It is worth mentioning that the MRCEM Part B or FRCEM Intermediate exam is tough! All Emergency Medicine doctors deserve credit for getting to this stage. Whether your passed or failed, here we'll offer some suggestions on what to do next: Passed FRCEM Intermediate? Click here. Not passed FRCEM intermediate? Click here. I passed the FRCEM Intermediate Certificate exam: So, what next? First things first, you deserve to celebrate and get some relaxation in! Emergency Medicine doctors who have attained full MRCEM and secured a job in the NHS, all tell us that the FRCEM Intermediate is a tough examination, so congratulations that all of your hard work has paid off! Once you are feeling relaxed, this is a good time to think about what steps you need to take to complete full MRCEM. For most overseas doctors, this will mean taking the final MRCEM OSCE exam. Like the intermediate exam, the MRCEM OSCE requires a considerable amount of revision and preparation. However, as you know the format is very different, so your preparation will change. The MRCEM OSCE consists of 18 stations (16 patient encounters & 2 rest stations), each one lasting for about 7 minutes. The MRCEM OSCE exam will not only test your theoretical knowledge, but also your resus skills and communication skills. Even candidates who are working in an emergency medicine department (ED or ER) often find these OSCEs difficult. Even if you have a strong background knowledge in Emergency Medicine the exams can still be tricky due to a heavy reliance on testing your communication skills and etiquette. This is also a good time to ask an IMG consultant to review and amend your CV, as well as discuss the types of jobs, salaries, training and career progression in the NHS that will be available to you after you pass the OSCE and attain full MRCEM. Request a call back here. Preparation for the MRCEM OSCE: Preparation is therefore vital for all doctors who intend to take the MRCEM OSCE (part C) exam. This can be broken down into the following: Practical day-to-day work (colleague observations & feedback, peer groups, study groups) Online revision resources (subscriptions, reading materials, tutorials, videos) Courses (face to face, online) In general, emergency medicine course tutors advise setting aside at least 2-3 months preparation in addition to your Emergency Medicine experience. Resources, courses and revision materials: We are often asked by Emergency Medicine doctors where they should look for resources, online revision materials, OSCE mock stations and preparation courses (online and face to face). As such, we have we have compiled the best advice, tips, courses and resources suggested by Emergency Medicine doctors who have taken the MRCEM and FRCEM exams. To request detailed advice, tips, courses and resources for the MRCEM OSCE exam click here OR below. You can also browse the Emergency Medicine section of our website - lots of useful tips, tricks and expert knowledge for Emergency Medicine specialists. Where can I take the MRCEM OSCE exam? - India and the UK Overseas doctors (IMGs) can sit the final MRCEM OSCE exam in two locations: the UK and India. India exam locations for 2020 are yet to be released, however in 2019 these were held in Chennai and Mumbai. 2020 Exam dates for India and London have been released, these are: Location Date MRCEM OSCE London 27 – 29 January 2020 MRCEM OSCE London 8 – 10 June 2020 MRCEM OSCE International (India) 22 – 24 June 2020 MRCEM OSCE International (India) 23 – 25 November 2020 Of course, there are still some 2019 exam dates to be held in India and London , these are: Location Date MRCEM OSCE International (India) 18 – 20 November 2019 2020 fees are yet to be released, however as a guide the MRCEM (OSCE) cost £450 in 2019. We understand that it will be a similar figure next year. If you wish to take the examination at the India centre, you will pay the local administrator to pay the local fee. To ensure you get a space on the exam, you have to apply online during the application window. Applications submitted after the closing date will be rejected. The application windows for India are below: Location Date MRCEM OSCE London 30 September to 1 November 2020 MRCEM OSCE London 17 February to 20 March 2020 MRCEM OSCE India (22 – 24 June) 23 March to 24 April 2020 MRCEM OSCE India (23 – 25 November) 27 July 2020 to 28 August 2020 Results from the examinations will be released on the following dates: Location Date MRCEM OSCE London (27 – 29 January) 28 February 2020 MRCEM OSCE London (8 – 10 June) 10 July 2020 MRCEM OSCE India (22 – 24 June) 24 July 2020 MRCEM OSCE India (23 – 25 November) 8 January 2021 You can apply for the MRCEM OSCE India examination, or indeed the full roster of Emergency Medicine examinations from the Royal College of Emergency Medicine (FRCEM or MRCEM) here. All applications must be made online and during the application window. Please note that all dates are subject to change, you can check the most up to date calendar here. IMGs from all over the world take the MRCEM OSCE examination in India or the UK whilst on their journey towards securing an Emergency Medicine job in the NHS. If you want to discuss your options for MRCEM or Emergency Medicine exams, get in touch with your IMG consultant team, who would be happy to answer any questions you may have. I did not pass the FRCEM Intermediate Certificate exam: If you did not pass the FRCEM intermediate exam - don't worry! The overall pass rate is 35% which is roughly half of the MRCEM OSCE pass rate. This is a tough exam so don't worry to much, take some time out to relax and enjoy life. These moments where you don't succeed at the first, or second time, will only make you stronger and a better doctor in the long run. As the British say, chin up and strong upper lip! At IMG Connect we've take the time to prepare and collate the best preperation resources for the FRCEM Intermediate Certificate exam - we would be delighted to share these with you. Click on the buttons below to either register with the IMG Connect team so we can talk you through this or request the FRCEM Intermediate resources to help you pass the next time - without fail! If you have any questions about how to secure an NHS job in Emergency Medicine or prepare for the FRCEM Intermediate exam or MRCEM OSCE (including advice on dates, fees, courses, resources, mock scenarios, online materials and revision books) then don’t hesitate to get in touch with an IMG Consultant.

Overseas Histopathologists wanting to secure a role in the UK via the postgraduate qualificaiton route will need to attain Fellowship of the Royal College of Pathologists in Histopathology or FRCPath in Histopathology, a sub-specialty exam of FRCPath. FRCPath is the UK qualification and a GMC Recognised postgraduate route. International Medical Graduates (IMGs) from any country in the world can sit the sub-specialty FRCPath in Histopathology examinations, provided certain eligibility criteria are met. These are summarised below along with a broad look at the following topics: What is FRCPATH in Histopathology? Eligibility for overseas doctors FRCPath in Histopathology structure and format FRCPath in Histopathology: Part 1 - MCQ/EMQ FRCPath in Histopathology: Part 2 - Practical Examination As an overseas candidate where can I take the exams and how much will it cost me? How do I apply? How to prepare and what resources are available? Passed? What next? What is FRCPATH in Histopathology? Set against the Curriculum for Specialty Training in Histopathology, the examinations are designed to recognise histopathologists close to the end of their training who can demonstrate sufficient knowledge and technique for independent practice. In other words, completion of the full set of exams (Part 1 & 2) demonstrates your ability to work at consultant level. Part 1 is usually taken in the UK at ST3 level, with Part 2 at the end of ST4, in order to progress to the final stage of Specialty Training – Stage D. Eligibility for overseas doctors: For international candidates, the eligibility criteria for FRCPath specialty examinations is not particularly clear when looking online. IMG Connect spoke to the Royal College directly in an effort to clarify this.  In brief, the Royal College do consider equivalents to NHS training programmes however, they do not have an agreed list of countries with accepted training programmes. As such, applications are treated on a case by case basis, so we advise speaking to the Royal College directly when making your application. Please note, there are many overseas doctors applying for all parts of the pathology exams so don’t be put off by the lack of information! If you have the required months training in a recognised programme in your country for Histopathology specifically, the chances are you will be eligible. Eligibility for Part 1: You are required to have trained in a recognised training programme in Histopathology for a period of no less than 12 months.  * Please note, candidates who have passed the FRCPath Part 1 examination in Histopathology who, after appropriate training, can attempt the Part 2 examination in one of the following: Forensic Pathology, Neuropathology or Paediatric Pathology. Eligibility for Part 2: The Royal College expects you to have at least three years of specialty training specific to Histopathology in your own country. Furthermore, the Royal College strongly advises candidates to attempt Part 2 at least 12 months after passing Part 1. FRCPath in Histopathology structure and format: The FRCPath examinations consist of two parts: Part 1 – One paper comprised of 125 multiple choice questions (SBAs and EMQs) Part 2 – six-part practical examination held over two consecutive days. Part 1 examination: FRCPath Histopathology Part 1 One comprises of 125 multiple choice questions in both single-best-answer (SBAQs) and extended-matching-questions (EMQs). The exam is orientated towards assessing your overall knowledge and understanding of: histopathology/cytopathology basic science underpinning pathology (inc. molecular biology) full range of autopsy practices undertaken in an NHS District General Hospital Part 2 Practical Examinations: The exams consists of six components taken over two days, summarised below: Part 2 Practical examinations Surgical history 20 cases in 20-minute slots Cytopathology 8 cases in 20-minute slots Macroscopic pathology 4 cases with 20-minute reviews followed by 20-minute discussions OSPEs 2 20-minute stations Long cases 4 20-minute stations Frozen sections 6 cases in 2, 20-minute stations. One meeting with examiners in separate 20-minute station. Surgical history: 20 cases are provided in 10 pairs of haematoxylin and eosin (H&E) stained slides in 20-minute slots over 3-hours 20 minutes of the second morning.  The cases will represent a range of difficulties, with some proving complex cases requiring detailed description, differential diagnosis and special techniques or cases not diagnosable on a single H&E. Cytopathology: Held on the first morning of the exam. Eight non-gynaecological cytology cases will be provided in pairs in 20-minute slots. Macroscopic Pathology: This part is designed to allow candidates to demonstrate their capabilities in discussing gross pathology and familiarity with block selection in the context of the RCPath Minimum Datasets. Four cases provided in the form of photographs of gross pathology specimens. Two 20-minute slots will be provided for 2 cases, followed by 20-minute discussions with 2 examiners.  OSPEs: 2 x 20-minute stations. One of which is conducted face-to-face with 2 examiners while the other is a written exercise only. Possible topics can include management/clinical governance type and MDT type cases. Long cases: 4 x 20-minutes stations provided on the first afternoon including cases which cannot conventionally be covered in a single H&E stained section. Frozen sections: 6 cases viewed in 2 x 20-minutes stations (3 cases per station) before meeting with a pair of examiners in a 20-minute station. You need to take notes and be able to provide the examiners with a bottom-line diagnosis only, to form basis for discussion in face to face meetings. As an overseas candidate where can I take the exams and how much will they cost me? Part 1 overseas examination centres: Location Part 1 Overseas Fees Cairo (Egypt) £880 Erbil (Iraq) Hong Kong   Irbil (Iraq)   Jeddah (Saudi Arabia)   Khartoum (Sudan)   Kuwait   Delhi (India)   Rawalpindi (Pakistan)   Singapore   Part 2 Examination centres: Histopathology is one of the few FRCPath examinations which can be sat overseas. Centres are available in Irbid (Jordan) or Cairo (Egypt) if there are sufficient applicants. Otherwise the exams must be sat in the UK and cost £1361. How do I apply? Applications must be made via the Royal College of Pathologists website, with applications only available once an application window is opened by the Royal College. How do I prepare for each exam and what resources are available? With lots of resources available online, we have discussed with consultants the best place to start looking for materials relating to the exams. Most recommended starting with the Royal College, who have created useful resources to help you to prepare for the exams.  Curriculum:  Questions are set against the Curriculum for Specialist Training in Histopathology We recommend getting to know the curriculum as early as possible and using it as a road map for your study plan.  Regulations and Guidelines: Before applying for FRCPath examinations, the Royal College recommends you read both the General & Specialty Specific regulations and guidelines: General Regulations and Guidelines Royal College - Histopathology Regulations & Guidelines Sample Questions: Histopathology Part 1 sample questions Cancer Datasets and Tissue Pathways The College’s datasets for Histopathological Reporting on cancers have been written to help pathologists work towards a consistent approach for the reporting of the more common cancers and to define acceptable practices in handling pathology specimens. Whilst these are not specific to FRCPath examinations they are certainly relevant to the wider practice in histopathology. IMG Connect advice: Part 2 – food and drink:  With multiple exams taking place for Part 2 in one day bring supplies! It will be a long day and there may not be access to food. Hiring a microscope: For Part 2 you will be required to sit examinations in the UK and will require a microscope. The examination centres will not provide equipment for any applicants so you will need to hire a microscope in advance. There are a few companies easily accessible through a web search, find a microscope and book well in advance of the exam. You can arrange for the company to drop off and pick up the microscope from the exam centre, don’t worry! Passed? What next? First of all, congratulations! After you have passed all parts of FRCPath in Histopathology you can apply for a full registration with a license to practice. Once the GMC have approved your application, you can work as a doctor in the UK.  Don’t hesitate to get in touch with an IMG Consultant to discuss UK job options in Histopathology, including discussions regarding a typical doctor salary in the UK and the most suitable locations for you. 

International doctors (IMGs) can sit the final MRCEM OSCE exam in three locations: the UK, India and Malaysia (Kuala Lumpur). The exact exam location for Kuala Lumpur in 2020 are yet to be released.  Here we explore in brief the exam centres, dates, fees and how to apply online for the MRCEM OSCE exams in Malaysia (Kuala Lumpur).  2020 Exam dates for India have been released, these are:  Location  Date MRCEM OSCE International (Kuala Lumpur)  7 – 9 July 2020 2020 fees are have been released – the MRCEM (OSCE) costs £450 in both India and UK centres and £650 in Malaysia. If you wish to take the examination in Malaysia (or India), you will pay the local administrator to pay the local fee.  To ensure you get a space on the exam, you have to apply online during the application window. Applications submitted after the closing date will be rejected. The application windows for Malaysia are below:  Location Date MRCEM OSCE Kuala Lumpur (7 – 9 July)  27 April 2020 to 22 May 2020 Results from the India examinations will be released on the following dates:  Location Date MRCEM OSCE Kuala Lumpur (7 – 9 July) 7 August 2020 Overseas candidates can also sit the MRCEM OSCE examination in London, UK. Dates for 2020 are as follows:  Location Date MRCEM OSCE (London) 8 – 10 June 2020 Please note that all dates are subject to change, you can check the most up to date calendar here.  You can apply for the MRCEM OSCE Malaysia (Kuala Lumpur) examination, or indeed the full roster of Emergency Medicine examinations from the Royal College of Emergency Medicine (FRCEM or MRCEM) here. All applications must be made online and during the application window.  IMGs from all over the world take the MRCEM OSCE examination in Malaysia, India and the United Kingdom (UK) whilst on their journey towards securing an Emergency Medicine job in the NHS. If you want to discuss your options for MRCEM or Emergency Medicine exams, get in touch with your IMG consultant team, who would be happy to answer any questions you may have. 

International doctors (IMGs) can sit the final MRCPsych CASC exam in three locations in 2020: the Sheffield (UK), Hong Kong (China), and Singapore.  Here we explore in brief the exam centres, dates, fees and how to apply online for the MRCPsych CASC exams in each venue.  2020 MRCPsych CASC Exam dates have been released, these are:  Location  Date   United Kingdom  21 – 24 January 2020   United Kingdom  8 – 11 September 2020   Hong Kong 13 – 15 May 2020   Singapore 7 – 9 October 2020   2020 fees have been released – the MRCPsych (CASC) costs £1,093 in the UK and £1,491 in Hong Kong and Singapore.  To ensure you get a space on the exam, you have to apply online during the application window. Applications submitted after the closing date will be rejected. The application windows for London are below:  Location  Application Period UK (Diet 1)  28 October – 15 November 2019 UK (Diet 2) 8 – 26 June 2020 Singapore 9 – 20 March 2020 Hong Kong 8 – 26 June 2020 Results from the CASC examinations will be released on the following date:  Location  Publication of results UK (Diet 1)  14 February 2020 UK (Diet 2) 2 October 2020 Singapore TBC Hong Kong 6 November 2020 Please note that all dates are subject to change, you can check the most up to date calendar here.  You can apply for the MRCPsych exam, or indeed the full roster of Royal College of Psychiatry examinations here.  IMGs from all over the world take the MRCPsych CASC examination in Sheffield (United Kingdom), Singapore and Hong Kong whilst on their journey towards securing a Psychiatry job in the NHS. If you want to discuss your options for MRCPsych or Psychiatry jobs in the NHS, get in touch with your IMG consultant team, who would be happy to answer any questions you may have. 

In this blog we will explore MRCPsych Clinical Assessment of Skills and Competencies (CASC) including dates, exam locations, fees and eligibility.  In our exploration of CASC, we will take a broad look at the following topics: What is the CASC exam? How is the CASC marked? Am I eligible? Assessment Portfolio for Overseas Candidates Sponsorship requirements How do I apply? How much will it cost me?  Where can I sit the CASC test? How do I prepare for the CASC exam? Passed? What next? For a more general overview of the MRCPsych examinations, click here.  MRCPsych CASC is a practical exam taking the format of an OSCE and tests your clinical skills in a range of competencies.  What is the CASC exam?  The Clinical Assessment of Skills and Competencies (CASC) tests your skills in a range of clinical situations. The CASC format is like an OSCE (Objective Structured Clinical Examination). The CASC is made up of two circuits of individual stations which will test your clinical skills: The morning circuit will have 4 minutes to read the instructions and 7 minutes to complete the task The afternoon circuit will have 90 seconds to read the instructions and 7 minutes to complete the task. The sixteen CASC station exam is made up of: five stations focused on History Taking, including risk assessment five stations focused on Examination - both physical and mental state, including capacity assessment. six stations focused on patient Management Each circuit follows the topics below:  Circuit 1: 6 stations focused on Management 1 x station focused on Examination 1 x station focused on History Taking 4 minutes reading 7 minute task Circuit 2: 4 x stations focused on Examination 4 x stations focused on History Taking 90 seconds reading 7 minute task How is the CASC marked? You can find details on how the test is marked here. See also marksheets for your information.  History Marksheet  Management Marksheet  Examination Marksheet  The Royal College also suggest taking a look at Passing the MRCPsych - an insider’s guide - a useful guide to help you to get over the first steps.  As ever at IMG Connect we believe in preparation. In order to succeed in the clinical exam, IMGs have told us that it is vital that you practice your clinical examinations as frequently as possible, preferably under the supervision of a senior colleague. This will give you confidence in approaching and examining patients with examiners present. Am I eligible for the CASC exam?  You are eligible to take CASC if you have 24 months post internship experience in Psychiatry, by the time of sitting the CASC. AND You have a pass in both Paper A and B AND You can demonstrate the following: AND  You have sponsorship in place – sponsorship forms must be submitted by an appropriate medical education lead confirming that the eligibility requirements to sit the MRCPsych examinations have been met.  Overseas candidates must show their sponsor evidence of having achieved equivalent competencies at appropriate competency levels (year 1, 2, 3) for each component of the examination. Assessment Portfolio for Overseas Candidates: As above, one aspect of eligibility for CASC as to complete an Assessment Portfolio. This must demonstrate achievement of equivalent competencies to those defined in the ARCP documented on the application form, this must include competencies in Psychotherapy AND Child and Adolescent Psychiatry, or Learning Disability have been achieved by the time of applying for the MRCPsych CASC. In addition, overseas candidates must demonstrate that they undertake the following activities as part of their structured job plans: be observed interviewing patients in ward rounds for specified reasons  be observed interviewing patients in out-patient or community settings or other contexts for specified reasons  be assessed via formal presentation of cases with their medical notes; discuss management of cases with their Clinical or Educational Supervisor be assessed formally in having achieved competencies in Child and Adolescent Psychiatry or Learning Disability AND Psychotherapy. Assessments and achievement of competencies should take place in a range of settings and psychiatric specialties with structured, documented feedback on performance having been provided.   Whilst there is not an assessment criteria form available as this is incorporated into the online submission, take a look at the ARCP assessment portfolio form for CT1-3 in the UK, which should help give you a starting point for your own portfolio.  Sponsorship requirements:  International candidates must have a sponsor in place in order to support evidence that their three years of training satisfy Royal College criteria of having achieved equivalent competencies at appropriate competency levels (year 1, 2, 3) for each component of the examination.  Sponsorship is required by all applicants for entry to the CASC examination.  Your sponsor should be an appropriate medical education lead confirming you have met the requirements to sit the MRCPsych examinations.  You will be required to provide the sponsor’s title, full name and email.  Acceptable sponsors are:  College Tutor Training Programme Director Educational Supervisor Head of School Director of Medical Education (or equivalent) Head of Department of Psychiatry Consultant responsible for employee/trainee appraisal Once your sponsor has authorised your application, you will receive a confirmation email from the Royal College, and you will be asked to complete your application and proceed to payment. How do I apply?  To apply you’ll need to complete the Royal College online application form. This form is only available during the published application dates and must be submitted prior to the closing date, if you miss the cut off, your application will not be considered.  You will need to provide the following:  Personal details Primary Medical Qualifications & Registration  Training  Written paper selection Sponsor evidence for Assessment Portfolio for Overseas Candidates How much will it cost me?  At the end of your application you will be directed to an online payment system where you can pay be credit or debit card, so make sure you have your details ready.  Once your application is complete you will receive two confirmation emails, one to confirm receipt of the application and one to confirm the payment has been received.  See below table of MRCPsych fees for 2020 Candidate Paper A Paper B CASC Non-PMPT Trainees and Affiliates (UK & Ireland Centres) £518 £466 £1,093 Hong Kong, China £661 £661 £1,491 Singapore £661 £661 £1,491 Chennai, India £661 £661 N/A Muscat, Oman £661 £661 N/A Malta £661 £661 N/A Where can I sit the CASC test?  You can currently sit the CASC test in both the UK and two overseas venues, Hong Kong and Singapore.  2020 MRCPsych CASC Exam dates have been released, these are:  Location Date United Kingdom 21 – 24 January 2020 United Kingdom 8 – 11 September 2020 Hong Kong 13 – 15 May 2020 Singapore 7 – 9 October 2020 2020 fees have been released – the MRCPsych (CASC) costs £1,093 in the UK and £1,491 in Hong Kong and Singapore.  To ensure you get a space on the exam, you have to apply online during the application window. Applications submitted after the closing date will be rejected. The application windows for London are below:  Location Application Period UK (Diet 1) 28 October – 15 November 2019 UK (Diet 2) 8 – 26 June 2020 Singapore 9 – 20 March 2020 Hong Kong 8 – 26 June 2020 Results from the CASC examinations will be released on the following date:  Location Publication of results UK (Diet 1) 14 February 2020 UK (Diet 2) 2 October 2020 Singapore TBC Hong Kong 6 November 2020 How do I prepare for the CASC examination?  With lots of materials online we have discussed with IMGs the best place to start looking for resources and materials relating to the exams. Most IMGs recommended starting with the Royal College, who have created useful resources to help you to prepare for the exams. See below:  Syllabus: We always suggest that this is the best place to start – plan your study around the curriculum topics and make a road map to your success in the exams.  Syllabus: summary of areas of core medical knowledge underpinning specialist training in psychiatry  Marking scheme (CASC): A good start with CASC preparation is to get to know how you will  be assessed, take a look at the criteria for scoring a pass mark in CASC, as well as the History Marksheet, Management Marksheet and Examination Marksheet.  CASC examination guide: The Royal College have produced a helpful guide for candidates which provides information on stations, role plays and assessment. CASC preparation videos: Here you will have the opportunity to see CASC stations in action. This will give you a good idea of what to expect and help you prepare.  CASC Blueprint: This helpful summary details stations in some detail and gives a useful overview of the exam format.  The Royal College also suggest taking a look at Passing the MRCPsych - an insider’s guide - a useful guide to help you to get over the first steps.  As ever at IMG Connect, we believe in preparation. In order to succeed in the clinical exam, IMGs have told us that it is vital that you practise your clinical examinations as frequently as possible, preferably under the supervision of a senior colleague. This will give you confidence in approaching and examining children with examiners present. Passed? What next?  First of all, congratulations! After you have passed all parts of MRCPsych you can apply for a full registration with a license to practice. Once the GMC have approved your application, you can work as a doctor in the UK.  Get in touch Don’t hesitate to get in touch with an IMG Consultant to discuss MRCPsych CASC exam in more detail, or job options in Psychiatry, including discussions regarding a typical doctor salary in the UK and the most suitable hospitals for you. 

Overseas Microbiologists wanting to secure a role in the UK via the postgraduate qualificaiton route will need to attain Fellowship of the Royal College of Pathologists or FRCPath in Medical Microbiology, a sub-specialty exam of FRCPath. FRCPath is the UK qualification and a GMC Recognised postgraduate route. International Medical Graduates (IMGs) from any country in the world can sit the sub-specialty FRCPath in Medical Microbiology examinations, provided certain eligibility criteria are met. These are summarised below along with a broad look at the following topics: What is FRCPATH in Medical Microbiology? Eligibility for overseas doctors FRCPath in Medical Microbiology structure and format FRCPath in Medical Microbiology: Part 1 FRCPath in Medical Microbiology: Part 2 As an overseas candidate where can I take the exam and how much will it cost me? How do I apply? How to prepare and what resources are available Passed? What next? The Royal College of Pathologists is the professional body responsible for the various sub-specialties within pathology. Amongst many other duties, its role is to set and monitor the educational curriculum for those training to enter these professions. What is FRCPath in Medical Microbiology?  Set against the Medical Microbiology incorporating CIT curriculum, the examinations act as an early assessment of your understanding of the scientific basis of medical microbiology, virology and infectious diseases.  The exams recognise microbiologists close to the end of their training who can demonstrate sufficient knowledge and technique for independent practice. In other words, completion of the full set of exams (Part 1 & 2) demonstrates your ability to work at consultant level. Part 1 is usually taken in the UK at ST3/4 level, with Part 2 during ST5/6 of Specialty Training, the final stage of training. The examinations are split into two parts: Part 1 – single 3-hour paper with Multiple Choice Questions (MCQ)  Part 2 – four paper examination sat over two days Eligibility for overseas doctors: For international candidates, the eligibility criteria for FRCPath specialty examinations is not particularly clear when looking online. IMG Connect spoke to the Royal College directly in an effort to clarify this. In brief, the Royal College do consider equivalents to NHS training programmes however, they do not have an agreed list of countries with accepted training programmes. As such, applications are treated on a case by case basis, so we advise speaking to the Royal College directly when making your application. Please note, there are many overseas doctors applying for all parts of the pathology exams so don’t be put off by the lack of information! If you have the required months training in a recognised programme in your country for Microbiology specifically, the chances are you will be eligible. Eligibility for Part 1: You are required to have trained in a recognised training programme in microbiology for a period of no less than 12 months.  Eligibility for Part 2: You must have passed the Part 1 examination and have had at least 3 years microbiology training in a recognised training programme in your country.  FRCPath in Medical Microbiology structure and format: Part 1 Examination: The exam focuses in particular on the scientific basis of virology, microbiology and infection. The exam is set against both the medical microbiology and virology curriculum. It is a single three-hour objective MCQ examination, with computerised marking sat over one one day.  Questions are in two formats: One-best answer Extended-matching-question Part 2 examination: Part 2 consists of four paper examinations sat over two days. These are as follows:  Paper 1 – two parts, 2.5 hours in total One essay from a choice of two questions, usually including laboratory management issues, antimicrobial stewardship, infection prevention or all three. One SAQ paper focused on clinical scenarios, infection prevention, laboratory practice and safety. A brief vignette with interpretation of clinical, laboratory or infection control data is a common format for SAQs. Paper 2 - two parts, 2.5 hours in total Critical appraisal of a journal article  SAQ paper with similar content as Paper 1 Paper 3 – one part in laboratory scenarios, 3 hours in total Complex clinical and laboratory scenarios in microbiology and infection prevention. Questions cover similar content to Paper 1&2 SAQs though their format is longer. Clinical and laboratory data and images may be presented. Paper 4 – one part, 3 hours in total Objective Structured Pathology Examination (OSPE) format.  Comprises of 15 stations, each of 9 minutes duration with variable rest stations.The exam allows for broad sampling of the curriculum and involves two face-to-face stations with a pair of examiners. Pass criteria for FRCPath Microbiology Part 2 Exams: In order to achieve an overall pass, you must achieve a pass in both combined scores for:  Papers 1+2  Papers 3+4 Failure of either of the two components will result in an overall fail. As an overseas candidate where can I take the exams and how much will they cost me? Part 1 overseas examination centres: Location Part 1 Overseas Fees Cairo (Egypt)     £880 Hong Kong Irbil (Iraq)   Jeddah (Saudi Arabia)   Khartoum (Sudan)   Kuwait   Delhi (India)   Rawalpindi (Pakistan)   Singapore   Part 2 examination centres:  Part 2 can only be taken in the UK. The exam costs £1361. How do I apply? Applications must be made via the Royal College of Pathologists website, with applications only available once an application window is opened by the Royal College. How to prepare and what resources are available? With lots of resources available online, we have discussed with consultants the best place to start looking for materials relating to the exams. Most recommended starting with the Royal College, who have created useful resources to help you to prepare for the exams.  Below we have included resources available through the Royal College and a few other resources recommend by doctors that have passed. Curriculum:  The content of the exam is set against the Curriculum for Specialty Training in Medical Microbiology. This curriculum incorporates the Combined Infection Training developed in conjunction with the Joint Royal Colleges of Physicians Training Board.  Part A is set against both the medical microbiology and virology curriculum. We recommend getting to know the curriculum as early as possible and using it as a road map for your study plan.  Regulations and Guidelines: Before applying for FRCPath examinations, the Royal College recommends you read both the General & Specialty Specific regulations and guidelines: General Regulations and Guidelines Royal College - Medical Microbiology Regulations & Guidelines Past papers:  Test your knowledge using example questions from the current exam syllabus provided by the Royal College: Medical Microbiology and Virology - Part 1 MCQ & EMQ Medical Microbiology Part 2 – OSPE  Medical Microbiology Part SAQ Medical Microbiology Part 2 – Paper 3 Medical Microbiology Part 2 – Essay Medical Microbiology Part 2 - Journal IMG Advice: Part 2 – food and drink:  With multiple exams taking place for Part 2 in one day bring supplies! It will be a long day and there may not be access to food. Hiring a microscope: For Part 2 you will be required to sit examinations in the UK and will require a microscope. The examination centres will not provide equipment for any applicants so you will need to hire a microscope in advance. There are a few companies easily accessible through a web search, find a microscope and book well in advance of the exam. You can arrange for the company to drop off and pick up the microscope from the exam centre, don’t worry! At IMG Connect we recommend speaking to anyone you know who has sat and passed the exam and get their personal hints and tips. We would also be happy to help you arrange anything you need for the exam day.  Passed? What next? First of all, congratulations! After you have passed all parts of FRCPath in Medical Microbiology you can apply for full registration with a license to practice. Once the GMC have approved your application, you can work as a doctor in the UK.  Don’t hesitate to get in touch with an IMG Consultant to discuss UK job options in Microbiology and Virology, including discussions regarding a typical doctor salary in the UK and the most suitable locations for you.  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.

International doctors (IMGs) can sit the final MRCEM OSCE exam in three locations: the UK, India and Malaysia.  Here we explore in brief the exam centres, dates, fees and how to apply online for the MRCEM OSCE exams in London (UK).  2020 Exam dates for London have been released, these are:  Location  Date MRCEM OSCE (London)  8 – 10 June 2020 2020 fees are have been released – the MRCEM (OSCE) costs £450 in both the UK and India  and £650 in Malaysia.  To ensure you get a space on the exam, you have to apply online during the application window. Applications submitted after the closing date will be rejected. The application windows for London are below:  Location Date MRCEM OSCE Kuala Lumpur (8 – 10 June)  17 February 2020 to 20 March 2020 Results from the London examination will be released on the following date:  Location Date MRCEM OSCE Kuala Lumpur (9 – 10 June) 10 July 2020 Overseas candidates can also sit the MRCEM OSCE examination in India and Malaysia. Dates for 2020 are as follows:  Location Date MRCEM OSCE (India) 22-24 June 2020 MRCEM OSCE (India) 23-25 November 2020 MRCEM OSCE (Malaysia) 7 – 9 Julye 2020 Please note that all dates are subject to change, you can check the most up to date calendar here.  You can apply for the MRCEM OSCE London (UK) examination, or indeed the full roster of Emergency Medicine examinations from the Royal College of Emergency Medicine (FRCEM or MRCEM) here. All applications must be made online and during the application window.  IMGs from all over the world take the MRCEM OSCE examination in London, India and Malaysia whilst on their journey towards securing an Emergency Medicine job in the NHS. If you want to discuss your options for MRCEM or Emergency Medicine exams, get in touch with your IMG consultant team, who would be happy to answer any questions you may have. 

Overseas Haematologists wanting to secure a role in the UK via the postgraduate qualificaiton route will need to attain Fellowship of the Royal College of Pathologists or FRCPath in Haematology, a sub-specialty exam of FRCPath. FRCPath is the UK qualification and a GMC Recognised postgraduate route. International Medical Graduates (IMGs) from any country in the world can sit the sub-specialty FRCPath in Haemotology examinations, provided certain eligibility criteria are met. These are summarised below along with a broad look at the following topics: What is FRCPATH in Haematology? Eligibility for overseas doctors FRCPath Haematology structure and format FRCPATH in Haematology Part 1 FRCPATH in Haematology Part 2 As an overseas candidate where can I take the exams and how much will they cost me? How do I apply? How to prepare and what resources are available? Passed? What next? What is FRCPath in Haematology? Set against the Specialty Training Curriculum for Haematology, the examinations are designed to assess a trainee’s knowledge, skills and behaviours in field of Haematology. The exams recognise haematologists close to the end of their training who can demonstrate sufficient knowledge and technique for independent practice.  In other words, completion of the full set of exams (Part 1 & 2) demonstrates your ability to work at consultant level. Part 1 is usually taken in the UK at ST5 level, with Part 2 at the end of ST6 as they enter the final year of Specialty Training – ST7. The exam is split into 2 parts: Part 1 – two written papers sat on the same day, comprised of essay and multiple-choice questions. Part 2 – held over three days, the exams comprise of three written components and one oral examination FFRCPath, along with MRCP(UK), is a mandatory requirement for Specialist Registration in Haematology. You can read our overview on MRCP(UK) here. Eligibility for FRCPath in Haematology: For international candidates, the eligibility criteria for FRCPath specialty examinations is not particularly clear when looking online. IMG Connect spoke to the Royal College directly in an effort to clarify this.  In brief, the Royal College do consider equivalents to NHS training programmes however, they do not have an agreed list of countries with accepted training programmes. As such, applications are treated on a case by case basis, so we advise speaking to the Royal College directly when making your application. Please note, there are many overseas doctors applying for all parts of the pathology exams so don’t be put off by the lack of information! If you have the required months training in a recognised programme in your country for Haematology specifically, the chances are you will be eligible. Eligibility for Part 1: You are required to have trained in a recognised training programme in haematology for a period of no less than two years. Eligibility for Part 2: The Royal College expects you to have at least three years of specialty training specific to Haematology in your own country before applying. Furthermore, you cannot sit Part 2 examination until 12 months after successfully completing Part 1. Structure and content for FRCPath in Haematology: The exam is split into 2 parts with 5 individual examinations in total. Part 1: Part 1 comprises two written papers: Paper 1 or Essay Paper – four essay questions each addressing an important area of laboratory or clinical practice in one of the four areas: Blood transfusion General haematology Haematological oncology  Haemostasis & thrombosis Paper 2 or MCP Paper – 125 questions of both multiple choice and extended matching format.  50 questions will be best from five whilst 75 are extended matching and examines knowledge of: blood transfusion 25% general haemotology 25% haematological oncology 25% haemostasis & thrombosis 25% Most questions are structured around clinical or laboratory vignettes and are designed to assess clinical judgement and ability to apply, rather than just recall knowledge. Questions map to the Haematology training curriculum.  The blueprint from which the questions are developed can be found on the Royal College website.  Part 1:  3 written papers and 1 oral examination: Morphology SAQs Morphology, Long cases 1.5 hour 1.5 hour 12 short answer questions 3 questions long answer  Transfusion 2-hour 10 questions Coagulation 2-hour 8 questions Oral Examination 1 hour 8 topics Part 2:  The exam is held simultaneously over 3 days in the UK only and evaluates your knowledge, skills and clinical judgement in important areas within the Haemotology. The questions in the written papers adopt a short answer format which requires you to provide a concise response, these answers can be given in short words, phrases or lists. A series of questions may relate to ‘clinical vignette’ building on case information. Clinical vignettes are patient related cases and scenarios that have educational value for a wider audience.  Morphology: SAQs up to 12 questions answered in 1 hour 30 minutes each question requires you to examine 1-2 of either of the following: microscope slides  flow cytometry plots additional laboratory data quality assurance Morphology: Long cases 3 questions answered in 1 hour 30 minutes Each question will provide a case history and contains several parts which require either: Interpretation of slides, lab results or other clinical investigations Provide a report and make diagnosis Recommend clinical investigations and interventions Transfusion: 10 questions answered in 2 hours Each question will provide a case history or lab results requiring you to: Interpret data Make diagnosis  Recommend further investigation or treatment Coagulation: 8 questions answered in 2 hours Each question will provide a case history or lab results requiring you to: Interpret data Make diagnosis  Recommend further investigation or treatment Oral Examination: The oral examination assesses your ability to evaluate problems and demonstrate good clinical judgement whilst assessing your ability to communicate clearly and effectively. The exam covers 8 topics over 1 hour, with two 30-minute oral exams with two pairs of examiners.  First Exam - 2 topics in coagulation & 2 topics in transfusion medicine Second Exam - 2 topics in general laboratory haematology & 2 topics in haematological oncology As an overseas candidate where can I take the exams? And how much will they cost me? Part 1 overseas examinations centres: Location Part 1 Overseas Fees Cairo (Egypt)     £880 Erbil (Iraq) Hong Kong   Irbil (Iraq)   Jeddah (Saudi Arabia)   Khartoum (Sudan)   Kuwait   Delhi (India)   Rawalpindi (Pakistan)   Singapore   Part 2 Examination centres: Part 2 can only be taken in the UK. The exam costs £1361. How do I apply? Applications must be made via the Royal College of Pathologists website, with applications only available once an application window is opened by the Royal College. How to prepare and what resources are available? With lots of resources available online, we have discussed with consultants the best place to start looking for materials relating to the exams. Most recommended starting with the Royal College, who have created useful resources to help you to prepare for the exams.  Curriculum:  The content of the exam is set against the Haematology Training Curriculum. We recommend getting to know the curriculum as early as possible and using it as a road map for your study plan.  Regulations and Guidelines: Before applying for FRCPath examinations, the Royal College recommends you read both the General & Specialty Specific regulations and guidelines: General Regulations and Guidelines Royal College - Haematology Regulations & Guidelines Past papers:  Test your knowledge using example questions from the current exam syllabus provided by the Royal College, see below: Part 1 – six past papers Part 2 MCQ/EMQ Blueprint for MCQ Examination: The blueprint from which the MCQ questions are developed.. British Society of Haematology guidelines: Compulsory reading material for exams and day-to-day clinical practice. Make sure to read them, understand them and know the recommendations made in bold. Be aware that the guidelines are a few years old and imminently due for review. British Society for Haematology educational resources: Click here for the British Society for Haematology educational resources. Morphology image bank, case reports, practice essay questions, EMQs, MCQs and tutorials. Signup and login required but you don’t need to be a member to make use of the BSH’s bank of essay questions, MCQs and EMQs Blood Journal: How I treat articles: Click here for easy-to-read helpful overviews of most haematological conditions Ihaematology.com: http://www.ihaematology.com/ Revision site created by previous candidates. Haembase: Click here for Haembase. This is a general revision resource for those preparing for FRCPath examinations IMG Connect advice: Part 2 – food and drink:  With multiple exams taking place for Part 2 in one day bring supplies! It will be a long day and there may not be access to food. Hiring a microscope: For Part 2 you will be required to sit examinations in the UK and will require a microscope. The examination centres will not provide equipment for any applicants so you will need to hire a microscope in advance. There are a few companies easily accessible through a web search, find a microscope and book well in advance of the exam. You can arrange for the company to drop off and pick up the microscope from the exam centre, don’t worry! At IMG Connect we recommend speaking to anyone you know who has sat and passed the exam and get their personal hints and tips. We would also be happy to help you arrange anything you need for the exam day.  Passed? What next? First of all, congratulations! After you have passed all parts of FRCPath Haematology you can apply for a full registration with a license to practice. Once the GMC have approved your application, you can work as a doctor in the UK.  Don’t hesitate to get in touch with an IMG Consultant to discuss UK job options in Haematology, including discussions regarding a typical doctor salary in the UK and the most suitable locations for you. 

Today is the day! The MRCEM OSCE results are released...  IMG Connect wishes all emergency medicine specialists good luck with their results today, we hope you all achieve the result you deserve! Whether your passed or failed, here we'll offer some suggestions on what to do next. Passed MRCEM OSCE? Click here. Not passed MRCEM OSCE? Click here. I passed the MRCEM OSCE: So, what next? First things first, you deserve to celebrate and get some relaxation in! Emergency Medicine doctors who have attained full MRCEM and secured a job in the NHS, all tell us that the MRCEM OSCE is a tough examination and it is an emotional moment when you pass. So much hard work goes into to reaching this stage, so book yourself a holiday! Or at least kick off your shoes and put your feet up :-)  Then it is a good time to think about what steps you should take when finding the job you are looking for in the NHS, or wherever you may be considering finding your next role. Many considerations will enter your head such as do I need to my english exam? What grade will I be eligible for? What salary can I attain? And of course what are the ways I can actually find an A&E job in the UK? As specialists in International Recruitment of MRCEM qualified Emergency Medicine doctors, whether it’s finding you an accredited English tutor, preparing your CV for professional representation or finding you a great role with a fantastic salary - IMG Connect is here to help. Search Emergency Medicine Jobs: Search all the lastest Emergency Medicine  Salary Review: Check your NHS salary against the NHS pay scale and current vacancies in the UK. CV Review: Unsure whether your CV is in the right format for NHS hospitals? Request a CV review here to ensure your CV is in the best shape for any NHS employers looking for emergency medicine specialists like yourself! Register: Register your details with IMG Connect to receive a 1-2-1 personalised service from one of our Emergency Medicine Specialists. We have a team that recruits only International Emergency Medicine doctors like yourself in securing work across the UK & Ireland. Register today and one of our team will get back to you immediately! English Testing:  Passing your english language exams is an important next step for many Emergency Medicine doctors that pass their MRCEM. Take a look at relevant blogs and articles from the IMG Library on OET, IELTS and Preparing for English Language Exams. IMG Library: OET - numerous blogs and articles relating to the OET exams, written specifically for international doctors IMG Library: IELTS - numerous blogs and articles relating to the OET exams, written specifically for international doctors IMG Library: English Language Tests - many helpful blogs and articles on English Language Testing, written specifically for international doctors I did not pass the MRCEM OSCE: If you did not pass the MRCEM OSCE - don't worry! The overall pass rate for those that attempt a second time is extremely high (90%+) so your hard work and dedication will pay off very soon! Take some time out to relax and enjoy life and come back stronger. These moments will only make you stronger and a better doctor in the long run so as the British say, chin up and strong upper lip! At IMG Connect we've take the time to prepare and collate the best preparation resources for the FRCEM OSCE - and we would be delighted to share these with you. Click on the buttons below to either register with the IMG Connect team so we can talk you through this or request the MRCEM OSCE resources to help you pass the next time - without fail! If you have any questions about how to secure an NHS job in Emergency Medicine or prepare for the MRCEM OSCE (including advice on dates, fees, courses, resources, mock scenarios, online materials and revision books) then don’t hesitate to get in touch with an IMG Consultant.

The PLAB test is designed to help the GMC ensure Doctors who qualified overseas (IMGs) have the right knowledge and skills to practice medicine in the UK. The PLAB assesses your ability to work safely in your first appointment as a senior house officer (SHO) in a UK NHS Hospital and IMGs from any country in the world can sit the PLAB examinations, provided certain eligibility criteria are met. These are summarised below along with a broad look at the following topics: Do I need to take the PLAB test? What is the PLAB test?  How many parts to the PLAB test What are the entry requirements? What do I need to get started? At what stage should I take the exam?  Where and when can I sit the test outside of the UK?  What does it cost? How do I book my test place?  How do I prepare for PLAB?  Do I need to bring anything to the test?  How many times can I sit the test?  When will I receive my results?  Passed? What next? Do I need to take the PLAB test? If you graduated from a medical school outside of the UK, EEA, or Switzerland, you probably need to sit the PLAB test or attain a recognised postgraduate qualification.  If you are an EEA doctor, and qualified at an EEA institution, then your postgraduate qualification will automatically satisfy the GMC skills and knowledge criteria and don’t need to sit PLAB.  What is the PLAB test?  PLAB is as a licensing examination to assess whether an International Medical Graduate (IMG) is eligible to obtain GMC Registration or not.  Technically, it is not a certification, rather it simply makes you eligible for full GMC registration.  The PLAB test checks that you are at least as capable as a doctor starting their second year of their Foundation Training in the UK.  How many parts to the PLAB test?  There are two parts to the PLAB test.  PLAB 1 is a written exam made up of 180 multiple choice questions which you must answer within three hours. Each starts with a short scenario followed by a question. You need to choose the right answer out of the five possible answers given. You can sit part 1 in a number of countries, as well as in the UK.  Take a closer look at PLAB 1 here. PLAB 2 is a practical objective structured clinical exam, known as an OSCE. It's made up of 18 scenarios, each lasting eight minutes and aims to reflect real life settings including a mock consultation or an acute ward. Part 2 tests run throughout the year at the GMC’s own clinical assessment centre in the UK, only.  Take a closer look at PLAB 2 here. You need to pass both parts of the test before you can apply for registration with a license to practice medicine in the UK.   To find out more about each part of the PLAB test we have created a more in depth look at each section, however we have summarised the key points below.  What are the entry requirements for the PLAB test?  To be eligible for the PLAB test you must meet the following criteria:  Your Primary Medical Qualification (PMQ) must be awarded by an institution listed in the World Directory of Medical Schools. Before starting the process, we recommend that you check that your Primary Medical Qualification is accepted in the UK.  You must also have taken and passed the English Language Test (IELTS or OET) with the relevant scores. For IELTS you must have attained a score of at least 7.5 overall and a minimum of 7.0 for all the four language skills. For OET you must have scored at least grade B in each testing area.  At least 12 months’ postgraduate clinical experience in a teaching hospital, or another hospital approved by the medical registration authorities in the appropriate country. (The test can be taken without this experience, but the candidate will only be granted limited registration at the grade of House Officer – the grade occupied by new medical graduates). At what stage should I take the exam?  For IMGs we recommend that you apply for the PLAB exams after the completion of an internship or house job, as that makes you eligible for Full GMC Registration, not limited.  However, you can sit the PLAB at any time in your career, so long as you have a recognised Primary Medical Qualification. IMGs in our community advise the earlier the better!  What do I need to do to get started?  Before you can sit the tests, you need to set up a GMC online account and show the GMC that your medical qualification and level of English are acceptable. Once you have done that you can sit Part 1 of the PLAB test. For further information visit the General Medical Council website. Where and when can I sit the test outside of the UK?  Part 1 is run twice a year in a number of countries. A full list of dates, locations and contact details can be found here. Part 2 can be taken in the UK only. When you book your PLAB 2 test place online, you will be able to see which venue is available for you. Currently, the main test venue is in Manchester, with test centres also in Cambridge and London. You can find more details here. What does it cost? The fee for Part 1 of the PLAB test is currently £235 (as of 1st April 2019)  The fee for Part 2 of the PLAB test is currently £860 (as of 1st April 2019) How do I book my test place?  You can book online using your GMC Online Account. You will be able to view available dates and venues and book under the My Tests section.  Remember, before you book, you must have an acceptable overseas primary medical qualification and the necessary knowledge of English.  How do I prepare for the PLABs?  PLAB 1 can be taken under your own preparation, but for PLAB 2 most IMGs advise that they have benefited from attending specific courses geared at this test. It is also advisable to plan ahead for PLAB 2, so that you can ensure that you can complete everything within one Visitor Visa time period (6 months).  We have explored the UK Visitor Visa for PLAB 2 in more detail here, but let’s look briefly at booking PLAB 2 in some detail as you will have to arrange a UK Visitor Visa in order to sit the test.  Take some time to consider when you want to sit the PLAB 2 exam, it takes time to study for the test itself, but you also need to start the process of your Visa application. To apply for your UK Visitor Visa, you must complete an online UK Visa application for PLAB. This takes two steps, online application, and submission of supporting documents in a Visa application centre.  Remember to plan ahead! Once you have applied for your UK Visitor Visa, you must complete PLAB 2 within 6 months. Do I need to bring anything to the test?  You will need to bring Identification, your booking confirmation and stationary.  For identification, the venue will accept any one of the following. Passport UK Immigration and Nationality Department identification document Home Office travel document Booking confirmation Bring the booking confirmation that includes your GMC booking reference number For stationery You should bring HB pencils, an eraser and a pencil sharpener. How many times can I sit the test?  For PLAB 1, you can take the test 4 times. If you have not passed after 4 attempts, to be eligible to take the test again you must have completed a further 12 months experience of clinical practice or post graduate qualification.  You can only apply for PLAB 2 after the results for PLAB 1 are issued. You must pass PLAB 2 within 2 years of the date you passed PLAB 1.  When will I receive my results?  PLAB 1 results are available around 6 weeks after you have taken the exam.  When PLAB 2 results are available the GMC will send you an email to provide access to the results in the ‘My Tests’ section of the GMC online account. Passed? What next? Once you have passed both parts of your PLAB examinations, you can apply for a full registration with a license to practice. Your application must be approved within 2 years of passing part 2 of the test. Once the GMC have approved your application, you can work as a doctor in the UK.  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. Don’t hesitate to get in touch with an IMG Consultant to discuss UK job options in the NHS, including discussions regarding a typical doctor salary in the UK and the most suitable locations for you.

CESR acts as a route to applying for substantive (permanent) consultant jobs for doctors who have not followed a specialty training programme in the United Kingdom. In a nutshell it is the option available to doctors practicing as consultants from overseas who wish to gain specialist registration in the UK. Some doctors choose to apply from overseas, others work with IMG Connect to secure a job in the NHS geared at helping them gain entry to the specialist register once in the UK.  If you are working as a consultant in your home country and are eligible for specialist registration in the UK, then as an overseas doctor (IMG) you have a couple of options. Here we focus on applying for CESR from abroad as well as the alternative route, applying for a Specialty Doctor or Fixed Term Consultant job in the UK before applying for CESR with support of your NHS employer.  Both routes lead to gaining CESR and entry to the Specialist Registration, meaning that you can work as a substantive consultant in the NHS. Both take hard work, preparation, evidence gathering, time and dedication. Both options have the same end goal, specialist registration.  It is important to say that no matter how you choose to apply, the CESR process involves submitting a large volume of evidence to demonstrate that you have the equivalent experience, skills and competencies as a doctor who has taken the specialty training route in the UK. Whether applying from overseas or not, some doctors are asked to complete additional experiences to meet this strict standard. Because of this, the process can be lengthy.  Applying for CESR from overseas  This is a great option for Consultants who are not constrained by time and have an understanding department that will support the additional gathering of evidence. The GMC reckons that it takes between 6 – 9 months between submitting your application and receiving a decision. At IMG Connect our experience tells us that is takes a similar amount of time to gather the evidence prior to submitting. In addition, you must have completed the evidence in the first place in real workplace and clinical scenarios. This can take twice as much time as preparing and submitting. Put simply, the process can be time consuming and laborious.  Add to this the issue of completing and gathering evidence against the CESR application from overseas. It can prove challenging to ensure that you have completed the full complement of competencies for CESR applications. This can result in the GMC asking for further evidence, adding more time to the process. You may have to identify gaps in your learning and then resolve them. It is not all bad though, this is good practice and will benefit you in the long run.  Applying for a specialty doctor job and/or fixed term consultant post before applying for CESR For doctors who are keen to secure entry to the Specialist register quickly, and work in the UK as soon as possible, then taking up a Specialty Doctor role with CESR programme, or a Fixed Term Consultant post with CESR programme/support is a good option. Many NHS hospitals or trusts in the UK will offer access to support, clinical experience and study or preparation time for CESR. This is often built into the weekly job plan, but in some circumstances, this may be arranged informally. Either way, this is a good way for overseas consultants to quickly gather the right evidence for their application with the support of their peers, senior colleagues and NHS employer. This can shorten the time spent on the application overall. If this sounds like the best option for you, it is wise to start gathering and signing off evidence in your current consultant post. That way you will already have some or most of the required evidence for CESR in place, allowing you to quickly focus on any elements that are missing once in the UK and working in the NHS. Securing a job as a Specialty Doctor with CESR programme attached, or a job as a Fixed Term Consultant with CESR programme/support attached, gives you instant exposure to the UK system, NHS experience and a great start to your career in the NHS.  To discuss whether applying for CESR from overseas or securing a job as a Specialty Doctor or Fixed term consultant with CESR programme is the right route for you towards specialist registration, speak with an IMG Connect consultant, register or send your CV.    

If you have already read our overview on PLAB you will know that the second part of the test is held in the UK and you will need a UK Visitor Visa to sit the PLAB 2 examination. Here we 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 PLAB 1 results, start planning the date that you want to sit PLAB 2. 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 your 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, a Visa application 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 take the Professional Linguistic and Assessment Board (PLAB) test 2. 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 PLAB 2 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 UK 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 to prepare all of the required documentation first, and the complete the online form and upload everything you need in one go.  A standard UK visa currently costs £95. What supporting documents do I need to prepare and provide?  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 PLAB 2 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. This 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 (yours / your sponsors). 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 friend or family of whom you will be staying with. 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 UK and the date you will leave from 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 don’t. 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, at IMG Connect we recommend that you have all of the supporting documents prepared before starting your UK Visitor Visa for PLAB 2 application.  What costs can I expect in the UK?  Whilst the exam is taken in one day, 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 close to transport & 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. 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. Don’t hesitate to get in touch with an IMG Consultant to discuss UK job options in the NHS, including discussions regarding a typical doctor salary in the UK and the most suitable locations for you. 

Here we’ll take a closer look at the second stage of your FRCEM journey – FRCEM Intermediate SAQ. We’ll consider its purpose, structure and content, eligibility, dates, exam centers and provide some revision tips to give you the best chance of passing first time and moving clser towards full Membership of the Royal College of Emergency Medicine (MRCEM). Designed to help you prepare and sit the exam, we consider the following topics: What is FRCEM Intermediate Certificate? Am I eligible? Exemptions & equivalent examinations  Where can I take the exam? How much will it cost me? How can I prepare for the exam? Passed? What next? What is the FRCEM Intermediate SAQ? The FRCEM Intermediate Certificate is the second examination in a series of three and is mapped to the Competencies of Year 1-3 of the Emergency Medicine 2015 Curriculum (ACCS Plus). The FRCEM Intermediate SAQ comprises of a 3-hour paper of 60, 3-mark questions. A full break down of the blueprint is found on the FRCEM Intermediate Regulations & Information Pack. A summarised blueprint for the SAQ can be found below. Curriculum Category Questions Common Competences 7 Clinical Presentations – Core Major & Acute Presentations  18 Anaesthetic Competences CT1&2 4 ICM within ACCS 2 Acute Presentations – Additional Adult ST3 6 Paediatric Presentations – Makor & Acute Presentations  11 Practical Procedures (ACCS) 12 Total  60 Am I eligible? To be eligible you must hold a Primary Medical Qualification (PMQ) recognised by the GMC, have completed an equivalent to the UK Foundation Programme (Internship?) and have passed FRCEM Primary Examination after 1st August 2016. You will also be eligible if you have been granted exemption from the FRCEM Primary as a result of obtaining MRCS or MRCSI after 1st January 2012. MRCEM Part B in place of FRCEM Intermediate SAQ: MRCEM Part B passes obtained prior to August 2012 are deemed time expired, therefore you are required to pass the FRCEM Intermediate SAQ examination.  If you passed the MRCEM Part B examination after 1 August 2012 you are deemed to have passed an equivalent examination to the FRCEM Intermediate SAQ examination. Where and when can I take the exam? And how much will it cost me? Examination and application dates are regularly updated by the Royal College and can be found here. Venues and Fees for both intermediate examinations are below: Examination Location Fees FRCEM Intermediate Certificate SAQ UK £305 Iceland, Malaysia, Oman £385 How can I apply? All applications are made online. Please note, the application can take some time to complete so it is always advisable to apply well in advance of the deadlines. Applications submitted after the application period will not be accepted.  Links to all application forms and application windows are available here. How do I prepare for each exam and what resources are available? With lots of resources available online, we have discussed with IMGs the best place to start looking for materials relating to the exams. Most IMGs recommended starting with the Royal College, who have created useful resources to help you to prepare for the exams. See below:  Curriculum: Applicants are tested on a range of common and important disorders in Emergency Medicine as set out in the Emergency Medicine Training Curriculum 2015. The examination is conducted in English and candidates are advised that IELTS Level 7 is the expected standard for completion of the FRCEM examinations. Remember, you will need to have a pass of 7.5 average in all areas of IELTS to complete your GMC registration. Information Packs: These provide detailed information for the relevant examination components so that you can best prepare for your studies and what to expect on the day.  You can download this here: FRCEM Intermediate SAQ Blueprint: The blueprint for the Intermediate SAQ exam can be found on page 8 of the FRCEM Intermediate examination pack, downloaded from the RCEM website here. SJP Blueprint: The blueprint for the new Intermediate SJP exam can be found on page 11 of the FRCEM Intermediate examination pack, downloaded from the RCEM website here. Sample questions:  Test your knowledge using example questions from the current exam syllabus provided by the Royal College: Intermediate Certificate – sample SJP questions Glossary of Terms:  The Royal College uses many terms that may cause confusion, so take plenty time to understand the terms and definitions using this guide.  Candidates are expected to be rigorous in their use of these terms. Glossary of terms used in RCEM exams. Examination Report: The Royal College recently began to publish reports on the performance of those sitting FRCEM examinations. Below is the first report published and helps to break down results for those in training and those out of training.  2018 Examination report. Online resources:  There are lots of resources online, such as videos on YouTube, FRCEM courses and useful reading materials. We think that these are a great addition to your study plan, just be sure to check your sources.  Passed? What next?  First of all, congratulations! After you have passed FRCEM Intermediate you can apply to sit the Final Examination. Take a look at our article on FRCEM Final Examination where we explore everything you need to know about how to sit the exam, including syllabus, dates, fees, results and preparation.  Don’t hesitate to get in touch with an IMG Consultant to discuss UK job options in Emergency Medicine, including discussions regarding a typical doctor salary in the UK and the most suitable locations for you.

MRCP(UK) have now put in place agreed changes to the PACES exam, effective from 2020. Thankfully for those preparing to take the exams in 2020 diets, the changes are not drastic. The exam board have developed the current format, making some stations more realistic.  The MRCP PACES exam will test the same clinical skills, and there will remain five stations throughout the exam. The change comes through some tweaks to the stations themselves.  The changes are designed to make the exam better reflect the experience that patients expect from their doctor.  From the current format, the following stations are being removed and replaced:  Station 2 - history-taking  Station 4 - 20 minute single communication and ethics encounter Station 5 - brief clinical consultations  The above will be replaced by:  Communication Encounters Two 10-minute communication encounters assessing you on your communication skills. These encounters will no longer include a question and answer section with the examiners, the encounter will be judged on observation alone. Clinical Consultations Two 20-minute clinical consultations will assess candidates across all seven skills. You will have 15 minutes to take a structured history, examine the patient, explain the likely diagnosis/management and then address any questions or concerns raised. There will then be a five-minute question and answer section with the examiners.  The new carousel will amend the sequencing of the encounters. Physical examination encounters will be aligned with communication encounters. This will ensure that examiners at each station contribute more judgements in each of the skills for each candidate improving reliability. MRCP(UK) have created a set of useful videos to help explain the changes further: click here. Get in touch If you have a questions about PACES, or Medicince jobs in the NHS, don't hesitate to get in touch and discuss your questions.  

In this article we look in more detail at an alternative route for overseas Anaesthetists looking to work in the UK – the European Diploma of Anaesthesiology and Intensive Care (EDAIC). International Medical Graduates (IMGs) from any country in the world can sit the EDAIC examinations, provided certain eligibility criteria are met. These are summarised below along with a broad look at the following topics: What is EDAIC?  Content and structure Am I eligible?  Dates, Fees and Venues for the EDAIC examinations How should I prepare and what resources are available? Passed? What next? What is EDAIC? EDAIC is a multilingual, end-of-training, two-part examination covering the relevant basic sciences and clinical subjects appropriate for a specialist in anaesthesiology.  Doctors with full EDAIC will simply require a pass in IELTS or OET for full GMC registration with a license to practice in the UK. The questions are set against the Syllabus for Anaesthetic and Intensive Care training, set by the European Union of Medical Specialists (UEMS). The exams aim to assess your knowledge of the following: Basic sciences relevant to anaesthesiology & intensive care Clinical Anaesthesiology inc. obstetrics, anaesthesia & analgesia Resuscitation & emergency medicine  Intensive care  Management of chronic pain To find out what grade a successful completion of full EDAIC will allow you to work as in the UK contact your IMG consultant for more information.  Content and structure of EDAIC: EDAIC comprises of two mandatory components:  Part 1 – two multiple choice question papers Part 2 – oral examination In addition, there are two optional components: On-line Assessment (OLA) – computer based online test In-training Assessment (ITA) – multiple choice question paper Part 1 Examination: Pat 1 of EDAIC consists of two multiple-choice papers, each with sixty questions. Each paper is two hours in duration. Paper A concentrates on the basic sciences of Anaesthesia. Paper B concentrates on internal and emergency medicine, general, regional & special anaesthesia including pain and intensive care medicine. Part 2 Examination: Part 2 is held over one day and consists of four 25-minute oral examinations that each embrace the same range of basic sciences and clinical subjects covered in Part 1. The oral examinations consist of ‘Guided Questions’ -where candidates are given a brief written presentation 10 minutes before meeting the examiners.  Two of the examinations will concentrate on basic sciences whilst the other two on clinical topics.  X-rays, CT Scans, MRI and Ultrasound images are also used during the oral examinations. Am I eligible? Eligibility for EDAIC Part 1 simply requires a medical degree.  Eligibility for Part 2 requires:  a pass in EDAIC Part 1 AND certification in anaesthesia in any country  OR Applicants to be in the final year of training in anaesthesiology, in one of the European member states of the World Health Organisation Please note the following exceptions: If you graduated as a specialist in Pakistan, you must have the FCPS or equivalent to be eligible for EDAIC Part 2.   Diplomas in anaesthesiology issued in Pakistan and with a curriculum of a shorter duration than FCPS (such as MCPS) can be accepted for EDAIC Part 1, not Part 2. Holders of FCPS (or equivalent) are not exempt from EDAIC Part 1. Holders of the FRCA or FCAI / FCARCSI are exempt from Part 1 examination.  Dates, Fees and Venues for the EDAIC examinations: Examination Fees Exam Dates & Venues EDAIC Part 1 €340 (inc. 1-year ESA membership) *Part 1 reduced fee €150 (inc. 1-year ESA membership) EDAIC Part 1 – full list of dates, venues can be found here EDAIC Part 2 €550 first attempt €340 following attempts (€650 for Part 2 Brazil – Sao Paulo) EDAIC Part 1 – full list of dates, venues can be found here On-line Assessment €50 EDAIC OLA – full list of dates, venues can be found here In-training Assessment €100 EDAIC ITA – full list of dates, venues can be found here Authentication of EDAIC by external institution €50 n/a Total (at first attempt) €1090 €900 reduced fee*   Part 1 registration fee will include a free 1-year ESA membership which starts on 1st January of the year following registration for Part 1 Exam.  Please note, those applying for Part 1 examination in a country where the exam is mandatory or has official recognition (Argentina, Austria, Egypt, Finland, Hungary, Malta, Poland, Portugal, Romania, Slovenia, Switzerland, Netherlands and Turkey) AND who are registered on the national medical register of said country, are entitled to a reduced Part 1 fee.  This also includes 1-year free ESA membership. How should I prepare for the examinations and what resources are available? We have discussed this at length with IMGs who have recently passed the exam. With so much material available for free on the European Society of Anaesthesiology website we suggest the following as a great foundation for your preparations.  ESA offers several supporting tools to help candidates prepare for the European Diploma in Anaesthesiology and Intensive Care (EDAIC) Part I and Part II Examinations, including: Syllabus  EDAIC aims at covering the Syllabus to Postgraduate Training Programme of the European Board of Anaesthesiology.  We recommend getting to know the curriculum as early as possible and using it as a road map for your study plan.  Diploma Guide The EDAIC diploma guide includes information on regulations, structure and various sample examination papers and example report forms.  The Basic Sciences Anaesthetic Course (BSAC):  This is a 3-day course, aimed at improving your understanding of different areas of basic science. Register here.  ESA E-Learning Platform:  This includes helpful E-Learning modules to help you prepare for examinations, go to the ESA Academy to start your learning.  EDAIC Webinars:  The ESA have created a series of webinars to support your learning, these can be accessed on the eLearning platform.  On-line Assessment (OLA) and In-training Assessment (ITA):  You can use these helpful tools (On-Line Assessment (OLA) and In-Training Assessment (ITA)) to test your knowledge and identify which subjects require further study.  Sample questions:  The ESA have created sample questions in different languages to help you prepare for all sections of the EDAIC exams:  Part 1 Part 2 Please note, the links above provide these sample questions in English. All other languages can be found here. Part 2 explainer video:  This is a useful sample exam video, helping you understand what to expect on the day so you can focus on the task at hand.  The ESA have also produced a guide to preparing for your exam and a recommended reading list to support the curriculum.  Passed? What next? First of all, congratulations! Once you have passed both parts of your EDAIC examination you can apply for a full registration with a license to practice. Once the GMC have approved your application, you can work as a doctor in the UK.  Want more information? 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 with your IMG Consultant to discuss UK job options in Anaesthetics and Intensive Care, including discussions regarding a typical doctor salary in the UK and the most suitable locations for you. 

In this blog we will explore PLAB 2 and everything that you need to know about how to sit the exam, including syllabus, dates, results, fees and preparation.  We will take a broad look at the following topics: What is PLAB 2?  What topics does the exam cover? How do you answer the questions? Clinical examination Practical skills Interpersonal skills Where and when can I book a place?  What does it cost? Fees. How do I register? What happens next How do I prepare for PLAB 2?  What resources are available?  When will I receive my results?  How many times can I sit the test?  Passed? What next?  For a general overview of the PLAB examinations, click here.  Firstly, let’s take a look again at what PLAB 2 is:  PLAB 2 is an objective structured clinical exam (OSCE), you should already be familiar with this format from your own medical training. It will consist of 18 scenarios, each lasting eight minutes and will reflect real life settings including a mock consultation or an acute ward. What topics does the exam cover? The exam syllabus covers everything a UK trained doctor might expect to see on the first day of Foundation Year Two (FY2) and tests your ability to apply knowledge to the care of patients. Marking of the scenarios relate to current best practice in the UK. You should approach them in relation to published evidence and not according to your local arrangements. Names of drugs referred to in the exam are those contained in the most recent edition of the British National Formulary (BNF). How do you answer the questions? The PLAB 2 exam will take approximately three hours and 10 minutes. You'll have one and a half minutes between test scenarios in order to read the instructions and patient information. There will be at least two rest stations, allowing you to take breaks. You will be marked against three key areas for each scenario.  Data gathering, technical and assessment skills i.e. History taking, physical examination, practical procedures, investigations leading to a diagnosis Clinical management skills i.e. Formulating a diagnosis, explaining something to the patient, formulating a management plan Interpersonal skills i.e. How you approach the station: whether you establish a rapport with the patient, how you use open and closed questioning, involving the patient and demonstrating your professionalism and understanding of ethical principles When marking against the domains the examiner will assess your competency across a number of skill areas, these are:  Clinical examination The examiner will assess you on your ability to conduct a physical examination of a simulated patient. This will usually be an actor who is trained to display signs when required, an anatomical model may also be used for certain examinations. Practical skills The examiner will assess you on your ability to perform common practical procedures. Again, they may ask you to deal with a simulated patient or an anatomical model. These may include:  checking blood pressure performing venepuncture inserting a cannula into a peripheral vein calculating drug dosage giving intravenous injections mixing and injecting drugs into an intravenous bag giving intramuscular and subcutaneous injections basic cardio-pulmonary resuscitation (adult and child) suturing interpreting an electrocardiogram (ECG), X-rays or results of other investigations interpreting basic respiratory function tests performing urinary catheterisation taking a cervical smear safe disposal of sharps. Interpersonal skills The GMC test these skills by observing the interaction between you and another person, usually a simulated patient or occasionally the examiner. The examiner will assess your approach to the patient throughout the examination. This may include: explaining diagnosis, investigation and treatment involving the patient in the decision-making communicating with relatives communicating with health care professionals breaking bad news seeking informed consent/clarification for an invasive procedure or obtaining consent for a post-mortem dealing with anxious patients or relatives giving instructions on discharge from hospital giving advice on lifestyle, health promotion or risk factors. As in preparing for PLAB 1, the GMC’s ‘PLAB Blueprint’ sets out what to expect from the test, including the topics, skills and procedures that a doctor who passes the test would need to know and be able to do in practice. In addition, it provides details of the professional qualities expected of a doctor working in the UK. Where and when can I book a place?  Part 2 can be taken in the UK only. When you book your PLAB 2 test place online, you will be able to see which venue is available for you. Currently, the main test venue is in Manchester, with test centres also in Cambridge and London. You can find more details here. What does it cost? Fees. The fee for Part 2 of the PAB test is currently £860 (as of 1st April 2019) How do I register? What happens next?  You can book online using your GMC Online Account. You will be able to view available dates and venues and book under the ‘My Tests’ section.  How do I prepare for PLAB 2?  For PLAB 2, most IMGs advise that they have benefited from attending specific courses geared towards this test. It is also advisable to plan ahead for PLAB 2, so that you can ensure that you can complete everything within one Visitor Visa time period (6 months).  We have explored the UK Visitor Visa for PLAB 2 in more detail here, but let’s look briefly at booking PLAB 2 in more detail as you will have to arrange a UK Visitor Visa in order to sit the test.  Take some time to consider when you want to sit the PLAB 2 exam, it takes time to study for the test itself, but you also need to start the process of your Visa application. To apply for your UK Visitor Visa, you must complete an online UK Visa application for PLAB. This takes two steps, online application, and submission of supporting documents in a Visa application centre.  Remember to plan ahead! Once you have applied for your UK Visitor Visa, you must complete PLAB 2 within 6 months. Do I need to bring anything to the test?  You will need to bring identification and your booking confirmation  For identification, the venue will accept any one of the following. Passport the booking confirmation that includes your GMC booking reference number Don’t forget to dress as though you would on the ward at work. What resources are available?  We have discussed this question at length with IMGs and the GMC, and whilst there are many resources to choose from online, we recommend the following GMC guides to help you start your preparations:  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 the required knowledge, skills and behaviours you are expected to demonstrate in the exam.  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). You can find the Foundation Programme curriculum here Guidance and interactive tools: The GMC ‘Good Medical Practice’ document explains the core advice to doctors on the standards expected of them. During PLAB 2 you will be expected to demonstrate the professional values and behaviours set out in ‘Good Medical Practice’ when you take the exam and when you practise as a doctor in the UK.   Test your knowledge of Good Medical Practice using: explanatory guidance Good Medical Practice in action interactive online tool Welcome to UK practice interactive online tool. You can also find several excellent videos online which provide you with helpful example scenarios.  Courses: For PLAB 2, IMGs usually advise that they have benefited from further study and attending PLAB 2 specific courses. We couldn’t agree more!  You may be worried about taking the exam, but remember that you will have done most of the clinical tasks before, and with real patients.  For a useful overview of how to prepare for exams, including advice on study groups, online community support, best use of online resources & GMC materials and courses, take a look at our blogs on Exam Tips and Revision  When will I receive my results?  When PLAB 2 results are available the GMC will send you an email to provide access to the results in the ‘My Tests’ section of the GMC online account. How many times can I sit the test?  For PLAB 2, you can take the test 4 times. To be eligible to take the test for an additional attempt if you have not passed after 4 attempts, you must have completed a further 12 months experience of clinical practice or post graduate qualification.  Passed? What next?  Once you have passed both parts (PLAB 1 and 2) you can apply for a full registration with a license to practice. Your application must be approved within 2 years of passing part 2 of the test. Once the GMC have approved your application, you can work as a doctor in the UK.  Want more information? 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 If you have any specific questions regarding the PLAB exams, including syllabus, dates, fees, venues and preparation that have not been answered please don’t hesitate to get in touch with an IMG Consultant. 

Passing any exam is not easy, passing the Membership of the Royal College of Emergency Medicine (MRCEM) OSCE examination even more so. In speaking with IMGs about their journey through the MRCEM OSCE exams, we have heard many thoughts about what it takes to pass. To help IMGs preparing to take the test, here we share some tips from past examinees and OSCE course tutors.  Firstly, it is good to know that every IMG taking the test is in the same position as you, perhaps anxious about how to prepare and worried about the exam day. We are told that the exam is just an ordinary day on the ward, so why then do so many excellent practicing EM physicians struggle to pass at first attempt? It is perhaps important to say that we felt it was important to give advice from not just those IMGs who passed first time, but from those who had to learn from their mistakes and take the test a second or even third time.  In this article we take a broad look at some of the main reasons that good candidates have cited as contributing to their failure to pass.  The most common thing that we hear is that IMGs must adapt their skill set to the requirements of the NHS system as well as changing their mindset to be able to work under intense observation.  IMGs have told us that the main reasons they struggle are:  Nerves Lack of practice Lack of familiarisation with the test Lack of understanding of the curriculum  Not being able to communicate effectively  Reading and deciphering the instructions  Anxiety Experiencing anxiety during exams is completely natural and the fact that the OSCE stations are only 7 minutes adds to this in the Part C. The only way to combat exam anxiety is to accept that is both natural and inevitable. The best way to prepare and suppress the adrenergic surge is with practice, practice and more practice. The best way to practice is under exam conditions and if possible, this should be timed and observed by different examiners. We are not of the opinion that this practice should be done last minute in the week before the exam, instead, your practice should start long before this point. Ask your senior colleagues in the ED to observe and comment upon your history taking and examination skills. If you can get into a routine of doing this with 3 to 5 patients per day you will be able to run through nearly all of the most likely scenarios in only 12 shifts. Another great strategy is to teach OSCEs to the more junior doctors within the department. Teaching can be a powerful learning tool and has helped many aspirants with their revision. Lack of practice Make no mistake – the exam is very tough. Over 50% of candidates failed the 2016 sitting. Unless you are freakishly good at cramming you will need to set aside at least 3 months to prepare. IMGs will all study in different ways. Remember you have been through many exams all on your own. Whatever revision method works for you, stick to it. Once you know that you are going to study, make a revision plan and stick to it.  Practice in any way that you can. As above, be sure to ask senior colleagues to observe and offer feedback to you on a regular basis on the EM ward.  To practice out of work, form a small group of colleagues who are also taking the test and run through role plays, taking turns to be patient, doctor or examiner.  Pay careful attention to time keeping as it is very common for candidates to run out of time, particularly in history taking and communication skills stations. Lack of familiarisation with curriculum If you don’t know what you could be tested on, you won’t know what to prepare. The MRCEM OSCE is mapped to the competences of Year 1-3 of the Emergency Medicine 2015 Curriculum which is available on the 2015 Curriculum page. You should familiarise yourself with the Year 1-3 competences in preparation for sitting this examination.   Not being able to communicate effectively  Many IMGs have made the mistake of thinking that communication is only about what you say, not considering how you say it, and what you look like when you are saying it. Of course, you may be anxious, which can make you behave differently and say things in a different way. So, if you have practiced as above, make sure you incorporate practicing communicating not just focusing on what you say, but also your body language when saying it. Remember that between 70% of our communication is non-verbal! Try to speak audibly and clearly and if at all possible, sit at the same level as the patient with an open posture. Attempt to make a connection with the patient, maintain good eye contact and give them your undivided attention. Treat actors and mannequins as if they are real patients, interact with them in the same way that you would on the EM ward. Be direct and to the point but deliver any bad news in a sensitive and empathetic manner. Always check whether the patient has understood what you have said and ask if they have any questions. Reading and deciphering the instructions  It is vitally important to read the instructions very carefully before entering a station. Easy marks are frequently lost by nervous or over-confident candidates that have overlooked key information or made assumptions by misreading. This is a mistake many IMGs have made, so learn from their mistakes and be sure to read everything carefully. Once read, make a plan of how you will approach the scenario. Once your minute is up… deep breath and smile!  Get in touch To discuss MRCEM OSCE, working in the NHS, job and career opportunities in Emergency Medicine, get in touch with an IMG Consultant and they would be delighted to help.

Attaining Membership of the Royal College of Emergency Medicine or MRCEM is needed to attain GMC Registration and start your career in NHS Emergency Medicine. International Medical Graduates (IMGs) from any country in the world can sit the FRCEM examinations, provided certain eligibility criteria are met. These are summarised below along with a broad look at the following topics: What is MRCEM? MRCEM Route Eligibility for overseas doctors Where can I take the exams & how much will they cost me? How do I apply? How to prepare and what resources are available Should I take an MRCEM course? Passed? What next? What is the Royal College of Emergency Medicine? The Royal College of Emergency Medicine is the professional body responsible for the specialty of Emergency Medicine throughout the UK. Amongst many other duties, its role is to set and monitor the educational curriculum for those training to enter the profession in the UK. What is MRCEM? Membership of the Royal College is awarded to candidates who pass three examination components.  There have been a few changes to the MRCEM and FRCEM examination structure over the last few years, as such there are currently two routes to an accreditation in Emergency Medicine, both leading to RCEM Membership. These two routes are: Membership of the Royal College of Emergency Medicine (MRCEM) Fellowship of the Royal College of Emergency Medicine (FRCEM) MRCEM & FRCEM are one several different routes an overseas emergency medicine doctor can take full GMC registration. Read our blogs on acceptable postgraduate qualifications and PLAB if you are unsure what route to take. For doctors who wish to take more senior roles reflective of their current practice, IMG Connect advise that MRCEM or FRCEM would be the best route to take. Please note, aplicants that pass a specific combination of MRCEM and FRCEM examinations can still be awarded Membership of the Royal College by Examination (MRCEM). This would still satisfy postgraduate requirements for GMC registration. MRCEM Examination route: The alternative route, Membership by Examination (MRCEM), is offered to candidates who have passed all of the following components: FRCEM Primary or (MRCEM Part A) One written paper, three-hours total FRCEM Intermediate SAQ (replaces MRCEM Part B) Short Answer Question paper - 3 hour paper comprised of 60, 3-mark questions MRCEM OSCE Practical examination setting with 18, seven-minute stations  Eligibility for MRCEM Examinations: Eligibility for FRCEM Primary: To be eligible you must hold a Primary Medical Qualification (PMQ) that is recognised by the GMC for registration purposes. Eligibility for FRCEM Intermediate: To be eligible you must hold a PMQ recognised by the GMC, have completed an equivalent to the UK Foundation Programme and have passed FRCEM Primary Examination after 1st August 2016. You will also be eligible if you have been granted exemption from the FRCEM Primary as a result of obtaining MRCS or MRCSI after 1st January 2012. Eligibility for MRCEM OSCE: To be eligible to enter the MRCEM OSCE (Part C) you must meet the following requirements: Hold a medical qualification approved by the GMC and Have completed the UK Foundation Programme of equivalent (electronic evidence required at point of application) and Have passed the FRCEM Primary examination after 1st August 2016 or Have passed the MRCEM Part A examination after 1st August 2012 and prior to 31st July 2016 and Have passed the FRCEM Intermediate SAQ after 1st August 2016 or Have passed the MRCEM Part B examination after 1st August 2012 and prior to 31 July 2016 and Have 36 months experience including 6 months experience in Emergency Medicine at a level above Foundation Year 1 (post full registration) Where can I take the exams & how much will they cost me? Examination and application dates are regularly updated by the Royal College and can be found here.  Please remember, applications made outside of the application period will not be accepted. Examination Location Fees FRCEM Primary Short Answer Question Paper UK £310 Iceland, Malaysia, Oman, India £390 FRCEM Intermediate Certificate SAQ UK £305 Iceland, Malaysia, Oman £385 MRCEM OSCE UK £450 India £450 How can I apply? All applications are made online and links to all application forms and windows are available here. It is worth noting, the application can take some time to complete so it is always advisable to apply well in advance of the deadlines. Please remember, applications submitted after the application period will not be accepted.  How do I prepare for each exam and what resources are available? With lots of resources available online, we have discussed with IMGs the best place to start looking for materials relating to the exams. Most IMGs recommended starting with the Royal College, who have created useful resources to help you to prepare for the exams. Curriculum: Applicants are tested on a range of common and important disorders in Emergency Medicine as set out in the Emergency Medicine Training Curriculum 2015. We recommend getting to know the curriculum as early as possible and using it as a road map for your study plan.  Information Packs: These provide detailed information for the relevant examination components so that you can best prepare for your studies and what to expect on the day: FRCEM Primary FRCEM Intermediate MRCEM OSCE SAQ Blueprint: The blue print for the new Intermediate SAQ exam can be found on page 8 of the FRCEM Intermediate examination pack, downloaded from the RCEM website here. Sample questions:  Test your knowledge using example questions from the current exam syllabus provided by the Royal College, see below: Primary – sample questions Intermediate - Sample SAQs are included in the Information Pack Glossary of Terms:  The royal college uses many terms that may cause confusion, so take plenty time to understand the terms and definitions used in this guide. Candidates are expected to be rigorous in their use of these terms. Glossary of terms used in RCEM exams. Examination Report: The Royal College recently began to publish reports on the performance of those sitting FRCEM examinations. Below is the first report published and helps to break down results for those in training and those out of training.  2018 Examination report. Online resources:  There are lots of resources online, such as videos on YouTube, FRCEM courses and useful reading materials. We think that these are a great addition to your study plan, just be sure to check your sources.  For a useful overview of how to prepare for exams, including advice on study groups, online community support, best use of online resources & Royal College materials and courses, take a look at our blog: IMG Connects Top Tips for exam preparation. As ever at IMG Connect we believe in preparation. In order to succeed in the clinical exam, IMGs have told us that it is vital that you practice your clinical examinations as frequently as possible, preferably under the supervision of a senior colleague. This will give you confidence in approaching and examining patients with examiners present. Should I take a course to prepare for the OSCE? Whilst it is not essential to take a course when preparing for the MRCEM or FRCEM OSCEs - there is no doubt it will help your preparations both technically and mentally, and should be considered an investment towards your future career plans. Have a read of our blog on recommended MRCEM courses for Emergency Medicine doctors. Passed? What next?  First of all, congratulations! After you have passed all parts of FRCEM or MRCEM you can apply for a full registration with a license to practice. Once the GMC have approved your application, you can work as a doctor in the UK.  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. Don’t hesitate to get in touch with an IMG Consultant to discuss UK job options in Emergency Medicine, including discussions regarding a typical doctor salary in the UK and the most suitable locations for you. Connect with us Send your CV to info@imgconnect.co.uk  Call us on +44 (0)203 973 0133 Join our growing IMG community! 

Many overseas doctors preparing for their FRCEM or MRCEM Emergency Medicine examinations wonder if they should take a course as part of their preparation. In short, we advise that all IMGs should attend as many courses as possible. The knowledge gained on an MRCEM or FRCEM course goes well beyond the exam.  One issue is of course that courses cost a considerable amount of money, but if you consider that taking a course increases your chances exponentially of passing the examinations first time, the cost is offset by not having to pay to re-sit. Finding courses can be tricky, so take some time to work out what you specifically need help with and the stage you are at in the process. Search online to find the course that will suit your needs the most. Speak to your peers, some may have attended a course that they felt had a positive impact on the learning and preparation.  Once you think you have found a course that suits your needs, such as an MRCEM OSCE course, check reviews posted by other IMGs to be sure of the quality of the tutoring.  When purchasing the Emergency Medicine course, if you have found a course that suits your needs, has good reviews recommendations from your peers, then it will likely be worth the investment. As a direct result, you will likely pass the exams much quicker, helping you to secure the Emergency Medicine job that you want in the NHS.  If you need some advice on choosing an Emergency Medicine MRCEM or FRCEM course to help you on your journey to securing a job in the NHS, don’t hesitate to get in touch with IMG Connect.  Connect with us Send your CV to info@imgconnect.co.uk  Call us on +44 (0) 203 973 0133 WhatsAppp +44 (0) 203 973 0130 Join our growing IMG community!

Earlier in our Postgraduate Qualifications blog series, we took a general look at PLAB examinations and all its various parts as a whole. Now we’ll take a closer look at the first stage of your PLAB journey – PLAB 1. Here we consider everything that you need to know about the exam including syllabus, dates, fees and preparation by covering at the following topics: What is PLAB 1?  What does PLAB test you on?  What's the format of PLAB 1? Where can I sit PLAB 1?  How do I book?  Can I book online?  How much does it cost? How do I prepare and what resources are available?  What can I expect on the day of the exam?  How many times can I sit the test?  When will I receive my results?  Passed? What next?  What is PLAB 1? PLAB 1 tests your ability to apply your knowledge for the care of patients at the house level, or Foundation year 2 in the UK (12 months of medical practice). 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 your local arrangements. Remember, this is an exam for entry into the UK Healthcare system.  Still unsure on PLAB as a whole? Take a look at a more general overview of the PLAB examinations.  What does PLAB test you on?  The exam 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.  What's the format of PLAB 1? PLAB 1 is a written exam made up of 180 multiple choice questions, with the test lasting three hours in total. Each starts with a short scenario followed by a question. You need to choose the correct answer out of the five possible answers given. The GMC have created a helpful guide setting out what the PLAB test covers, you can download it here.  Where can I sit PLAB 1?  You can sit the exam in both the UK and several overseas locations. PLAB 1 is run four times a year in the UK, and twice a year at a number of overseas venues hosted by the British Council. Overseas venues are listed here with contact details. At IMG Connect we advise that you check the closing date for applications for the closest venue. Also, be sure to submit your application in advance as applications submitted after the closing date will not be considered.  How do I book?  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. the necessary knowledge of English – before you can book a test you will need to provide your English language test scores. If you've taken the International English Language Testing System (IELTS) test or the Occupational English Test (OET), you can complete this in the 'My Tests' section at GMC Online.  Can I book online?  You can book your PLAB 1 examination using your GMC Online account. Simply go to GMC Online where you can view available dates and book under the My Tests section. How much does it cost? The PLAB 1 test costs £235. Please note, this fee increased from the 1st April 2019. How do I prepare and what resources are available? We have discussed this question at length with IMGs and the GMC, and whilst there are many resources to choose from online, we recommend the following GMC guides to help you start your preparations:  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 of 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). You can find the Foundation Programme curriculum here Guidance and interactive tools: The GMC ‘Good Medical Practice’ document explains the core advice to doctors on the standards expected of them. During PLAB 1 you will be expected to demonstrate the professional values and behaviours set out in ‘Good Medical Practice’ when you take the exam and when you practise as a doctor in the UK.   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  Courses: You do not need to attend a study or coaching course to pass, but many candidates choose to do so. PLAB 1 can be passed under your own preparation, however PLAB 2 usually requires further study and courses.  There are many courses and materials out there. If you are unsure of how to approach your study preparations, don’t hesitate to ask an IMG Consultant for some recommendations or guidance on which course or resource to use. Remember, we speak to IMGs who've passed these exams on a daily basis and are more than happy to pass on their wisdom! What can I expect on the day of the exam?  First of all, once booked, the GMC will advise you on what time to arrive. You will likely be there for approximately four hours in total.  Do I need to bring anything to the test?  You will need to bring Identification, your booking confirmation and stationery:  For identification, the venue will accept any one of the following: Passport UK Immigration and Nationality Department identification document Home Office travel document If by accident you don't have one of the above you can take the exam but you'll need to provide your identification document later in the process. Booking confirmation: Bring the booking confirmation that includes your GMC booking reference number Stationery: You should bring HB pencils, an eraser and a pencil sharpener. How many times can I sit the test?  For PLAB 1, you can take the test 4 times. If you have not passed after 4 attempts, to be eligible to take the test again you must have completed a further 12 months experience of clinical practice or post graduate qualification.  When will I receive my results?  PLAB 1 results are available around 6 weeks after you have taken the exam.  Passed? What 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.  If you have any specific questions regarding the PLAB exams, including syllabus, dates, fees, venues and preparation that have not been answered please don’t hesitate to get in touch with an IMG Consultant.  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. Connect with us Send your CV to info@imgconnect.co.uk  Give us a call on +44 (0)203 973 0133 Join our growing IMG community!

International doctors (IMGs) can sit the final MRCEM OSCE exam in three locations: the UK, India and Kuala Lumpur. India exam locations for 2020 are yet to be released, however in 2019 these were held in Chennai and Mumbai. Here we explore in brief the exam centres, dates, fees and how to apply online for the MRCEM OSCE exams in india.  2020 Exam dates for India have been released, these are:  Location  Date MRCEM OSCE International (India)  22 – 24 June 2020 MRCEM OSCE International (India) 23 – 25 November 2020 2020 fees are yet to be released, however as a guide the MRCEM (OSCE) cost £450 in 2019. We understand that it will be a similar figure next year. If you wish to take the examination at the India centre, you will pay the local administrator to pay the local fee.  To ensure you get a space on the exam, you have to apply online during the application window. Applications submitted after the closing date will be rejected. The application windows for India are below:  Location Date MRCEM OSCE India (22 – 24 June) 23 March 2020 to 24 April 2020 MRCEM OSCE India (23 – 25 November) 27 July 2020 to 28 August 2020 Results from the India examinations will be released on the following dates:  Location Date MRCEM OSCE India (22 – 24 June) 24 July 2020 MRCEM OSCE India (23 – 25 November) 8 January 2021 Overseas candidates can also sit the MRCEM OSCE examination in London. Dates for 2020 are as follows:  Location Date MRCEM OSCE (London) 27 – 29 January 2020 MRCEM OSCE (London) 8 – 10 June 2020 Please note that all dates are subject to change, you can check the most up to date calendar here.  You can apply for the MRCEM OSCE India examination, or indeed the full roster of Emergency Medicine examinations from the Royal College of Emergency Medicine (FRCEM or MRCEM) here. All applications must be made online and during the application window.  IMGs from all over the world take the MRCEM OSCE examination in India whilst on their journey towards securing an Emergency Medicine job in the NHS. If you want to discuss your options for MRCEM or Emergency Medicine exams, get in touch with your IMG consultant team, who would be happy to answer any questions you may have. 

Exam places for MRCP PACES in 2019 have been hard to come by in some countries. We expect that there will be similar demand in 2020, so what can you do to maximise your chances of securing an examination place?  We have discussed this with Royal College of Physicians, who 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.  Why should I apply for more centres? The maths is easy, 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 Consultant. Take a look at our IMG library for more information regarding postgraduate exams & PACES Connect with us Send your CV to info@imgconnect.co.uk  Call us on +44 (0) 203 973 0133 WhatsAppp +44 (0) 203 973 0130 Join our growing IMG community! 

PACES - so as an overseas doctor where should you start with your exam preparation? With lots of resources available online, we discussed with successful candidates for them the best place to start looking for exam materials. Whilst there are lots of fantastic courses available for IMGs to help pass their PACES exam first time, most IMGs recommended starting their preperation with free resources from the Royal College of Physicians. Using these will give you strong foundations to further suppliment with any further studies or courses which you may decdie to invest in. We have provided the Royal College's official resources below: Curriculum PACES station 4 examiner guidance examples PACES sample scenarios Videos - what to expect on the day PACES candidate videos Candidate guidenotes PACES marksheets General Exam Tips & Preparation  Passed? What next? It is recommended that to give yourself the best chance, you gain clinical experience involving care of emergency patients, adults and children. We advise you to regularly invite senior colleagues to observe and provide feedback on your clinical assessments, so you will be comfortable with the PACES format and give you confidence in approaching and examining patients with examiners present. Curriculum: Applicants are tested on a range of common and important disorders in General Medicine as set out in the Joint Royal Colleges Specialty Training Curriculum for Core Medical Training. We recommend getting to know the curriculum as early as possible, using it as a road map for your study plan.  PACES station 4 examiner guidance examples: This useful guide contains examples of the types of statements found in the examiner guidance section of station 4 scenarios. This will help you to understand what the examiner is looking for.  PACES sample scenarios: These will provide you with the most accurate and relevant scenarios to prepare you for the real thing. Sample scenarios cover Station 2, 4 & 5 (‘history taking’, ‘communication skills and ethics’ and ‘clinical consultations’ respectively. Most of these have been previously used in a recent exam, but please note that during the exam you will only receive the section marked ‘information for the candidate’. Videos - what to expect on the day: These helpful videos will give you a true reflection of what to expect on the day of the exam, easing some of the pressure and ensuring you can focus on the task at hand.  PACES candidate video: Whilst there are lots of useful videos online that are easy to find, the PACES candidate video contains important information about the exam, and practical examples of how the exam will run.  Candidate guidenotes: These guidenotes created by the Royal College help IMGs to understand what to expect on the day, from your arrival to the completion of the test.  PACES Marksheets: To help you understand how PACES is marked here are some examples of full marksheets. It can also be useful to understand how IMGs have failed the exam in the past, as this will give you the best chance to pass first time. The ‘how I failed PACES’ guide provides tips to help you to identify where you might be going wrong, along with practical advice to help you to improve.  General Exam Tips & Preparation: For a useful overview of how to prepare for exams, including advice on study groups, online community support, best use of online resources & Royal College materials and courses - take a look at our blogs on exam tips and preparation.  Passed? What next?  First of all, congratulations! After you have passed all parts of MRCP(UK) you can apply for a full registration with a license to practice. Once the GMC have approved your application, you can work as a doctor in the UK.  Don’t hesitate to get in touch with an IMG Consultant to discuss job options in Medicine, including discussions regarding a typical doctor salary in the UK and the most suitable locations for you.  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. Connect with us Send your CV to info@imgconnect.co.uk  Call us on +44 (0) 203 973 0133 WhatsAppp +44 (0) 203 973 0130 Join our growing IMG community! 

The Occupational English Test (OET) is specifically designed for healthcare professionals. The exam tests your ability in reading, writing, speaking and listening and it is used by overseas doctors to demonstrate their ability to communicate effectively in English to support their application to register and practice medicine in the UK.  For doctors who prefer OET, compared to IELTS, the good news is that OET is now accepted by both the GMC and the UK Home Office - meaning that only one test now required for both UK registration and visa purposes As an IMG coming to work in the UK, there are different scenarios in which you’ll need to provide a pass in an English test. In this article, we outline the key facts about OET, including the following topics:  What is the OET?  Content and structure  Listening Reading Writing Speaking What scores do I need?  Does time matter?  When and where can I sit the test?  How can I prepare?  What resources are available online for each subtest?  Passed? What next? What is the OET?  The OET tests communication in English with an emphasis in medical and healthcare professional settings.  It is recognised by the General Medical Council (GMC), and is fast becoming a common choice to prove a candidate’s ability to communicate in a healthcare environment, such as the NHS. As an overseas doctor you must select and sit the medicine version of the test, this is the only one accepted by the GMC for the purposes of registration for a license to practice.  Content and structure:  The OET tests your ability in four areas of English language communication:  Reading (45 minutes) Writing (60 minutes)  Speaking (45 minutes) Listening (20 minutes) Listening:  This section consists of three parts and tests a candidate’s ability to understand a range of materials, such as lectures or consultations.  Part A – consultation extracts (5 minutes each) You will listen to two recorded patient consultations and will be assessed on identifying specific information. You will also complete the healthcare professionals’ notes using the information that you have heard during the consultation.  Part B – Short extract of workplace discussion (1 minute each) Here, you are tested on your ability to identify detail, understand conversation, meaning and reasons or purpose contained in the discussion. You will hear 6 short extracts and answer multiple-choice questions on each. Example extracts could be a consultation dialogue, team meetings or professional handovers.  Part C – presentation extracts (5 minutes each) This tests your ability to follow a recorded healthcare related presentation or interview. You will listen to two extracts covering different topics and will then answer 6 multiple choice questions on each extract.  What does the listening sub-test assess?  The listening sub-test assesses your ability to identify specific information and details, to understand conversations, reasons for comments and the opinions of the speakers.  Reading:  In this section you are expected to demonstrate your ability to read and understand texts related to healthcare. This sub-test consists of three parts. Part A – expeditious reading task (15 minutes) This tests your ability to quickly and efficiently locate specific information from short texts. The texts will all relate to the same topic, and you will answer 20 questions in total.  Part B and C (45 minutes) Part B consists of 6 short text extracts from a healthcare setting, sourced from the workplace. It assesses your ability to identify detail, understand context, main points and overall gist of a text. Example texts are hospital policies or guidelines, manuals, instruction guides, internal communications between staff.  Answers are multiple-choice, and you will be asked three questions per text.  Part C consists of two texts on topics of interest to healthcare professionals. Each text is 800 words in total. Here you will be tested on your ability to identify detailed meaning and opinion. Each text has eight multiple choice questions.  What does the Reading sub-test assess? Each reading sub-test assesses different skills:  Part A, to read quickly, skim and scan across a variety of texts, in order to identify specific information.  Top tip, familiarise yourself with the conventions of medical texts, the structures, presentation of both numerical and textual content.  Part B, to understand detail and main points.  Top tip for Part B is to excel at identifying ideas or points within paragraphs, or sentences.  Part C, to understand meaning and opinion presented to you. This covers a longer text.  Top tip, the focus here is to understand the wider context, from sentence to paragraph level.  Writing:  This tests your ability to communicate effectively in a healthcare context, such a writing a referral letter. You will be given one task with a healthcare focus relating to the usual demands in the medical workplace.  The task is to write a letter, usually a referral. However, this can on occasion be a letter of discharge or advice for a patient. You will be provided with some materials to assist with context, and information to use in your writing.  How is the writing assessed?  overall execution and completion use of the correct and most suitable language overall comprehension and use of the materials provided grammar, punctuation & spelling cohesion, presentation, structure and layout Top tip, reading more will considerably improve your writing skills.  Speaking:  This section tests your ability to communicate effectively in a role-play based on a typical healthcare scenario. Each role-play takes about five minutes each.  The test will start with an introduction and short warm up conversation. Then the role-play will begin one-by-one and you have three minutes to prepare for each.  How is the speaking assessed?  intelligibility (pronunciation) appropriate use of language relationship building understanding and incorporating the patient’s language providing structure information gathering information giving What scores do I need?  For the GMC to accept your Occupational English Test (OET) certificate you will need to score a grade B or above in each test area. These scores must be achieved in the same test, and this must be your most recent sitting of the OET.  Remember, for the GMC to accept your OET certificate, you must take the medicine version of the test.  Does time matter?  Each sub-test is timed, and you will need to practice how to give each section the right amount of time. You will have to be efficient and work quickly, dedicating the right amount of time to each question and text.  When and where can I sit the test?  You can sit the OET in test venues around the world and they offer the tests 14 times per year. To find out if there is a test venue that suits you take a look at the official website. How can I prepare?  OET can be challenging. So, make sure you are as prepared as possible before sitting the exam.  OET involves learning a wide range of healthcare related and profession specific language.  To get the right score, this must be at an advanced level.  Successful IMGs who have passed OET have told us that learning a range of exam techniques helps you to work quickly and effectively during the test day.  You don’t need to pay take a course. However, it is highly advisable to attend a course, and/or language classes, successful IMGs have advised that this helped them improve their standards in all areas of the test, including improved general levels of English.  Most overseas doctors advise that they improved by attending specific OET courses, and this also helps you to get used to the test format and timings. We strongly recommend that you start preparing for the exams as far in advance as you possibly can.  Establish your level of English, and work out what areas you will need to focus on. Identify your weaknesses, set goals for yourself and plan a revision timetable. What resources are available online for each subtest?  Listening online resources:  A good start would be to watch and listen to extracts online, here are a few options: BBC Factual Podcasts BBC Health Matters  OET Listening Subtests Reading online resources:  Read short, medium and long extracts online. Why not try the following resources:  British Medical Journal ABC health newsletter OET Reading sub-test Writing online resources:  To improve writing skills, we recommend reading and writing! Read short, medium and long extracts online. Write short extracts, re-write articles and write on your own journal.  Why not try the following resources:  British Medical Journal  Free Medical Journals OET Writing sub-test Speaking online resources:  To improve speaking skills, we recommend speaking! Speak with colleagues and friends in English as much as you can. You can also record yourself reading aloud or speaking and then play back your recording, assessing yourself.  Why not try the following resources:   British Medical Journal Free Medical Journals OET Sample Test Video We have also created a useful blog series on Exam Tips and Revision Guidance, which includes tips for studying at home.  Passed? What next? If you have your OET in place you are in a prime position to apply and interview for jobs. Take a look at our job search page if you have not already, alternatively get in touch with an IMG Consultant to put your CV to use! For more useful blogs & articles on English Language Tests to help you find your dream job in the NHS - take a look at our IMG Library. Don’t hesitate to get in touch with an IMG Consultant to discuss UK job options in the NHS, including discussions regarding a typical doctor salary in the UK and the most suitable locations for you.  Connect with us Send your CV to info@imgconnect.co.uk Call us on +44 (0)203 973 0133 Join our growing IMG community!

IELTS 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 put together the most common FAQs asked by IMGs, we will cover the following questions:  What is the IELTS?  Do I need to sit an English Language Test?  Does the GMC accept IELTS?  Can I use my IELTS to support my Visa application?  Which version should I take? Academic, Academic UKVI or General?  Can I take the IELTS test a few times and combine my score?  What is the test format?  Where can I sit the exam?  When can I take IELTS? Should I sit the paper or electronic version? Can I cancel my application? Is the IELTS test completed in one day? When will I receive my results?  If I don’t pass, can I re-sit?  Do I need to take a study course?  Should I study?  Where can I find study materials? What is the IELTS?  IELTS is the International English Language Testing System which tests English language skills worldwide.  The exam tests your ability in reading, writing, speaking and listening.  Do I need to sit an English Language Test?  Yes, IELTS is chosen by different regulatory bodies to ensure that doctors and other healthcare professionals have the correct level of English to communicate at a high level with patients and colleagues, so as to provide safe and effective care.  Does the GMC accept IELTS?  Yes, as part of the GMC registration, the GMC require all doctors to demonstrate their level of English making them eligible to receive a license to practice in the UK, subsequently practicing medicine safely.  IELTS is one of two options accepted by the GMC, the other being OET  What score do I need?  For the GMC to accept your IELTS certificate you must achieve an overall score of 7.5 across all four areas, with no less than a 7.0 in in each testing area.  Can I use my IELTS to support my Visa application?  Yes, the pass score for a Tier 2 General Visa is 4.0 overall, and in each of the four skills. This does not change the requirements for GMC Registration, see above.  IELTS Academic UKVI is acceptable for both GMC and Tier 2 Visa applications, and for this reason can be an attractive route towards registration.  Not only will this save on fees, but also will ensure that only one test is taken.  Which version should I take? Academic, Academic UKVI or General?  You should take the Academic UKVI version;  IELTS Academic will only satisfy the GMC, but IELTS UKVI will satisfy both GMC registration and your visa application.  Can I take the IELTS test a few times and combine my score?  No, you must achieve your results in one sitting, and this must be your most recent sitting of the test.  What is the test format?  IELTS has four parts: Listening (30 minutes) Reading (60 minutes) Writing (60 minutes)  Speaking (11–14 minutes) The total test time is 2 hours and 45 minutes.  Where can I sit the exam?  IELTS is currently offered in over 120 countries, with more than 500 centres available.  When can I take IELTS? IELTS is available on 48 fixed dates a year – up to four times a month, depending on your locality.  Should I sit the paper or electronic version?  It is up to you, but your choice will change the venues that are open to you, check the IELTS website for more information on booking a test. The paper-based test requires you to sit at a desk with the question papers and answer sheets for the reading, listening and writing tests.  The computer-based test requires you to sit the reading, listening and writing tests in front of a computer with the questions presented on the screen.  Can I cancel my application? If you cancel your application more than 5 weeks before the test date, you will receive a refund minus an administration charge. If you cancel within 5 weeks of the test date, you will be charged the full fee unless you have a medical reason.  Is the IELTS test completed in one day? This depends on your test centre. The listening, reading and writing components of the test are always completed one after the other, with no break. The speaking test may be taken up to 7 days either before or after the test date. Check with your test centre for more details. When will I receive my results?  The test report will be posted to you 13 days after your test date. Some test centres also provide SMS alerts and an Online Results Service, check with your centre for more information.  Keep your Test Report Form in a secure place as you only receive one copy and you will need it later!  If I don’t pass, can I re-sit?  You can sit the test as many times as necessary.  However, this will cost you more money, so at IMG Connect we advise that you prepare as best you can for every test. If you don’t pass the test, then do additional study before taking the test again.  Do I need to take a study course?  No, you don’t need to take a course. However, it is highly advisable to attend a course, and/or language classes.  Most IMGs advise that they improved by attending specific IELTS courses, and this also helps you to get used to the test format and timings. Should I study?  Yes, we strongly recommend that you start preparing for the exams as far in advance as you possibly can.  Establish your level of English, and work out what areas of weakness you will need to focus on. Set goals for yourself, and plan a revision timetable. Where can I find study materials? To prepare for the tests, there are lots of online resources and practice materials available. A good start is the IELTS and British Council websites.  You can also find practice papers online. We also recommend joining an IMG Community to share ideas and questions with doctors also taking the tests.  Don’t forget! You must select the Academic UKVI version of the test, this is the only version accepted to support your GMC and Visa applications.  For more useful blogs & articles on English Language Tests to help you find your dream job in the NHS - take a look at our IMG Library. Don’t hesitate to get in touch with an IMG Consultant to discuss UK job options in the NHS, including discussions regarding a typical doctor salary in the UK and the most suitable locations for you.  Connect with us Send your CV to info@imgconnect.co.uk  Call us on +44 (0)203 973 0133 Join our growing IMG community!

GMC Registration is a complex process. For International Medical Graduates (IMGs) planning their route to the UK via either PLAB or Royal College routes, English Language testing forms an integral part of the process.   As an overseas doctor looking to work in the UK, there are different scenarios in which you’ll need to provide a pass in an English Language Test. This article should hopefully help you decide which one would suit you best and includes the following topics:  Who needs an English Language Test? What are your options? What are IELTS & OET?  Which should you choose?  Which test is accepted by who?  Which is easier?  Where and when can I sit the English Language Tests?  How can I prepare for the English Language Tests?  What resources are available?  How else can I study at home?  In summary Who needs an English Language Test? If you are an overseas doctor wanting to work in the UK, you must prove your English Language capabilities to enable you to register with the GMC (General Medical Council). To prove your capabilities you must successfully pass an English Language test. We advise all overseas doctors intending to relocate to the UK, whether via PLAB or postgraduate routes, to start their English Language Test preparations as early as possibl, you may not be able to pass at first attempt. What are your options?  In short, you have two options:  IELTS (International English Language Testing System) OET (Occupational English Test) Both are used to test the English language levels of healthcare professionals in different parts of the world.  Importantly, both are used to demonstrate the correct levels of English have been attained for registration to work in the UK healthcare system.  What are IELTS & OET?  These English Language Tests are chosen by different regulatory bodies to ensure that doctors and other healthcare professionals have the correct level of English to communicate at a high level with patients and colleagues, so as to provide safe and effective care.  For IMGs relocating to the UK, it is important to start by saying that both the IELTS and OET are accepted by the General Medical Council (GMC).  However, it is also important to note that OET is not accepted for Tier 2 Visa applications, which we will explore later.  IELTS:  IELTS is designed for people wanting to work or study in the UK. IELTS has a non-academic version, but be careful, for overseas doctors it is the Academic IELTS UKVI version that you want.   IELTS consists of 4 sections, Reading, Writing, Speaking and Listening.  To pass an average score of 7.5 or above is required, with all areas scoring above 7.0.  OET:  OET is language assessment designed for healthcare professionals. It has many versions, so be careful to select the relevant course for an IMG, the medical version.  OET is fast becoming a popular choice and is equally recognised by the GMC as an accurate test of English for doctors.  OET consists of 4 sections, Reading, Writing, Speaking and Listening. To pass a grade of B (or above) is required in all areas.  Which should you choose?  IELTS gives a broader test of the English language, not just workplace specific. IMGs who took this option have told us that their preparation has had a positive impact on their life in the UK, outside of the workplace.  However, it is also true that OET focuses more on the language that is relevant to healthcare professionals. Many overseas doctors tell us that they like this option as it tested their ability within the context of the medical profession.  Both are accepted by the GMC, so for the purposes of GMC registration only, one is not better than the other.  Both are now accespted for your Tier 2 Visa sponsorship with the Home Office.  For EEA doctors, you do not require a visa and only need to satisfy the GMC’s English language criteria.  If you have qualified outside of the EEA, your English Language Tests will need to satisfy both the GMC and the UK Home Office.  We have created the table below to help you check if you are taking the right test: YES (7.5 overall, no less than 7.0 in all sections)   GMC registration Tier 2 Visa (CoS) Academic IELTS YES (7.5 overall, no less than 7.0 in all sections) NO Academic IELTS UKVI YES (7.5 overall, no less than 7.0 in all sections) YES (4.0 in all sections)  OET YES (Score of B+ in all areas)  YES Which is easier?  This really falls down to a matter of preference.  Both are difficult and require hard work and exam study. Why not take a look at our tips for preparing for English Language Exams at home.  Some will find the OET works well for them as it covers healthcare specific language, meaning that you can make good use of your existing healthcare knowledge and vocabulary.  IELTS is not specific to the healthcare profession, it is taken by professionals from all industries. So, the topics covered are more general.  If your English level is good enough, neither OET or IELTS will hold you back.  There is no evidence to suggest that one test is easier than the other.  Here is a comparison chart to help:    IELTS Academic UKVI OET Test time 2 hrs 45 mins Approx. 3 hrs Listening 30 mins You will be asked to listen to 4 recordings and answer questions based on what you’ve heard. The recordings will be two lectures or monologues and have two spoken conversations. The questions will ask you to ‘fill in the blanks’ or ‘match the following’, as well as ask you to label, complete sentences and more.  50 mins This section is broken into two, part A and B.  Part A will ask you to take notes on a consultation, and part B will ask you to fill in the blanks and answer multiple choice questions after listening to a healthcare lecture. Reading  1 hr You will be given three passages of text taken from journals and newspapers etc. You will then be asked to answer questions and complete tasks based on the reading material provided. Some of the questions may be multiple choice, true or false, note completion, identification etc.  1 hr This is split into two parts, part A and B. Part A is made up of 4 short texts – you fill in the blanks and complete a summary of the topic being discussed. Part B requires you to read two longer texts and answer multiple choice questions about each.  Writing 1 hr This includes two tasks. The first is 20 minutes, you will need to study and write about some data or graphs provided.  The second task will ask you to write an essay based on a broad subject.  45 mins This test will require you to read some case notes and write a discharge, follow up or referral letter based on the notes. Speaking 15 mins This is split into three parts. Each part is a general discussion. Firstly, this will be a discussion on topics such as family, hobbies and interests. This is followed by task card topics, which you will be given with a topic to speak about.  20 mins This task starts with a short warm up discussion with the examiner. The main test then comprises of two role plays, in which you will play a doctor, and the examiner will play a patient. The interaction will be based on a selected topic card.  Accepted for GMC registration YES if you take the Academic IELTS UKVI option (7.5 overall, no less than 7.0 in all sections) YES if you take the medicine version (Score of B+ in all areas) Accepted for Tier 2 Visa YES if you take the Academic IELTS UKVI option (4.0 in all sections) YES Cost (£) £200 £349 Where and when can I sit the English Language Tests?  IELTS is available in over 140 countries, with tests held up to 4 times per month. Check if there is a venue near where you live.  OET is available 14 times per year in 40 countries, with the number of cities and venues increasing each year. Check if is there is a venue near where you live.  How can I prepare for the English Language Tests?  IELTS and OET can be challenging, so make sure you are as prepared as possible before sitting the exam.  Preparing for any English Language Test, whether you have chosen IELTS or OET, requires learning a huge amount of vocabulary, learning how to write specific reports or essays, using a high level of grammar and structure and learning how to engage with a range of scenarios and acquire a set of key exam techniques.  You should take time to research each area of the test in detail, but don’t worry, help is at hand, and we will explore some of the best resources online.  Your preparation for each test will need to be different. This doesn’t mean that one will require more or less preparation, just that you will need to study varied pathways and prepare different topics and vocabulary. IELTS involves learning a much wider amount of vocabulary on a range of academic subjects so that you will be prepared to read academic texts quickly and effectively, understand lectures, talks and questions, giving opinion in detail.  You will have to prepare how to write reports on a variety of data and essay types.  Written texts are to be of a high standard, including complex structures and grammar.  OET involves learning a wide range of healthcare related and profession specific language. The test will require you to follow clinical scenarios, understand medical texts and talks. You will need to write a healthcare letter, such as a referral. To get the right score, this must be at an advanced level.  Successful IMGs who have passed, told us that learning key exam techniques helps you to work quickly and effectively during the test day.  What resources are available?  For IELTS, the British Council provide free online preparation on their website. The British Council also offer the IELTS word power app. It's a great way to prepare for your test no matter where you are. Download the app here.  The IELTS publication Information for Candidates has valuable information about the way the test is run and what to expect on the day. For OET practice, you can buy helpful OET guidance packs online. The OET also offer a preparation portal full of material to help you study for the test, including free practice materials. How else can I study at home?  Successful 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 English Language scores in both IELTS and OET, is to study at home.  Whilst exam papers are an essential weekly part of your overall study plan, too many exam papers can lead to boredom or frustration.  Most find the following helpful (and enjoyable):  Listen to podcasts Speak to native English speakers (you can always give us a call!) Watch relevant YouTube videos for your chosen exam Watch movies Listen to radio Read articles relevant to your exam In summary: Neither exam is easier than the other. Both Academic IELTS UKVI 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.  Don’t hesitate to get in touch with an IMG Consultant to discuss UK English language testing and job options in the NHS, including discussions regarding a typical doctor salary in the UK and the most suitable locations for you.  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. Connect with us Send your CV to info@imgconnect.co.uk  Call us on +44 (0)203 973 0133 Join our growing IMG community! 

For International Medical Graduates (IMGs) planning their route to the UK via either PLAB or Royal College routes, English Language testing forms an integral part of the process.  Doctors regularly ask us which test is the most suited for IMGs to sit and which is more suited to the medical professional?  There are different scenarios in which you’ll need to provide a pass in an English test. This article should hopefully help you decide which English Language Test would suit you best and includes the following topics:  What are IELTS & OET?  Which test is accepted by which registration body?   What are the similarities and differences?  What do I need to score in each test for GMC registration?  Where and when can i sit the English Language Exams?  How do I prepare for the exam?  Which test should I choose? If you are an IMG relocating to the UK to start a doctors job, you will be required to take an English Language exam, enabling you to register with the GMC (General Medical Council). What are IELTS & OET?  Both IELTS (International English Language Testing System) and OET (Occupational English Test) are used to test the English language levels of healthcare professionals in different parts of the world.  They are chosen by different regulatory bodies to ensure that doctors and other healthcare professionals have the correct level of English to communicate at a high level with patients and colleagues, so as to provide safe and effective care.  For international doctors relocating to the UK, it is important to start by saying that both the IELTS and OET are accepted by the General Medical Council (GMC).  Which test is accepted by which registration body?  For overseas doctors the main consideration is whether your English language test needs to be considered for GMC registration as well as Tier 2 visa sponsorship with the Home Office.  For EEA doctors, you do not require a visa and only need to satisfy the GMC’s English language criteria.  If you have qualified outside of the EEA, your English Language Tests will need to satisfy both the GMC and the UK Home Office. The good news is that recent changes to the rules means that both IELTS and OET are accepted for GMC registration and yoru Tier 2 visa. Check out the recent updates here.  We have created the table below to help you check if you are taking the right test:   GMC registration Tier 2 Visa (CoS) Academic IELTS YES (7.5 overall, no less than 7.0 in all sections) NO Academic IELTS UKVI YES (7.5 overall, no less than 7.0 in all sections) YES (4.0 in all sections)  OET YES (Score of B+ in all areas)  YES OET and Tier 2 visas: Only one test now required for both UK registration and visa purposes.  What are the similarities and differences?  Similarities: Each consists of four areas, one for each English language skill: reading, listening, writing and speaking.  Both tests take place in one day.  Both give a graded score (not pass or fail) Both are recognised by the GMC and other healthcare regulatory bodies in the UK There are however, more differences.  Differences: The content of the exam is different.  IELTS tests overall academic English (as an IMG you must select the Academic IELSTS UKVI test as this is the one recognised by the healthcare regulatory bodies, i.e. GMC & Home office).  What does this mean in practice? Well, this includes the ability to write essays, follow lectures, understand academic articles, journals and newspapers, discuss a wide range of topics including social, environmental, educational and cultural trends. The OET is different, the OET has been designed specifically for medical professionals, including nursing, medicine, radiography, occupational therapists and so on. Be sure to choose the correct exam for you, medicine!  The OET tests healthcare English, including the ability to communicate effectively in medical scenarios, write referral letters, understand a patient consultation, or follow a text from a medical journal.  Your preparation will need to be different This doesn’t mean that one will require more or less preparation, just that you will need to study varied pathways and prepare different topics and vocabulary. IELTS involves learning a much wider amount of vocabulary on a range of academic subjects so that you will be prepared to read academic texts quickly and effectively, understand lectures, talks and questions, giving opinion in detail.  You will have to prepare how to write reports on a variety of data and essay types.  Written texts are to be of a high standard, including complex structures and grammar.  OET involves learning a wide range of healthcare related and profession specific language. The test will require you to follow clinical scenarios, understand medical texts and talks. You will need to write a healthcare letter, such as a referral. To get the right score, this must be at an advanced level.  Successful IMGs who have passed, have told us that learning a range of exam techniques helps you to work quickly and effectively during the test day.  What do I need to score in each test for GMC registration?  IELTS:  IELTS is marked out of 9 in each paper. For GMC registration an overall score of 7.5 must be achieved, with a minimum of 7.0 in each area of the test. OET: OET is marked grades A to E in each paper. For GMC registration a minimum of grade B is required in all areas to pass the exam, or a point score of 350 points across all areas of the test.  Where and when can I sit the English Language Tests?  IELTS is available in over 140 countries, with tests held up to 4 times per month. Check if there is a venue near where you live.  OET is available 14 times per year in 40 countries, with the number of cities and venues increasing each year. Check if is there is a venue near where you live.  How do I prepare for either exam?  Preparing for any English Language Test, whether you have chosen IELTS or OET, requires learning a huge amount of vocabulary, learning how to write specific reports or essays, using a high level of grammar and structure, learn how to engage with a range of scenarios and acquire a set of key exam techniques.  You should take time to research each area of the tests in detail, but don’t worry, help is at hand, for more information on how to prepare, take a look at our blog series on English Language testing.  Which test do I choose?  Neither exam is easier than the other. Both IELTS 7.5 and OET B 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.  I have my ELT in place, what next? Depending on what other qualifications you have in place, you may have to pass an accepted postgraduate qualification in order to be eligible for full GMC registration. Regardless, passing your english test is a huge acheivement and will take you that one giant step closer to working in the NHS. So congratulations! For more useful blogs & articles on English Language Tests to help you find your dream job in the NHS - take a look at our IMG Library. Don’t hesitate to get in touch with an IMG Consultant to discuss UK job options in the NHS and English Language Tests, including discussions regarding a typical doctor salary in the UK and the most suitable locations for you.  References: Specialist Language Courses: https://www.specialistlanguagecourses.com/ Specialist Language Courses - IELTS and OET a guide for healthcare and recruitment professionals: https://www.specialistlanguagecourses.com/ielts-and-oet/

We have already taken a broader look at MRCP(UK) examinations and in this article designed to help you prepare and sit the Part 2 exam, we consider the following topics: What is MRCP Part 2? Am I eligible to sit MRCP Part 2? What is the exam content & format? Where I can take the exam?  When is the exam sat and when can I apply? How much does it cost? How can I prepare for the exam? Passed? What next? What is MRCP Part 2? Building on the knowledge assessed in Part 1, the exam tests your acquisition of a representative sample of medical knowledge, skills and behavior as specified in the UK Specialty Training Curriculum for Core Medical Training.  It is designed to test your application of clinical understanding and capacity to make clinical judgements, including: prioritisation of diagnostic or problem lists investigation planning selection of a plan for immediate management selection a plan for long-term management assessment prognosis Am I eligible to sit MRCP Part 2? You are eligible if you have passed the MRCP(UK) Part 1 examination. A reminder that to be eligible for Part 1, you require 12 months experience and a recognised Primary Medical Qualification.  The Part 2 written examination moved to a single day format at the beginning of 2018. The new examination consists of two, three-hour papers each with 100 questions. What is the examination format and content? A good understanding of the examination format is a great foundation for your exam preparation, so below we have summarised the Royal College’s guidance on the Part 2 examination format and content. Format: The exam consists of two-papers, sat over the course of one day in an examination hall. Each paper is 3 hours in duration and contains 100 multiple choice questions in ‘best of five’ format (200 questions in total). Composition of the papers are as follows: Specialty Number of questions * Cardiology  19 Dermatology  9 Endocrinology and metabolic medicine 19 Gastroenterology 19 Geriatric Medicine 9 Hematology 9 Infectious diseases and GUM 19 Neurology 17 Nephrology 19 Oncology and palliative medicine 9 Ophthalmology  3 Psychiatry  3 Respiratory Medicine 19 Rheumatology  9 Therapeutics and toxicology  18 Total 200 *This should be taken as an indication of the likely number of questions – the actual number may vary by up to 2%. A proportion of the questions will be on adolescent medicine. Question Content: Questions are centred on the diagnosis, investigation, management and prognosis of a patient. They usually have a clinical scenario and may include results of investigations and images such as: clinical photographs pathology slides inheritance trees ECGs, X-rays, CT and MR scans and echocardiograms. In addition to testing core knowledge & comprehension, the exam assesses your ability to interpret information and solve clinical problems. Best of Five question format and marking: There will be five options: one correct answer and four alternatives to the correct answer.  The four distractors will be closely related to the preferred option but less correct, therefore acting as plausible alternatives.  Each correct answer is awarded one mark and there is no negative marking. A more detailed explanation of the marking system used can be found here on the exam pass mark page of the Royal College website in MRCP(UK) Regulations. Where can I take the exam?  MRCP(UK) Part 2 can be taken in the UK and overseas, see below: *Please note these differ slightly from MRCP(UK) Part 1 examination centers ** UK test centres dependent on availability Exam UK Test Centres  Overseas Test Centres   MRCP(UK) Part 2 Edinburgh Manchester Newcastle Glasgow Belfast Birmingham Cardiff London Bahrain (Manama) Bangladesh (Dhaka) Egypt (Cairo) Hong Kong Iceland (Reykjavik) India (Chennai, Kerela, Kolkata, Mumbai, New Delhi) Iraq (Baghdad, Erbil) Jordan (Amman) Kenya (Nairobi) Kuwait (Kuwait City) Malaysia (Kuala Lumpur) Malta Myanmar (Yangon) Oman (Muscat) Pakistan (Karachi, Lahore) Qatar (Doha) Saudi Arabia (Jeddah, Riyadh) Singapore Sri Lanka Sudan (Khartoum) United Arab Emirates (Abu Dhabi, Dubai) United States of America (New Jersey) West Indies (Barbados, Jamaica, Trinidad) When is the exam sat and when can I apply? Exam dates and their application periods can be found here. It is important to note that you must apply for each MRCP exam during the specified application period. Application made outside of the designated period will not be accepted. How much does the exam cost? UK applications cost £419 International applications cost £594* Please note, the application process and fees applicable for Hong Kong and Singapore centres differ. Applications should be made directly to the administration team for this centre. How can I prepare for the exam? With lots of resources available online, we have discussed with IMGs the best place to start looking for materials relating to the exams. Most IMGs recommended starting with the Royal College, who have created useful resources to help you to prepare for the exams. See below:  Curriculum: Applicants are tested on a range of common and important disorders in General Medicine as set out in the Joint Royal Colleges Specialty Training Curriculum for Core-Medical Training. We recommend getting to know this as early as possible, using it as a road map for your study plan. MRCP(UK) mock exams: We suggest registering for the MRCP mock exams here. These will provide you with the most accurate and relevant mock questions to prepare you for the real thing. Sample questions: Test your knowledge using example questions from the current exam syllabus provided by the Royal College, see below: Part 2 sample questions For a useful overview of how to prepare for exams, including advice on study groups, online community support, best use of online resources & Royal College materials and courses - take a look at our blog: IMG Connects Top Tips for exam preparation. Passed? What next? Now you have passed your MRCP Part 2 you can apply to take PACES - the practical and final examination within the MRCP set of examinations.  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. Don’t hesitate to get in touch with an IMG Consultant to discuss UK job options in the NHS, including discussions regarding a typical doctor salary in the UK and the most suitable locations for you.  Connect with us Send your CV to info@imgconnect.co.uk Call us on +44 (0)203 973 0133 Join our growing IMG community! 

There are many parts to the GMC registration process and in this blog we will focus on one of the most important parts – your postgraduate qualification. The GMC must be satisfied you have sufficient knowledge and skills before it grants you a license to practice, and for international doctors there are various routes to be considered. Your experience and desired role in the NHS should help shape the route you take option for you. The following postgraduate routes are available to you: PLAB UK Postgraduate Qualification (Royal College Qualification) Recognised or Equivalent Postgraduate Qualification  PLAB: The first and most popular route with junior doctors is the Professional and Linguistic Assessments Board or PLAB as its commonly known. It is a two-part exam, with Part 1 taken all over the world and the second part taken in the UK only. Have a read through our detailed and helpful blog series on the PLAB tests for more information. UK Postgraduate Qualifications / Royal College qualifications: One of the most popular routes for overseas doctors is to attain a UK Postgraduate Qualification through one of the UK's Royal Colleges. There are twenty-four Royal Colleges in existence in the UK, and they are the professional bodies responsible for the individual medical specialties they cover. Amonst their many duties, their role is to set and monitor the educational curriculum for those training to enter their respecitive professions. UK trainees will sit a series of examinations set by their Royal College depending on what medical speciality they have chosen and these generally are set to a higher level of specialism and training when compared to the PLAB examinations. Attaining a Royal College Qualification will of course satisfy GMC postgraduate criteria for full registration and are often the route for more senior international candidates looking to work in the UK. Certainly, if you want to  Have a read through our Postgraduate Qualifcation section to find the qualification set against your specialty. The entire list of Royal College examinations can be found below. Alternatively, have a look through our blog on PLAB v Royal College to help you decide. Awarding Body  Qualification Royal College of Anaesthetists Primary FRCA examination Royal College of Emergency Medicine  Membership of the College of Emergency Medicine  (MCEM/MRCEM) Royal College of Obstetricians and Gynaecologists  Membership of the Royal College of Obstetricians and Gynaecologists  (MRCOG) Royal College of Paediatrics and Child Health Membership of the Royal College of Paediatrics and Child Health Royal College of Pathologists Fellowship of the Royal College of Pathologists (FRCPath) by examination only Royal College of Physicians and Surgeons of Glasgow Fellowship of the Royal College of Physicians and Surgeons of Glasgow (FRCS Glasg Ophthalmology) Royal College of Physicians London  Royal College of Physicians Edinburgh Royal College of Physicians and Surgeons of Glasgow Membership of the Royal College of Physicians MRCP (UK) Royal College of Psychiatrists Membership of the Royal College of Psychiatrists (MRCPsych) Royal College of Radiologists  Fellowship of the Royal College of Radiologists (FRCR) Royal College of Surgeons Edinburgh  Membership of the Royal College of Surgeons of Edinburgh (MRCS Ed Opthalmology) Royal College of Surgeons of England Royal College of Surgeons of Edinburgh Royal College of Physicians and Surgeons of Glasgow Any of the following: Intercollegiate Membership of the Royal College of Surgeons - MRCS Intercollegiate Membership of the Royal College of Surgeons - (MRCS (ENT)) Collegiate Membership of the Royal College of Surgeons - (MRCS) Fellowship of the Royal College of Surgeons - (following examination) (FRCS) Recognised or Equivalent Postgraduate Qualifications Another option is to attain a GMC recognised overseas qualification. These overseas qualifications are recognised by the GMC as equivalent and will be accepted as evidence that you have the necessary knowledge, skills and experience to apply for full registration with a licence to practise. Have a read through our blog on GMC Recognised Postgraduate Qualifications to find out if your qualification is on the list and recognised by the GMC.  Please note, you must be granted full registration with a license to practice within three years of passing your postgraduate qualification. Recognised Equivalent Qualifications: Country Awarding Body Qualification America  American Board of Pediatrics (ABP) Diplomate of the American Board of Pediatrics - General Pediatrics America   American Board of Anaesthesiology Certificate of the American Board of Anaesthesiology America The American Board of Radiology  The American Board of Radiology diagnostic radiology examination Australia/New Zealand  Australian and New Zealand College of Anaesthetists Fellowship of the Australian and New Zealand College of Anaesthetists Australia/New Zealand   Royal Australasian College of Physicians  FRACP Adult medicine or evidence of three years of basic training (PREP) + achievement of RACP written and clinical examinations OR FRACP Paediatrics or evidence of three years basic training (PREP) + achievement of RACP written and clinical examinations Australia/New Zealand   The Royal Australian and New Zealand College of Psychiatrists Fellowship of The Royal Australian and New Zealand College of Psychiatrists (FRANZCP) awarded since January 2012 Australia/New Zealand  The Royal Australian and New Zealand College of Radiologists  Fellowship of The Royal Australian and New Zealand College of Radiologists (FRANZCR) (Clinical Radiology) Fellowship of The Royal Australian and New Zealand College of Radiologists (FRANZCR) (Radiation Oncology) Bangladesh  Bangladesh College of Physicians and Surgeons Fellowship in Anaesthesia or Anaesthesiology awarded since July 1999 Canada  The Royal College of Physicians and Surgeons of Canada The Royal College of Physicians and Surgeons of Canada - diagnostic radiology examination Europe European Academy of Anaesthesiology or European Society of Anaesthesiology European Diploma in Anaesthesiology and Intensive Care  Hong Kong Hong Kong College of Physicians Membership of the Hong Kong College of Physicians Ireland College of Anaesthetists of Ireland  Fellowship of the Faculty or the College of Anaesthetists Ireland Royal College of Physicians in Ireland  MRCP Medicine (Medicine of Childhood) Ireland Royal College of Surgeons in Ireland   MRCS (collegiate examination) MRSCI (intercollegiate examination) Fellowship of the Royal College of Surgeons Ireland Fellowship of the Faculty or the College of Anaesthetists of the Royal College of Surgeons in Ireland Malaysia  Ministry of Health Master of Medicine (MMED) Malaysia with MRCP (UK) awarded since 1 July 2010 This must include four years of clinical experience (required to complete MMED) plus two years of training Pakistan  College of Physicians and Surgeons Pakistan FCPS Paediatrics Pakistan Fellowship in Anaesthesiology awarded since1998 Singapore  National University of Singapore Master of Medicine (Paediatrics)  Master of Medicine (Internal Medicine) including MRCP (UK)  Singapore  Joint Committee on Specialist Training Singapore  Master of Medicine (MMED) Singapore, plus MRCP (UK) awarded since 1 July 2010 South Africa  College of Anaesthetists of South Africa Fellowship of the College of Anaesthetists of South Africa FCA (SA) South Africa  Colleges of Medicine of South Africa  Fellowship of the College of Radiologists of SA FC Rad Diag (SA) - Diag Rad awarded after 1 October 2013 Sri Lanka  University of Colombo, Sri Lanka Doctor of Medicine or MD (Anaesthesiology) Doctor of Medicine or MD, (Obstetrics and Gynaecology) Doctor of Medicine or MD, (Paediatrics) Doctor of Medicine or MD (medicine) awarded after January 2017 Doctor of Medicine or MD (surgery) awarded after July 2017 West Africa  West African College of Physicians Fellowship of the West African College of Physicians (Paediatrics) West Indies  University of the West Indies Doctor of Medicine (Anaesthesia) awarded since September 2003 (Course title has since changed to Doctor of Medicine (Anaesthesia and Intensive care)) 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. Don’t hesitate to get in touch with an IMG Consultant to discuss UK job options in the NHS, including discussions regarding a typical doctor salary in the UK and the most suitable locations for you.  Connect with us Send your CV to info@imgconnect.co.uk Call us on +44 (0)203 973 0133 Join our growing IMG community! 

The General Medical Council (GMC) is the public body that maintains the official register of Medical Practitioners within the United Kingdom. Their chief responsibility is to ‘protect, promote and maintain the health and safety of the public’  in addition to improving medical education and practice across the UK. The GMC defines it's role with the four main duties below: Decide which doctors are qualified to work in the UK Oversee UK Medical education and training Set the standards doctors need to follow throughout their career When necessary, take action to prevent unsafe practice or patient safety being jeopardised How does the GMC support itself? Through people like you! The GMC is supported by fees paid by the doctors that make up its membership, and it became a registered charity in 2001. Where is the GMC based? The GMC has offices in Central London and Manchester and you will need to personally attend an ID check at one of these offices in order to complete your registration. This can also be a great opportunity to meet your IMG Consultant and get to know the UK a little before relocating! Licensing and revalidating doctors in the UK The GMC is also responsible for licensing and revalidating every doctor practising in the UK. This is essential to continued practice and needs completing every 5 years. This will be very important for you in years to come. You can find out more about revalidation here. How do I register with the GMC? Registering with the GMC is a multi-staged process and requires deeper explanation! Find out how to become a fully registered member of the GMC by having a look at our blog on GMC Registration.  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. Don’t hesitate to get in touch with an IMG Consultant to discuss any questions you may have, including a typical doctor salary in the UK and the most suitable locations for you.  Connect with us Send your CV to info@imgconnect.co.uk  Call us on +44 (0)203 973 0133 Join our growing IMG community!

MRCP PACES…. you’re almost there. To complete our series on MRCP(UK) we now take a look at the final stage of this examination journey. In this article we will consider the following:  What is PACES? Am I eligible to sit MRCP PACES? What is the content and format?  How is PACES marked?  As an overseas candidate where can I take the exam? When should I take PACES? How can I prepare for the exam?  Passed? What next?  What is PACES? The Practical Assessment of Clinical Examination Skills (PACES) is designed to test the clinical knowledge and skills of trainee doctors who hope to enter higher specialist training (ST3).  The exam sets rigorous standards to ensures trainees are competent across a wide range of skills and are ready to provide high-quality care to patients. Am I eligible to sit MRCP PACES? You must have passed the Part 1 written examination within the last seven years before taking PACES. The Royal College strongly advises trainees to apply after competing two years practical experience and Part 2 of the examination. What is the content and format?  PACES is based on a format that is similar to OSCEs, a practical assessment in a clinical setting.  There are five clinical stations with either patients with a given condition, or trained stand-ins (surrogates).  The exam is sat over a half-day and assesses seven core skills over five stations. IMGs can expect eight patient encounters assessed independently by a total of ten examiners (two at each station).  The seven core skills: Physical examination – demonstrate correct, thorough, systematic, appropriate and professional technique of physical examination. Identify physical signs – identifying physical signs correctly. Clinical communication – elicit a clinical history relevant to the patient’s complaints, in a systematic, thorough and professional manner. Differential Diagnosis – create a sensible, clinically assessed differential diagnosis for a patient. Clinical Judgement – select an appropriate management plan for a patient or clinical situation. Select appropriate investigations or treatments for a patient that the candidate has clinically assessed. Managing patients concerns – seeks, detect, acknowledge and address patients or relatives concerns, confirming their understanding and demonstrate empathy. Maintain patient welfare – treat a patient or relative respectfully and sensitively in a manner that ensures their comfort, safety and dignity. The PACEs Carousel: The Carousel consists of five stations, each assessed by two independent examiners.  Candidates start at any of the five stations, moving round the carousel at 20-minute intervals, until completed. A five-minute period between each station is given.  Candidates are marked on clinical skills at each encounter in the examination. An encounter is when a candidate has an interaction with a patient or a surrogate. Stations 2 and 4 involve one encounter, whereas stations 1, 3 and 5 have two encounters.  How is PACES marked?  PACES is marked on seven skills, A-G, these are:  Skill A: Physical examination (stations 1, 3 and 5) Skill B: Identifying physical signs (stations 1, 3 and 5) Skill C: Clinical communication (stations 2, 4 and 5) Skill D: Differential diagnosis (stations 1, 2, 3 and 5) Skill E: Clinical judgement (all stations) Skill F: Managing patients’ concerns (all stations) Skill G: Maintaining patient welfare (all stations) Skill B, identifying physical signs, is often considered the most challenging skill to pass. As an overseas candidate where and when can I take the exam? It is a little more complicated than Part 1 or 2 exams and exam slots are often in short supply. Whilst the Royal College is working hard to increase the number of spaces, it is not always possible to offer a place to all applicants. Priority is given to those candidates who are near the end of their stage 2 eligibility period. A full list of examination dates can be found here, please note these are subject to change. Overseas centres, available spaces and fees are listed below:  Center Spaces available  Fees Center Spaces available  Fees Brunei 45 £1202 Malta 45 £1202 Egypt 90 £1202 Myanmar (Mandalay) 45 £1202 Hong Kong 75 HK$14,945 Myanmar (Yangon UM1) 75 £1202 India (Bengaluru) 45 £1202 Myanmar (Yangon UM2) 45 £1202 India (Chennai) 75 £1202 Oman 75 £1202 India (Hyderabad) 45 £1202 Qatar  45 £1202 India (Kochi) 60 £1202 Singapore 75 £1297 India (Kolkata) 45 £1202 Sri Lanka (Colombo) 45 £1202 India (New Delhi) 45 £1202 Sudan  45 £1202 Kuwait  60 £1202 United Arab Emirates (Al Ain) 45 £1202 Malaysia (Kuala Lumpur) 120 £1202 United Arab Emirates (Dubai inc. Sharjah) 60 £1202 Malaysia (Penang) 45 £1202 UK exam centres The examination is run at clinical centres across the UK (England, Scotland, Wales and Northern Ireland); these vary from diet to diet. When should I take PACES? Royal College performance data provides some food for thought when considering when to apply for PACES. The data suggests: Wait at least 36 months after graduation before applying. Those taking the exam before this period were less likely to pass. 24-36 months post-graduation – 50% pass rate 36-48 months after graduation – 77% Candidates that had already passed part 1 & 2 written examinations were significantly more likely to pass PACES at first attempt. How can I prepare for the exam?  With lots of resources available online, we have discussed with IMGs the best place to start looking for materials relating to the exams. Most IMGs recommended starting with the Royal College, who have created useful resources to help you to prepare for the exams. See below:  Curriculum: Applicants are tested on a range of common and important disorders in General Medicine as set out in the Joint Royal Colleges Specialty Training Curriculum for Core Medical Training. We recommend getting to know the curriculum as early as possible, using it as a road map for your study plan.  It is recommended that to give yourself the best chance, you gain clinical experience involving care of emergency patients, adults and children. We advise you to regularly invite senior colleagues to observe and provide feedback on your clinical assessments, so you will be comfortable with the PACES format and give you confidence in approaching and examining patients with examiners present. PACES station 4 examiner guidance examples: This useful guide contains examples of the types of statements found in the examiner guidance section of station 4 scenarios.  This will help you to understand what the examiner is looking for.  PACES sample scenarios: These will provide you with the most accurate and relevant scenarios to prepare you for the real thing. Sample scenarios cover Station 2, 4 & 5 (‘history taking’, ‘communication skills and ethics’ and ‘clinical consultations’ respectively. Most of these have been previously used in a recent exam, but please note that during the exam you will only receive the section marked ‘information for the candidate’. Videos on what to expect on the day: These helpful videos will give you a true reflection of what to expect on the day of the exam, easing some of the pressure and ensuring you can focus on the task at hand.  PACES candidate video: Whilst there are lots of useful videos online that are easy to find, the PACES candidate video contains important information about the exam, and practical examples of how the exam will run.  Candidate guidenotes: these guidenotes created by the Royal College help IMGs to understand what to expect on the day, from your arrival to the completion of the test.  It can also be useful to understand how IMGs have failed the exam in the past, as this will give you the best chance to pass first time. The ‘how I failed PACES’ guide provides tips to help you to identify where you might be going wrong, along with practical advice to help you to improve.  For a useful overview of how to prepare for exams, including advice on study groups, online community support, best use of online resources & Royal College materials and courses - take a look at our blogs on exam tips and preparation.  Passed? What next?  First of all, congratulations! After you have passed all parts of MRCP(UK) you can apply for a full registration with a license to practice. Once the GMC have approved your application, you can work as a doctor in the UK.  Don’t hesitate to get in touch with an IMG Consultant to discuss job options in Medicine, including discussions regarding a typical doctor salary in the UK and the most suitable locations for you.  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. Connect with us Send your CV to info@imgconnect.co.uk  Give us a call on +44 (0)203 973 0133 Join our growing IMG community! 

Applying for your GMC registration as an overseas doctor can be a little complex.  In this article we take an in depth look at putting together your online application for the GMC and cover the following topics:  Preparing and understanding what documents you need  Applying for Online Registration Paying your registration fee Providing the required evidence GMC ID Checks I've had my ID checked, what next? Preparing and understanding what documents you need  All applicants must have prepared: Evidence of English Language Test  Evidence to support your fitness to practise Explanations for breaks in medical practise Preparation specific to EEA Doctors: Acceptable Primary Medical Qualification (PMQ). Preparation specific to non-EEA Doctors: Acceptable overseas PMQ (different from GMC recognised PMQ) Verification of primary medical qualification Knowledge and skills fit for UK practise (PLAB or Postgraduate Qualification) Read our blog on accepted PMQs here. Or read up on verifying your PMQ with the GMC here. At IMG Connect we always recommend that you prepare all of your documentation and get organised before starting any application. If you do, completing the online application will prove to be much quicker. Applying for Online Registration Applications are completed online here.  Paying your registration fee For full information on fees and discounts available visit the GMC website. Standard fees are £399 (please note these have recently increased from April 2019) Discounted fees of up to 50% are available depending on your gross annual worldwide income. If you are unsure if you qualify for a discount speak to your IMG Consultant at any time. Providing the required evidence Once you have made your online application the GMC will send you an email telling you what evidence you will need to provide copies of (which you will already have prepared). Gather your documents and scan them as one PDF file. Email these documents within 28 days of receiving this email to keep your application live. Once the GMC have received your documents they will assess them and respond to you within five working days. At this point they will either ask for further evidence or consider your application complete.  If further evidence is required you will have 14 days to responds to keep your application live. GMC ID Check Congratulations! You are nearly there… Now your online application is complete, the GMC will invite you to attend an ID check at one of the GMC offices in either London or Manchester. You must bring your original documents to this meeting. If you do not attend your ID check within 3 months of your invitation your application will unfortunately be closed. Attending the GMC check in London provides us with a great opportunity to meet our doctors face to face and introduce ourselves over a coffee or lunch. Your dedicated IMG Consultant would love to arrange this with you, should this fit in with you busy schedule of course. I've had my ID checked by the GMC, what next? Congratulations are in order!! Once you have attended your ID Check and presented your original documentation you are granted registration and can now work as a doctor in the UK. If you have not already got a job lined up we would strongly advise speaking to an IMG Consultant to discuss UK job opportunities in your sepcialty or taking a look at our job search page here. 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. Don’t hesitate to get in touch with an IMG Consultant to discuss any questions you may have, including a typical doctor salary in the UK and the most suitable locations for you.  Connect with us Send your CV to info@imgconnect.co.uk  Call us on +44 (0)203 973 0133 Join our growing IMG community!

Overseas doctors applying for registration to the General Medical Council (GMC) in the UK, will need to have their overseas medical qualification independently verified before the GMC grants their registration. The process of verification is is done by the Educational Commission For Foreign Medical Graduates (ECFMG) and applies if you: Qualified at a medical school outside of the UK, European Economic Area (EEA) or Switzerland;  OR are an international medical graduate with a European medical qualification (not including UK qualifications)  AND do not already hold provisional registration. Please note, only those with primary medical qualifications awarded outside of the UK and EU, and those who are not EU nationals but hold a primary medical qualification from the EU (but not the UK), need to use an Electric Portfolio of International Credentials (EPIC). Start early! At IMG Connect we strongly advise that you complete this part of the process as soon as possible. There are several factors that contribute to the length of the verification process, including the time it takes for the medical school to verify your qualification(s). Start the verification process well in advance of submitting your application to the GMC, as the GMC will close your application after 90 days.  Before your start the verification process, there are a couple of important steps to consider:  Create a GMC online account if you haven't already and check whether the GMC accepts your primary medical qualification and/or postgraduate qualification.  If your medical school is: on the GMC’s list of qualifications that are not acceptable  on the GMC’s list of qualifications that may be acceptable not in the list of medical schools on GMC Online Then you should contact the GMC before starting the verification process. Please note, if you hold refugee status in the UK and are applying to the GMC for registration with a license to practice medicine in the UK, you may be able to get help with your EPIC fees. Contact the GMC before using EPIC. Which qualifications will I need to verify? Depending on your experience, you will have one of the following two qualifications to verify through EPIC: 1. Primary Medical Qualification (Final Medical Diploma in EPIC) verification:  Most applicants will only need to have their primary medical qualification (PMQ) verified through EPIC. The primary medical qualification that the GMC requires is your Final Medical Diploma.  2. Acceptable Postgraduate Qualification (Specialist Qualification or Postgraduate Medical Education Credential in EPIC):  If you are applying through the acceptable postgraduate qualification route, you will need to have both your PMQ and your postgraduate qualification verified.  Setting up an on-line account: Once you have established the correct documents to be verified, set up an on-line account (EPIC Account) The first step to start using EPIC is to complete a request to establish an account. The request requires you to submit some basic personal information, details about your medical education, and, if applicable, details about your postgraduate medical education. EPIC will then send you an e-mail to confirm receipt of your request to establish an EPIC Account. Once your account request has been processed, they will send you an e-mail containing your EPIC ID and instructions on how to complete the final step in the account establishment process, completion of the EPIC Identification Form (EIF) to confirm your identity.  General advice from IMG Connect: Prepare and save yourself some time! As always, at IMG Connect we advise it is best to gather your documents prior to starting any application. If you do, it should only take about 15 minutes to complete.  Before you begin, make sure you have the following available:   a full-colour photograph (passport style) a scanned, full-colour copy of the photograph page of your current, unexpired passport information about your medical education, including your medical school identification number (if applicable) and attendance and degree issue dates your medical licensure information (if applicable), including any identification numbers your ECFMG/USMLE Identification Number (if you have one) your ECFMG International Credentials Services (EICS) Identification Number (if you have one) Make sure you select the General Medical Council as you upload each qualification. By doing so, the GMC will automatically receive an update when your qualification has been verified. If you don’t do this, it could cause a delay. How much does EPIC verification cost?  The fees are charged in USD and you’ll need to pay ECFMG directly. Full payment is due at the time you submit your request to establish an EPIC Account.  Setting up an account currently costs $125  As of recently, the fee to verify a credential through EPIC increased to US$90 per credential. For more information on fees and payment, see the fees section of the EPIC website. I've got my PMQ verified, what next? Submit your application for registration to the GMC and provide your EPIC ID to the GMC.  You won’t be able to submit your application to the GMC until you have confirmation that your PMQ has been sent for verification. ECFMG will send you confirmation via e-mail.  You can also check the status by logging in to your EPIC Account. If you prefer, you can wait until after the qualification has been verified to submit your application, as it can take some time for the verification to be completed. Once verification of a qualification has been received from the issuing institution and ECFMG has confirmed that the qualification is authentic, ECFMG will confirm this with the GMC. ECFMG will also notify you by e-mail that your qualification has been verified. 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. Don’t hesitate to get in touch with an IMG Consultant to discuss any questions you may have, including a typical doctor salary in the UK and the most suitable locations for you.  Connect with us Send your CV to info@imgconnect.co.uk Call us on +44 (0)203 973 0133 Join our growing IMG community!

We’ve already looked broadly at Postgraduate and PLAB routes to the UK. Now let’s look in more detail at one in particular – Fellowship of the Royal College of Anaesthetists (FRCA).  International Medical Graduates (IMGs) from any country in the world can sit the FRCA examinations, provided certain eligibility criteria are met. Please note that IMGs can only take the final part of the exams once they have started working in the NHS (UK). These are summarised below along with a broad look at the following topics: What is FRCA?  What is the structure and content of FRCA examinations? As an overseas doctor am I eligible?  What is Temporary Exam Eligibility (TEE)? What is the UK IAC?   As an overseas candidate where can I take the exam and how much will it cost me? How to prepare and what resources are available? Summary  The Royal College of Anaesthetists is the professional body responsible for the specialty of Anaesthetics throughout the UK. Amongst many other duties, its role is to set and monitor the educational curriculum for those training to enter the profession. What is FRCA?  Anaesthetists become full members of the Royal College of Anaesthetists and achieve the designation FRCA once they have passed the two separate exams, Primary and Final Examinations. Each exam consists of two parts taken separately. FRCA is one of the many routes an anaesthetist can take when looking to satisfy the GMC postgraduate criteria for full registration with a licence to practice. It is important to note that Primary FRCA will suffice for the purposes of full registration with a license to practice, and full FRCA is not essential though of course desirable. What is the structure and content of FRCA examinations?  Primary FRCA examinations:  Multiple Choice Question Examination (MCQ) The Objective Structured Clinical Examination (OSCE) and Structured Oral Examination (SOE) Final FRCA examinations:  Final Written exam consisting of; Multiple Choice Question exam (MCQ) and a Short Answer Question (SAQ) exam The Structured Oral Examination (SOE) The FRCA examinations form an essential component of training for anaesthetists in the UK and doctors who wish to complete the FRCA route, will be required to complete the final exam after substantial experience working in the UK.  As an overseas doctor am I eligible?  It is important to note that each of the FRCA exams have different eligibility criteria.  To sit the FRCA Primary Exams, you must be a member of the College or apply for Temporary Exam Eligibility (TEE) – see below. TEE will apply to most overseas doctors.  Primary FRCA MCQ: You are eligible to enter the Primary FRCA MCQ paper if you: hold national registration with an overseas Medical Council; AND have successfully applied for Temporary Examination Eligibility (TEE) with the College 3 months prior to the date of the examination  Primary FRCA OSCE and SOE: You are eligible to enter the Primary FRCA OSCE and SOE if you: meet the above criteria for the Primary FRCA MCQ paper have passed the Primary FRCA MCQ paper have been awarded an overseas competency in anaesthetics which is comparable to the UK IAC (see below) Final FRCA: You are eligible to enter the Final FRCA paper if you have: completed 30 months of training in anaesthesia at least 18 months must be spent in approved posts in the UK or Republic of Ireland – for international doctors a maximum of 12 months of overseas training in anaesthesia combined with 6 months working in an approved UK post will be accepted; Evidence of having completed the required training will be needed, Core Level Training Certificate What is Temporary Exam Eligibility (TEE)? Non-UK Trainee applicants do not qualify for any membership category of the Royal College of Anaesthetists. As such the Royal College has introduced the TEE to allow overseas anaesthetist doctors who do not work in the UK to apply for the FRCA Primary Examinations.  Applicants must submit a Temporary Examinations Eligibility form three months before any examinations are applied for. How do I apply for TEE?  You can apply for TEE using this application form. Documents required on your first application are: Proof of registration with an overseas Medical Council Proof of attendance at or completion of anaesthetic training, including foundation training (internship)  If you intend to take the OSCE/SOE exams, you will be asked to provide further documentation to prove you have an equivalent of the UK Initial Assessment of Competency Certificate in Anaesthesia. The TEE application costs £90, paid by bank transfer. Once payment is confirmed you will receive a TEE number, which you will use to support your application to sit the FRCA examinations.  What is the UK IAC? And how do I demonstrate equivalence?  The initial assessment of competence (IAC) is the first anaesthesia training milestone for trainees in the Anaesthesia training programme (ACCS training for anaesthesia, acute medicine, emergency medicine and intensive care).  The purpose of the IAC is to signify that the trainee has achieved a basic understanding of anaesthesia and is able to give anaesthetics at a level of supervision matching with the individual trainee’s skills and clinical cases. The IAC is not a licence for independent anaesthetic practice. The key point is that trainees are still under the supervision of a named consultant anaesthetist.  To support an application to sit the FRCA exams you must demonstrate that you have been awarded an overseas anaesthetic competency in anaesthetics which is comparable to the UK IAC. Overseas anaesthetic competency certificates must be provided on application and prove clinical competency comparable to the UK Initial Assessment of Competency in Anaesthetics. Certificates must be accompanied by a letter of authentication in English from a senior anaesthetic consultant or notary.  The final decision on comparability of overseas IAC certificates lies with the Chair of the Primary Examination. How do I apply for the Primary FRCA examinations?  Applications are complete online, simply click here, register, and follow the instructions for submitting documents and completing your application.  Where can I sit the FRCA exams?  Unfortunately, IMGs cannot sit the FRCA exams overseas.  Exams are held in London, Cardiff, Birmingham, Manchester, Belfast, Sheffield and Edinburgh. You can find up to date exam dates here. How much do the exams cost?  Fees for exam diet 2018 / 2019 Primary MCQ £325 Primary OSCE & SOE £600 Primary OSCE £330 Primary SOE £300 Final Written Exam £480 Final SOE £565 What is the syllabus?  The syllabus for both the primary and final exams are linked to the Training Curriculum.  The Primary FRCA Examinations are blue printed to the Core Level Training Curriculum.  The Final FRCA examinations are blue printed to both the Core Level Training Curriculum and the Intermediate Level Training Curriculum.  *both include Intensive Care Medicine How do I prepare?  With lots of materials online we have discussed with IMGs the best place to start looking for resources and materials relating to the exams. Most successful IMGs recommended starting with the Royal College, who have created useful resources to help you to prepare for the exams.  At IMG Connect we advise overseas candidates to be fully aware that questions used in the exam are drawn from the UK Anaesthetic Basic Level Training Curriculum. We suggest that you can use the curriculum as a road map to support your study plan.  Video series:  The exam run through video series is a useful tool to help familiarise yourself with what to expect on the exam day.  The Primary SOE support videos are designed to help trainees in preparation for exams.   The Primary FRCA examination videos also support with study for the MCQ.  More videos can be found at the College's YouTube Channel eLearning Anaesthesia (e-LA):  The e-LA supports specialty training in anaesthesia. It provided materials for professional development of specialists seeking to refresh their knowledge. Doctors working overseas can gain access to this resource via eIntegrity which provides a portal to all specialty e-Learning platforms. If you are working outside the NHS, then modules are available for purchase via the eIntegrity website. There are a number of modules available, of particular note for IMGs is Module 6: Exams Preparation. e-LA also provides MCQ questions which are an accurate reflection of the questions included in the FRCA examinations. Virtual Exam tours:  3D virtual exam tours have been created by the Royal College to provide a virtual experience to ensure that candidates are familiar with the process on the day.  OSCE exam floor 3D Tour Successful IMGs have found practice questions are a valuable part of exam preparation. Remember these should be used in conjunction with other forms of research and studies. I attained Primary or Full FRCA, what next?  You will simply need to prove your English Language capabilities to satisfy GMC criteria for full registration. 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. IMG Connect is committed to helping doctors secure work in the NHS, if you have any questions regarding securing work as an Anaesthetist in the UK, including doctors pay, routes to the UK, training and relocating then please don’t hesitate to get in touch.  Connect with us Send your CV to info@imgconnect.co.uk  Call us on +44 (0)203 973 0133 Join our growing IMG community! 

We’ve already looked broadly at Postgraduate and PLAB routes to the UK. Now let’s look in more detail at one in particular – Membership of the Royal College of Paediatrics and Child Health (MRCPCH).  International Medical Graduates (IMGs) from any country in the world can sit the MRCPCH examinations, provided certain eligibility criteria are met. These are summarised below along with a broad look at the following topics: What is MRCPCH?  Am I eligible? Sponsors for the Clinical Exam MRCPCH Theory - structure and content MRCPCH Clinical – structure and content Where and when can I take the exams? How much will it cost me? How do I apply? How to prepare and what resources are available Passed? What next? The Royal College of Paediatrics and Child Health is the professional body responsible for the specialty of Paediatrics throughout the UK. Amongst many other duties, its role is to set and monitor the educational curriculum for those training to enter the profession. What is MRCPCH?  Paediatricians become full members of the Royal College of Paediatrics and Child Health and achieve the designation MRCPCH once they have passed four separate postgraduate medical exams.  The MRCPCH examinations consist of 3 theory exams and 1 clinical exam: Foundation of Practice (FOP) - theory examination (basic child health) Theory and Science (TAS) - theory examination (basic scientific, physiological and pharmacological principles upon which clinical practice is based) Applied Knowledge in Practice (AKP) - theory examination (knowledge synthesis/evaluation, clinical decision making and management) MRCPCH Clinical examination - multi station OSCE Theory exams can be taken in any order of preference. For overseas doctors relocating to the UK, the MRCPCH is one of two options to support full GMC registration (postgraduate qualification or PLAB route). For doctors who wish to take on more senior roles reflective of their current practice, IMG Connect advise that the MRCPCH would be the best route to securing their dream job in the NHS.  Am I eligible for the MRCPCH exams?  Theory Exams:  To be eligible you must hold a Primary Medical Qualification (PMQ) that is recognised by the GMC for registration purposes. MRCPCH Clinical:  You must pass the 3 theory exams in order to be eligible for the final MRCPCH clinical examination.  All MRCPCH clinical candidates must be proposed by 2 sponsors, who will certify that you have a good period of training in paediatrics and can be considered as ready to take the exam.  You can take the exams at any stage in your career, however current advice is that in order to optimise your chances of success in the MRCPCH Clinical examination you should have:  completed a period of training lasting two and a half years  spent no less than 12 months in posts involving the care of emergency paediatric patients  spent six months of your first year after graduation as a house paediatrician; if not, an additional six months in a post involving the care of emergency paediatric patients. Sponsors for the clinical exam: As we mentioned above, candidates for the clinical examinations must have two sponsors who will declare you have covered the required amount of training in paediatrics which matches the exam syllabus and consider you ready to take the exam.   You will be asked to provide each sponsors personal and work details, and they will be notified if you receive a poor mark.  The examination is conducted in English and candidates are advised that IELTS Level 7 is the expected standard for completion of the MRCPCH examinations. Remember, you will need to have a pass of 7.5 average in all areas of IELTS to complete your GMC registration. What is the structure and content for MRCPCH examinations?  As above, the MRCPCH examinations consists of 4 parts:  3 theory exams  1 clinical exam Theory exams: Candidates will sit 3 theory examinations; each test is administered on a computer and the tests can be taken in any order.  There are usually 3 sittings for each exam per year.  Each exam is 2 hours and 30 minutes, unless you have been allocated additional time. Foundation of Practice (FOP) theory exam:  This exam assesses a candidate’s knowledge, understanding and clinical decision making. It aims to ensure that you have reached the same standard as someone entering core training (ST1 equivalent)  Questions are typically a combination of:  Single Best Answer Questions (SBAs) – 70 questions Extended Matching Questions (EMQs) – 10 questions Extended Matching Questions (EMQs) require you to choose the best option from a list of ten possible options, all are feasible, but only one is completely correct.  Theory and Science (TAS) theory exam:  This tests basic scientific, physiological and pharmacological principles of clinical and evidence-based practice.  It uses the same format for questioning as the FOP exam.  Applied Knowledge in Practice (AKP):  This tests your knowledge, understanding and clinical decision making based on a standard of someone entering their core specialist training (ST1 equivalent).  The exam uses the format N of Many - giving two or three answers that are required from a longer list.  For example, there can be more than one answer from a scenario since there may be two equally important investigations that should be complete, or three abnormalities from a scan or x-ray.  When sitting the AKP using the format N of Many, remember that each question carries its own weighting – pay attention to how many marks each question is worth in the test and answer accordingly. Clinical examination: The MRCPCH clinical examination forms the final part of the exams. Remember, you must have passed all 3 theory tests in order to be eligible to sit this test.  This test will be taken in a hospital setting and you will follow a circuit of 12 scenarios. You should be familiar with this type of test (OSCE) from your medical training. Examiners will assess performance during each scenario, which will include actors (children, young people and adults).  The aim of the clinical examination is to assess whether candidates have reached the standard in clinical skills expected of a newly appointed ST4 in the UK.  Candidates are expected to demonstrate proficiency in: communication history taking and management planning establishing rapport with both parents and children physical examination child development clinical judgement organisation of thoughts and actions recognition of acute illness knowledge of paediatrics and child health professional behaviour ethical practice The Clinical Exam is guided by important educational principles while holding to the considerable standards of a clinical examination, including the examination of real children. The Clinical Exam includes 10 objective assessments of each candidate. In most circumstances’ assessment is conducted by a different examiner at each clinical station, so performance at one station does not influence the next station.  The test will include six ‘short case’ assessments, emphasising clinical examination. Stations are as follows:  Station 1: Child development – clinical assessment Station 2 & 5: Communication skills  Station 3: History taking and management planning Station 4: Clinical video scenarios Station 6 – 10: Clinical examinations The order in which candidates will take the circuit will vary. There are 4-minute breaks between stations, the entire circuit takes 152 minutes in total. Where and when can I sit the exams? And how much do they cost?  Each country fee is different, please see below current exam fees (as of April 2019).  Theory exams:  Country Theory Exams Exam fee 2019 India, Malaysia, KSA, UAE, Oman, Myanmar, Sudan, Singapore, Jordan, Kuwait, Malta, Qatar, Sri Lanka, Trinidad FOP - single paper £390 TAS - single paper £390 FOP and TAS - both papers £653 AKP £750 Egypt and Nepal FOP - single paper £363 TAS - single paper £363 FOP and TAS - both papers £589 AKP £683 Hong Kong (HK) FOP - single paper TBC TAS - single paper TBC FOP and TAS - both papers TBC AKP TBC *Not all countries will offer the exam at each sitting. If you would like to request an exam in another country, you can contact the MRCPCH  Clinical examinations:  Country Fee UK £765 Egypt £1,145 India £1,428 KSA £1,479 Malaysia £1,255 Myanmar £1,082 Oman £1,479 Singapore (Conjoint MMED - MRCPCH Clinical fee) £1,428 Sudan £1,220 UAE £1,479 Hong Kong TBC How do I apply for the exams?  To apply for the MRCPCH, you first need to register online for exams.  You need an RCPCH online account (with an RCPCH number). Then you can complete a short registration form – you will require evidence of your primary medical qualification. How do I register for exams?  You can register for exams at any time throughout the year. After your registration is accepted, you can apply for an exam but only during relevant open application periods. It takes at least 10 working days to process registration. During exam application periods the Royal College are not able to process registrations.  Register three to four weeks before exam application period opens to help ensure you do not miss your preferred exam diet. The best dates to register for exams are usually January, May and September. How do I book an exam?  Log in to your RCPCH account Go to My Account  From your dashboard, go to the Exams panel, and from your exam dashboard, follow links to apply What do I need to bring to the exam? You will need to bring one of the following forms of ID: passport with photograph and signature - this must be current or no more than six months expired valid driving license with photograph and signature national identity card with photograph and signature. Please note, only original documents will be accepted as proof of identification. How can I prepare for the exams?  With lots of materials online we have discussed with IMGs the best place to start looking for resources and materials relating to the exams. Most IMGs recommended starting with the Royal College, who have created useful resources to help you to prepare for the exams. See below:  Theory Examination: Theory Examination Syllabi: This document outlines the syllabus for MRCPCH theory examinations - MRCPCH Theory Examination Syllabi. Theory exams structure and syllabus:  Further information on FOP, TAS and AKP can be found in the theory exams structure and syllabus.  This is to be read in combination with the Royal College’s Curriculum for Paediatrics. Within the Curriculum for Paediatrics you can read about the 11 domains and are able to download assessment strategy and generic syllabi for each training level. Sample Papers: We recommend becoming familiar with the exam format and software, and you can practice with some sample papers here. Clinical Examination: Clinical Examination candidate guide:  This is a comprehensive guide from the Royal College specifically covering the Clinical Examination. This includes station break downs, clinical video scenarios, general instructions and downloads amongst many other resources.  Anchor Statements: The Anchor Statements outline the expected standard for each station against which candidates are marked.  We recommend you familiarise yourself with the criteria points for expected standards before sitting the exam. Clinical Exam Technique: This guide covers the clinical examination in considerable depth, including: examination technique  specifics on clinical areas  detail on short-cases User guide for video station: A guide for Station 4: Clinical video scenarios can be downloaded here. Clinical Exam: hints and tips Hints and tips specific to the clinical exam can be found on the MRCPCH clinical examination candidate guide (scroll down to find them).  As ever at IMG Connect, we believe in preparation. In order to succeed in the clinical exam, IMGs have told us that it is vital that you practise your clinical examinations as frequently as possible, preferably under the supervision of a senior colleague. This will give you confidence in approaching and examining children with examiners present. Passed? What next? First of all, congratulations! After you have passed all four parts of your MRCPCH examinations, you can apply for a full registration with a license to practice. Once the GMC have approved your application, you can work as a doctor in the UK.  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. Don’t hesitate to get in touch with an IMG Consultant to discuss UK job options in Paediatrics, including discussions regarding a typical doctor salary in the UK and the most suitable locations for you.  Connect with us Send your CV to info@imgconnect.co.uk  Call us on +44 (0)203 973 0133 Join our growing IMG community! 

As we have covered, some overseas qualifications are recognised by the GMC as equivalent and will be accepted as evidence of the necessary knowledge, skills and experience to apply for full registration with a license to practice.  You must be granted full GMC registration within three years of passing your postgraduate qualification. Listed below are the overseas postgraduate qualifications currently accepted by the GMC. This means to say; these qualifications meet the same standards as UK postgraduate qualifications. Please note, this does not mean they are the same in every way and they do not guarantee entry to the UK Specialty training. If your qualification is not listed as equivalent, then you will be required to complete a Royal College Postgraduate Qualification or PLAB. You can use the GMC application finder to find the application that’s right for you. Country Awarding Body Qualification America  American Board of Pediatrics (ABP) Diplomate of the American Board of Pediatrics - General Pediatrics America   American Board of Anaesthesiology Certificate of the American Board of Anaesthesiology America The American Board of Radiology  The American Board of Radiology diagnostic radiology examination Australia/New Zealand  Australian and New Zealand College of Anaesthetists Fellowship of the Australian and New Zealand College of Anaesthetists Australia/New Zealand   Royal Australasian College of Physicians  FRACP Adult medicine or evidence of three years of basic training (PREP) + achievement of RACP written and clinical examinations OR FRACP Paediatrics or evidence of three years basic training (PREP) + achievement of RACP written and clinical examinations Australia/New Zealand   The Royal Australian and New Zealand College of Psychiatrists Fellowship of The Royal Australian and New Zealand College of Psychiatrists (FRANZCP) awarded since January 2012 Australia/New Zealand  The Royal Australian and New Zealand College of Radiologists  Fellowship of The Royal Australian and New Zealand College of Radiologists (FRANZCR) (Clinical Radiology) Fellowship of The Royal Australian and New Zealand College of Radiologists (FRANZCR) (Radiation Oncology) Bangladesh  Bangladesh College of Physicians and Surgeons Fellowship in Anaesthesia or Anaesthesiology awarded since July 1999 Canada  The Royal College of Physicians and Surgeons of Canada The Royal College of Physicians and Surgeons of Canada - diagnostic radiology examination Europe European Academy of Anaesthesiology or European Society of Anaesthesiology European Diploma in Anaesthesiology and Intensive Care  Hong Kong Hong Kong College of Physicians Membership of the Hong Kong College of Physicians Ireland College of Anaesthetists of Ireland  Fellowship of the Faculty or the College of Anaesthetists Ireland Royal College of Physicians in Ireland  MRCP Medicine (Medicine of Childhood) Ireland Royal College of Surgeons in Ireland MRCS (collegiate examination) MRSCI (intercollegiate examination) Fellowship of the Royal College of Surgeons Ireland Fellowship of the Faculty or the College of Anaesthetists of the Royal College of Surgeons in Ireland Malaysia  Ministry of Health Master of Medicine (MMED) Malaysia with MRCP (UK) awarded since 1 July 2010 This must include four years of clinical experience (required to complete MMED) plus two years of training Pakistan  College of Physicians and Surgeons Pakistan FCPS Paediatrics Pakistan Fellowship in Anaesthesiology awarded since1998 Singapore  National University of Singapore Master of Medicine (Paediatrics)  Master of Medicine (Internal Medicine) including MRCP (UK)  Singapore  Joint Committee on Specialist Training Singapore  Master of Medicine (MMED) Singapore, plus MRCP (UK) awarded since 1 July 2010 South Africa  College of Anaesthetists of South Africa Fellowship of the College of Anaesthetists of South Africa FCA (SA) South Africa  Colleges of Medicine of South Africa  Fellowship of the College of Radiologists of SA FC Rad Diag (SA) - Diag Rad awarded after 1 October 2013 Sri Lanka  University of Colombo, Sri Lanka Doctor of Medicine or MD (Anaesthesiology) Doctor of Medicine or MD, (Obstetrics and Gynaecology) Doctor of Medicine or MD, (Paediatrics) Doctor of Medicine or MD (medicine) awarded after January 2017 Doctor of Medicine or MD (surgery) awarded after July 2017 West Africa  West African College of Physicians Fellowship of the West African College of Physicians (Paediatrics) West Indies  University of the West Indies Doctor of Medicine (Anaesthesia) awarded since September 2003 (Course title has since changed to Doctor of Medicine (Anaesthesia and Intensive care)) 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. Connect with us Send your CV to info@imgconnect.co.uk  Call us on +44 (0)203 973 0133 Join our growing IMG community!

As an international doctor looking to complete your registration with the GMC, you will be required to provide evidence of your fitness to practice. This blog will break down what the rules are, and what evidence you will need to prepare and provide by looking at the following: What is evidence of your fitness to practice? Declaration of your fitness to practice Supporting evidence Certificate of good standing How do I request a certificate of good standing? Remember, at IMG Connect we always advise IMGs to prepare all documents before starting applications, it will save you time, and stress!  What is evidence of your fitness to practice?  As part of your GMC application, the GMC require you to provide evidence of your fitness to practice. This is broken down into two areas from your online application:  A declaration of your fitness to practice Your supporting evidence Declaration of fitness to practice:  As part of your online GMC application to join the register you must complete a declaration of fitness to practice. This declaration is only valid for 3 months, so ensure you get the timing right with your application, otherwise the GMC will ask you to complete a new one.  When completing your application online, you will be asked 12 questions in the fitness to practice character declaration section. You should complete the declaration by choosing YES or NO for each question.  These cover a range of fitness to practice topics, including previous convictions, disciplinary actions, conduct and so on.  It is important to say that you should always be honest in your answers.   Supporting evidence:  The GMC will ask you to provide supporting evidence of your fitness to practice, these are broken down into the following:  details of all postgraduate medical experience for the last five years or since you graduated details of all postgraduate non-medical experience for the last five years or since you graduated* details of all certain other activities for the last five years or since you graduated  a certificate of good standing from each medical regulatory authority you've been registered or licensed with *If you have worked in a non-medical capacity it is also likely that you will be asked for employer references to cover this non-medical work. Certificate of good standing  As above, you will require a certificate from your regulatory body to be sent to the GMC to confirm your good standing with them. The GMC will need a certificate of good standing from all of the countries you've been registered with in that time, even if you haven't been practising there.  You can register for a certificate of good standing from your regulatory body in your home country, which they will send directly to the GMC.  Certificates of good standing and employer references are only valid for three months from the date that they are issued and must be valid on the date your application to the GMC is approved. What is a certificate of good standing?  A certificate of good standing will show any restrictions on your practice, your registration history, including current license status, identity information and any current proceedings. It should be issued in English. In the European Union these documents are known as certificates of current professional status. How do I request a certificate?  You will need to contact your regulatory body and request this from them directly. You can find out which medical regulatory authority to contact using the Certificate of good standing database. References: When writing this article we have taken our information from the following sources: https://www.gmc-uk.org IMG Resource Library: For more useful blogs & articles on exams, registrations & qualifications to help you find your dream job in the NHS - take a look at free to use and easy to navigate - IMG Resource library. Alternatively don’t hesitate to get in touch with an IMG Consultant to discuss UK job options in the NHS, including discussions regarding a typical doctor salary in the UK and the most suitable locations for you.

We’ve already looked broadly at Postgraduate and PLAB routes to the UK. Now let’s look in more detail at one in particular – Fellowship of the Royal College of Radiologists (FRCR).  International Medical Graduates (IMGs) from any country in the world can sit the FRCR examinations, provided certain eligibility criteria are met. These are summarised below along with a broad look at the following topics: What is FRCR?  Am I eligible?  What is the content and structure?  Where and when can I sit the exams and how much will it cost me?  How do I apply?  How can I prepare for the exams?  Passed? What next? The Royal College of Radiologists is the professional body responsible for the specialty of clinical radiology and clinical oncology throughout the UK. Amongst many other duties, its role is to set and monitor the educational curriculum for those training to enter these professions. What is FRCR?  Radiologists become full members of the Royal College of Radiology and achieve the designation FRCR once they have passed three separate postgraduate medical exams.  The FRCR examinations aim to test a candidate’s knowledge and clinical understanding against the Specialty Training Curriculum for Clinical Radiology.  Only full FRCR satisfies postgraduate requirements for GMC registration for an overseas doctor.  There are three parts to the FRCR examinations: First FRCR - two-part exam, each held on separate days, over a two-day period Final FRCR Part A  two separate single best answer papers *Final FRCR A must be passed in one sitting in order to be deemed to have achieved overall success in the FRCR Part A Final FRCR Part B  a reporting session a rapid reporting session an oral examination Full FRCR is a pre-requisite for anyone looking to go onto a specialist training post as a radiologist in the UK. The FRCR examinations form an essential component of training for Radiologists in the UK.  For overseas doctors relocating to the UK, the FRCR is one of two options to support full GMC registration (postgraduate qualification or PLAB route).  For doctors who wish to take on more senior roles reflective of their current practice, IMG Connect advise that FRCR would be the best route to securing work in the NHS.  Am I eligible?  First FRCR:  To be eligible you must: hold a Primary Medical Qualification (PMQ) that is recognised by the GMC for registration purposes. hold 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 Final FRCR Part A: To be eligible you must:  have passed the First FRCR examination have acquired 24 months in a formal clinical radiology training post by the month which the examination is taken  Final FRCR Part B:  To be eligible you must:  have passed the Final FRCR Part A have acquired 34 months in a formal clinical radiology training post by the month which the examination is taken  What is the content and structure?  First FRCR Examination The First FRCR examination expects candidates to have sufficient knowledge of two modules:  the physical principles that are the foundation of diagnostic medical imaging the anatomy needed to perform and interpret radiological studies. It is delivered on a digital platform and as such is now also available across a larger number of test centres than before. The test is divided into two parts:  Anatomy - image viewing session delivered on an individual workstation Physics - multiple choice written question (MCQ) paper Final FRCR Part A: The Final FRCR Part A examines candidates on all aspects of clinical radiology and the basic sciences of physics, anatomy and the techniques as per the Specialty Training Curriculum for Clinical Radiology syllabus. The examination comprises two single best answer papers, each containing 120 questions and covering a broad range of the core curriculum. Exams are 3 hours for each sitting.  The paper comprises a mix of questions from across a wide range of the curriculum: Cardiothoracic and Vascular Musculoskeletal and Trauma Gastro-intestinal Genito-urinary, Adrenal, Obstetrics & Gynaecology and Breast Paediatric  Central Nervous and Head & Neck  Final FRCR Part B:  This part to the assessment examines candidates on all aspects of clinical radiology against the curriculum and consists of three components: a reporting station rapid reporting session an oral examination All components are examined by an image viewing session delivered on individual workstations.  As an overseas candidate, where and when can I sit the exams and how much will it cost me?  Information on the dates, fees and venues for the FRCR examinations are as below. Examination Member Non-member Exam Dates Venues First FRCR – Physics £256 £301 Usually held in March, June and September each year Belfast Birmingham  Glasgow  Hong Kong  London Singapore Stockport/Manchester* First FRCR - Anatomy Final FRCR Part A £303 £404 June and December each year Belfast Birmingham Bristol Edinburgh London Manchester Hong Kong Singapore Final FRCR Part B £479 £564 Usually held in April and October each year Belfast Birmingham Glasgow London Stockport Total £1,294 £1,570   *Anatomy in Stockport / Physics in Manchester Application Process: UK Trainees are given priority for examination places, whilst overseas candidates are offered those places not taken via a ballot system following the application closing date. The application process for Final FRCR Part B is a little different for overseas candidates. As an IMG you should not apply online, instead applications should be emailed directly to the Royal College. How can I prepare for the exams?  With lots of materials online we have discussed with IMGs the best place to start looking for resources and materials relating to the exams. Most IMGs recommended starting with the Royal College, who have created useful resources to help you prepare, see below:  Syllabus:  The syllabus for these examinations can be found in the Specialty Training Curriculum for Clinical Radiology. Instructional videos and demonstrations: The Royal College recommends that applicants familiarise themselves with the platform via the instructional videos and accompanying demonstration site found here. Sample questions:  The Royal College created useful sample questions and answer sheets to help you prepare for each exam:  FRCR Part 1 sample questions & answer sheet Final FRCR Part A & answer sheets Final FRCR Part B – sample image Advice for exams:  There are also many useful resources to offer more general advice for each section of the FRCR examinations, including:  Anatomy examination advice First FRCR instructions for candidates Final FRCR Part A format and question advice TNM Staging – required knowledge to answer questions Final FRCR Part B – instructions for candidates Examiners report – to help prepare for future sittings Passed? What next? First of all, congratulations! After you have passed all three parts of your FRCR examinations, you can apply for a full registration with a license to practice. Once the GMC have approved your application, you can work as a doctor in the UK.  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. Don’t hesitate to get in touch with an IMG Consultant to discuss UK job options in Radiology, including discussions regarding a typical doctor salary in the UK and the most suitable locations for you.  Connect with us Send your CV to info@imgconnect.co.uk  Call us on +44 (0)203 973 0133 Join our growing IMG community!

The Diploma in Child Health (DCH) recognises competence in the care of children in trainees in specialties allied to paediatrics.  In this blog we will provide an overview of the DCH and consider the following topics: What is the DCH?  Who is it for? Structure and content of DCH Am I eligible? Where can I take the exam & how much will it cost me? How do I apply? How do I prepare and what resources are available? Passed? What next? What is the DCH?  The DCH is reflective of current practice in the UK and covers a syllabus mapped by a wide range of medical professions, including paediatrics and GPs.  The DCH (Diploma in Child Health) comprises two exams. You must achieve a pass mark in both in order to be awarded DCH.  The exams are as follows:  Foundation of Practice (FOP) theory exam - this is shared with the MRCPCH (membership exam) DCH Clinical exam Who is it for?  The Diploma is aimed at those practitioners who want to consolidate their knowledge and skills in paediatrics and gain a qualification at the same time. According to the Royal College of Paediatrics and Child Health (RCPCH), the DCH is designed to give ‘recognition of competence in the care of children to general practitioner vocational trainees, staff grade doctors and senior house officers in paediatrics, and trainees in specialties allied to paediatrics’. It not only helps to consolidate knowledge gained during paediatric training, but it also helps to focus and develop skills needed for the examination of children within primary and secondary care. Candidates use the DCH as an opportunity for up-skilling, to drive learning and to gain an internationally recognised post graduate medical diploma. The Royal College of Paediatrics and Child Health recommend that all candidates complete a short period of training in paediatrics before attempting the DCH Clinical examination. The aim of the examination is to assess whether candidates have reached the standard in clinical skills expected of a newly appointed General Practitioner who has completed a short period of training in paediatrics. What does the syllabus cover?  It is important to note that the DCH has an independent syllabus from the MRCPCH. However, the theoretical elements of the Foundation of Practice theory exam are shared across both. Before embarking on the diploma, we recommend IMGs take a detailed look at the DCH syllabus which outlines the competencies required in both knowledge and skills. It provides a summary list of topics which are covered, and specifies the depth of knowledge and skills required, as well as guidance for trainees on what they must be taught and learn. Am I eligible to take DCH? The royal college for Paediatrics and Child Health recommend that overseas candidates have at least six months' paediatrics experience. To be eligible, overseas candidates will simply need to hold a recognised medical qualification and be registered with the GMC.  You do not require a pass in English Language Tests to take the tests, however we have discussed this with several IMGs and it is important to note that a high standard of English will be required in order to pass.  Don’t forget that you will require a sufficient pass in an English Language Test in order to complete registration with the GMC.  Structure and content of DCH: The Diploma consists of two exams, one theory (FOP) and one clinical exam. You can take the exams in any order, or during the same exam period.  The Foundation of Practice theory exam (FOP) is computer-based and takes place three times a year in the UK and overseas. See our MRCPCH overview for more information on where you can sit the FOP theory exam, dates, times and costs. How much does the DCH clinical exam cost? And where can I sit the exam?  Fees vary depending on where you sit the exam, see below fees for 2019.  Country Exam fee UK £515 Egypt £663 India £663 Hong Kong tbc How do I apply for the exams?  To apply for the DCH (Diploma in Child Health), you first need to register online for exams. You just need to do this once. You need an RCPCH online account (with an RCPCH number). Then you can complete a short registration form – you will require evidence of your primary medical qualification. How do I register for exams?  You can register for exams at any time throughout the year. After your registration is accepted, you can apply for an exam but only during relevant open application periods. It takes at least 10 working days to process registration. During exam application periods we are not able to process registrations. Please register three to four weeks before exam application period opens to help ensure you do not miss your preferred exam diet. The best dates to register for exams are usually January, May and September. How do I book an exam?  Log in to your RCPCH account Go to My Account  From your dashboard, go to the Exams panel, and from your exam dashboard, follow links to apply What do I need to know about the exam day? Bring your ID: You will need to bring one of the following forms of ID: passport with photograph and signature - this must be current or no more than six months expired valid driving license with photograph and signature national identity card with photograph and signature *Only original documents will be accepted. For more information take a look at the Royal College of Paediatrics and Child Health website How do I prepare?  With lots of materials online we have discussed with IMGs the best place to start looking for resources and materials relating to the exams. Most IMGs recommended starting with the Royal College, who have created useful resources to help you to prepare for the exams.  A good start is to take a look at Clinical Cases in Paediatrics: DCH Clinical Textbook . It will cost your £35 but is a logical foundation for a start to any revision. Useful online revision courses include those run by PASTEST and the Institute of Child Health. As ever at IMG Connect, we believe in preparation. In order to succeed in the clinical exam, IMGs have told us that it is vital that you practise your clinical examinations as frequently as possible, preferably under the supervision of a senior colleague. This will give you confidence in approaching and examining children with examiners present. Passed? What next?  If you pass both DCH Clinical and Foundation of Practice (FOP) exams, you will receive a Diploma certificate.  This certifies you are a holder of the Diploma in Child Health (RCPCH). 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. If you have any further questions regarding the Diploma in Child Health, including eligibility, cost, dates, online courses and resources, we would be delighted to hear from you!  Connect with us Send your CV to info@imgconnect.co.uk  Call us on +44 (0)203 973 0133 Join our growing IMG community! 

English Language Tests can be challenging. It is common for overseas doctors to fail on the first, or indeed second attempt.  You have just got the results and sadly, you didn’t get the target score of 7.5 average for IELTS or four B’s for OET. What do you do?  First things first, we would recommend a short outburst, a quintessentially polite British rant about how things are not fair, and then pick yourself up, and plan! Unlike other tests in education where you only get one chance to pass, the same is not true for English Language Tests like IELTS and OET. That said, this doesn’t mean that you don’t have to worry about preparing, this could waste your time, and more importantly, your money! Another re-sit will cost you.  Learn from your mistakes Initially, it is only natural to be disappointed because you didn’t pass. This is normal, so take your time to process the results and give yourself an opportunity to clear your head ready to determine what went wrong, and do something about it.  A lot of IMGs don’t get the required marks on the first go, some take a long time to get there, so don’t worry, you are not alone. The main thing to remember, is that it is very important to know where you went wrong, and how to improve.  Here are a few steps to help you if you don’t get the results you wanted:  1. Review your score in each area.  Identify the area where you struggled the most. Did you pass all areas except one? Or did you get the desired results in two areas, and fail the others? This tells you which area to focus on, where you may need further training or practice.  2. Count the marks How far off was your score from passing? This is vital for you to establish which parts of the test to focus on so you can gain points in these areas for your resit. Think about the areas you struggled in, or left blank. Take your time to review and then practice these areas of the test and watch your score go up!  3. Expand your horizons Using each English language skill in practice is essential to helping you get the desired outcome in each test. If you failed in one or two areas, then turn your focus on these and get practical!  Simply put, speak, listen, read & write more! Don’t forget to keep it interesting.  See our top tips for learning at home to help you be more engaged in applying your learning on a daily basis.  4. Get rid of the nerves Most international doctors will have found speaking with the examiner daunting and nerve wracking. This is natural, called test anxiety. Which probably means that you will not have spoken as fluently as you could. What can you do? Try speaking English with someone you don’t usually speak with, or even better somebody you don’t know, in a situation you don’t usually find yourself. Being able to speak fluently, under pressure, whilst sounding natural, is one of the most important criteria of the test. This will ease your anxiety.  5. Plan for the next test Some IMGs might wonder why they should make a plan, it takes time and some think that it might not be necessary. In fact, a good study plan will save you time, help you pace out your learning, cover more topics and keep you organised. As you will know what areas you need to focus on, it will help you to check you are covering all of the areas of weakness, and keep track of improvements.  Try to include daily and weekly targets.  Don’t forget, learning a new language is challenging, complex and takes time. Just because you didn’t get the results the first time, if you are organised, patient and increase your practical work you will get there!  For more useful blogs & articles on English Language Tests to help you find your dream job in the NHS - take a look at our IMG Library. Don’t hesitate to get in touch with an IMG Consultant to discuss UK job options in the NHS, including discussions regarding a typical doctor salary in the UK and the most suitable locations for you.  Connect with us Send your CV to info@imgconnect.co.uk Call us on +44 (0)203 973 0133 Join our growing IMG community!

For emergency medicine doctors there are two UK Postrgraduate Qualifications you can attain for GMC Registration - MRCEM or FRCEM. International Medical Graduates (IMGs) from any country in the world can sit the FRCEM examinations, provided certain eligibility criteria are met. These are summarised below along with a broad look at the following topics: What is FRCEM and what is MRCEM? FRCEM Route MRCEM Route Eligibility for MRCEM Eligibility for FRCEM Where can I take the exam & how much will it cost me? How do I apply? How to prepare and what resources are available Should I take an MRCEM course? Passed? What next? What is the Royal College of Emergency Medicine? The Royal College of Emergency Medicine is the professional body responsible for the specialty of Emergency Medicine throughout the UK. Amongst many other duties, its role is to set and monitor the educational curriculum for those training to enter the profession in the UK. What is FRCEM and what is MRCEM? Membership or Fellowship of the Royal College is awarded to candidates who pass three examination components.  There have been a few changes to the MRCEM and FRCEM examination structure over the last few years, as such there are currently two routes to an accreditation in Emergency Medicine, both leading to RCEM Membership. These two routes are: Membership of the Royal College of Emergency Medicine (MRCEM) Fellowship of the Royal College of Emergency Medicine (FRCEM) MRCEM & FRCEM are one several different routes an overseas emergency medicine doctor can take full GMC registration. Read our blogs on acceptable postgraduate qualifications and PLAB if you are unsure what route to take. For doctors who wish to take more senior roles reflective of their current practice, IMG Connect advise that MRCEM or FRCEM would be the best route to take. Please note, aplicants that pass a specific combination of MRCEM and FRCEM examinations can still be awarded Membership of the Royal College by Examination (MRCEM). This would still satisfy postgraduate requirements for GMC registration. MRCEM Examination route: The alternative route, Membership by Examination (MRCEM), is offered to candidates who have passed all of the following components: FRCEM Primary or (MRCEM Part A) One written paper, three-hours total FRCEM Intermediate SAQ (replaces MRCEM Part B) Short Answer Question paper - 3 hour paper comprised of 60, 3-mark questions MRCEM OSCE Practical examination setting with 18, seven-minute stations  FRCEM Examination route: The Fellowship Examinations consists of the following components: FRCEM Primary Examination one, three-hour written paper FRCEM Intermediate Certificate Short Answer Question Paper (SAQ) Situations Judgement Paper (SJP) FRCEM Final Examination  Critical Appraisal (Short Answer Question Paper) Quality Improvement Project (QIP) Clinical Short Answer Question Paper Objective Structured Clinical Examination (OSCE)  Membership or Fellowship of the Royal College is awarded to candidates who pass three examination components, using either route above.  Eligibility for MRCEM Examinations: Eligibility for FRCEM Primary: To be eligible you must hold a Primary Medical Qualification (PMQ) that is recognised by the GMC for registration purposes. Eligibility for FRCEM Intermediate: To be eligible you must hold a PMQ recognised by the GMC, have completed an equivalent to the UK Foundation Programme and have passed FRCEM Primary Examination after 1st August 2016. You will also be eligible if you have been granted exemption from the FRCEM Primary as a result of obtaining MRCS or MRCSI after 1st January 2012. Eligibility for MRCEM OSCE: To be eligible to enter the MRCEM OSCE (Part C) you must meet the following requirements: Hold a medical qualification approved by the GMC and Have completed the UK Foundation Programme of equivalent (electronic evidence required at point of application) and Have passed the FRCEM Primary examination after 1st August 2016 or Have passed the MRCEM Part A examination after 1st August 2012 and prior to 31st July 2016 and Have passed the FRCEM Intermediate SAQ after 1st August 2016 or Have passed the MRCEM Part B examination after 1st August 2012 and prior to 31 July 2016 and Have 36 months experience including 6 months experience in Emergency Medicine at a level above Foundation Year 1 (post full registration) Eligibility for FRCEM Examinations: Eligibility for FRCEM Primary: To be eligible you must hold a Primary Medical Qualification (PMQ) that is recognised by the GMC for registration purposes. Eligibility for FRCEM Intermediate: To be eligible you must hold a PMQ recognised by the GMC, have completed an equivalent to the UK Foundation Programme and have passed FRCEM Primary Examination after 1st August 2016. You will also be eligible if you have been granted exemption from the FRCEM Primary as a result of obtaining MRCS or MRCSI after 1st January 2012. Eligibility for FRCEM Final Examination: To be eligible you must have FRCEM Primary and FRCEM Intermediate Certificate, attained after 1st August 2016. Where can I take the exams & how much will they cost me? Examination and application dates are regularly updated by the Royal College and can be found here.  Please remember, applications made outside of the application period will not be accepted. Examination Location Fees FRCEM Primary Short Answer Question Paper UK £310 Iceland, Malaysia, Oman, India £390 FRCEM Intermediate Certificate SAQ UK £305 Iceland, Malaysia, Oman £385 FRCEM Intermediate Cert. (SJP) UK £200 Kuala Lumpur £200 MRCEM OSCE UK £450 India £450 FRCEM Final Clinical SAQ UK £300 FRCEM Final Critical Appraisal SAQ UK £240 FRCEM Final QIP N/A £150 FRCEM Final OSCE London £420 How can I apply? All applications are made online and links to all application forms and windows are available here. It is worth noting, the application can take some time to complete so it is always advisable to apply well in advance of the deadlines. Please remember, applications submitted after the application period will not be accepted.  How do I prepare for each exam and what resources are available? With lots of resources available online, we have discussed with IMGs the best place to start looking for materials relating to the exams. Most IMGs recommended starting with the Royal College, who have created useful resources to help you to prepare for the exams. Curriculum: Applicants are tested on a range of common and important disorders in Emergency Medicine as set out in the Emergency Medicine Training Curriculum 2015. We recommend getting to know the curriculum as early as possible and using it as a road map for your study plan.  Information Packs: These provide detailed information for the relevant examination components so that you can best prepare for your studies and what to expect on the day: FRCEM Primary FRCEM Intermediate FRCEM Final Examination MRCEM OSCE SAQ Blueprint: The blue print for the new Intermediate SAQ exam can be found on page 8 of the FRCEM Intermediate examination pack, downloaded from the RCEM website here. SJP Blueprint: A blue print of the new Intermediate SJP exam can be found on page 11 FRCEM Intermediate examination pack, downloaded from the RCEM website here. Sample questions:  Test your knowledge using example questions from the current exam syllabus provided by the Royal College, see below: Primary – sample questions Intermediate Certificate – sample SJP questions Final – successful QIP Reducing referral rates of paediatric patients to plastic surgery Management of fractured neck of femurs in the ED Final – unsuccessful QIP Critical Appraisal Questions – Advice to Candidates  Critical Appraisal – Most Frequently Offered Answers Glossary of Terms:  The royal college uses many terms that may cause confusion, so take plenty time to understand the terms and definitions used in this guide. Candidates are expected to be rigorous in their use of these terms. Glossary of terms used in RCEM exams. Examination Report: The Royal College recently began to publish reports on the performance of those sitting FRCEM examinations. Below is the first report published and helps to break down results for those in training and those out of training.  2018 Examination report. Online resources:  There are lots of resources online, such as videos on YouTube, FRCEM courses and useful reading materials. We think that these are a great addition to your study plan, just be sure to check your sources.  For a useful overview of how to prepare for exams, including advice on study groups, online community support, best use of online resources & Royal College materials and courses, take a look at our blog: IMG Connects Top Tips for exam preparation. As ever at IMG Connect we believe in preparation. In order to succeed in the clinical exam, IMGs have told us that it is vital that you practice your clinical examinations as frequently as possible, preferably under the supervision of a senior colleague. This will give you confidence in approaching and examining patients with examiners present. Should I take a course to prepare for the OSCE? Whilst it is not essential to take a course when preparing for the MRCEM or FRCEM OSCEs - there is no doubt it will help your preparations both technically and mentally, and should be considered an investment towards your future career plans. Have a read of our blog on recommended MRCEM courses for Emergency Medicine doctors. Passed? What next?  First of all, congratulations! After you have passed all parts of FRCEM or MRCEM you can apply for a full registration with a license to practice. Once the GMC have approved your application, you can work as a doctor in the UK.  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. Don’t hesitate to get in touch with an IMG Consultant to discuss UK job options in Emergency Medicine, including discussions regarding a typical doctor salary in the UK and the most suitable locations for you. Connect with us Send your CV to info@imgconnect.co.uk  Call us on +44 (0)203 973 0133 Join our growing IMG community! 

We’ve already looked broadly at Postgraduate and PLAB routes to the UK. Now let’s look in more detail at one in particular – Intercollegiate Membership of the Royal College of Surgeons (MRCS). International Medical Graduates (IMGs) from any country in the world can sit the MRCS examinations, provided certain eligibility criteria are met. These are summarised below along with a broad look at the following topics: The UK Royal Colleges of Surgery What is MRCS?  What is the structure and content? Am I eligible? MRCS Part A - Written Examination MRCS Part B - OSCE How much will the exams cost me? As an overseas doctor where can I take the exams? How can I prepare and what resources are available? Passed? What next? The UK Royal Colleges of Surgery: There are four Royal Colleges of Surgeons in the UK (Royal College of Surgeons of Edinburgh, Royal College of Surgeons of England, Royal College of Physicians and Surgeons of Glasgow, Royal College of Surgeons in Ireland). All four of these colleges are professional bodies responsible for the specialty of surgery throughout the UK. Amongst many other duties, it is their role to set and monitor the educational curriculum for those training to enter the profession. What is MRCS? The Intercollegiate Membership exam of the Royal College of Surgeons tests the knowledge, experience and clinical competence expected of a doctor at the end of their core surgical training (ST2 level) and can be taken through any of the Royal Colleges mentioned above. The MRCS examination syllabus and the format & content of this examination are common to all four colleges (Royal College of Surgeons of Edinburgh, Royal College of Surgeons of England, Royal College of Physicians and Surgeons of Glasgow, Royal College of Surgeons in Ireland). Candidates can enter any part of the examination through any college, but may enter with only one college at each sitting. Completion of MRCS will allow you to work in the UK from ST3 level upward (ST3+), with seniority beyond ST3 level dependent on experience. Upon successful completion of all parts of the examination, candidates will be elected as members of the college for which they have passed Part B of the exam.  MRCS is one of two routes an overseas doctor can take full GMC registration (postgraduate qualification or PLAB route).  For doctors who wish to take more senior roles reflective of their current practice, IMG Connect advise that MRCS would be the best route to take and full MRCS is a pre-requisite for anyone looking to go onto a specialist training post as a surgeon in the UK. What is the structure and content? The MRCS exam is split into two parts: MRCS Part A – written examination  MRCS Part B – Objective Structured Clinical Examination (OSCE) Am I eligible?  Part A: To be eligible you must hold a Primary Medical Qualification (PMQ) that is recognised by the GMC for registration purposes. Part B OSCE: You must pass Part A before applying for Part B.  You can attempt Part A of the exam six times, and Part B four times.   MRCS Part A - Written Examination: The content is designed to test your knowledge of both applied basic science and the principles of surgery in general to a level of a UK trainee with two to three years of postgraduate experience. Part A of the Intercollegiate MRCS is a five-hour multiple choice question exam with two papers sat in one day.  The questions are in single best answer format. The morning paper is 3 hours long and the afternoon paper is 2 hours long. MRCS Part B – OSCE: The OSCE is set in a practical setting and tests your ability to to integrate knowledge and experience in the following two areas: Knowledge - Your understanding of anatomy, surgical pathology, applied surgical science & critical care Skills – your application of clinical, procedural and communication skills in a practical setting. The OSCE consists of 18 examined stations, each 9 minutes in duration, broadly divided into the two components above – knowledge and skills.  Each station reflects elements of day-to-day clinical practice. The knowledge component makes up eight of the stations. The skills component makes up ten of the stations. Candidates must pass both the knowledge and skills components to pass Part B. How much will the exams cost me? Part A of the Intercollegiate MRCS is £539 in the UK Overseas centres will cost upwards of £539 and can include a local administration fee. Part B of the Intercollegiate MRCS is £977. Please note, fees can vary dependent on location.  As an overseas doctor, where can I take the exams? Part A & B of the exams can be taken in several countries across the world, with locations in the UK, Africa, Asia, Middle East, Central Asia and Europe.  Should you require a visa in order to sit your examinations, the College will provide support letters after the closing date and when an application has been checked and the candidate is eligible. Requests for a Visa support letter must be made in writing.   The full list of countries is below:  Exam UK Country – Asia Country – Middle East, Europe & Central Asia Africa MRCS Part 1 & 2 (OSCE) Belfast Bangladesh Philippines Afghanistan Kuwait Botswana Nigeria   Cardiff Burma Singapore Azerbaijan Lebanon Cameroon Senegal   Coventry Hong Kong South Korea Bahrain Oman Egypt Sierra Leone   Dublin India Sri Lanka Cyprus Palestine Ghana Sudan   Edinburgh Malaysia Thailand Iraq Qatar Kenya Tunisia   London Nepal Vietnam Jordan Saudi Arabia Morocco Zambia   Manchester Pakistan   Israel United Arab Emirates Namibia     Newcastle     Kazakhstan Uzbekistan       Nottingham               Stirling             How can I prepare and what resources are available?  With lots of resources available online, we have discussed with IMGs the best place to start looking for materials relating to the exams. Most IMGs recommended starting with the Royal College, who have created useful resources to help you to prepare for the exams. See below:  Syllabus: The complete MRCS syllabus is contained within the General Medical Council approved curriculum for the Early Years of Surgical Training in the United Kingdom. It reflects the Core Surgical Training Syllabus of the Intercollegiate Surgical Curriculum Programme.  At IMG Connect we recommend getting to know the curriculum as early as possible and using it as a road map for your study plan.  Module Guidance: Parts A&B both examine 10 modules and the specification for each module is detailed in the Guide to the Intercollegiate MRCS examination - published by the Royal College of Surgeons. Royal College of England recommended courses: Royal College of Surgeons of England Part A guidance notes: Candidate guidance notes that cover all four colleges, including information on examination procedure, admittance. Content Guide: The Intercollegiate Committee for Basic Surgical Examinations (ICBSE) produced this guide to the Intercollegiate MRCS examination which contains: List of recommended textbooks and resources Topics and skills that may be examined Information and sample questions for both Part A & B Intercollegiate MRCS Regulations: Make sure to read through and familiarise yourself with the regulations for Membership Examinations. They are unilateral across all four colleges, you can find them here. RCS Library resources: The RCS Library contains excellent resources particularly useful for the MRCS examinations – they are available to affiliate members. Resources include Atlases, EBooks & Online Journals.  The Funky Professor: These anatomy video lectures are available from the RCS. Each video is accompanied with a detailed slideshow, plus a test on content.  As ever at IMG Connect, we stronlgy believe in the right preparation. In order to succeed in the clinical exam, IMGs have told us that it is vital that you practice your clinical examinations as frequently as possible, preferably under the supervision of a senior colleague. This will give you confidence in approaching and examining with examiners present. Passed? What next? Once you have passed both parts of your MRCS examinations you can apply for a full registration with a license to practice. Once the GMC have approved your application, you can work as a doctor in the UK.  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. Don’t hesitate to get in touch with an IMG Consultant to discuss UK job options in Surgery, including discussions regarding a typical doctor salary in the UK and the most suitable locations for you.  Connect with us Send your CV to info@imgconnect.co.uk  Call us on +44 (0)203 973 0133 Join our community!

The General Medical Council (GMC) is the public body that maintains the official register of medical practitioners within the United Kingdom. The purpose of this article is to help guide overseas doctors through the various stages of GMC Registration by considering the following topics:  Why do I need GMC Registration? How much will it cost me? What are the requirements for GMC Registration? What is the process? Recognised GMC qualifications English language capabilities Registration and licensing history Certificates of good standing Knowledge and skill tests ID Check  Before you start the process, we always recommend that It is worth having a read of the GMC website page on required documents. Of course, if you have any questions have a chat with your IMG Consultant have to clear up any uncertainties.  Why do I need GMC Registration? The GMC's main responsibility is to protect, promote and maintain the health and safety of the public and one way in which it does this is by carefully controlling entry to the register. Any doctor that wants to work in the UK must be fully registered with a licence to practice with the GMC, whether working as a locum or permanent member of staff. How much will it cost me? Generally, GMC Registration will cost £390 but this may change depending on your circumstance. Once you are registered, you must pay an annual retention fee of £390 (which can be paid quarterly, monthly or in one lump sum). A full list of GMC Fees can be found here. What are the requirements for GMC Registration? These will depend on a number of factors which can be broken down into the following: Your nationality  Where you gained your primary medical qualification Whether or not you have completed a postgraduate training or internship What is the process? The registration process can be broken down into these six steps: Check your primary medical qualification is GMC recognised Evidence of English language capabilities Registration and licensing history Certificates of good standing Knowledge and skills tests ID checks Recognised GMC qualifications: If your primary medical qualification (PMQ) is from outside the UK or EEA, you need to make sure it is eligible for GMC registration. Check here to see if your PMQ is recognised or have a read through our blog on accetable overseas qualifications. You will be required to have your PMQ independently verified before your license to practice is granted.  This is carried out by the Educational Commission for Foreign Medical Graduates (ECFMG) through their online EPIC system. For more information on verifying your PMQ and the EPIC system take a look at our blog here. English language capabilities: If English is not your native language, then you will need to pass an English Language Test (ELT), you can take either one of the following:  International English Language Testing System (IELTS) Occupational English Test (OET) Registration and licensing history: You must provide all details for any registrations or medical licenses held in the last five years. Certificates of good standing: From each of your listed medical establishments, you’ll need to provide a Certificate of Good Standing (CGS). It is worth applying for these early on as they can take some time! Knowledge and skill tests: You’ll need to demonstrate you have the necessary knowledge and skills to practice in the UK. This can be through a number of routes: Passing the PLAB test Providing evidence of an acceptable postgraduate qualification Being eligible for entry onto the Specialist Register or GP Register Gaining sponsorship by an approved sponsor Take a look at our IMG Library, in particular our sections on Postgraduate Qualifications, PLAB and CESR for further reading. Of course, we'd be delighted to talk you through your options so either give us a call or request a call back and we'll get in touch very shortly. ID Check: Once all requested information is submitted, you will need to book an ID check with the GMC. This will require you to attend in person, at either the Manchester or London office. At this point your IMG Consultant will always make an effort to meet you in person & buy you a coffee. We always believe it is better to put a face to a name! Remember, IMG Connect is here to help throughout every step of this process so if you are unsure of what is required or just need a little support along the way, please get in touch. 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. Connect with us Send your CV to info@imgconnect.co.uk  Call us on +44 (0)203 973 0133 Join our growing IMG community!

We’ve taken a broader look at MRCP(UK) examinations in our postgraduate qualifications series, in this article we will explore MRCP Part 1 in more detail. Designed to help you prepare and sit the exams, we consider the following topics:  What is MRCP Part 1?  Am I eligible to sit MRCP Part 1? What is the examination content & format? Where can I take the exam?  When is the exam sat and when can I apply? How much does the exam cost? How do I apply? How can I prepare for the exam?  Passed? What next? What is MRCP(UK) Part 1?  Part 1 is the entry-level examination accessible to doctors with a minimum of 12 months' postgraduate experience in medical employment. It covers a broad range of topics appropriate to physicians at the beginning of postgraduate training. Part 1 is the first component of a sequence of assessments intended to match the progression of trainees undertaking the Core Medical Training programme in the UK, adding unique information and building on previous assessments Am I eligible to sit MRCP(UK) Part 1? Trainees from any country in the world can sit the MRCP Part 1 Examination providing that they meet the eligibility requirements.  As an overseas candidate you are eligible to sit MRCP Part 1 if you have a GMC recognised Primary Medical Qualification and a minimum 12 months postgraduate experience in medical employment. What is the examination content & format? At IMG Connect we advise that understanding the examination format is a great foundation for exam preparation. We have summarised the Royal College’s guidance on the Part 1 Examination format below:  The exam consists of two papers, sat over the course of one day in an examination hall. Each paper is 3 hours in duration and contains 100 multiple choice questions in ‘best of five’ format. From the five options provided, one answer is correct. The other four are plausible however you will only score a point from the correct answer. There are no negative marks and questions do not include imagery.  MRCP(UK) Part 1 is designed to assess your knowledge and understanding of the clinical sciences relevant to medical practice and of common or important disorders to a level appropriate for entry to specialist training.  Candidates will be tested on a wide range of common and important disorders in General Medicine as set out in the JRCPTB Specialty Training Curriculum for Core Medical Training and the composition of the papers is as below: Specialty Number of questions * Cardiology  15 Clinical haematology and oncology 15 Clinical Pharmacology, Therapeutics and Toxicology 16 Clinical sciences ** 25 Dermatology 8 Endocrinology 15 Geriatric medicine 4 Gastroenterology 15 Infectious diseases and GUM 15 Neurology 15 Nephrology 15 Ophthalmology 4 Psychiatry 8 Respiratory Medicine 15 Rheumatology 15 Total 200 *This should be taken as an indication of the likely numbers of questions – the actual number may vary ** The clinical sciences components comprises the following: Specialty Number of questions * Cell, molecular and membrane biology  2 Clinical anatomy 3 Clinical biochemistry and metabolism  4 Clinical physiology 4 Genetics 3 Immunology 4 Statistics, epidemiology and evidence-based medicine 5 A detailed explanation of the marking system adopted for the MRCP(UK) Part 1 Examination can be viewed in the MRCP(UK) Regulations. Where can I take the exam? MRCP(UK) Part 1 can be taken in the UK and overseas as below:  Exam UK Test Centres Overseas Test Centres MRCP Part 1 Edinburgh Glasgow London Bahrain (Manama) Bangladesh (Dhaka) Egypt (Cairo) Ghana (Accra) Hong Kong Iceland (Reykjavic) India (Chennai, Kerala, Kolkata, Mumbai, New Delhi) Iraq (Baghdad) Jordan (Amman) Kenya (Nairobi) Kuwait (Kuwait City) Malaysia (Kuala Lumpur) Malta Myanmar Nepal (Kathmandu)   Oman (Muscat) Pakistan (Karachi, Lahore) Qatar (Doha) Saudi Arabia (Jeddah, Riyadh) Singapore Sri Lanka Sudan (Khartoum) United Arab Emirates (Abu Dhabi) United States of America (New Jersey) West Indies (Jamaica, Trinidad) Zimbabwe (Harare) When is the exam sat and when can I apply? It is important to note that you must apply for each MRCP exam during the specified application period. Applications made outside of the designated period will not be accepted. Exam dates and their application periods can be found here.  How much does the exam cost? UK applications cost £419 International applications cost £594* Please note, the application process and fees applicable for Hong Kong and Singapore centres differ. Applications should be made directly to the administration team for this centre. How do I apply? Applications for all exams are made online via My MRCP(UK) account. You will simply need to create an account and submit evidence of your primary medical qualification, then make a payment online to confirm your application. The application video from the Royal College can be found below: Part 1 application video The Royal College of Physicians recommends making the first attempt at Part 1 within 1-2 years of your graduation. How can I prepare for the exam?  With lots of resources available online, we have discussed with IMGs the best place to start looking for materials relating to the exams. Most IMGs recommended starting with the Royal College, who have created useful resources to help you to prepare for the exams. See below:  Curriculum: Applicants are tested on a range of common and important disorders in General Medicine as set out in the Joint Royal Colleges Specialty Training Curriculum for Core Medical Training. We recommend getting to know the curriculum as early as possible, using it as a road map for your study plan.  MRCP(UK) mock exams: We suggest registering for the MRCP mock exams here. These will provide you with the most accurate and relevant mock questions to prepare you for the real thing. Sample questions: Test your knowledge using example questions from the current exam syllabus provided by the Royal College, see below: Part 1 sample questions For a useful overview of how to prepare for exams, including advice on study groups, online community support, best use of online resources & Royal College materials and courses - take a look at our blog: IMG Connects Top Tips for exam preparation  Passed? What next? If you are completing the papers in order, the next step will be to apply for Paper B. For more information take a look at our blog we will explore MRCP(UK) Paper B and everything that you need to know about how to sit the exam, including syllabus, dates, results, fees and preparation.  For more useful blogs & articles on exams, registrations & qualifications to help you find your dream job in the NHS - take a look at our IMG Library. Don’t hesitate to get in touch with an IMG Consultant to discuss UK job options in the NHS, including discussions regarding a typical doctor salary in the UK and the most suitable locations for you.  Connect with us Send your CV to info@imgconnect.co.uk Call us on +44 (0)203 973 0133 Join our growing IMG community! 

As most overseas doctors may know, there are some non-UK Postgraduate Qualifications that are recognised by the GMC as equivalent. An equivalent qualification will be accepted by the GMC as evidence of the necessary knowledge, skills and experience to apply for full registration with a license to practice. The qualifications listed below are currently accepted by the GMC and are recognised as meeting the same standards as UK postgraduate qualifications. However, this does not mean they are the same in every way and they do not guarantee entry to the UK Specialty training. What if my qualification is listed below? If your postgraduate qualification is listed below then you will simply need to provide evidence of English Language capabilities by passing an English Language Test (typically IELTS or OET) in order to satisfy the criteria for full registration with the GMC. Read through our blogs on English Language Testing to help answer any questions you may hav on the matter. Alternatively, get in touch with one of our IMG Connect consultants (using the details at the bottom of this page) or send us an email with your details and we'll get back to you immediately to talk through any questions or next steps. What if my qualification is not listed below? If your qualification is not listed as equivalent, then you will be required to complete a Royal College Postgraduate Qualification or PLAB. You can use the GMC application finder to find the application that’s right for you. It is important to note, you must be granted full GMC registration within three years of passing your postgraduate qualification. Country Awarding Body Qualification America  American Board of Pediatrics (ABP) Diplomate of the American Board of Pediatrics - General Pediatrics America   American Board of Anaesthesiology Certificate of the American Board of Anaesthesiology America The American Board of Radiology  The American Board of Radiology diagnostic radiology examination Australia/New Zealand  Australian and New Zealand College of Anaesthetists Fellowship of the Australian and New Zealand College of Anaesthetists Australia/New Zealand   Royal Australasian College of Physicians  FRACP Adult medicine or evidence of three years of basic training (PREP) + achievement of RACP written and clinical examinations OR FRACP Paediatrics or evidence of three years basic training (PREP) + achievement of RACP written and clinical examinations Australia/New Zealand   The Royal Australian and New Zealand College of Psychiatrists Fellowship of The Royal Australian and New Zealand College of Psychiatrists (FRANZCP) awarded since January 2012 Australia/New Zealand  The Royal Australian and New Zealand College of Radiologists  Fellowship of The Royal Australian and New Zealand College of Radiologists (FRANZCR) (Clinical Radiology) Fellowship of The Royal Australian and New Zealand College of Radiologists (FRANZCR) (Radiation Oncology) Bangladesh  Bangladesh College of Physicians and Surgeons Fellowship in Anaesthesia or Anaesthesiology awarded since July 1999 Canada  The Royal College of Physicians and Surgeons of Canada The Royal College of Physicians and Surgeons of Canada - diagnostic radiology examination Europe European Academy of Anaesthesiology or European Society of Anaesthesiology European Diploma in Anaesthesiology and Intensive Care  Hong Kong Hong Kong College of Physicians Membership of the Hong Kong College of Physicians Ireland College of Anaesthetists of Ireland  Fellowship of the Faculty or the College of Anaesthetists Ireland Royal College of Physicians in Ireland  MRCP Medicine (Medicine of Childhood) Ireland Royal College of Surgeons in Ireland MRCS (collegiate examination) MRSCI (intercollegiate examination) Fellowship of the Royal College of Surgeons Ireland Fellowship of the Faculty or the College of Anaesthetists of the Royal College of Surgeons in Ireland Malaysia  Ministry of Health Master of Medicine (MMED) Malaysia with MRCP (UK) awarded since 1 July 2010 This must include four years of clinical experience (required to complete MMED) plus two years of training Pakistan  College of Physicians and Surgeons Pakistan FCPS Paediatrics Pakistan Fellowship in Anaesthesiology awarded since1998 Singapore  National University of Singapore Master of Medicine (Paediatrics)  Master of Medicine (Internal Medicine) including MRCP (UK)  Singapore  Joint Committee on Specialist Training Singapore  Master of Medicine (MMED) Singapore, plus MRCP (UK) awarded since 1 July 2010 South Africa  College of Anaesthetists of South Africa Fellowship of the College of Anaesthetists of South Africa FCA (SA) South Africa  Colleges of Medicine of South Africa  Fellowship of the College of Radiologists of SA FC Rad Diag (SA) - Diag Rad awarded after 1 October 2013 Sri Lanka  University of Colombo, Sri Lanka Doctor of Medicine or MD (Anaesthesiology) Doctor of Medicine or MD, (Obstetrics and Gynaecology) Doctor of Medicine or MD, (Paediatrics) Doctor of Medicine or MD (medicine) awarded after January 2017 Doctor of Medicine or MD (surgery) awarded after July 2017 West Africa  West African College of Physicians Fellowship of the West African College of Physicians (Paediatrics) West Indies  University of the West Indies Doctor of Medicine (Anaesthesia) awarded since September 2003 (Course title has since changed to Doctor of Medicine (Anaesthesia and Intensive care)) 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. Don’t hesitate to get in touch with an IMG Consultant to discuss UK job options in the NHS, including discussions regarding a typical doctor salary in the UK and the most suitable locations for you.  Connect with us Send your CV to info@imgconnect.co.uk Call us on +44 (0)203 973 0133 Join our growing IMG community! 

Attaining Fellowship of the Royal College of Emergency Medicine or FRCEM is needed to attain GMC Registration and start your career in NHS Emergency Medicine. International Medical Graduates (IMGs) from any country in the world can sit the FRCEM examinations, provided certain eligibility criteria are met. These are summarised below along with a broad look at the following topics: What is FRCEM? FRCEM Route Eligibility for overseas doctors FRCEM Primary Examination FRCEM Intermediate Certificate FRCEM Final Examination As an overseas candidate where can I take the exam and how much will it cost me? How do I apply? How to prepare and what resources are available Passed? What next? The Royal College of Emergency Medicine is the professional body responsible for the specialty of Emergency Medicine throughout the UK. Amongst many other duties, its role is to set and monitor the educational curriculum for those training to enter the profession. What is FRCEM? Fellowship of the Royal College is awarded to candidates who pass three examination components.  There have been a few changes to the MRCEM and FRCEM examination structure over the last few years, as such there are currently two routes to an accreditation in Emergency Medicine, both leading to RCEM Membership. These two routes are: Membership of the Royal College of Emergency Medicine (MRCEM) Fellowship of the Royal College of Emergency Medicine (FRCEM) As of August 2018, applicants beginning the process will be able to sit one set of exams leading to the award of Fellowship of the Royal College of Emergency Medicine (FRCEM). FRCEM is one of several different routes an overseas emergency medicine doctor can take full GMC registration. Read our blogs on acceptable postgraduate qualifications and PLAB if you are unsure what route to take. For doctors who wish to take more senior roles reflective of their current practice, IMG Connect advise that MRCEM or FRCEM would be the best route to take. Please note, aplicants that pass a specific combination of MRCEM and FRCEM examinations can still be awarded Membership of the Royal College by Examination (MRCEM). This would still satisfy postgraduate requirements for GMC registration. FRCEM Examination route: The Fellowship Examinations consists of the following components: FRCEM Primary Examination one, three-hour written paper FRCEM Intermediate Certificate Short Answer Question Paper (SAQ) Situations Judgement Paper (SJP) FRCEM Final Examination  Critical Appraisal (Short Answer Question Paper) Quality Improvement Project (QIP) Clinical Short Answer Question Paper Objective Structured Clinical Examination (OSCE)  Eligibility for overseas doctors: FRCEM Primary: To be eligible you must hold a Primary Medical Qualification (PMQ) that is recognised by the GMC for registration purposes. FRCEM Intermediate: To be eligible you must hold a PMQ recognised by the GMC, have completed an equivalent to the UK Foundation Programme and have passed FRCEM Primary Examination after 1st August 2016. You will also be eligible if you have been granted exemption from the FRCEM Primary as a result of obtaining MRCS or MRCSI after 1st January 2012. FRCEM Final Examination: To be eligible you must have FRCEM Primary and FRCEM Intermediate Certificate, attained after 1st August 2016. The examination is conducted in English and candidates are advised that IELTS Level 7 is the expected standard for completion of the FRCEM examinations. Remember, you will need to have a pass of 7.5 average in all areas of IELTS to complete your GMC registration. FRCEM Primary Examination: The FRCEM Primary Examination is mapped to the Emergency Medicine 2015 Curriculum. More detailed information is provided in the RCEM Basic Sciences Curriculum (June 2010). The exam consists of one 3-hour paper of 180 single best answer questions (SBAQs) so you must choose one best answer from a choice of five feasible answers.  The paper will examine all the domains of knowledge in the Basic Sciences Curriculum including: Anatomy Physiology Pathology Microbiology Pharmacology Evidence Based Medicine FRCEM Intermediate Certificate: FRCEM Intermediate Certificate is comprised of two papers: Short Answer Question paper (SAQ): A single 3-hour paper of 60 questions, each worth 3 marks.  Unlike single best answer questions (SBAQs) you will not have the advantage of having a list of options to choose from. Instead you will have to compose your answer independently. The blueprint for the FRCEM intermediate is as follows: Curriculum Category Questions Common Comptences 7 Clinical Presentations – Core Major & Acute Presentations  18 Anaesthetic Comptences CT1&2 4 ICM within ACCS 2 Acute Presentations – Additional Adult ST3 6 Paediatric Presentations – Makor & Acute Presentations  11 Practical Proceedures (ACCS) 12 Total  60 Situational Judgement Paper (SJP): A two-hour paper of 120 single best answer questions. This written paper is designed to test your ability to understand & respond appropriately to real world clinical situations, assessing you against the Common Competencies in the Emergency Medicine Training Curriculum 2015.  FRCEM Final Examination: From August 2018 the FRCEM Final consists of the following components: FRCEM Critical Appraisal (Short Answer Question Paper)  FRCEM Quality Improvement Project (QIP)  FRCEM Final Clinical Short Answer Question Paper  FRCEM OSCE  Each component tests individual skill sets and as such may be sat independently. FRCEM Critical Appraisal: A 90-minute Short Answer Question Paper. FRCEM Quality Improvement Project (QIP): This replaced the CTR from 1st August 2016. The QIP is a written submission that should be completed whilst working in Emergency Medicine at a level above ST3 or SHO. It should focus on quality improvement in Emergency Medicine, and may focus on either adult or paediatric Emergency Medicine. Any candidates who have not been awarded FRCEM by 31st July 2018, irrespective of any previous passes in CTR, are required to pass the new FRCEM QIP. Clinical Short Answer Question paper (SAQ): The SAQ is a 3-hour paper consisting of 60, 3-mark questions. A summarised blueprint for the FRCEM Final SAQ is as follows.  A fuller version can be found on the RCEM website here. HST Major and Acute Presentations 25 questions Additional Paediatric Practical Procedures 3 questions Practical Procedures (HST) 11 questions Ultrasound 3 questions Clinical Presentations - Core Major & Acute Presentations 6 questions Common Competencies 2 questions Anaesthetic Competences CT1&2 1 question ICM within ACCS 1 question Acute Presentations - Additional Adult ST3 2 questions Paediatric Presentations - Major & Acute Presentations 3 questions Practical Procedures (ACCS) 3 questions FRCEM Final OSCE: The exam is set in a practical setting and tests your ability to apply knowledge & experience directly to patients – rather than reciting learned knowledge. The exam consists of 16, 8-minute stations with one minute provided in between stations for reading time. As with many other final stages to Royal College exams – FRCEM Final OSCE will make use of manikins or actors and you will be observed by an examiner after being presented with a clinical case to assess. Examiners will not engage with you – only observe and mark. A brief summary of the curriculum for OSCE is found below: Stations Curriculum 1 Core Acute 2a Resuscitation 2b 3 Core Major 4 Common Competencies 5 Common Competences 6 Anaesthetic Competences 7a Paediatric Resuscitation 7b 8 Paediatric Acute 9 Paediatric Major 10 HST Major 11 HST and Adult Acute 12 Practical Skills 13 Paediatric Practical Skills 14 Non-technical Skills  As an overseas candidate where can I take the exam and how much will it cost me? Examination and application dates are regularly updated by the Royal College and can be found here. Dates for 2020 have not yet been released – IMG Connect will post these as soon as they become available. Please remember, applications made outside of the application period will not be accepted. Examination Location Fees FRCEM Primary Short Answer Question Paper UK £310 Iceland, Malaysia, Oman, India £390 FRCEM Intermediate Certificate SAQ UK £305 Iceland, Malaysia, Oman £385 FRCEM Intermediate Cert. (SJP) UK £200 Kuala Lumpur £200 FRCEM Final Clinical SAQ UK £300 FRCEM Final Critical Appraisal SAQ UK £240 FRCEM Final QIP N/A £150 FRCEM Final OSCE London £420 How can I apply? All applications are made online and links to all application forms and windows are available here. It is worth noting, the application can take some time to complete so it is always advisable to apply well in advance of the deadlines. Please remember, applications submitted after the application period will not be accepted.  How do I prepare for each exam and what resources are available? With lots of resources available online, we have discussed with IMGs the best place to start looking for materials relating to the exams. Most IMGs recommended starting with the Royal College, who have created useful resources to help you to prepare for the exams.  Curriculum:  Applicants are tested on a range of common and important disorders in Emergency Medicine as set out in the Emergency Medicine Training Curriculum 2015. We recommend getting to know the curriculum as early as possible and using it as a road map for your study plan.  Information Packs: These provide detailed information for the relevant examination components so that you can best prepare for your studies and what to expect on the day: FRCEM Primary FRCEM Intermediate FRCEM Final Examination SAQ Blueprint: The blue print for the new Intermediate SAQ exam can be found on page 8 of the FRCEM Intermediate examination pack, downloaded from the RCEM website here. SJP Blueprint: A blue print of the new Intermediate SJP exam can be found on page 11 FRCEM Intermediate examination pack, downloaded from the RCEM website here. Sample questions:  Test your knowledge using example questions from the current exam syllabus provided by the Royal College, see below: Primary – sample questions Intermediate Certificate – sample SJP questions Final – successful QIP Reducing referral rates of paediatric patients to plastic surgery Management of fractured neck of femurs in the ED Final – unsuccessful QIP Critical Appraisal Questions – Advice to Candidates  Critical Appraisal – Most Frequently Offered Answers Glossary of Terms:  The royal college uses many terms that may cause confusion, so take plenty time to understand the terms and definitions used in this guide. Candidates are expected to be rigorous in their use of these terms. Glossary of terms used in RCEM exams. Examination Report: The Royal College recently began to publish reports on the performance of those sitting FRCEM examinations. Below is the first report published and helps to break down results for those in training and those out of training.  2018 Examination report. Online resources:  There are lots of resources online, such as videos on YouTube, FRCEM courses and useful reading materials. We think that these are a great addition to your study plan, just be sure to check your sources.  For a useful overview of how to prepare for exams, including advice on study groups, online community support, best use of online resources & Royal College materials and courses, take a look at our blog: IMG Connects Top Tips for exam preparation. As ever at IMG Connect we believe in preparation. In order to succeed in the clinical exam, IMGs have told us that it is vital that you practice your clinical examinations as frequently as possible, preferably under the supervision of a senior colleague. This will give you confidence in approaching and examining patients with examiners present. Should I take a course to prepare for the OSCE? Whilst it is not essential to take a course when preparing for the MRCEM or FRCEM OSCE - there is no doubt it will help your preparations both technically and mentally, and should be considered an investment towards your future career plans. Have a read of our blog on recommended MRCEM courses for Emergency Medicine doctors. Passed? What next?  First of all, congratulations! After you have passed all parts of FRCEM or MRCEM you can apply for a full registration with a license to practice. Once the GMC have approved your application, you can work as a doctor in the UK.  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. Don’t hesitate to get in touch with an IMG Consultant to discuss UK job options in Emergency Medicine, including discussions regarding a typical doctor salary in the UK and the most suitable locations for you. Connect with us Send your CV to info@imgconnect.co.uk  Call us on +44 (0)203 973 0133 Join our growing IMG community! 

We’ve already looked broadly at Postgraduate and PLAB routes to the UK. Now let’s look in more detail at one in particular – Membership of the Royal College of Psychiatrists or MRCPsych (UK). International Medical Graduates (IMGs) from any country in the world can sit the MRCPsych examinations, provided certain eligibility criteria are met. These are summarised below along with a broad look at the following topics: What is MRCPsych?  What is the exam content and format? Eligibility for overseas doctors Assessment Portfolio Sponsorship Requirements How do I apply?  How much will it cost me? Where can I sit the exams? How can I prepare for the MRCPsych examinations Passed? What next? The Royal College of Psychiatrists is the professional body responsible for the specialty of Psychiatry throughout the UK. Amongst many other duties, its role is to set and monitor the educational curriculum for those training to enter the profession. What is MRCPsych?  The MRCPsych examinations are the central component of training for psychiatrists in the UK and the examinations are designed to test your knowledge of basic medical sciences as well as the clinical skills required for diagnosis and management within psychiatry.  For international doctors, MRCPsych is one of the two main routes IMGs can take to full GMC registration - Royal College or PLAB route.  For doctors who wish to take more senior roles reflective of their current practice, IMG Connect advise that MRCPsych would be the best route to take. Overseas doctors must be registered with a recognised medical board in their country of residence and should have undertaken 3 years of training and MRCPsych (UK) is a prerequisite to anyone wishing to go on to a specialist training post as a physician in the UK What is the exam content and format?  The MRCPsych examinations consist of two written papers (Paper A + Paper B) and one clinical examination (CASC).  Typically, a UK Psychiatrist would sit Paper A from FY2. Candidates will then progress through MRCPsych examinations from CT1 – CT3, before going on to specially training for CCT.  Paper A – The scientific and theoretical basis of psychiatry – 3 hours.  This is a written paper, worth 150 marks and comprising of 150 questions made up of approximately two thirds multiple choice questions (MCQ) and one third extended matching item questions (EMI).  It covers the following sections of the syllabus:  Behavioural Science and Socio-cultural Psychiatry Human Development Basic Neurosciences Clinical Psychopharmacology Classification and Assessment in Psychiatry Paper B - Critical review and the clinical topics in psychiatry – 3 hours This is a written paper, worth 150 marks and comprising of 150 questions made up of approximately one third covering critical review and two thirds covering clinical topics.  It covers the following sections of the syllabus:  Organisation and delivery General adult Old age Psychotherapy Child & adolescent Substance misuse Forensic Learning disability Critical review CASC - Clinical Assessment of Skills and Competencies The CASC is based on a format that is similar to OSCEs. Specifically, the examination consists of two circuits which must be completed on the same day. In total, the circuit includes 16 stations, made up of:  five stations on history taking, including risk assessment five stations on examination, including physical and mental state six stations on patient management  Stations consist of several elements with instructions provided to all candidates, marked against the examiners construct.  These have a standardised format with elements in common between stations of a similar type. Find out more here. Eligibility for overseas doctors:  The MRCPsych examinations can be taken by both:   Doctors from the EU, who are working overseas Non-Eu doctors who are working overseas Each examination has different criteria, to complete the full MRCPsych an overseas doctors must be registered with a recognised medical board in their country of residence and complete the Assessment Portfolio for Overseas Candidates demonstrating that they have complete 3 years of equivalent training.  Furthermore, prior to taking CASC, overseas candidates must demonstrate competencies in Psychotherapy AND Child & Adolescent Psychiatry or Learning Disability. For each part of the exam the Royal College suggest the following eligibility criteria:  MRCPsych Paper A: You are eligible for Paper A if you are a fully registered medical practitioner.  MRCPsych Paper B: It is a recommended to have at least 12 months experience in psychiatry before taking this examination.  Clinical Assessment of Skills and Competencies (CASC): You are eligible to take CASC if you have 24 months post internship experience in Psychiatry, by the time of sitting the CASC. AND You have a pass in both Paper A and B AND You can demonstrate you have sponsorship in place. Sponsorship forms must be submitted by an appropriate medical education lead confirming that the eligibility requirements to sit the MRCPsych examinations have been met.  In addition, overseas candidates must show their sponsor evidence of having achieved equivalent competencies at appropriate competency levels (year 1, 2, 3) for each component of the examination. Assessment Portfolio for Overseas Candidates: As above, one aspect of eligibility for CASC as to complete an Assessment Portfolio. This must demonstrate achievement of equivalent competencies to those defined in the ARCP documented on the application form, this must include competencies in Psychotherapy AND Child and Adolescent Psychiatry, or Learning Disability have been achieved by the time of applying for the MRCPsych CASC. In addition, overseas candidates must demonstrate that they undertake the following activities as part of their structured job plans: be observed interviewing patients in ward rounds for specified reasons  be observed interviewing patients in out-patient or community settings or other contexts for specified reasons  be assessed via formal presentation of cases with their medical notes; discuss management of cases with their Clinical or Educational Supervisor be assessed formally in having achieved competencies in Child and Adolescent Psychiatry or Learning Disability AND Psychotherapy Assessments and achievement of competencies should take place in a range of settings and psychiatric specialties with structured, documented feedback on performance having been provided.   Whilst there is not an assessment criteria form available as this is incorporated into the online submission, take a look at the ARCP assessment portfolio form for CT1-3 in the UK, which should help give you a starting point for your own portfolio.  Sponsorship requirements:  International candidates must have a sponsor in place in order to support evidence that their three years of training satisfy Royal College criteria of having achieved equivalent competencies at appropriate competency levels (year 1, 2, 3) for each component of the examination.  Sponsorship is required by all applicants for entry to the CASC examination and your sponsor should be an appropriate medical education lead confirming you have met the requirements to sit the MRCPsych examinations. Acceptable sponsors are:  College Tutor Training Programme Director Educational Supervisor Head of School Director of Medical Education (or equivalent) Head of Department of Psychiatry Consultant responsible for employee/trainee appraisal Once your sponsor has authorised your application, you will receive a confirmation email from the Royal College, and you will be asked to complete your application and proceed to payment. How do I apply?  To apply you will need to complete an online application form. It takes about 15 – 20 minutes. You can sit Paper A and B in any order. You will be required to enter contact details and training history, including your medical registration. Payment is made by credit/debit card.  If applying for the CASC, you will also need to provide the contact details of your sponsor. It is important to note that the online form for Paper A, B and CASC will only be available during the published application dates and must be submitted before the closing date and time. Applications submitted after, will not be accepted. How much will it cost me? Candidate Paper A Paper B CASC PMPT Trainees and Affiliates (UK & Ireland Centres) £467 £420 £965 Non-PMPT Trainees and Affiliates (UK & Ireland Centres) £518 £466 £1,072 Hong Kong, China £661 £661 £1,462 Singapore £661 £661 £1,462 Chennai, India £661 £661 N/A Muscat, Oman £661 £661 N/A Malta £661 £661 N/A Where can I sit the examinations? You can sit the examination in several countries, with a range of locations offered. The below table shows the current examinations schedule, please note that this is subject to change.  The written papers (A and B) are held at various centres in the UK, as well as Dublin, Hong Kong, Muscat and other international venues. UK test centres for Paper A and B: Centre Address Exam times Paper London Kensington and Chelsea Town Hall, London 10:00 - 13:00 Paper A - December Paper B - April   Paper B - Oct   London Bishopsgate Institute, London 10:00 - 13:00 Paper A - June Birmingham H Suite Edgbaston, Birmingham 10:00 - 13:00 Paper A - June Paper B - April   Paper B - Dec   Paper B - Oct   Birmingham Fazely Studios, Birmingham 10:00 - 13:00 Paper B - Oct Manchester Kings House Conference Centre 10:00 - 13:00 Paper B - Oct Edinburgh Royal College of Physicians 10:00 - 13:00 Paper A - June Paper B - April   Paper B - Dec   Paper B - Oct   Dublin Griffith College Conference Centre 10:00 - 13:00 Paper A - June Paper B - Dec   Paper B - Oct   Dublin Royal College of Physicians Ireland 10:00 - 13:00 Paper B - April Overseas test centres for Paper A and B: Please note the overseas venues are booked only a few weeks in advance after candidate numbers have been confirmed. All times are local. Centre Address Exam Times Paper Hong Kong, China TBC 17:00–20:00 Paper A Paper B Singapore TBC 17:00–20:00 Paper A Paper B Chennai, India TBC 14:30–17:30 Paper A Paper B Muscat, Oman TBC 13:00–16:00 Paper A Paper B Malta TBC 11:00–14:00 Paper A Paper B Where can I sit the CASC Examination? CASC exams are currently available in three locations, however there are plans to expand this list. IMG Connect will make you aware of new venues as and when they are added.  Centre Address Times Diet Sheffield, UK English Institute of Sport Coleridge Road, Sheffield S9 5DA 9:40–17:17* CASC January CASC September Hong Kong TBC 9:20–17:00* CASC 2019-1 (date TBC) Singapore TBC TBC CASC 2019-1 (June) *Please check admission documents for registration times. Dates of exams (available at the time of writing) Paper A: Diet Date of Examination Application Period Publication of Results 1 18 June 2019 29 April - 17 May 2019 16 July 2019 2 3 December 2019 7 - 25 October 2019 TBC Paper B: Diet Date of Examination Application Period Publication of Results 1 9 April 2019 18 February - 8 March 2019 9 May 2019 2 8 October 2019 29 July - 16 August 2019 8 November 2019 CASC - UK & Ireland: Diet Date of Examination Application Period Publication of Results 1 15 - 18 January 2019 29 October - 16 November 2018 15 February 2019 2 10 - 13 September 2019 10 - 28 June 2019 4 October 2019 CASC - Hong Kong/Singapore: Centre Date of Examination Application Period Publication of Results Singapore 15 -17 May 2019 11- 22 March 2019 TBC Hong Kong 16 - 18 October 2019 10 - 28 June 2019 TBC After you have complete the written exam, you have 1,643 days to sit the CASC – you can find specific time limits here.  How do I prepare for the MRCPsych examinations?  With lots of materials online we have discussed with IMGs the best place to start looking for resources and materials relating to the exams. Most IMGs recommended starting with the Royal College, who have created useful resources to help you to prepare for the exams. See below:  Syllabus: We always suggest that this is the best place to start – plan your study around the curriculum topics and make a road map to your success in the exams.  Syllabus: summary of areas of core medical knowledge underpinning specialist training in psychiatry  Current critical review syllabus: For Paper B candidates will need to ensure that they make optimal use of the MRCPsych Paper B Critical review Evidence Based Practice Syllabic Content.  Sample Papers: These will help you prepare and polish your exam techniques and are a good idea to regularly benchmark your knowledge against the syllabus. In addition sample questions will help you work quickly on the day, you will already know what to expect. Please note: you may be required to be a member to access these.  Paper A sample questions Paper B sample questions  Marking schemes (Paper A and B): Candidates pass or fail the written papers based on their performance, and not how well you perform against other candidates. As such, it is a good idea to understand how the exam is worked, so you can maximise your exam skills, giving you the best chance of a pass.  Marking schemes can be found here.  Marking scheme (CASC): A good start with CASC preparation is to get to know how you will  be assessed, take a look at the criteria for scoring a pass mark in CASC, as well as the History Marksheet, Management Marksheet and Examination Marksheet.  Written papers marksheet example: Again, this is a useful tool to help you familiarise yourself with the exam format and improve your test skills. An example marksheet can be found here.  CASC examination guide: The Royal College have produced a helpful guide for candidates which provides information on stations, role plays and assessment.  CASC preparation videos: Here you will have the opportunity to see CASC stations in action. This will give you a good idea of what to expect and help you prepare.  CASC Blueprint: This helpful summary details stations in some detail and gives a useful overview of the exam format.  The Royal College also suggest taking a look at Passing the MRCPsych - an insider’s guide - a useful guide to help you to get over the first steps.  As ever at IMG Connect, we believe in preparation. In order to succeed in the clinical exam, IMGs have told us that it is vital that you practise your clinical examinations as frequently as possible, preferably under the supervision of a senior colleague. This will give you confidence in approaching and examining children with examiners present. Passed? What next?  First of all, congratulations! After you have passed all parts of MRCPsych you can apply for a full registration with a license to practice. Once the GMC have approved your application, you can work as a doctor in the UK.  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.  Don’t hesitate to get in touch with an IMG Consultant to discuss job options in Psychiatry, including discussions regarding a typical doctor salary in the UK and the most suitable locations for you.  Connect with us Send your CV to info@imgconnect.co.uk  Call us on +44 (0)203 973 0133 Join our growing IMG community!

IELTS is the International English Language Testing System which tests English language skills worldwide.  IELTS is used by overseas doctors to demonstrate their ability to communicate effectively in English and support their application to the register and practice medicine in the UK.  As an international doctor coming to work in the UK, there are different scenarios in which you’ll need to provide a pass in an English test. In this article, we outline the key facts about IELTS, including the following topics:  What is IELTS? Content and structure: Listening Reading Writing Speaking What scores do I need? There are a few IELTS options, what test should an IMG take?  What scores do I need for GMC and Visa applications? Paper or computer version?  Does time matter?  Where and when can I take the test? Can I cancel my application? Is the IELTS test completed in one day? When will I receive my results? If I don’t pass, can I re-sit?  How can I prepare?  What resources are available?  Passed? What next? What is IELTS? Content and structure: IELTS is designed to test your English skills needed to be successful in the workplace. It covers the following sub-test areas:  Listening (30 minutes)  Reading (60 minutes) Writing (60 minutes) Speaking (11 – 14 minutes) IELTS reflects everyday language used in an English-speaking country. There is even a part of the test that is a real-life conversation. Listening: 30 minutes The listening sub-test consists of four sections, each including 10 questions. You will listen to four separate recordings and then answer questions.  The recordings will include a general conversation, a monologue on a general topic, a conversation of up to 4 people in an academic setting, a monologue on an academic subject. Questions are varied in type, including multiple choice, matching, labelling, note completion and sentence completion.  Reading: 60 minutes The reading sub-test consists of three long texts, usually taken from journals magazines, newspapers or books. They are not specific to any one topic, however the texts are appropriate for people entering university or professional registration.  The test consists of 40 questions, testing a range of reading skills.  Writing: 60 minutes The writing sub-test consists of two writing tasks.  Task 1 – describe, summarise or explain the information presented in a graph, table or chart.  Task 2 – write an essay in response to a point of view, argument or problem.  Both tasks require a formal style of writing. The topics covered are general interest, and suitable for people applying for university or professional registration.  Speaking: 11 – 14 minutes The speaking sub-test comprises of three parts, delivered by an IELTS examiner face to face:  Part 1 – you will be asked general questions about yourself, covering a range of topics.  Part 2 – you will be given a topic to talk about. You will have 1 minute to prepare, and then speak on the given topic for two minutes. You will then be asked a few questions by the examiner on the same topic.  Part 3 – You will be asked further questions on the same topic as part 2. Here you will have the chance to elaborate and discuss more ideas.  The topics covered are general interest, and suitable for people applying for university or professional registration.  What scores do I need?  To register with the GMC, you must obtain an overall score of 7.5 with minimum scores of 7.0 in each sub-test.  Remember, to sit the PLAB test, you must obtain the required IELTS overall score of 7.5 with minimum scores of 7.0 in each sub-test.  There are a few IELTS options, what test should I take?  IELTS has two versions, Academic and General. To register with the General Medical Council (GMC) in the UK, an IMG must take the Academic test, which is designed for people applying for professional registration.  However… You can use your IELTS certificate for both the GMC and your visa application. IELTS Academic UKVI is the only version acceptable for both GMC and Tier 2 Visa applications, and for this reason is the best route covering all application purposes in one go. Not only will this save on fees, but also will ensure that only one test is taken.  Remember, IELTS Academic UKVI is the only version acceptable for both GMC and Tier 2 Visa applications, and for this reason is the best route covering all application purposes in one go.  What scores do I need for GMC and Visa applications?  For the GMC to accept your IELTS certificate you must achieve an overall score of 7.5 across all four areas, with no less than a 7.0 in in each testing area. The pass score for a Tier 2 General Visa is 4.0 overall, and in each of the four skills.  Paper or computer version?  IELTS can now be taken on paper or computer. Both are exactly the same content, the only difference is the manner in which the answers are complete on the test.  Paper IELTS:  Reading, writing and listening sub-tests will be sat at a desk with questions papers and answer sheets.  The speaking section is carried out face to face with an IELTS examiner.  Computer IELTS:  Reading, writing and listening sub-tests will be taken at a computer with questions on screen. The speaking section is carried out face to face with an IELTS examiner.  Does time matter?  Each sub-test is timed, and you will need to practice how to give each section the right amount of time. You will have to be efficient and work quickly, dedicating the right amount of time to each question and text.  Where and when can I take the test?  IELTS can be taken in more than 1,200 locations worldwide, with 48 test dates in the calendar year. For more information on venues take a look at the official website.   Can I cancel my application? If you cancel your application more than 5 weeks before the test date, you will receive a refund minus an administration charge. If you cancel within 5 weeks of the test date, you will be charged the full fee unless you have a medical reason.  Is the IELTS test completed in one day? This depends on your test centre. The listening, reading and writing components of the test are always complete one after the other, with no break. The speaking test may be taken up to 7 days either before or after the test date. Check with your test centre for more details. When will I receive my results?  The test report will be posted to you 13 days after your test date. Some test centres also provide SMS alerts and an Online Results Service, check with your centre for more information.  Keep your Test Report Form in a secure place as you only receive one copy and you will need it later!  If I don’t pass, can I re-sit?  You can sit the test as many times as necessary.  However, this will cost you more money, so at IMG Connect we advise that you prepare as best you can for every test. If you don’t pass the test, then do additional study before taking the test again.  How can I prepare?  IELTS can be challenging. It involves learning a large amount of vocabulary on a range of academic subjects so that you will be prepared to read academic texts quickly and effectively, understand lectures, talks and questions, giving opinion in detail.  You will have to prepare how to write reports on a variety of data and essay types so make sure you are as prepared as possible before sitting the exam.  Written texts are to be of a high standard, including complex structures and grammar.  Successful IMGs who have passed IELTS told us that learning key exam techniques helps you to work quickly and effectively during the test day.  You don’t need to pay take a course. However, it is highly advisable to attend a course, and/or language classes, successful overseas doctors have advised that this helped them improve their standards in all areas of the test, including improved general levels of English and get used to the test format and timings. We strongly recommend that you start preparing for the exams as far in advance as you possibly can.  Establish your level of English, and work out what areas you will need to focus on. Identify your weaknesses, set goals for yourself and plan a revision timetable. What resources are available?  To prepare for the tests, there are lots of online resources and practice materials available. A good start is the IELTS and British Council websites.  You can also find practice papers online. We have also written a useful blog series on the English Language Tests for IMGs, which includes tips for studying at home.  Passed? What next? If you have your IELTS in place you are in a prime position to apply and interview for jobs. Take a look at our job search page if you have not already, alternatively get in touch with an IMG Consultant to put your CV to use! For more useful blogs & articles on English Language Tests to help you find your dream job in the NHS - take a look at our IMG Library. Don’t hesitate to get in touch with your IMG Consultant to discuss UK job options in the NHS, including discussions regarding a typical doctor salary in the UK and the most suitable locations for you.  Connect with us Send your CV to info@imgconnect.co.uk  Call us on +44 (0)203 973 0133 Join our growing IMG community!

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 tips for studying for the English Language Tests at home, enjoy!  Whilst exam papers are an essential weekly part of your overall study plan, too many exam papers can lead to boredom or frustration.  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, 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: There is no such thing as fish 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. Get help and advice… it’s free! One easy step is to join our online community of IMGs who can help with more tips or general advice and support. Beyond that there are loads of great outlets online for general and more specific advice.  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. Don’t hesitate to get in touch with an IMG Consultant to discuss UK job options in the NHS, including discussions regarding a typical doctor salary in the UK and the most suitable locations for you.  Connect with us Send your CV to info@imgconnect.co.uk  Call us on +44 (0)203 973 0133 Join our growing IMG community!

In order to apply for GMC Registration and/or take the PLAB tests, IMGs must hold a primary medical qualification acceptable to the GMC for the purpose of registration with a licence to practise. If your primary medical qualification is from outside of the UK or EEA, the GMC will need to check that it is acceptable.  How can I check my overseas qualification is recognised by the GMC?  Your Primary Medical Qualification (PMQ) must be awarded by an institution listed in the World Directory of Medical School.  There are some qualifications that the GMC already do not accept. These are listed on their website. You should check whether your qualification meets the relevant criteria before you start an application.  As part of the GMC application, overseas doctors from outside of the EEA will need to send a copy of their primary medical qualification to the GMC.  If your primary medical qualification meets the GMC criteria, you will need to have it independently verified by the Educational Commission for Foreign Medical Graduates (ECFMG) before registration with a license to practice can be complete. How do I verify my Primary Medical Qualification?  Verification is completed online and is a simple process. You will set up an online EPIC account (Electronic Portfolio of International Credentials), confirm your identity and upload your qualification for verification. This is then assessed by ECFMG who will communicate directly with your awarding body to confirm authenticity.  What next? Once assessed the ECFMG will confirm the outcome with the GMC. You will receive and EPIC ID, which will be required when completing the GMC application.  At IMG we recommend that you check your primary medical qualification and start the verification process as early as possible, so that you will have your verified qualification before applying.  Once you have checked that you have a suitable overseas qualification, and your overseas primary medical qualification has been independently verified, you can complete the GMC registration online.  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. Connect with us Send your CV to info@imgconnect.co.uk  Call us on +44 (0)203 973 0133 Join our online Facebook Community

We’ve already looked broadly at Postgraduate and PLAB routes to the UK. Now let’s look briefly at another route available to overseas consultants who wish to relocate to the UK - Certificate of Eligibility for Specialist Registration (CESR). Many IMGs have recently asked if they would be eligible for the CESR route to Specialist registration. International Medical Graduates (IMGs) from any country in the world can apply for CESR, provided certain eligibility criteria are met. To help answer this question we have put together a short article to explain further, including the following topics:  What is CESR? How does CESR work?  Am I eligible?  I am eligible, what next?  Applications for CESR requires a lot of preparation and can seem quite daunting. This is the first in a series of articles aimed at helping doctors planning to engage in this process. What is CESR?  The Certificate of Eligibility for Specialist Registration (CESR) is the process by which doctors who have not trained in an approved programme can demonstrate their knowledge, skills and experience are equivalent to that of the relevant CCT curriculum to join the GP or specialist registers.  How does CESR work?  The CESR is awarded by the GMC and applications are made directly to them. The Royal College then assesses the evidence an applicant has submitted to the GMC.  The assessment is to assure the GMC that the applicant has gained the equivalent level of competence as a trainee (i.e. ST6) making application for CCT via the ARCP process (Annual Review of Competency Progression). This means that the CESR applicant must demonstrate competence against all Intended Learning Outcomes in the curriculum of the specialty of their choice via the written evidence submitted. Are you eligible?  There are different ways to apply for registration with a licence to practise in the UK. It depends on your nationality, qualification 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.  The CESR certificate is awarded only on the written evidence provided by the applicant. It is not granted on the basis of references or experience.  In most circumstances we can say that evidence must:  come from higher training equivalent  be less than 5years old demonstrate higher level experience  map to the curriculum be represented clearly be current be primary evidence You can check the approved Royal College curricula for all 65 specialities and sub specialties here.  I am eligible, what happens next?  As an IMG, it is highly likely that you haven’t complete a UK based approved training programme but could be eligible for Specialist Registration via the CESR route. Take a look at our in-depth CESR overview for more information on how to apply and what to expect.   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. Don’t hesitate to get in touch with an IMG Consultant to discuss senior UK job options in the NHS, including discussions regarding a typical doctor salary in the UK and the most suitable locations for you.  Connect with us Send your CV to info@imgconnect.co.uk  Call us on +44 (0)203 973 0133 Join our growing IMG community! 

In this article we will look at how to prepare for both IELTS and OET saving you time and money, giving you the best chance to get the score you want. To help you decide the best way to prepare, we have included the following topics:  The first thing to say – it isn’t easy!  What should I expect? Can I just take the exam?  How can I prepare? Can I do all of this at home?  Where can I find training?  Knowing your level What resources are available online to help with my preparation?  Steps to success in the English Language Tests  The first thing to say – it isn’t easy!  Preparing for any English Language Test, whether you have chosen IELTS or OET, requires you to learn a huge amount of vocabulary, write specific reports or essays, use a high level of grammar and structure, learn how to engage with a range of scenarios and acquire a set of key exam techniques.  What should I expect? Preparing for and sitting the exams is difficult, not least because of the overload of information that is out there, for example which sources do you trust? What is the best way to find information?  Passing the exams can take months, and in some cases years of hard work. And don’t forget that each exam costs money, with many also choosing private tuition – the money and time can soon add up.  Can I just take the exam?  The exams costs money each time and are very specific in format, with the answers requiring certain structures and techniques. A lot of IMGs don’t get the required marks at first attempt and as such, we don’t advise taking the exam without sound preparation.  Remember… failing to prepare, is preparing to fail. In general, there are a few things that most IMGs tell us that they have improved on through preparing well:  Overall general level of English – this takes time IMGs who passed have told us that this takes the longest, but it is time well spent… Overall improvements in general English skills, including broadening your vocabulary, grammar and punctuation, will help you to achieve the best score possible. Try to make a little progress every day. Refining your test skills – this takes practice  Each sub-test (reading, writing, speaking and listening) has a different style of question and answer, so each of them has a specific skill that you need to learn.  Knowing how the tests are marked – this takes guidance  To gain those valuable extra scores, get to know what the examiner wants and give it to them!  Remember, this skill alone won’t get you a pass, but combined with the above it will be a huge help to getting the score you want. Break your preparations down into achievable goals, be realistic but don’t be afraid to push yourself!  How can I prepare? Can I do all of this at home?  IMGs have shared many ways to practice for a pass and this doesn’t mean just repeating exam questions.  Here are a few of our favourite examples that you can do every day, for free!   Find a colleague at work, friend or family member, who you enjoy speaking English with and speak to them every day!  Read a wider range of topics online, both medical and general.  Find a regular news source you enjoy reading in English.  Tune into UK radio stations, available online, or, on your mobile phone. Put the radio on before and after work, rather than your usual local station.  Listen to Podcasts in English, there are thousands of topics to choose from.  Watch YouTube channels about medicine and life in the UK.  Watch movies and TV shows in English, both with and without subtitles.  Start writing, it is key that you practice, but this can sometimes be the hardest to practice in natural contexts. IMGs have suggested writing a blog or writing letters and emails (in English) to friends and family Watch Tedtalks, that both do and don’t interest you! Take practice tests at home, mark your answers and check how you improve.  Basically, find your passion and go for it!  Where can I find training?  There are excellent training sessions available, including face-face and online courses to help you to prepare. They can help you to build the skills you need to succeed in your exam.  It is always good to tailor your learning to your own needs, so whether you are new to the tests, or looking for support to help you to study or retake the exams, find a training programme that suits you.  Whilst not necessary, taking up an exam preparation course led by an experienced teacher or tutor who is knowledgeable on the test and the skills – is highly recommended Most IMGs who attend courses in person, tell us that they saw quicker results.  Knowing your level Knowing your level is an essential part of the preparation for both IELTS and OET. Whether you decide to sign up for a course, or tutor, getting assessed and knowing your current level will help you identify your areas of weakness to focus on.  We would recommend getting your speaking and writing assessed by a qualified teacher. They can tell you what level you are at and areas for improvement.  Identify weaknesses, focus on these and get reassessed to check if you have improved.  You can find courses or individual teachers online who have been trained directly by the examining body, which can give you the boost you need. But, speak to colleagues and see if they can recommend a trusted course or teacher. What resources are available online to help with my preparation?  The following sites will give you all the general information you need for your IELTS or OET exam preparation: IELTS Official British Council IELTS IDP IELTS OET You can find video tutorials and support on YouTube, including official channels from both IELTS and OET: YouTube - IELTS YouTube - OET You can find online practice papers at the following trusted sites:  British Council – free sample tests IELTS Essentials – free sample tests  IDP – free sample test OET – free sample tests So, broken down, here are our steps to success in the English Language Tests: Understand the test structure and format Set yourself achievable learning goals Get to know the marking criteria  Understand the various question types Polish your exam skills Improve your vocabulary Take practice tests Practice every day, and we mean every day!  Not essential depending on your level of English, but you can also find a tutor or online course.  Get assessed, identify weaknesses, work on these, get reassessed. 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. Don’t hesitate to get in touch with an IMG Consultant to discuss UK job options in the NHS, including discussions regarding a typical doctor salary in the UK and the most suitable locations for you.  Connect with us Send your CV to info@imgconnect.co.uk  Call us on +44 (0)203 973 0133 Join our growing IMG community!

We’ve already looked broadly at Postgraduate and PLAB routes to the UK. Now let’s look briefly at another route available to overseas consultants who wish to relocate to the UK - Certificate of Eligibility for Specialist Registration (CESR). Many IMGs have recently asked if they would be eligible for the CESR route to Specialist registration. International Medical Graduates (IMGs) from any country in the world can apply for CESR, provided certain eligibility criteria are met. To help answer this question we have put together a short article to explain further, including the following topics:  What is CESR?  What is the Equivalence process? Who is the CESR for? Who can apply?  What does the CESR route involve?  Are there other senior NHS positions available? Legal requirement before taking a substantive, honorary or fixed term NHS consultant post in the UK What are the achieved standards?  How can I prepare my evidence for CESR applications? What if my application is not successful?  CESR is suitable for those who have already been practising overseas for many years.  What is CESR?  The CESR is for doctors who wish to join the GMC (General Medical Council) Specialist Register, and whose specialist training, qualifications or experience was partly or completely acquired outside of an approved CCT (Certificate of Completion of Training) programme in the UK. It is equivalent to a CCT and certifies that the recipient has all the competences defined in the CCT curriculum, known as specialist registration.  What is the Equivalence process? Equivalence describes the process of assessing an overseas applicant’s training and experience against the current training programme requirements, in order to gain a Certificate of Eligibility for Specialist Registration (CESR) for the Specialist Register held by the General Medical Council. The process involves submitting a written body of evidence to the GMC of: training and/or competence skills and knowledge Each Royal College will assess the application against the relevant Curriculum before providing a recommendation to the GMC, who will then make a decision. Please note that Equivalence procedures are the responsibility of the GMC.  Applications are made through their Certification Department and initial enquiries should be directed there. Who is the CESR for? Who can apply?  If you have training, qualifications and experience in a CCT specialty but have gained these partly or completely outside of an approved CCT training programme (for example, you have trained outside the UK or EEA), you may apply for a CESR in a CCT specialty. What does the CESR route involve?  In a nutshell, you will need to compile a portfolio of evidence to prove you have achieved the equivalent skills and experience of a doctor who has completed a full GMC-approved training programme.  You can collect this evidence prospectively through non-training jobs. Is it the right route for me? Yes, if… You have already completed specialty training back home If you have already completed Specialty Training, then you’re unlikely to want to repeat it.  You haven’t completed training, but you have too much experience in your specialty to apply for training posts.  In both scenarios, even if you are willing, you may be overqualified to apply for training. Doctors who have complete specialist training overseas or via a non-CCT pathway may be eligible for entry without further training. You can check using the guidelines below:  GMC CESR Guidance Specialty Specific Guidance You will need to demonstrate all specialty learning outcomes specified in the relevant CCT curriculum. Are there other senior NHS positions available? It is important to note that you can apply for more senior roles such as a SAS doctor, specialty doctor or a locum consultant (locum consultants are not required to be on the Specialist Register).  This way you will have better pay and the roles and responsibilities are more appropriate to your level of experience compared to a junior trainee. While working in these jobs you can collect evidence of your competences.  This is also a quicker route to the UK than the CESR route, which can take a substantial amount of time.  Legal requirement before taking a substantive, honorary or fixed term NHS consultant post in the UK:  It is a legal requirement that doctors must have their names entered on the General Medical Council's (GMC's) Specialist Register before taking up substantive NHS consultant posts in the UK.  What are the achieved standards?  To apply you will need to have either a specialist qualification or have undertaken a period of specialist training (not less than 6 months anywhere in the world). Your application is measured against the GMC standard.  The GMC break down the standard into four domains mirroring the headings of Good Medical Practice.  The GMC recommend that you allocate the evidence you provide with your application in the following way: Domain 1: Knowledge, Skills and Performance - 75% Domain 2: Safety and Quality - 20% Domain 3: Communication, Partnership and Teamwork - 5% (combined for both domains 3 & 4) Domain 4: Maintaining Trust - 5% (combined for both domains 3 & 4) The full list of evidence needed for each specialty is provided here. How can I prepare my evidence for CESR applications?  As CESR applications are currently a completely paper-based process it is important to think about the evidence you present. You should: Research/think about the types of evidence you will need and begin to gather your evidence well in advance of making your application. Make sure that your evidence is current and of the highest possible quality. Always note any curriculum changes – you will be assessed against the most recent one  Ensure that the evidence you collect demonstrates your competence across the whole of the curriculum, not just your speciality.   Throughout your application you should refer to the Specialty Specific Guidance in your specialty (or the most relevant if applying in a non-CCT specialty).  You should also refer to the relevant CCT curriculum in your specialty; as this is the standard that all CCT applicants will be measured against. Look thoroughly at the GMC guidance available and get advice on your application from the GMC before you apply. Remember to refer to the relevant CCT Curriculum and Specialty Specific Guidance for the evidence requirements in your specialty.     The GMC has strict guidelines for presenting evidence, including verification, anonymising and translating documents. We strongly advise all IMGs to take a look here and familiarise themselves with the criteria. What if my application is not successful?  Following an unsuccessful application, you can apply for a review within 12 months of receiving your decision from the GMC. You can apply for a review of the GMC’s decision on the grounds that:  You now have additional evidence to submit that addresses the areas of your application in which you were previously unsuccessful  You believe that there has been a procedural error or unfairness in the processing of your original application.  Please refer to the GMC guidance for further information on applying for a review.  For more useful blogs & articles on routes to the UK - take a look at our IMG Library.  If you have any questions don’t hesitate to get in touch with an IMG Consultant to discuss senior UK job options in the NHS, including discussions regarding a typical doctor salary in the UK and the most suitable locations for you.  Connect with us Send your CV to info@imgconnect.co.uk  Call us on +44 (0)203 973 0133 Join our online Facebook Community

We’ve already looked broadly at Postgraduate and PLAB routes to the UK. Now let’s look in more detail at one in particular – Membership of the Royal College of Physicians (UK) – for doctors who have chosen their specialism in medicine. International Medical Graduates (IMGs) from any country in the world can sit the MRCP examinations, provided certain eligibility criteria are met. These are summarised below along with a broad look at the following topics: What is MRCP(UK)? Eligibility for overseas doctors MRCP(UK) Part 1 MRCP(UK) Part 2 MRCP(UK) PACES How to prepare and what resources are available How to apply Fees Venues Dates of Exams Passed? What next?  The Royal College of Physicians is the professional body responsible for the specialty of medicine throughout the UK. Amongst many other duties, its role is to set and monitor the educational curriculum for those training to enter the profession. What is MRCP(UK)? The MRCP examinations assess: knowledge of basic medical sciences  clinical skills required for the diagnosis and management of disease.  The exams are designed to test both applied basic science and principles of medicine to the level of a UK trainee with two to three years postgraduate experience.  Completion of MRCP will allow you to work in the UK from ST3 level upward (ST3+), with seniority beyond ST3 level dependent on experience. MRCP is one of two routes an overseas doctor can take full GMC registration (postgraduate qualification or PLAB route).  For doctors who wish to take more senior roles reflective of their current practice, IMG Connect advise that MRCP would be the best route to take.  MRCP (UK) is a prerequisite to anyone wishing to go on to a specialist training post as a physician in the UK. The MRCP exam has three parts as outlined below:  MRCP Part 1 – two written papers MRCP Part 2 – two written papers MRCP PACES – practical assessment in a clinical setting Eligibility for overseas doctors: Part 1: To be eligible you must have a GMC recognised Primary Medical Qualification and a minimum 12 months postgraduate experience in medical employment. Part 2 & PACES:  To be eligible you must have passed Part 1 within the last seven years. Whilst it is not essential to successfully complete Part 2 to sit PACES, the Royal College strongly advises you to do so.  To support this, pass-rates are much lower for those who sit PACES before passing Part 2. MRCP(UK) Part 1:  The entry-level examination is accessible to doctors with a minimum 12 months postgraduate experience in medical employment.  It consists of:  one-day examination two three-hour papers 200 multiple-choice (best of five) questions  no imagery sat in an examination hall A more detailed look at Part 1 can be found here. This will include examination centers, dates, fees and advice to give you the best chance to pass at first attempt. MRCP(UK) Part 2 Part 2 can only be taken if you have passed Part 1 (building on the knowledge already assessed).  The format at a glance: two papers taken on one day papers last three hours 200 multiple choice questions questions include images sat in an examination hall A more detailed look at Part 2 can be found here. This will include examination centers, dates, fees and advice to give you the best chance to pass at first attempt. MRCP(UK) PACES: PACES applicants must have passed MRCP Part 1. However, we echo the Royal College guidance and strongly advise our doctors to take both Parts 1 & 2 before taking PACES. PACES is based on a format that is similar to OSCEs, a practical assessment in a clinical setting. There are five clinical stations with either patients with a given condition, or trained stand-ins (surrogates).  The format in brief: half-day examination takes place in a clinical setting (hospital or clinical skills centre) assesses seven core skills five stations  eight patient encounters two independent examiners at each station each candidate is assessed independently by a total of 10 examiners A more detailed look at PACES can be found here. This will include examination centers, dates, fees to give you the best chance to pass at first attempt. How do I prepare and what resources are available?  With lots of resources available online, we have discussed with IMGs the best place to start looking for materials relating to the exams. Most IMGs recommended starting with the Royal College, who have created useful resources to help you to prepare for the exams. See below:  Curriculum: Applicants are tested on a range of common and important disorders in General Medicine as set out in the Joint Royal Colleges Specialty Training Curriculum for Core Medical Training. We recommend getting to know the curriculum as early as possible, and using it as a road map for your study plan.  MRCP(UK) mock exams: We suggest registering for the MRCP mock exams here. These will provide you with the most accurate and relevant mock questions to prepare you for the real thing. Sample questions: Test your knowledge using example questions from the current exam syllabus provided by the Royal College, see below: Part 1 Part 2 PACES content: prepare and practice example questions on the topics and skills covered in the PACES exam Preparation Sample scenarios PACES marksheets For a useful overview of how to prepare for exams, including advice on study groups, online community support, best use of online resources & Royal College materials and courses, take a look at our blog: IMG Connects Top Tips for exam preparation  How do I apply? Applications for all exams are made online via My MRCP(UK) account. You will simply need to create an account and submit evidence of your primary medical qualification, then make a payment online to confirm your application. Application videos from the Royal College can be found below: Part 1 & 2 PACES Please note, the application process is a little different for those looking to sit the exam in Hong Kong. Further information can be found on the Royal College website here. Fees for 2019: Exam UK Test Centres Overseas Test Centres Part 1 £419 £594 * Part 2 £419 £594 * PACES £657 £1202 * *the application process and fees applicable for Hong Kong and Singapore centres are different and applicants are encouraged to submit their application directly to the administration team for this centre. Venues: Exam UK Test Centres Overseas Test Centres Part 1 & Part 2 Edinburgh Glasgow London Bahrain Bangladesh Egypt Ghana Hong Kong Iceland India Iraq Jordan Kenya Kuwait Malaysia Malta Myanmar Nepal Oman Pakistan Qatar Saudi Arabia Singapore Sri Lanka Sudan United Arab Emirates United States of America West Indies Zimbabwe PACES England Scotland Wales Northern Ireland Brunei Egypt Hong Kong India Kuwait Malaysia Myanmar   Malta Oman Qatar Singapore Sri Lanka Sudan United Arab Emirates * Please note, exact locations change from each diet of PACES. Dates of Exams: Upcoming dates for the exams can be found using the following links: Part 1 Part 2 PACES Passed? What next? First of all, congratulations! After you have passed all parts of MRCP(UK) you can apply for a full registration with a license to practice. Once the GMC have approved your application, you can work as a doctor in the UK.  For further information on MRCP exams including structure, content, preparing, procedure, dates, locations and fees, see the following articles:  MRCP(UK) Part 1 – a closer look MRCP(UK) Part 2 – a closer look MRCP(UK) PACES – a closer look 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. Don’t hesitate to get in touch with an IMG Consultant to discuss job options in Medicine, including discussions regarding a typical doctor salary in the UK and the most suitable locations for you.  Connect with us Send your CV to info@imgconnect.co.uk Call us on +44 (0)203 973 0133 Join our growing IMG community!

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 (50 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. £323 based on February 2019 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.  Don’t hesitate to get in touch with an IMG Consultant to discuss UK English language testing and job options in the NHS, including discussions regarding a typical doctor salary in the UK and the most suitable locations for you.  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. Connect with us Send your CV to info@imgconnect.co.uk Call us on +44 (0)203 973 0133 Join our growing IMG community!