Here we take a closer look at the Medical Training Initiative (MTI) for international doctors practicing medicine and its sub-specialties.  Whilst the MTI describes a UK-wide placement scheme for junior overseas doctors, the processes involved vary between specialties.   This blog focuses on the MTI scheme as administered by the RCP, and the particular of this are summarised below along with a broad look the following:  What is the Medical Training Initiative? What is the RCP and what support does it provide throughout my training? Am I eligible for an MTI post? Are there any additional requirements for the RCP? How can I use the MTI for GMC registration? What does the application process for the MTI through the RCP involve? How am I supported in obtaining a visa? I’m coming to the end of the MTI, what’s next? Skip ahead to the relevant section if you know what you’re looking for.   The Medical Training Initiative The Medical Training Initiative, or MTI, is a training programme that provides junior doctors from all over the world the opportunity to gain clinical training and development in the UK for a maximum of 24 months.  The MTI as a training scheme is mutually beneficial for both junior doctors and the NHS, in that doctors from several countries and specialisms around the world can work and train in the UK, gaining knowledge and experience which they can take back to their home country, while giving NHS Trusts a high-quality, longer-term alternative for unfilled training vacancies and rota gaps.  Royal College of Physicians (RCP) The Royal College of Physicians is the professional body that regulates medicine specialties in the UK, and Membership of the Royal College of Physicians (MRCP) is the full qualification attainable by examination.  Take a look at IMG Resources library for complete guides on MRCP to learn more.  There are several ways you will be supported by the RCP as listed below:  Induction – all MTI candidates are expected to attend an induction at the RCP. The induction is held on a quarterly basis  Free ePortfolio access – this is an electronic portfolio to log all your assessments and training whilst in the UK  Free RCP associate membership – this is for the first year and discounted rate for the second year and comes with a number of benefits  Annual symposium – this is a clinical conference for all RCP MTIs held once a year  Diploma in UK Medical Practice – participants are required to carefully document their training using the ePortfolio system, complete a range of continuing medical education sessions, and submit a written reflection piece at the end of their placement  RCP certificate - at the end of training there is an RCP certificate available to all candidates  Support for any issues that you might encounter relating to your training  Eligibility The MTI has been designed specifically with junior doctors in mind, therefore sponsorship will not be offered to consultants, specialty doctors or for locum-appointed service posts (LAS).   The eligibility criteria differ among MTI programmes, but for the RCP, eligibility includes the following:  Country Requirements - Priority is given to doctors from countries classified as low income or lower middle income by the World Bank and priority countries as described by the Department for International Development. Doctors from outside these countries may also apply, but there may be a long wait time and no guarantee of acceptance.  Primary Medical Qualification: You must hold a recognised PMQ by the GMC and verified by Educational Commission for Foreign Medical Graduates (ECFMG)  Have a Postgraduate Medical Qualification: This can be MRCP Part 1, MD or other higher degree in medicine or a medical subspecialty  Skills & Competencies: You must possess the skills, competencies and understanding of medicine at least equivalent to a UK graduate at the end of their core medical training.  Clinical Experience: You must have 3 years post-qualification experience, including 1 year's internship and at least 1 year in the specialty in which you intend to train while in the UK  Active Medical Practice: Candidates must have been actively practicing clinically for at least three out of the last five years including the past 12 months before the application as well as throughout the application process (the GMC does not consider clinical observerships as clinical practice).  Please note, the RCP cannot sponsor doctors who have failed the Professional and Linguistic Assessments Board (PLAB) test.  Additional Requirements Before you can make an application for the MTI scheme through the RCP, the following criteria must be satisfied:  Verification of PMQ – your primary medical qualification must be independently verified by the ECFMG via their EPIC service.  Complete an English Language test – the test must have been completed within two years of application for GMC registration.  Find an NHS job before applying for the MTI – you are required to apply directly for an NHS post and should have already been formally offered the role before contacting the RCP. The hospitals should also be in support of your intention to seek sponsorship for the post.   Obtain funding - you should already have funding for your post from either a scholarship, official funding, or a salary. The funding should be equivalent to a UK salary for the level of work being undertaken and must last for the duration of the post. The RCP will not sponsor applicants who are self-funded.  Certificate of Good Standing - you must be able to provide a certificate of good standing (CGS) from the regulatory body in the countries where you have practised in the last 5 years. The CGS should be no older than 3 months when submitted.  GMC Registration All doctors practicing in the UK must be registered with the GMC. For MTI candidates, registration is typically supported by the Royal College, but some NHS Trusts also have the right to register MTI doctors.  English Language Testing – candidates will also need to provide evidence of English language skills. This can be done by passing either IELTS with overall score of 7.5 and 7.0 in all categories or OET with minimum grade B in all categories. Further information on these tests can be found below:  IELTS – a guide for overseas doctors  OET – a guide for overseas doctors  Application Process Once you fulfill all the eligibility criteria and additional requirements laid out by the RCP, you must complete the initial and professional postgraduate experience (PPE) forms and email these along with your CV to mti@rcplondon.ac.uk.  Once your CV, initial form and PPE forms have been received, the RCP will contact the supervising consultant in the UK and confirm the details of your post. You will then be sent an application pack. You should complete the application form and send it to the RCP with all of the following documents:  sponsor form (forms will be provided by the RCP) – must be completed by your consultant or head of department in your home country  two reference forms (forms will be provided by the RCP)  copy of your passport  copy of your IELTS/OET certificate or details of exemption  copies of your medical qualifications  translations of your medical qualifications if they are not in English  letter from the dean of the medical school from which you graduated  copy of certificate of good standing  letter from the UK hospital confirming your appointment  evidence of funding for the post  your statement agreeing to the level of funding which you have received from any of the sources listed  initial fee of £125  We’ve detailed the general processes involved in MTI applications through the RCP below, from a candidate securing an NHS post, to their eligibility to work in the UK after gaining GMC registration and securing a visa.  Tier 5 Visa for MTI The MTI scheme falls under the Tier 5 government authorised exchange visa. This visa must only be used for travel to the UK at the beginning of the placement and will activate after your arrival, lasting for exactly 24 months from your arrival date.  For a Tier 5 MTI visa, the RCP needs to provide evidence regarding your post to the Academy of Medical Royal Colleges (AoMRC - the official visa sponsor) once the GMC has approved your application in order to get your Tier 5 Certificate of Sponsorship (CoS) issued.   Once your Tier 5 CoS has been issued it is your responsibility to apply for the Tier 5 visa via https://www.gov.uk/browse/visas-immigration/work-visas. Applications for Tier 5 visas must be made in your home country (or the country you work in), but never from within the UK.  You can also apply to the AoMRC for Tier 5 dependent visas for your spouse and children, although this is not guaranteed, and you should read the UKVI requirements on this well in advance.  Please note that Tier 5 visas cannot be extended.  Sources  https://www.rcplondon.ac.uk/education-practice/advice/medical-training-initiative-resources-applicants  https://www.rcplondon.ac.uk/education-practice/advice/medical-training-initiative   https://www.rcplondon.ac.uk/file/19236/download  https://www.rcplondon.ac.uk/file/23841/download   https://www.rcplondon.ac.uk/file/4534/download?token=QyAzDCP8   What are my options after I complete the MTI? Ordinarily, on completion of the MTI scheme, doctors return to their home country with the training and experience they gained from working in the NHS.  Some doctors may want to remain in the UK after completing the MTI for a number of reasons. This can be done if the doctor finds another NHS post, in which case, they may be able to switch from the Tier 5 visa to the Tier 2 Health and Care Worker visa.  If you want to find another NHS post after completing the MTI, you would follow the same process as any other doctor. You will need to consider what job it is you would like to obtain and what location in the UK you would prefer to relocate to.  For guidance on NHS jobs in your specialty, please see our live jobs or get in touch with us to learn more about your options in the NHS. For regular news and updates on the Royal Colleges, GMC registration and working in the NHS, follow us on social media and join the conversation:              

Exam places for MRCP PACES have been hard to secure in some countries. This increase in demand has continued through to 2023, so what can you do to maximise your chances of securing an examination place?  The Royal College of Physicians has advised that they are working to grow capacity internationally. However, this will not have an immediate impact on the number of spots available across the world.  With so many overseas doctors missing out on a spot, we have put together some of the main discussion points to help you to broaden your chances of sitting the exam as soon as possible.  All applications submitted during the application period will be treated equally, with spaces being allocated using a random lottery model. Some spaces are reserved for local trainees and some priority can be given for applicants near the end of their eligibility periods.  So, to maximise your chance of success, we suggest that not only do you apply to your closest PACES exam centre, but also to 3 more centres that you are able to travel to.  Apply to more centres Why should I apply for more centres? More applications equals more chance of securing a place. They way that it works is that if you are not successful with your 1st preference (most local centre), then you will be considered for a space in your 2nd choice centre, and so on until you secure a spot.  Of course, this means that you must be willing to travel to sit the exam. This can be costly, especially if you have to travel to a different country, flights and hotels are not cheap! As such, we suggest taking some time to carefully choose the locations that will not only have the possibility of a spare place, but where your costs will be kept to a minimum.  Candidates will be notified on the outcome of their application within 2 weeks from the closing date, giving you time to plan your travel if necessary.  Whilst this advice does not guarantee a place to sit the exam, it will increase your chances.  If you are not sure what to do, or have any other questions regarding the PACES exam, get in touch with an IMG Connect specialist. Take a look at our IMG library for more information regarding postgraduate exams & PACES IMG Jobs  Search and find live NHS doctor jobs in the UK IMG Resources Read more useful articles on finding an NHS trust doctor job, pay scales & doctor’s salary in the UK, relocation and 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. Follow us on social media for news and updates on GMC registration, the Royal College and NHS through the links below:             

The Dermatology SCE is the higher postgraduate qualification provided by the Royal College of Physicians as a specialist qualification for dermatologists. It is one of 11 SCEs offered by the College and offers physicians a higher postgraduate qualification than MRCP which can be used to demonstrate to prospective employers the achievement of a standard equivalent to UK specialist doctors.  Here we take a closer look at the MRCP (UK) Dermatology Specialty Certificate Examination for doctors who have chosen to specialise in dermatology. We cover the content of the exam, as well as fees and the eligibility criteria, which we’ve summarised below with a broad look at the following topics:  What is the SCE in Dermatology? Where does the SCE fit into my training? What is the structure of the Dermatology SCE? How do I apply for the exams and what do they cost? Where can I sit the exams as an overseas dermatologist? How should I prepare for the exams as an IMG? I’ve passed? What’s next? Skip ahead to the relevant section if you know what you're looking for.  MRCP (UK) SCE in Dermatology  The dermatology specialty certificate exam is administered as a compulsory element of assessment towards the Certificate of Completion of Training (CCT) in dermatology for all UK trainees.   The purpose of an SCE is to:  ensure that certified specialists have sufficient knowledge of their specialty to practice safely and competently as consultants  complement workplace-based assessments  provide a rigorous national assessment to establish public confidence  offer a challenge similar to sub-specialty certification examinations in North America  The SCE as Part of Training in Dermatology  Since the MRCP(UK) exams are taken during the Internal Medicine Training years (ST1-ST3), the dermatology SCE allows physicians to demonstrate that they are able to practice independently at a consultant level.  The SCE has no fixed entry requirements (both for UK and overseas candidates); however, UK trainees would normally sit the SCE in their penultimate year of higher specialty training (ST6). UK trainees should have made at least one attempt at the dermatology SCE by the time of their penultimate year assessment.  For an in-depth guide to the MRCP exams, see our IMG Resources library here.  Exam Structure  The SCE comprises 200 questions which assesses candidates on a wide range of common and important disorders, as set out in the syllabus of the curriculum. This should be taken as an indication of the likely number of questions for each section – the actual number may vary:  Topic  Number of questions  Cutaneous allergy  10  Dermatopathology  10  Dressings & wound care  10  Formulation & systemic therapy  10  General dermatology & dermatology in primary health care  50  Genito-urinary disorders and oral medicine  10  Infectious disease  10  Paediatrics & genetics  30  Photodermatology  10  Psychodermatology  5  Skin biology & research  15  Skin oncology  20  Skin surgery and cosmetic dermatology  10  Total  200  There are two three-hour papers, with the questions in each category distributed across both papers.  All SCEs are computer-based and are administered by Pearson VUE at a test centre in the UK or internationally.  Dermatology SCE Applications  The SCEs are held once a year and all applications are made online through the My MRCP(UK) account, found in the Upcoming Exams section of the Royal College website.   The application process is as follows:  Register online through My MRCP(UK) (candidates have the opportunity at this point to register any special arrangements)  Request a preferred test country and city  Pay applicable examination fee  Application is confirmed via an automatically generated email  Receive test centre confirmation email from Pearson VUE within four weeks of the examination date.  The Royal College of Physicians has created a helpful video guide on SCE applications which you can watch here.  Cost  The cost of the SCE exams are as follows:  UK centres: £665  International centres: £833  Exam Centres  UK Centres  Candidates who choose to sit the dermatology SCE in the UK must contact Pearson VUE to book their test. There are around 137 test centres throughout the UK for each SCE, and the Royal College of Physicians advise that candidates should book their exam as early as possible to secure their preferred test centre, since bookings operate on a first come first served basis.  International Centres  Candidates are given a choice of regions and are then asked to nominate a particular city in that region as their desired test location. The Royal College of Physicians passes this request to Pearson VUE once the application period has closed, and Pearson VUE will confirm final test centre details to candidates via email at least three weeks before the examination date. If the exam is not available in the requested location, candidates will be offered a choice of the nearest available test centres.  Please note, international candidates should not book their own test directly with Pearson VUE - attempting to do so may delay a candidate's application.  The full list of international test centres for the SCE can be found here.  Preparation and Resources for the Dermatology SCE  It can be difficult for IMGs to know where to start with their preparation and revision, particularly as the exam requires a wide breadth of knowledge around the curriculum and should involve reading textbooks, journals and guidelines.  This list should provide a good starting point for any international dermatologists preparing to sit the SCE:  Curriculum - Applicants are tested on a range of common and important disorders in Dermatology as set out in the Joint Royal Colleges of Physicians Training Board’s Specialty Training Curriculum for Dermatology. We recommend getting to know the curriculum as early as possible and using it as a blueprint for your study.   Below are some other good reading materials and sources:  Textbooks  Rook's Textbook of Dermatology - Eds DA Burns, SM Breathnach, N Cox, CE Griffiths Textbook of Pediatric Dermatology - Eds AD Irvine, PH Hoeger, AC Yan Dermatology - Eds JL Bolognia, JL Jorizzo, RP Rapini McKee’s Pathology of the Skin - JE Calonje, T Brenn, A Lazar, P McKee Journals  British Journal of Dermatology (BJD) Clinical and Experimental Dermatology (CED) Journal of the American Academy of Dermatology (JAAD) Journal of Investigative Dermatology The Journal of the American Medical Association (JAMA) Websites  British Association of Dermatologists (BAD) British Society for Investigative Dermatology (BSID) British Society for Cutaneous Allergy British Society for Medical Dermatology British Society for Dermatological Surgery (BSDS) DermIS (dermatology image resource) eMedicine online reference DermNet NZ (New Zealand dermatology society) Dermatology e-learning resource Sample questions: It is a good idea to regularly assess your knowledge and progress using example questions from the current exam syllabus. You can find these here.  For an overview of how to prepare for exams, including advice on study groups, online community support, the best use of online resources & Royal College materials and courses, check out at our blog: IMG Connects Top Tips for exam preparation.  I’ve passed? What’s next?  Congratulations – what an achievement! With your higher postgraduate qualification, you will be able to apply for NHS roles above ST3 which are likely more suited to your seniority and experience – nice one.  Don’t hesitate to get in touch with an IMG medicine recruitment specialist to discuss GMC registration, dermatology positions in the NHS, salaries, suitable UK locations and hospitals for you, and relocation.  To receive the latest news and updates, including the Royal Colleges, GMC registration and the NHS, follow us on social media and join the conversation.              

If you have applied for an exam which is held in a UK test centre, you will need a UK Visitor Visa to enter the UK and sit the exam. Here we have put together the main information you will need as well as useful links to get you started and we will look at the following: How do I apply?  Online application for UK Visa What supporting documents do I need to prepare and provide? What costs can I expect in the UK? What happens if my visa application is refused? The first thing to suggest, is that as soon as you receive your results for the first exams e.g. FRCPath Part 1, PLAB 1 etc., start planning the date that you want to sit the in-person exam. This will not only help you prepare for the test itself, but also will ensure that when you apply for the Visitor Visa, you will be prepared for the visa application and appointment, and able to visit the UK within the 6-month visa period. It is worth noting, that no matter what the guidance and instructions are, visa applications can prove different for everyone, so start working on the application early.  If you are not sure if you need a visa – you can check here. You can apply for a Standard Visitor Visa if you are a doctor and are coming to the UK to sit an in-person exam, such as an OSCE, PLAB 2 or FRCPath Part 2 exam. The option you require is a Work, Academic visit or Business visa and the duration is less than six months.  How do I apply?  The UK Visa Application for UK examinations can be described in two parts:  Online application for the required type of visa. Submission of supporting documents and providing biometric data (photo, fingerprints) at a visa application centre.  Let’s take a look at each part in more detail.  Online Application for the UK Visitor Visa As part of the online application, you will be required to book an appointment at a visa application centre, you can check the locations available here.  You can complete the application in stages; however we advise that you prepare all of the required documentation first, and then complete the online form and upload everything you need in one go.  A standard UK visa currently costs £95. Supporting Documents It is important to note that the required documents will vary from person to person, however two documents are necessary for every applicant:  Your valid passport The email confirmation of your exam (from the relevant Royal College or GMC) You will then typically require the following:  Cover Letter If your trip is self-funded you will need: Salary certificate Bank statements Letter of Support from your financial guarantor (if applicable) This is only required if your trip is financed by another person (i.e. family member). Affidavit affirming the declaration of the financial sponsorship This is done before a notary public and will have to be translated into English.  Letter of recommendation  Any letter of recommendations will need to come from senior colleagues at your current workplace. Bank Statements Typically 6 months worth (either yours or your sponsor's if applicable). Monthly payslip A clear copy is needed with all information visible. Income/Salary Certificate (Yours/Sponsors)    Evidence of Home Address  Deeds or Nationality Certificate or Home electricity bill where the address is written. This will need to be translated and notarised. A ‘No Objection Letter’ issued by your employer A ‘No Objection Letter’ for visa is a legal certificate issued by your employer agreeing for you to take off the days for you visit to the UK. In addition, the letter states that you have contractual obligations to return to your country of residence at your workplace. Confirmation of your accommodation in the UK Or, invitation letter from friends or family with whom you will be staying. You may also require a Council tax and utility bill of the accommodation address. If it’s a family that you’re staying with, you don’t need to worry about proving Sponsorship. If they are just providing accommodation (and your father or mother is your financial guarantor), a simple invitation letter stating your name, your passport number, duration and purpose of your stay is sufficient along with their contact details. The council tax and utility bill is just to prove that the address exists by their name.  Evidence of family members in your home country whilst you travel These would include Passport copies or National ID copies of your family members. To complete the online application, here are the required entries:  Your name Passport details Your National ID number, if you have one Your email Travel information/plan: the date you will arrive in the UK and the date you will leave the UK. The arrival date is more important. The itinerary in your cover letter should explain this in more detail.   Choose business, including sports and entertainment as the main reason for your visit After answering 'No's to organised group, travelling with partner, visiting a company or getting paid for business activities—choose Take the PLAB or OSCE In Give details, write down your full itinerary, taken from your cover letter in full sentences Personal information: Your home address Parent details: Father’s and mother’s name, dates of birth Employment details If you are employed and sponsoring yourself, then IMG recommend you arrange for two papers from your employer from the above list a) Salary Certificate b) No Objection Certificate Your own bank account details with bank statements (for the last six months) How much money are you planning to spend on your visit Details of who is covering the costs, if you are not yourself UK accommodation details Travel histories in UK or other countries Any details of visa refusals  Other histories regarding whether you have any criminal convictions Any other relevant information you wish to provide, you can leave this blank Finally comes the declaration page and it asks you to choose an appointment (date and time) with a visa application centre. Please note that you don’t have to choose immediately, especially if you don’t have all the supporting documents ready. Just save it there and a link will be sent to your email. But as above, IMG Connect recommends that you have all of the supporting documents prepared before starting your UK Visitor Visa application. What costs can I expect in the UK?  Whilst your exam(s) will be taken across no more than two days, we advise for candidate to allow themselves a few days for climatisation and revision prior to the exam. When budgeting*, make sure that you book flights, hotels and UK transport to and from the airport in advance to save money.   Once in the UK, a typical low-cost budget for a comfortable stay will include approximately:  £40 - £60 per night for accommodation depending on your test venue £15 - £25 for food per day £20 for transport per day £50 for Airport transfers (return journey)  *remember to consider flights & travel insurance costs in your total budget Always remember to use price comparison websites or Airbnb to find the best value for money and shortest journey to amenities and test venues.  What happens if my visa application is refused? You will receive a letter from the Home Office detailing the reasons for rejecting the application - don’t worry, you can apply again. If this happens to you, get in touch with your IMG Connect consultant who would be happy to help you re-apply. Getting started Don’t hesitate to get in touch here, or using the buttons above (and below) to discuss doctor job options in the NHS, including discussions regarding a typical doctor salary in the UK and the most suitable hospital locations for you. For advice, guidance and news and updates for IMGs, join the conversation through the links below:             

Vacancies for Dermatologists from outside  the UK can be found in a variety of ways, which for some doctors can sometimes be time-consuming and confusing. Working with IMG Connect will give you easy access to vacancies for consultants, clinical fellows, registrars, specialty doctors, trust doctors, as well as LAS posts. The IMG Connect job search is a dedicated online recruitment service for overseas doctors looking to secure a job in the NHS. View out latest Doctor Jobs in the NHS, here.  Save time and get expert advice based on your preferences  Performing a job search online can take up a lot of your time, so at IMG Connect we are here to do the time-consuming work for you. Upon registering, you will have a dedicated consultant whose role is to find jobs that match your skills, and apply for NHS jobs on your behalf.  You can receive jobs updates by E-mail to view new posts to suit your job search every day. Create a profile – it takes 30 seconds It really is that easy, so why not take advantage of our resources, time and energy to find you the right job in the NHS suited to your preferences. By providing us with some key details we can quickly assess which jobs are best suited to your preferences, and even email you job alerts for new exciting roles which we think will interest you! We understand you, and our clients When looking for a Dermatology job in the NHS, it can be hard to try to find out key information before applying, such as: What specialty specific training there will be?  Am I likely to get a training post after taking this role? Can the trust support CESR applicants and is their CESR programme established enough for my needs?  What career progression is available for me within the Dermatology Specialty?  What is the job plan and how much time will I spend on the ward?  What is it like to work and live there?  What salary will I get paid, and can I get extra pay for additional shifts?  It can be tricky to get all the answers you want before applying online, so we spend our time getting to know both our clients and you, finding out as much key information as possible to help you to make the right decisions. Including details on the Dermatology department, hospital & trust, as well as an overview of what it is like to live in the area, including housing and the cost of living, as well as access to schools for your children, childcare and finding work for spouses.  Making an impact We will also provide you with top tips on CV writing, job applications and interviews, ensuring that your application and interview makes the most impact with our NHS clients.  Making it personal  Once registered, you can quickly search and apply for NHS jobs using our job search, and take advantage of many useful articles written to support you through your journey to the UK. In addition, when you sign up to 'job alerts' we will automatically email you each time a relevant  Dermatology vacancy comes available that you may be interested in. Once logged in, you can also save job details and make applications.  By registering with IMG Connect, you will: Have a dedicated consultant who understands your preferences and will do the time-consuming job searches and applications for you. Find your ideal NHS position among thousands of unadvertised vacancies - from consultant to registrar, or specialty doctor to SHO.  Be the first to hear about new vacancies – registering with IMG Connect means that your CV will gain priority with our NHS clients, and will professionally represented by international recruitment experts. To help you find a job in the NHS simply follow these easy steps: Register with IMG Connect Fill in the 'Personal details' section. Arrange a chat with your dedicated IMG Consultant  Sign up to receive 'job alerts’  Search our live Dermatology jobs Searching for Dermatology jobs in the NHS could not be easier If you want to find out more about the many different Dermatology roles available within the NHS - it only takes a minute to register with IMG Connect and receive expert advice and representation. We have helped many overseas Dermatologists into consultant, specialty doctor, registrar, clinical fellow and staff grade NHS roles, whilst offering expert guidance to many more IMGs on NHS doctor pay, royal college qualifications and English language testing. We’d be happy to help you!

Which routes can overseas specialist medicine doctors take to GMC registration & securing jobs in the NHS?  All doctors in specialist medicine areas such as respiratory, gastroenterology, dermatology, endocrinology, neurology, cardiology, geriatrics, rheumatology and stroke medicine will need to satisfy certain criteria to fully register with the General Medical Council (GMC). What these criteria are will depend on whether you are applying from inside or outside of Europe.  This article will prove relevant to all the medical specialties that fall within the various specialisms within medicine whilst also including haematology (MRCP + FRCPath is the complete set of qualifications) and other off-shoots such as infectious disease. The criteria you must meet depends on where you currently live and practice, either inside the EEA (& associated countries) or outside the EEA. This article is designed to give you a snapshot of the steps you need to take to start your journey to the UK, no matter where in the world you live.  Inside the EEA – click here Outside the EEA – click here “Doctors from countries around the world play a vital and significant role in our NHS and in the delivery of safe patient care. This is not only welcome but is part of the continuous exchange of knowledge in healthcare and should be strongly encouraged. They make an invaluable contribution to the NHS.”  Joint statement from the Royal College of Physicians Inside the EEA Firstly, it is important to note that where we refer to EEA in this article this refers to all countries inside the EU, including Lichtenstein, Iceland & Norway.  If you qualified as a doctor inside the EEA or Switzerland, then the good news is that you don’t need to demonstrate your medical knowledge and skills to work as a doctor in the UK – you have already done this, and thanks to the EU your qualification is deemed equivalent. In addition, you will not need to apply for a visa from the UK Home Office.  As an EEA doctor, 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: IMG Library - GMC Registration for overseas doctors Job search We recommend starting the job search as early as possible. Demand for European doctors in the NHS is ever-increasing - the NHS welcomes you with open arms! At IMG Connect we specialise in securing jobs for European doctors in the UK and can offer you a wider range of jobs than are readily available online.  Our network extends to psychiatry services and HR departments across the UK, so no matter what your grade or specialty we can ensure you will be interviewing for roles well in advance of any relocation plans.  In addition, your dedicated consultant, with a specialty knowledge of General Medicine, will negotiate on your behalf ensuring you get the most competitive salary.  Our aim is to have a job offer on the table before your GMC registration is complete, giving you the peace of mind of having an agreed contract in place - leaving you to carefully plan your relocation to the UK. Take a look at our most recent jobs: Job Search Relocation Obviously, any doctor’s journey isn’t all exams, registrations and language tests… there’s also the small matter of relocation and settling into life in the UK. Once you have secured your role in the UK, we focus on supporting you and your family with all your relocation plans. This can include, but is not exclusive to, securing accommodation, travel planning, setting up bank accounts & national insurance numbers – every step of the way we are here to help. Have a read through our IMG Library and take in all the beautifully organised information on relocation and UK life to immeasurably help your first days, weeks and months in the UK. IMG Library – Relocation & UK Life Outside of the EEA If you qualified as a doctor outside the EEA, then you will have to demonstrate that both your medical knowledge & skills and English Language capabilities meet the level required to practice safely in the UK. In addition, you will need to apply for a visa from the UK Home Office.  Here we summarise the requirements for General Medicine doctors, looking at the following: English Language Testing Evidence of Knowledge & Skills - PLAB, MRCP 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 Medicine Overseas doctors must prove to the GMC they have sufficient knowledge & skills to practice safely in the UK. This can be done through three main routes: PLAB Royal College qualification of MRCP GMC - recognised or equivalent qualifications Route 1 - PLAB: The PLAB exam is a two-part exam that assesses a doctor’s ability to work safely as an SHO in the NHS, as such it does not demonstrate ability in Medicine specifically.  For this reason, PLAB tends to be a route for junior doctors who have not already chosen their field of specialisation in medicine.  That said, for some senior doctors PLAB can be an attractive option, offering a quicker route to the UK, whilst still securing competitive salaries. If taking this option, international doctors can then take up training or a more senior post once they have established themselves in the NHS.  Take a look through our comprehensive guides on PLAB: PLAB – a guide for overseas doctors PLAB 1 – a closer look PLAB 2 – a closer look Route 2 - Royal College Qualification: Attaining a Royal College qualification is a preferred path for doctors who have already chosen their field of specialism i.e. medicine. For senior medicine doctors taking this route, they will gain access to more senior, well-paid jobs in the specialism of their choice.  The Royal College of Physicians is the Professional Body that regulates the specialism of medicine in the UK, and Membership of the Royal College of Physicians (MRCP) is the full qualification attainable by examination. For overseas doctors, attaining MRCP will satisfy the knowledge & skill criteria for GMC registration and facilitate application for more senior roles in UK medicine. Take a look at our complete guide on Membership of the Royal College of Physicians to understand more: MRCP – a guide for overseas doctors 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 qualifications from several countries around the world that are currently accepted by the GMC.  Find out if your qualification is accepted by the GMC: Overseas accepted postgraduate qualifications Tier 2 Visa If you are a doctor applying from outside the EEA region you will almost certainly need to apply for a visa to work in the UK.  Applying as a doctor or nurse has never been easier and there is currently no-restriction on the Certificate of Sponsorship (CoS) applications that a hospital can make. Furthermore, the list of specialties on the shortage occupation list is due for imminent review and expansion beyond its current list of specialties, potentially widening the scope for easier immigration processes across all specialties in healthcare. Understand Tier 2 visas and Certificates of Sponsorship in depth by taking a look at our article: Tier 2 Visa application process & documents needed Wondering whether you can relocate with your family? Take a look at our blog on the Tier 2 dependant visa: 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, MRCP or equivalent) Understand the registration process in full & by reading our article: GMC Registration for overseas doctors Job search We recommend starting the job search as early as possible. Demand for Non-EEA doctors in the NHS is increasing - the NHS welcomes you with open arms!  At IMG Connect we specialise in securing jobs for overseas doctors in the UK and can offer you a wider range of jobs than is readily available online.  Our network extends to general medicine services and HR departments across the UK, so no matter what your grade or specialty we can ensure you will be interviewing for roles well in advance of any relocation plans.  In addition, your 1-1 consultant, with a specialty knowledge of medicine, will negotiate on your behalf, ensuring you get the most competitive salary.  Giving you the peace of mind of agreeing your new contract, perhaps even before your GMC registration is complete. Take a look at our most recent jobs: Job Search Relocation Obviously, any doctor’s journey isn’t all exams, registrations and language tests… there’s also the small matter of relocation and settling into life in the UK. Once you have secured your role in the UK, we will focus on supporting you and your family with all of your relocation plans. This can include, but is not exclusive to, securing accommodation, travel planning, setting up bank accounts & national insurance numbers – every step of the way we are here to help.  Have a read through our IMG Library and take in all the beautifully organised information on relocation and UK life to immeasurably help your first days, weeks and months in the UK. Take a look here: IMG Library – Relocation & UK Life Follow us on social media for news and updates on GMC registration, the Royal College and NHS through the links below: