As an overseas doctor, preparing for any English Language Test, whether you have chosen IELTS or OET, requires learning a huge amount.
IMGs have told us that one of the most effective ways to improve their general level of English, and help them on their journey to improving their test scores, is to study at home. So, we have put together a handy list of IMG Connect tips for studying for the English Language Tests at home, enjoy!
1. Start devouring podcasts
If you don’t already listen to podcasts, you should! They are great! You can access these at home, or on your commute to work. On your laptop, or even better, on your phone. If you have an Apple Iphone, simply open the podcast app already installed.
If you have Android, then try Stitcher, RadioPublic, Podbean or Pocket Casts.
Here are a few of the IMG Connect Team favourites:
In our time, science
The Infinite Monkey Cage
Today in Focus
Happy Place
Woman’s Hour
Ted Talks Health
Dan Snow’s History Hit
Thinking Allowed
BBC Inside Science
The Guardian’s Science Hour
Ted Talks Science and Medicine
Discovery
2. Speak to native English speakers
There really can be no substitute for regularly speaking to native English speakers. In most cities across the world there will be a community of English speakers, seek them out online or go say hello!
The IMG team are always happy to have a chat with you, so if you can’t find anyone, then give us a ring!
3. Speak to everyone!
We know that sometimes in this modern world, people would rather turn to their computers, but to learn English is to share English! Whether a colleague at work, a fellow student, a friend or family member, speaking English about a range of topics, medical and general, will help you to practice what you learn. Be sure to apply your recent learning of vocabulary and grammar.
It is widely known that students who speak and listen to people every day, learn quicker.
4. Get down with the kids… and watch YouTube!
There are millions of videos on YouTube, with thousands of great channels and shows to subscribe to. And of course, they are mostly all free! But don’t get stuck watching cute cats and dogs, stick to the task at hand – learning English!
IELTS and OET have their own official channels, full of useful resources.
Instead of randomly watching topics, think about your exams and search YouTube for suitable resources.
At IMG Connect we have found a few great suggestions to search for:
OET
Medical lectures
Nobel Lectures
Oxford University lectures – medical
Cambridge University medical lectures
IELTS
Parliamentary debates, UK
BBC, Sky, Channel four News
National geographic
Ted Talks
But don’t take our word for it, search for your own topics of interest.
5. Binge on your favourite movies (in English)
What could be better than sitting back after a day at work and watching a movie? Well, watching a movie and learning English at the same time! The rule here is to not just sit back and relax, you have to do some work too, put the subtitles on, and follow the dialogue. If you don’t understand, then pause, rewind and watch again.
Try to choose the right type of films, with lots of dialogue, so apologies to all those blockbuster fans, you may have to watch something else. Documentaries are excellent, with topics for everyone!
Listen to the way that words are said, how the actors or narrators stress the sounds. And copy it!
Even better, take a note of all new vocabulary, and when the film is finished, find out what they mean.
6. An article a day gets the doctor to the UK!
This doesn’t have to be test related, you can choose something that you really are interested in. It can’t all be boring!
Blogs, news outlets, organisations – you choose.
Reading an article a day, short or long, can dramatically improve your confidence.
7. Tweet, tweet, twooo!
Twitter isn’t just about a tweet, but there are plenty fantastic articles and up-to-date topics that are shared daily.
Find someone you are interested in and follow their articles.
Many news groups share excellent articles daily.
But remember don’t just read the headline!
8. Write as much as you can, to anyone you can.
Practicing writing English in different contexts will help you to cement your learning and get you into the habit of writing to a high level of structure and grammar.
You could write a blog online for your colleagues, this is free on WordPress. It is your blog, so you choose the topic!
Of course, you should practice writing the essays for the tests, but if you know anyone that reads English why not also write to them…in English of course!
9. Consider working with an accredited tutor
As an International Brand dedicated to helping international doctors to register with the GMC and find work in the NHS - we have lots of partnerships in place with trusted companies in many areas. One of these key areas is English Language Testing and IMG Connect works closely with a company called Specialist Language Courses. You can take a look at their website here.
Specialist Language courses work very professionally and are the UK's leading provider of online courses and tutoring. They are also one of the few accredited providers of OET and have provided consultation and guidance to the GMC on English language testing.
Success rates are 70% + for those who sign for their tutoring and you can receive a discount if introduced by IMG Connect.
Register with IMG Connect to request your discount on English Language Courses or get in touch with one of our IMG Consultants to discuss.
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 a typical doctor salary in the UK and the most suitable hospital locations for you.
For regular news and updates, follow IMG Connect on social media using the links below:
Doctors looking to register with the GMC and find a job in the NHS will be required to take either the OET or IELTS exam. Here we answer some FAQs about the OET exam.
OET can be challenging and, without proper preparation, it is not uncommon for doctors to fail at their first attempt.
So, to help make sure you are as prepared as possible before sitting the exam, we have answered the most common FAQs asked by an overseas doctor:
What is the OET?
How is the OET different from IELTS?
What regulatory bodies accept OET?
What test should I take?
Is OET a better option than IELTS?
Is the OET recognised by the General Medical Council (GMC)?
What results do I need for GMC registration?
How much does it cost?
Should I prepare for the exam?
Should I spend money on preparing?
Where can I find online study materials?
How do I register?
Where can I take the test?
Can I change my test date?
Can I take a re-sit?
What is the OET?
OET stands for Occupational English Test. The OET is an English Language Test created specifically for healthcare professionals.
The OET exam assesses the language communication skills of healthcare professionals who wish to register and practice in the UK, or other English-speaking countries.
It tests your English levels in four subtests: Reading, Writing, Speaking & Listening.
How is the OET different from IELTS?
OET is a language assessment designed for healthcare professionals, testing your English Language skills in a medical context.
IELTS is not specific to the healthcare profession, it is taken by professionals from all industries. So, the topics covered are more general.
Both test four areas of English Language skills: reading, writing, speaking and listening.
What regulatory bodies accept OET?
The good news is that if you choose the OET exam, recent changes to the rules as of the 1st October 2019, means that only one test now required for both UK registration and visa purposes. The OET exam is now accepted by both the GMC and the UK Home Office.
What test should I take?
Neither exam is easier than the other. Both IELTS and OET Medicine show you have an advanced level in English. It really is up to you!
You may find OET simpler to understand as it is healthcare related and tests the language you use in daily practice.
The same can be said about IELTS, you may find the general nature of the topics more suited to you.
Is OET a better option than IELTS?
There is no one option better than the other, both are recognised qualifications by the GMC. The most important thing to decide is which suits your needs the most.
Your decision may be based on factors such as:
the format and content of the different tests
regularity with which test sessions are held
locations of test centres
test fees
regulatory bodies that accept the test for applications
Is the OET recognised by the General Medical Council (GMC)?
Yes, the GMC recognises OET for overseas-trained doctors for registration purposes. For the GMC to accept your OET certificate it must show that you took the medicine sub-tests.
What results do I need for GMC registration?
For the GMC to accept your OET certificate it must show:
You took the medicine version of the test.
You attained at least a grade 'B' in each testing area (speaking, listening, reading and writing) or 350 points in total.
What is the test format?
OET has four parts:
Listening (45 minutes)
Reading (60 minutes)
Writing (45 minutes)
Speaking (20 minutes)
The total test time is approximately 3 hours.
How much does it cost?
Test fees are AUD $587 (approx. £329 based on November 2023 exchange rate).
Should I prepare for the exam?
Yes, exam preparation is crucial to scoring highly in the test. You might feel like you already have a good level of English, good enough to pass the tests.
But IMGs keep telling us that no matter what level of English they have, it is always better to prepare. The test consists of very specific content, so specific test skills are required.
Should I spend money on preparing?
Whilst not essential, we recommend that you seek further support. This could be via online tutorials, 1 - 1 teaching, or longer course-based learning. There are lots of OET tutors available online.
That said, there are also loads of ways that you can improve your English for free, at home and in your own time.
Where can I find online study materials?
With thousands of useful websites available, it can be tricky to decide where to start. We recommend the OET Preparation Portal. Here you will discover official resources, some for free!
For example, you can expect to find:
sample practice tests
masterclass videos with an OET preparation expert
tips to improve your test performance
online preparation Course
practice books
How do I register?
Register online here.
The OET have a portal for all applicants, called myOET. This lets you apply for tests, view your results, and create a profile.
Where can I take the test?
OET is available at more than 115 locations in 40 countries, with 14 test dates per year.
Be sure to choose the correct date and location when you apply.
You can find a test date and venue here.
Can I change my test date?
Yes, you can change the test date any day prior to the original test date booked. Please note, no refund is available, and an administration fee will apply to book a new date. The cost of deferring depends on when you decide to defer:
Administration cost before application closing date is $120 (approx. £67 at the point of writing)
Administration cost after applications closing date passes is $200 (approx. £110 at the point of writing)
No refund is available for cancellations.
Can I take a re-sit?
Yes, you can book a new test at any time, however this will be at further personal cost.
Consider working with an accredited tutor
As an International Brand dedicated to helping international doctors to register with the GMC and find work in the NHS - we have lots of partnerships in place with trusted companies in many areas. One of these key areas is English Language Testing and IMG Connect works closely with a company called Specialist Language Courses. You can take a look at their website here.
Specialist Language courses work very professionally and are the UK's leading provider of online courses and tutoring. They are also one of the few accredited providers of OET and have provided consultation and guidance to the GMC on English language testing.
Success rates are 70% + for those who sign for their tutoring and you can receive a discount if introduced by IMG Connect.
Register with IMG Connect to request your discount on English Language Courses or get in touch with one of our IMG Consultants to discuss.
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 a typical doctor salary in the UK and the most suitable 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 General Medical Council’s medical register is a full list of all the doctors qualified to work in the UK. Within this, there are different types of registration which doctors must hold to work in different posts in the UK.
All practicing physicians must hold one of these types of registration with a license to practice.
In this article we will discuss the following:
Provisional Registration
Full Registration
Specialist Registration
GP Registration
IMG Tips
1. Provisional Registration
The purpose of provisional registration is to allow medical graduates to complete an approved internship (FY1). After this, trainees will receive a certificate of experience with which they can apply for full registration.
Provisional registration can be held for a maximum of three years and 30 days (1,125 days) only, which would be enough time within which to complete a 12-month internship. This registration will expire after the allotted time, and you will be removed from the register, however, more time can be provided, and you can find out whether you will be eligible here.
What roles can I take with provisional registration?
With provisional registration, the only service post you are able to take is an FY1 service post, other than an approved UK FY1 programme.
Who can apply for provisional registration?
If you are eligible for full registration, you cannot apply for provisional registration.
Applications for provisional registration will be considered from:
UK medical graduate who completed their medical degree at a UK university
Doctors who graduated from outside the UK with an acceptable primary medical qualification (PMQ) and have passed the Professional and Linguistic Assessments Board (PLAB), but have not completed an internship
Doctors who qualified within certain European countries but do not hold the accompanying certificate required to complete their relevant European qualification – you can see a full list of these countries here.
2. Full Registration
Doctors require full registration to work in unsupervised medical practice in the NHS, UK private practice, or to move onto the second year of their internship (FY2) in an approved training programme require a full license to practice.
What roles can I take with full registration?
With full registration, doctors can take up any post aside from GP posts and substantive consultant posts.
Who can apply for full registration?
There are certain criteria you must meet before you are eligible for full registration:
1. Completed the first year (FY1) of the Foundation Programme in the UK
2. Be a Swiss or UK national (or benefit from enforceable community rights) and have either:
A formal qualification listed in The Directive on Recognition of Professional Qualifications; OR
An acceptable primary medical qualification from outside the EEA (which has been recognised in Switzerland) with evidence of an acceptable pattern of experience
3. Be an international medical graduate (IMG) with an acceptable PMQ, and enough clinical experience to practice medicine in the UK – you can do this in one of 5 ways:
A pass in the PLAB test
Sponsorship by a GMC approved sponsor
An acceptable postgraduate qualification or overseas licensing exam
Relevant European Qualification (REQ)
Eligibility for entry onto the Specialist or GP register
Full registration does not have a time limit, but doctors should note that they are required to go through a revalidation process every five years to avoid the license to practice being withdrawn.
You can read more about the routes to GMC Registration through our IMG Resources library.
3. Specialist Registration
The specialist register is an online list of doctors who are eligible to work as fixed term, honorary or substantive consultants in the NHS, excluding foundation trusts.
If a doctor is on the Specialist Register, it will say so as part of their status on the register, and you will be able to see the specialties (and sub-specialties) they are qualified in, as well as the date they joined the specialist register in each specialty.
Types of Specialist Registration
There are three types of certificates issued by the GMC, and the type of certificate you will receive at the end of your training defines which training route you are on.
You can read more about Specialist Registration for IMGs here.
What roles can I take with Specialist registration?
Doctors who are on the Specialist Register can take up permanent or substantive consultant positions.
Who can apply for Specialist registration?
Eligibility for Specialist Registration depends on your nationality, qualifications and experience. To meet the minimum eligibility requirements to apply you must have either:
A specialist qualification in the specialty you’re applying in
OR
At least six months continuous specialist training in the specialty you’re applying in
You’ll need to provide evidence of how you’re eligible as part of your application. This could be a copy of your qualification or evidence of your employment. In your application you must show that you meet the requirements of the CCT curriculum in your specialty.
4. GP Registration
GP Registration is a requirement for any doctor who wishes to be eligible for appointment to a general practitioner (GP) position in the UK.
Please note that unlike in many countries, GPs in the UK are family and community medicine specialists and if you are an IMG general physician, you would need to apply for full registration, not GP registration.
What roles can I take with GP registration?
Doctors who are on the GP Register can take up posts as General Practitioners in the UK. As well as being on the GP Register, you’ll need to complete a number of other processes before you can start work as a GP in the UK. You'll need to join a Performers List and an Induction or Returner Scheme. You can read more about this here.
Who can apply for GP registration?
Doctors may be eligible for entry onto the GP Register if you have a relevant European GP qualification. You can check which GP qualifications are accepted on the GMC’s evidence of qualifications page. You must also check your qualification is on the list of relevant European qualifications, and that:
The title of it is exactly the same as the one in the list
AND
The qualification was issued on or after the reference date listed.
#IMG Tips
Use the GMC website – there are many useful resources on the GMC website, including a very helpful registration route finder to help you determine which registration you should apply for.
Research/ think about the types of evidence you will need and make a plan for your application, particularly if you will have to sit any exams.
If you want to contact our specialists use our Candidate Portal today!
So there it is, the different types of GMC registration in a nutshell. This is important to understand, particularly for IMGs looking to relocate to the UK and find work in the NHS. If you have any further questions about GMC registration or your route to the UK, please get in touch with us here.
Follow us on social media through the links below for regular news and updates on the Royal Colleges, relocating to the UK and working in the NHS:
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.
The GMC is the public body that maintains the official register of medical professionals with the UK. Once a doctor has gained full GMC registration, there are a number of actions they may take to maintain their registration and keep their information up to date.
In this blog we will be looking at the how to manage your registration and the different options you have if you need to change your status on the register.
How do I maintain my registration?
What is revalidation and who needs it?
How do I give up my licence or registration?
How do I restore my licence or registration?
Skip ahead to the relevant section if you know what you’re looking for.
Maintaining your Registration
In order to manage and maintain your registration and licence to practise, you need to meet certain requirements and keep your information up to date.
The details you need to keep up to date include your address, email, designated body or suitable person (for revalidation purposes) and your direct debit details. This can all be managed through GMC Online.
To change your address, your name or your name and gender status, you will need to complete forms which can be found on the GMC website.
Please note that to change your name and gender status, there is an application process involved.
Revalidation
All doctors on the GMC’s medical register with a licence to practise must go through a process called revalidation.
Revalidation allows you to demonstrate that you:
are keeping your knowledge up to date
provide a good level of care
are fit to practise and no concerns have been raised about you
The process of revalidation differs slightly, depending on your revalidation connection type, which you can check using the GMC’s connection tool.
Doctors with a connection – most doctors have a connection and will revalidate their registration and licence every five years, by having annual appraisals based on the GMC’s core guidance for doctors: Good medical practice. All doctors working in the UK must have a designated body and will be given a five yearly recommendation from their responsible officer or suitable person, based on which the GMC would make a decision.
Doctors without a connection – you may not have a connection for example because you are not practising in the UK. In this case, you would similarly revalidate through a process of annual appraisals based on Good medical practice, annual returns submitted to us as well as a five-yearly assessment. The GMC would make a revalidation decision based on the outcomes of these activities.
Doctors in training – these doctors would revalidate through meeting the requirements of their UK training programme and the GMC would make a decision based on a recommendation from the responsible officer of their training body.
Full details on revalidation can be found on the GMC website.
Please note, if you fail to comply with the requirements of registration, including appraisals, this puts your licence to practise at risk.
Changing your Status on the GMC Register
If you're no longer practising medicine or enter into work that doesn’t require registration or a licence to practise, you can apply to give up your whole registration or just your licence.
You can choose to give up either your registration or just your licence. Which of the two options is best for you will depend on your circumstances and we will go into more details on this below.
Giving up your licence or registration is not final, and you can apply to restore it again when you're ready.
The table below will allow you to understand whether it would be better for you to relinquish your registration, your licence or both, based on some considerations you may have.
Relinquish your Registration
If you give up your licence only, you will still be able to prove your good standing with the GMC to other organisations, but you will pay a reduced annual retention fee. You will not be able to practise medicine in the UK.
Relinquishing your registration (voluntary erasure) means that your name will remain on the GMC register but with the status ‘Not registered – Having relinquished registration’
You can request to give up your registration up to three months in advance, but if you hold full registration with a licence to practise, you will still need to take part in revalidation until your registration ends.
Providing Medical Services
If you have provided medical services in the 5 years prior to giving up your registration, you will need to send the GMC a provision of medical services statement, from your employer to confirm you provided a medical service if you have used your medical knowledge and skills as part of your work.
The form can be downloaded from the GMC website and should be completed by the individual, body, or organisation where you most recently provided these services, anywhere in the world. This includes unpaid and voluntary work, or any other sort of arrangement, whether it be formal or informal.
Details of what should be accounted for in the form can be found here.
Fees
There is a processing fee which applies when giving up your registration. If your application is received by the GMC:
before your annual retention fee (ARF) is due, you will be refunded any unused part of your ARF.
after your ARF is due, you will have to pay the outstanding balance before the GMC will end your registration.
The fee is £10, but effective 1st April 2023, this will be changed to £0.
Relinquish your Licence
If you give up your registration, you will not have to pay an annual retention fee. You will not be able to practise medicine in the UK.
Giving up your licence but keeping your registration means you're able to prove your good standing with the GMC to other organisations. You will not however be able to practise medicine in the UK.
Some things to bear in mind if you give up your licence:
It’s your responsibility to establish that you do not need a licence for your work.
You’re still bound by the principles of Good medical practice if you keep your registration without a licence.
You must tell your employer and those who contract and use your services that you’ve given up your licence.
You can apply to give up your licence to practise through your GMC Online account, through the ‘My Registration’ section and you will not need to provide any evidence or documentation.
Full details of the documentation needed to reinstate your licence can be found here.
Fees
There is a processing fee which applies when giving up your licence to practise. The fee is £10, but effective 1st April 2023, this will be changed to £0.
Restore your Licence to Practice
If you were up-to-date with revalidation when you gave it up, it is relatively straightforward to have it restored.
From 2016 to 2017, it took on average 22 days for licence restoration, and you can apply for restoration up to three months in advance.
You'll need to send the GMC:
evidence to confirm your identity
statements from organisations you have most recently provided medical services to
certificates of good standing from any other regulators you’ve been registered with in the past five years
You might also be asked to attend an identity check, but the GMC will confirm this once your application has been granted and your licence restored.
Please note, if you were not up-to-date with revalidation when you relinquished your licence, you will be given a new revalidation submission date, and you will need to meet any requirements you failed to meet when you withdrew your licence.
You can apply to restore your licence to practise through your GMC Online account, through the ‘My Registration’ section, then ‘My Applications’.
Fees
There is a processing fee which applies when restoring your licence to practise. The fee is £10, but effective 1st April 2023, this will be changed to £0.
Sources
https://www.gmc-uk.org/registration-and-licensing/managing-your-registration/information-for-doctors-on-the-register/maintain-your-registration
https://www.gmc-uk.org/registration-and-licensing/managing-your-registration/information-for-doctors-on-the-register/revalidation
https://www.gmc-uk.org/registration-and-licensing/managing-your-registration/changing-your-status-on-the-register/restoration-to-the-register
https://www.gmc-uk.org/registration-and-licensing/managing-your-registration/changing-your-status-on-the-register/giving-up-your-licence-to-practise
https://www.gmc-uk.org/registration-and-licensing/managing-your-registration/changing-your-status-on-the-register/giving-up-your-registration-and-licence-to-practise
Getting started
We hope this article gives you a clearer picture of the different ways you can manage your GMC registration.
If you are looking to restore your registration or licence, get in touch with our team for support in finding your perfect role in the NHS and relocating to the UK – we’re always happy to help.
Read more useful articles on exams, NHS jobs and salaries in our IMG Resources library.
For regular news and updates, follow IMG Connect on social media using the links below:
Many junior doctors applying for Specialty Training in the UK will need to take the MSRA or Multi-Specialty Recruitment Assessment.
The MSRA plays an important role in the shortlisting and assessment process for entry into postgraduate training in several specialties for ST1 and CT1 level jobs, by assessing essential competencies.
In this blog, we will be taking a closer look at the assessment, focusing on some key questions summarised below:
Who needs to sit the MSRA?
How is the assessment formatted?
What is the structure of the MSRA?
Where can I take the MSRA and how much does the assessment cost?
How can I prepare for the assessment?
#IMG Tips
Skip ahead to the relevant section if you know what you’re looking for.
MSRA Specialties
At present, the MSRA is being used within the following specialties:
ACCS-Emergency Medicine
Anaesthetics
Child and Adolescent Psychiatry
Clinical Radiology
Community Sexual & Reproductive Healthcare
Core Psychiatry Training
Core Surgical Training
General Practice
Neurosurgery
Nuclear Medicine
Obstetrics and Gynaecology
Ophthalmology
Not every specialty uses the MSRA in the same way, however on the whole, candidates’ scores from the MSRA are used as part of CT and ST recruitment to shortlist for interviews and selection centres, as well as making up part of your overall ranking (with the rest coming from interviews selection centres).
For example in 2023, GP, CAMHS, and Core Psychiatry Training will not have any interviews or selection centres and 100% of your rank will be determined by your MSRA scores. Core Surgical Training will also be using the MSRA in shortlisting for the first time this year.
MSRA Format
The MSRA is a single computer-based exam comprising two papers: Professional Dilemmas (PD) and Clinical Problem Solving (CPS). As an exam used across many specialties for entry into Specialty Training, the MSRA assesses a foundation level of competence.
There is an optional five-minute break between the two papers. If candidates choose to take a longer break, the extra time will be subtracted from the time available to complete the CPS paper.
A combination of question types is used within the assessment, primarily extended matching questions (EMQ) and single best answer (SBA) questions, however the assessment may also include multiple best answer (MBA) questions: up to 3 correct answers, picture questions: may include skin lesions, blood reports, ECGs etc., and algorithm questions – drag boxes to the right part of the algorithm or select the correct answer from a list.
Structure of the MSRA
The MSRA last 170 minutes and is divided into two sections: Professional Dilemmas (PD) and Clinical Problem Solving (CPS).
Professional Dilemmas (PD)
The Professional Dilemmas (PD) paper is a Situational Judgement Test (SJT) which measures how a candidate’s judgement regarding challenging professional dilemmas they may face.
The PD paper is not a test of knowledge of problem-solving ability or knowledge specific to specialty training within any specialty, but aims to assess professional attributes which are considered important for successful progression through training and performance in one’s clinical role.
Time: 95 minutes
Number of questions: 50
Context: the PD component is set within the context of Foundation Training with the candidate assuming the role of an F2 doctor. There is also a mixture of settings such as a hospital (across a variety of wards or placements), general practice and out-of-hours clinics.
Core competencies: professional integrity, coping with pressure, empathy and sensitivity (you can find more information on the behavioural indicators linked to these competencies here).
Clinical Problem Solving (CPS)
The Clinical Problem Solving (CPS) paper assesses a candidate’s ability to apply clinical knowledge and make clinical decisions in everyday practice.
Again, the CPS scenarios are based on Foundation level clinical practice. They test a candidate’s ability to synthesise and apply medical knowledge (not just knowledge recall).
Questions may relate to the investigation, diagnosis or management of common and important diseases as well as rare presentations.
Time: 75 minutes
Number of questions: 86
Context: the CPS covers 12 clinical topic areas relevant to general medicine. Each test paper includes a balance of scenarios which cover all 12 topics, including:
Cardiovascular
Dermatology / ENT / Eyes
Endocrinology / Metabolic
Gastroenterology / Nutrition
Infectious disease / Haematology / Immunology / Allergies / Genetics
Musculoskeletal
Paediatrics
Pharmacology and therapeutics
Psychiatry / Neurology
Renal / Urology
Reproductive
Respiratory
Core competencies: investigation, diagnosis, emergency, prescribing, management (you can find more information on these domains here).
Exam Centres for the MSRA
The MSRA is held remotely and is delivered in partnership with Work Psychology Group and Pearson VUE. Candidates will need to register for an account with Pearson VUE and once invited, they can book an assessment at a centre, date and time of your choosing (subject to availability).
The MSRA is delivered globally on several consecutive days in many Pearson VUE Computer Testing Centres. You can find your nearest Pearson VUE assessment centre by visiting the Pearson VUE website.
The exam itself is free to sit, but depending on the centre you choose, there may be additional travel and accommodation costs. It’s therefore advisable to book your seat as soon as possible for the best chance of securing a nearby centre.
Preparation for the MSRA
On the whole, your previous (and current) experience working as a junior doctor will have prepared you for most of the questions and scenarios within the MSRA, although to different extents, depending on where you have gained your experience.
However, as your MSRA scores are often added to the interview score to determine overall rank, or even to exempt you from interview, it may be advantageous to attempt to score as highly as possible.
Blueprint: First and foremost, you should use the MSRA blueprint to better understand the target domains.
Sample questions: Sample questions for both papers are available on the Health Education England Medical Education Hub. You can access these here.
Commercial resources: Exam revision courses, books and online question banks are available, although these are not officially endorsed, and you can find some of the most popular providers below:
Medibuddy
Passtest
eMedica
Passmedicine
4,000 Question bank and mock tests
1,950 Question bank and mock tests
2,200 Question bank and mock tests
2,500 Question bank and mock tests
£30 - £50
£35 - £55
£49 - £119
£25 - £30
#IMG Tips
Start early – Once you have decided to sit the test, plan well in advance to give yourself enough time to prepare and score as highly as possible.
Take a test tutorial – You can take a practice test to familiarise yourself with the controls and screen layouts in advance – see Pearson VUE or Oriel for details.
Negative marking - One mark is given for each correct answer and negative marking is not used within the assessment, so try to answer all questions, even when unsure.
Read carefully - Read the instructions and questions carefully – you may often be looking for the most suitable answer, rather than the only correct one.
Sources
https://medical.hee.nhs.uk/medical-training-recruitment/medical-specialty-training/general-practice-gp/how-to-apply-for-gp-specialty-training/what_x0027_s-in-the-msra/structure-of-the-msra
https://medical.hee.nhs.uk/medical-training-recruitment/medical-specialty-training/general-practice-gp/how-to-apply-for-gp-specialty-training/taking-the-msra
https://www.bmj.com/careers/article/a-guide-to-the-multi-specialty-recruitment-assessment-msra-
https://heeoe.hee.nhs.uk/sites/default/files/msra_test_blueprint_information_nov_2019.pdf
The MSRA is a key examination for many IMGs developing their careers by entering Specialty Training. UK training programmes are very competitive and particularly for overseas doctors unfamiliar with the NHS system, taking the time for extensive preparation for the MSRA can greatly impact your chances of being successful in joining a training programme.
Read more useful articles on exams, NHS jobs and salaries in our IMG Resources library.
For regular news and updates, follow IMG Connect on social media using the links below:
Overseas doctors often have questions about the best ways to prepare for the PLAB exams, particularly with so many online resources available with varying reviews and price points.
So, what study preparation, materials, courses and support are available for international doctors? We have compiled some of the best guidance and resources to help you in your preparation for the PLAB 2 exam.
The topics we will cover are as follows:
What is the PLAB 2 exam?
What do I need in preparation for the PLAB 2 exam?
What resources are available?
Tips for tackling PLAB 2
Passed? What’s next?
For an overview of the entire examination series, have a look at our article in the IMG Resources library here.
A Recap of PLAB 2
Let’s begin with a quick recap of the final exam in the PLAB examination suite.
PLAB 2 covers the common, important and acute conditions (those common in emergency departments) seen by trainees entering the second year of the Foundation Programme (FY2), and most importantly a trainee’s ability to apply knowledge to the care of patients.
Questions relate to current best practice in the UK, and you’ll need to answer the questions in relation to published evidence and not according to practices within your local arrangements. There are three domains across which trainees will be assessed:
Data gathering, technical and assessment skills
Clinical management skills
Interpersonal skills
For full guidance on the structure of the exam, see our detailed blog on the PLAB 2 exam here.
Preparation
The PLAB 2 exam is held at two assessment centres in Manchester in the UK only. Which of the two centres your exam will be held in will be contained in your booking confirmation, including the address.
You can book your PLAB 2 examination using your GMC Online account where you can view available dates and book under the My Tests section – you will already have created an account for the PLAB 1 exam.
Before you can book a space for PLAB 2, you must already have passed PLAB 1.
Resources for PLAB 2
There are many resources to choose from online in starting your preparation for PLAB 2, however we recommend the following GMC guides to help you start your preparation.
The PLAB Blueprint: this is a helpful guide to what will be included in the exam. Our IMGs advise this is the best place to start with your preparations. The blueprint sets out clearly all the topics and skills needed to pass the exam. Download the PLAB Blueprint here.
MLA Content Map: the GMC will be introducing the UKMLA in 2024 and in anticipation of this, the content map should also be used during preparation. The questions and stations in PLAB 2 will remain the same. The content map is available here.
The Foundation Programme curriculum: the topics and skills covered in the PLAB Blueprint are identical to those undertaken by doctors starting their second year of Foundation Programme Training (FY2). The curriculum can be found here.
Guidance and interactive tools: the GMC ‘Good Medical Practice’ document explains the core advice to doctors on the standards expected of them. In the exam you will be expected to demonstrate the professional values and behaviours set out in ‘Good Medical Practice'.
You can test your knowledge of Good Medical Practice using the following online tools:
Explanatory guidance
Good Medical Practice in action interactive online tool
Welcome to UK practice interactive online tool
Avoiding common PLAB 2 errors: You can read the GMC’s examiners’ top tips on how to avoid common errors in the part 2 exam here.
Top tips from an examiner: You can find a list of top tips for PLAB from the perspective of an examiner here.
Sample OSCE station: you can find an example of what you will experience in your PLAB 2 stations here.
Getting Started
Below is some of our best advice for IMGs preparing to sit PLAB 2.
1. Apply for your visa well in advance
The application process consists of two parts: the online application and the submission of supporting documents. You can find a detailed guide to the application process here.
2. Consider other essentials for the exam
You will need evidence of English language proficiency as well as a GMC online account and these (particularly your English exam) will need to be prepared in advance.
3. Start your revision early
Starting in advance allows you to pace yourself and get ahead of the stresses of last-minute revision and anxiety.
4. Familiarise yourself with the structure of the exam day
The GMC have produced a handy guide of what you will encounter when you go to sit the exam. You can find this here.
5. Think about your personal learning style and use this to plan effective revision
Consider the ways you study best and use them to your advantage. You do not need to attend a study or coaching course to pass PLAB 2 and can be passed under your own preparation - if you choose to do so, please be thorough in assessing different providers.
6. Try to form a study group
Team up with other like-minded doctors or colleagues preparing for PLAB 2 to allow you to share resources and support.
7. Try to take some time off work before the exam
You’ll likely be preparing for the exam alongside full-time work, so, if possible, take around 5-7 days somewhere in the run-up to the exam for some intense revision.
Passed? What next?
Once you have passed PLAB 2, you are eligible for GMC registration with license to practise. Great stuff!
You may want to start looking for NHS jobs and with the click of a button, you can receive them directly to your inbox. To receive job postings which you can tailor to your desired grade, specialty and location, sign up for our NHS job alerts.
For more useful articles on registrations and career and relocation support for your journey to the UK, take a look at our IMG library.
GMC Registration can be a long and complex process. With several options available for overseas doctors to demonstrate evidence of their skills and knowledge, it can be difficult to decide the best route to take to register with the GMC.
For international doctors planning their route to the UK, the two most common and popular routes by far are the UK postgraduate qualifications (MRCPCH for paediatricians) or PLAB. Here we provide a summary of both pathways and briefly consider their benefits to help you make the best choice in your journey to the UK as an IMG.
GMC Registration for Overseas Doctors
PLAB for GMC Registration
MRCPCH for GMC Registration
Which is better for me as an IMG: PLAB or MRCPCH?
#IMG Tips
How do I get started?
Skip ahead to the relevant section if you know what you’re looking for.
GMC Registration for Overseas Doctors
Registering with the GMC is a multi-stage process, including key timings actions and documents. To receive full registration, international doctors must provide evidence of:
What is often the most long and challenging part of the process is providing sufficient evidence of skills and knowledge, however, you can check whether you have a GMC-accepted postgraduate qualification here.
There are 5 ways in which an overseas doctor can demonstrate their skills and knowledge:
PLAB
Acceptable Postgraduate Qualification / Licensing Examination
Relevant European Qualification
Sponsorship / MTI
CESR / CESR-CP / CEGPR
Please note that only one type of evidence is required to demonstrate skills and knowledge for GMC registration.
Of these routes, the most accessible are PLAB and the Acceptable Postgraduate Qualification because they are two of the only routes that do not depend on the country you’ve trained in – the UK postgraduate exams and PLAB can be sat by doctors.
For a detailed breakdown of all the routes available to IMGs, see our blog here.
Professional & Linguistics Assessment Board (PLAB)
The first and most common route we’ll be discussing, which is particularly popular among junior doctors, is PLAB.
PLAB is a two-part exam (one written and one practical element), which assesses whether a candidate is at least as capable as a doctor starting the second year of their Foundation Programme Training (FY2 or F2) and can therefore work safely as an SHO (Senior House Officer) in the NHS.
The GMC has produced a useful video summary of the PLAB exams which you can watch here, or for a more detailed overview, see our IMG Resources library.
MRCPCH - UK Postgraduate Qualification for Paediatricians
The UK’s postgraduate qualifications are a more popular route for senior overseas doctors, and those looking to gain posts in the NHS which are reflective of their experience.
For paediatrics, this can be done by attaining Membership of the Royal College of Paediatrics and Child Health. The Royal College of Paediatrics and Child Health (RCPCH) is the professional body that regulates the specialism of paediatrics in the UK, and MRCPCH is the full qualification attained through these examinations.
Take a look at our IMG Resources library for complete guides on MRCPCH to learn more.
PLAB vs MRCPCH
Both MRCPCH and PLAB are respectable routes that demonstrate skills and knowledge and will allow an international doctor to register with the GMC and work in the UK. To decide which route of the two is best for you, you’ll need to consider the benefits of each and how they align with your needs and priorities in moving to the UK.
Seniority of Positions in the NHS
It would be difficult for an overseas paediatrician to obtain a more senior post in the NHS without either MRCPCH, a GMC-approved training programme, or extensive experience from a similar, English-speaking healthcare system. PLAB alone will not give overseas doctors access to senior posts in the NHS.
Training
To practice as a consultant in the UK, you must have gone through specialty training and will need a GMC-recognised postgraduate qualification to do so, whether a qualification from the country in which you completed your specialty training, or MRCPCH.
Time
PLAB has two stages and can take anywhere between 3-9 months to prepare from start to finish.
MRCPCH has four stages, the last of which must be taken after at least 30 months of postgraduate experience with at least 12 months involving the care of emergency paediatric patients and can take anywhere between 24-36 months to prepare from start to finish.
Cost
MRCPCH has varying costs depending on whether you sit the exams in the UK or overseas. If sitting the exam in the UK, the exams can cost around £1,985, whereas sitting the exams overseas can cost up to £3,235.
PLAB costs £1,189, and whilst PLAB 1 can be sat in many overseas centres around the world, PLAB 2 is only delivered in the UK. You can find a list of overseas centres for PLAB 2 here.
So for both MRCPCH and PLAB, candidates will have to travel to the UK, meaning that the additional cost of visas, accommodation and flights must be factored in.
It’s also important to note that these costs can rise if re-sits of the exams are necessary.
Summary
PLAB, as an exam which examines a doctor’s ability to work safely as an SHO, does not assess ability in paediatrics specifically. For this reason, PLAB tends to be a route for junior doctors who have not already chosen their field of specialisation in medicine, I.e., paediatrics.
PLAB allows doctors to enter the UK system much faster than other routes and for this reason alone, it is favoured by international doctors when considering their path to the UK.
MRCPCH involves three more difficult examinations and takes more time to prepare for. However, for overseas doctors, attaining MRCPCH will allow you to jumpstart your career in the UK, as you don't need PLAB or Core Training.
Additionally, MRCPCH will facilitate the application for more senior roles in UK paediatrics than PLAB.
#IMG Tips
Determine your priorities – your goals and timeline for relocating to the UK are important in deciding which route is best for, and this is different for everyone.
Plan well ahead – depending on the route you choose, you may be embarking on a long journey through these exams, so plan how you will fit them into your life and how best to prepare to maintain a good work-life balance at the same time.
Find a support network – once you know which exams you will sit, find a support network of others who are also preparing for the exam.
Sources
https://www.rcpch.ac.uk/education-careers/examinations/mrcpch-about
https://www.gmc-uk.org/registration-and-licensing/join-the-register/plab
https://www.gmc-uk.org/registration-and-licensing/join-the-register/before-you-apply/evidence-to-support-your-application
Getting started
Once you’ve decided which exams are best for you, it’s time to delve deeper into the exams and what they entail. For more useful blogs and articles on PLAB or MRCPCH, registrations and qualifications to help you find your dream job in the NHS - take a look at our IMG Resources library.
Don’t hesitate to get in touch with one our recruitment specialists if you would like to discuss your options in the NHS once you have completed PLAB or MRCPCH.
Follow us on social media through the links below for regular news and updates on the Royal Colleges, relocating to the UK and working in the NHS:
Overseas doctors often have questions about the best ways to prepare for PLAB, particularly with so many online resources available with varying reviews and price points.
So, what study preparation, materials, courses and support are available for international doctors? We have compiled some of the best resources and courses to help you in your preparation for the PLAB 1 exam.
The topics we will cover are as follows:
What is the PLAB 1 exam?
What do I need in preparation for the PLAB 1 exam?
How do I get started with my revision?
What other resources are available?
#IMGTips
Passed? What’s next?
For an overview of the entire examination series, have a look at our article in the IMG Resources library here.
A Recap of PLAB 1
Let’s begin with a quick recap of the first exam in the PLAB examination suite.
PLAB 1 covers the common, important and acute conditions (those common in emergency departments) seen by trainees entering the second year of the Foundation Programme (FY2), and the management of long-term conditions seen in primary care.
Questions relate to current best practice in the UK, and equipment routinely used in UK hospitals. You’ll need to answer the questions in relation to published evidence and not according to practices within your local arrangements. Remember, this is an exam for entry into the UK healthcare system.
For full guidance on the structure of the exam, see our detailed blog on the PLAB 1 exam here.
Preparation
You can book your PLAB 1 examination using your GMC Online account where you can view available dates and book under the My Tests section.
Before you book a PLAB exam you must have:
an acceptable overseas primary medical qualification.
a GMC Online account to book or cancel the exam.
evidence of English competency – before you can book a test you will need to provide your English language test scores.
On Saturday 10 December 2022 at 10am (GMT) the GMC will release PLAB 1 places here for the following dates across all locations:
10 August 2023
2 November 2023
Getting Started
There are many resources to choose from online in starting your preparation for PLAB 1, however we recommend the following GMC guides to help you start your preparation.
The PLAB Blueprint: this is a helpful guide to what will be included in the exam. Our IMGs advise this is the best place to start with your preparations. The blueprint sets out clearly all the topics and skills needed to pass the exam. Download the PLAB Blueprint here.
The Foundation Programme curriculum: the topics and skills covered in the PLAB Blueprint are identical to those undertaken by doctors starting their second year of Foundation Programme Training (FY2). The curriculum can be found here.
Guidance and interactive tools:
The GMC ‘Good Medical Practice’ document explains the core advice to doctors on the standards expected of them. In the exam you will be expected to demonstrate the professional values and behaviours set out in ‘Good Medical Practice'.
You can test your knowledge of Good Medical Practice using the following online tools:
Explanatory guidance
Good Medical Practice in action interactive online tool
Welcome to UK practice interactive online tool
Sample questions: 30 sample questions along with their answers can be found on the GMC website here.
What other resources are available?
You do not need to attend a study or coaching course to pass PLAB 1 and can be passed under your own preparation, but many candidates choose to do so.
Below are additional resources which can be used to aid your preparation.
PLABABLE Question Banks
Limited access (3 – 5 months) to a bank of over 2,500 questions with explanations for the exam, including practice by categories, timed mock practices, revision guides and dedicated study groups. You can access the course here.
MedRevisions Question Bank
An online question bank consisting of more than 4000 questions based on important PLAB 1 topics. The questions are lengthier and slightly more challenging compared to other question banks. There are also customisable mock exams which you can find here.
PLABverse Notes
Compact and organised notes with illustrations and comparisons. Around 300 pages with clinchers and hot notes at the end of each chapter and one-time full access to all chapters. You can choose from 3 plans of 3 months, 6 months or 1 year here.
PLABABLE Revision Course
A 4-day revision course, shooters, giving you the best chance to class club one. In this course you will find expert teachers who developed and wrote the question bank, high-level topics which are frequently asked in the exam and interactive and detailed lectures based on the most recent UK guidelines. Further information about the course can be found here.
PLABABLE Big Mock Exam
The ‘big mock’ features 180 high yield questions, not found in the PLABABLE question bank. The mock is available for six months from purchase, and you will find a mix of topics that will give you a more accurate prediction of where you stand in your preparation. The mock can be found here.
PLAB 1 Keys
PLAB 1 Keys offers an online subscription containing simplified and updated notes (provided as key points) that are required to pass PLAB 1. These are exam explanations compiled and converted into key points with diagrams and flow charts which makes it easier to understand. The subscriptions can be accessed 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.
Consider other essentials for the exam – you will need evidence of English language proficiency as well as a GMC online account and these (particularly your English exam) will need to be prepared in advance.
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.
Passed? What's next?
Once you have passed PLAB 1, you can take the PLAB 2 examination in the UK. Read our blog for more information on how to sit PLAB 2, which includes everything that you need to know about how to sit the exam, syllabus, dates, results, fees and preparation.
IMG Resources
For more useful blogs & articles on exams, registrations & qualifications to help you find your dream job in the NHS - take a look at our IMG library.
Get in Touch
Don’t hesitate to get in touch via email or using the 'Ask a Question' button above to discuss job options in the NHS and the best locations for you, CESR and a typical salary in the UK.
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:
There are several routes a microbiologist can take to register with the GMC and practice in the UK.
Microbiologists looking to secure a job in the NHS must satisfy certain criteria before to be eligible for GMC registration, which is a requirement to work in the UK. This generally depends on where you received your training, and the qualifications you hold.
In this blog, we’ll be giving you a snapshot of the steps you need to take to begin your journey to the UK as an overseas microbiologist. We’ll be covering the following:
What is the GMC?
What are the requirements for GMC registration?
How do I demonstrate my knowledge and skills as an EEA microbiologist?
How do I demonstrate my knowledge and skills as a non-EEA microbiologist?
How can I demonstrate my English language skills?
What is a certificate of good standing and how do I get one?
How do I register with the GMC?
Will I need a visa to work in the UK?
Skip ahead to the relevant section if you know what you’re looking for.
The General Medical Council
The GMC is the body in the UK which is responsible for licensing and revalidating every doctor. Therefore, for every doctor practicing in the UK, GMC registration is essential – you cannot practice in the UK without full GMC registration with a license to practise.
The primary responsibility of the General Medical Council is to ‘protect, promote and maintain the health and safety of the public’ in addition to improving medical education and practice across the UK.
Requirements for GMC Registration
Registering with the GMC is a multi-stage process, including key timings, actions and documents. For full GMC registration, international doctors must provide evidence of:
Skills & Knowledge for EEA Microbiologists
For microbiologists who trained in an EEA country (all countries inside the EU, also Lichtenstein, Iceland, Switzerland & Norway), you may be able to use your primary medical qualification (PMQ) or specialist qualification to register with the GMC.
Basic Medical Training
If you meet the requirements for basic medical training, you would be eligible for full registration.
You will not need to demonstrate your medical knowledge and skills to work as a doctor in the UK and would therefore not need to complete any additional skills and knowledge tests to register for a license to practice.
Specialist Training / Residency
If you meet the criteria for entry onto the Specialist Register, then once you have completed the GMC application process, you would be granted Specialist Registration in microbiology and can be appointed as a substantive or permanent consultant in the NHS.
Therefore, for European microbiologists, using your primary medical qualification (PMQ) or specialist qualification is most likely the easiest route to becoming GMC-registered and being able to practice microbiology in the UK.
To find out if your country’s qualifications will allow you to register for either GMC registration; check the relevant GMC page here.
If your training does not meet the GMC requirements for general or specialist registration, other routes you may consider to GMC registration as listed below.
Skills & Knowledge for non-EEA Microbiologists
If you qualified as a microbiologist outside the EEA, then you will have to demonstrate that both your medical knowledge and skills meet the level required to practice safely in the UK.
IMG microbiologists can demonstrate skills and knowledge through three main routes:
PLAB
PLAB or the Professional & Linguistics Assessment Board 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 microbiology 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, microbiologists 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.
FRCPath Microbiology
The Royal College of Pathologists is the professional body that regulates the specialism of microbiology in the UK, and Fellowship of the Royal College of Pathologists (FRCPath) is the full qualification attainable by examination.
For overseas doctors, attaining FRCPath will satisfy the knowledge & skill criteria for GMC registration and facilitate application for more senior roles in UK pathology. Take a look at IMG Resources library for a complete guide to FRCPath to learn more.
GMC-recognised or equivalent qualifications
Some overseas qualifications and licensing exams are recognised by the GMC and accepted for registration purposes.
To find out if your qualification is accepted by the GMC, take a look at our blog: GMC-accepted postgraduate qualifications.
English Language Testing
Both EEA and non-EEA microbiologists, regardless of experience and country of origin, must demonstrate that they have a sufficient grasp and competence of the English language. This can be done by passing either the IELTS (International English Language Testing System) or the OET (OET – Occupational English Test). Detailed guides to these tests can be found below:
IELTS – a guide for overseas doctors
OET – a guide for overseas doctors
Exemption from English tests
For doctors who have at least two years of their most recent experience in an English-speaking country, you can use a reference from your current employer or employers over these two or more years to demonstrate competence of the English language. This would exempt you from sitting an English language exam.
Certificate of Good Standing
All doctors registering with the GMC must provide a certificate of good standing from each medical regulatory authority they’ve been registered or licensed with in the last five years.
The medical regulatory authority may send you a certificate of past good standing if you're not currently registered or licensed with them. You can find out which medical regulatory authority to contact via the GMC website here.
If there's no medical regulatory authority in the country to issue a certificate, the GMC will give you further advice once your application has been assessed.
Please note that each certificate is only valid for three months from the date it's signed and must be valid when we approve your application.
Applying for GMC Registration
Once you’ve completed your English language exam, you can now apply for full GMC registration with a license to practice. For registration, you must provide evidence of:
English language capabilities - either your IELTS, OET or an approved reference from your current employer
AND
Certificate of good standing – the certificate from your medical regulatory authority which demonstrates good standing
AND
(EEA microbiologists) Sufficient skill and knowledge – as an EEA microbiologist, this would either be your recognised EEA qualification
OR
(Non-EEA microbiologist) Sufficient skill and knowledge – as a non-EEA microbiologist, this would either be PLAB, FRCPath or a GMC-approved qualification.
To understand the registration process more fully, read our article on GMC registration for overseas doctors here.
Visas
IMGs relocating to the UK will need to apply for a visa from the Home Office.
A Tier 2 visa is the document given to a skilled worker by the UK Home Office following a job offer from a UK employer with a valid Tier 2 Sponsorship License. The list of valid Tier 2 Sponsors can be found here.
Understand Tier 2 visas and Certificates of Sponsorship in depth by taking a look at our article: Tier 2 Visa application process & documents needed.
Wondering whether you can relocate with your family? Take a look at our blog on the Tier 2 dependent visa below: Tier 2 Dependent visa - Can I bring my family with me to the UK?
There you have it! Hopefully this clarifies any worries or doubts you may have on your route to the UK as a microbiologist planning a career in the NHS. If you have any questions or wish to know more about the microbiology job market, then get in touch with our team.
For regular news and updates on the Royal College and all things pathology, follow IMG Connect on social media using the links below:
FRCR Part 1 or CR1 is the first exam in the FRCR postgraduate qualification.
The completion of all the exams in the Fellowship of the Royal College of Radiologists (FRCR) examination suite leads to eligibility for GMC registration. The exams can be taken by IMGs from any country, provided certain criteria have been met. In this article, we’ll take a look at the following:
An overview of FRCR exams
A deep dive into FRCR Part 1
How is the exam marked?
Am I eligible for the exam?
As an overseas radiologist, where can I sit the exam?
How much will the exam cost and how do I apply?
What is the best way to prepare for the exam?
#IMG Tips
I’ve passed the FRCR Part 1 exam, what’s next?
Skip ahead to the relevant section if you know what you’re looking for.
An Overview of FRCR
FRCR is the set of postgraduate examinations administered by the Royal College of Radiologists to test a candidate’s knowledge and clinical understanding within the scope of the Specialty Training Curriculum for Clinical Radiology.
The exams are as follows:
Please note that only full FRCR satisfies the postgraduate requirements for overseas doctors.
You can read an overview of the full FRCR examination suite via our IMG Resources library.
For doctors who are interested in securing senior roles in the NHS which are reflective of their current practice or grade, we advise that FRCR is the best route to take to GMC registration. FRCR is often a requirement for NHS locum consultant job postings where candidates are not already on the Specialist Register for radiology. The FRCR route allows senior candidates to better align their qualifications with the specifications of relevant jobs.
FRCR Part 1 - Anatomy & Physics
FRCR Part 1 is the first in the set of FRCR exams. This exam expects candidates to have gained knowledge of the physical principles that underpin diagnostic medical imaging and of the anatomy needed to perform and interpret radiological studies.
The exam is designed to assess whether candidates have an appropriate knowledge of the anatomy that underpins all radiological imaging including radiography, fluoroscopy, angiography, computed tomography (CT), ultrasound imaging and magnetic resonance imaging (MRI).
The two components of the exam are Anatomy and Physics.
Anatomy
The exam features an electronic image viewing session, mimicking what radiologists would encounter in clinical practice in order to be valid, thus the questions consist of radiological images on a computer screen as this is the normal medium, as opposed to film or printed on paper.
The exam includes 100 questions - most of these are quite straightforward with an arrow indicating a specific anatomical structure as shown by a specific modality. These are typically “name the arrowed structure” questions, with space provided for a free text answer.
The exam lasts 90 minutes and individual modalities are given roughly equal weight as follows:
cross-sectional
plain radiographs
contrast studies
Different body parts are also given roughly equal weight covering the following areas:
head, neck and spine
chest and cardiovascular
abdomen and pelvis
musculoskeletal
Recognising a radiological anatomical structure and unprompted recall of its precise name is a key aspect of the everyday work of clinical radiologists, and doing so in a timely manner without routine recourse to reference material reflects real-life clinical practice.
Physics
The purpose of the physics exam is to assess whether candidates understand the underlying principles that underpin the generation of images in the various modalities, such that they:
select the most appropriate imaging technique for a clinical scenario from the intrinsic properties of the method of image generation
understand the risk, safety and quality consideration that are inherent in image generation to allow an informed choice of the appropriate modality and any alteration in technique
demonstrate the requirements of legislation that require the use of those techniques that require ionising radiation to be justified by a professional had been met
This exam lasts two hours and comprises 40 questions. Each question includes a stem (a question or statement) and five items (answers). The answers must be marked true or false and it is possible for all five items to be true or for all to be false.
The question distribution of the physics paper is as follows:
matter and radiation – 3
radiography & fluoroscopy – 6
radionuclide imaging – 6
radiation safety – 6
computed tomography – 6
magnetic resonance imaging – 6
ultrasound – 6
other – 1
Marking
Both exams are marked by a delivery platform which is programmed with the correct answers.
Marks are awarded for each exam as follows:
The anatomy examination is marked out of 200, and answers are marked as follows:
full accuracy = 2 marks
less accuracy, but still correct (e.g. omits ‘left’ or ‘right’ for a paired structure) = 1 mark
incorrect = 0 marks
The physics examination is marked out of 40, and answers are marked as follows:
correct = 1 mark
incorrect = 0 marks
The standard for success is determined based on the difficulty of the questions in each sitting and may therefore vary between sittings and sets of images.
For more information on the exam content and structure, read the guidance notes for candidates on the College website.
Eligibility
The eligibility criteria for FRCR Part 1 is:
holding a Primary Medical Qualification (PMQ) that is recognised by the GMC for registration purposes.
holding a formal clinical radiology post in which they are actively receiving clinical radiology training.
no minimum period of clinical experience or training is required to enter the exams
Exam Centres
The current venues for the First FRCR (CR1) exam are:
Belfast, Birmingham, Bridgend Wales, Crewe, Edinburgh, Glasgow, Leeds, London and Plymouth. Overseas centres for now are in Hong Kong, Singapore, India, Egypt and Malta.
The exam is typically held three times a year over two consecutive days. 2023 exam dates are as follows:
February 2023
Physics – Thursday 9 February
Anatomy – Friday 10 February
June 2023
Physics – Thursday 8 June
Anatomy – Friday 9 June
September 2023
Physics – Thursday 14 September
Anatomy – Friday 15 September
For updates on exam dates, including the application window, keep an eye on the Royal College website here.
Applications & Cost
First FRCR (CR1) 2023 exam cost:
Members - £319
Non-members - £406
Please note that these costs vary slightly for some overseas centres.
UK trainees are given priority for examination places, followed by members of the Royal College and finally non-members. Each window lasts around a week and all candidates should apply for the exams through the Royal College website here.
Preparation
Although there are many online materials to aid in your preparation for FRCR Part 1, as always, we recommend you start your preparation on the Royal College website, particularly with the Specialty Training Curriculum for Clinical Radiology. In using these as a blueprint for your preparation, you will ensure your study is focused on the most relevant and useful information as prescribed directly from teaching materials.
Instructional video and demonstration site: a walkthrough video of the FRCR Part 1 exam format with guidance and instructions which can be found here for the physics component and here for anatomy.
Anatomy module guidance: advice for the anatomy module has been compiled by the College here.
Specimen questions: sample questions and answers have been put together by the College and are available here.
#IMG Tips
Prepare early – the best way to avoid stress and last-minute cramming is to get started as soon as possible.
Get familiar with the exam content – during your study (at least to start off with), the curriculum should be your guide to the FRCR exams.
Practise, practise, practise – go through as many practice questions as you can and regularly review your progress using mock exams.
Sources
https://www.rcr.ac.uk/clinical-radiology/examinations/frcr-part-1-radiology-cr1
https://www.rcr.ac.uk/sites/default/files/cr1_anatomy_purpose_of_assessment_statement.pdf
https://www.rcr.ac.uk/sites/default/files/cr1_physics_purpose_of_assessment_statement.pdf
https://www.rcr.ac.uk/sites/default/files/clinical_radiology_curriculum_2020.pdf
I’ve passed the First FRCR exam, what’s next?
Firstly, congratulations! This is an incredible achievement, and you deserve to treat yourself after all that hard work! With a pass in the First FRCR in hand, you can look ahead to the Final FRCR CR2A and CR2B exams. Once you have completed all parts of FRCR, you can apply for full GMC registration with a license to practice.
Don’t hesitate to get in touch with our team to learn more about the opportunities available to you once you’ve passed FRCR.
For the latest news and updates on all things radiology, including the Royal College, GMC registration and the NHS, follow us on social media and join the conversation.
GMC Registration can be a long and complex process. With several options available for overseas doctors to demonstrate evidence of their skills and knowledge, it might 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 (MRCEM for emergency medicine physicians) 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
MRCEM for GMC Registration
Which is better for me as an IMG: PLAB or MRCEM?
#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.
PLAB - Professional & Linguistics Assessment Board
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.
MRCEM - UK Postgraduate Qualification for Emergency Medicine
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 emergency medicine, this can be done by attaining Membership of the Royal College of Emergency Medicine. The Royal College of Emergency Medicine (RCEM) is the professional body that regulates the specialism of emergency medicine in the UK, and Membership of the College of the Royal College of Emergency Medicine (MRCEM) is the full qualification attained through these examinations.
Take a look at our IMG Resources library for complete guides on MRCEM to learn more.
You can also read our interview with Dr Behzad Rashid to learn about the experience of an IMG Emergency Medicine resident going through MRCEM.
PLAB vs MRCEM
Both MRCEM 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 emergency medicine doctor to obtain a more senior post in the NHS without either MRCEM, 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 MRCEM.
Due to the more specialised nature of MRCEM, we advise emergency medicine doctors to complete MRCEM, as many NHS Trusts will list MRCEM as a requirement on job descriptions. MRCEM also allows IMGs 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.
MRCEM has three stages, the last of which must be taken after at least 24 months of postgraduate experience with at least 6 months in emergency medicine and can take anywhere between 24-36 months to prepare from start to finish.
Cost
MRCEM costs £1,115 for the three exams. Whilst the Primary and Intermediate SBA exams are delivered worldwide via computer-based testing company, the OSCE is delivered in London (UK), Kuala Lumpur (Malaysia), Chennai, Hyderabad, Mumbai and Kochi (India), so there may be the added expense of international travel.
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 MRCEM 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 emergency 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, I.e., emergency medicine.
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.
MRCEM involves three more difficult examinations and takes more time to prepare for. However, for overseas doctors, attaining MRCEM will allow you to jumpstart your career in the UK, as you don't need PLAB or Core Training.
Additionally, MRCEM will facilitate the application for more senior roles in UK emergency medicine 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://rcem.ac.uk/exam-mrcem/
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 MRCEM, 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 MRCEM.
For the latest news and updates on all things emergency medicine, including the Royal College, GMC registration and the NHS, follow us on social media and join the conversation.