As a doctor, considering a move from the United States of America to the United Kingdom can be both an exciting and daunting prospect. Our highly dedicated and well-trained consultants at IMG Connect specialise in recruiting and relocating international medical graduates (IMGs) to help ease this transition. The National Health Service (NHS) presents a range of opportunities for consultants and specialists, so throughout this guide we'll delve into the bureaucracy, qualifications and registrations necessary for making this significant career move a seamless success, alongside highlighting the pros of working within a world-renowned healthcare system and discussing the main differences between US healthcare and the NHS.   Why do so many American doctors transition to the NHS? Well, not to brag but... the NHS is a cornerstone of UK society, providing healthcare to millions of residents and visitors. Equally, for its doctors it can offer: Job Satisfaction - whilst working in any public sector, you’re lucky enough to witness the good, the bad and the ugly parts of human nature. Within the NHS, there is a profound sense of pride in patients and professionals alike where it feels uniquely special to be a part of something so uniquely accessible. As a doctor working in the NHS, you will never have to turn away a patient in need and will be able to abide by the Hippocratic Oath without conflict. Read here for some detailed insights from trusted NHS Staff about their experiences. Work-Life Balance - many physicians report more manageable work hours compared to the often-gruelling schedules in the US, promoting a healthier work-life balance. In terms of annual leave, you’ll be given a mandatory 27 days paid annual leave, often around 10+ days of paid study leave and always the flexibility, where possible, to fit your work commitments around your personal or family commitments. Enriched Cultural Experience & Travel - anyone relocating to the UK can see an enriched cultural experience, with opportunities to explore its history, diverse and eclectic cities and its famed countryside, and, if you live in England or Wales you can take a quick train to Scotland and experience its breathtaking natural scenery or explore an ancient castle. It is also no secret that Americans love a city-break in Europe, living in the UK will make that dream a reality. Taking just a  2-3 hour  flight to walk along Amsterdam’s canals, visit a Parisian café or drinking wine al fresco in Rome. Further destinations, like Marrakesh, will take just 4.5 hours before you’re there, soaking in the African sun. Job Security - whilst not particularly unique to the NHS, as one of the largest employers in the world, the NHS provides stable job opportunities with long-term career prospects and can often offer opportunities to not just yourself, but if your spouse is looking for a role too, they’ll often be a position in the local NHS trust that they can apply for! Professional Growth - the NHS prioritises ongoing education and professional development, allowing doctors to enhance their skills throughout their careers. If you’re looking to continue developing your specialisation whilst in the UK, you won’t be short on opportunities. Diversity in Practice - the NHS serves a broad demographic, enabling doctors to gain experience in treating a wide range of conditions with diverse patient populations. Equally, the nature of free and assessable healthcare allows for the entire population to be treated, regardless of their socio-economic status or stability of income. We will see many doctors, moving from the US to the UK, seeking to provide non-discriminatory quality of care.   What are the key differences between US healthcare and the NHS? At IMG Connect, we want you to be as secure and prepared as possible when making any major decisions, so understanding the differences between the US healthcare system and the NHS will help you plan for you big move in the best possible way. Here are some of the main distinctions we think are key to preparing for your new role in the UK: Funding and Access - the NHS is primarily funded through taxation, providing universal access to healthcare services for all residents. Patients do not receive bills for most services, which can alleviate the financial burden often associated with medical care in the US, where it is largely insurance-based, with a mix of private and public funding. Care Delivery Model - the NHS emphasises primary care as the cornerstone of its healthcare delivery system. General practitioners (GPs) serve as the first point of contact for patients, coordinating referrals to specialists as necessary. This system fosters continuity of care and a more integrated approach, with the stated aim of treating patients through primary and community care before they end up in hospital which costs the NHS a significant amount more in money and resources. Administrative Complexity - While the NHS has its own set of complexities, it generally features a more streamlined administrative process compared to the US. The goal is to minimise bureaucracy and focus on patient care, further benefitting the population’s health and stability. Focus on Preventive Care - the NHS places a strong emphasis on preventive care and public health initiatives, striving to keep populations healthy and reduce the burden of chronic diseases. This focus is integrated into primary care practices. Work Environment and Culture - working in the NHS often involves a collaborative team approach, where multidisciplinary teams play a crucial role in patient care. This environment can foster camaraderie and support among healthcare professionals.   Common US qualifications and their recognition in the UK Whilst the UK widened its acceptance of overseas qualifications in recent years, the honest truth is that many USA-trained doctors will not have qualifications that are automatically recognised by thew GMC, the UK’s regulatory body. Anyone with USMLE that was completed prior to 2004 (roughly speaking) and after March 2019 (when the pandemic started) will not have sat the Step 2 Clinical Skills (CS), and without this important component, no USMLE qualifications will be accepted by the GMC. Step 3 is not accepted, neither is the Step 2 CSA. There is unfortunately, no bending on this whatsoever from the GMC. Beyond the USMLE, generally speaking only those holding board certification in radiology and anaesthesiology can register fairly easily with the GMC, and beyond that it is treated on a case-by-case basis. The list of GMC recognised postgraduate qualifications is always changing however, so check their website here to see if yours is on their accepted list. If you’ve not got any qualifications that are accepted, then you’ll likely need to pass either the PLAB exams or submit a portfolio for specialist registration (the CESR route as its commonly known). You can read more about PLAB here and CESR / The Portfolio Pathway here.   7 Top Tips for American-trained doctors moving to the UK! Navigating the organisation of paperwork and various application processes can feel overwhelming, but we are here to support you. Here’s a step-by-step breakdown of what to expect: 1. Understand & be comfortable with the salary difference. Consider what your earnings from working full-time in the NHS will look like in relation to your living expenses. There is no sugar coating it that you’ll earn less with an NHS post as your main point of income. It is always possible to seek out ways to boost your earnings through locum or private work in the UK, it is also crucial to know the boundaries and limitations you would face if balancing NHS work with private work, especially for consultants. Read more here to understand the dos and don’ts. If salary and higher tax is a real sticking point but you’re still keen on the move, speak to one of our team about job opportunities in Ireland and the Channel Islands. 2. Check your GMC eligibility early! To practice as a doctor in the UK, you need to be registered with the General Medical Council (GMC). This process involves several steps, and it’s essential to get it right. Check out our previous blog for a detailed guide on GMC registration and, considering the points above, make sure to understand what your eligibility is based on either your USMLE or accepted overseas postgraduate qualifications. 3. Prepare and book the PLAB Test if you need to. For US-physicians that don’t have a USMLE or postgraduate qualification that is accepted you’ll need to take the PLAB to have your registration and license to practice recognised in the UK. Check out our PLAB blog here to understand a bit about this licensing exam, and remember to check the GMC website for the most complete and up to date information regarding PLAB. 4. Search for and secure a job offer early. We will assist you throughout this process, our recruitment specialists will help match you with opportunities that align with your qualifications, career goals and preferred location. We will then set up and help prepare you for interviews, either in person or video. 5. Understand the visa and immigration process required. Securing your right to work in the UK is a crucial step. Most doctors will apply for a Tier 2 (General) visa, which allows skilled workers to live and work here. Here’s what you need. Please check this blog we made for a more detailed overview of how to complete this process. 6. Don’t stress too much about relocation – it is important to consider logistics like housing, schools (if you have children), and how to settle into your new community, and for this reason we have a whole process and team that supports each doctor with their move. We have a catalogue of promotional location packs that help you assess what an area/region is like and how it aligns with your needs and preferences. Once your visa is approved, our relocation specialist will begin their role in supporting you with your relocation. 7. Research & Preparation. Gather your documentation! It might sound obvious but, before you move, start collecting essential documents such as your medical degree, training certificates, proof of English proficiency and your CV!   We want you to feel at home, so here are a few ways we think you can achieve that.. Discover Your Community. Take time to explore your new surroundings. Engaging with local culture can ease the transition and make you feel more at home. For example, we Brits love our pubs, and it’s not just a place to drink! These beloved establishments have shaped our society and allowed for people from all walks of life to integrate and come together. Whether you’re watching your favourite sports team play on the big screen on a Sunday or partaking in a mid-week pub quiz with your mates (or colleagues), you’ll never feel alone. Join Professional Networks. As a doctor, connecting with other healthcare professionals in your area can boost you experience tenfold. Joining local medical societies or groups can provide support and networking opportunities, as well as fostering a holistic understanding of what the public might expect form you as a healthcare provider. Join Social Networks & Clubs. We know it is so important to nurture your other passions, hobbies and social batteries when your line of work is so emotionally demanding and comes home with you. There are many ways in which you can make human connections or get stuck into an activity in your area, or further afar if you fancy an adventure. Facebook is one way you can connect with locals and activity groups that reflect your interests. Inform yourself on UK guidelines and practice. The GMC and Royal Colleges have loads of content to help prepare and inform overseas doctors, so you can hit the ground running. Whilst there are many similarities, there are also lots of differences, and it pays to get ahead of yourself to avoid feeling overwhelmed once you’re in the UK. Understanding the healthcare landscape will help you navigate your new role effectively.   To summarise  For many, relocating from the USA to the UK as a doctor is a significant yet rewarding endeavour. As well as the NHS, there are lots of job opportunities for US-trained physicians in Ireland, and the Channel Islands. By understanding the acceptance of your qualifications and / or USMLE by the GMC, and partnering with IMG Connect, you can successfully navigate this transition and the UK job market and embark on a fulfilling career in healthcare in the UK. If you’re ready to take the next step or have questions about the process, reach out to IMG Connect today. We’re here to support you in making your move to the UK a seamless experience!

To work as a doctor in Ireland you will need to register with the IMC. The IMC is a public body that maintains the official register of medical practitioners within Ireland and attaining full registration is a multistep process involving a number of different documents. IMG Connect are here to help guide overseas doctors through the various stages of IMC Registration by considering the following topics: Why do I need IMC Registration? How much will it cost me? What are the requirements for IMC Registration? Recognised IMC qualifications English language capabilities Registration and licensing history ID Check What is the process? First, lets understand the types of IMC registration that are available There are several types of IMC registration that are available, and so understanding the registration type that fits you is really the first step. How do you work this out? Well the IMC website has this very useful eligibility route finder and if you have run this already, we recommend checking through this before starting your application. You'll see that there are various different divisions of IMC registration, and the full list reads Trainee Specialist Division, Internship Registration, Specialist Division, General Division, Supervised Division and Visiting EEA Practitioners Division. Whilst it might seem a bit confusing we can simplify this for you and say that most IMGs or overseas doctors we are working with will be applying for either the general or specialists division. And what does that mean in practice? Doctors with specialist registration may practise independently, without supervision and may represent themselves as specialists, and anyone with general registration is permitted to practice under certain specifications or supervision. If you have ever looked at GMC registration, its essentially the same.  Ok, and why do I need IMC registration? Its quite simple really, it is a legal requirement! Practicing medicine in Ireland without IMC registration is illegal, as it is in most countries, so anyone wishing to work in the Irish healthcare system will need to get cracking and ge their IMC registration together.  So how much will IMC registration cost me? The cost of IMC registration varies depending on the type of registration you are applying for. When looking at the IMC website you might find it quite confusing, as did we initially, but to give an overview we can say the total cost of a new application and granted registration can vary, from roughly €1000 to €1,300 depending on the two main associated considerations and costs below. Application Fee - there is a non-refundable fee for submitting your application. This fee can vary, so it’s important to check the IMC website for the most current amount here. Registration Fee - in addition to the application fee, there is the registration fee. Again, this amount depends on what type of registration it is you're applying for i.e. general or specialist.   Whatever the case we recommend budgeting for these costs in advance to avoid any nastyt surprises at the point you are ready to make an application! Ok - so what are the requirements for IMC registration? To be eligible for full IMC registration with a license to practice, you’ll need to fulfill the requirements listed below. They are very similar to other medical registrations, think GMC registration for example, and will follow a similar pattern. Essentially, you'll need to show that you have the qualifications and knowledge to work as a doctor, and that you can communicate to the required minimum levels to practice safely in Ireland. Below we have listed out and explained some of the requirement for a successful application with the IMC. Recognised Primary Medical Qualification - you must have a medical degree from a recognised institution, essentially one that is on the World Directory of Medical Schools. You can easily check by going on their website and finding your medical school. You'll then need to verify this with the EPIC (the online portal managed by the ECFMG) - and you can find some more information on this via our blogs on our website here.  English Language Capabilities - if English is not your first language, you must demonstrate your proficiency through accepted tests such as International English Language Testing System (IELTS) and Occupational English Test (OET). Meeting the IMC’s language requirements is crucial for effective communication in a clinical setting, and they are slightly different to the GMC's scoring requirements for registration. For OET you need 4 B's, and for the IELTS you need to acheive an overall band score of 7.0 and a minimum score of 6.5 in each module. For both OET and IELTS this score mut have been acheived in the last 2-years. Evidence of Knowledge & Skills - this essentially is the qualification or licensing exam that you are using to register with the Medical Council. This might be a reocgnised overseas postgraduate qualification, an Irish postgraduate qualification, a European Specialist Qualification, or the IMCs licensing exam known as the PRES. Either way, for the majority of docotrs applying they will need to show evidence of something additional  Evidence of Registration and Licensing History - you’ll need to provide information about your previous medical registrations and licenses. This includes a proof of registration document showing that you are registered to practice in your home country or any other country where you have practiced. Certificates of Good Standing - a Certificate of Good Standing (CGS) is typically required from the medical regulatory authority in your home country. This document confirms that you have no ongoing investigations or disciplinary actions against you and no application will be accepted without these. You'll need to provide a CGS that is dated within the last 3-months, and from every medical regulatory body with whom you've held a registration with in the last 5-years.​​​​​​ What Is the Process? The process of registering with the IMC involves several steps as below: Document Preparation - gather all required documents, including your medical degree, transcripts, proof of English proficiency, and certificates of good standing. Online Application - complete the online application form on the IMC website. Ensure that all information is accurate and complete to avoid delays. Application Fee Payment - pay the non-refundable application fee when you submit your application. Submit Supporting Documents - upload all necessary documents through the IMC online portal. Make sure everything is clear and readable. Await Assessment - after submission, the IMC will assess your application. This process can take several weeks, so patience is key. Complete Additional Assessments - if required, complete any knowledge and skill tests as specified by the IMC. ID Check & Receive Registration - once your application is approved, you will receive your IMC registration number and will be invited to attend an ID check. Once this has completed you can then practice medicine in Ireland! To summarise Registering with the Irish Medical is a crucial step for any overseas doctors wishing to practice in Ireland. By understanding the requirements and following the outlined process, you can navigate this journey with confidence but we appreciate the process may become difficult or unclear. At IMG Connect we’re here to support you throughout your registration process so if you have any questions or need assistance, don’t hesitate to reach out. Together, we can help you turn your dream of practicing medicine in Ireland into reality!

Recognised qualifications, endless potential For European-qualified anatomical pathologists, transitioning to the NHS is now smoother than ever. Recognition of specialist qualifications from EEA countries means that most anatomical pathologists can register with the GMC and work as histopathology consultants in the UK. However, it’s not just about recognition; understanding the NHS’s unique approach to pathology can make a significant difference for those making the move. This series explores the evolution of NHS pathology services, beginning with the Carter Review, which catalysed key changes in UK histopathology. We’ll dive into the practical impact on subspecialisation, digital pathology, and NHS networks, mapping how these changes could shape your NHS experience. The Carter Review - a catalyst for modernising NHS pathology In 2008, the UK government commissioned the Carter Review, a significant report aimed at transforming pathology services in the NHS. Led by Lord Carter of Coles, the review highlighted areas for improvement, pushing for efficient, cost-effective, and patient-centred pathology services. For European pathologists joining the NHS, understanding these reforms provides valuable context for today’s NHS setup. Here’s a look at the key reforms and why they matter: Centralisation of Pathology Services - centralising pathology services into regional labs, instead of maintaining many smaller units, was one of the Carter Review's foundational recommendations. This shift aimed to reduce duplicate work, improve quality control, and facilitate better investment in advanced equipment for enhanced diagnostic capabilities. Emphasis on Digital Pathology - digital pathology was a major focus and something most pathologists get excited about! Digital platforms streamline histopathology workflows, enabling faster reporting, reducing storage needs, and allowing for easier peer reviews. The UK is currently one of the most digitally developed pathology systems in Europe—a potential game-changer for those accustomed to more traditional setups. Standardised Processes and Reporting - the Carter Review recommended standardised protocols to ensure uniformity across NHS services. With a more consistent approach to diagnostics, patients receive equitable care, regardless of which hospital they attend, and what laboratory their biopsy gets sent to. This also aligns with the Royal College’s points-based system which is designed to support system-wide adoption of best practices. You can read more about the RCPath Points based-system here. Optimising Workforce Efficiency - the review recognized the importance of a balanced, efficient workforce, advocating for an increased role for biomedical scientists (BMS) to relieve histopathologists, allowing them to focus on complex cases. This support system is crucial in reducing diagnostic backlogs and improving patient outcomes. Building Clinical Networks for Subspecialisation - recognising the benefits of subspecialisation, the review encouraged collaboration across clinical networks. With centralised hubs, referrals to subspecialist pathologists are more efficient, improving access to expert diagnostics, especially for rare or complex cases. The Modern NHS - so what can a European (EEA) pathologist expect? In the years following the Carter Review, the NHS has made strides toward a more digital, centralised, and specialised pathology landscape. While some regions are more advanced in implementing these changes, the NHS’s commitment to modernisation is clear. For European pathologists, this means: A digitalised workspace - NHS laboratories now offer state-of-the-art digital infrastructure, providing opportunities for remote working, enhanced workflows, and digital archiving. Opportunities for subspecialisation - pathologists can increasingly specialise in one, two, or three specific organ systems or pathology subspecialties, supported by an efficient referral network not just in their laboratory, but in their regional (and national) network. Job security and flexible working conditions - with high demand and ongoing recruitment needs, NHS consultants enjoy secure employment with the flexibility to work from home as digital systems continue to advance. Competitive compensation - recent updates to NHS consultant pay scales have increased earning potential, making the NHS an attractive option for European-trained histopathologists. Here you can find the NHS pay circulars, and here we discuss their comparison with other European healthcare systems, focusing on the consultant pay in particular. With pay in the NHS now far higher than many other European countries, its a great moment to take that step upwards into the NHS and UK pathology sector.  Joining the Digital NHS Landscape If you’re a European pathologist interested in joining the NHS, now is the time to explore your options. The UK welcomes EEA-qualified pathologists to contribute to a healthcare system embracing innovation and collaboration. If you're curious about GMC registration or how your experience could translate to NHS practice, reach out to IMG Connect to discover how you can step into a modernised, supportive, and specialised NHS environment. Alternatively, you can read through our Route to the UK blog for Pathologists blog published on our IMG Library.  Whether you’re ready to make the move or just starting to explore the possibilities, the NHS offers a promising, high salaried, digitally integrated, and patient-centred future for European-trained anatomical pathologists

  Are you an NHS or overseas-trained doctor looking to boost your main income? You’re not alone! Many doctors employed in the UK turn to the private sector for extra work at some point, and those considering Jersey as a future employer will be pleased to know it is an excellent place to do just that. With about 30% of Jersey’s population covered by private healthcare insurance, the demand for private services is on the rise. This makes now the perfect time to consider relocating to Jersey, where you can balance public sector responsibilities with exciting opportunities in a growing private healthcare market. Whether you’re looking to enhance your career or simply increase your earnings, Jersey has a lot to offer. Throughout this blog we will be looking into: Health and Community Service’s (HCS) Private Patients Services Strategy Benefits of Working in Jersey’s Private Sector Career Growth Opportunities for IMGs in Jersey’s Private Healthcare How to move from NHS to private Health and Community Service’s (HCS) Private Patients Services Strategy Since the pandemic, Jersey’s private patient revenues took a hit, but things are looking up. In 2023, private patients contributed £12.2 million to Health & Community Services (HCS), about 5% of its total budget. Now, with the launch of the Private Patients Services Strategy, HCS aims to double that figure to over £24 million. This growth presents exciting opportunities for consultants and specialists, allowing for enhanced career and skill development alongside the main bulk of their work in public sector. Having choices in healthcare provision not only brings comfort but can also benefits the entire system. Supporting the option to go private enhances care delivery for both clinicians and patients in Jersey. It’s an exciting time to be part of this evolving landscape! Jersey’s Private Patients Services Strategy: A Vision for 2024-2028 Jersey has unveiled its Private Patients Services Strategy for 2024-2028, aiming to elevate private healthcare on the island over the next five years. Here’s a snapshot of the key goals: Attracting Top Talent: The strategy seeks to draw in highly-skilled consultants and specialists from the UK and EEA region, enriching and diversifying Jersey's healthcare expertise. Expanding Service Options: By broadening the range of private healthcare services, patients will have more tailored choices to meet their specific needs. Boosting Revenue for Community Benefit: The goal is to double private patient income to over £24 million by 2028, contributing to the overall healthcare system and benefiting all islanders. Think of the potential for your fledgling private practice! Supporting Healthcare Professionals: The plan emphasises collaboration with doctors. The HCS private patients’ leadership team will work closely with consultants to develop and grow services, backed by government support through stakeholder engagement, giving you the guidance and security to take this big step! This strategy promises exciting advancements for both healthcare professionals and the community. Benefits of Working in Jersey’s Private Sector Thinking about making the switch from public to private healthcare? Here are some compelling reasons: Career Advancement: The private sector offers numerous opportunities for leadership roles, business partnerships, and even the chance to establish your own practice. For those looking for the next step in their career, this would be great for the portfolio! Better Work-Life Balance: Generally, Jersey’s healthcare workers report lower burnout rates compared to those in the NHS. This may mean you have more time available to supplement your public sector work, with your private sector work, and not just at the expense of your personal time and sanity! Support from HCS: The HCS private patients leadership team collaborates with medical consultants to help them develop and enhance commercial services, ensuring mutual benefits for everyone involved. Government Backing: If you’re interested in the private medical sector, substantial government support is available, whether you want to open your own practice or become a partner, through the Improving Public Health: By easing the demand for state care, you can help reduce waiting lists, allowing patients to receive timely care and avoid worsening conditions. Career Growth Opportunities for IMGs in Jersey’s Private Healthcare Leadership and Business Roles: IMGs can pursue leadership positions, form partnerships, or launch their own practices in Jersey’s expanding private healthcare market. Specialisation and Niche Services: The opportunity to specialise in areas like cosmetic surgery or oncology allows IMGs to introduce unique treatments and thrive in a patient-focused environment. Starting a Private Practice: As previously stated, IMGs receive support from Jersey’s Health & Community Services (HCS) for business planning, marketing, and regulations, ensuring a smooth transition to private practice, as well as financial incentives from the government to help start things up. Networking and Collaboration: Joining a network of specialists offers opportunities for collaboration and knowledge exchange, enhancing career advancement. Leading Service Expansion: IMGs can take on leadership roles in developing and expanding innovative healthcare services as the sector grows. Active Role in the Private Patients Strategy: Contributing to Jersey’s Private Patients Services Strategy allows IMGs to help shape the future of private healthcare. Enhanced Professional Recognition: Working in Jersey’s high-standard private healthcare system helps IMGs build recognition locally and internationally, creating future opportunities worldwide.   How to move from NHS to private in 10 steps   Understand Jersey’s Healthcare System: Jersey has its own independent healthcare system. Consultants often work in private practices or a hybrid model with Jersey General Hospital, where many patients pay for services directly or through insurance. Research Private Hospitals and Clinics: Key private providers include Lido Medical Centre and Clinique Pinel. Explore opportunities at Jersey General Hospital, which may offer private consulting roles. Jersey License to Practice: Ensure you’re licensed to practice in Jersey by registering with the Jersey Care Commission, which regulates healthcare professionals on the island. Private Practice Setup: If starting your own practice, register it with Jersey's Government and secure medical indemnity insurance. Build relationships with private insurers like Bupa and AXA PPP. Finding Job Opportunities: Jersey has a demand for specialists in fields like orthopaedics and cardiology. Check job listings at Jersey General Hospital and private clinics. Building a Patient Base: Success in private practice relies on referrals from local GPs and maintaining a strong professional reputation. Consider marketing yourself through websites and local directories. Work Flexibility: Many consultants work in both public and private sectors. Decide if you want to focus solely on private care or split your time. Finances and Earnings: Private consultants can earn significantly more than NHS counterparts, but consider Jersey’s higher cost of living when planning your finances. Housing and Relocation: Understand local housing rules, as competition for rentals can be high. Your employer might assist with relocation. Legal and Tax Considerations: Familiarise yourself with Jersey’s tax laws, which differ from the UK. Private earnings must be declared to the Jersey tax authorities.   Wrapping Up! To transition from an NHS role to Jersey private healthcare as a consultant or specialist, you must: Familiarise yourself with Jersey's healthcare system and private sector. Obtain the necessary medical licenses and register with the Jersey Care Commission. Explore employment or business opportunities at private clinics, Jersey General Hospital, or set up your own practice whole researching all opportunities. Establish a patient base, including networking with local GPs and insurers. Understand the financial and legal implications of practicing privately in Jersey.

As an overseas health and care professional, the main route to the UK is via the HCPC registration. The Health & Care Professionals Council is the regulator for 16 health and care professions across the UK. This article is tailored for psychology practitioners who have completed professional training outside the UK and who wish to apply to work in the NHS.  Overseas psychologists from any country in the world can register with the HCPC in the UK and use the protected ‘practitioner psychologist’ titles such as clinical psychologist or counselling psychologist, thus qualifying them to practice in the UK.  The process is summarised below along with a broad look at the following topics: How can I practice in the UK? Which route is for me? I qualified and practice outside of the UK, am I eligible? Am I eligible for full clinical equivalence? What is the role of the standards of proficiency? What are the standards of proficiency for practitioner psychologists? How do I demonstrate that I have met the standards of proficiency? How to apply via European Mutual Recognition (EMR) How to apply via International Application Application steps What documents will be required? What if I am unsuccessful? English language proficiency Is the HCPC enough? What about the British Psychological Society (BPS)? Successful? What next? How can I practice in the UK? To practice in the UK using any of the HCPC regulated terms, including clinical psychologist or counselling psychologist, you have to satisfy the HCPC that you have broadly equivalent skills to those who trained in the UK.  The HCPC check equivalence based on the British qualification which is at Doctorate level.  If your degree is from outside the UK then the HCPC will want to assess all your qualifications and experience to see what you need to add to reach their standard for a clinical psychologist, or where you would need to join the training path if you have moved to the UK already.  The type of HCPC application you make depends on your country of origin and training. There are two application routes:  European Mutual Recognition (EMR) - this applies if you trained in an EU country. International application - for those trained outside of the EU, where additional checks for qualifications and language proficiency are required. This is to ensure that overseas applicants meet the UK's safety and competency standards Which route is for me?  It all depends on where you have trained and qualified, EEA or outside the EEA.   EEA:  If you have trained and are a citizen of an EU member state, then you are eligible for European Mutual Recognition (EMR). If you are eligible for EMR then you must apply via this route.  EMR ensures that EEA qualifications are recognised across Europe as equivalent, and therefore you will only require your English language proficiency to complete your application.  Outside the EEA:  If you have trained outside the EU, then you are eligible for an international application.  Both routes follow the same process, the skills, education and training you submit via your application forms are assessed by Registration Assessors, who make a decision within 60 working days.  I qualified and practiced outside the UK, am I eligible?  To be eligible to apply for registration via the international route, you must have undergone relevant training in psychology and be fully qualified to practice your profession To be eligible to apply for registration based on European Mutual Recognition you must be: a citizen of a relevant European State  fully qualified to practice your profession in a relevant European State other than the United Kingdom Your application will be assessed against the standards of proficiency for practitioner psychologists.  We advise that before you apply you should check you meet, or exceed, the professional standards all registrants must meet in order to become registered in psychology. Am I eligible for full clinical equivalence? To be eligible for full clinical equivalence (i.e. to be able to secure a job in the NHS as a Clinical Psychologist) you have to demonstrate you have met:  Meet all the competencies required for a UK Doctorate in Clinical Psychology: This includes knowledge and skills in psychological assessment, intervention, and evaluation. Demonstrate experience with all core client groups: These include working with adults, older people, children, and individuals with learning disabilities. NHS job roles often require clinicians to show competency in treating a broad range of conditions and client types​. Produce a doctoral standard research project: You need to demonstrate you can conduct research at a doctoral level, contributing to the field of psychology. What is the role of the standards of proficiency? The purpose of HCPC registration is to establish the minimum threshold standards that all registrants must meet to practice safely and effectively.  They set clear expectations for overseas psychologists’ knowledge and abilities for when they start practicing in the UK. What are the standards for practitioner psychologists?  When applying for registration you will have to ensure that your meet 15 standards of proficiency. We have listed the titles below:  A registrant practitioner psychologist must be able to: 1. Practice safely and effectively within their scope of practice 2. Practice within the legal and ethical boundaries of their profession 3. Maintain fitness to practice (ensuring physical and mental health that allows safe practice) 4. Practice as an autonomous professional, exercising their own professional judgement 5. Be aware of the impact of culture, equality and diversity on practice 6. Practice in a non-discriminatory manner 7. Maintain confidentiality and understand its importance 8. Effective communication with service users, carers, and colleagues 9. Work appropriately with others 10. Maintain records appropriately and efficiently 11. Reflect on and review practice to continually improve 12. Assure the quality of their practice by using evidence-based methods 13. Understand the key concepts of the knowledge base relevant to their profession 14. Draw on appropriate knowledge and skills to inform practice 15. Understand the need to establish and maintain a safe practice environment Request a copy of the full standards and proficiency document for psychologists. How do I demonstrate that I have met the standards of proficiency in my application?  Include as much as detail possible: You will be asked to provide detailed information about your experience, education or training. Include as much relevant information as possible in your application. Detail all your experience: The HCPC will assess the courses that you have completed. Some courses may be broader with less in-depth coverage, while others are more detailed but have a narrower scope. To mitigate any shortfalls in your qualifications, you should detail as much of your relevant experience as possible. TOP TIP: HCPC assessors make their determinations based on all the information that you provide. So, provide as much as you can!  How to apply via European Mutual Recognition (EMR):  The EMR application process follows a similar format to that of the international applications process. The skills, education and training you submit via the EMR application forms are assessed by Registration Assessors, who make a decision within 60 working days.  How to apply via International Application: The International application process follows the format above. The skills, education and training you submit are assessed by Registration Assessors, who make a decision within 60 working days.  Application steps?  The process follows four steps: Step 1 - submit forms and pay fee of £539 Step 2 - processing Step 3 - assessment by the HCPC Step 4 - decision letter A successful decision letter will confirm your addition to the HCPC register.  What documents will be required?  You will require the following to support your application:  identity documentation qualifications  good standing and character declaration – part of application declaration regarding background checks – part of application Original documents that are not in English will have to be accompanied with a translated version.  TOP TIP: We advise that you prepare your documents and experience as early as possible before making your application, this will not only save you time, but give you the chance to add and edit the content you will provide. Increasing your chances of success! Step 1 - Submit forms and pay fee Once you have gathered your documents and have fully considered your experience matched to the standards of proficiency, you can submit your forms and pay the application fee.  The HCPC will take a scrutiny payment of £495 at this stage.  You will receive a confirmation receipt and payment.  You will also receive your application reference number. This reference number is important, and you should use this each time you contact the HCPC to discuss your application. TOP TIP: If your application is not accepted for processing because of missing information, the HCPC will return it to the address on the form. You will then need to resubmit your application. To avoid this, ensure you have prepared all of your evidence and documentation as above.  Download and complete your form, then send them by post to the address on the front page of the application. Download the application form for registration – EMR Download the application form for registration – International application Step 2 – Processing During this period (4 weeks from receipt of application), the HCPC will contact your education provider, any relevant regulatory or professional bodies and any professional referees.  This is to verify the information that you have provided in your application.  You do not need to do anything until the HCPC have notified you of the outcome of the next stage of the process.  Step 3 - Assessment The next stage is the assessment of your regulated education and training and any other relevant education, training or experience included in your application. Your application will be sent to two assessors from the practitioner psychology register.  They will consider all the information that you have submitted before making their recommendation to the HCPC. What are they assessing?  To be eligible for full clinical equivalence (to be able to get a job in the NHS as a Clinical Psychologist) you have to demonstrate:  you have met all the competencies required to get a doctorate in the UK experience of all the core client groups (working age adults, older people, children and families, people with learning disabilities) or core competencies you have a doctoral standard piece of research. First, they will compare your regulated education and training with HCPC standards of proficiency. If any shortfalls are identified, they will check your submission to see if these have been made up through any other relevant education, training or experience that you have provided details for.  They will then send a recommendation to the Education and Training Committee (ETC). This recommendation will be then reviewed by the ETC who will send their decision to you. TOP TIP: The HCPC can only base their decision on the information provided in the application. They do not contact referees, training institutions, or employers to obtain further information about your training or work experience. So, remember to provide as much experience, training and relevant education as possible.  The HCPC will send a Record of Assessment to you within 60 working days of receipt. This Record of Assessment may include a request for further information which will prolong the processing time of your application.  Again, for this reason it is important that you include as much relevant information as possible when you submit your application. Step 4 - Decision letter You will be notified of the outcome of your application in writing. In successful cases this will confirm your addition to the Register.  What if I am unsuccessful?  If you have not been successful in your HCPC application, it is likely that there was some information missing from your application to demonstrate that you meet the standards of proficiency.  The HCPC will return your application to the address you provided, you can then add more detailed information to your application forms and resubmit.  If, however, you have failed the application, the following will apply depending on the route that you have applied through:  International application rejected:  you may be able to appeal the decision. You can find out more about appeals here.  EMR application rejected: your choices are different. If you're a national of an EEA country, and are entitled to practice, you will be required to complete a period of adaptation or an aptitude test to rectify shortfalls in your knowledge or experience. You can find out more about the period of adaptation here.  English language proficiency:  The ability to communicate in English is of course crucial to working effectively in the healthcare profession in the UK. If you are applying via the International Application then you must obtain one of the following scores: IELTS – 7.0 average in all areas, with no element below 6.5 TOEFL – minimum score of 100/120 If applying via the EMR Application, and are a National of a relevant EEA state, then you are exempt.  Please note that Speach & Language Therapists must obtain higher scores, contact us for more information.  Is the HCPC enough? What about the British Psychological Society (BPS)?  The professional body for psychologists in the UK is the BPS. It is not necessary to be a member to practice, however they have a parallel process for achieving chartered status, which may be of value to some psychologists.  The BPS can provide you with Graduate Basis for Chartered membership (GBC) which is a way of acknowledging your Bachelor’s degree covers enough psychology in enough depth to be a foundation for further study. It is a standard given to certain degrees in psychology in the UK, and international qualifications can be given this status by the BPS.  To practice in the UK using any of the protected/regulated terms, including clinical psychologist or counselling psychologist, you have to satisfy the HCPC that you have broadly equivalent skills to those who trained in the UK. You can find more information on BPS membership here. Successful? What next?  First of all, congratulations! Once you have been granted registration with the HCPC, you can apply for work as a practitioner psychologist 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 Resources library. If you have attained HCPC registration don’t hesitate to get in touch with your IMG Consultant to discuss UK job options in psychology, including discussions regarding a typical psychologist’s salary in the UK and the most suitable locations for you.  Connect with us             

Many overseas pathologists wonder how UK reporting patterns are structured within the NHS. One of the key benefits of working as a histopathologist in the NHS is the use of the RCPath points system. But what does this actually mean? What is the RCPath Points System? The RCPath points system is used by the Royal College of Pathologists (RCPath) in the UK to measure the workload of pathologists. The system assigns points to different activities based on their complexity and the time required to complete them. This helps in workload planning and ensures that tasks are distributed fairly among pathologists. You can read more about the points system via the RCPath publicised document here. Here's a summary of some key features, focusing on histopathology, cytology, and autopsy practice. You can also find the most recent updates on this via the RCPath website here.   1 - 5 Minutes  1 Point  6 - 10 Minutes  2 Points 11 - 20 Minutes  3 Points  21 - 30 Minutes  5 Points  31 - 50 Minutes  8 Points   > 50 Minutes  12 Points    Points Allocation: Histopathology: Different types of specimens are assigned specific points based on the complexity of the examination. For example, simple biopsies might be assigned fewer points, while complex surgical resections would have higher points. Cytopathology: Points are allocated based on the type of cytology specimen, such as fine needle aspirations or exfoliative cytology. Post-Mortem Examinations: Autopsies are assigned points depending on the type (e.g., routine or complex cases). Workload Management: Daily/Weekly Limits: The system sets recommended daily or weekly points totals to prevent overworking and ensure manageable workloads. Job Planning: Pathologists' job plans are often based on achieving a certain number of points per session or week, balancing clinical duties with other responsibilities like teaching or research. Fair Distribution: The system aims to distribute cases evenly among pathologists by assigning points based on workload rather than just the number of cases. This helps maintain fairness within pathology departments. Adjustments: Complex Cases: Cases requiring additional time or expertise, such as those needing second opinions or further testing, may have adjusted points. Special Circumstances: Adjustments can also be made for special circumstances, such as when pathologists are in training or dealing with new techniques. What is the Purpose and Benefit of the RCPath Points System? Ultimately, every decision in the NHS is made with the aim of improving patient experience and care—a central theme of all work within the NHS. The RCPath points system benefits patient outcomes in the following ways: Standardisation of Reports and Quality: Provides a standardised way to measure and compare workloads across different institutions and pathologists. Efficiency of Reporting and Staff Workload: Helps in resource allocation, ensuring that pathologists are not overburdened and that the quality of work is maintained. Transparency Among Colleagues: Offers transparency in workload expectations and aids in discussions around job planning and workload distribution. The RCPath points system is a structured approach to ensuring that pathologists’ workloads are balanced, manageable, and fair, contributing to better patient care and job satisfaction. If you would like to read more about how staffing and workload for pathology departments are assessed and managed by the Royal College, an updated version of the RCPath Best Practice Recommendations is due for publication soon. Your IMG Consultant is happy to assist with any negotiations related to your job plan to ensure your experience is taken into account.  For more information on NHS doctor benefits and pay arrangements in the UK, take a look at our IMG Resources library.   

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: