GMC Registration can be a long and complex process. With several options available for overseas doctors to demonstrate evidence of their skills and knowledge, it can be difficult to decide the best route to take to register with the GMC.   For international doctors planning their route to the UK, the two most common and popular routes by far are the UK postgraduate qualifications (MRCPCH for paediatricians) or PLAB. Here we provide a summary of both pathways and briefly consider their benefits to help you make the best choice in your journey to the UK as an IMG.  GMC Registration for Overseas Doctors PLAB for GMC Registration MRCPCH for GMC Registration Which is better for me as an IMG: PLAB or MRCPCH? #IMG Tips How do I get started? Skip ahead to the relevant section if you know what you’re looking for.  GMC Registration for Overseas Doctors Registering with the GMC is a multi-stage process, including key timings actions and documents. To receive full registration, international doctors must provide evidence of:   What is often the most long and challenging part of the process is providing sufficient evidence of skills and knowledge, however, you can check whether you have a GMC-accepted postgraduate qualification here.  There are 5 ways in which an overseas doctor can demonstrate their skills and knowledge:  PLAB  Acceptable Postgraduate Qualification / Licensing Examination  Relevant European Qualification  Sponsorship / MTI  CESR / CESR-CP / CEGPR  Please note that only one type of evidence is required to demonstrate skills and knowledge for GMC registration.  Of these routes, the most accessible are PLAB and the Acceptable Postgraduate Qualification because they are two of the only routes that do not depend on the country you’ve trained in – the UK postgraduate exams and PLAB can be sat by doctors.  For a detailed breakdown of all the routes available to IMGs, see our blog here.  Professional & Linguistics Assessment Board (PLAB) The first and most common route we’ll be discussing, which is particularly popular among junior doctors, is PLAB.  PLAB is a two-part exam (one written and one practical element), which assesses whether a candidate is at least as capable as a doctor starting the second year of their Foundation Programme Training (FY2 or F2) and can therefore work safely as an SHO (Senior House Officer) in the NHS.  The GMC has produced a useful video summary of the PLAB exams which you can watch here, or for a more detailed overview, see our IMG Resources library.  MRCPCH - UK Postgraduate Qualification for Paediatricians The UK’s postgraduate qualifications are a more popular route for senior overseas doctors, and those looking to gain posts in the NHS which are reflective of their experience.  For paediatrics, this can be done by attaining Membership of the Royal College of Paediatrics and Child Health. The Royal College of Paediatrics and Child Health (RCPCH) is the professional body that regulates the specialism of paediatrics in the UK, and MRCPCH is the full qualification attained through these examinations.  Take a look at our IMG Resources library for complete guides on MRCPCH to learn more.  PLAB vs MRCPCH Both MRCPCH and PLAB are respectable routes that demonstrate skills and knowledge and will allow an international doctor to register with the GMC and work in the UK. To decide which route of the two is best for you, you’ll need to consider the benefits of each and how they align with your needs and priorities in moving to the UK.  Seniority of Positions in the NHS It would be difficult for an overseas paediatrician to obtain a more senior post in the NHS without either MRCPCH, a GMC-approved training programme, or extensive experience from a similar, English-speaking healthcare system. PLAB alone will not give overseas doctors access to senior posts in the NHS.  Training To practice as a consultant in the UK, you must have gone through specialty training and will need a GMC-recognised postgraduate qualification to do so, whether a qualification from the country in which you completed your specialty training, or MRCPCH.  Time PLAB has two stages and can take anywhere between 3-9 months to prepare from start to finish.  MRCPCH has four stages, the last of which must be taken after at least 30 months of postgraduate experience with at least 12 months involving the care of emergency paediatric patients and can take anywhere between 24-36 months to prepare from start to finish.  Cost MRCPCH has varying costs depending on whether you sit the exams in the UK or overseas. If sitting the exam in the UK, the exams can cost around £1,985, whereas sitting the exams overseas can cost up to £3,235.   PLAB costs £1,189, and whilst PLAB 1 can be sat in many overseas centres around the world, PLAB 2 is only delivered in the UK. You can find a list of overseas centres for PLAB 2 here.  So for both MRCPCH and PLAB, candidates will have to travel to the UK, meaning that the additional cost of visas, accommodation and flights must be factored in.  It’s also important to note that these costs can rise if re-sits of the exams are necessary.  Summary PLAB, as an exam which examines a doctor’s ability to work safely as an SHO, does not assess ability in paediatrics specifically. For this reason, PLAB tends to be a route for junior doctors who have not already chosen their field of specialisation in medicine, I.e., paediatrics.  PLAB allows doctors to enter the UK system much faster than other routes and for this reason alone, it is favoured by international doctors when considering their path to the UK.  MRCPCH involves three more difficult examinations and takes more time to prepare for. However, for overseas doctors, attaining MRCPCH will allow you to jumpstart your career in the UK, as you don't need PLAB or Core Training.  Additionally, MRCPCH will facilitate the application for more senior roles in UK paediatrics than PLAB.  #IMG Tips Determine your priorities – your goals and timeline for relocating to the UK are important in deciding which route is best for, and this is different for everyone.  Plan well ahead – depending on the route you choose, you may be embarking on a long journey through these exams, so plan how you will fit them into your life and how best to prepare to maintain a good work-life balance at the same time.  Find a support network – once you know which exams you will sit, find a support network of others who are also preparing for the exam.   Sources https://www.rcpch.ac.uk/education-careers/examinations/mrcpch-about https://www.gmc-uk.org/registration-and-licensing/join-the-register/plab https://www.gmc-uk.org/registration-and-licensing/join-the-register/before-you-apply/evidence-to-support-your-application Getting started Once you’ve decided which exams are best for you, it’s time to delve deeper into the exams and what they entail. For more useful blogs and articles on PLAB or MRCPCH, registrations and qualifications to help you find your dream job in the NHS - take a look at our IMG Resources library.   Don’t hesitate to get in touch with one our recruitment specialists if you would like to discuss your options in the NHS once you have completed PLAB or MRCPCH.   Follow us on social media through the links below for regular news and updates on the Royal Colleges, relocating to the UK and working in the NHS:              

Overseas paediatricians taking the postgraduate route to GMC Registration must attain full MRCPCH. Membership of the Royal College of Paediatrics and Child Health (MRCPCH) can be sat by international doctors from any country in the world provided certain eligibility criteria are met. These are summarised below along with a broad look at the following topics: What is MRCPCH?  Am I eligible? Sponsors for the Clinical Exam MRCPCH Theory - structure and content MRCPCH Clinical – structure and content Where and when can I take the exams? How much will it cost me? How do I apply? How to prepare and what resources are available Passed? What next? The Royal College of Paediatrics and Child Health is the professional body responsible for the specialty of Paediatrics throughout the UK. Amongst many other duties, its role is to set and monitor the educational curriculum for those training to enter the profession. What is MRCPCH?  Paediatricians become full members of the Royal College of Paediatrics and Child Health and achieve the designation MRCPCH once they have passed four separate postgraduate medical exams.  The MRCPCH examinations consist of 3 theory exams and 1 clinical exam: Foundation of Practice (FOP) - theory examination (basic child health) Theory and Science (TAS) - theory examination (basic scientific, physiological and pharmacological principles upon which clinical practice is based) Applied Knowledge in Practice (AKP) - theory examination (knowledge synthesis/evaluation, clinical decision-making and management) MRCPCH Clinical examination - multi station OSCE * Theory exams can be taken in any order of preference. For overseas doctors relocating to the UK, the MRCPCH is one of two options to support full GMC registration (postgraduate qualification or PLAB route). For doctors who wish to take on more senior roles reflective of their current practice, IMG Connect advise that the MRCPCH would be the best route to securing their dream job in the NHS.  Am I eligible for the MRCPCH exams?  Theory Exams:  To be eligible you must hold a Primary Medical Qualification (PMQ) that is recognised by the GMC for registration purposes. MRCPCH Clinical:  You must pass the 3 theory exams in order to be eligible for the final MRCPCH clinical examination.  All MRCPCH clinical candidates must be proposed by 2 sponsors, who will certify that you have a good period of training in paediatrics and can be considered as ready to take the exam. You can take the exams at any stage in your career, however current advice is that in order to optimise your chances of success in the MRCPCH Clinical examination you should have:  completed a period of training lasting two and a half years  spent no less than 12 months in posts involving the care of emergency paediatric patients  spent six months of your first year after graduation as a house paediatrician; if not, an additional six months in a post involving the care of emergency paediatric patients. Sponsors for the clinical exam: As we mentioned above, candidates for the clinical examinations must have two sponsors who will declare you have covered the required amount of training in paediatrics which matches the exam syllabus and consider you ready to take the exam. You will be asked to provide each sponsors personal and work details, and they will be notified if you receive a poor mark.  The examination is conducted in English and candidates are advised that IELTS Level 7 is the expected standard for completion of the MRCPCH examinations. Remember, you will need to have a pass of 7.5 average in all areas of IELTS to complete your GMC registration. What is the structure and content for MRCPCH examinations?  As above, the MRCPCH examinations consists of 4 parts:  3 theory exams  1 clinical exam Theory exams: Candidates will sit 3 theory examinations; each test is administered on a computer and the tests can be taken in any order.  There are usually 3 sittings for each exam per year.  Each exam is 2 hours and 30 minutes, unless you have been allocated additional time. Foundation of Practice (FOP) theory exam:  This exam assesses a candidate’s knowledge, understanding and clinical decision-making. It aims to ensure that you have reached the same standard as someone entering core training (ST1 equivalent)  Questions are typically a combination of:  Single Best Answer Questions (SBAs) – 70 questions Extended Matching Questions (EMQs) – 10 questions Extended Matching Questions (EMQs) require you to choose the best option from a list of ten possible options, all are feasible, but only one is completely correct.  Theory and Science (TAS) theory exam:  This tests basic scientific, physiological and pharmacological principles of clinical and evidence-based practice.  It uses the same format for questioning as the FOP exam.  Applied Knowledge in Practice (AKP):  This tests your knowledge, understanding and clinical decision-making based on a standard of someone entering their core specialist training (ST1 equivalent).  The exam uses the format N of Many - giving two or three answers that are required from a longer list.  For example, there can be more than one answer from a scenario since there may be two equally important investigations that should be complete, or three abnormalities from a scan or x-ray.  When sitting the AKP using the format N of Many, remember that each question carries its own weighting – pay attention to how many marks each question is worth in the test and answer accordingly. Clinical examination: The MRCPCH clinical examination forms the final part of the exams. Remember, you must have passed all 3 theory tests in order to be eligible to sit this test.  This test will be taken in a hospital setting and you will follow a circuit of 12 scenarios. You should be familiar with this type of test (OSCE) from your medical training. Examiners will assess performance during each scenario, which will include actors (children, young people and adults).  The aim of the clinical examination is to assess whether candidates have reached the standard in clinical skills expected of a newly appointed ST4 in the UK.  Candidates are expected to demonstrate proficiency in: communication history taking and management planning establishing rapport with both parents and children physical examination child development clinical judgement organisation of thoughts and actions recognition of acute illness knowledge of paediatrics and child health professional behaviour ethical practice The Clinical Exam is guided by important educational principles while holding to the considerable standards of a clinical examination, including the examination of real children. The Clinical Exam includes 10 objective assessments of each candidate. In most circumstances’ assessment is conducted by a different examiner at each clinical station, so performance at one station does not influence the next station. The test will include six ‘short case’ assessments, emphasising clinical examination. Stations are as follows:  Station 1: Child development – clinical assessment Station 2 & 5: Communication skills  Station 3: History taking and management planning Station 4: Clinical video scenarios Station 6 – 10: Clinical examinations The order in which candidates will take the circuit will vary. There are 4-minute breaks between stations, the entire circuit takes 152 minutes in total. Where and when can I sit the exams? And how much do they cost?  Each country fee is different, please see below current exam fees (as of April 2019).  Theory exams:  Country Theory Exams Exam fee 2019 India, Malaysia, KSA, UAE, Oman, Myanmar, Sudan, Singapore, Jordan, Kuwait, Malta, Qatar, Sri Lanka, Trinidad FOP - single paper £390 TAS - single paper £390 FOP and TAS - both papers £653 AKP £750 Egypt and Nepal FOP - single paper £363 TAS - single paper £363 FOP and TAS - both papers £589 AKP £683 Hong Kong (HK) FOP - single paper TBC TAS - single paper TBC FOP and TAS - both papers TBC AKP TBC *Not all countries will offer the exam at each sitting. If you would like to request an exam in another country, you can contact the MRCPCH Clinical examinations:  Country Fee UK £765 Egypt £1,145 India £1,428 KSA £1,479 Malaysia £1,255 Myanmar £1,082 Oman £1,479 Singapore (Conjoint MMED - MRCPCH Clinical fee) £1,428 Sudan £1,220 UAE £1,479 Hong Kong TBC How do I apply for the exams?  To apply for the MRCPCH, you first need to register online for exams. You need an RCPCH online account (with an RCPCH number). Then you can complete a short registration form – you will require evidence of your primary medical qualification. How do I register for exams?  You can register for exams at any time throughout the year. After your registration is accepted, you can apply for an exam but only during relevant open application periods. It takes at least 10 working days to process registration.During exam application periods the Royal College are not able to process registrations.  Register three to four weeks before exam application period opens to help ensure you do not miss your preferred exam diet. The best dates to register for exams are usually January, May and September. How do I book an exam?  Log in to your RCPCH account Go to My Account  From your dashboard, go to the Exams panel, and from your exam dashboard, follow links to apply What do I need to bring to the exam? You will need to bring one of the following forms of ID: passport with photograph and signature - this must be current or no more than six months expired valid driving license with photograph and signature national identity card with photograph and signature. Please note, only original documents will be accepted as proof of identification. How can I prepare for the exams?  With lots of materials online we have discussed with IMGs the best place to start looking for resources and materials relating to the exams. Most IMGs recommended starting with the Royal College, who have created useful resources to help you to prepare for the exams. See below:  Theory Examination: Theory Examination Syllabi: This document outlines the syllabus for MRCPCH theory examinations - MRCPCH Theory Examination Syllabi. Theory exams structure and syllabus: Further information on FOP, TAS and AKP can be found in the theory exams structure and syllabus. This is to be read in combination with the Royal College’s Curriculum for Paediatrics. Within the Curriculum for Paediatrics you can read about the 11 domains and are able to download assessment strategy and generic syllabi for each training level. Sample Papers: We recommend becoming familiar with the exam format and software, and you can practice with some sample papers here. Clinical Examination: Clinical Examination candidate guide: This is a comprehensive guide from the Royal College specifically covering the Clinical Examination. This includes station breakdowns, clinical video scenarios, general instructions and downloads among many other resources.  Anchor Statements: The Anchor Statements outline the expected standard for each station against which candidates are marked. We recommend you familiarise yourself with the criteria points for expected standards before sitting the exam. Clinical Exam Technique: This guide covers the clinical examination in considerable depth, including: examination technique  specifics on clinical areas  detail on short-cases User guide for video station: A guide for Station 4: Clinical video scenarios can be downloaded here. Clinical Exam: hints and tipsHints and tips specific to the clinical exam can be found on the MRCPCH clinical examination candidate guide (scroll down to find them).  As ever at IMG Connect, we believe in preparation. In order to succeed in the clinical exam, IMGs have told us that it is vital that you practise your clinical examinations as frequently as possible, preferably under the supervision of a senior colleague. This will give you confidence in approaching and examining children with examiners present. Passed? What next? First of all, congratulations! After you have passed all four parts of your MRCPCH examinations, you can apply for a full registration with a license to practice. Once the GMC have approved your application, you can work as a doctor in the UK.  IMG Jobs  Search and find live NHS paediatrics jobs IMG Resources In our IMG Resources library you can read more useful articles on finding an NHS trust doctor job, pay scales & doctor’s salary in the UK, relocation and much more!   Get in Touch Get in touch using the buttons above (and below) to discuss paediatrics job opportunities in the NHS, including discussions regarding a typical doctor salary in the UK and the most suitable hospital locations for you.             

There are several routes overseas paediatricians can take to GMC registration and securing an NHS paediatrics job.  Whether you are from inside or outside of Europe, will need to satisfy certain criteria to fully register with the General Medical Council (GMC) before beginning their journey in the NHS. 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 paediatrician 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 licence 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 below: IMG resources - GMC Registration for overseas doctors Job search We recommend starting the job search as early as possible. Demand for European paediatricians 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 paediatrics jobs than are readily available online.  Our network extends to Paediatrics 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 speciality knowledge of paediatrics, 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. IMG Resources – Relocation & UK Life Outside of the EEA If you qualified as a paediatrician 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 paediatrics doctors, looking at the following: English Language Testing Evidence of Knowledge & Skills - PLAB, MRCPCH 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: 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 Evidence of Knowledge & Skills in Paediatrics Overseas paediatricians must prove to the GMC they have sufficient knowledge & skills to practice safely in the UK. For paediatricians this can be done through three main routes: PLAB Royal College qualification of MRCPCH 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 Paediatrics specifically. For this reason, PLAB tends to be a route for junior doctors who have not already chosen their field of specialisation in medicine.  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, paediatricians 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 MRCPCH: Attaining a Royal College qualification is a preferred path for doctors who have already chosen their field of specialism i.e. Paediatrics. For senior paediatricians taking this route, they will gain access to more senior, well-paid jobs in the specialism of their choice.  The Royal College of Paediatricians is the Professional Body that regulates the specialism of Paediatrics in the UK, and Membership of the Royal College of Paediatrics and Child Health (MRCPCH) is the full qualification attainable by examination. For overseas doctors, attaining MRCPCH will satisfy the knowledge & skill criteria for GMC registration and facilitate application for more senior roles in UK Paediatrics. Take a look at our complete guide on Membership of the Royal College of Paediatrics and Child Health to understand more: MRCPCH – 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 Paediatrics qualifications from several countries around the world that are currently accepted by the GMC.  Find out if your qualification is accepted by the GMC below: IMG Resources - 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: IMG Resources - 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 dependant visa below: IMG Resources - 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 licence 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, MRCPCH or equivalent) Understand the registration process in full & by reading our article below: IMG Resources - GMC Registration for overseas doctors Job search We recommend starting the job search as early as possible. Demand for Non-EEA paediatricians 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 paediatrics 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 speciality knowledge of paediatrics, 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 NHS paediatrician jobs in the UK IMG Resources Read more useful articles on finding an NHS trust doctor job, pay scales & doctor’s salary in the UK, relocation and much more!   Get in Touch Don’t hesitate to get in touch using the buttons above (and below) to discuss doctor job options in the NHS, including discussions regarding CESR, a typical doctor salary in the UK and the most suitable NHS jobs & hospital locations for you.             

The Diploma in Child Health (DCH) recognises competence in the care of children in specialties allied to paediatrics. In this blog we will provide an overview of the DCH and consider the following topics: What is the DCH? Who is it for? Structure and content of DCH Am I eligible? Where can I take the exam & how much will it cost me? How do I apply? How do I prepare and what resources are available? Passed? What's next? Skip ahead to the relevant section if you know what you're looking for. What is the DCH?  The DCH is reflective of current practice in the UK and covers a syllabus mapped by a wide range of medical professions, including paediatrics and GPs. The DCH (Diploma in Child Health) comprises two exams. You must achieve a pass mark in both in order to be awarded DCH.  The exams are as follows:  Foundation of Practice (FOP) theory exam - this is shared with the MRCPCH (membership exam) DCH Clinical exam Who is it for?  The Diploma is aimed at those practitioners who want to consolidate their knowledge and skills in paediatrics and gain a qualification at the same time. According to the Royal College of Paediatrics and Child Health (RCPCH), the DCH is designed to give ‘recognition of competence in the care of children to general practitioner vocational trainees, staff grade doctors and senior house officers in paediatrics, and trainees in specialties allied to paediatrics’. It not only helps to consolidate knowledge gained during paediatric training, but it also helps to focus and develop skills needed for the examination of children within primary and secondary care. Candidates use the DCH as an opportunity for up-skilling, to drive learning and to gain an internationally recognised post graduate medical diploma. The Royal College of Paediatrics and Child Health recommend that all candidates complete a short period of training in paediatrics before attempting the DCH Clinical examination. The aim of the examination is to assess whether candidates have reached the standard in clinical skills expected of a newly appointed General Practitioner who has completed a short period of training in paediatrics. What does the syllabus cover?  It is important to note that the DCH has an independent syllabus from the MRCPCH. However, the theoretical elements of the Foundation of Practice theory exam are shared across both. Before embarking on the diploma, we recommend IMGs take a detailed look at the DCH syllabus which outlines the competencies required in both knowledge and skills. It provides a summary list of topics which are covered, and specifies the depth of knowledge and skills required, as well as guidance for trainees on what they must be taught and learn. Am I eligible to take DCH? The Royal College for Paediatrics and Child Health recommend that overseas candidates have at least six months' paediatrics experience. To be eligible, overseas candidates will simply need to hold a recognised medical qualification and be registered with the GMC.  You do not require a pass in English Language Tests to take the tests, however we have discussed this with several IMGs, and it is important to note that a high standard of English will be required in order to pass. Don’t forget that you will require a sufficient pass in an English Language Test in order to complete registration with the GMC.  Structure and content of DCH: The Diploma consists of two exams, one theory (FOP) and one clinical exam. You can take the exams in any order, or during the same exam period.  The Foundation of Practice theory exam (FOP) is computer-based and takes place three times a year in the UK and overseas. See our MRCPCH overview for more information on where you can sit the FOP theory exam, dates, times and costs. How much does the DCH clinical exam cost? Fees vary depending on where you sit the exam. See below fees and centres for 2023.  UK & Ireland Exam Exam fee Foundation of Practice (FOP) - single paper £350 Theory and Science (TAS) - single paper £350 FOP and TAS - both papers £595 Applied Knowledge in Practice (AKP) £595   Overseas Centres Jordan, Kuwait, Malta, Qatar, Sri Lanka, Pakistan and Trinidad currently only provide RCPCH theory exams. Egypt, India, Malaysia, Nepal, KSA, UAE, Oman, Myanmar, Sudan and Singapore provide both theory and clinical exam test centres. Overseas Exam Exam fee Foundation of Practice (FOP) - single paper £435 Theory and Science (TAS) - single paper £435 FOP and TAS - both papers £725 Applied Knowledge in Practice (AKP) £835   Hong Kong Candidates in Hong Kong must submit payment to the Hong Kong College exam organiser in HKD via a bank draft, which you can learn more about here. Hong Kong Exam Exam fee Foundation of Practice (FOP) - single paper 4700 HKD Theory and Science (TAS) - single paper 4700 HKD FOP and TAS - both papers 7600 HKD Applied Knowledge in Practice (AKP) 8800 HKD How do I apply for the exams?  To apply for the DCH (Diploma in Child Health), you first need to register online for exams. You just need to do this once. You need an RCPCH online account (with an RCPCH number). Then you can complete a short registration form – you will require evidence of your primary medical qualification. How do I register for exams?  You can register for exams at any time throughout the year. After your registration is accepted, you can apply for an exam but only during relevant open application periods. It takes at least 10 working days to process registration. During exam application periods we are not able to process registrations. Please register three to four weeks before exam application period opens to help ensure you do not miss your preferred exam diet. The best dates to register for exams are usually January, May and September. How do I book an exam?  Log in to your RCPCH account Go to My Account  From your dashboard, go to the Exams panel, and from your exam dashboard, follow links to apply What do I need to know about the exam day? Bring your ID: You will need to bring one of the following forms of ID: passport with photograph and signature - this must be current or no more than six months expired valid driving license with photograph and signature national identity card with photograph and signature *Only original documents will be accepted. For more information take a look at the Royal College of Paediatrics and Child Health website How do I prepare?  With lots of materials online we have discussed with IMGs the best place to start looking for resources and materials relating to the exams. Most IMGs recommended starting with the Royal College, who have created useful resources to help you to prepare for the exams.  A good start is to take a look at Clinical Cases in Paediatrics: DCH Clinical Textbook. It will cost your £35 but is a logical foundation for a start to any revision. Useful online revision courses include those run by PASTEST and the Institute of Child Health. As ever at IMG Connect, we believe in preparation. In order to succeed in the clinical exam, IMGs have told us that it is vital that you practise your clinical examinations as frequently as possible, preferably under the supervision of a senior colleague. This will give you confidence in approaching and examining children with examiners present. Passed? What next? If you pass both DCH Clinical and Foundation of Practice (FOP) exams, you will receive a Diploma certificate. This certifies you are a holder of the Diploma in Child Health (RCPCH). IMG Jobs  Search and find live NHS doctor jobs in the UK IMG Resources In our IMG Resources library you can read more useful articles on finding an NHS trust doctor job, pay scales & doctor’s salary in the UK, relocation and much more!   Get in Touch Get in touch using the buttons above (and below) to discuss doctor job opportunities in the NHS, including discussions regarding a typical doctor salary in the UK and the most suitable hospital locations for you.