FRCPath Part 1 Online
In response to the ongoing challenges posed by the COVID-19 pandemic, the Royal College of Pathologists has continued to offer the FRCPath Part 1 exams online. This includes FRCPath Part 1 in Histopathology, Haematology, and Microbiology.
This means that FRCPath Part 1 can be taken from the comfort of your own home. This development allows the College to continue offering the FRCPath Part 1 exam to both UK trainees and overseas pathologists.
Please note that the delivery of FRCPath Part 2 remains offline, with examinations being conducted in person.
FRCPath Part 1 Delivery
The format of the Part 1 exam remains unchanged – 125 SBA (single best answer) and EMQs (extended matching questions) which aim to assess the candidate's overall knowledge and understanding of histo/cytopathology, basic science underpinning pathology (including microbiology), and full understanding of autopsy practices undertaken in an NHS District General Hospital.
FRCPath Part 2 is available in multiple overseas centres; in Irbid, Jordan, Cairo, Egypt or Dubai, UAE. These centres will be offered on an annual basis in either Spring or Autumn session subject to there being sufficient candidates to run the centre.
All other Diploma practical, Part 1 practical and Part 2 examinations can only be taken in the UK
The online exam is delivered through a company called TestReach.
Candidates will have the opportunity to trial the examination software before the exam to familiarise themselves with it ahead of time. The TestReach system is fully proctored, and candidates will need to complete both an IT systems and environment check before the exam. These checks will ensure that candidates' devices are suitable for the exam and that they are in an environment that satisfies exam conditions, i.e., where they do not have access to textbooks or other revision materials.
For more information on the online examination, see the College website here, or read their FAQs here.
How to Apply
The application window for the Autumn 2024 sitting of the FRCPath Part 1 exam will open at the end of July and close in mid-September. While the examination date has yet to be finalized, candidates are advised to apply early and may withdraw their place for a refund if the examination date is unsuitable.
The cost of the exam is £700. For up-to-date information on exam and application dates, keep an eye on the College website here.
For more information on FRCPath in Histopathology, take a look at our collection of articles and blogs here, where we explore the full examination suite, including a detailed look at the structure and format, fees, preparation, and resources.
If you are looking for general information that any overseas doctors might need to know, check out our IMG Resources library.
We hope this is helpful for any overseas doctors preparing to sit their FRCPath Part 1 exam, and the team here at IMG Connect wish you the best of luck!
Don’t forget to share your progress and successes with us using the hashtag #imgstories on social media. We love to hear from you.
Join the online histopathology community – connect with like-minded histopathologists and dedicated pathology recruiters in the IMG Histopathologists Facebook group.
For regular news and updates on the Royal College and all things histopathology, follow IMG Connect on social media using the links below:
The MRCPsych exams can be overwhelming for overseas Psychiatrists and UK trainees alike.
Where do you turn for study materials? How do you prepare for the exams? What are the exams dates and fees? Where can I sit the exam? How can I find support online?
In this blog we will explore MRCPsych Paper B and everything that you need to know about how to sit the exam, taking a detailed look at the following topics:
An overview of MRCPsych
What is MRCPsych Paper B?
How is the exam structured and marked?
Am I eligible to sit this exam?
As an international psychiatrist, when and where can I sit the exam?
Where and how do I apply?
How much will the exam cost?
What is the best way to prepare for MRCPsych B?
#IMG Tips
Passed? What next?
Skip to the relevant section if you know what you’re looking for.
An overview of MRCPsych
The MRCPsych exams are the central components of psychiatry training in the UK. The examination series is designed to test the candidate’s knowledge of basic medical sciences as well as the clinical skills needed for diagnosis and management within psychiatry.
For IMGs taking this route, full MRCPsych satisfies the postgraduate requirements for full GMC registration.
The exams within the series are as follows:
MRCPsych Paper A
MRCPsych Paper B
MRCPsych CASC
For a more general overview of the MRCPsych examinations via our IMG Resources, please click here.
MRCPsych Paper B
Paper B is a three-hour written exam which asses critical review and the clinical topics in psychiatry.
Each questions is worth 150 marks, comprised of 150 questions:
One third - critical review
Two thirds - clinical topics
Exam structure and marking
Paper B will cover the following sections of the syllabus:
Organisation and Delivery of Psychiatric Services
General Adult Psychiatry
Old Age Psychiatry
Psychotherapy
Child and Adolescent Psychiatry
Substance Misuse/Addictions
Forensic Psychiatry
Psychiatry of Learning Disability
Critical Review
In Paper B, the percentage split, and marks allocation for the 150-mark exam will be approximately:
Eligibility
Trainees from any country in the world can sit the MRCPsych Examinations providing that they meet the eligibility requirements.
You are eligible to sit Paper B if you are a fully registered medical practitioner. It is also recommended that you have 12 months experience in Psychiatry before attempting Paper B.
Exam locations and dates
Since the Pandemic, commencing from 2021, the Royal College of Psychiatrists has made the decision to move all MRCPsych exams online and will remain this way for the forseeable future. This means you can sit the MRCPsych exams from your home country with submission and preparation details available on the Royal College website.
This change makes it much easier for international psychiatrists to complete their Royal College exams and work towards GMC registration within a normal timeframe and with reduced disruptions.
Exams are usually held three times a year – you will find the most up-to-date information on exam and application dates on the Royal College website.
Applications
To apply you’ll need to complete the Royal College online application form. The form is only available during the published application dates and must be submitted prior to the closing date. If you miss the cut-off date, your application will not be considered.
For new overseas candidates, you will need to register for a Royal College login first.
You will need to provide the following:
Personal details
Primary Medical Qualifications & Registration
Training
Written paper selection
Fees
At the end of your application, you will be directed to an online payment system where you can pay by 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 for MRCPsych Paper B fees for 2024:
PMPT Trainees and Affiliates (UK & Ireland Centres) - £496
Non-PMPT Trainees and Affiliates (UK & Ireland Centres) - £550
Preparation
With lots of materials online, we have discussed with our community of international psychiatrists as to the best 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. You can find this here.
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, available here.
Sample Papers: These will help you polish your exam techniques and are a good way to regularly benchmark your knowledge against the syllabus. Additionally, they will help you work quickly on the day as you will already know what to expect. The samples can be found here.
Marking schemes: 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. These can be accessed here.
Sample exam: These can help you understand the exact format of the exam and to familiarise yourself with the online exam environment. This is available here, you'll need scroll down to see 'Taking Papers A and B onine: Sample Exam'.
Online exam guidance: Detailed guidance written specifically to guide candidates in preparing for an sitting an online exam, including technology checks and timings. The guidance can be accessed here.
The Royal College also suggest taking a look at Passing the MRCPsych - an insider’s guide - a useful resource to help you to get over the first steps. This is available here.
#IMG Tips
Start your revision early – preparation is key, and what better way to avoid last-minute stress?
Choose the best resources for you – whether it’s the Royal College materials, online courses or flash cards, try to figure out what works best for you.
Join our online support community – why not be part of a community of like-minded psychiatrists and MRCPsych aspirants? Join IMG Connect on social media for a place to ask questions and share resources.
Passed? What next?
Now that you have passed Paper A and B you are now eligible to sit the CASC exam. For more information take a look at our blog we will explore MRCPsych CASC 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.
In this blog, we’ll be covering some of the key aspects of the CASC exams, as well as introducing you to the team at PassTheCASC, an online learning and resource platform for MRCPsych CASC aspirants. We will be covering:
What is MRCPsych CASC?
Why does MRCPsych CASC Matter?
What resources are available?
The 3-Keys
Tutorial Examples
CASC Simulator
What is MRCPsych CASC?
Let’s begin with a quick recap of the CASC exam. The Clinical Assessment of Skills and Competencies or CASC is a practical exam which takes the format of an OSCE and tests your clinical skills in a range of competencies.
It is made up of two circuits of individual 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
For full guidance on the structure of the exam, visit the examination page of the Royal College website or see our detailed blog on the MRCPsych CASC exam here.
Getting started with preparation
It can be tough to know the best place to start, psychiatry consultants (both IMGs and UK trainees) as well as the team at PassTheCASC, it seems the general consensus was that the Royal College website is the best place to begin. There are some great resources on their website to help applicants prepare for the exam.
Why does MRCPsych CASC Matter?
The value of holding MRCPsych CASC cannot be understated, serving as both a symbol of your medical competence as a psychiatrist and giving you a competitive edge in the NHS job market. Attaining full MRCPsych demonstrates to potential employers that you have the necessary knowledge, skills, and experience to provide high-quality care to patients. To secure and work in an NHS job at the Speciality Doctor grade, and above, many NHS Trusts will list MRCPsych CASC as essential criteria.
MRCPsych also provides a stepping stone for further specialist training and can significantly enhance career prospects for international psychiatrists, more easily facilitating entry into more senior positions in the NHS, such as speciality doctor, the new specialist grade and consultant roles.
What resources are available?
IMG Connect have a library of written resources geared towards preparation for the CASC exam. If you’re interested in any of these, please get in touch here and we would be delighted to share these with you.
IMG Psychiatrists MRCPsych CASC Crash Course
This is a tailored MRCPsych CASC course for overseas psychiatrists sitting the CASC exam. This course offers weekly sessions covering the entire exam and its various domains, including marking and station requirements. This is accompanied by small group role-play sessions to allow IMGs to practice stations across various scenarios with feedback on each station, delivered by an experienced NHS psychiatrist and specialist psychiatry recruiters. These sessions are completely free to all doctors.
The course is supplemented by additional advice and guidance on MRCPsych CASC as a whole, GMC registration support, as well as guidance and webinars on other topics such as finding work in the NHS, relocation support and specialist registration.
You can access our IMG Psychiatrists CASC Study Course by joining the Facebook group here.
Partnering with PassTheCASC
As an exciting development in our provision of medical education, IMG Connect and PassTheCASC have forged a partnership to offer extensive support to overseas doctors preparing for the MRCPsych CASC exams. This collaboration aims to ensure your exam success through a series of exam-focused training videos and continuously evolving and up-to-date revision resources to keep pace with the demands of the MRCPsych CASC exams, along with discounts on revision course subscriptions.
The 3-Keys
Consistency! In order to pass the MRCPsych CASC you must be consistent in your performance across all 16 stations.
We believe that consistency is unlocked with mastering ‘The 3-Keys’: Knowing Your Exam-self (Optimising your mindset), Knowing the Exam (Mastering your exam-technique) and Knowing the Subject.
Watch Dr. Mishra in an excerpt from Key 1: Know your Exam-self.
Tutorial Examples
All of the PassTheCASC videos are accompanied by a related audio-visual tutorial revealing the succinct structure, relevant phrases, core clinical knowledge and key advice to ensure you excel in every station.
There are over 20 related Tutorials from Pass The CASC for candidates to learn with confidence for free on YouTube.
Remember, while this study plan serves as a roadmap, you should adapt it to suit your personal learning style and pace e.g., time available to prepare and external commitments. The aim is to ensure comprehensive understanding and effective retention of knowledge.
CASC Simulator
Structure building! The ability to create and conduct a structured interview is critical for any candidate aiming to pass their MRCPsych CASC. The ‘CASC Simulator’ is specifically designed to help subscribers accelerate their development of this fundamental skill.
PassTheCASC - Your Companion in Success
Dr. Mrigank Mishra MBChB, MRCPsych, Dip CBT, the founder and owner of PassTheCASC.
Mrigank is a UK trained Consultant General Adult Psychiatrist and University College London MRCPsych CASC course lecturer. He also holds a Diploma in Cognitive Therapy from the University of Oxford. His special interest is CASC teaching and in 2010 created the Complete Online MRCPsych CASC Revision Course: Pass the CASC.
All stations are conducted by Dr. Mishra, so unlike any other MRCPsych CASC course available, teaches a proven, consistent and systematic exam technique that can be applied across the wide range of scenarios encountered in the CASC. He also demonstrates the key Communication Skills assessed by examiners in every station.
Dr. Uppal (West Midlands Deanery), a satisfied user, shared her experience:
“I passed the CASC on my first attempt! I purchased Pass the CASC 3 weeks before the exam and it was my main source of revision. I wanted to thank Dr. Mishra and the team as I found the exam questions very similar to those discussed in the videos. I scored nearly 80% having passed 14 stations!”
Your Future Awaits
With your career goals within reach, embark on your journey towards conquering the MRCPsych CASC exams by subscribing to PassTheCASC. Utilise their resources and watch your preparation transform into success!
For a walkthrough of the PassMRCPsych platform and resources, join the IMG Psychiatrists Facebook group.
To receive the latest news and updates on all things psychiatry, including the MRCPsych, GMC registration and the NHS, follow us on social media and join the conversation.
I've passed, what’s next?
Once you’ve passed MRCPsych CASC, you’ve completed the Royal College of Psychiatrists examination suite. Great stuff, this is a massive achievement! Armed with this and your English language test, you are ready to apply for full GMC registration with license to practice.
You may want to start looking for NHS jobs and with the click of a button, you can receive them directly to your inbox. To receive jobs postings which you can tailor to your desired grade, specialty and sub-specialism, sign up here.
As an overseas doctor, preparing for any English Language Test, whether you have chosen IELTS or OET, requires learning a huge amount.
IMGs have told us that one of the most effective ways to improve their general level of English, and help them on their journey to improving their test scores, is to study at home. So, we have put together a handy list of IMG Connect tips for studying for the English Language Tests at home, enjoy!
1. Start devouring podcasts
If you don’t already listen to podcasts, you should! They are great! You can access these at home, or on your commute to work. On your laptop, or even better, on your phone. If you have an Apple Iphone, simply open the podcast app already installed.
If you have Android, then try Stitcher, RadioPublic, Podbean or Pocket Casts.
Here are a few of the IMG Connect Team favourites:
In our time, science
The Infinite Monkey Cage
Today in Focus
Happy Place
Woman’s Hour
Ted Talks Health
Dan Snow’s History Hit
Thinking Allowed
BBC Inside Science
The Guardian’s Science Hour
Ted Talks Science and Medicine
Discovery
2. Speak to native English speakers
There really can be no substitute for regularly speaking to native English speakers. In most cities across the world there will be a community of English speakers, seek them out online or go say hello!
The IMG team are always happy to have a chat with you, so if you can’t find anyone, then give us a ring!
3. Speak to everyone!
We know that sometimes in this modern world, people would rather turn to their computers, but to learn English is to share English! Whether a colleague at work, a fellow student, a friend or family member, speaking English about a range of topics, medical and general, will help you to practice what you learn. Be sure to apply your recent learning of vocabulary and grammar.
It is widely known that students who speak and listen to people every day, learn quicker.
4. Get down with the kids… and watch YouTube!
There are millions of videos on YouTube, with thousands of great channels and shows to subscribe to. And of course, they are mostly all free! But don’t get stuck watching cute cats and dogs, stick to the task at hand – learning English!
IELTS and OET have their own official channels, full of useful resources.
Instead of randomly watching topics, think about your exams and search YouTube for suitable resources.
At IMG Connect we have found a few great suggestions to search for:
OET
Medical lectures
Nobel Lectures
Oxford University lectures – medical
Cambridge University medical lectures
IELTS
Parliamentary debates, UK
BBC, Sky, Channel four News
National geographic
Ted Talks
But don’t take our word for it, search for your own topics of interest.
5. Binge on your favourite movies (in English)
What could be better than sitting back after a day at work and watching a movie? Well, watching a movie and learning English at the same time! The rule here is to not just sit back and relax, you have to do some work too, put the subtitles on, and follow the dialogue. If you don’t understand, then pause, rewind and watch again.
Try to choose the right type of films, with lots of dialogue, so apologies to all those blockbuster fans, you may have to watch something else. Documentaries are excellent, with topics for everyone!
Listen to the way that words are said, how the actors or narrators stress the sounds. And copy it!
Even better, take a note of all new vocabulary, and when the film is finished, find out what they mean.
6. An article a day gets the doctor to the UK!
This doesn’t have to be test related, you can choose something that you really are interested in. It can’t all be boring!
Blogs, news outlets, organisations – you choose.
Reading an article a day, short or long, can dramatically improve your confidence.
7. Tweet, tweet, twooo!
Twitter isn’t just about a tweet, but there are plenty fantastic articles and up-to-date topics that are shared daily.
Find someone you are interested in and follow their articles.
Many news groups share excellent articles daily.
But remember don’t just read the headline!
8. Write as much as you can, to anyone you can.
Practicing writing English in different contexts will help you to cement your learning and get you into the habit of writing to a high level of structure and grammar.
You could write a blog online for your colleagues, this is free on WordPress. It is your blog, so you choose the topic!
Of course, you should practice writing the essays for the tests, but if you know anyone that reads English why not also write to them…in English of course!
9. Consider working with an accredited tutor
As an International Brand dedicated to helping international doctors to register with the GMC and find work in the NHS - we have lots of partnerships in place with trusted companies in many areas. One of these key areas is English Language Testing and IMG Connect works closely with a company called Specialist Language Courses. You can take a look at their website here.
Specialist Language courses work very professionally and are the UK's leading provider of online courses and tutoring. They are also one of the few accredited providers of OET and have provided consultation and guidance to the GMC on English language testing.
Success rates are 70% + for those who sign for their tutoring and you can receive a discount if introduced by IMG Connect.
Register with IMG Connect to request your discount on English Language Courses or get in touch with one of our IMG Consultants to discuss.
IMG Jobs
Search and find live NHS doctor jobs in the UK
IMG Resources
Read more useful articles on finding an NHS trust doctor job, pay scales & doctor’s salary in the UK, relocation and much more!
Get in Touch
Don’t hesitate to get in touch using the buttons above (and below) to discuss doctor job options in the NHS, including discussions regarding a typical doctor salary in the UK and the most suitable hospital locations for you.
For regular news and updates, follow IMG Connect on social media using the links below:
Doctors looking to register with the GMC and find a job in the NHS will be required to take either the OET or IELTS exam. Here we answer some FAQs about the OET exam.
OET can be challenging and, without proper preparation, it is not uncommon for doctors to fail at their first attempt.
So, to help make sure you are as prepared as possible before sitting the exam, we have answered the most common FAQs asked by an overseas doctor:
What is the OET?
How is the OET different from IELTS?
What regulatory bodies accept OET?
What test should I take?
Is OET a better option than IELTS?
Is the OET recognised by the General Medical Council (GMC)?
What results do I need for GMC registration?
How much does it cost?
Should I prepare for the exam?
Should I spend money on preparing?
Where can I find online study materials?
How do I register?
Where can I take the test?
Can I change my test date?
Can I take a re-sit?
What is the OET?
OET stands for Occupational English Test. The OET is an English Language Test created specifically for healthcare professionals.
The OET exam assesses the language communication skills of healthcare professionals who wish to register and practice in the UK, or other English-speaking countries.
It tests your English levels in four subtests: Reading, Writing, Speaking & Listening.
How is the OET different from IELTS?
OET is a language assessment designed for healthcare professionals, testing your English Language skills in a medical context.
IELTS is not specific to the healthcare profession, it is taken by professionals from all industries. So, the topics covered are more general.
Both test four areas of English Language skills: reading, writing, speaking and listening.
What regulatory bodies accept OET?
The good news is that if you choose the OET exam, recent changes to the rules as of the 1st October 2019, means that only one test now required for both UK registration and visa purposes. The OET exam is now accepted by both the GMC and the UK Home Office.
What test should I take?
Neither exam is easier than the other. Both IELTS and OET Medicine show you have an advanced level in English. It really is up to you!
You may find OET simpler to understand as it is healthcare related and tests the language you use in daily practice.
The same can be said about IELTS, you may find the general nature of the topics more suited to you.
Is OET a better option than IELTS?
There is no one option better than the other, both are recognised qualifications by the GMC. The most important thing to decide is which suits your needs the most.
Your decision may be based on factors such as:
the format and content of the different tests
regularity with which test sessions are held
locations of test centres
test fees
regulatory bodies that accept the test for applications
Is the OET recognised by the General Medical Council (GMC)?
Yes, the GMC recognises OET for overseas-trained doctors for registration purposes. For the GMC to accept your OET certificate it must show that you took the medicine sub-tests.
What results do I need for GMC registration?
For the GMC to accept your OET certificate it must show:
You took the medicine version of the test.
You attained at least a grade 'B' in each testing area (speaking, listening, reading and writing) or 350 points in total.
What is the test format?
OET has four parts:
Listening (45 minutes)
Reading (60 minutes)
Writing (45 minutes)
Speaking (20 minutes)
The total test time is approximately 3 hours.
How much does it cost?
Test fees are AUD $587 (approx. £329 based on November 2023 exchange rate).
Should I prepare for the exam?
Yes, exam preparation is crucial to scoring highly in the test. You might feel like you already have a good level of English, good enough to pass the tests.
But IMGs keep telling us that no matter what level of English they have, it is always better to prepare. The test consists of very specific content, so specific test skills are required.
Should I spend money on preparing?
Whilst not essential, we recommend that you seek further support. This could be via online tutorials, 1 - 1 teaching, or longer course-based learning. There are lots of OET tutors available online.
That said, there are also loads of ways that you can improve your English for free, at home and in your own time.
Where can I find online study materials?
With thousands of useful websites available, it can be tricky to decide where to start. We recommend the OET Preparation Portal. Here you will discover official resources, some for free!
For example, you can expect to find:
sample practice tests
masterclass videos with an OET preparation expert
tips to improve your test performance
online preparation Course
practice books
How do I register?
Register online here.
The OET have a portal for all applicants, called myOET. This lets you apply for tests, view your results, and create a profile.
Where can I take the test?
OET is available at more than 115 locations in 40 countries, with 14 test dates per year.
Be sure to choose the correct date and location when you apply.
You can find a test date and venue here.
Can I change my test date?
Yes, you can change the test date any day prior to the original test date booked. Please note, no refund is available, and an administration fee will apply to book a new date. The cost of deferring depends on when you decide to defer:
Administration cost before application closing date is $120 (approx. £67 at the point of writing)
Administration cost after applications closing date passes is $200 (approx. £110 at the point of writing)
No refund is available for cancellations.
Can I take a re-sit?
Yes, you can book a new test at any time, however this will be at further personal cost.
Consider working with an accredited tutor
As an International Brand dedicated to helping international doctors to register with the GMC and find work in the NHS - we have lots of partnerships in place with trusted companies in many areas. One of these key areas is English Language Testing and IMG Connect works closely with a company called Specialist Language Courses. You can take a look at their website here.
Specialist Language courses work very professionally and are the UK's leading provider of online courses and tutoring. They are also one of the few accredited providers of OET and have provided consultation and guidance to the GMC on English language testing.
Success rates are 70% + for those who sign for their tutoring and you can receive a discount if introduced by IMG Connect.
Register with IMG Connect to request your discount on English Language Courses or get in touch with one of our IMG Consultants to discuss.
IMG Jobs
Search and find live NHS doctor jobs in the UK
IMG Resources
Read more useful articles on finding an NHS trust doctor job, pay scales & doctor’s salary in the UK, relocation and much more!
Get in Touch
Don’t hesitate to get in touch using the buttons above (and below) to discuss doctor job options in the NHS, including discussions regarding a typical doctor salary in the UK and the most suitable hospital locations for you.
Follow us on social media for news and updates on GMC registration, the Royal College and NHS through the links below:
The General Medical Council’s medical register is a full list of all the doctors qualified to work in the UK. Within this, there are different types of registration which doctors must hold to work in different posts in the UK.
All practicing physicians must hold one of these types of registration with a license to practice.
In this article we will discuss the following:
Provisional Registration
Full Registration
Specialist Registration
GP Registration
IMG Tips
1. Provisional Registration
The purpose of provisional registration is to allow medical graduates to complete an approved internship (FY1). After this, trainees will receive a certificate of experience with which they can apply for full registration.
Provisional registration can be held for a maximum of three years and 30 days (1,125 days) only, which would be enough time within which to complete a 12-month internship. This registration will expire after the allotted time, and you will be removed from the register, however, more time can be provided, and you can find out whether you will be eligible here.
What roles can I take with provisional registration?
With provisional registration, the only service post you are able to take is an FY1 service post, other than an approved UK FY1 programme.
Who can apply for provisional registration?
If you are eligible for full registration, you cannot apply for provisional registration.
Applications for provisional registration will be considered from:
UK medical graduate who completed their medical degree at a UK university
Doctors who graduated from outside the UK with an acceptable primary medical qualification (PMQ) and have passed the Professional and Linguistic Assessments Board (PLAB), but have not completed an internship
Doctors who qualified within certain European countries but do not hold the accompanying certificate required to complete their relevant European qualification – you can see a full list of these countries here.
2. Full Registration
Doctors require full registration to work in unsupervised medical practice in the NHS, UK private practice, or to move onto the second year of their internship (FY2) in an approved training programme require a full license to practice.
What roles can I take with full registration?
With full registration, doctors can take up any post aside from GP posts and substantive consultant posts.
Who can apply for full registration?
There are certain criteria you must meet before you are eligible for full registration:
1. Completed the first year (FY1) of the Foundation Programme in the UK
2. Be a Swiss or UK national (or benefit from enforceable community rights) and have either:
A formal qualification listed in The Directive on Recognition of Professional Qualifications; OR
An acceptable primary medical qualification from outside the EEA (which has been recognised in Switzerland) with evidence of an acceptable pattern of experience
3. Be an international medical graduate (IMG) with an acceptable PMQ, and enough clinical experience to practice medicine in the UK – you can do this in one of 5 ways:
A pass in the PLAB test
Sponsorship by a GMC approved sponsor
An acceptable postgraduate qualification or overseas licensing exam
Relevant European Qualification (REQ)
Eligibility for entry onto the Specialist or GP register
Full registration does not have a time limit, but doctors should note that they are required to go through a revalidation process every five years to avoid the license to practice being withdrawn.
You can read more about the routes to GMC Registration through our IMG Resources library.
3. Specialist Registration
The specialist register is an online list of doctors who are eligible to work as fixed term, honorary or substantive consultants in the NHS, excluding foundation trusts.
If a doctor is on the Specialist Register, it will say so as part of their status on the register, and you will be able to see the specialties (and sub-specialties) they are qualified in, as well as the date they joined the specialist register in each specialty.
Types of Specialist Registration
There are three types of certificates issued by the GMC, and the type of certificate you will receive at the end of your training defines which training route you are on.
You can read more about Specialist Registration for IMGs here.
What roles can I take with Specialist registration?
Doctors who are on the Specialist Register can take up permanent or substantive consultant positions.
Who can apply for Specialist registration?
Eligibility for Specialist Registration depends on your nationality, qualifications and experience. To meet the minimum eligibility requirements to apply you must have either:
A specialist qualification in the specialty you’re applying in
OR
At least six months continuous specialist training in the specialty you’re applying in
You’ll need to provide evidence of how you’re eligible as part of your application. This could be a copy of your qualification or evidence of your employment. In your application you must show that you meet the requirements of the CCT curriculum in your specialty.
4. GP Registration
GP Registration is a requirement for any doctor who wishes to be eligible for appointment to a general practitioner (GP) position in the UK.
Please note that unlike in many countries, GPs in the UK are family and community medicine specialists and if you are an IMG general physician, you would need to apply for full registration, not GP registration.
What roles can I take with GP registration?
Doctors who are on the GP Register can take up posts as General Practitioners in the UK. As well as being on the GP Register, you’ll need to complete a number of other processes before you can start work as a GP in the UK. You'll need to join a Performers List and an Induction or Returner Scheme. You can read more about this here.
Who can apply for GP registration?
Doctors may be eligible for entry onto the GP Register if you have a relevant European GP qualification. You can check which GP qualifications are accepted on the GMC’s evidence of qualifications page. You must also check your qualification is on the list of relevant European qualifications, and that:
The title of it is exactly the same as the one in the list
AND
The qualification was issued on or after the reference date listed.
#IMG Tips
Use the GMC website – there are many useful resources on the GMC website, including a very helpful registration route finder to help you determine which registration you should apply for.
Research/ think about the types of evidence you will need and make a plan for your application, particularly if you will have to sit any exams.
If you want to contact our specialists use our Candidate Portal today!
So there it is, the different types of GMC registration in a nutshell. This is important to understand, particularly for IMGs looking to relocate to the UK and find work in the NHS. If you have any further questions about GMC registration or your route to the UK, please get in touch with us here.
Follow us on social media through the links below for regular news and updates on the Royal Colleges, relocating to the UK and working in the NHS:
The General Medical Council’s medical register is a full list of all the doctors qualified to work in the UK. Within this, there are different types of registration which doctors must hold to work in different posts in the UK.
All practicing physicians must hold one of these types of registration with a license to practice.
In this article we will discuss the following:
Provisional Registration
Full Registration
Specialist Registration
GP Registration
IMG Tips
1. Provisional Registration
The purpose of provisional registration is to allow medical graduates to complete an approved internship (FY1). After this, trainees will receive a certificate of experience with which they can apply for full registration.
Provisional registration can be held for a maximum of three years and 30 days (1,125 days) only, which would be enough time within which to complete a 12-month internship. This registration will expire after the allotted time, and you will be removed from the register, however, more time can be provided, and you can find out whether you will be eligible here.
What roles can I take with provisional registration?
With provisional registration, the only service post you are able to take is an FY1 service post, other than an approved UK FY1 programme.
Who can apply for provisional registration?
If you are eligible for full registration, you cannot apply for provisional registration.
Applications for provisional registration will be considered from:
UK medical graduate who completed their medical degree at a UK university
Doctors who graduated from outside the UK with an acceptable primary medical qualification (PMQ) and have passed the Professional and Linguistic Assessments Board (PLAB), but have not completed an internship
Doctors who qualified within certain European countries but do not hold the accompanying certificate required to complete their relevant European qualification – you can see a full list of these countries here.
2. Full Registration
Doctors require full registration to work in unsupervised medical practice in the NHS, UK private practice, or to move onto the second year of their internship (FY2) in an approved training programme require a full license to practice.
What roles can I take with full registration?
With full registration, doctors can take up any post aside from GP posts and substantive consultant posts.
Who can apply for full registration?
There are certain criteria you must meet before you are eligible for full registration:
1. Completed the first year (FY1) of the Foundation Programme in the UK
2. Be a Swiss or UK national (or benefit from enforceable community rights) and have either:
A formal qualification listed in The Directive on Recognition of Professional Qualifications; OR
An acceptable primary medical qualification from outside the EEA (which has been recognised in Switzerland) with evidence of an acceptable pattern of experience
3. Be an international medical graduate (IMG) with an acceptable PMQ, and enough clinical experience to practice medicine in the UK – you can do this in one of 5 ways:
A pass in the PLAB test
Sponsorship by a GMC approved sponsor
An acceptable postgraduate qualification or overseas licensing exam
Relevant European Qualification (REQ)
Eligibility for entry onto the Specialist or GP register
Full registration does not have a time limit, but doctors should note that they are required to go through a revalidation process every five years to avoid the license to practice being withdrawn.
You can read more about the routes to GMC Registration through our IMG Resources library.
3. Specialist Registration
The specialist register is an online list of doctors who are eligible to work as fixed term, honorary or substantive consultants in the NHS, excluding foundation trusts.
If a doctor is on the Specialist Register, it will say so as part of their status on the register, and you will be able to see the specialties (and sub-specialties) they are qualified in, as well as the date they joined the specialist register in each specialty.
Types of Specialist Registration
There are three types of certificates issued by the GMC, and the type of certificate you will receive at the end of your training defines which training route you are on.
You can read more about Specialist Registration for IMGs here.
What roles can I take with Specialist registration?
Doctors who are on the Specialist Register can take up permanent or substantive consultant positions.
Who can apply for Specialist registration?
Eligibility for Specialist Registration depends on your nationality, qualifications and experience. To meet the minimum eligibility requirements to apply you must have either:
A specialist qualification in the specialty you’re applying in
OR
At least six months continuous specialist training in the specialty you’re applying in
You’ll need to provide evidence of how you’re eligible as part of your application. This could be a copy of your qualification or evidence of your employment. In your application you must show that you meet the requirements of the CCT curriculum in your specialty.
4. GP Registration
GP Registration is a requirement for any doctor who wishes to be eligible for appointment to a general practitioner (GP) position in the UK.
Please note that unlike in many countries, GPs in the UK are family and community medicine specialists and if you are an IMG general physician, you would need to apply for full registration, not GP registration.
What roles can I take with GP registration?
Doctors who are on the GP Register can take up posts as General Practitioners in the UK. As well as being on the GP Register, you’ll need to complete a number of other processes before you can start work as a GP in the UK. You'll need to join a Performers List and an Induction or Returner Scheme. You can read more about this here.
Who can apply for GP registration?
Doctors may be eligible for entry onto the GP Register if you have a relevant European GP qualification. You can check which GP qualifications are accepted on the GMC’s evidence of qualifications page. You must also check your qualification is on the list of relevant European qualifications, and that:
The title of it is exactly the same as the one in the list
AND
The qualification was issued on or after the reference date listed.
#IMG Tips
Use the GMC website – there are many useful resources on the GMC website, including a very helpful registration route finder to help you determine which registration you should apply for.
Research/ think about the types of evidence you will need and make a plan for your application, particularly if you will have to sit any exams.
If you want to contact our specialists use our Candidate Portal today!
So there it is, the different types of GMC registration in a nutshell. This is important to understand, particularly for IMGs looking to relocate to the UK and find work in the NHS. If you have any further questions about GMC registration or your route to the UK, please get in touch with us here.
Follow us on social media through the links below for regular news and updates on the Royal Colleges, relocating to the UK and working in the NHS:
Guest blog, written by Dr Jon Turvey, Core Psychiatry Trainee, Leicestershire Partnership NHS Trust
Dreams of providing quality psychiatric care within the dynamic medical landscape of a job in the NHS, often lead overseas psychiatrists from healthcare systems around the world to embark on the journey towards Membership of the Royal College of Psychiatrists (MRCPsych).
As a crucial milestone on the path to a career in psychiatry within the UK, the MRCPsych examinations provide an internationally recognised credential that sets the bar for clinical excellence, comprehensive medical knowledge and training, and confident decision-making skills in the field.
In this blog, we’ll be covering some of the key aspects of the Paper A and B exams, as well as introducing you to PassMRCPsych, an online learning and resources platform for MRCPsych aspirants, summarised in the headings below:
Why does MRCPsych matter?
An overview of MRCPsych Paper A
Unpacking MRCPsych Paper B
IMG Psychiatrists partners with PassMRCPsych
Mapping your MRCPsych journey
Using PassMRCPsych for exam success
Why does MRCPsych Matter?
The value of holding MRCPsych cannot be understated, serving as both a symbol of your medical competence as a psychiatrist and giving you a competitive edge in the NHS job market. Attaining full MRCPsych demonstrates to potential employers that you have the necessary knowledge, skills, and experience to provide high-quality care to patients.
MRCPsych also provides a steppingstone for further specialist training and can significantly enhance career prospects for international psychiatrists, more easily facilitating entry into more senior positions in the NHS, such as specialty doctor, the new specialist grade and consultant roles.
An overview of MRCPsych Paper A
Paper A is a written exam comprising 150 multiple-choice questions (MCQs) and extended-matching questions (EMQs), sat over 3 hours and now held online, through test centres. Paper A forms the foundation of the MRCPsych and focuses on the basic sciences that underline psychiatric practice. It touches on areas such as neurosciences, psychology, and social sciences, which are the cornerstone of psychiatry and set the scene for more advanced topics.
The average pass mark is typically around 60-70%, although this varies slightly depending on the difficulty of the paper for each diet. As per the latest statistics from the Royal College website, approximately 65% of candidates pass Paper A each diet.
You can find a detailed breakdown of the Paper A exam here.
Unpacking MRCPsych Paper B
Similarly to Paper A, Paper B comprises 150 MCQs and EMQs sat over 3 hours through a remote test centre. Paper B requires an understanding of more nuanced clinical topics like psychopathology, treatment protocols, and management strategies for psychiatric disorders. It's about applying your foundational knowledge to real-world scenarios and demonstrating effective clinical decision-making.
For Paper B, the average pass mark usually ranges around 65-70%, with a pass rate of approximately 60%.
See here for an in-depth overview of the Paper B exam.
Partnering with PassMRCPsych
As an exciting development in our provision of medical education, IMG Connect and PassMRCPsych have forged a partnership to offer extensive support to overseas doctors preparing for the MRCPsych exams. This collaboration aims to ensure your exam success through a series of exam-focused webinars and a continuously evolving and up-to-date revision resource to keep pace with the demands of the MRCPsych exams, along with discounts on revision course subscriptions.
Mapping Your Journey: A 4-Month Study Plan
Navigating the MRCPsych exams is no easy feat. It demands rigorous and methodical preparation for UK trainees and IMGs alike. Here's a 4-month study plan for each exam to keep your preparation on track:
Month 1: Get to Grips with the Syllabus - Familiarise yourself with the syllabus and identify key areas that you need to focus on (these may be areas you are less familiar with or those not covered by your current practice). Use this month to dive into the revision notes on PassMRCPsych. Join the IMG Psychiatrists Facebook group for access to Paper A and Paper B study courses to support your study alongside your PassMRCPsych resources.
Month 2: Deep Dive into Topics - In this month, start working on each topic systematically. Use the revision notes to ensure you cover every aspect and create your own short notes for quick revision closer to the exam date.
Month 3: Challenge Yourself - This is the month to test your knowledge. Attempt the MCQs in the question bank regularly. This will help you gauge your understanding and identify areas of weakness. Don’t forget to read the explanations when you get the answers wrong!
Month 4: Revise and Review - Revision is the key to retaining information. Revisit your short notes, attempt more MCQs, and make full use of the PassMRCPsych mock tests to familiarise yourself with the exam pattern. This final month should be dedicated to reinforcing your learning, particularly on topics which you need to keep in your short-term memory.
Remember, while this study plan serves as a roadmap, you should adapt it to suit your personal learning style and pace e.g., time available to prepare and external commitments. The aim is to ensure comprehensive understanding and effective retention of knowledge.
PassMRCPsych - Your Companion in Success
The seemingly vast MRCPsych syllabus might appear intimidating, but with the right guidance and resources, passing Paper A and Paper B can transform from an uphill task into an achievable goal. Here's where PassMRCPsych comes into play.
The online platform is armed with resources tailored specifically to the MRCPsych syllabus, from comprehensive revision notes that decode every topic in the syllabus, to an MCQ question bank with over 5000 questions, and mock exams providing the perfect opportunity to test your knowledge under timed conditions.
Better still, PassMRCPsych can also be used through a mobile app (on both iOS and Android), ensuring that your study materials are just a tap away and facilitating the seamless switch from studying at your desk to revising on-the-go.
It’s important to acknowledge that the MRCPsych exams come with a not insignificant cost. Understanding the financial constraints that often accompany rigorous exam preparations, PassMRCPsych offers highly competitively priced subscriptions which ensure that every aspirant, regardless of their budget, has access to top-notch preparation resources.
Dr Aisha, a satisfied user, shared her experience:
"PassMRCPsych.com was instrumental in my MRCPsych journey. The meticulous revision notes, the challenging MCQs, and the realistic mock exams provided an unparalleled learning experience. The convenience of a mobile app made it possible for me to study anywhere, anytime. And the affordable subscription didn't put a dent in my pocket while offering unparalleled resources."
Your Future Awaits
With your career goals within reach, embark on your journey towards conquering the MRCPsych exams by subscribing to PassMRCPsych for Paper A and Paper B. Utilise their exhaustive resources and mock exams, and watch your preparation transform into success!
For a walkthrough of the PassMRCPsych platform and resources, join the IMG Psychiatrists Facebook group.
To receive the latest news and updates on all things psychiatry, including the MRCPsych, GMC registration and the NHS, follow us on social media and join the conversation.
The identity checks (ID) usually required for GMC registration were paused earlier in the pandemic to comply with government guidance on safe workplaces and social distancing.
ID checks have now resumed and are again necessary for all doctors as part of the registration process in the UK.
The GMC has partnered with Digidentity to allow doctors to complete their GMC identity check using a secure app.
In this blog we will be looking at the process of verifying your ID with the GMC to complete the final step in the registration process.
Who needs to complete an ID check?
All doctors joining applying for registration with the GMC must complete an identity check, as well as those who want to restore their registration.
Please note, if you completed an ID check for your PLAB 2 exam, you would not need to attend another one.
When do you need to complete an ID check?
From Wednesday 19th April 2023, you will have three months to book an appointment and complete your ID check. If you don’t, you’ll have to start a new application.
How do I book an ID check?
You will be emailed by the GMC to invite you to complete your identity check as part of your application.
Where can I complete my ID check?
It is no longer necessary to come to the UK to complete your identity check - you can instead do this through the free Digidentity app.
If you are not able to complete your ID check through the app, you will need to book an appointment at the GMC's London office to complete your check in person. The
Information on booking in-person appointments can be found in your ID check invitation email.
You would need to be in the UK, either on your visitor or working visa (if you already got have one).
What documents do I need?
The GMC will accept:
passports
full UK driving licences
Forms of ID that will not be accepted are: provisional UK driving licences, expired documents and scanned or photocopies. At this time, Syrian passports also cannot be used.
The GMC recommends that you use your passport if possible; if you use a full driving licence, you may be contacted for additional information.
If you attend your ID check in person, you will need to bring the originals of the documents you submitted earlier in your online application. They must be valid on the day of the appointment and will be photocopied and returned to you.
How do I use the app to complete my ID check?
The GMC has created a short and easy to follow instruction video explaining the process of using the app to verify your identity.
Once you have watched the video, follow the steps below to complete your check using the app.
Download the Digidentity app to your mobile phone – you will need a phone with iOS 14 or Android 9 or higher.
Log into your GMC Online account – go to the 'My ID checks' section, click on 'Digital ID checks' and follow the step-by-step guide to completing your check.
When you take your selfie, please try to take an acceptable passport style photo.
You should use the email address the GMC contacted you on to create your Digidentity account and complete your check.
If you need any support during this process, please contact Digidentity.
Once you’ve completed all the steps in the Digidentity app, you must return to the ‘Digital ID check’ section of GMC Online and follow the steps on screen.
This will allow Digidentity to send the details of your check to the GMC to review.
What happens after I complete my ID check using the app?
Once you’ve successfully completed all the steps on the app, you will receive an email from Digidentity confirming your completed registration.
When Digidentity share the results of your check with the GMC, this will be manually reviewed and you will be emailed to confirm whether your check has been successful.
Please note, the registration confirmation email from Digidentity does NOT mean that you can now practise medicine in the UK. The GMC will email you separately once you have been granted registration. You must not start work until you have received the GMC confirmation email.
It can take up to ten working days to process your check, and you can monitor the progress of your verification via the 'Digital ID check' section of your GMC Online account.
If there are any issues with your check, or if the GMC requires more information, they will contact you to let you know and explain what your options are.
How do I complete my in-person ID check?
Your identity check appointment lasts around 30 minutes.
The GMC will check your passport and then take a photo of you for their records. This photo may be disclosed to employers on request - this helps them to confirm your identity when you start work, as well as to help protect you from identity fraud.
You will also have to fill and sign the declaration form.
The appointment timings are strict, so the GMC won’t be able to provide advice on any other subjects during your identity check. If you have any other questions, please speak to your applications adviser or the contact centre.
Key information for doctors attending ID checks
For doctors who registered with the GMC at the beginning of the pandemic and did not complete an identity check, the GMC will offer you an ID check at the earliest convenience, so do look out for an email from them.
You will also be able to complete your ID check using the Digidentity app.
I’ve completed my ID check, what’s next?
Firstly, congratulations! Once your identity check is complete and the GMC has confirmed your identity, you will immediately be granted registration and your name will be added to the medical register.
Get in touch with our team if you are interested in finding your perfect role in the NHS and relocating to the UK – we’re always happy to help.
Following an extensive review of its assessment strategy, the Royal College of Psychiatrists has announced changes to the delivery of the MRCPsych examinations.
MRCPsych Paper A and B will remain online for the foreseeable future, and the CASC exam will remain online for the May 2023 diet, moving back to an in-person exam from September 2023.
Online MRCPsych Written Papers
The written MRCPsych papers (Paper A and Paper B) will continue to be delivered through a test centre of your choosing (including international centres). This exciting development was of course accelerated by the COVID-19 pandemic, enabling MRCPsych examinations to be delivered for both overseas doctors and UK trainees.
The structure of MRCPsych Papers A and B remains that candidates complete 150 questions. From these questions, roughly 100 are multiple choice with single answers and 50 are extended matching questions which ask a series of multiple choice questions about information in a single question stem.
The online system is straightforward, requiring only a few checks and guidelines to follow to help you make the process a success.
In-person CASC Exam
Subject to final GMC approval, from September 2023 the CASC exam will be delivered face-to-face in the UK, with international centres for face-to-face delivery set to be introduced in 2024. There will be no further online diets after May 2023.
Face-to-face delivery enables candidates to better demonstrate that they meet the key capabilities outlined in the 2022 curriculum.
After consultation with stakeholders, it was clear that the validity and reliability of the examination was of prime importance, and that face-to-face assessment is the optimal way to assess the clinical skills required for psychiatric practice.
The structure of the MRCPsych CASC exam remains unchanged - candidates complete two circuits, each of eight stations. An examiner will evaluate your performance and the invigilator would be on hand to make sure that everything runs to plan.
The September 2023 exam will be held in Sheffield, with international centres to be confirmed for 2024 onwards. If you are an overseas candidate for whom this change will delay when you will sit CASC, email the Royal College who are able to extend validity periods according to individual circumstances.
Getting started
An online application form must be completed and takes around 15 minutes. For full guidance on the application, please visit the Royal College website here.
Join the IMG Psychiatrists Facebook group to become part of a community of like-minded MRCPsych aspirants and dedicated psychiatry recruiters.
In the group you will find tailored resources for Psychiatry IMGs including our MRCPsych Crash Course.
This course offers weekly sessions covering the entire exam and its various domains, including marking and station requirements. This is accompanied by small group role play sessions to allow IMGs to practice stations across various scenarios with feedback on each station, delivered by an experienced NHS psychiatrist and specialist psychiatry recruiters. These sessions are completely free to all doctors.
You can access our CASC Study Course by joining the Facebook group here.
Connect with us
Don’t hesitate to get in touch using the buttons above (and below) and chat with an IMG Consultant to discuss your options for NHS roles with CESR support and start your journey towards Specialist Registration with IMG Connect.
For access to a community of like-minded psychiatry IMGs and dedicated psychiatry recruiters, join the IMG Psychiatrists Facebook group.
To receive the latest news and updates on all things psychiatry, including the Royal College, GMC registration and the NHS, follow us on social media and join the conversation.
The GMC is the public body that maintains the official register of medical professionals with the UK. Once a doctor has gained full GMC registration, there are a number of actions they may take to maintain their registration and keep their information up to date.
In this blog we will be looking at the how to manage your registration and the different options you have if you need to change your status on the register.
How do I maintain my registration?
What is revalidation and who needs it?
How do I give up my licence or registration?
How do I restore my licence or registration?
Skip ahead to the relevant section if you know what you’re looking for.
Maintaining your Registration
In order to manage and maintain your registration and licence to practise, you need to meet certain requirements and keep your information up to date.
The details you need to keep up to date include your address, email, designated body or suitable person (for revalidation purposes) and your direct debit details. This can all be managed through GMC Online.
To change your address, your name or your name and gender status, you will need to complete forms which can be found on the GMC website.
Please note that to change your name and gender status, there is an application process involved.
Revalidation
All doctors on the GMC’s medical register with a licence to practise must go through a process called revalidation.
Revalidation allows you to demonstrate that you:
are keeping your knowledge up to date
provide a good level of care
are fit to practise and no concerns have been raised about you
The process of revalidation differs slightly, depending on your revalidation connection type, which you can check using the GMC’s connection tool.
Doctors with a connection – most doctors have a connection and will revalidate their registration and licence every five years, by having annual appraisals based on the GMC’s core guidance for doctors: Good medical practice. All doctors working in the UK must have a designated body and will be given a five yearly recommendation from their responsible officer or suitable person, based on which the GMC would make a decision.
Doctors without a connection – you may not have a connection for example because you are not practising in the UK. In this case, you would similarly revalidate through a process of annual appraisals based on Good medical practice, annual returns submitted to us as well as a five-yearly assessment. The GMC would make a revalidation decision based on the outcomes of these activities.
Doctors in training – these doctors would revalidate through meeting the requirements of their UK training programme and the GMC would make a decision based on a recommendation from the responsible officer of their training body.
Full details on revalidation can be found on the GMC website.
Please note, if you fail to comply with the requirements of registration, including appraisals, this puts your licence to practise at risk.
Changing your Status on the GMC Register
If you're no longer practising medicine or enter into work that doesn’t require registration or a licence to practise, you can apply to give up your whole registration or just your licence.
You can choose to give up either your registration or just your licence. Which of the two options is best for you will depend on your circumstances and we will go into more details on this below.
Giving up your licence or registration is not final, and you can apply to restore it again when you're ready.
The table below will allow you to understand whether it would be better for you to relinquish your registration, your licence or both, based on some considerations you may have.
Relinquish your Registration
If you give up your licence only, you will still be able to prove your good standing with the GMC to other organisations, but you will pay a reduced annual retention fee. You will not be able to practise medicine in the UK.
Relinquishing your registration (voluntary erasure) means that your name will remain on the GMC register but with the status ‘Not registered – Having relinquished registration’
You can request to give up your registration up to three months in advance, but if you hold full registration with a licence to practise, you will still need to take part in revalidation until your registration ends.
Providing Medical Services
If you have provided medical services in the 5 years prior to giving up your registration, you will need to send the GMC a provision of medical services statement, from your employer to confirm you provided a medical service if you have used your medical knowledge and skills as part of your work.
The form can be downloaded from the GMC website and should be completed by the individual, body, or organisation where you most recently provided these services, anywhere in the world. This includes unpaid and voluntary work, or any other sort of arrangement, whether it be formal or informal.
Details of what should be accounted for in the form can be found here.
Fees
There is a processing fee which applies when giving up your registration. If your application is received by the GMC:
before your annual retention fee (ARF) is due, you will be refunded any unused part of your ARF.
after your ARF is due, you will have to pay the outstanding balance before the GMC will end your registration.
The fee is £10, but effective 1st April 2023, this will be changed to £0.
Relinquish your Licence
If you give up your registration, you will not have to pay an annual retention fee. You will not be able to practise medicine in the UK.
Giving up your licence but keeping your registration means you're able to prove your good standing with the GMC to other organisations. You will not however be able to practise medicine in the UK.
Some things to bear in mind if you give up your licence:
It’s your responsibility to establish that you do not need a licence for your work.
You’re still bound by the principles of Good medical practice if you keep your registration without a licence.
You must tell your employer and those who contract and use your services that you’ve given up your licence.
You can apply to give up your licence to practise through your GMC Online account, through the ‘My Registration’ section and you will not need to provide any evidence or documentation.
Full details of the documentation needed to reinstate your licence can be found here.
Fees
There is a processing fee which applies when giving up your licence to practise. The fee is £10, but effective 1st April 2023, this will be changed to £0.
Restore your Licence to Practice
If you were up-to-date with revalidation when you gave it up, it is relatively straightforward to have it restored.
From 2016 to 2017, it took on average 22 days for licence restoration, and you can apply for restoration up to three months in advance.
You'll need to send the GMC:
evidence to confirm your identity
statements from organisations you have most recently provided medical services to
certificates of good standing from any other regulators you’ve been registered with in the past five years
You might also be asked to attend an identity check, but the GMC will confirm this once your application has been granted and your licence restored.
Please note, if you were not up-to-date with revalidation when you relinquished your licence, you will be given a new revalidation submission date, and you will need to meet any requirements you failed to meet when you withdrew your licence.
You can apply to restore your licence to practise through your GMC Online account, through the ‘My Registration’ section, then ‘My Applications’.
Fees
There is a processing fee which applies when restoring your licence to practise. The fee is £10, but effective 1st April 2023, this will be changed to £0.
Sources
https://www.gmc-uk.org/registration-and-licensing/managing-your-registration/information-for-doctors-on-the-register/maintain-your-registration
https://www.gmc-uk.org/registration-and-licensing/managing-your-registration/information-for-doctors-on-the-register/revalidation
https://www.gmc-uk.org/registration-and-licensing/managing-your-registration/changing-your-status-on-the-register/restoration-to-the-register
https://www.gmc-uk.org/registration-and-licensing/managing-your-registration/changing-your-status-on-the-register/giving-up-your-licence-to-practise
https://www.gmc-uk.org/registration-and-licensing/managing-your-registration/changing-your-status-on-the-register/giving-up-your-registration-and-licence-to-practise
Getting started
We hope this article gives you a clearer picture of the different ways you can manage your GMC registration.
If you are looking to restore your registration or licence, get in touch with our team for support in finding your perfect role in the NHS and relocating to the UK – we’re always happy to help.
Read more useful articles on exams, NHS jobs and salaries in our IMG Resources library.
For regular news and updates, follow IMG Connect on social media using the links below:
Many junior doctors applying for Specialty Training in the UK will need to take the MSRA or Multi-Specialty Recruitment Assessment.
The MSRA plays an important role in the shortlisting and assessment process for entry into postgraduate training in several specialties for ST1 and CT1 level jobs, by assessing essential competencies.
In this blog, we will be taking a closer look at the assessment, focusing on some key questions summarised below:
Who needs to sit the MSRA?
How is the assessment formatted?
What is the structure of the MSRA?
Where can I take the MSRA and how much does the assessment cost?
How can I prepare for the assessment?
#IMG Tips
Skip ahead to the relevant section if you know what you’re looking for.
MSRA Specialties
At present, the MSRA is being used within the following specialties:
ACCS-Emergency Medicine
Anaesthetics
Child and Adolescent Psychiatry
Clinical Radiology
Community Sexual & Reproductive Healthcare
Core Psychiatry Training
Core Surgical Training
General Practice
Neurosurgery
Nuclear Medicine
Obstetrics and Gynaecology
Ophthalmology
Not every specialty uses the MSRA in the same way, however on the whole, candidates’ scores from the MSRA are used as part of CT and ST recruitment to shortlist for interviews and selection centres, as well as making up part of your overall ranking (with the rest coming from interviews selection centres).
For example in 2023, GP, CAMHS, and Core Psychiatry Training will not have any interviews or selection centres and 100% of your rank will be determined by your MSRA scores. Core Surgical Training will also be using the MSRA in shortlisting for the first time this year.
MSRA Format
The MSRA is a single computer-based exam comprising two papers: Professional Dilemmas (PD) and Clinical Problem Solving (CPS). As an exam used across many specialties for entry into Specialty Training, the MSRA assesses a foundation level of competence.
There is an optional five-minute break between the two papers. If candidates choose to take a longer break, the extra time will be subtracted from the time available to complete the CPS paper.
A combination of question types is used within the assessment, primarily extended matching questions (EMQ) and single best answer (SBA) questions, however the assessment may also include multiple best answer (MBA) questions: up to 3 correct answers, picture questions: may include skin lesions, blood reports, ECGs etc., and algorithm questions – drag boxes to the right part of the algorithm or select the correct answer from a list.
Structure of the MSRA
The MSRA last 170 minutes and is divided into two sections: Professional Dilemmas (PD) and Clinical Problem Solving (CPS).
Professional Dilemmas (PD)
The Professional Dilemmas (PD) paper is a Situational Judgement Test (SJT) which measures how a candidate’s judgement regarding challenging professional dilemmas they may face.
The PD paper is not a test of knowledge of problem-solving ability or knowledge specific to specialty training within any specialty, but aims to assess professional attributes which are considered important for successful progression through training and performance in one’s clinical role.
Time: 95 minutes
Number of questions: 50
Context: the PD component is set within the context of Foundation Training with the candidate assuming the role of an F2 doctor. There is also a mixture of settings such as a hospital (across a variety of wards or placements), general practice and out-of-hours clinics.
Core competencies: professional integrity, coping with pressure, empathy and sensitivity (you can find more information on the behavioural indicators linked to these competencies here).
Clinical Problem Solving (CPS)
The Clinical Problem Solving (CPS) paper assesses a candidate’s ability to apply clinical knowledge and make clinical decisions in everyday practice.
Again, the CPS scenarios are based on Foundation level clinical practice. They test a candidate’s ability to synthesise and apply medical knowledge (not just knowledge recall).
Questions may relate to the investigation, diagnosis or management of common and important diseases as well as rare presentations.
Time: 75 minutes
Number of questions: 86
Context: the CPS covers 12 clinical topic areas relevant to general medicine. Each test paper includes a balance of scenarios which cover all 12 topics, including:
Cardiovascular
Dermatology / ENT / Eyes
Endocrinology / Metabolic
Gastroenterology / Nutrition
Infectious disease / Haematology / Immunology / Allergies / Genetics
Musculoskeletal
Paediatrics
Pharmacology and therapeutics
Psychiatry / Neurology
Renal / Urology
Reproductive
Respiratory
Core competencies: investigation, diagnosis, emergency, prescribing, management (you can find more information on these domains here).
Exam Centres for the MSRA
The MSRA is held remotely and is delivered in partnership with Work Psychology Group and Pearson VUE. Candidates will need to register for an account with Pearson VUE and once invited, they can book an assessment at a centre, date and time of your choosing (subject to availability).
The MSRA is delivered globally on several consecutive days in many Pearson VUE Computer Testing Centres. You can find your nearest Pearson VUE assessment centre by visiting the Pearson VUE website.
The exam itself is free to sit, but depending on the centre you choose, there may be additional travel and accommodation costs. It’s therefore advisable to book your seat as soon as possible for the best chance of securing a nearby centre.
Preparation for the MSRA
On the whole, your previous (and current) experience working as a junior doctor will have prepared you for most of the questions and scenarios within the MSRA, although to different extents, depending on where you have gained your experience.
However, as your MSRA scores are often added to the interview score to determine overall rank, or even to exempt you from interview, it may be advantageous to attempt to score as highly as possible.
Blueprint: First and foremost, you should use the MSRA blueprint to better understand the target domains.
Sample questions: Sample questions for both papers are available on the Health Education England Medical Education Hub. You can access these here.
Commercial resources: Exam revision courses, books and online question banks are available, although these are not officially endorsed, and you can find some of the most popular providers below:
Medibuddy
Passtest
eMedica
Passmedicine
4,000 Question bank and mock tests
1,950 Question bank and mock tests
2,200 Question bank and mock tests
2,500 Question bank and mock tests
£30 - £50
£35 - £55
£49 - £119
£25 - £30
#IMG Tips
Start early – Once you have decided to sit the test, plan well in advance to give yourself enough time to prepare and score as highly as possible.
Take a test tutorial – You can take a practice test to familiarise yourself with the controls and screen layouts in advance – see Pearson VUE or Oriel for details.
Negative marking - One mark is given for each correct answer and negative marking is not used within the assessment, so try to answer all questions, even when unsure.
Read carefully - Read the instructions and questions carefully – you may often be looking for the most suitable answer, rather than the only correct one.
Sources
https://medical.hee.nhs.uk/medical-training-recruitment/medical-specialty-training/general-practice-gp/how-to-apply-for-gp-specialty-training/what_x0027_s-in-the-msra/structure-of-the-msra
https://medical.hee.nhs.uk/medical-training-recruitment/medical-specialty-training/general-practice-gp/how-to-apply-for-gp-specialty-training/taking-the-msra
https://www.bmj.com/careers/article/a-guide-to-the-multi-specialty-recruitment-assessment-msra-
https://heeoe.hee.nhs.uk/sites/default/files/msra_test_blueprint_information_nov_2019.pdf
The MSRA is a key examination for many IMGs developing their careers by entering Specialty Training. UK training programmes are very competitive and particularly for overseas doctors unfamiliar with the NHS system, taking the time for extensive preparation for the MSRA can greatly impact your chances of being successful in joining a training programme.
Read more useful articles on exams, NHS jobs and salaries in our IMG Resources library.
For regular news and updates, follow IMG Connect on social media using the links below: