
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.
Try to take some time off work before the exam – you’ll likely be preparing for the exam alongside full-time work, so, if possible, take around 5-7 days somewhere in the run-up to the exam for some intense revision.
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.
Passed? What next?
Great stuff, this is a fantastic achievement and you should take a well-deserved break!
Once you’re ready, you can apply to sit the Paper B exam (or CASC if you started with Paper B). For more information, take a look at our blog, where we explore MRCPsych Paper B and everything you need to know about sitting the exam, including dates, results, fees and structure.
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.
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 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.
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 looking to move to the UK? Here, you can hear first-hand the experiences of an international doctor who has been through the process, from completing GMC registration, to securing an NHS job and relocating to the UK.
IMG Stories is our series introducing you to international doctors who we have helped to relocate to the UK - sharing their personal journeys from working overseas to securing a new job as a doctor in the NHS.
Today we introduce you to Linda Granqvist, a fantastic child and adolescent psychiatrist who relocated to the UK from Sweden. Linda has been living and working in the UK since earlier this year when she received full specialist registration from the GMC. She is now working in the Lancashire and South Cumbria NHS Foundation Trust in the north west of England – where she is making a huge contribution to the NHS and wider community.
Tell us a little about yourself – what should the IMG community know about Linda Granqvist?
I’m a mum of three who comes from Sweden and I work as a child and adolescent psychiatrist, which I have done for many years. I'm also a family therapist and a certified therapy dog handler. In my free time, I really enjoy hiking and diving – I'd say those are my main interests.
What motivated you to move to the UK?
So, for a couple of years, I’d been thinking about moving to an English-speaking country. Both because I want to improve my English skills and the same for my kids – I also wanted them to learn how to speak English fluently. Also of course, to experience another country, to see how they work within CAMHS, and to be able to develop professionally in a new place.
Your journey to the UK was an adventure! Why did you decide to drive rather than fly to the UK?
In the beginning, it was just practical reasons really. I wanted to have the car with me to be able to move around easily in the UK, also, I don't like to put Iris on aeroplanes. So I decided I’d rather drive. I also have a lot of friends in the countries I’d be passing through along the way, so I thought I might be able to stop and say hi. In these strange times, this was a different way to stay in touch. To be honest, I was a little bit nervous at first - it's a long journey. And initially, it was just going to be me and Iris in the car, fully packed with all of our things. But then a very sweet friend of mine offered to join me on the trip. This made the whole trip incredibly easier and so much more fun. I'd recommend traveling with a friend to anyone thinking of coming to the UK the same way.
Tell us about your journey to get here, any issues or exciting moments along the way?
The trip took us four days, which doesn’t sound very long, but then we were on the road for long periods of time, because we needed to cross the French and English borders within 72 hours of us departing Sweden because of the COVID situation. So, we had that tight schedule to work to, but it all worked out!
Alongside taking wonderful swims in the ocean and being on the beach when we were taking a break, getting to visit friends was great. I was a little curious about the COVID restrictions, to see how they would hold up in practice. There was no one checking us at any of the check points we passed at the borders between Denmark and Germany, Germany and Belgium then on to France. The only place where they actually checked all the certificates and vaccination status was on the ferry between France and England, so that was surprising to me.
What were the best places or things you saw on your journey?
The most exciting thing for me, just off the top of my head, is when we got to Dover. It was such a beautiful moment, having these white cliffs heading towards us on such a beautiful evening. I had a moment of strong emotion when I realised this would be my home for a long time and I was finally here.
You are the first psychiatrist we have worked with who has travelled with their care dog - exciting! We can’t wait to meet Iris, what was it like travelling here with her?
Iris is so relaxed. She's very used to me taking her everywhere, to all sorts of places, so she was quite happy after around 12 hours of travelling, when she realised she could just chill out. So she's no problem at all. Even now, I think she sort of misses the car!
Was it difficult to make arrangements to come to the UK with a dog?
You have to have your shots up to date and have the all the tablets that you need. But not really, it's not really been much of a fuss and was quite easy. Also, we'd travelled abroad before, so she had a passport and things like that.
What role does Iris play in your daily practice in the NHS?
Iris is a trained Care and Therapy Dog and we have worked side by side for 4 years now.
There were no protocols in place for a care dog at first, so the situation needed some working out, but now that’s been sorted, we’re up and running and I'm working with her clinically every day. She helps me with patients so they feel emotionally supported. She can do most tricks in the book and loves children and adults and is so proud to be helping me with these sometimes very vulnerable children.
How did you manage to navigate and juggle the different aspects of registration whilst working full time in Sweden?
Without all the support from Ruaidhri, I don’t think I would have, to be honest - all the credit goes to him. There was so much paperwork and so much to consider in doing things in the right order that it would have taken me forever. But Ruaidhri has been so supportive, holding my hand all the way, always letting me know what the next step was and what I would have to do, helping me wherever he could. He's just been amazing.
Do you have any advice for international doctors hoping to find jobs in the UK?
Find IMG Connect. Seriously, it made all the difference for me. If I’d had less support, I don't think I would have gone through with the move.
From your experience so far, tell us about a day in the life of a consultant CAMHS psychiatrist in the NHS…
I'm a locum consultant, so I work together with one other senior doctor and then another part-time consultant, as well as other doctors who are training and more junior. I take part in assessments and support the team in medical issues spend time on-call.
It's a big difference from what I’ve experienced before. I've worked both privately and in the NHS in Sweden, and I'd say it's a big difference in terms of the psychiatry role, and also how we support the team. It’s understaffed in some areas, and the socio-economic factors within the area can make things more difficult. I think I was maybe a little bit naïve coming into this role. But everybody is so supportive and really welcoming.
How are you settling into life in the North West of England?
So far, we’re enjoying it very much. It's almost like a tropical environment for us compared to Sweden. The people are extremely friendly and open, and not to say the least, they're very dog oriented. Iris really gets to socialise, so the dog life here is much easier. And then the nature, I mean, it's beautiful. Preston doesn’t have the most wonderful nature, but it's so close to the Lake District and the sea, so we're taking advantage of that as well.
What’s next for you now that you’re working in the UK?
My field of interest is in using dogs as part of the work within Child and Adolescent Psychiatry. So I’d love to do more research on this, to find out who benefits the most from having a therapy dog - I think that will be my next step. I always give everyone feedback forms to comment on how they found the appointment with a therapy dog present. I've previously done a small project in Sweden related to this, but I would like to expand on that.
Have you had any culture shocks living in the UK so far?
Probably the dog culture being so friendly. It's I think a positive culture shock. I'm really happy with how things are going.
We’re vegetarians, me and my three daughters, and we’re finding that British vegetables are so much tastier than in Sweden! We talk about it at dinner all the time, wondering how they can taste so good. I'm not too keen on fish and chips and some other typical British dishes, they’re not my cup of tea, but there’s so much choice here as well.
What have you missed about Sweden the most?
I guess there's the emotional part of it - leaving your closest friends, and some family. I think that's the hardest part and what I've missed most.
Do you have any advice for international doctors who want to move to the UK?
It’s a big step, relocating with your family, so it’s good to have practical and emotional support around you. But don't be afraid to try new things. Embrace everything, be flexible and just go for it. You will have an experience you will never forget.
Moving to live and work in the UK is a big decision to make but can be massively rewarding in many ways. International doctors have the chance to find a new home and the NHS presents an incredible opportunity to secure rewarding jobs, progress within their field and explore adjacent opportunities such as CESR (for non-EEA doctors), writing publications and research. Whatever route an overseas doctor may take on their journey to the UK, IMG Connect is here to support them through every step and welcome them to the IMG Connect family.