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58 blogs found

OET@Home - your questions answered
OET is fast becoming the most popular English Language test that overseas doctors will use for GMC registration.
It is an English language test that tests medical language specifically and for that reason is very popular with IMGs. However, as with many things the exam has been heavily disrupted by the covid-19 coronavirus pandemic.
In response to the covid-19 pandemic OET have created two new versions of their popular english langauge test to help doctors when their local test centre is closed:
Computer-based OET test
OET@Home
OET@Home - what is it?
OET has partnered with Prometric TM, a private company, to deliver a home version of the OET test. While computer-based testing and remote proctoring (invigilation on behalf of OET) will bring changes to the delivery mode - the test format, tasks presented and level of English assessed will all be the same.
OET@Home - how does it work?
The reading, listening and writing sub-tests of OET will be available via computer-based delivery and the Speaking sub-test will be carried out with a human interlocutor via video calling software. This human involvement and role-play nature of the OET Speaking sub-test which is so important to the test - will not be compromised.
The test will be managed remotely and under strict condition by invigilators who know the importance of this test for patient safety and fair GMC registration process for any doctor taking OET - whether it’s OET@Home of OET sat in person at a test centre.
Below we have summarised a number of FAQs to help address any question you have. We have taken the information directly from the OET Website here https://www.occupationalenglishtest.org/at-home-remote-proctored-testing/.
Do I have to take the test on a computer? Or are paper-based tests still available?
You do not have to take the test on a computer. OET will be running both paper-based and computer-based testing so you can still take the test on paper if that is what you prefer.
They will be continuing to run paper based tests at all the current values as long as local lockdown restrictions allow. So now you can sit one of three OET formats:
paper-based tests at OET test centers (the old method)
a computer based test that you can sit at selected test venues
OET@Home , a remote-invigilated test that you can sit at home using a Windows PC
Is there a difference between computer-based OET and OET@Home?
Not really. They are exactly the same test with the main difference being where you actually take the test. The key difference is this:
With computer based tests you will attend a test venue to take the test.
With OET@Home you will be able to take the test remotely (e.g. at home or work) on your Windows PC.
How does the remote invigilation or proctoring work?
‘Remote proctoring’ essentially means ‘remote invigilation’. This means that you can sit the test outside of a test centre under the same strict exam conditions that an OET test centre would provide.
Human proctors or human invigilators check the following:
you are who you say by checking ID
room searches prior to the start of the test
monitor your behaviour during the test, ensuring you do not breach any OET rules and regulations
Remote proctoring systems also help maintain test security with the following:
security features such as limiting functionality of your computer (e.g. so you cannot access the internet or take screenshots)
How often will the computer-based test and OET@Home run?
Initially once a month on either the same day, or alternate Saturdays as the paper-based OET test. However, this is still to be confirmed and OET will release more details in the coming weeks. Keep an eye out for their updates found on their website here.
Can i actually sit the test at home?
Yes. Once the OET@Home is live you will be able to sit the test at home, using a windows PC.
How will the speaking test work?
The Speaking sub-test will still be two role plays with a live interlocutor or test official. The only difference is with OET@Home, where the live interlocutor will role play with you via video conference.
How much will this cost me?
At this point it does not look like there will be any change to the cost of OET, no matter which test you take. A reminder - those cost of the OET is currently AUD 587 (A$587) which is currently equivalent to £327. Please note, the price and conversion rate is representative of the time of writing this article (July 2020)
When can I book a test?
OET@Home will be open for bookings at the end of August, with the tests available from September onwards.
Computer-based OET will be available at the end of September in a few locations. More locations will be made available after the first
Will the OET test format change?
No - all tasks, format and timings will remain the same across all types of OET.
If I have already booked to take the OET paper-based test - will I be able to change my booking to either computer based test or OET@Home?
Are the computer-based OET and OET@Home accepted by regulators?
Both the computer-based OET and OET@Home are accepted by the GMC and will be valid for Tier 2 visa applications also.
How do I book my place with either OET@Home or computer-based OET?
You will be able to book your test online and OET will let you know as soon as both new types of test are available for booking.
Can I take the OET@Home on a mobile phone?
No, the OET@Home can only be taken on Windows PC. You can find the technical specifications here.
So, I can only use a windows laptop? What if I have a Mac?
Unfortunately, if you have a Mac you will not be able to sit the OET@Home with it. You will need a dedicated computer running Windows 10, either a desktop computer or laptop.
Refer to the technical specifications to check you Windows PC can run the software.
How long will the results take to be released?
OET will stick with the same results timeframe in place for paper-based OET tests - however there may be the opportunity to significantly shorten the time needed for results to be released. However, do not expect to see this benefit immediately.
How can I prepare for all versions of the OET?
As with all tests, we recommend preparing as much in advance as you can. Learning a new language is challenging and takes time. You cannot just turn up on exam day and hope to pass, no matter how good your english is already.
Take a read through this article below to help your preparations for OET:
IMG Resources: Preparing for your English Language Test
What courses or tutors can I use for OET preparations?
We discuss this in more depth in the article below:
IMG Resources: Preparing for your English Language Test
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 are incredibly professional 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

HCPC registration for overseas healthcare professionals
As an overseas health and care professional, the main route to the UK is via the HCPC registration.
The Health & Care Proessionals Council is the regulator for 16 health and care professions across the UK.This article is written for overseas health care practitioners who have completed professional training outside the UK and who wish to apply to work in the UK.
Overseas healthcare professionals from any country in the world can register with the HCPC and work in the UK, this registration 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
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
Successful? What next?
How can I practice in the UK?
To practice in the UK using any of the HCPC regulated terms 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 desired standard for the healthcare proession, 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)
International application
Which route is for me?
It all depends on where you have trained and qualified, EEA or outside of the EEA.
I qualified inside the 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.
Am I eligible for European Mutual Recognition (EMR route)?
To be eligible to apply for registration based on European Mutual Recognition you must be a citizen of a relevant European State
I qualified outside the EEA:
If you have trained outside of 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.
Am I eligible for the international route?
To be eligible to apply for registration via the international route, you must have undergone relevant training and be fully qualified to practice your profession.
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 your area of healthcare. 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 your area.
What is the role of the standards of proficiency?
For the purposes of HCPC registration, in order to ensure all applicants will work to the standards necessary to protect the public, the HCPC set threshold standards they consider necessary to measure all candidates and practitioners against in the UK.
They set clear expectations for knowledge and abilities for when they start practicing in the UK.
Am I eligible for full clinical equivalence?
To be eligible for full clinical equivalence (i.e. to be able to secure a job in your chosen area in the UK) you have to demonstrate you have met:
all of 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
have a doctoral standard piece of research
How do I demonstrate that I have met the standards of proficiency in my application?
1. 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.
2. Cover and provide detail on ALL of your experience:
The HCPC will assess the courses that you have complete, some courses are broader with less in-depth coverage, and others are more detailed but have a narrower scope. Therefore, as a precaution, you must detail as much experience as you can in your application in case there are any shortfalls from the training and qualifications that you have. Significant experience may make up for shortfalls in training.
TOP TIP: HCPC assessors make their determinations based on all of 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 the format 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.
What are the application steps?
The process follows four steps:
Step 1 - submit forms and pay fee
Step 2 - processing
Step 3 - assessment by the HCPC
Step 4 - decision letter
A successful decision will be confirmed by receipt of a letter stating 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 register.
They will consider all of the information that you have submitted before making their recommendation to the HCPC.
What are they assessing?
You will 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.
Successful? What next?
First of all, congratulations! Once you have been granted registration with the HCPC, you can apply for work as a practitioner 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 your area, including discussions regarding a typical healthcare professionals salary in the UK and the most suitable locations for you.

FRCEM Intermediate results day - what next?
The MRCEM Part B or FRCEM Intermediate exam is tough....
Success in these exams is a challenge and all Emergency Medicine doctors deserve credit for getting to this stage. Whether your passed or failed, here we'll offer some suggestions on what to do next:
Passed FRCEM Intermediate? Click here.
Not passed FRCEM intermediate? Click here.
I passed the FRCEM Intermediate Certificate exam:
First things first, you deserve to celebrate and get some rest. No doubt you wherever you are, you are dealing with the coronavirus and will not be able to celebrate in the way that you would wish. But from us at IMG Connect, congratulations! Doctors who have attained full MRCEM and secured a job in the NHS tell us that the FRCEM Intermediate is a very tough examination, so well done! Your hard work has paid off.
Once you are feeling relaxed, this is a good time to think about what steps you need to take to complete full MRCEM. For most overseas doctors, this will mean taking the final MRCEM OSCE exam and whilst all OSCE centres are currently closed it takes most doctors at least six to nine months to prepare for the exam anywa. The COVID-19 coronavirus should be over once your are ready to take the exam in 6 - 12 months time.
So what is the MRCEM OSCE?
Like the intermediate exam, the MRCEM OSCE requires a considerable amount of revision and preparation. However, as you know the format is very different, so your preparation will change.
The MRCEM OSCE consists of 18 stations (16 patient encounters & 2 rest stations), each one lasting for about 7 minutes. The MRCEM OSCE exam will not only test your theoretical knowledge, but also your resus skills and communication skills. Even candidates who are working in an emergency medicine department (ED or ER) often find these OSCEs difficult. Even if you have a strong background knowledge in Emergency Medicine the exams can still be tricky due to a heavy reliance on testing your communication skills and etiquette.
REQUEST FREE & UP TO DATE OSCE RESOURCES
How has the COVID-19 coronavirus afffected MRCEM exam centres & dates?
The Royal College of Emergency Medicine took the difficult decision to cancel all events for the months of April, May and June following the escalation of the virus. As the UK and most of the world remain in some form of lockdown, the Royal College has not announced when it is expecting to open up it's centres again. Understandably this will be tied into government advice and that of the WHO whilst most examiners involved in the OSCE examinations will be tied into urgent clinical duties.
IMG Connect is keeping a very close eye on the examination schedule and will keep all our IMGs informed as soon as the College publishes some updates. You can find the updated exam schedule here.
However, this does not mean you cannot use the time to prepare for your OSCE!
REQUEST CV CONSULTATION & SALARY ESTIMATION
How to preparation for MRCEM OSCE?
Preparation is therefore vital for all doctors who intend to take the MRCEM OSCE (part C) exam. This can be broken down into the following:
Practical day-to-day work (colleague observations & feedback, peer groups, study groups)
Online revision resources (subscriptions, reading materials, tutorials, videos)
Courses (face to face, online)
In general, emergency medicine course tutors advise setting aside at least 2-3 months preparation in addition to your Emergency Medicine experience.
Resources, courses and revision materials:
We are often asked by Emergency Medicine doctors where they should look for resources, online revision materials, OSCE mock stations and preparation courses (online and face to face).
As such, we have we have compiled the best advice, tips, courses and resources suggested by Emergency Medicine doctors who have taken the MRCEM and FRCEM exams.
REQUEST FREE & UP TO DATE OSCE RESOURCES
Where can I take the MRCEM OSCE exam?
Overseas doctors (IMGs) can sit the final MRCEM OSCE exam in three locations: the UK, India and Malaysia. However the Royal College has suspended all upcoming test dates and centres due to the COVID-19 coronavirus.
I did not pass the FRCEM Intermediate Certificate exam:
If you did not pass the FRCEM intermediate exam - don't worry! The overall pass rate is 35% which is roughly half of the MRCEM OSCE pass rate. This is a tough exam so don't worry to much, take some time out to relax and enjoy life. These moments where you don't succeed at the first, or second time, will only make you stronger and a better doctor in the long run. As the British say, chin up and strong upper lip!
At IMG Connect we've take the time to prepare and collate the best preperation resources for the FRCEM Intermediate Certificate exam - we would be delighted to share these with you. Click on the buttons below to either register with the IMG Connect team so we can talk you through this or request the FRCEM Intermediate resources to help you pass the next time - without fail!
REQUEST FREE & UP TO DATE INTERMEDIATE RESOURCES
If you have any questions about how to secure an NHS job in Emergency Medicine or prepare for the FRCEM Intermediate exam or MRCEM OSCE (including advice on dates, fees, courses, resources, mock scenarios, online materials and revision books) then don’t hesitate to get in touch with an IMG Consultant.
How has the COVID-19 coronavirus afffected MRCEM exam centres & dates?
The Royal College of Emergency Medicine took the difficult decision to cancel all events for the months of April, May and June following the escalation of the virus. As the UK and most of the world remain in some form of lockdown, the Royal College has not announced when it is expecting to open up it's centres again. Understandably this will be tied into government advice and that of the WHO whilst most examiners involved in the OSCE examinations will be tied into urgent clinical duties.
IMG Connect is keeping a very close eye on the examination schedule and will keep all our IMGs informed as soon as the College publishes some updates. You can find the updated exam schedule here.
However, this does not mean you cannot use the time to prepare for your OSCE!
IMG Jobs
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Read more useful articles on finding an NHS trust doctor jobs, doctor salary & relocation for emergency medicine specialists
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Don’t hesitate to get in touch using the buttons above (and below) to discuss emergency medicine doctor job options in the NHS, including discussions regarding a typical doctor salary in the UK and the most suitable hospital locations for you.

FRCPath in Histopathology – an overview
Overseas Histopathologists wanting to secure a job in the UK via the postgraduate qualificaiton route will need to attain Fellowship of the Royal College of Pathologists in Histopathology or FRCPath in Histopathology, a sub-specialty exam of FRCPath. FRCPath is the UK qualification and a GMC Recognised postgraduate route.
International Medical Graduates (IMGs) from any country in the world can sit the sub-specialty FRCPath in Histopathology examinations, provided certain eligibility criteria are met. These are summarised below along with a broad look at the following topics:
What is FRCPATH in Histopathology?
Eligibility for overseas doctors
FRCPath in Histopathology structure and format
FRCPath in Histopathology: Part 1 - MCQ/EMQ
FRCPath in Histopathology: Part 2 - Practical Examination
As an overseas candidate where can I take the exams and how much will it cost me?
How do I apply?
How to prepare and what resources are available?
Passed? What next?
What is FRCPATH in Histopathology?
Set against the Curriculum for Specialty Training in Histopathology, the examinations are designed to recognise histopathologists close to the end of their training who can demonstrate sufficient knowledge and technique for independent practice. In other words, completion of the full set of exams (Part 1 & 2) demonstrates your ability to work at consultant level.
Part 1 is usually taken in the UK at ST3 level, with Part 2 at the end of ST4, in order to progress to the final stage of Specialty Training – Stage D.
Eligibility for overseas doctors:
For international candidates, the eligibility criteria for FRCPath specialty examinations is not particularly clear when looking online. IMG Connect spoke to the Royal College directly in an effort to clarify this.
In brief, the Royal College do consider equivalents to NHS training programmes however, they do not have an agreed list of countries with accepted training programmes. As such, applications are treated on a case by case basis, so we advise speaking to the Royal College directly when making your application.
Please note, there are many overseas doctors applying for all parts of the pathology exams so don’t be put off by the lack of information!
If you have the required months training in a recognised programme in your country for Histopathology specifically, the chances are you will be eligible.
Eligibility for Part 1:
You are required to have trained in a recognised training programme in Histopathology for a period of no less than 12 months.
* Please note, candidates who have passed the FRCPath Part 1 examination in Histopathology who, after appropriate training, can attempt the Part 2 examination in one of the following: Forensic Pathology, Neuropathology or Paediatric Pathology.
Eligibility for Part 2:
The Royal College expects you to have at least three years of specialty training specific to Histopathology in your own country. Furthermore, the Royal College strongly advises candidates to attempt Part 2 at least 12 months after passing Part 1.
FRCPath in Histopathology structure and format:
The FRCPath examinations consist of two parts:
Part 1 – One paper comprised of 125 multiple choice questions (SBAs and EMQs)
Part 2 – six-part practical examination held over two consecutive days.
Part 1 examination:
FRCPath Histopathology Part 1 One comprises of 125 multiple choice questions in both single-best-answer (SBAQs) and extended-matching-questions (EMQs).
The exam is orientated towards assessing your overall knowledge and understanding of:
histopathology/cytopathology
basic science underpinning pathology (inc. molecular biology)
full range of autopsy practices undertaken in an NHS District General Hospital
Part 2 Practical Examinations:
The exams consists of six components taken over two days, summarised below:
Part 2 Practical examinations
Surgical history
20 cases in 20-minute slots
Cytopathology
8 cases in 20-minute slots
Macroscopic pathology
4 cases with 20-minute reviews followed by 20-minute discussions
OSPEs
2 20-minute stations
Long cases
4 20-minute stations
Frozen sections
6 cases in 2, 20-minute stations.
One meeting with examiners in separate 20-minute station.
Surgical history:
20 cases are provided in 10 pairs of haematoxylin and eosin (H&E) stained slides in 20-minute slots over 3-hours 20 minutes of the second morning.
The cases will represent a range of difficulties, with some proving complex cases requiring detailed description, differential diagnosis and special techniques or cases not diagnosable on a single H&E.
Cytopathology:
Held on the first morning of the exam. Eight non-gynaecological cytology cases will be provided in pairs in 20-minute slots.
Macroscopic Pathology:
This part is designed to allow candidates to demonstrate their capabilities in discussing gross pathology and familiarity with block selection in the context of the RCPath Minimum Datasets.
Four cases provided in the form of photographs of gross pathology specimens. Two 20-minute slots will be provided for 2 cases, followed by 20-minute discussions with 2 examiners.
OSPEs:
2 x 20-minute stations. One of which is conducted face-to-face with 2 examiners while the other is a written exercise only. Possible topics can include management/clinical governance type and MDT type cases.
Long cases:
4 x 20-minutes stations provided on the first afternoon including cases which cannot conventionally be covered in a single H&E stained section.
Frozen sections:
6 cases viewed in 2 x 20-minutes stations (3 cases per station) before meeting with a pair of examiners in a 20-minute station. You need to take notes and be able to provide the examiners with a bottom-line diagnosis only, to form basis for discussion in face to face meetings.
As an overseas candidate where can I take the exams and how much will they cost me?
Part 1 overseas examination centres:
Location
Part 1 Overseas Fees
Cairo (Egypt)
£880
Erbil (Iraq)
Hong Kong
Irbil (Iraq)
Jeddah (Saudi Arabia)
Khartoum (Sudan)
Kuwait
Delhi (India)
Rawalpindi (Pakistan)
Singapore
Part 2 Examination centres:
Histopathology is one of the few FRCPath examinations which can be sat overseas. Centres are available in Irbid (Jordan) or Cairo (Egypt) if there are sufficient applicants. Otherwise the exams must be sat in the UK and cost £1361.
How do I apply?
Applications must be made via the Royal College of Pathologists website, with applications only available once an application window is opened by the Royal College.
How do I prepare for each exam and what resources are available?
With lots of resources available online, we have discussed with consultants the best place to start looking for materials relating to the exams. Most recommended starting with the Royal College, who have created useful resources to help you to prepare for the exams.
Curriculum:
Questions are set against the Curriculum for Specialist Training in Histopathology We recommend getting to know the curriculum as early as possible and using it as a road map for your study plan.
Regulations and Guidelines:
Before applying for FRCPath examinations, the Royal College recommends you read both the General & Specialty Specific regulations and guidelines:
General Regulations and Guidelines
Royal College - Histopathology Regulations & Guidelines
Sample Questions:
Histopathology Part 1 sample questions
Cancer Datasets and Tissue Pathways
The College’s datasets for Histopathological Reporting on cancers have been written to help pathologists work towards a consistent approach for the reporting of the more common cancers and to define acceptable practices in handling pathology specimens. Whilst these are not specific to FRCPath examinations they are certainly relevant to the wider practice in histopathology.
IMG Connect advice:
Part 2 – food and drink:
With multiple exams taking place for Part 2 in one day bring supplies! It will be a long day and there may not be access to food.
Hiring a microscope:
For Part 2 you will be required to sit examinations in the UK and will require a microscope. The examination centres will not provide equipment for any applicants so you will need to hire a microscope in advance. There are a few companies easily accessible through a web search, find a microscope and book well in advance of the exam. You can arrange for the company to drop off and pick up the microscope from the exam centre, don’t worry!
Passed? What next?
First of all, congratulations! After you have passed all parts of FRCPath in Histopathology you can apply for a full registration with a license to practice. Once the GMC have approved your application, you can work as a doctor in the UK.
Don’t hesitate to get in touch with an IMG Consultant to discuss UK job options in Histopathology, including discussions regarding a typical doctor salary in the UK and the most suitable locations for you.
IMG Jobs
Search and find live NHS doctor jobs in the UK
IMG Resources
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MRCEM OSCE - Malaysia - Dates, Locations and Fees
International doctors (IMGs) can sit the final MRCEM OSCE exam in three locations: the UK, India and Malaysia (Kuala Lumpur).
Here we explore in brief the exam centres, dates, fees and how to apply online for the MRCEM OSCE exams in Malaysia (Kuala Lumpur).
Covid-19 & RCEM:
The Royal College of Emergency Medicine took the difficult decision to cancel all events for the months of April, May and June following the escalation of the virus. As well as delay the rease of certain results.
As the UK and most of the world remain in some form of lockdown, the Royal College has not announced when it is expecting to open up its centres again in 2020. Understandably this will be tied into government advice and that of the WHO, whilst most examiners involved in the OSCE examinations will be tied into urgent clinical duties.
IMG Connect is keeping a very close eye on the examination & results schedule and will keep all our IMGs informed as soon as the College publishes some updates. You can find the updated exam schedule here
Current exam dates
2020 Exam dates for India have been released, these are:
Location
Date
MRCEM OSCE International (Kuala Lumpur)
7 – 9 July 2020 POSTPONED
Fees
The exam costs £650 in Malaysia, Kuala Lumpur. In the UK and India the exam costs £450.
Application windows
To ensure you get a space on the exam, you have to apply online during the application window. Applications submitted after the closing date will be rejected. The application windows for Malaysia are below:
Location
Date
MRCEM OSCE Kuala Lumpur (7 – 9 July) POSTPONED
27 April 2020 to 22 May 2020
Results from the India examinations will be released on the following dates:
Location
Date
MRCEM OSCE Kuala Lumpur (7 – 9 July) POSTPONED
7 August 2020
Overseas candidates can also sit the MRCEM OSCE examination in India. Remaining dates for 2020 are as follows:
Location
Date
MRCEM OSCE (India)
23 – 25 November 2020
Please note that all dates are subject to change, you can check the most up to date calendar here.
CLICK HERE & REGISTER FOR FREE & UP TO DATE MRCEM RESOURCES
You can apply for the MRCEM OSCE Malaysia (Kuala Lumpur) examination, or indeed the full roster of Emergency Medicine examinations from the Royal College of Emergency Medicine (FRCEM or MRCEM) here. All applications must be made online and during the application window.
IMGs from all over the world take the MRCEM OSCE examination in Malaysia, India and the United Kingdom (UK) whilst on their journey towards securing an Emergency Medicine job in the NHS. If you want to discuss your options for MRCEM or Emergency Medicine exams, get in touch with your IMG consultant team, who would be happy to answer any questions you may have.
IMG Jobs
Search and find live emergency medicine NHS doctor jobs in the UK
IMG Resources
Read more useful articles on finding an NHS trust doctor jobs, doctor salary & relocation for emergency medicine specialists
Get in Touch
Don’t hesitate to get in touch using the buttons above (and below) to discuss emergency medicine doctor job options in the NHS, including discussions regarding a typical doctor salary in the UK and the most suitable hospital locations for you.

MRCPsych CASC exam - dates, locations and fees
International doctors (IMGs) can sit the final MRCPsych CASC exam in three locations in 2020: Sheffield (UK), Hong Kong (China), and Singapore.
Here we explore in brief the exam centres, dates, fees and how to apply online for the MRCPsych CASC exams in each venue.
2020 MRCPsych CASC Exam dates have been released, these are:
Location
Date
United Kingdom
21 – 24 January 2020
United Kingdom
8 – 11 September 2020
Hong Kong
13 – 15 May 2020
Singapore
7 – 9 October 2020
2020 fees have been released – the MRCPsych (CASC) costs £1,093 in the UK and £1,491 in Hong Kong and Singapore.
To ensure you get a space on the exam, you have to apply online during the application window. Applications submitted after the closing date will be rejected. The application windows for London are below:
Location
Application Period
UK (Diet 1)
28 October – 15 November 2019
UK (Diet 2)
8 – 26 June 2020
Singapore
9 – 20 March 2020
Hong Kong
8 – 26 June 2020
Results from the CASC examinations will be released on the following date:
Location
Publication of results
UK (Diet 1)
14 February 2020
UK (Diet 2)
2 October 2020
Singapore
TBC
Hong Kong
6 November 2020
Please note that all dates are subject to change, you can check the most up to date calendar here.
You can apply for the MRCPsych exam, or indeed the full roster of Royal College of Psychiatry examinations here.
IMGs from all over the world take the MRCPsych CASC examination in Sheffield (United Kingdom), Singapore and Hong Kong whilst on their journey towards securing a Psychiatry job in the NHS. If you want to discuss your options for MRCPsych or Psychiatry jobs in the NHS, get in touch with your IMG consultant team, who would be happy to answer any questions you may have.
To help you find a job in the NHS simply follow these easy steps:
• Register with IMG Connect
• Fill in the 'Personal details' section.
• Arrange a chat with your dedicated IMG Consultant
• Sign up to receive 'job alerts’
• Search our live Psychiatry jobs
Searching for psychiatry jobs in the NHS could not be easier
If you want to find out more about the many different psychaitry roles available within the NHS - it only takes a minute to register with IMG Connect and receive expert advice and representation. We have helped many overseas psychiatrists secure consultant, specialty doctor, registrar, clinical fellow and staff grade NHS jobs, whilst offering expert guidance to many more IMGs on NHS doctor pay, MRCPsych exams and English language testing. We’d be happy to help you!

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

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

MRCEM OSCE - London - Exam Dates, Location and Fees
International doctors (IMGs) can sit the final MRCEM OSCE exam in three locations: the UK, India and Malaysia.
Here we explore in brief the exam centres, dates, fees and how to apply online for the MRCEM OSCE exams in London (UK).
Covid-19 & RCEM
The Royal College of Emergency Medicine took the difficult decision to cancel all events for the months of April, May and June following the escalation of the virus. As well as delay the rease of certain results.
As the UK and most of the world remain in some form of lockdown, the Royal College has not announced when it is expecting to open up its centres again in 2020. Understandably this will be tied into government advice and that of the WHO, whilst most examiners involved in the OSCE examinations will be tied into urgent clinical duties.
IMG Connect is keeping a very close eye on the examination & results schedule and will keep all our IMGs informed as soon as the College publishes some updates. You can find the updated exam schedule here
Current exam dates
2020 Exam dates for London have been released, these are:
Location
Date
MRCEM OSCE (London)
8 – 10 June 2020 POSTPONED
Fees
The MRCEM (OSCE) costs £450 in both the UK & India, and £650 in Malaysia.
Application window
To ensure you get a space on the exam, you have to apply online during the application window. Applications submitted after the closing date will be rejected. The application windows for London are below:
Location
Date
MRCEM OSCE Kuala Lumpur (8 – 10 June) POSTPONED
17 February 2020 to 20 March 2020
Results from the London examination will be released on the following date:
Location
Date
MRCEM OSCE Kuala Lumpur (9 – 10 June) POSTPONED
10 July 2020
Overseas candidates can also sit the MRCEM OSCE examination in India and Malaysia. Dates for 2020 are as follows:
Location
Date
MRCEM OSCE (India)
22-24 June 2020 POSTPONED
MRCEM OSCE (India)
23-25 November 2020
MRCEM OSCE (Malaysia)
7 – 9 Julye 2020 POSTPONED
Please note that all dates are subject to change, you can check the most up to date calendar here.
CLICK HERE & REGISTER FOR FREE & UP TO DATE MRCEM RESOURCES
You can apply for the MRCEM OSCE London (UK) examination, or indeed the full roster of Emergency Medicine examinations from the Royal College of Emergency Medicine (FRCEM or MRCEM) here. All applications must be made online and during the application window.
IMGs from all over the world take the MRCEM OSCE examination in London, India and Malaysia whilst on their journey towards securing an Emergency Medicine job in the NHS. If you want to discuss your options for MRCEM or Emergency Medicine exams, get in touch with your IMG consultant team, who would be happy to answer any questions you may have.
IMG Jobs
Search and find live emergency medicine NHS doctor jobs in the UK
IMG Resources
Read more useful articles on finding an NHS trust doctor jobs, doctor salary & relocation for emergency medicine specialists
Get in Touch
Don’t hesitate to get in touch using the buttons above (and below) to discuss emergency medicine doctor job options in the NHS, including discussions regarding a typical doctor salary in the UK and the most suitable hospital locations for you.

FRCPath in Haemotology – an overview
Overseas Haematologists wanting to secure a role in the UK via the postgraduate qualificaiton route will need to attain Fellowship of the Royal College of Pathologists or FRCPath in Haematology, a sub-specialty exam of FRCPath. FRCPath is the UK qualification and a GMC Recognised postgraduate route.
International Medical Graduates (IMGs) from any country in the world can sit the sub-specialty FRCPath in Haemotology examinations, provided certain eligibility criteria are met.
These are summarised below along with a broad look at the following topics:
What is FRCPATH in Haematology?
Eligibility for overseas doctors
FRCPath Haematology structure and format
FRCPATH in Haematology Part 1
FRCPATH in Haematology Part 2
As an overseas candidate where can I take the exams and how much will they cost me?
How do I apply?
How to prepare and what resources are available?
Passed? What next?
What is FRCPath in Haematology?
Set against the Specialty Training Curriculum for Haematology, the examinations are designed to assess a trainee’s knowledge, skills and behaviours in field of Haematology. The exams recognise haematologists close to the end of their training who can demonstrate sufficient knowledge and technique for independent practice.
In other words, completion of the full set of exams (Part 1 & 2) demonstrates your ability to work at consultant level.
Part 1 is usually taken in the UK at ST5 level, with Part 2 at the end of ST6 as they enter the final year of Specialty Training – ST7.
The exam is split into 2 parts:
Part 1 – two written papers sat on the same day, comprised of essay and multiple-choice questions.
Part 2 – held over three days, the exams comprise of three written components and one oral examination
FFRCPath, along with MRCP(UK), is a mandatory requirement for Specialist Registration in Haematology. You can read our overview on MRCP(UK) here.
Eligibility for FRCPath in Haematology:
For international candidates, the eligibility criteria for FRCPath specialty examinations is not particularly clear when looking online. IMG Connect spoke to the Royal College directly in an effort to clarify this.
In brief, the Royal College do consider equivalents to NHS training programmes however, they do not have an agreed list of countries with accepted training programmes. As such, applications are treated on a case by case basis, so we advise speaking to the Royal College directly when making your application.
Please note, there are many overseas doctors applying for all parts of the pathology exams so don’t be put off by the lack of information!
If you have the required months training in a recognised programme in your country for Haematology specifically, the chances are you will be eligible.
Eligibility for Part 1:
You are required to have trained in a recognised training programme in haematology for a period of no less than two years.
Eligibility for Part 2:
The Royal College expects you to have at least three years of specialty training specific to Haematology in your own country before applying. Furthermore, you cannot sit Part 2 examination until 12 months after successfully completing Part 1.
Structure and content for FRCPath in Haematology:
The exam is split into 2 parts with 5 individual examinations in total.
Part 1:
Part 1 comprises two written papers:
Paper 1 or Essay Paper – four essay questions each addressing an important area of laboratory or clinical practice in one of the four areas:
Blood transfusion
General haematology
Haematological oncology
Haemostasis & thrombosis
Paper 2 or MCP Paper – 125 questions of both multiple choice and extended matching format.
50 questions will be best from five whilst 75 are extended matching and examines knowledge of:
blood transfusion 25%
general haemotology 25%
haematological oncology 25%
haemostasis & thrombosis 25%
Most questions are structured around clinical or laboratory vignettes and are designed to assess clinical judgement and ability to apply, rather than just recall knowledge.
Questions map to the Haematology training curriculum.
The blueprint from which the questions are developed can be found on the Royal College website.
Part 1:
3 written papers and 1 oral examination:
Morphology SAQs
Morphology, Long cases
1.5 hour
1.5 hour
12 short answer questions
3 questions long answer
Transfusion
2-hour
10 questions
Coagulation
2-hour
8 questions
Oral Examination
1 hour
8 topics
Part 2:
The exam is held simultaneously over 3 days in the UK only and evaluates your knowledge, skills and clinical judgement in important areas within the Haemotology. The questions in the written papers adopt a short answer format which requires you to provide a concise response, these answers can be given in short words, phrases or lists.
A series of questions may relate to ‘clinical vignette’ building on case information. Clinical vignettes are patient related cases and scenarios that have educational value for a wider audience.
Morphology: SAQs
up to 12 questions answered in 1 hour 30 minutes
each question requires you to examine 1-2 of either of the following:
microscope slides
flow cytometry plots
additional laboratory data
quality assurance
Morphology: Long cases
3 questions answered in 1 hour 30 minutes
Each question will provide a case history and contains several parts which require either:
Interpretation of slides, lab results or other clinical investigations
Provide a report and make diagnosis
Recommend clinical investigations and interventions
Transfusion:
10 questions answered in 2 hours
Each question will provide a case history or lab results requiring you to:
Interpret data
Make diagnosis
Recommend further investigation or treatment
Coagulation:
8 questions answered in 2 hours
Each question will provide a case history or lab results requiring you to:
Interpret data
Make diagnosis
Recommend further investigation or treatment
Oral Examination:
The oral examination assesses your ability to evaluate problems and demonstrate good clinical judgement whilst assessing your ability to communicate clearly and effectively. The exam covers 8 topics over 1 hour, with two 30-minute oral exams with two pairs of examiners.
First Exam - 2 topics in coagulation & 2 topics in transfusion medicine
Second Exam - 2 topics in general laboratory haematology & 2 topics in haematological oncology
As an overseas candidate where can I take the exams? And how much will they cost me?
Part 1 overseas examinations centres:
Location
Part 1 Overseas Fees
Cairo (Egypt)
£880
Erbil (Iraq)
Hong Kong
Irbil (Iraq)
Jeddah (Saudi Arabia)
Khartoum (Sudan)
Kuwait
Delhi (India)
Rawalpindi (Pakistan)
Singapore
Part 2 Examination centres:
Part 2 can only be taken in the UK. The exam costs £1361.
How do I apply?
Applications must be made via the Royal College of Pathologists website, with applications only available once an application window is opened by the Royal College.
How to prepare and what resources are available?
With lots of resources available online, we have discussed with consultants the best place to start looking for materials relating to the exams. Most recommended starting with the Royal College, who have created useful resources to help you to prepare for the exams.
Curriculum:
The content of the exam is set against the Haematology Training Curriculum.
We recommend getting to know the curriculum as early as possible and using it as a road map for your study plan.
Regulations and Guidelines:
Before applying for FRCPath examinations, the Royal College recommends you read both the General & Specialty Specific regulations and guidelines:
General Regulations and Guidelines
Royal College - Haematology Regulations & Guidelines
Past papers:
Test your knowledge using example questions from the current exam syllabus provided by the Royal College, see below:
Part 1 – six past papers
Part 2
MCQ/EMQ
Blueprint for MCQ Examination:
The blueprint from which the MCQ questions are developed..
British Society of Haematology guidelines:
Compulsory reading material for exams and day-to-day clinical practice. Make sure to read them, understand them and know the recommendations made in bold. Be aware that the guidelines are a few years old and imminently due for review.
British Society for Haematology educational resources:
Click here for the British Society for Haematology educational resources.
Morphology image bank, case reports, practice essay questions, EMQs, MCQs and tutorials. Signup and login required but you don’t need to be a member to make use of the BSH’s bank of essay questions, MCQs and EMQs
Blood Journal: How I treat articles:
Click here for easy-to-read helpful overviews of most haematological conditions
Ihaematology.com:
http://www.ihaematology.com/ Revision site created by previous candidates.
Haembase:
Click here for Haembase. This is a general revision resource for those preparing for FRCPath examinations
IMG Connect advice:
Part 2 – food and drink:
With multiple exams taking place for Part 2 in one day bring supplies! It will be a long day and there may not be access to food.
Hiring a microscope:
For Part 2 you will be required to sit examinations in the UK and will require a microscope. The examination centres will not provide equipment for any applicants so you will need to hire a microscope in advance.
There are a few companies easily accessible through a web search, find a microscope and book well in advance of the exam. You can arrange for the company to drop off and pick up the microscope from the exam centre, don’t worry!
At IMG Connect we recommend speaking to anyone you know who has sat and passed the exam and get their personal hints and tips. We would also be happy to help you arrange anything you need for the exam day.
Passed? What next?
First of all, congratulations! After you have passed all parts of FRCPath Haematology you can apply for a full registration with a license to practice. Once the GMC have approved your application, you can work as a doctor in the UK.
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So you got your MRCEM OSCE Results....what next?
Today is the day! The MRCEM OSCE results are released...
IMG Connect wishes all emergency medicine specialists good luck with their results today, we hope you all achieve the result you deserve! Whether your passed or failed, here we'll offer some suggestions on what to do next.
Passed MRCEM OSCE? Click here.
Not passed MRCEM OSCE? Click here.
I passed the MRCEM OSCE:
So, what next? First things first, you deserve to celebrate and get some relaxation in! Emergency Medicine doctors who have attained full MRCEM and secured a job in the NHS, all tell us that the MRCEM OSCE is a tough examination and it is an emotional moment when you pass. So much hard work goes into to reaching this stage, so book yourself a holiday! Or at least kick off your shoes and put your feet up :-)
Then it is a good time to think about what steps you should take when finding the job you are looking for in the NHS, or wherever you may be considering finding your next role. Many considerations will enter your head such as do I need to my english exam? What grade will I be eligible for? What salary can I attain? And of course what are the ways I can actually find an A&E job in the UK?
As specialists in International Recruitment of MRCEM qualified Emergency Medicine doctors, whether it’s finding you an accredited English tutor, preparing your CV for professional representation or finding you a great role with a fantastic salary - IMG Connect is here to help.
Search Emergency Medicine Jobs:
Search all the lastest Emergency Medicine
Salary Review:
Check your NHS salary against the NHS pay scale and current vacancies in the UK.
CV Review:
Unsure whether your CV is in the right format for NHS hospitals? Request a CV review here to ensure your CV is in the best shape for any NHS employers looking for emergency medicine specialists like yourself!
Register:
Register your details with IMG Connect to receive a 1-2-1 personalised service from one of our Emergency Medicine Specialists. We have a team that recruits only International Emergency Medicine doctors like yourself in securing work across the UK & Ireland. Register today and one of our team will get back to you immediately!
English Testing:
Passing your english language exams is an important next step for many Emergency Medicine doctors that pass their MRCEM. Take a look at relevant blogs and articles from the IMG Library on OET, IELTS and Preparing for English Language Exams.
IMG Library: OET - numerous blogs and articles relating to the OET exams, written specifically for international doctors
IMG Library: IELTS - numerous blogs and articles relating to the OET exams, written specifically for international doctors
IMG Library: English Language Tests - many helpful blogs and articles on English Language Testing, written specifically for international doctors
I did not pass the MRCEM OSCE:
If you did not pass the MRCEM OSCE - don't worry! The overall pass rate for those that attempt a second time is extremely high (90%+) so your hard work and dedication will pay off very soon! Take some time out to relax and enjoy life and come back stronger. These moments will only make you stronger and a better doctor in the long run so as the British say, chin up and strong upper lip!
At IMG Connect we've take the time to prepare and collate the best preparation resources for the FRCEM OSCE - and we would be delighted to share these with you. Click on the buttons below to either register with the IMG Connect team so we can talk you through this or request the MRCEM OSCE resources to help you pass the next time - without fail!
If you have any questions about how to secure an NHS job in Emergency Medicine or prepare for the MRCEM OSCE (including advice on dates, fees, courses, resources, mock scenarios, online materials and revision books) then don’t hesitate to get in touch with an IMG Consultant.

PLAB - a guide for overseas doctors
Passing PLAB helps the GMC ensure doctors have the knowledge & skills to practice in the UK.
The PLAB test assesses an overseas doctor's ability to work safely in the NHS, showing the GMC they have skills necessary to work at senior house officer level (SHO). IMGs from any country in the world can sit the examinations provided certain eligibility criteria are met. These are summarised below along with the following topics:
Do I need to take the PLAB test?
What is the PLAB test?
How many parts to the PLAB test
What are the entry requirements?
What do I need to get started?
At what stage should I take the exam?
Where and when can I sit the test outside of the UK?
What does it cost?
How do I book my test place?
How do I prepare for PLAB?
Do I need to bring anything to the test?
How many times can I sit the test?
When will I receive my results?
Passed? What next?
Do I need to take the PLAB test?
If you graduated from a medical school outside of the UK, EEA, or Switzerland, you probably need to sit the PLAB test or attain a recognised postgraduate qualification.
If you are an EEA doctor, and qualified at an EEA institution, then your postgraduate qualification will automatically satisfy the GMC skills and knowledge criteria and don’t need to sit PLAB.
What is the PLAB test?
PLAB is as a licensing examination to assess whether an International Medical Graduate (IMG) is eligible to obtain GMC Registration or not.
Technically, it is not a certification, rather it simply makes you eligible for full GMC registration.
How many parts to the PLAB test?
There are two parts to the PLAB test.
PLAB 1 is a written exam made up of 180 multiple choice questions which you must answer within three hours. Each starts with a short scenario followed by a question. You need to choose the right answer out of the five possible answers given. You can sit part 1 in a number of countries, as well as in the UK.
Take a closer look at PLAB 1 here.
PLAB 2 is a practical objective structured clinical exam, known as an OSCE. It's made up of 18 scenarios, each lasting eight minutes and aims to reflect real life settings including a mock consultation or an acute ward. Part 2 tests run throughout the year at the GMC’s own clinical assessment centre in the UK, only.
Take a closer look at PLAB 2 here.
You need to pass both parts of the test before you can apply for registration with a license to practice medicine in the UK.
To find out more about each part of the PLAB test we have created a more in depth look at each section, however we have summarised the key points below.
What are the entry requirements for the PLAB test?
To be eligible for the PLAB test you must meet the following criteria:
Your Primary Medical Qualification (PMQ) must be awarded by an institution listed in the World Directory of Medical Schools. Before starting the process, we recommend that you check that your Primary Medical Qualification is accepted in the UK.
You must also have taken and passed the English Language Test (IELTS or OET) with the relevant scores. For IELTS you must have attained a score of at least 7.5 overall and a minimum of 7.0 for all the four language skills. For OET you must have scored at least grade B in each testing area.
At least 12 months’ postgraduate clinical experience in a teaching hospital, or another hospital approved by the medical registration authorities in the appropriate country. (The test can be taken without this experience, but the candidate will only be granted limited registration at the grade of House Officer – the grade occupied by new medical graduates).
At what stage should I take the exam?
For IMGs we recommend that you apply for the PLAB exams after the completion of an internship or house job, as that makes you eligible for Full GMC Registration, not limited.
However, you can sit the PLAB at any time in your career, so long as you have a recognised Primary Medical Qualification. IMGs in our community advise the earlier the better!
What do I need to do to get started?
Before you can sit the tests, you need to set up a GMC online account and show the GMC that your medical qualification and level of English are acceptable. Once you have done that you can sit Part 1 of the PLAB test.
For further information visit the General Medical Council website.
Where and when can I sit the test outside of the UK?
Part 1 is run twice a year in a number of countries. A full list of dates, locations and contact details can be found here.
Part 2 can be taken in the UK only. When you book your PLAB 2 test place online, you will be able to see which venue is available for you. Currently, the main test venue is in Manchester, with test centres also in Cambridge and London. You can find more details here.
What does it cost?
The fee for Part 1 of the PLAB test is currently £235 (as of 1st April 2019)
The fee for Part 2 of the PLAB test is currently £860 (as of 1st April 2019)
How do I book my test place?
You can book online using your GMC Online Account. You will be able to view available dates and venues and book under the My Tests section.
Remember, before you book, you must have an acceptable overseas primary medical qualification and the necessary knowledge of English.
How do I prepare for PLAB?
PLAB 1 can be taken under your own preparation, but for PLAB 2 most IMGs advise that they have benefited from attending specific courses geared at this test. It is also advisable to plan ahead for PLAB 2, so that you can ensure that you can complete everything within one Visitor Visa time period (6 months).
We have explored the UK Visitor Visa for PLAB 2 in more detail here, but let’s look briefly at booking PLAB 2 in some detail as you will have to arrange a UK Visitor Visa in order to sit the test.
Take some time to consider when you want to sit the PLAB 2 exam, it takes time to study for the test itself, but you also need to start the process of your Visa application. To apply for your UK Visitor Visa, you must complete an online UK Visa application for PLAB. This takes two steps, online application, and submission of supporting documents in a Visa application centre.
Remember to plan ahead! Once you have applied for your UK Visitor Visa, you must complete PLAB 2 within 6 months.
Do I need to bring anything to the test?
You will need to bring Identification, your booking confirmation and stationary.
For identification, the venue will accept any one of the following.
Passport
UK Immigration and Nationality Department identification document
Home Office travel document
Booking confirmation
Bring the booking confirmation that includes your GMC booking reference number
For stationery
You should bring HB pencils, an eraser and a pencil sharpener.
How many times can I sit the test?
For PLAB 1, you can take the test 4 times. If you have not passed after 4 attempts, to be eligible to take the test again you must have completed a further 12 months experience of clinical practice or post graduate qualification.
You can only apply for PLAB 2 after the results for PLAB 1 are issued. You must pass PLAB 2 within 2 years of the date you passed PLAB 1.
When will I receive my results?
PLAB 1 results are available around 6 weeks after you have taken the exam.
When PLAB 2 results are available the GMC will send you an email to provide access to the results in the ‘My Tests’ section of the GMC online account.
Passed? What next?
Once you have passed both parts of your PLAB examinations, you can apply for a full registration with a license to practice. Your application must be approved within 2 years of passing part 2 of the test. Once the GMC have approved your application, you can work as a doctor in the UK.
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Specialist register / CESR - what are my options in the NHS?
CESR acts as a route to applying for substantive (permanent) consultant jobs for doctors who have not followed a specialty training programme in the United Kingdom.
In a nutshell it is the option available to doctors practicing as consultants from overseas who wish to gain specialist registration in the UK. Some doctors choose to apply from overseas, others work with IMG Connect to secure a job in the NHS geared at helping them gain entry to the specialist register once in the UK.
If you are working as a consultant in your home country and are eligible for specialist registration in the UK, then as an overseas doctor (IMG) you have a couple of options. Here we focus on applying for CESR from abroad as well as the alternative route, applying for a Specialty Doctor or Fixed Term Consultant job in the UK before applying for CESR with support of your NHS employer.
Both routes lead to gaining CESR and entry to the Specialist Registration, meaning that you can work as a substantive consultant in the NHS. Both take hard work, preparation, evidence gathering, time and dedication. Both options have the same end goal, specialist registration.
It is important to say that no matter how you choose to apply, the CESR process involves submitting a large volume of evidence to demonstrate that you have the equivalent experience, skills and competencies as a doctor who has taken the specialty training route in the UK. Whether applying from overseas or not, some doctors are asked to complete additional experiences to meet this strict standard. Because of this, the process can be lengthy.
Applying for CESR from overseas
This is a great option for Consultants who are not constrained by time and have an understanding department that will support the additional gathering of evidence.
The GMC reckons that it takes between 6 – 9 months between submitting your application and receiving a decision. At IMG Connect our experience tells us that is takes a similar amount of time to gather the evidence prior to submitting. In addition, you must have completed the evidence in the first place in real workplace and clinical scenarios. This can take twice as much time as preparing and submitting. Put simply, the process can be time consuming and laborious.
Add to this the issue of completing and gathering evidence against the CESR application from overseas. It can prove challenging to ensure that you have completed the full complement of competencies for CESR applications. This can result in the GMC asking for further evidence, adding more time to the process. You may have to identify gaps in your learning and then resolve them. It is not all bad though, this is good practice and will benefit you in the long run.
Applying for a specialty doctor job and/or fixed term consultant post before applying for CESR
For doctors who are keen to secure entry to the Specialist register quickly, and work in the UK as soon as possible, then taking up a Specialty Doctor role with CESR programme, or a Fixed Term Consultant post with CESR programme/support is a good option.
Many NHS hospitals or trusts in the UK will offer access to support, clinical experience and study or preparation time for CESR. This is often built into the weekly job plan, but in some circumstances, this may be arranged informally. Either way, this is a good way for overseas consultants to quickly gather the right evidence for their application with the support of their peers, senior colleagues and NHS employer. This can shorten the time spent on the application overall.
If this sounds like the best option for you, it is wise to start gathering and signing off evidence in your current consultant post. That way you will already have some or most of the required evidence for CESR in place, allowing you to quickly focus on any elements that are missing once in the UK and working in the NHS
Secure a job in the NHS with CESR
Securing a job as a Specialty Doctor with CESR programme, or a job as a Fixed Term Consultant with CESR programme/support, gives you instant exposure to the UK system, NHS experience and a great start to your career in the NHS.
To discuss whether applying for CESR from overseas or securing a job as a Specialty Doctor or Fixed term consultant with CESR programme is the right route for you towards specialist registration, speak with an IMG Connect consultant, register or send your CV.
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UK Visitor Visa for PLAB 2
If you have already read our overview on PLAB you will know that the second part of the test is held in the UK and you will need a UK Visitor Visa to sit the PLAB 2 examination.
Here we put together the main information you will need as well as useful links to get you started and we will look at the following:
How do I apply?
Online application for UK Visa
What supporting documents do I need to prepare and provide?
What costs can I expect in the UK?
What happens if my visa application is refused?
The first thing to suggest, is that as soon as you receive your PLAB 1 results, start planning the date that you want to sit PLAB 2. This will not only help you prepare for the test itself, but also will ensure that when you apply for the Visitor Visa, you will be prepared for your Visa application and appointment, and able to visit the UK within the 6-month visa period.
It is worth noting, that no matter what the guidance and instructions are, a Visa application can prove different for everyone, so start working on the application early.
If you are not sure if you need a Visa – you can check here.
You can apply for a ‘Standard Visitor Visa’ if you are a doctor and are coming to the UK to take the Professional Linguistic and Assessment Board (PLAB) test 2. The option you require is a “Work, Academic visit or Business” visa and the duration is less than six months.
How do I apply?
The UK Visa Application for PLAB 2 can be described in two parts:
Online application for the required type of visa.
Submission of supporting documents and providing biometric data (photo, fingerprints) at a visa application centre.
Let’s take a look at each part in more detail.
Online application for UK Visa:
As part of the online application, you will be required to book an appointment at a visa application centre, you can check the locations available here.
You can complete the application in stages; however we advise to prepare all of the required documentation first, and the complete the online form and upload everything you need in one go.
A standard UK visa currently costs £95.
What supporting documents do I need to prepare and provide?
It is important to note that the required documents will vary from person to person, however two documents are necessary for every applicant:
Your valid Passport
The email confirmation of your PLAB 2
You will then typically require the following:
Cover Letter
If your trip is self-funded you will need:
Salary certificate
Bank Statements
Letter of Support from your financial guarantor (if applicable)
This is only required if your trip is financed by another person (i.e. family member).
Affidavit affirming the declaration of the financial sponsorship
This is done before a notary public. This will have to be translated into English.
Letter of recommendation
Any letter of recommendations will need to come from senior colleagues at your current workplace.
Bank Statements
Typically 6 months (yours / your sponsors).
Monthly payslip
A clear copy is needed with all information visible.
Income/Salary Certificate (Yours/Sponsors)
Evidence of Home Address
Deeds or Nationality Certificate or Home electricity bill where the address is written. This will need to be translated and notarised.
A ‘No Objection Letter’ issued by your employer
A ‘No Objection Letter’ for visa is a legal certificate issued by your employer agreeing for you to take off the days for you visit to the UK. In addition, the letter states that you have contractual obligations to return to your country of residence at your workplace.
Confirmation of your accommodation in the UK
Or, invitation letter from friend or family of whom you will be staying with. You may also require a Council tax and utility bill of the accommodation address. If it’s a family that you’re staying with, you don’t need to worry about proving Sponsorship. If they are just providing accommodation (and your father or mother is your financial guarantor), a simple invitation letter stating your name, your passport number, duration and purpose of your stay is sufficient along with their contact details. The council tax and utility bill is just to prove that the address exists by their name.
Evidence of family members in your home country whilst you travel
These would include Passport copies or National ID copies of your family members.
To complete the online application, here are the required entries:
Your name.
Passport details.
Your National ID number, if you have one.
Your email.
Travel information/plan: The date you will arrive in UK and the date you will leave from UK. The arrival date is more important. The itinerary in your cover letter should explain this in more detail.
Choose business, including sports and entertainment as the main reason for your visit.
After answering No’s to organised group, travelling with partner, visiting a company or getting paid for business activities—Choose Take the PLAB or OSCE.
In Give details, write down your full itinerary, taken from your cover letter in full sentences.
Personal information: Your home address.
Parent details: Father’s and mother’s name, dates of birth.
Employment details.
If you are employed and sponsoring yourself, then IMG recommend you arrange for two papers from your employer from the above list a) Salary Certificate b) No Objection Certificate.
Your own bank account details with bank statements (for the last six months).
How much money are you planning to spend on your visit.
Details of who is covering the costs, if you don’t.
UK accommodation details.
Travel histories in UK or other countries.
Any details of visa refusals
Other histories regarding whether you have any criminal convictions.
Any other relevant information you wish to provide, you can leave this blank.
Finally comes the declaration page and it asks you to choose an appointment (date and time) with a visa application centre. Please note that you don’t have to choose immediately, especially if you don’t have all the supporting documents ready. Just save it there and a link will be sent to your email. But as above, at IMG Connect we recommend that you have all of the supporting documents prepared before starting your UK Visitor Visa for PLAB 2 application.
What costs can I expect in the UK?
Whilst the exam is taken in one day, we advise for candidate to allow themselves a few days for climatisation and revision prior to the exam. When budgeting, make sure that you book flights, hotels and UK transport to and from the airport in advance to save money.
Once in the UK, a typical low-cost budget for a comfortable stay will include approximately:
£40 - £60 per night for accommodation depending on your test venue
£15 - £25 for food per day
£20 for transport per day
£50 for Airport transfers (return journey)
*remember to consider flights & travel insurance costs in your total budget
Always remember to use price comparison websites or Airbnb to find the best value for money and close to transport & test venues.
What happens if my visa application is refused?
You will receive a letter from the Home Office detailing the reasons for rejecting the application. Don’t worry, you can apply again. If this happens to you, get in touch with your IMG Connect consultant who would be happy to help you re-apply.
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FRCEM Intermediate SAQ – a closer look
Here we’ll take a closer look at the second stage of your FRCEM success in the examinations – FRCEM Intermediate SAQ.
We’ll consider its purpose, structure and content, eligibility, dates, exam centers and provide some revision tips to give you the best chance of passing first time and moving clser towards full Membership of the Royal College of Emergency Medicine (MRCEM).
Designed to help you prepare and sit the exam, we consider the following topics:
What is FRCEM Intermediate Certificate?
Am I eligible?
Exemptions & equivalent examinations
Where can I take the exam?
How much will it cost me?
How can I prepare for the exam?
Passed? What next?
What is the FRCEM Intermediate SAQ?
The FRCEM Intermediate Certificate is the second examination in a series of three and is mapped to the Competencies of Year 1-3 of the Emergency Medicine 2015 Curriculum (ACCS Plus).
The FRCEM Intermediate SAQ comprises of a 3-hour paper of 60, 3-mark questions.
A full break down of the blueprint is found on the FRCEM Intermediate Regulations & Information Pack.
A summarised blueprint for the SAQ can be found below.
Curriculum Category
Questions
Common Competences
7
Clinical Presentations – Core Major & Acute Presentations
18
Anaesthetic Competences CT1&2
4
ICM within ACCS
2
Acute Presentations – Additional Adult ST3
6
Paediatric Presentations – Makor & Acute Presentations
11
Practical Procedures (ACCS)
12
Total
60
Am I eligible?
To be eligible you must hold a Primary Medical Qualification (PMQ) recognised by the GMC, have completed an equivalent to the UK Foundation Programme (Internship?) and have passed FRCEM Primary Examination after 1st August 2016.
You will also be eligible if you have been granted exemption from the FRCEM Primary as a result of obtaining MRCS or MRCSI after 1st January 2012.
MRCEM Part B in place of FRCEM Intermediate SAQ:
MRCEM Part B passes obtained prior to August 2012 are deemed time expired, therefore you are required to pass the FRCEM Intermediate SAQ examination.
If you passed the MRCEM Part B examination after 1 August 2012 you are deemed to have passed an equivalent examination to the FRCEM Intermediate SAQ examination.
Where and when can I take the exam? And how much will it cost me?
Examination and application dates are regularly updated by the Royal College and can be found here.
Venues and Fees for both intermediate examinations are below:
Examination
Location
Fees
FRCEM Intermediate Certificate
SAQ
UK
£305
Iceland, Malaysia, Oman
£385
How can I apply?
All applications are made online.
Please note, the application can take some time to complete so it is always advisable to apply well in advance of the deadlines.
Applications submitted after the application period will not be accepted.
Links to all application forms and application windows are available here.
How do I prepare for each exam and what resources are available?
With lots of resources available online, we have discussed with IMGs the best place to start looking for materials relating to the exams. Most IMGs recommended starting with the Royal College, who have created useful resources to help you to prepare for the exams. See below:
Curriculum: Applicants are tested on a range of common and important disorders in Emergency Medicine as set out in the Emergency Medicine Training Curriculum 2015.
The examination is conducted in English and candidates are advised that IELTS Level 7 is the expected standard for completion of the FRCEM examinations. Remember, you will need to have a pass of 7.5 average in all areas of IELTS to complete your GMC registration.
Information Packs:
These provide detailed information for the relevant examination components so that you can best prepare for your studies and what to expect on the day.
You can download this here: FRCEM Intermediate
SAQ Blueprint:
The blueprint for the Intermediate SAQ exam can be found on page 8 of the FRCEM Intermediate examination pack, downloaded from the RCEM website here.
SJP Blueprint:
The blueprint for the new Intermediate SJP exam can be found on page 11 of the FRCEM Intermediate examination pack, downloaded from the RCEM website here.
Sample questions:
Test your knowledge using example questions from the current exam syllabus provided by the Royal College: Intermediate Certificate – sample SJP questions
Glossary of Terms:
The Royal College uses many terms that may cause confusion, so take plenty time to understand the terms and definitions using this guide.
Candidates are expected to be rigorous in their use of these terms.
Glossary of terms used in RCEM exams.
Examination Report:
The Royal College recently began to publish reports on the performance of those sitting FRCEM examinations. Below is the first report published and helps to break down results for those in training and those out of training.
2018 Examination report.
Online resources:
There are lots of resources online, such as videos on YouTube, FRCEM courses and useful reading materials. We think that these are a great addition to your study plan, just be sure to check your sources.
Passed? What next?
First of all, congratulations! After you have passed FRCEM Intermediate you can apply to sit the Final Examination. Take a look at our article on FRCEM Final Examination where we explore everything you need to know about how to sit the exam, including syllabus, dates, fees, results and preparation.
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Changes to the MRCP PACES exam - 2020
MRCP (UK) have now put in place agreed changes to the PACES exam, effective from 2020. Thankfully for those preparing to take the exams in 2020 diets, the changes are not drastic. The exam board have developed the current format, making some stations more realistic.
The MRCP PACES exam will test the same clinical skills, and there will remain five stations throughout the exam. The change comes through some tweaks to the stations themselves.
The changes are designed to make the exam better reflect the experience that patients expect from their doctor.
From the current format, the following stations are being removed and replaced:
Station 2 - history-taking
Station 4 - 20 minute single communication and ethics encounter
Station 5 - brief clinical consultations
The above will be replaced by:
Communication Encounters
Two 10-minute communication encounters assessing you on your communication skills. These encounters will no longer include a question and answer section with the examiners, the encounter will be judged on observation alone.
Clinical Consultations
Two 20-minute clinical consultations will assess candidates across all seven skills. You will have 15 minutes to take a structured history, examine the patient, explain the likely diagnosis/management and then address any questions or concerns raised. There will then be a five-minute question and answer section with the examiners.
The new carousel will amend the sequencing of the encounters. Physical examination encounters will be aligned with communication encounters. This will ensure that examiners at each station contribute more judgements in each of the skills for each candidate improving reliability.
MRCP(UK) have created a set of useful videos to help explain the changes further: click here.
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EDAIC - a guide for overseas anaesthetics doctors
In this article we look in more detail at an alternative route for overseas Anaesthetists looking to work in the UK – the European Diploma of Anaesthesiology and Intensive Care (EDAIC).
International Medical Graduates (IMGs) from any country in the world can sit the EDAIC examinations, provided certain eligibility criteria are met. These are summarised below along with a broad look at the following topics:
What is EDAIC?
Content and structure
Am I eligible?
Dates, Fees and Venues for the EDAIC examinations
How should I prepare and what resources are available?
Passed? What next?
What is EDAIC?
EDAIC is a multilingual, end-of-training, two-part examination covering the relevant basic sciences and clinical subjects appropriate for a specialist in anaesthesiology.
Doctors with full EDAIC will simply require a pass in IELTS or OET for full GMC registration with a license to practice in the UK.
The questions are set against the Syllabus for Anaesthetic and Intensive Care training, set by the European Union of Medical Specialists (UEMS).
The exams aim to assess your knowledge of the following:
Basic sciences relevant to anaesthesiology & intensive care
Clinical Anaesthesiology inc. obstetrics, anaesthesia & analgesia
Resuscitation & emergency medicine
Intensive care
Management of chronic pain
To find out what grade a successful completion of full EDAIC will allow you to work as in the UK contact your IMG consultant for more information.
Content and structure of EDAIC:
EDAIC comprises of two mandatory components:
Part 1 – two multiple choice question papers
Part 2 – oral examination
In addition, there are two optional components:
On-line Assessment (OLA) – computer based online test
In-training Assessment (ITA) – multiple choice question paper
Part 1 Examination:
Pat 1 of EDAIC consists of two multiple-choice papers, each with sixty questions. Each paper is two hours in duration.
Paper A concentrates on the basic sciences of Anaesthesia.
Paper B concentrates on internal and emergency medicine, general, regional & special anaesthesia including pain and intensive care medicine.
Part 2 Examination:
Part 2 is held over one day and consists of four 25-minute oral examinations that each embrace the same range of basic sciences and clinical subjects covered in Part 1.
The oral examinations consist of ‘Guided Questions’ -where candidates are given a brief written presentation 10 minutes before meeting the examiners.
Two of the examinations will concentrate on basic sciences whilst the other two on clinical topics.
X-rays, CT Scans, MRI and Ultrasound images are also used during the oral examinations.
Am I eligible?
Eligibility for EDAIC Part 1 simply requires a medical degree.
Eligibility for Part 2 requires:
a pass in EDAIC Part 1
AND
certification in anaesthesia in any country
OR
Applicants to be in the final year of training in anaesthesiology, in one of the European member states of the World Health Organisation
Please note the following exceptions:
If you graduated as a specialist in Pakistan, you must have the FCPS or equivalent to be eligible for EDAIC Part 2.
Diplomas in anaesthesiology issued in Pakistan and with a curriculum of a shorter duration than FCPS (such as MCPS) can be accepted for EDAIC Part 1, not Part 2.
Holders of FCPS (or equivalent) are not exempt from EDAIC Part 1.
Holders of the FRCA or FCAI / FCARCSI are exempt from Part 1 examination.
Dates, Fees and Venues for the EDAIC examinations:
Examination
Fees
Exam Dates & Venues
EDAIC Part 1
€340 (inc. 1-year ESA membership)
*Part 1 reduced fee €150 (inc. 1-year ESA membership)
EDAIC Part 1 – full list of dates, venues can be found here
EDAIC Part 2
€550 first attempt
€340 following attempts
(€650 for Part 2 Brazil – Sao Paulo)
EDAIC Part 1 – full list of dates, venues can be found here
On-line Assessment
€50
EDAIC OLA – full list of dates, venues can be found here
In-training Assessment
€100
EDAIC ITA – full list of dates, venues can be found here
Authentication of EDAIC by external institution
€50
n/a
Total (at first attempt)
€1090
€900 reduced fee*
Part 1 registration fee will include a free 1-year ESA membership which starts on 1st January of the year following registration for Part 1 Exam.
Please note, those applying for Part 1 examination in a country where the exam is mandatory or has official recognition (Argentina, Austria, Egypt, Finland, Hungary, Malta, Poland, Portugal, Romania, Slovenia, Switzerland, Netherlands and Turkey) AND who are registered on the national medical register of said country, are entitled to a reduced Part 1 fee.
This also includes 1-year free ESA membership.
How should I prepare for the examinations and what resources are available?
We have discussed this at length with IMGs who have recently passed the exam. With so much material available for free on the European Society of Anaesthesiology website we suggest the following as a great foundation for your preparations.
ESA offers several supporting tools to help candidates prepare for the European Diploma in Anaesthesiology and Intensive Care (EDAIC) Part I and Part II Examinations, including:
Syllabus
EDAIC aims at covering the Syllabus to Postgraduate Training Programme of the European Board of Anaesthesiology.
We recommend getting to know the curriculum as early as possible and using it as a road map for your study plan.
Diploma Guide
The EDAIC diploma guide includes information on regulations, structure and various sample examination papers and example report forms.
The Basic Sciences Anaesthetic Course (BSAC):
This is a 3-day course, aimed at improving your understanding of different areas of basic science. Register here.
ESA E-Learning Platform:
This includes helpful E-Learning modules to help you prepare for examinations, go to the ESA Academy to start your learning.
EDAIC Webinars:
The ESA have created a series of webinars to support your learning, these can be accessed on the eLearning platform.
On-line Assessment (OLA) and In-training Assessment (ITA):
You can use these helpful tools (On-Line Assessment (OLA) and In-Training Assessment (ITA)) to test your knowledge and identify which subjects require further study.
Sample questions:
The ESA have created sample questions in different languages to help you prepare for all sections of the EDAIC exams:
Part 1
Part 2
Please note, the links above provide these sample questions in English. All other languages can be found here.
Part 2 explainer video:
This is a useful sample exam video, helping you understand what to expect on the day so you can focus on the task at hand.
The ESA have also produced a guide to preparing for your exam and a recommended reading list to support the curriculum.
Passed? What next?
First of all, congratulations! Once you have passed both parts of your EDAIC examination you can apply for a full registration with a license to practice. Once the GMC have approved your application, you can work as a doctor in the UK.
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PLAB 2 – a closer look for overseas doctors
In this blog we will explore PLAB 2 and everything that you need to know about how to sit the exam, including syllabus, dates, results, fees and preparation.
We will take a broad look at the following topics:
What is PLAB 2?
What topics does the exam cover?
How do you answer the questions?
Clinical examination
Practical skills
Interpersonal skills
Where and when can I book a place?
What does it cost? Fees.
How do I register? What happens next
How do I prepare for PLAB 2?
What resources are available?
When will I receive my results?
How many times can I sit the test?
Passed? What next?
For a general overview of the PLAB examinations, click here.
Firstly, let’s take a look again at what PLAB 2 is:
PLAB 2 is an objective structured clinical exam (OSCE), you should already be familiar with this format from your own medical training. It will consist of 18 scenarios, each lasting eight minutes and will reflect real life settings including a mock consultation or an acute ward.
What topics does the exam cover?
The exam syllabus covers everything a UK trained doctor might expect to see on the first day of Foundation Year Two (FY2) and tests your ability to apply knowledge to the care of patients.
Marking of the scenarios relate to current best practice in the UK. You should approach them in relation to published evidence and not according to your local arrangements.
Names of drugs referred to in the exam are those contained in the most recent edition of the British National Formulary (BNF).
How do you answer the questions?
The PLAB 2 exam will take approximately three hours and 10 minutes. You'll have one and a half minutes between test scenarios in order to read the instructions and patient information. There will be at least two rest stations, allowing you to take breaks.
You will be marked against three key areas for each scenario.
Data gathering, technical and assessment skills
i.e. History taking, physical examination, practical procedures, investigations leading to a diagnosis
Clinical management skills
i.e. Formulating a diagnosis, explaining something to the patient, formulating a management plan
Interpersonal skills
i.e. How you approach the station: whether you establish a rapport with the patient, how you use open and closed questioning, involving the patient and demonstrating your professionalism and understanding of ethical principles
When marking against the domains the examiner will assess your competency across a number of skill areas, these are:
Clinical examination
The examiner will assess you on your ability to conduct a physical examination of a simulated patient. This will usually be an actor who is trained to display signs when required, an anatomical model may also be used for certain examinations.
Practical skills
The examiner will assess you on your ability to perform common practical procedures. Again, they may ask you to deal with a simulated patient or an anatomical model.
These may include:
checking blood pressure
performing venepuncture
inserting a cannula into a peripheral vein
calculating drug dosage
giving intravenous injections
mixing and injecting drugs into an intravenous bag
giving intramuscular and subcutaneous injections
basic cardio-pulmonary resuscitation (adult and child)
suturing
interpreting an electrocardiogram (ECG), X-rays or results of other investigations
interpreting basic respiratory function tests
performing urinary catheterisation
taking a cervical smear
safe disposal of sharps.
Interpersonal skills
The GMC test these skills by observing the interaction between you and another person, usually a simulated patient or occasionally the examiner. The examiner will assess your approach to the patient throughout the examination.
This may include:
explaining diagnosis, investigation and treatment
involving the patient in the decision-making
communicating with relatives
communicating with health care professionals
breaking bad news
seeking informed consent/clarification for an invasive procedure or obtaining consent for a post-mortem
dealing with anxious patients or relatives
giving instructions on discharge from hospital
giving advice on lifestyle, health promotion or risk factors.
As in preparing for PLAB 1, the GMC’s ‘PLAB Blueprint’ sets out what to expect from the test, including the topics, skills and procedures that a doctor who passes the test would need to know and be able to do in practice. In addition, it provides details of the professional qualities expected of a doctor working in the UK.
Where and when can I book a place?
Part 2 can be taken in the UK only. When you book your PLAB 2 test place online, you will be able to see which venue is available for you. Currently, the main test venue is in Manchester, with test centres also in Cambridge and London. You can find more details here.
What does it cost? Fees.
The fee for Part 2 of the PAB test is currently £860 (as of 1st April 2019)
How do I register? What happens next?
You can book online using your GMC Online Account. You will be able to view available dates and venues and book under the ‘My Tests’ section.
How do I prepare for PLAB 2?
For PLAB 2, most IMGs advise that they have benefited from attending specific courses geared towards this test. It is also advisable to plan ahead for PLAB 2, so that you can ensure that you can complete everything within one Visitor Visa time period (6 months).
We have explored the UK Visitor Visa for PLAB 2 in more detail here, but let’s look briefly at booking PLAB 2 in more detail as you will have to arrange a UK Visitor Visa in order to sit the test.
Take some time to consider when you want to sit the PLAB 2 exam, it takes time to study for the test itself, but you also need to start the process of your Visa application. To apply for your UK Visitor Visa, you must complete an online UK Visa application for PLAB. This takes two steps, online application, and submission of supporting documents in a Visa application centre.
Remember to plan ahead! Once you have applied for your UK Visitor Visa, you must complete PLAB 2 within 6 months.
Do I need to bring anything to the test?
You will need to bring identification and your booking confirmation
For identification, the venue will accept any one of the following.
Passport
the booking confirmation that includes your GMC booking reference number
Don’t forget to dress as though you would on the ward at work.
What resources are available?
We have discussed this question at length with IMGs and the GMC, and whilst there are many resources to choose from online, we recommend the following GMC guides to help you start your preparations:
The PLAB Blueprint: this is a helpful guide to what will be included in the exam. Our IMGs advise this is the best place to start with your preparations. The Blueprint sets out clearly the required knowledge, skills and behaviours you are expected to demonstrate in the exam.
The Foundation Programme curriculum: The topics and skills covered in the PLAB Blueprint are identical to those undertaken by doctors starting their second year of Foundation Programme Training (FY2).
You can find the Foundation Programme curriculum here
Guidance and interactive tools: The GMC ‘Good Medical Practice’ document explains the core advice to doctors on the standards expected of them. During PLAB 2 you will be expected to demonstrate the professional values and behaviours set out in ‘Good Medical Practice’ when you take the exam and when you practise as a doctor in the UK.
Test your knowledge of Good Medical Practice using:
explanatory guidance
Good Medical Practice in action interactive online tool
Welcome to UK practice interactive online tool.
You can also find several excellent videos online which provide you with helpful example scenarios.
Courses: For PLAB 2, IMGs usually advise that they have benefited from further study and attending PLAB 2 specific courses. We couldn’t agree more!
You may be worried about taking the exam, but remember that you will have done most of the clinical tasks before, and with real patients.
For a useful overview of how to prepare for exams, including advice on study groups, online community support, best use of online resources & GMC materials and courses, take a look at our blogs on Exam Tips and Revision
When will I receive my results?
When PLAB 2 results are available the GMC will send you an email to provide access to the results in the ‘My Tests’ section of the GMC online account.
How many times can I sit the test?
For PLAB 2, you can take the test 4 times. To be eligible to take the test for an additional attempt if you have not passed after 4 attempts, you must have completed a further 12 months experience of clinical practice or post graduate qualification.
Passed? What next?
Once you have passed both parts (PLAB 1 and 2) you can apply for a full registration with a license to practice. Your application must be approved within 2 years of passing part 2 of the test. Once the GMC have approved your application, you can work as a doctor in the UK.
Want more information?
For more useful blogs & articles on exams, registrations & qualifications to help you find your dream job in the NHS - take a look at our IMG Library.
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Passing the MRCEM OSCE – tips from IMGs
Passing any exam is not easy, passing the MRCEM OSCE examination, even more so.
In speaking with IMGs about their journey through the MRCEM OSCE exams, we have heard many thoughts about what it takes to pass. To help IMGs preparing to take the test, here we share some tips from past examinees and OSCE course tutors.
Firstly, it is good to know that every IMG taking the test is in the same position as you, perhaps anxious about how to prepare and worried about the exam day. We are told that the exam is just an ordinary day on the ward, so why then do so many excellent practicing EM physicians struggle to pass at first attempt?
It is perhaps important to say that we felt it was important to give advice from not just those IMGs who passed first time, but from those who had to learn from their mistakes and take the test a second or even third time.
In this article we take a broad look at some of the main reasons that good candidates have cited as contributing to their failure to pass.
The most common thing that we hear is that IMGs must adapt their skill set to the requirements of the NHS system as well as changing their mindset to be able to work under intense observation.
IMGs have told us that the main reasons they struggle are:
Nerves
Lack of practice
Lack of familiarisation with the test
Lack of understanding of the curriculum
Not being able to communicate effectively
Reading and deciphering the instructions
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Anxiety
Experiencing anxiety during exams is completely natural and the fact that the OSCE stations are only 7 minutes adds to this in the Part C. The only way to combat exam anxiety is to accept that is both natural and inevitable. The best way to prepare and suppress the adrenergic surge is with practice, practice and more practice. The best way to practice is under exam conditions and if possible, this should be timed and observed by different examiners.
We are not of the opinion that this practice should be done last minute in the week before the exam, instead, your practice should start long before this point. Ask your senior colleagues in the ED to observe and comment upon your history taking and examination skills. If you can get into a routine of doing this with 3 to 5 patients per day you will be able to run through nearly all of the most likely scenarios in only 12 shifts. Another great strategy is to teach OSCEs to the more junior doctors within the department. Teaching can be a powerful learning tool and has helped many aspirants with their revision.
Lack of practice
Make no mistake – the exam is very tough. Over 50% of candidates failed the 2016 sitting. Unless you are freakishly good at cramming you will need to set aside at least 3 months to prepare. IMGs will all study in different ways. Remember you have been through many exams all on your own. Whatever revision method works for you, stick to it. Once you know that you are going to study, make a revision plan and stick to it.
Practice in any way that you can. As above, be sure to ask senior colleagues to observe and offer feedback to you on a regular basis on the EM ward.
To practice out of work, form a small group of colleagues who are also taking the test and run through role plays, taking turns to be patient, doctor or examiner.
Pay careful attention to time keeping as it is very common for candidates to run out of time, particularly in history taking and communication skills stations.
Lack of familiarisation with curriculum
If you don’t know what you could be tested on, you won’t know what to prepare. The MRCEM OSCE is mapped to the competences of Year 1-3 of the Emergency Medicine 2015 Curriculum which is available on the 2015 Curriculum page. You should familiarise yourself with the Year 1-3 competences in preparation for sitting this examination.
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Not being able to communicate effectively
Many IMGs have made the mistake of thinking that communication is only about what you say, not considering how you say it, and what you look like when you are saying it. Of course, you may be anxious, which can make you behave differently and say things in a different way. So, if you have practiced as above, make sure you incorporate practicing communicating not just focusing on what you say, but also your body language when saying it. Remember that between 70% of our communication is non-verbal!
Try to speak audibly and clearly and if at all possible, sit at the same level as the patient with an open posture. Attempt to make a connection with the patient, maintain good eye contact and give them your undivided attention. Treat actors and mannequins as if they are real patients, interact with them in the same way that you would on the EM ward.
Be direct and to the point but deliver any bad news in a sensitive and empathetic manner. Always check whether the patient has understood what you have said and ask if they have any questions.
Reading and deciphering the instructions
It is vitally important to read the instructions very carefully before entering a station. Easy marks are frequently lost by nervous or over-confident candidates that have overlooked key information or made assumptions by misreading. This is a mistake many IMGs have made, so learn from their mistakes and be sure to read everything carefully. Once read, make a plan of how you will approach the scenario. Once your minute is up… deep breath and smile!
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MRCEM - a guide for overseas emergency medicine doctors
Attaining Membership of the Royal College of Emergency Medicine or MRCEM is required to attain GMC Registration and start your Emergency Medicine career in the NHS.
International Medical Graduates (IMGs) from any country in the world can sit the MRCEM examinations, provided certain eligibility criteria are met. These are summarised below along with a broad look at the following topics:
What is MRCEM?
MRCEM Route
Eligibility for overseas doctors
Where can I take the exams & how much will they cost me?
How do I apply?
How to prepare and what resources are available
Should I take an MRCEM course?
Passed? What next?
What is the Royal College of Emergency Medicine?
The Royal College of Emergency Medicine is the professional body responsible for the specialty of Emergency Medicine throughout the UK. Amongst many other duties, its role is to set and monitor the educational curriculum for those training to enter the profession in the UK.
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What is MRCEM?
Membership of the Royal College is awarded to candidates who pass three examination components.
There have been a few changes to the MRCEM and FRCEM examination structure over the last few years, as such there are currently two routes to an accreditation in Emergency Medicine, both leading to RCEM Membership.
These two routes are:
Membership of the Royal College of Emergency Medicine (MRCEM)
Fellowship of the Royal College of Emergency Medicine (FRCEM)
MRCEM & FRCEM are one several different routes an overseas emergency medicine doctor can take full GMC registration. Read our blogs on acceptable postgraduate qualifications and PLAB if you are unsure what route to take.
For doctors who wish to take more senior roles reflective of their current practice, IMG Connect advise that MRCEM or FRCEM would be the best route to take.
Please note, aplicants that pass a specific combination of MRCEM and FRCEM examinations can still be awarded Membership of the Royal College by Examination (MRCEM). This would still satisfy postgraduate requirements for GMC registration.
MRCEM Examination route:
The alternative route, Membership by Examination (MRCEM), is offered to candidates who have passed all of the following components:
FRCEM Primary or (MRCEM Part A)
One written paper, three-hours total
FRCEM Intermediate SAQ (replaces MRCEM Part B)
Short Answer Question paper - 3 hour paper comprised of 60, 3-mark questions
MRCEM OSCE
Practical examination setting with 18, seven-minute stations
Eligibility for MRCEM Examinations:
Eligibility for FRCEM Primary:
To be eligible you must hold a Primary Medical Qualification (PMQ) that is recognised by the GMC for registration purposes.
Eligibility for FRCEM Intermediate:
To be eligible you must hold a PMQ recognised by the GMC, have completed an equivalent to the UK Foundation Programme and have passed FRCEM Primary Examination after 1st August 2016.
You will also be eligible if you have been granted exemption from the FRCEM Primary as a result of obtaining MRCS or MRCSI after 1st January 2012.
Eligibility for MRCEM OSCE:
To be eligible to enter the MRCEM OSCE (Part C) you must meet the following requirements:
Hold a medical qualification approved by the GMC and
Have completed the UK Foundation Programme of equivalent (electronic evidence required at point of application) and
Have passed the FRCEM Primary examination after 1st August 2016 or
Have passed the MRCEM Part A examination after 1st August 2012 and prior to 31st July 2016 and
Have passed the FRCEM Intermediate SAQ after 1st August 2016 or
Have passed the MRCEM Part B examination after 1st August 2012 and prior to 31 July 2016 and
Have 36 months experience including 6 months experience in Emergency Medicine at a level above Foundation Year 1 (post full registration)
Where can I take the exams & how much will they cost me?
Examination and application dates are regularly updated by the Royal College and can be found here.
Please remember, applications made outside of the application period will not be accepted.
Examination
Location
Fees
FRCEM Primary
Short Answer Question Paper
UK
£310
Iceland, Malaysia, Oman, India
£390
FRCEM Intermediate Certificate
SAQ
UK
£305
Iceland, Malaysia, Oman
£385
MRCEM
OSCE
UK
£450
India
£450
How can I apply?
All applications are made online and links to all application forms and windows are available here. It is worth noting, the application can take some time to complete so it is always advisable to apply well in advance of the deadlines.
Please remember, applications submitted after the application period will not be accepted.
How do I prepare for each exam and what resources are available?
With lots of resources available online, we have discussed with IMGs the best place to start looking for materials relating to the exams. Most IMGs recommended starting with the Royal College, who have created useful resources to help you to prepare for the exams.
Curriculum:
Applicants are tested on a range of common and important disorders in Emergency Medicine as set out in the Emergency Medicine Training Curriculum 2015.
We recommend getting to know the curriculum as early as possible and using it as a road map for your study plan.
Information Packs:
These provide detailed information for the relevant examination components so that you can best prepare for your studies and what to expect on the day:
FRCEM Primary
FRCEM Intermediate
MRCEM OSCE
SAQ Blueprint:
The blue print for the new Intermediate SAQ exam can be found on page 8 of the FRCEM Intermediate examination pack, downloaded from the RCEM website here.
Sample questions:
Test your knowledge using example questions from the current exam syllabus provided by the Royal College, see below:
Primary – sample questions
Intermediate - Sample SAQs are included in the Information Pack
Glossary of Terms:
The royal college uses many terms that may cause confusion, so take plenty time to understand the terms and definitions used in this guide. Candidates are expected to be rigorous in their use of these terms.
Glossary of terms used in RCEM exams.
Examination Report:
The Royal College recently began to publish reports on the performance of those sitting FRCEM examinations. Below is the first report published and helps to break down results for those in training and those out of training.
2018 Examination report.
Online resources:
There are lots of resources online, such as videos on YouTube, FRCEM courses and useful reading materials. We think that these are a great addition to your study plan, just be sure to check your sources.
For a useful overview of how to prepare for exams, including advice on study groups, online community support, best use of online resources & Royal College materials and courses, take a look at our blog: IMG Connects Top Tips for exam preparation.
As ever at IMG Connect we believe in preparation. In order to succeed in the clinical exam, IMGs have told us that it is vital that you practice your clinical examinations as frequently as possible, preferably under the supervision of a senior colleague. This will give you confidence in approaching and examining patients with examiners present.
Should I take a course to prepare for the OSCE?
Whilst it is not essential to take a course when preparing for the MRCEM or FRCEM OSCEs - there is no doubt it will help your preparations both technically and mentally, and should be considered an investment towards your future career plans. Have a read of our blog on recommended MRCEM courses for Emergency Medicine doctors.
Passed? What next?
First of all, congratulations! After you have passed all parts of FRCEM or MRCEM you can apply for a full registration with a license to practice. Once the GMC have approved your application, you can work as a doctor in the UK.
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MRCEM or FRCEM - Courses
Many overseas doctors preparing for their FRCEM or MRCEM Emergency Medicine examinations wonder if they should take a course as part of their preparation.
In short, we advise that all IMGs should attend as many courses as possible. The knowledge gained on an MRCEM or FRCEM course goes well beyond the exam.
One issue is of course that courses cost a considerable amount of money, but if you consider that taking a course increases your chances exponentially of passing the examinations first time, the cost is offset by not having to pay to re-sit.
Finding courses can be tricky, so take some time to work out what you specifically need help with and the stage you are at in the process. Search online to find the course that will suit your needs the most.
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Speak to your peers, some may have attended a course that they felt had a positive impact on the learning and preparation.
Once you think you have found a course that suits your needs, such as an MRCEM OSCE course, check reviews posted by other IMGs to be sure of the quality of the tutoring.
When purchasing the Emergency Medicine course, if you have found a course that suits your needs, has good reviews recommendations from your peers, then it will likely be worth the investment. As a direct result, you will likely pass the exams much quicker, helping you to secure the Emergency Medicine job that you want in the NHS.
If you need some advice on choosing an Emergency Medicine MRCEM or FRCEM course to help you on your journey to securing a job in the NHS, don’t hesitate to get in touch with IMG Connect.
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PLAB 1 - a closer look
Earlier in our Postgraduate Qualifications blog series, we took a general look at PLAB examinations and all its various parts as a whole. Now we’ll take a closer look at the first stage of your PLAB journey – PLAB 1.
Here we consider everything that you need to know about the exam including syllabus, dates, fees and preparation by covering at the following topics:
What is PLAB 1?
What does PLAB test you on?
What's the format of PLAB 1?
Where can I sit PLAB 1?
How do I book?
Can I book online?
How much does it cost?
How do I prepare and what resources are available?
What can I expect on the day of the exam?
How many times can I sit the test?
When will I receive my results?
Passed? What next?
What is PLAB 1?
PLAB 1 tests your ability to apply your knowledge for the care of patients at the house level, or Foundation year 2 in the UK (12 months of medical practice). Questions relate to current best practice in the UK, and equipment routinely used in UK hospitals. You’ll need to answer the questions in relation to published evidence and not according to your local arrangements. Remember, this is an exam for entry into the UK Healthcare system.
Still unsure on PLAB as a whole? Take a look at a more general overview of the PLAB examinations.
What does PLAB test you on?
The exam covers the common, important and acute conditions (those common in emergency departments) seen by trainees entering the second year of the Foundation Programme (FY2), and the management of long-term conditions seen in primary care.
What's the format of PLAB 1?
PLAB 1 is a written exam made up of 180 multiple choice questions, with the test lasting three hours in total. Each starts with a short scenario followed by a question. You need to choose the correct answer out of the five possible answers given.
The GMC have created a helpful guide setting out what the PLAB test covers, you can download it here.
Where can I sit PLAB 1?
You can sit the exam in both the UK and several overseas locations. PLAB 1 is run four times a year in the UK, and twice a year at a number of overseas venues hosted by the British Council.
Overseas venues are listed here with contact details.
At IMG Connect we advise that you check the closing date for applications for the closest venue. Also, be sure to submit your application in advance as applications submitted after the closing date will not be considered.
How do I book?
Before you book a PLAB exam you must have:
an acceptable overseas primary medical qualification.
a GMC Online account to book or cancel the exam.
the necessary knowledge of English – before you can book a test you will need to provide your English language test scores. If you've taken the International English Language Testing System (IELTS) test or the Occupational English Test (OET), you can complete this in the 'My Tests' section at GMC Online.
Can I book online?
You can book your PLAB 1 examination using your GMC Online account. Simply go to GMC Online where you can view available dates and book under the My Tests section.
How much does it cost?
The PLAB 1 test costs £235. Please note, this fee increased from the 1st April 2019.
How do I prepare and what resources are available?
We have discussed this question at length with IMGs and the GMC, and whilst there are many resources to choose from online, we recommend the following GMC guides to help you start your preparations:
The PLAB Blueprint:
This is a helpful guide to what will be included in the exam. Our IMGs advise this is the best place to start with your preparations. The Blueprint sets out clearly all of the topics and skills needed to pass the exam.
Download the PLAB Blueprint here.
The Foundation Programme curriculum: The topics and skills covered in the PLAB Blueprint are identical to those undertaken by doctors starting their second year of Foundation Programme Training (FY2).
You can find the Foundation Programme curriculum here
Guidance and interactive tools:
The GMC ‘Good Medical Practice’ document explains the core advice to doctors on the standards expected of them. During PLAB 1 you will be expected to demonstrate the professional values and behaviours set out in ‘Good Medical Practice’ when you take the exam and when you practise as a doctor in the UK.
You can test your knowledge of Good Medical Practice using the following online tools:
explanatory guidance
Good Medical Practice in action interactive online tool
Welcome to UK practice interactive online tool
Courses:
You do not need to attend a study or coaching course to pass, but many candidates choose to do so. PLAB 1 can be passed under your own preparation, however PLAB 2 usually requires further study and courses.
There are many courses and materials out there. If you are unsure of how to approach your study preparations, don’t hesitate to ask an IMG Consultant for some recommendations or guidance on which course or resource to use.
Remember, we speak to IMGs who've passed these exams on a daily basis and are more than happy to pass on their wisdom!
What can I expect on the day of the exam?
First of all, once booked, the GMC will advise you on what time to arrive. You will likely be there for approximately four hours in total.
Do I need to bring anything to the test?
You will need to bring Identification, your booking confirmation and stationery:
For identification, the venue will accept any one of the following:
Passport
UK Immigration and Nationality Department identification document
Home Office travel document
If by accident you don't have one of the above you can take the exam but you'll need to provide your identification document later in the process.
Booking confirmation:
Bring the booking confirmation that includes your GMC booking reference number
Stationery:
You should bring HB pencils, an eraser and a pencil sharpener.
How many times can I sit the test?
For PLAB 1, you can take the test 4 times. If you have not passed after 4 attempts, to be eligible to take the test again you must have completed a further 12 months experience of clinical practice or post graduate qualification.
When will I receive my results?
PLAB 1 results are available around 6 weeks after you have taken the exam.
Passed? What next?
Once you have passed PLAB 1, you can take the PLAB 2 examination in the UK. Read our blog for more information on how to sit PLAB 2, which includes everything that you need to know about how to sit the exam, syllabus, dates, results, fees and preparation.
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MRCEM OSCE exam – India centres, dates & fees
International doctors can sit the MRCEM OSCE in the UK, Kuala Lumpur and India.
India exam centres for 2020 are to be held in Kuchi & Hyderabad, however these are subject to change due to Covid-19. Here we explore the exam centres, dates, fees and how to apply online for the MRCEM OSCE exams in india.
Covid-19 & RCEM:
The Royal College of Emergency Medicine took the difficult decision to cancel all events for the months of April, May and June following the escalation of the virus. As well as delay the rease of certain results.
As the UK and most of the world remain in some form of lockdown, the Royal College has not announced when it is expecting to open up its centres again in 2020. Understandably this will be tied into government advice and that of the WHO, whilst most examiners involved in the OSCE examinations will be tied into urgent clinical duties.
IMG Connect is keeping a very close eye on the examination & results schedule and will keep all our IMGs informed as soon as the College publishes some updates. You can find the updated exam schedule here
Current exam dates:
2020 Exam dates for India have been released, these are:
Location
Date
MRCEM OSCE International (India)
22 – 24 June 2020 POSTPONED
MRCEM OSCE International (India)
23 – 25 November 2020
Fees:
2020 fees are £450 for the UK and India. The exam costs £650 in the new OSCE centre based in Malaysia.
If you wish to take the examination at the India centre, you will pay the local administrator to pay the local fee.
Application Window:
To ensure you get a space on the exam, you have to apply online during the application window. Applications submitted after the closing date will be rejected. The application windows for India are below:
Location
Date
MRCEM OSCE India (22 – 24 June) POSTPONED
23 March 2020 to 24 April 2020
MRCEM OSCE India (23 – 25 November)
27 July 2020 to 28 August 2020
Results:
Results from the India examinations will be released on the following dates:
Location
Date
MRCEM OSCE India (22 – 24 June) POSTPONED
24 July 2020
MRCEM OSCE India (23 – 25 November)
8 January 2021
Other locations
Overseas candidates can also sit the MRCEM OSCE examination in London and Malaysia. Dates for 2020 are as follows:
Location
Date
MRCEM OSCE (London)
8 – 10 June 2020 POSTPONED
MRCEM OSCE (Kuala Lumpur)
POSTPONED
Please note that all dates are subject to change, you can check the most up to date calendar here.
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You can apply for the MRCEM OSCE India examination, or indeed the full roster of Emergency Medicine examinations from the Royal College of Emergency Medicine (FRCEM or MRCEM) here. All applications must be made online and during the application window.
IMGs from all over the world take the MRCEM OSCE examination in India whilst on their journey towards securing an Emergency Medicine job in the NHS. If you want to discuss your options for MRCEM or Emergency Medicine exams, get in touch with your IMG consultant team, who would be happy to answer any questions you may have.
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MRCP PACES - What if I can't secure an exam place?
Exam places for MRCP PACES have been hard to secure in some countries. We expect that there will be similar demand in 2020 & 2021, so what can you do to maximise your chances of securing an examination place?
We have discussed this with Royal College of Physicians, who advised that they are working to grow capacity internationally. However, this will not have an immediate impact on the number of spots available across the world.
With so many overseas doctors missing out on a spot, we have put together some of the main discussion points to help you to broaden your chances of sitting the exam as soon as possible.
All applications submitted during the application period will be treated equally, with spaces being allocated using a random lottery model. Some spaces are reserved for local trainees and some priority can be given for applicants near the end of their eligibility periods.
So, to maximise your chance of success, we suggest that not only do you apply to your closest PACES exam centre, but also to 3 more centres that you are able to travel to.
Apply to more centres
Why should I apply for more centres? The maths is easy, more applications equals more chance of securing a place. They way that it works is that if you are not successful with your 1st preference (most local centre), then you will be considered for a space in your 2nd choice centre, and so on until you secure a spot.
Of course, this means that you must be willing to travel to sit the exam. This can be costly, especially if you have to travel to a different country, flights and hotels are not cheap! As such, we suggest taking some time to carefully choose the locations that will not only have the possibility of a spare place, but where your costs will be kept to a minimum.
Candidates will be notified on the outcome of their application within 2 weeks from the closing date, giving you time to plan your travel if necessary.
Whilst this advice does not guarantee a place to sit the exam, it will increase your chances.
If you are not sure what to do, or have any other questions regarding the PACES exam, get in touch with an IMG Consultant.
Take a look at our IMG library for more information regarding postgraduate exams & PACES
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Preparing for PACES - where do I start?
As an overseas doctor where should you start with your PACES exam preparation?
With lots of resources available online, we discussed with successful candidates for them the best place to start looking for exam materials. Whilst there are lots of fantastic courses available for IMGs to help pass their PACES exam first time, most IMGs recommended starting their preperation with free resources from the Royal College of Physicians. Using these will give you strong foundations to further suppliment with any further studies or courses which you may decdie to invest in.
We have provided the Royal College's official resources below:
Curriculum
PACES station 4 examiner guidance examples
PACES sample scenarios
Videos - what to expect on the day
PACES candidate videos
Candidate guidenotes
PACES marksheets
General Exam Tips & Preparation
Passed? What next?
It is recommended that to give yourself the best chance, you gain clinical experience involving care of emergency patients, adults and children.
We advise you to regularly invite senior colleagues to observe and provide feedback on your clinical assessments, so you will be comfortable with the PACES format and give you confidence in approaching and examining patients with examiners present.
Curriculum:
Applicants are tested on a range of common and important disorders in General Medicine as set out in the Joint Royal Colleges Specialty Training Curriculum for Core Medical Training.
We recommend getting to know the curriculum as early as possible, using it as a road map for your study plan.
PACES station 4 examiner guidance examples:
This useful guide contains examples of the types of statements found in the examiner guidance section of station 4 scenarios. This will help you to understand what the examiner is looking for.
PACES sample scenarios:
These will provide you with the most accurate and relevant scenarios to prepare you for the real thing. Sample scenarios cover Station 2, 4 & 5 (‘history taking’, ‘communication skills and ethics’ and ‘clinical consultations’ respectively.
Most of these have been previously used in a recent exam, but please note that during the exam you will only receive the section marked ‘information for the candidate’.
Videos - what to expect on the day:
These helpful videos will give you a true reflection of what to expect on the day of the exam, easing some of the pressure and ensuring you can focus on the task at hand.
PACES candidate video:
Whilst there are lots of useful videos online that are easy to find, the PACES candidate video contains important information about the exam, and practical examples of how the exam will run.
Candidate guidenotes:
These guidenotes created by the Royal College help IMGs to understand what to expect on the day, from your arrival to the completion of the test.
PACES Marksheets:
To help you understand how PACES is marked here are some examples of full marksheets.
It can also be useful to understand how IMGs have failed the exam in the past, as this will give you the best chance to pass first time. The ‘how I failed PACES’ guide provides tips to help you to identify where you might be going wrong, along with practical advice to help you to improve.
General Exam Tips & Preparation:
For a useful overview of how to prepare for exams, including advice on study groups, online community support, best use of online resources & Royal College materials and courses - take a look at our blogs on exam tips and preparation.
Passed? What next?
First of all, congratulations! After you have passed all parts of MRCP(UK) you can apply for a full registration with a license to practice. Once the GMC have approved your application, you can work as a doctor in the UK.
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OET - a guide for overseas doctors
The Occupational English Test (OET) medicine version is specifically designed for healthcare professionals.
The exam tests your ability in reading, writing, speaking and listening and it is used by overseas doctors to demonstrate their ability to communicate effectively in English to support their application to register and practice medicine in the UK.
For doctors who prefer OET, compared to IELTS, the good news is that OET is now accepted by both the GMC and the UK Home Office - meaning that only one test now required for both UK registration and visa purposes
As an IMG coming to work in the UK, there are different scenarios in which you’ll need to provide a pass in an English test. In this article, we outline the key facts about OET, including the following topics:
What is the OET?
Content and structure
Listening
Reading
Writing
Speaking
What scores do I need?
Does time matter?
When and where can I sit the test?
How can I prepare?
What resources are available online for each subtest?
Passed? What next?
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What is the OET?
The OET tests communication in English with an emphasis in medical and healthcare professional settings.
It is recognised by the General Medical Council (GMC), and is fast becoming a common choice to prove a candidate’s ability to communicate in a healthcare environment, such as the NHS.
As an overseas doctor you must select and sit the medicine version of the test, this is the only one accepted by the GMC for the purposes of registration for a license to practice.
Content and structure:
The OET tests your ability in four areas of English language communication:
Reading (45 minutes)
Writing (60 minutes)
Speaking (45 minutes)
Listening (20 minutes)
Listening:
This section consists of three parts and tests a candidate’s ability to understand a range of materials, such as lectures or consultations.
Part A – consultation extracts (5 minutes each)
You will listen to two recorded patient consultations and will be assessed on identifying specific information. You will also complete the healthcare professionals’ notes using the information that you have heard during the consultation.
Part B – Short extract of workplace discussion (1 minute each)
Here, you are tested on your ability to identify detail, understand conversation, meaning and reasons or purpose contained in the discussion. You will hear 6 short extracts and answer multiple-choice questions on each. Example extracts could be a consultation dialogue, team meetings or professional handovers.
Part C – presentation extracts (5 minutes each)
This tests your ability to follow a recorded healthcare related presentation or interview. You will listen to two extracts covering different topics and will then answer 6 multiple choice questions on each extract.
What does the listening sub-test assess?
The listening sub-test assesses your ability to identify specific information and details, to understand conversations, reasons for comments and the opinions of the speakers.
Reading:
In this section you are expected to demonstrate your ability to read and understand texts related to healthcare. This sub-test consists of three parts.
Part A – expeditious reading task (15 minutes)
This tests your ability to quickly and efficiently locate specific information from short texts. The texts will all relate to the same topic, and you will answer 20 questions in total.
Part B and C (45 minutes)
Part B consists of 6 short text extracts from a healthcare setting, sourced from the workplace. It assesses your ability to identify detail, understand context, main points and overall gist of a text. Example texts are hospital policies or guidelines, manuals, instruction guides, internal communications between staff.
Answers are multiple-choice, and you will be asked three questions per text.
Part C consists of two texts on topics of interest to healthcare professionals. Each text is 800 words in total. Here you will be tested on your ability to identify detailed meaning and opinion. Each text has eight multiple choice questions.
What does the Reading sub-test assess?
Each reading sub-test assesses different skills:
Part A, to read quickly, skim and scan across a variety of texts, in order to identify specific information.
Top tip, familiarise yourself with the conventions of medical texts, the structures, presentation of both numerical and textual content.
Part B, to understand detail and main points.
Top tip for Part B is to excel at identifying ideas or points within paragraphs, or sentences.
Part C, to understand meaning and opinion presented to you. This covers a longer text.
Top tip, the focus here is to understand the wider context, from sentence to paragraph level.
Writing:
This tests your ability to communicate effectively in a healthcare context, such a writing a referral letter. You will be given one task with a healthcare focus relating to the usual demands in the medical workplace.
The task is to write a letter, usually a referral. However, this can on occasion be a letter of discharge or advice for a patient. You will be provided with some materials to assist with context, and information to use in your writing.
How is the writing assessed?
overall execution and completion
use of the correct and most suitable language
overall comprehension and use of the materials provided
grammar, punctuation & spelling
cohesion, presentation, structure and layout
Top tip, reading more will considerably improve your writing skills.
Speaking:
This section tests your ability to communicate effectively in a role-play based on a typical healthcare scenario. Each role-play takes about five minutes each.
The test will start with an introduction and short warm up conversation. Then the role-play will begin one-by-one and you have three minutes to prepare for each.
How is the speaking assessed?
intelligibility (pronunciation)
appropriate use of language
relationship building
understanding and incorporating the patient’s language
providing structure
information gathering
information giving
What scores do I need?
For the GMC to accept your Occupational English Test (OET) certificate you will need to score a grade B or above in each test area.
These scores must be achieved in the same test, and this must be your most recent sitting of the OET.
Remember, for the GMC to accept your OET certificate, you must take the medicine version of the test.
Does time matter?
Each sub-test is timed, and you will need to practice how to give each section the right amount of time. You will have to be efficient and work quickly, dedicating the right amount of time to each question and text.
When and where can I sit the test?
You can sit the OET in test venues around the world and they offer the tests 14 times per year. To find out if there is a test venue that suits you take a look at the official website.
How can I prepare?
OET can be challenging. So, make sure you are as prepared as possible before sitting the exam.
OET involves learning a wide range of healthcare related and profession specific language.
To get the right score, this must be at an advanced level.
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You don’t need to pay take a course. However, it is highly advisable to attend a course, and/or language classes, successful IMGs have advised that this helped them improve their standards in all areas of the test, including improved general levels of English.
Most overseas doctors advise that they improved by attending specific OET courses, and this also helps you to get used to the test format and timings.
We strongly recommend that you start preparing for the exams as far in advance as you possibly can.
Establish your level of English, and work out what areas you will need to focus on. Identify your weaknesses, set goals for yourself and plan a revision timetable.
What resources are available online for each subtest?
Listening online resources:
A good start would be to watch and listen to extracts online, here are a few options:
BBC Factual Podcasts
BBC Health Matters
OET Listening Subtests
Reading online resources:
Read short, medium and long extracts online.
Why not try the following resources:
British Medical Journal
ABC health newsletter
OET Reading sub-test
Writing online resources:
To improve writing skills, we recommend reading and writing! Read short, medium and long extracts online. Write short extracts, re-write articles and write on your own journal.
Why not try the following resources:
British Medical Journal
Free Medical Journals
OET Writing sub-test
Speaking online resources:
To improve speaking skills, we recommend speaking! Speak with colleagues and friends in English as much as you can. You can also record yourself reading aloud or speaking and then play back your recording, assessing yourself.
Why not try the following resources:
British Medical Journal
Free Medical Journals
OET Sample Test Video
We have also created a useful blog series on Exam Tips and Revision Guidance, which includes tips for studying at home.
Passed? What next?
If you have your OET in place you are in a prime position to apply and interview for jobs.
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IELTS - FAQs
We have put together the most common FAQs asked by IMGs.
IELTS can be challenging and, without proper preparation, it is not uncommon for doctors to fail at their first attempt, so we will answer the following important questions:
What is the IELTS?
Do I need to sit an English Language Test?
Does the GMC accept IELTS?
Can I use my IELTS to support my Visa application?
Which version should I take? Academic, Academic UKVI or General?
Can I take the IELTS test a few times and combine my score?
What is the test format?
Where can I sit the exam?
When can I take IELTS?
Should I sit the paper or electronic version?
Can I cancel my application?
Is the IELTS test completed in one day?
When will I receive my results?
If I don’t pass, can I re-sit?
Do I need to take a study course?
Should I study?
Where can I find study materials?
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What is the IELTS?
IELTS is the International English Language Testing System which tests English language skills worldwide.
The exam tests your ability in reading, writing, speaking and listening.
Do I need to sit an English Language Test?
Yes, IELTS is chosen by different regulatory bodies to ensure that doctors and other healthcare professionals have the correct level of English to communicate at a high level with patients and colleagues, so as to provide safe and effective care.
Does the GMC accept IELTS?
Yes, as part of the GMC registration, the GMC require all doctors to demonstrate their level of English making them eligible to receive a license to practice in the UK, subsequently practicing medicine safely.
IELTS is one of two options accepted by the GMC, the other being OET
What score do I need?
For the GMC to accept your IELTS certificate you must achieve an overall score of 7.5 across all four areas, with no less than a 7.0 in in each testing area.
Can I use my IELTS to support my Visa application?
Yes, the pass score for a Tier 2 General Visa is 4.0 overall, and in each of the four skills. This does not change the requirements for GMC Registration, see above.
IELTS Academic UKVI is acceptable for both GMC and Tier 2 Visa applications, and for this reason can be an attractive route towards registration.
Not only will this save on fees, but also will ensure that only one test is taken.
Which version should I take? Academic, Academic UKVI or General?
You should take the Academic UKVI version;
IELTS Academic will only satisfy the GMC, but IELTS UKVI will satisfy both GMC registration and your visa application.
Can I take the IELTS test a few times and combine my score?
No, you must achieve your results in one sitting, and this must be your most recent sitting of the test.
What is the test format?
IELTS has four parts:
Listening (30 minutes)
Reading (60 minutes)
Writing (60 minutes)
Speaking (11–14 minutes)
The total test time is 2 hours and 45 minutes.
Where can I sit the exam?
IELTS is currently offered in over 120 countries, with more than 500 centres available.
When can I take IELTS?
IELTS is available on 48 fixed dates a year – up to four times a month, depending on your locality.
Should I sit the paper or electronic version?
It is up to you, but your choice will change the venues that are open to you, check the IELTS website for more information on booking a test.
The paper-based test requires you to sit at a desk with the question papers and answer sheets for the reading, listening and writing tests.
The computer-based test requires you to sit the reading, listening and writing tests in front of a computer with the questions presented on the screen.
Can I cancel my application?
If you cancel your application more than 5 weeks before the test date, you will receive a refund minus an administration charge. If you cancel within 5 weeks of the test date, you will be charged the full fee unless you have a medical reason.
Is the IELTS test completed in one day?
This depends on your test centre. The listening, reading and writing components of the test are always completed one after the other, with no break. The speaking test may be taken up to 7 days either before or after the test date. Check with your test centre for more details.
When will I receive my results?
The test report will be posted to you 13 days after your test date. Some test centres also provide SMS alerts and an Online Results Service, check with your centre for more information.
Keep your Test Report Form in a secure place as you only receive one copy and you will need it later!
If I don’t pass, can I re-sit?
You can sit the test as many times as necessary.
However, this will cost you more money, so at IMG Connect we advise that you prepare as best you can for every test. If you don’t pass the test, then do additional study before taking the test again.
Do I need to take a study course?
No, you don’t need to take a course. However, it is highly advisable to attend a course, and/or language classes.
Most IMGs advise that they improved by attending specific IELTS courses, and this also helps you to get used to the test format and timings.
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Should I study?
Yes, we strongly recommend that you start preparing for the exams as far in advance as you possibly can.
Establish your level of English, and work out what areas of weakness you will need to focus on. Set goals for yourself, and plan a revision timetable.
Where can I find study materials?
To prepare for the tests, there are lots of online resources and practice materials available. A good start is the IELTS and British Council websites.
You can also find practice papers online.
We also recommend joining an IMG Community to share ideas and questions with doctors also taking the tests.
Don’t forget! You must select the Academic UKVI version of the test, this is the only version accepted to support your GMC and Visa applications.
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English Language Tests – what are my options?
For IMGs passing an English Language test is an essential part of the GMC Registration process.
As an overseas doctor looking to work in the UK, there are different scenarios in which you’ll need to provide a pass in an English Language Test. This article should hopefully help you decide which one would suit you best and includes the following topics:
Who needs an English Language Test?
What are your options?
What are IELTS & OET?
Which should you choose?
Which test is accepted by who?
Which is easier?
Where and when can I sit the English Language Tests?
How can I prepare for the English Language Tests?
What resources are available?
How else can I study at home?
In summary
Who needs an English Language Test?
If you are an overseas doctor wanting to work in the UK, you must prove your English Language capabilities to enable you to register with the GMC (General Medical Council). To prove your capabilities you must successfully pass an English Language test.
We advise all overseas doctors intending to relocate to the UK, whether via PLAB or postgraduate routes, to start their English Language Test preparations as early as possibl, you may not be able to pass at first attempt.
What are your options?
In short, you have two options:
IELTS (International English Language Testing System)
OET (Occupational English Test)
Both are used to test the English language levels of healthcare professionals in different parts of the world.
Importantly, both are used to demonstrate the correct levels of English have been attained for registration to work in the UK healthcare system.
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What are IELTS & OET?
These English Language Tests are chosen by different regulatory bodies to ensure that doctors and other healthcare professionals have the correct level of English to communicate at a high level with patients and colleagues, so as to provide safe and effective care.
For IMGs relocating to the UK, it is important to start by saying that both the IELTS and OET are accepted by the General Medical Council (GMC).
However, it is also important to note that OET is not accepted for Tier 2 Visa applications, which we will explore later.
IELTS:
IELTS is designed for people wanting to work or study in the UK. IELTS has a non-academic version, but be careful, for overseas doctors it is the Academic IELTS UKVI version that you want.
IELTS consists of 4 sections, Reading, Writing, Speaking and Listening.
To pass an average score of 7.5 or above is required, with all areas scoring above 7.0.
OET:
OET is language assessment designed for healthcare professionals. It has many versions, so be careful to select the relevant course for an IMG, the medical version.
OET is fast becoming a popular choice and is equally recognised by the GMC as an accurate test of English for doctors.
OET consists of 4 sections, Reading, Writing, Speaking and Listening. To pass a grade of B (or above) is required in all areas.
Which should you choose?
IELTS gives a broader test of the English language, not just workplace specific. IMGs who took this option have told us that their preparation has had a positive impact on their life in the UK, outside of the workplace.
However, it is also true that OET focuses more on the language that is relevant to healthcare professionals. Many overseas doctors tell us that they like this option as it tested their ability within the context of the medical profession.
Both are accepted by the GMC, so for the purposes of GMC registration only, one is not better than the other.
Both are now accespted for your Tier 2 Visa sponsorship with the Home Office.
For EEA doctors, you do not require a visa and only need to satisfy the GMC’s English language criteria.
If you have qualified outside of the EEA, your English Language Tests will need to satisfy both the GMC and the UK Home Office.
We have created the table below to help you check if you are taking the right test:
YES (7.5 overall, no less than 7.0 in all sections)
GMC registration
Tier 2 Visa (CoS)
Academic IELTS
YES (7.5 overall, no less than 7.0 in all sections)
NO
Academic IELTS UKVI
YES (7.5 overall, no less than 7.0 in all sections)
YES (4.0 in all sections)
OET
YES (Score of B+ in all areas)
YES
Which is easier?
This really falls down to a matter of preference.
Both are difficult and require hard work and exam study. Why not take a look at our tips for preparing for English Language Exams at home.
Some will find the OET works well for them as it covers healthcare specific language, meaning that you can make good use of your existing healthcare knowledge and vocabulary.
IELTS is not specific to the healthcare profession, it is taken by professionals from all industries. So, the topics covered are more general.
If your English level is good enough, neither OET or IELTS will hold you back.
There is no evidence to suggest that one test is easier than the other.
Here is a comparison chart to help:
IELTS Academic UKVI
OET
Test time
2 hrs 45 mins
Approx. 3 hrs
Listening
30 mins
You will be asked to listen to 4 recordings and answer questions based on what you’ve heard. The recordings will be two lectures or monologues and have two spoken conversations. The questions will ask you to ‘fill in the blanks’ or ‘match the following’, as well as ask you to label, complete sentences and more.
50 mins
This section is broken into two, part A and B.
Part A will ask you to take notes on a consultation, and part B will ask you to fill in the blanks and answer multiple choice questions after listening to a healthcare lecture.
Reading
1 hr
You will be given three passages of text taken from journals and newspapers etc. You will then be asked to answer questions and complete tasks based on the reading material provided. Some of the questions may be multiple choice, true or false, note completion, identification etc.
1 hr
This is split into two parts, part A and B. Part A is made up of 4 short texts – you fill in the blanks and complete a summary of the topic being discussed. Part B requires you to read two longer texts and answer multiple choice questions about each.
Writing
1 hr
This includes two tasks. The first is 20 minutes, you will need to study and write about some data or graphs provided.
The second task will ask you to write an essay based on a broad subject.
45 mins
This test will require you to read some case notes and write a discharge, follow up or referral letter based on the notes.
Speaking
15 mins
This is split into three parts. Each part is a general discussion. Firstly, this will be a discussion on topics such as family, hobbies and interests. This is followed by task card topics, which you will be given with a topic to speak about.
20 mins
This task starts with a short warm up discussion with the examiner. The main test then comprises of two role plays, in which you will play a doctor, and the examiner will play a patient. The interaction will be based on a selected topic card.
Accepted for GMC registration
YES if you take the Academic IELTS UKVI option (7.5 overall, no less than 7.0 in all sections)
YES if you take the medicine version (Score of B+ in all areas)
Accepted for Tier 2 Visa
YES if you take the Academic IELTS UKVI option (4.0 in all sections)
YES
Cost (£)
£200
£349
Where and when can I sit the English Language Tests?
IELTS is available in over 140 countries, with tests held up to 4 times per month. Check if there is a venue near where you live.
OET is available 14 times per year in 40 countries, with the number of cities and venues increasing each year. Check if is there is a venue near where you live.
How can I prepare for the English Language Tests?
IELTS and OET can be challenging, so make sure you are as prepared as possible before sitting the exam.
Preparing for any English Language Test, whether you have chosen IELTS or OET, requires learning a huge amount of vocabulary, learning how to write specific reports or essays, using a high level of grammar and structure and learning how to engage with a range of scenarios and acquire a set of key exam techniques.
You should take time to research each area of the test in detail, but don’t worry, help is at hand, and we will explore some of the best resources online.
Your preparation for each test will need to be different.
This doesn’t mean that one will require more or less preparation, just that you will need to study varied pathways and prepare different topics and vocabulary.
IELTS involves learning a much wider amount of vocabulary on a range of academic subjects so that you will be prepared to read academic texts quickly and effectively, understand lectures, talks and questions, giving opinion in detail.
You will have to prepare how to write reports on a variety of data and essay types.
Written texts are to be of a high standard, including complex structures and grammar.
OET involves learning a wide range of healthcare related and profession specific language. The test will require you to follow clinical scenarios, understand medical texts and talks. You will need to write a healthcare letter, such as a referral. To get the right score, this must be at an advanced level.
Successful IMGs who have passed, told us that learning key exam techniques helps you to work quickly and effectively during the test day.
What resources are available?
For IELTS, the British Council provide free online preparation on their website.
The British Council also offer the IELTS word power app. It's a great way to prepare for your test no matter where you are. Download the app here.
The IELTS publication Information for Candidates has valuable information about the way the test is run and what to expect on the day.
For OET practice, you can buy helpful OET guidance packs online.
The OET also offer a preparation portal full of material to help you study for the test, including free practice materials.
How else can I study at home?
Successful IMGs have told us that one of the most effective ways to improve their general level of English and help them on their journey to improving their English Language scores in both IELTS and OET, is to study at home.
Whilst exam papers are an essential weekly part of your overall study plan, too many exam papers can lead to boredom or frustration.
Most find the following helpful (and enjoyable):
Listen to podcasts
Speak to native English speakers (you can always give us a call!)
Watch relevant YouTube videos for your chosen exam
Watch movies
Listen to radio
Read articles relevant to your exam
In summary:
Neither exam is easier than the other. Both Academic IELTS UKVI and OET Medicine show you have an advanced level in English. It really is up to you!
You may find OET simpler to understand as it is healthcare related and tests the language you use in daily practice.
The same can be said about IELTS, you may find the general nature of the topics more suited to you.
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OET vs IELTS – as an overseas doctor, which should I choose?
For overseas doctors looking to register with GMC, passing an English Language test is essential.
Doctors regularly ask us which test is the most suited for IMGs to sit and which is more suited to the medical professional? There are different scenarios in which you’ll need to provide a pass in an English test. This article should hopefully help you decide which English Language Test would suit you best and includes the following topics:
What are IELTS & OET?
Which test is accepted by which registration body?
What are the similarities and differences?
What do I need to score in each test for GMC registration?
Where and when can i sit the English Language Exams?
How do I prepare for the exam?
Which test should I choose?
Can i get offered an exemption?
If you are an IMG relocating to the UK to start a doctors job, you will be required to take an English Language exam, enabling you to register with the GMC (General Medical Council).
What are IELTS & OET?
Both IELTS (International English Language Testing System) and OET (Occupational English Test) are used to test the English language levels of healthcare professionals in different parts of the world.
They are chosen by different regulatory bodies to ensure that doctors and other healthcare professionals have the correct level of English to communicate at a high level with patients and colleagues, so as to provide safe and effective care.
For international doctors relocating to the UK, it is important to start by saying that both the IELTS and OET are accepted by the General Medical Council (GMC).
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Which test is accepted by which registration body?
For overseas doctors the main consideration is whether your English language test needs to be considered for GMC registration as well as Tier 2 visa sponsorship with the Home Office.
For EEA doctors, you do not require a visa and only need to satisfy the GMC’s English language criteria.
If you have qualified outside of the EEA, your English Language Tests will need to satisfy both the GMC and the UK Home Office. The good news is that recent changes to the rules means that both IELTS and OET are accepted for GMC registration and yoru Tier 2 visa. Check out the recent updates here.
We have created the table below to help you check if you are taking the right test:
GMC registration
Tier 2 Visa (CoS)
Academic IELTS
YES (7.5 overall, no less than 7.0 in all sections)
NO
Academic IELTS UKVI
YES (7.5 overall, no less than 7.0 in all sections)
YES (4.0 in all sections)
OET
YES (Score of B+ in all areas)
YES
OET and Tier 2 visas: Only one test now required for both UK registration and visa purposes.
What are the similarities and differences?
Similarities:
Each consists of four areas, one for each English language skill: reading, listening, writing and speaking.
Both tests take place in one day.
Both give a graded score (not pass or fail)
Both are recognised by the GMC and other healthcare regulatory bodies in the UK
There are however, more differences.
Differences:
The content of the exam is different.
IELTS tests overall academic English (as an IMG you must select the Academic IELSTS UKVI test as this is the one recognised by the healthcare regulatory bodies, i.e. GMC & Home office).
What does this mean in practice? Well, this includes the ability to write essays, follow lectures, understand academic articles, journals and newspapers, discuss a wide range of topics including social, environmental, educational and cultural trends.
The OET is different, the OET has been designed specifically for medical professionals, including nursing, medicine, radiography, occupational therapists and so on. Be sure to choose the correct exam for you, medicine!
The OET tests healthcare English, including the ability to communicate effectively in medical scenarios, write referral letters, understand a patient consultation, or follow a text from a medical journal.
Your preparation will need to be different
This doesn’t mean that one will require more or less preparation, just that you will need to study varied pathways and prepare different topics and vocabulary.
IELTS involves learning a much wider amount of vocabulary on a range of academic subjects so that you will be prepared to read academic texts quickly and effectively, understand lectures, talks and questions, giving opinion in detail.
You will have to prepare how to write reports on a variety of data and essay types.
Written texts are to be of a high standard, including complex structures and grammar.
OET involves learning a wide range of healthcare related and profession specific language. The test will require you to follow clinical scenarios, understand medical texts and talks. You will need to write a healthcare letter, such as a referral. To get the right score, this must be at an advanced level.
Successful IMGs who have passed, have told us that learning a range of exam techniques helps you to work quickly and effectively during the test day.
What do I need to score in each test for GMC registration?
IELTS:
IELTS is marked out of 9 in each paper. For GMC registration an overall score of 7.5 must be achieved, with a minimum of 7.0 in each area of the test.
OET:
OET is marked grades A to E in each paper. For GMC registration a minimum of grade B is required in all areas to pass the exam, or a point score of 350 points across all areas of the test.
Where and when can I sit the English Language Tests?
IELTS is available in over 140 countries, with tests held up to 4 times per month. Check if there is a venue near where you live.
OET is available 14 times per year in 40 countries, with the number of cities and venues increasing each year. Check if is there is a venue near where you live.
How do I prepare for either exam?
Preparing for any English Language Test, whether you have chosen IELTS or OET, requires learning a huge amount of vocabulary, learning how to write specific reports or essays, using a high level of grammar and structure, learn how to engage with a range of scenarios and acquire a set of key exam techniques.
You should take time to research each area of the tests in detail, but don’t worry, help is at hand, for more information on how to prepare, take a look at our blog series on English Language testing.
Can I be exempted from the english language test?
Some specialisms that are hard to fill such as emergency medicine and various specialist medicines, however NHS hospitals do not like offering exemptions - and they are only offered to candidates who exhibit excellent language capabilties at interview. IMG Connect strongly recommends all doctors to practice for and pass an English language test. Get in touch if you would like to know more about exemptions or think you are eligible.
Which test do I choose?
Neither exam is easier than the other. Both IELTS 7.5 and OET B show you have an advanced level in English. It really is up to you!
You may find OET simpler to understand as it is healthcare related and tests the language you use in daily practice.
The same can be said about IELTS, you may find the general nature of the topics more suited to you.
I have my ELT in place, what next?
Depending on what other qualifications you have in place, you may have to pass an accepted postgraduate qualification in order to be eligible for full GMC registration. Regardless, passing your english test is a huge acheivement and will take you that one giant step closer to working in the NHS. So congratulations!
For more useful blogs & articles on English Language Tests to help you find your dream job in the NHS - take a look at our IMG Library.
Don’t hesitate to get in touch with an IMG Consultant to discuss UK job options in the NHS and English Language Tests, including discussions regarding a typical doctor salary in the UK and the most suitable locations for you.
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MRCP Part 2 – a guide for overseas medicine doctors
MRCP Part 2 is the second of three exams to attain full MRCP UK.
This article is written for overseas doctors taking the MRCP route to GMC registration, written to help you prepare fir & sit the Part 2 examination. We consider the following topics:
What is MRCP Part 2?
Am I eligible to sit MRCP Part 2?
What is the exam content & format?
Where I can take the exam?
When is the exam sat and when can I apply?
How much does it cost?
How can I prepare for the exam?
Passed? What next?
What is MRCP Part 2?
Building on the knowledge assessed in Part 1, the exam tests your acquisition of a representative sample of medical knowledge, skills and behavior as specified in the UK Specialty Training Curriculum for Core Medical Training.
It is designed to test your application of clinical understanding and capacity to make clinical judgements, including:
prioritisation of diagnostic or problem lists
investigation planning
selection of a plan for immediate management
selection a plan for long-term management
assessment prognosis
Am I eligible to sit MRCP Part 2?
You are eligible if you have passed the MRCP(UK) Part 1 examination. A reminder that to be eligible for Part 1, you require 12 months experience and a recognised Primary Medical Qualification.
The Part 2 written examination moved to a single day format at the beginning of 2018. The new examination consists of two, three-hour papers each with 100 questions.
What is the examination format and content?
A good understanding of the examination format is a great foundation for your exam preparation, so below we have summarised the Royal College’s guidance on the Part 2 examination format and content.
Format:
The exam consists of two-papers, sat over the course of one day in an examination hall. Each paper is 3 hours in duration and contains 100 multiple choice questions in ‘best of five’ format (200 questions in total).
Composition of the papers are as follows:
Specialty
Number of questions *
Cardiology
19
Dermatology
9
Endocrinology and metabolic medicine
19
Gastroenterology
19
Geriatric Medicine
9
Hematology
9
Infectious diseases and GUM
19
Neurology
17
Nephrology
19
Oncology and palliative medicine
9
Ophthalmology
3
Psychiatry
3
Respiratory Medicine
19
Rheumatology
9
Therapeutics and toxicology
18
Total
200
*This should be taken as an indication of the likely number of questions – the actual number may vary by up to 2%. A proportion of the questions will be on adolescent medicine.
Question Content:
Questions are centred on the diagnosis, investigation, management and prognosis of a patient.
They usually have a clinical scenario and may include results of investigations and images such as:
clinical photographs
pathology slides
inheritance trees
ECGs, X-rays, CT and MR scans and echocardiograms.
In addition to testing core knowledge & comprehension, the exam assesses your ability to interpret information and solve clinical problems.
Best of Five question format and marking:
There will be five options: one correct answer and four alternatives to the correct answer.
The four distractors will be closely related to the preferred option but less correct, therefore acting as plausible alternatives.
Each correct answer is awarded one mark and there is no negative marking.
A more detailed explanation of the marking system used can be found here on the exam pass mark page of the Royal College website in MRCP(UK) Regulations.
Where can I take the exam?
MRCP(UK) Part 2 can be taken in the UK and overseas, see below:
*Please note these differ slightly from MRCP(UK) Part 1 examination centers
** UK test centres dependent on availability
Exam
UK Test Centres
Overseas Test Centres
MRCP(UK) Part 2
Edinburgh
Manchester
Newcastle
Glasgow
Belfast
Birmingham
Cardiff
London
Bahrain (Manama)
Bangladesh (Dhaka)
Egypt (Cairo)
Hong Kong
Iceland (Reykjavik)
India (Chennai, Kerela, Kolkata, Mumbai, New Delhi)
Iraq (Baghdad, Erbil)
Jordan (Amman)
Kenya (Nairobi)
Kuwait (Kuwait City)
Malaysia (Kuala Lumpur)
Malta
Myanmar (Yangon)
Oman (Muscat)
Pakistan (Karachi, Lahore)
Qatar (Doha)
Saudi Arabia (Jeddah, Riyadh)
Singapore
Sri Lanka
Sudan (Khartoum)
United Arab Emirates (Abu Dhabi, Dubai)
United States of America (New Jersey)
West Indies (Barbados, Jamaica, Trinidad)
When is the exam sat and when can I apply?
Exam dates and their application periods can be found here.
It is important to note that you must apply for each MRCP exam during the specified application period. Application made outside of the designated period will not be accepted.
How much does the exam cost?
UK applications cost £419
International applications cost £594*
Please note, the application process and fees applicable for Hong Kong and Singapore centres differ. Applications should be made directly to the administration team for this centre.
How can I prepare for the exam?
With lots of resources available online, we have discussed with IMGs the best place to start looking for materials relating to the exams. Most IMGs recommended starting with the Royal College, who have created useful resources to help you to prepare for the exams. See below:
Curriculum: Applicants are tested on a range of common and important disorders in General Medicine as set out in the Joint Royal Colleges Specialty Training Curriculum for Core-Medical Training.
We recommend getting to know this as early as possible, using it as a road map for your study plan.
MRCP(UK) mock exams: We suggest registering for the MRCP mock exams here. These will provide you with the most accurate and relevant mock questions to prepare you for the real thing.
Sample questions: Test your knowledge using example questions from the current exam syllabus provided by the Royal College, found herePart 2 sample questions
For a useful overview of how to prepare for exams, including advice on study groups, online community support, best use of online resources & Royal College materials and courses - take a look at our blog: IMG Connects Top Tips for exam preparation.
Passed? What next?
Now you have passed your MRCP Part 2 you can apply to take PACES - the practical and final examination within the MRCP set of examinations.
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What postgraduate routes are available for overseas doctors?
Recognised postgraduate qualifications are essential to work in the NHS with full GMC registration.
The GMC must be satisfied you have sufficient knowledge and skills before it grants you a license to practice, and for international doctors there are various routes to be considered. Your experience and desired role in the NHS should help shape the route you take option for you. The following postgraduate routes are available to you:
PLAB
UK Postgraduate Qualification (Royal College Qualification)
Recognised or Equivalent Postgraduate Qualification
PLAB:
The first and most popular route for more junior doctors is the Professional and Linguistic Assessments Board or PLAB as its commonly known. It is a two-part exam, with Part 1 taken all over the world and the second part taken in the UK only. It is a quick and relatively simple set of examinations for overseas doctors to work in the NHS.
Have a read through our detailed and helpful blog series on the PLAB tests for more information.
UK Postgraduate Qualifications / Royal College qualifications:
One of the most popular routes for overseas doctors is to attain a UK Postgraduate Qualification through one of the UK's Royal Colleges.
There are twenty-four Royal Colleges in existence in the UK, and they are the professional bodies responsible for the individual medical specialties they cover. Amonst their many duties, their role is to set and monitor the educational curriculum for those training to enter their respecitive professions.
UK trainees will sit a series of examinations set by their Royal College depending on what medical speciality they have chosen and these generally are set to a higher level of specialism and training when compared to the PLAB examinations.
Attaining a Royal College Qualification will of course satisfy GMC postgraduate criteria for full registration and are often the route for more senior international candidates looking to work in the UK. Certainly, if you want to
Have a read through our Postgraduate Qualifcation section to find the qualification set against your specialty. The entire list of Royal College examinations can be found below.
Alternatively, have a look through our blog on PLAB v Royal College to help you decide.
CLICK ON THE QUALIFICATION BELOW TO READ A USEFUL GUIDE FOR IMGs.
Awarding Body
Qualification
Royal College of Anaesthetists
Primary FRCA examination
Royal College of Emergency Medicine
Membership of the College of Emergency Medicine
(MCEM/MRCEM)
Royal College of Obstetricians and Gynaecologists
Membership of the Royal College of Obstetricians and Gynaecologists
(MRCOG)
Royal College of Paediatrics and Child Health
Membership of the Royal College of Paediatrics and Child Health
Royal College of Pathologists
Fellowship of the Royal College of Pathologists
(FRCPath) by examination only
Haematology, Histopathology, Medical Microbiology
Royal College of Physicians and Surgeons of Glasgow
Fellowship of the Royal College of Physicians and Surgeons of Glasgow
(FRCS Glasg Ophthalmology)
Royal College of Physicians London
Royal College of Physicians Edinburgh
Royal College of Physicians and Surgeons of Glasgow
Membership of the Royal College of Physicians MRCP (UK)
Royal College of Psychiatrists
Membership of the Royal College of Psychiatrists
(MRCPsych)
Royal College of Radiologists
Fellowship of the Royal College of Radiologists (FRCR)
Royal College of Surgeons Edinburgh
Membership of the Royal College of Surgeons of Edinburgh
(MRCS Ed Opthalmology)
Royal College of Surgeons of England
Royal College of Surgeons of Edinburgh
Royal College of Physicians and Surgeons of Glasgow
Any of the following:
Intercollegiate Membership of the Royal College of Surgeons - MRCS
Intercollegiate Membership of the Royal College of Surgeons - (MRCS (ENT))
Collegiate Membership of the Royal College of Surgeons - (MRCS)
Fellowship of the Royal College of Surgeons - (following examination) (FRCS)
Recognised or Equivalent Postgraduate Qualifications
Another option is to attain a GMC recognised overseas qualification. These overseas qualifications are recognised by the GMC as equivalent and will be accepted as evidence that you have the necessary knowledge, skills and experience to apply for full registration with a licence to practise.
Have a read through our blog on GMC Recognised Postgraduate Qualifications to find out if your qualification is on the list and recognised by the GMC.
Please note, you must be granted full registration with a license to practice within three years of passing your postgraduate qualification.
Recognised Equivalent Qualifications:
Country
Awarding Body
Qualification
America
American Board of Pediatrics (ABP)
Diplomate of the American Board of Pediatrics - General Pediatrics
America
American Board of Anaesthesiology
Certificate of the American Board of Anaesthesiology
America
The American Board of Radiology
The American Board of Radiology diagnostic radiology examination
Australia/New Zealand
Australian and New Zealand College of Anaesthetists
Fellowship of the Australian and New Zealand College of Anaesthetists
Australia/New Zealand
Royal Australasian College of Physicians
FRACP Adult medicine or evidence of three years of basic training (PREP) + achievement of RACP written and clinical examinations
OR
FRACP Paediatrics or evidence of three years basic training (PREP) + achievement of RACP written and clinical examinations
Australia/New Zealand
The Royal Australian and New Zealand College of Psychiatrists
Fellowship of The Royal Australian and New Zealand College of Psychiatrists (FRANZCP) awarded since January 2012
Australia/New Zealand
The Royal Australian and New Zealand College of Radiologists
Fellowship of The Royal Australian and New Zealand College of Radiologists (FRANZCR) (Clinical Radiology)
Fellowship of The Royal Australian and New Zealand College of Radiologists (FRANZCR) (Radiation Oncology)
Bangladesh
Bangladesh College of Physicians and Surgeons
Fellowship in Anaesthesia or Anaesthesiology awarded since July 1999
Canada
The Royal College of Physicians and Surgeons of Canada
The Royal College of Physicians and Surgeons of Canada - diagnostic radiology examination
Europe
European Academy of Anaesthesiology or European Society of Anaesthesiology
European Diploma in Anaesthesiology and Intensive Care
Hong Kong
Hong Kong College of Physicians
Membership of the Hong Kong College of Physicians
Ireland
College of Anaesthetists of Ireland
Fellowship of the Faculty or the College of Anaesthetists
Ireland
Royal College of Physicians in Ireland
MRCP Medicine (Medicine of Childhood)
Ireland
Royal College of Surgeons in Ireland
MRCS (collegiate examination)
MRSCI (intercollegiate examination)
Fellowship of the Royal College of Surgeons Ireland
Fellowship of the Faculty or the College of Anaesthetists of the Royal College of Surgeons in Ireland
Malaysia
Ministry of Health
Master of Medicine (MMED) Malaysia with MRCP (UK) awarded since 1 July 2010
This must include four years of clinical experience (required to complete MMED) plus two years of training
Pakistan
College of Physicians and Surgeons Pakistan
FCPS Paediatrics Pakistan
Fellowship in Anaesthesiology awarded since1998
Singapore
National University of Singapore
Master of Medicine (Paediatrics)
Master of Medicine (Internal Medicine) including MRCP (UK)
Singapore
Joint Committee on Specialist Training Singapore
Master of Medicine (MMED) Singapore, plus MRCP (UK) awarded since 1 July 2010
South Africa
College of Anaesthetists of South Africa
Fellowship of the College of Anaesthetists of South Africa
FCA (SA)
South Africa
Colleges of Medicine of South Africa
Fellowship of the College of Radiologists of SA FC Rad Diag (SA) - Diag Rad awarded after 1 October 2013
Sri Lanka
University of Colombo, Sri Lanka
Doctor of Medicine or MD (Anaesthesiology)
Doctor of Medicine or MD, (Obstetrics and Gynaecology)
Doctor of Medicine or MD, (Paediatrics)
Doctor of Medicine or MD (medicine) awarded after January 2017
Doctor of Medicine or MD (surgery) awarded after July 2017
West Africa
West African College of Physicians
Fellowship of the West African College of Physicians (Paediatrics)
West Indies
University of the West Indies
Doctor of Medicine (Anaesthesia) awarded since September 2003
(Course title has since changed to Doctor of Medicine (Anaesthesia and Intensive care)
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What is the GMC?
The GMC is the public body that maintains the register of Medical Practitioners in the UK.
The chief responsibility of the General Medical Council is to ‘protect, promote and maintain the health and safety of the public’ in addition to improving medical education and practice across the UK. They define their role with the four main duties below:
Decide which doctors are qualified to work in the UK
Oversee UK Medical education and training
Set the standards doctors need to follow throughout their career
When necessary, take action to prevent unsafe practice or patient safety being jeopardised
How does the GMC support itself?
Through people like you! The GMC is supported by fees paid by the doctors that make up its membership, and it became a registered charity in 2001.
Where is the GMC based?
The GMC has offices in Central London and Manchester and you will need to personally attend an ID check at one of these offices in order to complete your registration. This can also be a great opportunity to meet your IMG Consultant and get to know the UK a little before relocating!
Licensing and revalidating doctors in the UK
The GMC is also responsible for licensing and revalidating every doctor practising in the UK.
This is essential to continued practice and needs completing every 5 years. This will be very important for you in years to come. You can find out more about revalidation here.
How do I register with the GMC?
Registering with the GMC is a multi-staged process and requires deeper explanation! Find out how to become a fully registered member of the GMC by having a look at our blog on GMC Registration.
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MRCP(UK) PACES - a guide for overseas medicine doctors
PACES is the final exam in the MRCP UK examination series.
Attaining full MRCP UK will facilitate registration with the GMC for overseas doctors, allowing you to secure a job in one of the many medical specialties in the NHS, depending on your experience and specialisation. In this article we will consider the following:
What is PACES?
Am I eligible to sit MRCP PACES?
What is the content and format?
How is PACES marked?
As an overseas candidate where can I take the exam?
When should I take PACES?
How can I prepare for the exam?
Passed? What next?
What is PACES?
The Practical Assessment of Clinical Examination Skills (PACES) is designed to test the clinical knowledge and skills of trainee doctors who hope to enter higher specialist training (ST3). The exam sets rigorous standards to ensures trainees are competent across a wide range of skills and are ready to provide high-quality care to patients.
Am I eligible to sit MRCP PACES?
You must have passed the Part 1 written examination within the last seven years before taking PACES. The Royal College strongly advises trainees to apply after competing two years practical experience and Part 2 of the examination.
What is the content and format?
PACES is based on a format that is similar to OSCEs, a practical assessment in a clinical setting. There are five clinical stations with either patients with a given condition, or trained stand-ins (surrogates).
The exam is sat over a half-day and assesses seven core skills over five stations. IMGs can expect eight patient encounters assessed independently by a total of ten examiners (two at each station).
The seven core skills:
Physical examination – demonstrate correct, thorough, systematic, appropriate and professional technique of physical examination.
Identify physical signs – identifying physical signs correctly.
Clinical communication – elicit a clinical history relevant to the patient’s complaints, in a systematic, thorough and professional manner.
Differential Diagnosis – create a sensible, clinically assessed differential diagnosis for a patient.
Clinical Judgement – select an appropriate management plan for a patient or clinical situation. Select appropriate investigations or treatments for a patient that the candidate has clinically assessed.
Managing patients concerns – seeks, detect, acknowledge and address patients or relatives concerns, confirming their understanding and demonstrate empathy.
Maintain patient welfare – treat a patient or relative respectfully and sensitively in a manner that ensures their comfort, safety and dignity.
The PACEs Carousel:
The Carousel consists of five stations, each assessed by two independent examiners. Candidates start at any of the five stations, moving round the carousel at 20-minute intervals, until completed. A five-minute period between each station is given.
Candidates are marked on clinical skills at each encounter in the examination. An encounter is when a candidate has an interaction with a patient or a surrogate. Stations 2 and 4 involve one encounter, whereas stations 1, 3 and 5 have two encounters.
How is PACES marked?
PACES is marked on seven skills, A-G, these are:
Skill A: Physical examination (stations 1, 3 and 5)
Skill B: Identifying physical signs (stations 1, 3 and 5)
Skill C: Clinical communication (stations 2, 4 and 5)
Skill D: Differential diagnosis (stations 1, 2, 3 and 5)
Skill E: Clinical judgement (all stations)
Skill F: Managing patients’ concerns (all stations)
Skill G: Maintaining patient welfare (all stations)
Skill B, identifying physical signs, is often considered the most challenging skill to pass.
As an overseas candidate where and when can I take the exam?
It is a little more complicated than Part 1 or 2 exams and exam slots are often in short supply. Whilst the Royal College is working hard to increase the number of spaces, it is not always possible to offer a place to all applicants.
Priority is given to those candidates who are near the end of their stage 2 eligibility period. A full list of examination dates can be found here, please note these are subject to change.
Overseas centres, available spaces and fees are listed below:
Center
Spaces available
Fees
Center
Spaces available
Fees
Brunei
45
£1202
Malta
45
£1202
Egypt
90
£1202
Myanmar (Mandalay)
45
£1202
Hong Kong
75
HK$14,945
Myanmar (Yangon UM1)
75
£1202
India (Bengaluru)
45
£1202
Myanmar (Yangon UM2)
45
£1202
India (Chennai)
75
£1202
Oman
75
£1202
India (Hyderabad)
45
£1202
Qatar
45
£1202
India (Kochi)
60
£1202
Singapore
75
£1297
India (Kolkata)
45
£1202
Sri Lanka (Colombo)
45
£1202
India (New Delhi)
45
£1202
Sudan
45
£1202
Kuwait
60
£1202
United Arab Emirates (Al Ain)
45
£1202
Malaysia (Kuala Lumpur)
120
£1202
United Arab Emirates (Dubai inc. Sharjah)
60
£1202
Malaysia (Penang)
45
£1202
UK exam centres
The examination is run at clinical centres across the UK (England, Scotland, Wales and Northern Ireland); these vary from diet to diet.
When should I take PACES?
Royal College performance data provides some food for thought when considering when to apply for PACES. The data suggests:
Wait at least 36 months after graduation before applying.
Those taking the exam before this period were less likely to pass.
24-36 months post-graduation – 50% pass rate
36-48 months after graduation – 77%
Candidates that had already passed part 1 & 2 written examinations were significantly more likely to pass PACES at first attempt.
How can I prepare for the exam?
With lots of resources available online, we have discussed with IMGs the best place to start looking for materials relating to the exams. Most IMGs recommended starting with the Royal College, who have created useful resources to help you to prepare for the exams. See below:
Curriculum: Applicants are tested on a range of common and important disorders in General Medicine as set out in the Joint Royal Colleges Specialty Training Curriculum for Core Medical Training.
We recommend getting to know the curriculum as early as possible, using it as a road map for your study plan.
It is recommended that to give yourself the best chance, you gain clinical experience involving care of emergency patients, adults and children.We advise you to regularly invite senior colleagues to observe and provide feedback on your clinical assessments, so you will be comfortable with the PACES format and give you confidence in approaching and examining patients with examiners present.
PACES station 4 examiner guidance examples: This useful guide contains examples of the types of statements found in the examiner guidance section of station 4 scenarios.
This will help you to understand what the examiner is looking for.
PACES sample scenarios: These will provide you with the most accurate and relevant scenarios to prepare you for the real thing. Sample scenarios cover Station 2, 4 & 5 (‘history taking’, ‘communication skills and ethics’ and ‘clinical consultations’ respectively.
Most of these have been previously used in a recent exam, but please note that during the exam you will only receive the section marked ‘information for the candidate’.
Videos on what to expect on the day: These helpful videos will give you a true reflection of what to expect on the day of the exam, easing some of the pressure and ensuring you can focus on the task at hand.
PACES candidate video: Whilst there are lots of useful videos online that are easy to find, the PACES candidate video contains important information about the exam, and practical examples of how the exam will run.
Candidate guidenotes: these guidenotes created by the Royal College help IMGs to understand what to expect on the day, from your arrival to the completion of the test.
It can also be useful to understand how IMGs have failed the exam in the past, as this will give you the best chance to pass first time. The ‘how I failed PACES’ guide provides tips to help you to identify where you might be going wrong, along with practical advice to help you to improve.
For a useful overview of how to prepare for exams, including advice on study groups, online community support, best use of online resources & Royal College materials and courses - take a look at our blogs on exam tips and preparation.
Passed? What next?
First of all, congratulations! After you have passed all parts of MRCP(UK) you can apply for a full registration with a license to practice. Once the GMC have approved your application, you can work as a doctor in the UK.
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GMC Registration - the online application
An application for GMC registration is completed online.
In this article we take an in depth look at putting together your online application for the GMC and cover the following topics:
Preparing and understanding what documents you need
Applying for Online Registration
Paying your registration fee
Providing the required evidence
GMC ID Checks
I've had my ID checked, what next?
Preparing and understanding what documents you need to apply for GMC online
All applicants must have prepared:
Evidence of English Language Test
Evidence to support your fitness to practise
Explanations for breaks in medical practise
Preparation specific to EEA Doctors:
Acceptable Primary Medical Qualification (PMQ).
Preparation specific to non-EEA Doctors:
Acceptable overseas PMQ (different from GMC recognised PMQ)
Verification of primary medical qualification
Knowledge and skills fit for UK practise (PLAB or Postgraduate Qualification)
Read our blog on accepted PMQs here.
Or read up on verifying your PMQ with the GMC here.
At IMG Connect we always recommend that you prepare all of your documentation and get organised before starting any application. If you do, completing the online application will prove to be much quicker.
Applying for GMC Online Registration
Applications are completed online here.
Paying your GMC registration fee online
For full information on fees and discounts available visit the GMC website.
Standard fees are £399 (please note these have recently increased from April 2019). Discounted fees of up to 50% are available depending on your gross annual worldwide income. If you are unsure if you qualify for a discount speak to your IMG Consultant at any time.
Providing the required evidence
Once you have made your online application the GMC will send you an email telling you what evidence you will need to provide copies of (which you will already have prepared).
Gather your documents and scan them as one PDF file.
Email these documents within 28 days of receiving this email to keep your application live.
Once the GMC have received your documents they will assess them and respond to you within five working days. At this point they will either ask for further evidence or consider your application complete.
If further evidence is required you will have 14 days to responds to keep your application live.
GMC ID Check
Congratulations! You are nearly there…
Now your online application is complete, the GMC will invite you to attend an ID check at one of the GMC offices in either London or Manchester. You must bring your original documents to this meeting.
If you do not attend your ID check within 3 months of your invitation your application will unfortunately be closed.
Attending the GMC check in London provides us with a great opportunity to meet our doctors face to face and introduce ourselves over a coffee or lunch. Your dedicated IMG Consultant would love to arrange this with you, should this fit in with you busy schedule of course.
I've had my ID checked by the GMC, what next?
Congratulations are in order!! Once you have attended your ID Check and presented your original documentation you are granted registration and can now work as a doctor in the UK.
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Verifying Qualifications with ECFMG via EPIC - guide for overseas doctors
Overseas doctors will need their medical qualifications verified before the GMC grants their registration.
In order to work in the NHS you need full registration with the GMC, and this involves independent verification of both primary medical degrees and your GMC recognised postgraduate qualification. The process of verification is is done by the Educational Commission For Foreign Medical Graduates (ECFMG) and applies if you:
Qualified at a medical school outside of the UK, European Economic Area (EEA) or Switzerland;
OR
are an international medical graduate with a European medical qualification (not including UK qualifications)
AND
do not already hold provisional registration.
Please note, only those with primary medical qualifications awarded outside of the UK and EU, and those who are not EU nationals but hold a primary medical qualification from the EU (but not the UK), need to use an Electric Portfolio of International Credentials (EPIC).
Start early!
At IMG Connect we strongly advise that you complete this part of the process as soon as possible. There are several factors that contribute to the length of the verification process, including the time it takes for the medical school to verify your qualification(s). Start the verification process well in advance of submitting your application to the GMC, as the GMC will close your application after 90 days.
Before you start:
Before your start the verification process, there are a couple of important steps to consider:
Create a GMC online account if you haven't already and check whether the GMC accepts your primary medical qualification and/or postgraduate qualification.
If your medical school is included on the list below then you should contact the GMC before starting the verification process.
on the GMC’s list of qualifications that are not acceptable
on the GMC’s list of qualifications that may be acceptable
not in the list of medical schools on GMC Online
Please note, if you hold refugee status in the UK and are applying to the GMC for registration with a license to practice medicine in the UK, you may be able to get help with your EPIC fees. Contact the GMC before using EPIC.
Which qualifications will I need to verify?
Depending on your experience, you will have one of the following two qualifications to verify through EPIC:
1. Primary Medical Qualification (Final Medical Diploma in EPIC) verification:
Most applicants will only need to have their primary medical qualification (PMQ) verified through EPIC. The primary medical qualification that the GMC requires is your Final Medical Diploma.
2. Acceptable Postgraduate Qualification (Specialist Qualification or Postgraduate Medical Education Credential in EPIC):
If you are applying through the acceptable postgraduate qualification route, you will need to have both your PMQ and your postgraduate qualification verified.
Setting up an on-line account:
Once you have established the correct documents to be verified, set up an on-line account (EPIC Account) via ECFMG EPIC
1. The first step to start using EPIC is to complete a request to establish an account. The request requires you to submit some basic personal information, details about your medical education, and, if applicable, details about your postgraduate medical education.
2. EPIC will then send you an e-mail to confirm receipt of your request to establish an EPIC Account.
3. Once your account request has been processed, they will send you an e-mail containing your EPIC ID and instructions on how to complete the final step in the account establishment process, completion of the EPIC Identification Form (EIF) to confirm your identity.
The GMC's instructions for EPIC verification are here however this we have outlined the steps above, so things shoud be fairly clear already.
General advice from IMG Connect:
Prepare and save yourself some time!
As always, at IMG Connect we advise it is best to gather your documents prior to starting any application. If you do, it should only take about 15 minutes to complete.
Before you begin, make sure you have the following available:
a full-colour photograph (passport style)
a scanned, full-colour copy of the photograph page of your current, unexpired passport
information about your medical education, including your medical school identification number (if applicable) and attendance and degree issue dates
your medical licensure information (if applicable), including any identification numbers
your ECFMG/USMLE Identification Number (if you have one)
your ECFMG International Credentials Services (EICS) Identification Number (if you have one)
Make sure you select the General Medical Council as you upload each qualification. By doing so, the GMC will automatically receive an update when your qualification has been verified. If you don’t do this, it could cause a delay.
How much does EPIC verification cost?
The fees are charged in USD and you’ll need to pay ECFMG directly. Full payment is due at the time you submit your request to establish an EPIC Account.
Setting up an account currently costs $125 and as of recently, the fee to verify a credential through EPIC increased to US$90 per credential. For more information on fees and payment, see the fees section of the EPIC website.
I've got my PMQ verified, what next?
Submit your application for registration to the GMC and provide your EPIC ID to the GMC.
You won’t be able to submit your application to the GMC until you have confirmation that your PMQ has been sent for verification. ECFMG will send you confirmation via e-mail.
You can also check the status by logging in to your EPIC Account. If you prefer, you can wait until after the qualification has been verified to submit your application, as it can take some time for the verification to be completed.
Once verification of a qualification has been received from the issuing institution and ECFMG has confirmed that the qualification is authentic, ECFMG will confirm this with the GMC. ECFMG will also notify you by e-mail that your qualification has been verified.

FRCA - a guide for overseas anaesthetics doctors
One of the routes to GMC registration for an overseas anaesthetist is FRCA Primary.
IMGs from any country in the world can sit some, not all, of the FRCA examinations. Certain eligibility criteria must be met to sit primary whilst overseas doctors can only take the final part of the exams once they have started working in the NHS (UK). This is explained in further details below where we look at the following topics:
What is FRCA?
What is the structure and content of FRCA examinations?
As an overseas doctor am I eligible?
What is Temporary Exam Eligibility (TEE)?
What is the UK IAC?
As an overseas candidate where can I take the exam and how much will it cost me?
How to prepare and what resources are available?
Summary
The Royal College of Anaesthetists is the professional body responsible for the specialty of Anaesthetics throughout the UK. Amongst many other duties, its role is to set and monitor the educational curriculum for those training to enter the profession.
What is FRCA?
Anaesthetists become full members of the Royal College of Anaesthetists and attain Fellowship of the Royal College, and the designation of FRCA, once they have passed the two separate exams: the Primary and Final Examinations. Each exam consists of two parts taken separately.
FRCA is one of the many routes an anaesthetist can take when looking to satisfy the GMC postgraduate criteria for full registration with a licence to practice. It is important to note that Primary FRCA will suffice for the purposes of full registration with a license to practice, and full FRCA is not essential though of course desirable.
What is the structure and content of FRCA examinations?
Primary FRCA examinations:
Multiple Choice Question Examination (MCQ)
The Objective Structured Clinical Examination (OSCE) and Structured Oral Examination (SOE)
Final FRCA examinations:
Final Written exam consisting of; Multiple Choice Question exam (MCQ) and a Short Answer Question (SAQ) exam
The Structured Oral Examination (SOE)
The FRCA examinations form an essential component of training for anaesthetists in the UK and doctors who wish to complete the FRCA route, will be required to complete the final exam after substantial experience working in the UK.
As an overseas doctor am I eligible?
It is important to note that each of the FRCA exams have different eligibility criteria.
To sit the FRCA Primary Exams, you must be a member of the College or apply for Temporary Exam Eligibility (TEE) – see below. TEE will apply to most overseas doctors.
Primary FRCA MCQ:
You are eligible to enter the Primary FRCA MCQ paper if you:
hold national registration with an overseas Medical Council;
AND
have successfully applied for Temporary Examination Eligibility (TEE) with the College 3 months prior to the date of the examination
Primary FRCA OSCE and SOE:
You are eligible to enter the Primary FRCA OSCE and SOE if you:
meet the above criteria for the Primary FRCA MCQ paper
have passed the Primary FRCA MCQ paper
have been awarded an overseas competency in anaesthetics which is comparable to the UK IAC (see below)
Final FRCA:
You are eligible to enter the Final FRCA paper if you have:
completed 30 months of training in anaesthesia
at least 18 months must be spent in approved posts in the UK or Republic of Ireland – for international doctors a maximum of 12 months of overseas training in anaesthesia combined with 6 months working in an approved UK post will be accepted;
Evidence of having completed the required training will be needed, Core Level Training Certificate
What is Temporary Exam Eligibility (TEE)?
Non-UK Trainee applicants do not qualify for any membership category of the Royal College of Anaesthetists. As such the Royal College has introduced the TEE to allow overseas anaesthetist doctors who do not work in the UK to apply for the FRCA Primary Examinations.
Applicants must submit a Temporary Examinations Eligibility form three months before any examinations are applied for.
How do I apply for TEE?
You can apply for TEE using this application form.
Documents required on your first application are:
Proof of registration with an overseas Medical Council
Proof of attendance at or completion of anaesthetic training, including foundation training (internship)
If you intend to take the OSCE/SOE exams, you will be asked to provide further documentation to prove you have an equivalent of the UK Initial Assessment of Competency Certificate in Anaesthesia.
The TEE application costs £90, paid by bank transfer. Once payment is confirmed you will receive a TEE number, which you will use to support your application to sit the FRCA examinations.
What is the UK IAC? And how do I demonstrate equivalence?
The initial assessment of competence (IAC) is the first anaesthesia training milestone for trainees in the Anaesthesia training programme (ACCS training for anaesthesia, acute medicine, emergency medicine and intensive care).
The purpose of the IAC is to signify that the trainee has achieved a basic understanding of anaesthesia and is able to give anaesthetics at a level of supervision matching with the individual trainee’s skills and clinical cases. The IAC is not a licence for independent anaesthetic practice. The key point is that trainees are still under the supervision of a named consultant anaesthetist.
To support an application to sit the FRCA exams you must demonstrate that you have been awarded an overseas anaesthetic competency in anaesthetics which is comparable to the UK IAC.
Overseas anaesthetic competency certificates must be provided on application and prove clinical competency comparable to the UK Initial Assessment of Competency in Anaesthetics. Certificates must be accompanied by a letter of authentication in English from a senior anaesthetic consultant or notary.
The final decision on comparability of overseas IAC certificates lies with the Chair of the Primary Examination.
How do I apply for the Primary FRCA examinations?
Applications are complete online, simply click here, register, and follow the instructions for submitting documents and completing your application.
Where can I sit the FRCA exams?
Unfortunately, IMGs cannot sit the FRCA exams overseas.
Exams are held in London, Cardiff, Birmingham, Manchester, Belfast, Sheffield and Edinburgh. You can find up to date exam dates here.
How much do the exams cost?
Fees for exam diet 2018 / 2019
Primary MCQ
£325
Primary OSCE & SOE
£600
Primary OSCE
£330
Primary SOE
£300
Final Written Exam
£480
Final SOE
£565
What is the syllabus?
The syllabus for both the primary and final exams are linked to the Training Curriculum.
The Primary FRCA Examinations are blue printed to the Core Level Training Curriculum.
The Final FRCA examinations are blue printed to both the Core Level Training Curriculum and the Intermediate Level Training Curriculum.
*both include Intensive Care Medicine
How do I prepare?
With lots of materials online we have discussed with IMGs the best place to start looking for resources and materials relating to the exams. Most successful IMGs recommended starting with the Royal College, who have created useful resources to help you to prepare for the exams.
At IMG Connect we advise overseas candidates to be fully aware that questions used in the exam are drawn from the UK Anaesthetic Basic Level Training Curriculum. We suggest that you can use the curriculum as a road map to support your study plan.
Video series:
The exam run through video series is a useful tool to help familiarise yourself with what to expect on the exam day.
The Primary SOE support videos are designed to help trainees in preparation for exams.
The Primary FRCA examination videos also support with study for the MCQ.
More videos can be found at the College's YouTube Channel
eLearning Anaesthesia (e-LA):
The e-LA supports specialty training in anaesthesia. It provided materials for professional development of specialists seeking to refresh their knowledge.
Doctors working overseas can gain access to this resource via eIntegrity which provides a portal to all specialty e-Learning platforms.
If you are working outside the NHS, then modules are available for purchase via the eIntegrity website.
There are a number of modules available, of particular note for IMGs is Module 6: Exams Preparation.
e-LA also provides MCQ questions which are an accurate reflection of the questions included in the FRCA examinations.
Virtual Exam tours:
3D virtual exam tours have been created by the Royal College to provide a virtual experience to ensure that candidates are familiar with the process on the day.
OSCE exam floor
3D Tour
Successful IMGs have found practice questions are a valuable part of exam preparation. Remember these should be used in conjunction with other forms of research and studies.
I attained Primary FRCA, what next?
You will simply need to prove your English Language capabilities to satisfy GMC criteria for full registration.
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MRCPCH - a guide for overseas paediatrics doctors
Overseas paediatricians taking the postgraduate route to GMC Registration must attain full MRCPCH.
Membership of the Royal College of Paediatrics and Child Health (MRCPCH) can be sat by international doctors from any country in the world provided certain eligibility criteria are met. These are summarised below along with a broad look at the following topics:
What is MRCPCH?
Am I eligible?
Sponsors for the Clinical Exam
MRCPCH Theory - structure and content
MRCPCH Clinical – structure and content
Where and when can I take the exams? How much will it cost me?
How do I apply?
How to prepare and what resources are available
Passed? What next?
The Royal College of Paediatrics and Child Health is the professional body responsible for the specialty of Paediatrics throughout the UK. Amongst many other duties, its role is to set and monitor the educational curriculum for those training to enter the profession.
What is MRCPCH?
Paediatricians become full members of the Royal College of Paediatrics and Child Health and achieve the designation MRCPCH once they have passed four separate postgraduate medical exams.
The MRCPCH examinations consist of 3 theory exams and 1 clinical exam:
Foundation of Practice (FOP) - theory examination (basic child health)
Theory and Science (TAS) - theory examination (basic scientific, physiological and pharmacological principles upon which clinical practice is based)
Applied Knowledge in Practice (AKP) - theory examination (knowledge synthesis/evaluation, clinical decision making and management)
MRCPCH Clinical examination - multi station OSCE
* Theory exams can be taken in any order of preference.
For overseas doctors relocating to the UK, the MRCPCH is one of two options to support full GMC registration (postgraduate qualification or PLAB route). For doctors who wish to take on more senior roles reflective of their current practice, IMG Connect advise that the MRCPCH would be the best route to securing their dream job in the NHS.
Am I eligible for the MRCPCH exams?
Theory Exams:
To be eligible you must hold a Primary Medical Qualification (PMQ) that is recognised by the GMC for registration purposes.
MRCPCH Clinical:
You must pass the 3 theory exams in order to be eligible for the final MRCPCH clinical examination.
All MRCPCH clinical candidates must be proposed by 2 sponsors, who will certify that you have a good period of training in paediatrics and can be considered as ready to take the exam. You can take the exams at any stage in your career, however current advice is that in order to optimise your chances of success in the MRCPCH Clinical examination you should have:
completed a period of training lasting two and a half years
spent no less than 12 months in posts involving the care of emergency paediatric patients
spent six months of your first year after graduation as a house paediatrician; if not, an additional six months in a post involving the care of emergency paediatric patients.
Sponsors for the clinical exam:
As we mentioned above, candidates for the clinical examinations must have two sponsors who will declare you have covered the required amount of training in paediatrics which matches the exam syllabus and consider you ready to take the exam. You will be asked to provide each sponsors personal and work details, and they will be notified if you receive a poor mark.
The examination is conducted in English and candidates are advised that IELTS Level 7 is the expected standard for completion of the MRCPCH examinations. Remember, you will need to have a pass of 7.5 average in all areas of IELTS to complete your GMC registration.
What is the structure and content for MRCPCH examinations?
As above, the MRCPCH examinations consists of 4 parts:
3 theory exams
1 clinical exam
Theory exams:
Candidates will sit 3 theory examinations; each test is administered on a computer and the tests can be taken in any order.
There are usually 3 sittings for each exam per year.
Each exam is 2 hours and 30 minutes, unless you have been allocated additional time.
Foundation of Practice (FOP) theory exam:
This exam assesses a candidate’s knowledge, understanding and clinical decision making. It aims to ensure that you have reached the same standard as someone entering core training (ST1 equivalent)
Questions are typically a combination of:
Single Best Answer Questions (SBAs) – 70 questions
Extended Matching Questions (EMQs) – 10 questions
Extended Matching Questions (EMQs) require you to choose the best option from a list of ten possible options, all are feasible, but only one is completely correct.
Theory and Science (TAS) theory exam:
This tests basic scientific, physiological and pharmacological principles of clinical and evidence-based practice.
It uses the same format for questioning as the FOP exam.
Applied Knowledge in Practice (AKP):
This tests your knowledge, understanding and clinical decision making based on a standard of someone entering their core specialist training (ST1 equivalent).
The exam uses the format N of Many - giving two or three answers that are required from a longer list.
For example, there can be more than one answer from a scenario since there may be two equally important investigations that should be complete, or three abnormalities from a scan or x-ray.
When sitting the AKP using the format N of Many, remember that each question carries its own weighting – pay attention to how many marks each question is worth in the test and answer accordingly.
Clinical examination:
The MRCPCH clinical examination forms the final part of the exams. Remember, you must have passed all 3 theory tests in order to be eligible to sit this test.
This test will be taken in a hospital setting and you will follow a circuit of 12 scenarios. You should be familiar with this type of test (OSCE) from your medical training. Examiners will assess performance during each scenario, which will include actors (children, young people and adults).
The aim of the clinical examination is to assess whether candidates have reached the standard in clinical skills expected of a newly appointed ST4 in the UK.
Candidates are expected to demonstrate proficiency in:
communication
history taking and management planning
establishing rapport with both parents and children
physical examination
child development
clinical judgement
organisation of thoughts and actions
recognition of acute illness
knowledge of paediatrics and child health
professional behaviour
ethical practice
The Clinical Exam is guided by important educational principles while holding to the considerable standards of a clinical examination, including the examination of real children.
The Clinical Exam includes 10 objective assessments of each candidate. In most circumstances’ assessment is conducted by a different examiner at each clinical station, so performance at one station does not influence the next station. The test will include six ‘short case’ assessments, emphasising clinical examination. Stations are as follows:
Station 1: Child development – clinical assessment
Station 2 & 5: Communication skills
Station 3: History taking and management planning
Station 4: Clinical video scenarios
Station 6 – 10: Clinical examinations
The order in which candidates will take the circuit will vary. There are 4-minute breaks between stations, the entire circuit takes 152 minutes in total.
Where and when can I sit the exams? And how much do they cost?
Each country fee is different, please see below current exam fees (as of April 2019).
Theory exams:
Country
Theory Exams
Exam fee 2019
India, Malaysia, KSA, UAE, Oman, Myanmar, Sudan, Singapore, Jordan, Kuwait, Malta, Qatar, Sri Lanka, Trinidad
FOP - single paper
£390
TAS - single paper
£390
FOP and TAS - both papers
£653
AKP
£750
Egypt and Nepal
FOP - single paper
£363
TAS - single paper
£363
FOP and TAS - both papers
£589
AKP
£683
Hong Kong (HK)
FOP - single paper
TBC
TAS - single paper
TBC
FOP and TAS - both papers
TBC
AKP
TBC
*Not all countries will offer the exam at each sitting. If you would like to request an exam in another country, you can contact the MRCPCH
Clinical examinations:
Country
Fee
UK
£765
Egypt
£1,145
India
£1,428
KSA
£1,479
Malaysia
£1,255
Myanmar
£1,082
Oman
£1,479
Singapore (Conjoint MMED - MRCPCH Clinical fee)
£1,428
Sudan
£1,220
UAE
£1,479
Hong Kong
TBC
How do I apply for the exams?
To apply for the MRCPCH, you first need to register online for exams. You need an RCPCH online account (with an RCPCH number). Then you can complete a short registration form – you will require evidence of your primary medical qualification.
How do I register for exams?
You can register for exams at any time throughout the year. After your registration is accepted, you can apply for an exam but only during relevant open application periods. It takes at least 10 working days to process registration.During exam application periods the Royal College are not able to process registrations.
Register three to four weeks before exam application period opens to help ensure you do not miss your preferred exam diet. The best dates to register for exams are usually January, May and September.
How do I book an exam?
Log in to your RCPCH account
Go to My Account
From your dashboard, go to the Exams panel, and from your exam dashboard, follow links to apply
What do I need to bring to the exam?
You will need to bring one of the following forms of ID:
passport with photograph and signature - this must be current or no more than six months expired
valid driving license with photograph and signature
national identity card with photograph and signature.
Please note, only original documents will be accepted as proof of identification.
How can I prepare for the exams?
With lots of materials online we have discussed with IMGs the best place to start looking for resources and materials relating to the exams. Most IMGs recommended starting with the Royal College, who have created useful resources to help you to prepare for the exams. See below:
Theory Examination:
Theory Examination Syllabi: This document outlines the syllabus for MRCPCH theory examinations - MRCPCH Theory Examination Syllabi.
Theory exams structure and syllabus: Further information on FOP, TAS and AKP can be found in the theory exams structure and syllabus. This is to be read in combination with the Royal College’s Curriculum for Paediatrics. Within the Curriculum for Paediatrics you can read about the 11 domains and are able to download assessment strategy and generic syllabi for each training level.
Sample Papers: We recommend becoming familiar with the exam format and software, and you can practice with some sample papers here.
Clinical Examination:
Clinical Examination candidate guide: This is a comprehensive guide from the Royal College specifically covering the Clinical Examination. This includes station break downs, clinical video scenarios, general instructions and downloads amongst many other resources.
Anchor Statements: The Anchor Statements outline the expected standard for each station against which candidates are marked. We recommend you familiarise yourself with the criteria points for expected standards before sitting the exam.
Clinical Exam Technique: This guide covers the clinical examination in considerable depth, including:
examination technique
specifics on clinical areas
detail on short-cases
User guide for video station: A guide for Station 4: Clinical video scenarios can be downloaded here.
Clinical Exam: hints and tipsHints and tips specific to the clinical exam can be found on the MRCPCH clinical examination candidate guide (scroll down to find them).
As ever at IMG Connect, we believe in preparation. In order to succeed in the clinical exam, IMGs have told us that it is vital that you practise your clinical examinations as frequently as possible, preferably under the supervision of a senior colleague. This will give you confidence in approaching and examining children with examiners present.
Passed? What next?
First of all, congratulations! After you have passed all four parts of your MRCPCH examinations, you can apply for a full registration with a license to practice. Once the GMC have approved your application, you can work as a doctor in the UK.
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Which Postgraduate Qualifications are GMC accepted?
The GMC recognise some overseas qualifications as equivalent to Royal College qualifications.
Listed below are the overseas postgraduate qualifications currently accepted by the GMC. This means to say these qualifications meet the same standards as UK postgraduate qualifications, though please note, this does not mean they are the same in every way and they do not guarantee entry to the UK Specialty training.
If your qualification is not listed as equivalent, then you will be required to complete a Royal College Postgraduate Qualification or PLAB. You can use the GMC application finder to find the application that’s right for you.
Country
Awarding Body
Qualification
America
American Board of Pediatrics (ABP)
Diplomate of the American Board of Pediatrics - General Pediatrics
America
American Board of Anaesthesiology
Certificate of the American Board of Anaesthesiology
America
The American Board of Radiology
The American Board of Radiology diagnostic radiology examination
Australia/New Zealand
Australian and New Zealand College of Anaesthetists
Fellowship of the Australian and New Zealand College of Anaesthetists
Australia/New Zealand
Royal Australasian College of Physicians
FRACP Adult medicine or evidence of three years of basic training (PREP) + achievement of RACP written and clinical examinations
OR
FRACP Paediatrics or evidence of three years basic training (PREP) + achievement of RACP written and clinical examinations
Australia/New Zealand
The Royal Australian and New Zealand College of Psychiatrists
Fellowship of The Royal Australian and New Zealand College of Psychiatrists (FRANZCP) awarded since January 2012
Australia/New Zealand
The Royal Australian and New Zealand College of Radiologists
Fellowship of The Royal Australian and New Zealand College of Radiologists (FRANZCR) (Clinical Radiology)
Fellowship of The Royal Australian and New Zealand College of Radiologists (FRANZCR) (Radiation Oncology)
Bangladesh
Bangladesh College of Physicians and Surgeons
Fellowship in Anaesthesia or Anaesthesiology awarded since July 1999
Canada
The Royal College of Physicians and Surgeons of Canada
The Royal College of Physicians and Surgeons of Canada - diagnostic radiology examination
Europe
European Academy of Anaesthesiology or European Society of Anaesthesiology
European Diploma in Anaesthesiology and Intensive Care
Hong Kong
Hong Kong College of Physicians
Membership of the Hong Kong College of Physicians
Ireland
College of Anaesthetists of Ireland
Fellowship of the Faculty or the College of Anaesthetists
Ireland
Royal College of Physicians in Ireland
MRCP Medicine (Medicine of Childhood)
Ireland
Royal College of Surgeons in Ireland
MRCS (collegiate examination)
MRSCI (intercollegiate examination)
Fellowship of the Royal College of Surgeons Ireland
Fellowship of the Faculty or the College of Anaesthetists of the Royal College of Surgeons in Ireland
Malaysia
Ministry of Health
Master of Medicine (MMED) Malaysia with MRCP (UK) awarded since 1 July 2010
This must include four years of clinical experience (required to complete MMED) plus two years of training
Pakistan
College of Physicians and Surgeons Pakistan
FCPS Paediatrics Pakistan
Fellowship in Anaesthesiology awarded since1998
Singapore
National University of Singapore
Master of Medicine (Paediatrics)
Master of Medicine (Internal Medicine) including MRCP (UK)
Singapore
Joint Committee on Specialist Training Singapore
Master of Medicine (MMED) Singapore, plus MRCP (UK) awarded since 1 July 2010
South Africa
College of Anaesthetists of South Africa
Fellowship of the College of Anaesthetists of South Africa
FCA (SA)
South Africa
Colleges of Medicine of South Africa
Fellowship of the College of Radiologists of SA FC Rad Diag (SA) - Diag Rad awarded after 1 October 2013
Sri Lanka
University of Colombo, Sri Lanka
Doctor of Medicine or MD (Anaesthesiology)
Doctor of Medicine or MD, (Obstetrics and Gynaecology)
Doctor of Medicine or MD, (Paediatrics)
Doctor of Medicine or MD (medicine) awarded after January 2017
Doctor of Medicine or MD (surgery) awarded after July 2017
West Africa
West African College of Physicians
Fellowship of the West African College of Physicians (Paediatrics)
West Indies
University of the West Indies
Doctor of Medicine (Anaesthesia) awarded since September 2003
(Course title has since changed to Doctor of Medicine (Anaesthesia and Intensive care))
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Fitness to practice for GMC registration
A fitness to practice is required for overseas doctors who want to register with the GMC.
This blog will break down what the rules are, and what evidence you will need to prepare and provide by looking at the following:
What is evidence of your fitness to practice?
Declaration of your fitness to practice
Supporting evidence
Certificate of good standing
How do I request a certificate of good standing?
Remember, at IMG Connect we always advise IMGs to prepare all documents before starting applications, it will save you time, and stress!
What is evidence of your fitness to practice?
As part of your GMC application, the GMC require you to provide evidence of your fitness to practice. This is broken down into two areas from your online application:
A declaration of your fitness to practice
Your supporting evidence
Declaration of fitness to practice:
As part of your online GMC application to join the register you must complete a declaration of fitness to practice. This declaration is only valid for 3 months, so ensure you get the timing right with your application, otherwise the GMC will ask you to complete a new one.
When completing your application online, you will be asked 12 questions in the fitness to practice character declaration section. You should complete the declaration by choosing YES or NO for each question.
These cover a range of fitness to practice topics, including previous convictions, disciplinary actions, conduct and so on.
It is important to say that you should always be honest in your answers.
Supporting evidence:
The GMC will ask you to provide supporting evidence of your fitness to practice, these are broken down into the following:
details of all postgraduate medical experience for the last five years or since you graduated
details of all postgraduate non-medical experience for the last five years or since you graduated*
details of all certain other activities for the last five years or since you graduated
a certificate of good standing from each medical regulatory authority you've been registered or licensed with
*If you have worked in a non-medical capacity it is also likely that you will be asked for employer references to cover this non-medical work.
Certificate of good standing
As above, you will require a certificate from your regulatory body to be sent to the GMC to confirm your good standing with them. The GMC will need a certificate of good standing from all of the countries you've been registered with in that time, even if you haven't been practising there. You can register for a certificate of good standing from your regulatory body in your home country, which they will send directly to the GMC.
Certificates of good standing and employer references are only valid for three months from the date that they are issued and must be valid on the date your application to the GMC is approved.
What is a certificate of good standing?
A certificate of good standing will show any restrictions on your practice, your registration history, including current license status, identity information and any current proceedings. It should be issued in English.
In the European Union these documents are known as certificates of current professional status.
How do I request a certificate?
You will need to contact your regulatory body and request this from them directly. You can find out which medical regulatory authority to contact using the Certificate of good standing database.
References:
When writing this article we have taken our information from the following sources:
https://www.gmc-uk.org
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FRCR - a guide for overseas radiology doctors
Overseas radiologists taking the postgraduate route to GMC registration must attain FRCR.
IMGs from any country in the world can sit the FRCR examinations, provided certain eligibility criteria are met. These are summarised below along with a broad look at the following topics:
What is FRCR?
Am I eligible?
What is the content and structure?
Where and when can I sit the exams and how much will it cost me?
How do I apply?
How can I prepare for the exams?
Passed? What next?
The Royal College of Radiologists is the professional body responsible for the specialty of clinical radiology and clinical oncology throughout the UK. Amongst many other duties, its role is to set and monitor the educational curriculum for those training to enter these professions.
What is FRCR?
Radiologists become full members of the Royal College of Radiology and achieve the designation FRCR once they have passed three separate postgraduate medical exams. The FRCR examinations aim to test a candidate’s knowledge and clinical understanding against the Specialty Training Curriculum for Clinical Radiology.
Only full FRCR satisfies postgraduate requirements for GMC registration for an overseas doctor. There are three parts to the FRCR examinations:
First FRCR - two-part exam, each held on separate days, over a two-day period
Final FRCR Part A
two separate single best answer papers
*Final FRCR A must be passed in one sitting in order to be deemed to have achieved overall success in the FRCR Part A
Final FRCR Part B
a reporting session
a rapid reporting session
an oral examination
Full FRCR is a pre-requisite for anyone looking to go onto a specialist training post as a radiologist in the UK.
The FRCR examinations form an essential component of training for Radiologists in the UK. For overseas doctors relocating to the UK, the FRCR is one of two options to support full GMC registration (postgraduate qualification or PLAB route).
For doctors who wish to secure a senior clinical radiology job in the NHS reflective of their current practice, we advise that FRCR would be the best route to choose. FRCR is often an essential requirement for jobs in radiology such as breast, cardiac, interventional, musculoskeletal and so on.
Am I eligible?
First FRCR:
To be eligible you must:
hold a Primary Medical Qualification (PMQ) that is recognised by the GMC for registration purposes.
hold a formal clinical radiology post in which they are actively receiving clinical radiology training.
*No minimum period of clinical experience or training is required to enter the exams
Final FRCR Part A:
To be eligible you must:
have passed the First FRCR examination
have acquired 24 months in a formal clinical radiology training post by the month which the examination is taken
Final FRCR Part B:
To be eligible you must:
have passed the Final FRCR Part A
have acquired 34 months in a formal clinical radiology training post by the month which the examination is taken
What is the content and structure?
First FRCR Examination:
The First FRCR examination expects candidates to have sufficient knowledge of two modules:
the physical principles that are the foundation of diagnostic medical imaging
the anatomy needed to perform and interpret radiological studies.
It is delivered on a digital platform and as such is now also available across a larger number of test centres than before.
The test is divided into two parts:
Anatomy - image viewing session delivered on an individual workstation
Physics - multiple choice written question (MCQ) paper
Final FRCR Part A:
The Final FRCR Part A examines candidates on all aspects of clinical radiology and the basic sciences of physics, anatomy and the techniques as per the Specialty Training Curriculum for Clinical Radiology syllabus.
The examination comprises two single best answer papers, each containing 120 questions and covering a broad range of the core curriculum. Exams are 3 hours for each sitting.
The paper comprises a mix of questions from across a wide range of the curriculum:
Cardiothoracic and Vascular
Musculoskeletal and Trauma
Gastro-intestinal
Genito-urinary, Adrenal, Obstetrics & Gynaecology and Breast Paediatric
Central Nervous and Head & Neck
Final FRCR Part B:
This part to the assessment examines candidates on all aspects of clinical radiology against the curriculum and consists of three components:
a reporting station
rapid reporting session
an oral examination
All components are examined by an image viewing session delivered on individual workstations.
As an overseas candidate, where and when can I sit the exams and how much will it cost me?
Information on the dates, fees and venues for the FRCR examinations are as below.
Examination
Member
Non-member
Exam Dates
Venues
First FRCR – Physics
£256
£301
Usually held in March, June and September each year
Belfast
Birmingham
Glasgow
Hong Kong
London
Singapore
Stockport/Manchester*
First FRCR - Anatomy
Final FRCR Part A
£303
£404
June and December each year
Belfast
Birmingham
Bristol
Edinburgh
London
Manchester
Hong Kong
Singapore
Final FRCR Part B
£479
£564
Usually held in April and October each year
Belfast
Birmingham
Glasgow
London
Stockport
Total
£1,294
£1,570
*Anatomy in Stockport / Physics in Manchester
Application Process:
UK Trainees are given priority for examination places, whilst overseas candidates are offered those places not taken via a ballot system following the application closing date.
The application process for Final FRCR Part B is a little different for overseas candidates. As an IMG you should not apply online, instead applications should be emailed directly to the Royal College.
How can I prepare for the exams?
With lots of materials online we have discussed with IMGs the best place to start looking for resources and materials relating to the exams. Most IMGs recommended starting with the Royal College, who have created useful resources to help you prepare, see below:
Syllabus:
The syllabus for these examinations can be found in the Specialty Training Curriculum for Clinical Radiology.
Instructional videos and demonstrations: The Royal College recommends that applicants familiarise themselves with the platform via the instructional videos and accompanying demonstration site found here.
Sample questions:
The Royal College created useful sample questions and answer sheets to help you prepare for each exam:
FRCR Part 1 sample questions & answer sheet
Final FRCR Part A & answer sheets
Final FRCR Part B – sample image
Advice for exams:
There are also many useful resources to offer more general advice for each section of the FRCR examinations, including:
Anatomy examination advice
First FRCR instructions for candidates
Final FRCR Part A format and question advice
TNM Staging – required knowledge to answer questions
Final FRCR Part B – instructions for candidates
Examiners report – to help prepare for future sittings
Passed? What next?
First of all, congratulations! After you have passed all three parts of your FRCR examinations, you can apply for a full registration with a license to practice. Once the GMC have approved your application, you can work as a doctor in the UK.
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The Diploma for Child Health (DCH) - a guide for overseas paediatric doctors
The Diploma in Child Health (DCH) recognises competence in the care of children in specialties allied to paediatrics.
In this blog we will provide an overview of the DCH and consider the following topics:
What is the DCH?
Who is it for?
Structure and content of DCH
Am I eligible?
Where can I take the exam & how much will it cost me?
How do I apply?
How do I prepare and what resources are available?
Passed? What next?
What is the DCH?
The DCH is reflective of current practice in the UK and covers a syllabus mapped by a wide range of medical professions, including paediatrics and GPs. The DCH (Diploma in Child Health) comprises two exams. You must achieve a pass mark in both in order to be awarded DCH.
The exams are as follows:
Foundation of Practice (FOP) theory exam - this is shared with the MRCPCH (membership exam)
DCH Clinical exam
Who is it for?
The Diploma is aimed at those practitioners who want to consolidate their knowledge and skills in paediatrics and gain a qualification at the same time. According to the Royal College of Paediatrics and Child Health (RCPCH), the DCH is designed to give ‘recognition of competence in the care of children to general practitioner vocational trainees, staff grade doctors and senior house officers in paediatrics, and trainees in specialties allied to paediatrics’.
It not only helps to consolidate knowledge gained during paediatric training, but it also helps to focus and develop skills needed for the examination of children within primary and secondary care.
Candidates use the DCH as an opportunity for up-skilling, to drive learning and to gain an internationally recognised post graduate medical diploma.
The Royal College of Paediatrics and Child Health recommend that all candidates complete a short period of training in paediatrics before attempting the DCH Clinical examination. The aim of the examination is to assess whether candidates have reached the standard in clinical skills expected of a newly appointed General Practitioner who has completed a short period of training in paediatrics.
What does the syllabus cover?
It is important to note that the DCH has an independent syllabus from the MRCPCH. However, the theoretical elements of the Foundation of Practice theory exam are shared across both.
Before embarking on the diploma, we recommend IMGs take a detailed look at the DCH syllabus which outlines the competencies required in both knowledge and skills. It provides a summary list of topics which are covered, and specifies the depth of knowledge and skills required, as well as guidance for trainees on what they must be taught and learn.
Am I eligible to take DCH?
The Royal College for Paediatrics and Child Health recommend that overseas candidates have at least six months' paediatrics experience.
To be eligible, overseas candidates will simply need to hold a recognised medical qualification and be registered with the GMC.
You do not require a pass in English Language Tests to take the tests, however we have discussed this with several IMGs and it is important to note that a high standard of English will be required in order to pass. Don’t forget that you will require a sufficient pass in an English Language Test in order to complete registration with the GMC.
Structure and content of DCH:
The Diploma consists of two exams, one theory (FOP) and one clinical exam. You can take the exams in any order, or during the same exam period.
The Foundation of Practice theory exam (FOP) is computer-based and takes place three times a year in the UK and overseas. See our MRCPCH overview for more information on where you can sit the FOP theory exam, dates, times and costs.
How much does the DCH clinical exam cost? And where can I sit the exam?
Fees vary depending on where you sit the exam, see below fees for 2019.
Country
Exam fee
UK
£515
Egypt
£663
India
£663
Hong Kong
tbc
How do I apply for the exams?
To apply for the DCH (Diploma in Child Health), you first need to register online for exams. You just need to do this once.
You need an RCPCH online account (with an RCPCH number). Then you can complete a short registration form – you will require evidence of your primary medical qualification.
How do I register for exams?
You can register for exams at any time throughout the year. After your registration is accepted, you can apply for an exam but only during relevant open application periods.
It takes at least 10 working days to process registration.
During exam application periods we are not able to process registrations. Please register three to four weeks before exam application period opens to help ensure you do not miss your preferred exam diet. The best dates to register for exams are usually January, May and September.
How do I book an exam?
Log in to your RCPCH account
Go to My Account
From your dashboard, go to the Exams panel, and from your exam dashboard, follow links to apply
What do I need to know about the exam day?
Bring your ID:
You will need to bring one of the following forms of ID:
passport with photograph and signature - this must be current or no more than six months expired
valid driving license with photograph and signature
national identity card with photograph and signature
*Only original documents will be accepted.
For more information take a look at the Royal College of Paediatrics and Child Health website
How do I prepare?
With lots of materials online we have discussed with IMGs the best place to start looking for resources and materials relating to the exams. Most IMGs recommended starting with the Royal College, who have created useful resources to help you to prepare for the exams.
A good start is to take a look at Clinical Cases in Paediatrics: DCH Clinical Textbook . It will cost your £35 but is a logical foundation for a start to any revision.
Useful online revision courses include those run by PASTEST and the Institute of Child Health.
As ever at IMG Connect, we believe in preparation. In order to succeed in the clinical exam, IMGs have told us that it is vital that you practise your clinical examinations as frequently as possible, preferably under the supervision of a senior colleague. This will give you confidence in approaching and examining children with examiners present.
Passed? What next?
If you pass both DCH Clinical and Foundation of Practice (FOP) exams, you will receive a Diploma certificate. This certifies you are a holder of the Diploma in Child Health (RCPCH).
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What if I fail my English Language Test?
English Language Tests are hard, it is common for overseas doctors to fail on the first or second attempt.
You have just got the results and sadly, you didn’t get the target score of 7.5 average for IELTS or four B’s for OET. What do you do? First things first, we would recommend a short outburst, a quintessentially polite British rant about how things are not fair, and then pick yourself up, and plan!
Unlike other tests in education where you only get one chance to pass, the same is not true for English Language Tests like IELTS and OET. That said, this doesn’t mean that you don’t have to worry about preparing, this could waste your time, and more importantly, your money! Another re-sit will cost you.
Don’t forget, learning a new language is challenging, complex and takes time. Just because you didn’t get the results the first time, if you are organised, patient and increase your practical work you will get there!
Learn from your mistakes
Initially, it is only natural to be disappointed because you didn’t pass. This is normal, so take your time to process the results and give yourself an opportunity to clear your head ready to determine what went wrong, and do something about it.
A lot of IMGs don’t get the required marks on the first go, some take a long time to get there, so don’t worry, you are not alone. The main thing to remember, is that it is very important to know where you went wrong, and how to improve.
Here are a few steps to help you if you don’t get the results you wanted:
1. Review your score in each area.
Identify the area where you struggled the most. Did you pass all areas except one? Or did you get the desired results in two areas, and fail the others? This tells you which area to focus on, where you may need further training or practice.
2. Count the marks
How far off was your score from passing? This is vital for you to establish which parts of the test to focus on so you can gain points in these areas for your resit. Think about the areas you struggled in, or left blank. Take your time to review and then practice these areas of the test and watch your score go up!
3. Expand your horizons
Using each English language skill in practice is essential to helping you get the desired outcome in each test. If you failed in one or two areas, then turn your focus on these and get practical!
Simply put, speak, listen, read & write more! Don’t forget to keep it interesting. See our top tips for learning at home to help you be more engaged in applying your learning on a daily basis.
4. 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.
4. Get rid of the nerves
Most international doctors will have found speaking with the examiner daunting and nerve wracking. This is natural, called test anxiety. Which probably means that you will not have spoken as fluently as you could. What can you do? Try speaking English with someone you don’t usually speak with, or even better somebody you don’t know, in a situation you don’t usually find yourself. Being able to speak fluently, under pressure, whilst sounding natural, is one of the most important criteria of the test. This will ease your anxiety.
5. Plan for the next test
Some IMGs might wonder why they should make a plan, it takes time and some think that it might not be necessary. In fact, a good study plan will save you time, help you pace out your learning, cover more topics and keep you organised. As you will know what areas you need to focus on, it will help you to check you are covering all of the areas of weakness, and keep track of improvements. Try to include daily and weekly targets.
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MRCEM & FRCEM for overseas emergency medicine doctors
Overseas doctors taking the postgraduate route to GMC registration must attain MRCEM.
International Medical Graduates (IMGs) from any country in the world can sit the Royal College of Emergency Medicine examinations (MRCEM), provided certain eligibility criteria are met. FRCEM however can only be sat once practicing in the UK, so is not a suitable route for international doctors who have not yet practiced in the NHS. To help doctors understand the FRCEM and MRCEM exams the following guide will provide you with key information ocovering the exams, dates, fess, eligibility, preparation and application.
These are summarised below along with a broad look at the following topics:
What is FRCEM and what is MRCEM?
FRCEM Route
MRCEM Route
Eligibility for MRCEM
Eligibility for FRCEM
Where can I take the exam & how much will it cost me?
How do I apply?
How to prepare and what resources are available
Should I take an MRCEM course?
Passed? What next?
What is the Royal College of Emergency Medicine?
The Royal College of Emergency Medicine is the professional body responsible for the specialty of Emergency Medicine throughout the UK. Amongst many other duties, its role is to set and monitor the educational curriculum for those training to enter the profession in the UK.
What is FRCEM and what is MRCEM?
Membership or Fellowship of the Royal College is awarded to candidates who pass three examination components.
There have been a few changes to the MRCEM and FRCEM examination structure over the last few years, as such there are currently two routes to an accreditation in Emergency Medicine, both leading to RCEM Membership.
These two routes are:
Membership of the Royal College of Emergency Medicine (MRCEM)
Fellowship of the Royal College of Emergency Medicine (FRCEM)
MRCEM & FRCEM are one several different routes an overseas emergency medicine doctor can take full GMC registration. Read our blogs on acceptable postgraduate qualifications and PLAB if you are unsure what route to take.
For doctors who wish to take more senior roles reflective of their current practice, IMG Connect advise that MRCEM or FRCEM would be the best route to take.
CLICK HERE AND REGISTER FOR FREE & UP TO DATE MRCEM RESOURCES
MRCEM Examination route:
The alternative route, Membership by Examination (MRCEM), is offered to candidates who have passed all of the following components:
FRCEM Primary or (MRCEM Part A)
One written paper, three-hours total
FRCEM Intermediate SAQ (replaces MRCEM Part B)
Short Answer Question paper - 3 hour paper comprised of 60, 3-mark questions
MRCEM OSCE
Practical examination setting with 18, seven-minute stations
FRCEM Examination route:
The Fellowship Examinations consists of the following components:
FRCEM Primary Examination
one, three-hour written paper
FRCEM Intermediate Certificate
Short Answer Question Paper (SAQ)
Situations Judgement Paper (SJP)
FRCEM Final Examination
Critical Appraisal (Short Answer Question Paper)
Quality Improvement Project (QIP)
Clinical Short Answer Question Paper
Objective Structured Clinical Examination (OSCE)
Membership or Fellowship of the Royal College is awarded to candidates who pass three examination components, using either route above.
Eligibility for MRCEM Examinations:
Eligibility for FRCEM Primary:
To be eligible you must hold a Primary Medical Qualification (PMQ) that is recognised by the GMC for registration purposes.
Eligibility for FRCEM Intermediate:
To be eligible you must hold a PMQ recognised by the GMC, have completed an equivalent to the UK Foundation Programme and have passed FRCEM Primary Examination after 1st August 2016.
You will also be eligible if you have been granted exemption from the FRCEM Primary as a result of obtaining MRCS or MRCSI after 1st January 2012.
Eligibility for MRCEM OSCE:
To be eligible to enter the MRCEM OSCE (Part C) you must meet the following requirements:
Hold a medical qualification approved by the GMC and
Have completed the UK Foundation Programme of equivalent (electronic evidence required at point of application) and
Have passed the FRCEM Primary examination after 1st August 2016 or
Have passed the MRCEM Part A examination after 1st August 2012 and prior to 31st July 2016 and
Have passed the FRCEM Intermediate SAQ after 1st August 2016 or
Have passed the MRCEM Part B examination after 1st August 2012 and prior to 31 July 2016 and
Have 36 months experience including 6 months experience in Emergency Medicine at a level above Foundation Year 1 (post full registration)
Eligibility for FRCEM Examinations:
Eligibility for FRCEM Primary:
To be eligible you must hold a Primary Medical Qualification (PMQ) that is recognised by the GMC for registration purposes.
Eligibility for FRCEM Intermediate:
To be eligible you must hold a PMQ recognised by the GMC, have completed an equivalent to the UK Foundation Programme and have passed FRCEM Primary Examination after 1st August 2016.
You will also be eligible if you have been granted exemption from the FRCEM Primary as a result of obtaining MRCS or MRCSI after 1st January 2012.
Eligibility for FRCEM Final Examination:
To be eligible you must have FRCEM Primary and FRCEM Intermediate Certificate, attained after 1st August 2016.
Where can I take the exams & how much will they cost me?
Examination and application dates are regularly updated by the Royal College and can be found here.
Please remember, applications made outside of the application period will not be accepted.
Examination
Location
Fees
FRCEM Primary
Short Answer Question Paper
UK
£310
Iceland, Malaysia, Oman, India
£390
FRCEM Intermediate Certificate
SAQ
UK
£305
Iceland, Malaysia, Oman
£385
FRCEM Intermediate Cert.
(SJP)
UK
£200
Kuala Lumpur
£200
MRCEM
OSCE
UK
£450
India
£450
FRCEM Final
Clinical SAQ
UK
£300
FRCEM Final
Critical Appraisal SAQ
UK
£240
FRCEM Final
QIP
N/A
£150
FRCEM Final
OSCE
London
£420
How can I apply?
All applications are made online and links to all application forms and windows are available here. It is worth noting, the application can take some time to complete so it is always advisable to apply well in advance of the deadlines.
Please remember, applications submitted after the application period will not be accepted.
CLICK HERE AND REGISTER FOR FREE & UP TO DATE MRCEM RESOURCES
How do I prepare for each exam and what resources are available?
With lots of resources available online, such as FRCEM Sucess, we have discussed with IMGs the best place to start looking for materials relating to the exams. Most IMGs recommended starting with the Royal College, who have created useful resources to help you to prepare for the exams.
Curriculum:
Applicants are tested on a range of common and important disorders in Emergency Medicine as set out in the Emergency Medicine Training Curriculum 2015.
We recommend getting to know the curriculum as early as possible and using it as a road map for your study plan.
Information Packs:
These provide detailed information for the relevant examination components so that you can best prepare for your studies and what to expect on the day:
FRCEM Primary
FRCEM Intermediate
FRCEM Final Examination
MRCEM OSCE
SAQ Blueprint:
The blue print for the new Intermediate SAQ exam can be found on page 8 of the FRCEM Intermediate examination pack, downloaded from the RCEM website here.
SJP Blueprint:
A blue print of the new Intermediate SJP exam can be found on page 11 FRCEM Intermediate examination pack, downloaded from the RCEM website here.
Sample questions:
Test your knowledge using example questions from the current exam syllabus provided by the Royal College, see below:
Primary – sample questions
Intermediate Certificate – sample SJP questions
Final – successful QIP
Reducing referral rates of paediatric patients to plastic surgery
Management of fractured neck of femurs in the ED
Final – unsuccessful QIP
Critical Appraisal Questions – Advice to Candidates
Critical Appraisal – Most Frequently Offered Answers
Glossary of Terms:
The royal college uses many terms that may cause confusion, so take plenty time to understand the terms and definitions used in this guide. Candidates are expected to be rigorous in their use of these terms.
Glossary of terms used in RCEM exams.
Examination Report:
The Royal College recently began to publish reports on the performance of those sitting FRCEM examinations. Below is the first report published and helps to break down results for those in training and those out of training.
2018 Examination report.
Online resources:
There are lots of resources online, such as videos on YouTube, FRCEM courses and useful reading materials. We think that these are a great addition to your study plan, just be sure to check your sources.
For a useful overview of how to prepare for exams, including advice on study groups, online community support, best use of online resources & Royal College materials and courses, take a look at our blog: IMG Connects Top Tips for exam preparation.
As ever at IMG Connect we believe in preparation. In order to succeed in the clinical exam, IMGs have told us that it is vital that you practice your clinical examinations as frequently as possible, preferably under the supervision of a senior colleague. This will give you confidence in approaching and examining patients with examiners present.
CLICK HERE AND REGISTER FOR DISCOUNTED MRCEM COURSES
Should I take a course to prepare for the OSCE?
Whilst it is not essential to take a course when preparing for the MRCEM or FRCEM OSCEs - there is no doubt it will help your preparations both technically and mentally, and should be considered an investment towards your future career plans. Have a read of our blog on recommended MRCEM courses for Emergency Medicine doctors.
You can find a full range of articles covering MRCEM and FRCEM examinatins to help you to make a success of your preparations here.
Passed? What next?
First of all, congratulations! After you have passed all parts of FRCEM or MRCEM you can apply for a full registration with a license to practice. Once the GMC have approved your application, you can work as a doctor in the UK.
IMG Jobs
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IMG Resources
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Get in touch using the buttons above (and below) to discuss emergency medicine doctor job options in the NHS, including discussions regarding, CESR, a typical doctor salary in the UK and the most suitable NHS job & hospital locations for you.

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

GMC Registration for overseas doctors
To work as a doctor in the NHS (UK) you will need to register with the General Medical Council (GMC).
The GMC is the public body that maintains the official register of medical practitioners within the United Kingdom and attaining full registration is a multi-step procces involving a number of different documents. The purpose of this article is to help guide overseas doctors through the various stages of GMC Registration by considering the following topics:
Why do I need GMC Registration?
How much will it cost me?
What are the requirements for GMC Registration?
What is the process?
Recognised GMC qualifications
English language capabilities
Registration and licensing history
Certificates of good standing
Knowledge and skill tests
ID Check
TOP TIP: Before you start the process, we always recommend that It is worth having a read of the GMC website page on required documents. These can change, as the GMC adapts to changes in healthcare, and current issues like the coronavirus. Of course, if you have any questions have a chat with your IMG Consultant and we can help you to clear up any uncertainties.
Why do I need GMC Registration?
The GMC's main responsibility is to protect, promote and maintain the health and safety of the public and one way in which it does this is by carefully controlling entry to the register. Any doctor that wants to work in the UK must be fully registered with a licence to practice with the GMC, whether working as a locum or permanent member of staff.
How much will it cost me?
Generally, GMC Registration will cost £390 but this may change depending on your circumstance. Once you are registered, you must pay an annual retention fee of £390 (which can be paid quarterly, monthly or in one lump sum). A full list of GMC Fees can be found here.
What are the requirements for GMC Registration?
These will depend on a number of factors which can be broken down into the following:
Your nationality
Where you gained your primary medical qualification
Whether or not you have completed a postgraduate training or internship
What is the process?
The registration process can be broken down into these six steps:
Check your primary medical qualification is GMC recognised
Evidence of English language capabilities
Registration and licensing history
Certificates of good standing
Knowledge and skills tests
ID checks
Recognised GMC qualifications:
If your primary medical qualification (PMQ) is from outside the UK or EEA, you need to make sure it is eligible for GMC registration. Check here to see if your PMQ is recognised or have a read through our blog on accetable overseas qualifications.
You will be required to have your PMQ independently verified before your license to practice is granted.
This is carried out by the Educational Commission for Foreign Medical Graduates (ECFMG) through their online EPIC system. For more information on verifying your PMQ and the EPIC system take a look at our blog here.
English language capabilities:
If English is not your native language, then you will need to pass an English Language Test (ELT), you can take either one of the following:
International English Language Testing System (IELTS)
Occupational English Test (OET)
Registration and licensing history:
You must provide all details for any registrations or medical licenses held in the last five years.
Certificates of good standing:
From each of your listed medical establishments, you’ll need to provide a Certificate of Good Standing (CGS). It is worth applying for these early on as they can take some time!
Knowledge and skill tests:
If you attained your Primary Medical Degree from a country outside the EEA region you'll need to demonstrate you have the necessary knowledge and skills to practice in the UK. This can be through a number of routes:
Passing the PLAB test
Providing evidence of an acceptable postgraduate qualification
Being eligible for entry onto the Specialist Register or GP Register
Gaining sponsorship by an approved sponsor
Take a look at our IMG Library, in particular our sections on Postgraduate Qualifications, PLAB and CESR for further reading. Of course, we'd be delighted to talk you through your options so either give us a call or request a call back and we'll get in touch very shortly.
To reaffirm, if you have attained your medical degree from an recognised institution from a country insdide the EEA region you will not need to demonstrate evidence of appropriate knowledge or skills.
ID Check:
Once all requested information is submitted, you will need to book an ID check with the GMC. This will require you to attend in person, at either the Manchester or London office. At this point your IMG Consultant will always make an effort to meet you in person & buy you a coffee. We always believe it is better to put a face to a name!
However, please note at this time of uncertainty and disrutpion caused by the coronavirus ID checks are not necessary. You can currently be granted a full license to practice without having shown your ID to the GMC first, however this is only a temporary measure.
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.

MRCP (UK) Part 1 exam – a closer look for overseas medicine doctors
In this article we will explore the MRCP Part 1 exam in more detail,including advice on eligibility, dates, centres, preparation and fees.
Designed to help you prepare and sit the exams, we consider the following MRCP topics:
What is MRCP Part 1?
Am I eligible to sit MRCP Part 1?
What is the examination content & format?
Where can I take the exam?
When is the exam sat and when can I apply?
How much does the exam cost?
How do I apply?
How can I prepare for the exam?
Passed? What next?
What is MRCP (UK) Part 1 exam?
Part 1 is the entry-level examination accessible to doctors with a minimum of 12 months' postgraduate experience in medical employment. It covers a broad range of topics appropriate to physicians at the beginning of postgraduate training.
Part 1 is the first component of a sequence of assessments intended to match the progression of trainees undertaking the Core Medical Training programme in the UK, adding unique information and building on previous assessments
Am I eligible to sit MRCP (UK) Part 1 exam?
Trainees from any country in the world can sit the MRCP Part 1 Examination providing that they meet the eligibility requirements.
As an overseas candidate you are eligible to sit MRCP Part 1 if you have a GMC recognised Primary Medical Qualification and a minimum 12 months postgraduate experience in medical employment.
What is the examination content & format?
At IMG Connect we advise that understanding the examination format is a great foundation for exam preparation. We have summarised the Royal College’s guidance on the Part 1 Examination format below:
The exam consists of two papers, sat over the course of one day in an examination hall.
Each paper is 3 hours in duration and contains 100 multiple choice questions in ‘best of five’ format.
From the five options provided, one answer is correct. The other four are plausible however you will only score a point from the correct answer. There are no negative marks and questions do not include imagery.
MRCP (UK) Part 1 is designed to assess your knowledge and understanding of the clinical sciences relevant to medical practice and of common or important disorders to a level appropriate for entry to specialist training.
Candidates will be tested on a wide range of common and important disorders in General Medicine as set out in the JRCPTB Specialty Training Curriculum for Core Medical Training and the composition of the papers is as below:
Specialty
Number of questions *
Cardiology
15
Clinical haematology and oncology
15
Clinical Pharmacology, Therapeutics and Toxicology
16
Clinical sciences **
25
Dermatology
8
Endocrinology
15
Geriatric medicine
4
Gastroenterology
15
Infectious diseases and GUM
15
Neurology
15
Nephrology
15
Ophthalmology
4
Psychiatry
8
Respiratory Medicine
15
Rheumatology
15
Total
200
*This should be taken as an indication of the likely numbers of questions – the actual number may vary
** The clinical sciences components comprises the following:
Specialty
Number of questions *
Cell, molecular and membrane biology
2
Clinical anatomy
3
Clinical biochemistry and metabolism
4
Clinical physiology
4
Genetics
3
Immunology
4
Statistics, epidemiology and evidence-based medicine
5
A detailed explanation of the marking system adopted for the MRCP(UK) Part 1 Examination can be viewed in the MRCP(UK) Regulations.
Where can I take the MRCP Part 1 exam?
MRCP (UK) Part 1 can be taken in the UK and overseas as below:
Exam
UK Test Centres
Overseas Test Centres
MRCP Part 1
Edinburgh
Glasgow
London
Bahrain (Manama)
Bangladesh (Dhaka)
Egypt (Cairo)
Ghana (Accra)
Hong Kong
Iceland (Reykjavic)
India (Chennai, Kerala, Kolkata, Mumbai, New Delhi)
Iraq (Baghdad)
Jordan (Amman)
Kenya (Nairobi)
Kuwait (Kuwait City)
Malaysia (Kuala Lumpur)
Malta
Myanmar
Nepal (Kathmandu)
Oman (Muscat)
Pakistan (Karachi, Lahore)
Qatar (Doha)
Saudi Arabia (Jeddah, Riyadh)
Singapore
Sri Lanka
Sudan (Khartoum)
United Arab Emirates (Abu Dhabi)
United States of America (New Jersey)
West Indies (Jamaica, Trinidad)
Zimbabwe (Harare)
When is the exam sat and when can I apply?
It is important to note that you must apply for each MRCP exam during the specified application period. Applications made outside of the designated period will not be accepted.
Exam dates and their application periods can be found here.
How much does the exam cost?
UK applications cost £419
International applications cost £594*
Please note, the application process and fees applicable for Hong Kong and Singapore centres differ. Applications should be made directly to the administration team for this centre.
How do I apply?
Applications for all exams are made online via My MRCP(UK) account. You will simply need to create an account and submit evidence of your primary medical qualification, then make a payment online to confirm your application.
The application video from the Royal College can be found below:
Part 1 application video
The Royal College of Physicians recommends making the first attempt at Part 1 within 1-2 years of your graduation.
How can I prepare for the MRCP Part 1 exam?
With lots of resources available online, we have discussed with IMGs the best place to start looking for materials relating to the exams. Most IMGs recommended starting with the Royal College, who have created useful resources to help you to prepare for the exams. See below:
Curriculum:
Applicants are tested on a range of common and important disorders in General Medicine as set out in the Joint Royal Colleges Specialty Training Curriculum for Core Medical Training.
We recommend getting to know the curriculum as early as possible, using it as a road map for your study plan.
MRCP (UK) mock exams:
We suggest registering for the MRCP mock exams here. These will provide you with the most accurate and relevant mock questions to prepare you for the real thing.
Sample questions: Test your knowledge using example questions from the current exam syllabus provided by the Royal College, see below:
Part 1 sample questions
For a useful overview of how to prepare for exams, including advice on study groups, online community support, best use of online resources & Royal College materials and courses - take a look at our blog: IMG Connects Top Tips for exam preparation
Passed? What next?
If you are completing the papers in order, the next step will be to apply for Paper B. For more information take a look at our blog we will explore MRCP (UK) Paper B and everything that you need to know about how to sit the exam, including syllabus, dates, results, fees and preparation.
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GMC accepted Postgraduate Qualifications
As most overseas doctors may know, there are some non-UK Postgraduate Qualifications that are recognised by the GMC as equivalent.
An equivalent qualification will be accepted by the GMC as evidence of the necessary knowledge, skills and experience to apply for full registration with a license to practice.
The qualifications listed below are currently accepted by the GMC and are recognised as meeting the same standards as UK postgraduate qualifications. However, this does not mean they are the same in every way and they do not guarantee entry to the UK Specialty training.
What if my qualification is listed below?
If your postgraduate qualification is listed below then you will simply need to provide evidence of English Language capabilities by passing an English Language Test (typically IELTS or OET) in order to satisfy the criteria for full registration with the GMC.
Read through our blogs on English Language Testing to help answer any questions you may hav on the matter.
Alternatively, get in touch with one of our IMG Connect consultants (using the details at the bottom of this page) or send us an email with your details and we'll get back to you immediately to talk through any questions or next steps.
What if my qualification is not listed below?
If your qualification is not listed as equivalent, then you will be required to complete a Royal College Postgraduate Qualification or PLAB. You can use the GMC application finder to find the application that’s right for you.
It is important to note, you must be granted full GMC registration within three years of passing your postgraduate qualification.
Country
Awarding Body
Qualification
America
American Board of Pediatrics (ABP)
Diplomate of the American Board of Pediatrics - General Pediatrics
America
American Board of Anaesthesiology
Certificate of the American Board of Anaesthesiology
America
The American Board of Radiology
The American Board of Radiology diagnostic radiology examination
Australia/New Zealand
Australian and New Zealand College of Anaesthetists
Fellowship of the Australian and New Zealand College of Anaesthetists
Australia/New Zealand
Royal Australasian College of Physicians
FRACP Adult medicine or evidence of three years of basic training (PREP) + achievement of RACP written and clinical examinations
OR
FRACP Paediatrics or evidence of three years basic training (PREP) + achievement of RACP written and clinical examinations
Australia/New Zealand
The Royal Australian and New Zealand College of Psychiatrists
Fellowship of The Royal Australian and New Zealand College of Psychiatrists (FRANZCP) awarded since January 2012
Australia/New Zealand
The Royal Australian and New Zealand College of Radiologists
Fellowship of The Royal Australian and New Zealand College of Radiologists (FRANZCR) (Clinical Radiology)
Fellowship of The Royal Australian and New Zealand College of Radiologists (FRANZCR) (Radiation Oncology)
Bangladesh
Bangladesh College of Physicians and Surgeons
Fellowship in Anaesthesia or Anaesthesiology awarded since July 1999
Canada
The Royal College of Physicians and Surgeons of Canada
The Royal College of Physicians and Surgeons of Canada - diagnostic radiology examination
Europe
European Academy of Anaesthesiology or European Society of Anaesthesiology
European Diploma in Anaesthesiology and Intensive Care
Hong Kong
Hong Kong College of Physicians
Membership of the Hong Kong College of Physicians
Ireland
College of Anaesthetists of Ireland
Fellowship of the Faculty or the College of Anaesthetists
Ireland
Royal College of Physicians in Ireland
MRCP Medicine (Medicine of Childhood)
Ireland
Royal College of Surgeons in Ireland
MRCS (collegiate examination)
MRSCI (intercollegiate examination)
Fellowship of the Royal College of Surgeons Ireland
Fellowship of the Faculty or the College of Anaesthetists of the Royal College of Surgeons in Ireland
Malaysia
Ministry of Health
Master of Medicine (MMED) Malaysia with MRCP (UK) awarded since 1 July 2010
This must include four years of clinical experience (required to complete MMED) plus two years of training
Pakistan
College of Physicians and Surgeons Pakistan
FCPS Paediatrics Pakistan
Fellowship in Anaesthesiology awarded since1998
Singapore
National University of Singapore
Master of Medicine (Paediatrics)
Master of Medicine (Internal Medicine) including MRCP (UK)
Singapore
Joint Committee on Specialist Training Singapore
Master of Medicine (MMED) Singapore, plus MRCP (UK) awarded since 1 July 2010
South Africa
College of Anaesthetists of South Africa
Fellowship of the College of Anaesthetists of South Africa
FCA (SA)
South Africa
Colleges of Medicine of South Africa
Fellowship of the College of Radiologists of SA FC Rad Diag (SA) - Diag Rad awarded after 1 October 2013
Sri Lanka
University of Colombo, Sri Lanka
Doctor of Medicine or MD (Anaesthesiology)
Doctor of Medicine or MD, (Obstetrics and Gynaecology)
Doctor of Medicine or MD, (Paediatrics)
Doctor of Medicine or MD (medicine) awarded after January 2017
Doctor of Medicine or MD (surgery) awarded after July 2017
West Indies
University of the West Indies
Doctor of Medicine (Anaesthesia) awarded since September 2003
(Course title has since changed to Doctor of Medicine (Anaesthesia and Intensive care))
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FRCEM - a guide for overseas emergency medicine doctors
FRCEM is a crucial step when working towards either CCT or CESR in Emergency Medicine.
International Medical Graduates (IMGs) from any country in the world can sit some of the FRCEM examinations, provided certain eligibility criteria are met. For overseas doctors attaining FRCEM is not a route to GMC registration and you are better suited to the MRCEM pathway. These are summarised below along with a broad look at the following topics:
What is FRCEM?
FRCEM Route
Eligibility for overseas doctors
FRCEM Primary Examination
FRCEM Intermediate Certificate
FRCEM Final Examination
As an overseas candidate where can I take the exam and how much will it cost me?
How do I apply?
How to prepare and what resources are available
Passed? What next?
What is FRCEM?
Fellowship of the Royal College is awarded to candidates who pass three examination components.
There have been a few changes to the MRCEM and FRCEM examination structure over the last few years, as such there are currently two routes to an accreditation in Emergency Medicine, both leading to RCEM Membership.
These two routes are:
Membership of the Royal College of Emergency Medicine (MRCEM)
Fellowship of the Royal College of Emergency Medicine (FRCEM)
As of August 2018, applicants beginning the process will be able to sit one set of exams leading to the award of Fellowship of the Royal College of Emergency Medicine (FRCEM).
FRCEM is one of several different routes an overseas emergency medicine doctor can take full GMC registration. Read our blogs on acceptable postgraduate qualifications and PLAB if you are unsure what route to take.
For doctors who wish to take more senior roles reflective of their current practice, IMG Connect advise that MRCEM or FRCEM would be the best route to take.
Understand the MRCEM pathway in this article above.
FRCEM Examination route:
The Fellowship Examinations consists of the following components:
FRCEM Primary Examination
one, three-hour written paper
FRCEM Intermediate Certificate
Short Answer Question Paper (SAQ)
Situations Judgement Paper (SJP)
FRCEM Final Examination
Critical Appraisal (Short Answer Question Paper)
Quality Improvement Project (QIP)
Clinical Short Answer Question Paper
Objective Structured Clinical Examination (OSCE)
Eligibility for overseas doctors:
FRCEM Primary:
To be eligible you must hold a Primary Medical Qualification (PMQ) that is recognised by the GMC for registration purposes.
FRCEM Intermediate:
To be eligible you must hold a PMQ recognised by the GMC, have completed an equivalent to the UK Foundation Programme and have passed FRCEM Primary Examination after 1st August 2016.
You will also be eligible if you have been granted exemption from the FRCEM Primary as a result of obtaining MRCS or MRCSI after 1st January 2012.
FRCEM Final Examination:
To be eligible you must have FRCEM Primary and FRCEM Intermediate Certificate, attained after 1st August 2016. However, the requirements make it incredibly dififcult to attain outside of the UK - so you are best advised to attain MRCEM, work in the UK and then work towards FRCEM whilst practicing in the NHS.
The examination is conducted in English and candidates are advised that IELTS Level 7 is the expected standard for completion of the FRCEM examinations. Remember, you will need to have a pass of 7.5 average in all areas of IELTS to complete your GMC registration.
FRCEM Primary Examination:
The FRCEM Primary Examination is mapped to the Emergency Medicine 2015 Curriculum. More detailed information is provided in the RCEM Basic Sciences Curriculum (June 2010).
The exam consists of one 3-hour paper of 180 single best answer questions (SBAQs) so you must choose one best answer from a choice of five feasible answers.
The paper will examine all the domains of knowledge in the Basic Sciences Curriculum including:
Anatomy
Physiology
Pathology
Microbiology
Pharmacology
Evidence Based Medicine
FRCEM Intermediate Certificate:
FRCEM Intermediate Certificate is comprised of two papers:
Short Answer Question paper (SAQ):
A single 3-hour paper of 60 questions, each worth 3 marks.
Unlike single best answer questions (SBAQs) you will not have the advantage of having a list of options to choose from. Instead you will have to compose your answer independently.
The blueprint for the FRCEM intermediate is as follows:
Curriculum Category
Questions
Common Comptences
7
Clinical Presentations – Core Major & Acute Presentations
18
Anaesthetic Comptences CT1&2
4
ICM within ACCS
2
Acute Presentations – Additional Adult ST3
6
Paediatric Presentations – Makor & Acute Presentations
11
Practical Proceedures (ACCS)
12
Total
60
Situational Judgement Paper (SJP):
A two-hour paper of 120 single best answer questions.
This written paper is designed to test your ability to understand & respond appropriately to real world clinical situations, assessing you against the Common Competencies in the Emergency Medicine Training Curriculum 2015.
FRCEM Final Examination:
From August 2018 the FRCEM Final consists of the following components:
FRCEM Critical Appraisal (Short Answer Question Paper)
FRCEM Quality Improvement Project (QIP)
FRCEM Final Clinical Short Answer Question Paper
FRCEM OSCE
Each component tests individual skill sets and as such may be sat independently.
FRCEM Critical Appraisal:
A 90-minute Short Answer Question Paper.
FRCEM Quality Improvement Project (QIP):
This replaced the CTR from 1st August 2016.
The QIP is a written submission that should be completed whilst working in Emergency Medicine at a level above ST3 or SHO. It should focus on quality improvement in Emergency Medicine, and may focus on either adult or paediatric Emergency Medicine.
Any candidates who have not been awarded FRCEM by 31st July 2018, irrespective of any previous passes in CTR, are required to pass the new FRCEM QIP.
Clinical Short Answer Question paper (SAQ):
The SAQ is a 3-hour paper consisting of 60, 3-mark questions.
A summarised blueprint for the FRCEM Final SAQ is as follows. A fuller version can be found on the RCEM website here.
HST Major and Acute Presentations
25 questions
Additional Paediatric Practical Procedures
3 questions
Practical Procedures (HST)
11 questions
Ultrasound
3 questions
Clinical Presentations - Core Major & Acute Presentations
6 questions
Common Competencies
2 questions
Anaesthetic Competences CT1&2
1 question
ICM within ACCS
1 question
Acute Presentations - Additional Adult ST3
2 questions
Paediatric Presentations - Major & Acute Presentations
3 questions
Practical Procedures (ACCS)
3 questions
FRCEM Final OSCE:
The exam is set in a practical setting and tests your ability to apply knowledge & experience directly to patients – rather than reciting learned knowledge.
The exam consists of 16, 8-minute stations with one minute provided in between stations for reading time.
As with many other final stages to Royal College exams – FRCEM Final OSCE will make use of manikins or actors and you will be observed by an examiner after being presented with a clinical case to assess. Examiners will not engage with you – only observe and mark.
A brief summary of the curriculum for OSCE is found below:
Stations
Curriculum
1
Core Acute
2a
Resuscitation
2b
3
Core Major
4
Common Competencies
5
Common Competences
6
Anaesthetic Competences
7a
Paediatric Resuscitation
7b
8
Paediatric Acute
9
Paediatric Major
10
HST Major
11
HST and Adult Acute
12
Practical Skills
13
Paediatric Practical Skills
14
Non-technical Skills
As an overseas candidate where can I take the exam and how much will it cost me?
Examination and application dates are regularly updated by the Royal College and can be found here. Dates for 2020 have not yet been released – IMG Connect will post these as soon as they become available.
Please remember, applications made outside of the application period will not be accepted.
Examination
Location
Fees
FRCEM Primary
Short Answer Question Paper
UK
£310
Iceland, Malaysia, Oman, India
£390
FRCEM Intermediate Certificate
SAQ
UK
£305
Iceland, Malaysia, Oman
£385
FRCEM Intermediate Cert.
(SJP)
UK
£200
Kuala Lumpur
£200
FRCEM Final
Clinical SAQ
UK
£300
FRCEM Final
Critical Appraisal SAQ
UK
£240
FRCEM Final
QIP
N/A
£150
FRCEM Final
OSCE
London
£420
How can I apply?
All applications are made online and links to all application forms and windows are available here. It is worth noting, the application can take some time to complete so it is always advisable to apply well in advance of the deadlines.
Please remember, applications submitted after the application period will not be accepted.
How do I prepare for each exam and what resources are available?
With lots of resources available online, we have discussed with IMGs the best place to start looking for materials relating to the exams. Most IMGs recommended starting with the Royal College, who have created useful resources to help you to prepare for the exams.
Curriculum:
Applicants are tested on a range of common and important disorders in Emergency Medicine as set out in the Emergency Medicine Training Curriculum 2015.
We recommend getting to know the curriculum as early as possible and using it as a road map for your study plan.
Information Packs:
These provide detailed information for the relevant examination components so that you can best prepare for your studies and what to expect on the day:
FRCEM Primary
FRCEM Intermediate
FRCEM Final Examination
SAQ Blueprint:
The blue print for the new Intermediate SAQ exam can be found on page 8 of the FRCEM Intermediate examination pack, downloaded from the RCEM website here.
SJP Blueprint:
A blue print of the new Intermediate SJP exam can be found on page 11 FRCEM Intermediate examination pack, downloaded from the RCEM website here.
Sample questions:
Test your knowledge using example questions from the current exam syllabus provided by the Royal College, see below:
Primary – sample questions
Intermediate Certificate – sample SJP questions
Final – successful QIP
Reducing referral rates of paediatric patients to plastic surgery
Management of fractured neck of femurs in the ED
Final – unsuccessful QIP
Critical Appraisal Questions – Advice to Candidates
Critical Appraisal – Most Frequently Offered Answers
Glossary of Terms:
The royal college uses many terms that may cause confusion, so take plenty time to understand the terms and definitions used in this guide. Candidates are expected to be rigorous in their use of these terms.
Glossary of terms used in RCEM exams.
Examination Report:
The Royal College recently began to publish reports on the performance of those sitting FRCEM examinations. Below is the first report published and helps to break down results for those in training and those out of training.
2018 Examination report.
Online resources:
There are lots of resources online, such as videos on YouTube, FRCEM courses and useful reading materials. We think that these are a great addition to your study plan, just be sure to check your sources.
For a useful overview of how to prepare for exams, including advice on study groups, online community support, best use of online resources & Royal College materials and courses, take a look at our blog: IMG Connects Top Tips for exam preparation.
As ever at IMG Connect we believe in preparation. In order to succeed in the clinical exam, IMGs have told us that it is vital that you practice your clinical examinations as frequently as possible, preferably under the supervision of a senior colleague. This will give you confidence in approaching and examining patients with examiners present.
Should I take a course to prepare for the OSCE?
Whilst it is not essential to take a course when preparing for the MRCEM or FRCEM OSCE - there is no doubt it will help your preparations both technically and mentally, and should be considered an investment towards your future career plans. Have a read of our blog on recommended MRCEM courses for Emergency Medicine doctors.
Passed? What next?
First of all, congratulations! After you have passed all parts of FRCEM you will have be on a firm path towards attaining your Specialist Registration in Emergency Medicine. FRCEM is not a route for GMC registration as doctors will already be in the UK, however those attaining MRCEM can do so from outside of the UK, and use MRCEM as a route to GMC registration.

MRCPsych - a guide for overseas psychiatry doctors
For overseas psychiatrists looking to register with the GMC and find a psychiatry job in the NHS, one option is to complete the Membership of the Royal College of Psychiatrists examinations - MRCPsych. Here we will take a detailed look at the MRCPsych exams, dates, fees and centres.
International Medical Graduates (IMGs) from any country in the world can sit the MRCPsych examinations, provided certain eligibility criteria are met. These are summarised below along with a broad look at the following topics:
What is MRCPsych?
What is the exam content and format?
Eligibility for overseas doctors
Assessment Portfolio
Sponsorship Requirements
How do I apply?
How much will it cost me?
Where can I sit the exams?
How can I prepare for the MRCPsych examinations
Passed? What next?
The Royal College of Psychiatrists is the professional body responsible for the specialty of Psychiatry throughout the UK. Amongst many other duties, its role is to set and monitor the educational curriculum for those training to enter the profession.
What is MRCPsych?
The MRCPsych examinations are the central component of training for psychiatrists in the UK and the examinations are designed to test your knowledge of basic medical sciences as well as the clinical skills required for diagnosis and management within psychiatry.
For international doctors, MRCPsych is one of the two main routes IMGs can take to full GMC registration - you can find an range of articles covering these routes in our resource library here: Royal College or PLAB route.
For doctors who wish to take more senior roles reflective of their current practice, IMG Connect advise that MRCPsych would be the best route to take.
Overseas doctors must be registered with a recognised medical board in their country of residence and should have undertaken 3 years of training and MRCPsych (UK) is a prerequisite to anyone wishing to go on to a specialist training post as a physician in the UK
What is the exam content and format?
The MRCPsych examinations consist of two written papers (Paper A + Paper B) and one clinical examination (CASC).
Typically, a UK Psychiatrist would sit Paper A from FY2. Candidates will then progress through MRCPsych examinations from CT1 – CT3, before going on to specially training for CCT.
Paper A – The scientific and theoretical basis of psychiatry – 3 hours.
This is a written paper, worth 150 marks and comprising of 150 questions made up of approximately two thirds multiple choice questions (MCQ) and one third extended matching item questions (EMI).
It covers the following sections of the syllabus:
Behavioural Science and Socio-cultural Psychiatry
Human Development
Basic Neurosciences
Clinical Psychopharmacology
Classification and Assessment in Psychiatry
Paper B - Critical review and the clinical topics in psychiatry – 3 hours
This is a written paper, worth 150 marks and comprising of 150 questions made up of approximately one third covering critical review and two thirds covering clinical topics.
It covers the following sections of the syllabus:
Organisation and delivery
General adult
Old age
Psychotherapy
Child & adolescent
Substance misuse
Forensic
Learning disability
Critical review
CASC - Clinical Assessment of Skills and Competencies
The CASC is based on a format that is similar to OSCEs. Specifically, the examination consists of two circuits which must be completed on the same day.
In total, the circuit includes 16 stations, made up of:
five stations on history taking, including risk assessment
five stations on examination, including physical and mental state
six stations on patient management
Stations consist of several elements with instructions provided to all candidates, marked against the examiners construct.
These have a standardised format with elements in common between stations of a similar type. Find out more here.
Eligibility for overseas doctors:
The MRCPsych examinations can be taken by both:
Doctors from the EU, who are working overseas
Non-Eu doctors who are working overseas
Each examination has different criteria, to complete the full MRCPsych an overseas doctors must be registered with a recognised medical board in their country of residence and complete the Assessment Portfolio for Overseas Candidates demonstrating that they have complete 3 years of equivalent training.
Furthermore, prior to taking CASC, overseas candidates must demonstrate competencies in Psychotherapy AND Child & Adolescent Psychiatry or Learning Disability.
For each part of the exam the Royal College suggest the following eligibility criteria:
MRCPsych Paper A:
You are eligible for Paper A if you are a fully registered medical practitioner.
MRCPsych Paper B:
It is a recommended to have at least 12 months experience in psychiatry before taking this examination.
Clinical Assessment of Skills and Competencies (CASC):
You are eligible to take CASC if you have 24 months post internship experience in Psychiatry, by the time of sitting the CASC.
AND
You have a pass in both Paper A and B
AND
You can demonstrate you have sponsorship in place. Sponsorship forms must be submitted by an appropriate medical education lead confirming that the eligibility requirements to sit the MRCPsych examinations have been met.
In addition, overseas candidates must show their sponsor evidence of having achieved equivalent competencies at appropriate competency levels (year 1, 2, 3) for each component of the examination.
Assessment Portfolio for Overseas Candidates:
As above, one aspect of eligibility for CASC as to complete an Assessment Portfolio. This must demonstrate achievement of equivalent competencies to those defined in the ARCP documented on the application form, this must include competencies in Psychotherapy AND Child and Adolescent Psychiatry, or Learning Disability have been achieved by the time of applying for the MRCPsych CASC.
In addition, overseas candidates must demonstrate that they undertake the following activities as part of their structured job plans:
be observed interviewing patients in ward rounds for specified reasons
be observed interviewing patients in out-patient or community settings or other contexts for specified reasons
be assessed via formal presentation of cases with their medical notes; discuss management of cases with their Clinical or Educational Supervisor
be assessed formally in having achieved competencies in Child and Adolescent Psychiatry or Learning Disability AND Psychotherapy
Assessments and achievement of competencies should take place in a range of settings and psychiatric specialties with structured, documented feedback on performance having been provided.
Whilst there is not an assessment criteria form available as this is incorporated into the online submission, take a look at the ARCP assessment portfolio form for CT1-3 in the UK, which should help give you a starting point for your own portfolio.
Sponsorship requirements:
International candidates must have a sponsor in place in order to support evidence that their three years of training satisfy Royal College criteria of having achieved equivalent competencies at appropriate competency levels (year 1, 2, 3) for each component of the examination.
Sponsorship is required by all applicants for entry to the CASC examination and your sponsor should be an appropriate medical education lead confirming you have met the requirements to sit the MRCPsych examinations.
Acceptable sponsors are:
College Tutor
Training Programme Director
Educational Supervisor
Head of School
Director of Medical Education (or equivalent)
Head of Department of Psychiatry
Consultant responsible for employee/trainee appraisal
Once your sponsor has authorised your application, you will receive a confirmation email from the Royal College, and you will be asked to complete your application and proceed to payment.
How do I apply?
To apply you will need to complete an online application form. It takes about 15 – 20 minutes. You can sit Paper A and B in any order. You will be required to enter contact details and training history, including your medical registration.
Payment is made by credit/debit card.
If applying for the CASC, you will also need to provide the contact details of your sponsor.
It is important to note that the online form for Paper A, B and CASC will only be available during the published application dates and must be submitted before the closing date and time. Applications submitted after, will not be accepted.
How much will it cost me?
Candidate
Paper A
Paper B
CASC
PMPT Trainees and Affiliates (UK & Ireland Centres)
£467
£420
£965
Non-PMPT Trainees and Affiliates (UK & Ireland Centres)
£518
£466
£1,072
Hong Kong, China
£661
£661
£1,462
Singapore
£661
£661
£1,462
Chennai, India
£661
£661
N/A
Muscat, Oman
£661
£661
N/A
Malta
£661
£661
N/A
Where can I sit the examinations?
You can sit the examination in several countries, with a range of locations offered. The below table shows the current examinations schedule, please note that this is subject to change.
The written papers (A and B) are held at various centres in the UK, as well as Dublin, Hong Kong, Muscat and other international venues.
UK test centres for Paper A and B:
Centre
Address
Exam times
Paper
London
Kensington and Chelsea Town Hall, London
10:00 - 13:00
Paper A - December
Paper B - April
Paper B - Oct
London
Bishopsgate Institute, London
10:00 - 13:00
Paper A - June
Birmingham
H Suite Edgbaston, Birmingham
10:00 - 13:00
Paper A - June
Paper B - April
Paper B - Dec
Paper B - Oct
Birmingham
Fazely Studios, Birmingham
10:00 - 13:00
Paper B - Oct
Manchester
Kings House Conference Centre
10:00 - 13:00
Paper B - Oct
Edinburgh
Royal College of Physicians
10:00 - 13:00
Paper A - June
Paper B - April
Paper B - Dec
Paper B - Oct
Dublin
Griffith College Conference Centre
10:00 - 13:00
Paper A - June
Paper B - Dec
Paper B - Oct
Dublin
Royal College of Physicians Ireland
10:00 - 13:00
Paper B - April
Overseas test centres for Paper A and B:
Please note the overseas venues are booked only a few weeks in advance after candidate numbers have been confirmed. All times are local.
Centre
Address
Exam Times
Paper
Hong Kong, China
TBC
17:00–20:00
Paper A
Paper B
Singapore
TBC
17:00–20:00
Paper A
Paper B
Chennai, India
TBC
14:30–17:30
Paper A
Paper B
Muscat, Oman
TBC
13:00–16:00
Paper A
Paper B
Malta
TBC
11:00–14:00
Paper A
Paper B
Where can I sit the CASC Examination?
CASC exams are currently available in three locations, however there are plans to expand this list. IMG Connect will make you aware of new venues as and when they are added.
Centre
Address
Times
Diet
Sheffield, UK
English Institute of Sport
Coleridge Road, Sheffield
S9 5DA
9:40–17:17*
CASC January
CASC September
Hong Kong
TBC
9:20–17:00*
CASC 2019-1
(date TBC)
Singapore
TBC
TBC
CASC 2019-1
(June)
*Please check admission documents for registration times.
Dates of exams (available at the time of writing)
Paper A:
Diet
Date of Examination
Application Period
Publication of Results
1
18 June 2019
29 April - 17 May 2019
16 July 2019
2
3 December 2019
7 - 25 October 2019
TBC
Paper B:
Diet
Date of Examination
Application Period
Publication of Results
1
9 April 2019
18 February - 8 March 2019
9 May 2019
2
8 October 2019
29 July - 16 August 2019
8 November 2019
CASC - UK & Ireland:
Diet
Date of Examination
Application Period
Publication of Results
1
15 - 18 January 2019
29 October - 16 November 2018
15 February 2019
2
10 - 13 September 2019
10 - 28 June 2019
4 October 2019
CASC - Hong Kong/Singapore:
Centre
Date of Examination
Application Period
Publication of Results
Singapore
15 -17 May 2019
11- 22 March 2019
TBC
Hong Kong
16 - 18 October 2019
10 - 28 June 2019
TBC
After you have complete the written exam, you have 1,643 days to sit the CASC – you can find specific time limits here.
How do I prepare for the MRCPsych examinations?
With lots of materials online we have discussed with IMGs the best place to start looking for resources and materials relating to the exams. Most IMGs recommended starting with the Royal College, who have created useful resources to help you to prepare for the exams. See below:
Syllabus:
We always suggest that this is the best place to start – plan your study around the curriculum topics and make a road map to your success in the exams.
Syllabus: summary of areas of core medical knowledge underpinning specialist training in psychiatry
Current critical review syllabus:
For Paper B candidates will need to ensure that they make optimal use of the MRCPsych Paper B Critical review Evidence Based Practice Syllabic Content.
Sample Papers:
These will help you prepare and polish your exam techniques and are a good idea to regularly benchmark your knowledge against the syllabus. In addition sample questions will help you work quickly on the day, you will already know what to expect. Please note: you may be required to be a member to access these.
Paper A sample questions
Paper B sample questions
Marking schemes (Paper A and B):
Candidates pass or fail the written papers based on their performance, and not how well you perform against other candidates. As such, it is a good idea to understand how the exam is worked, so you can maximise your exam skills, giving you the best chance of a pass.
Marking schemes can be found here.
Marking scheme (CASC):
A good start with CASC preparation is to get to know how you will be assessed, take a look at the criteria for scoring a pass mark in CASC, as well as the History Marksheet, Management Marksheet and Examination Marksheet.
Written papers marksheet example:
Again, this is a useful tool to help you familiarise yourself with the exam format and improve your test skills. An example marksheet can be found here.
CASC examination guide:
The Royal College have produced a helpful guide for candidates which provides information on stations, role plays and assessment.
CASC preparation videos:
Here you will have the opportunity to see CASC stations in action. This will give you a good idea of what to expect and help you prepare.
CASC Blueprint:
This helpful summary details stations in some detail and gives a useful overview of the exam format.
The Royal College also suggest taking a look at Passing the MRCPsych - an insider’s guide - a useful guide to help you to get over the first steps.
As ever at IMG Connect, we believe in preparation. In order to succeed in the clinical exam, IMGs have told us that it is vital that you practise your clinical examinations as frequently as possible, preferably under the supervision of a senior colleague. This will give you confidence in approaching and examining children with examiners present.
Passed? What next?
First of all, congratulations! After you have passed all parts of MRCPsych you can apply for a full registration with a license to practice. Once the GMC have approved your application, you can work as a doctor in the UK.
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IELTS – a guide for overseas doctors
Doctors looking to regsiter with the GMC and find a job in the NHS are required to demonstrate their level of English is suitable via the IELTS or OET exam.
Here we take a closer look at the IELTS exam, which is an International English Language Testing System used worldwide.
IELTS is used by overseas doctors to demonstrate their ability to communicate effectively in English and support their application to the register and practice medicine in the NHS.
In this article, we outline the key facts about IELTS, including the following topics:
What is IELTS? Content and structure:
Listening
Reading
Writing
Speaking
What scores do I need?
There are a few IELTS options, what test should an IMG take?
What scores do I need for GMC and Visa applications?
Paper or computer version?
Does time matter?
Where and when can I take the test?
Can I cancel my application?
Is the IELTS test completed in one day?
When will I receive my results?
If I don’t pass, can I re-sit?
How can I prepare?
What resources are available?
Passed? What next?
What is IELTS? Content and structure:
IELTS is designed to test your English skills needed to be successful in the workplace. It covers the following sub-test areas:
Listening (30 minutes)
Reading (60 minutes)
Writing (60 minutes)
Speaking (11 – 14 minutes)
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Listening: 30 minutes
The listening sub-test consists of four sections, each including 10 questions. You will listen to four separate recordings and then answer questions.
The recordings will include a general conversation, a monologue on a general topic, a conversation of up to 4 people in an academic setting, a monologue on an academic subject.
Questions are varied in type, including multiple choice, matching, labelling, note completion and sentence completion.
Reading: 60 minutes
The reading sub-test consists of three long texts, usually taken from journals magazines, newspapers or books. They are not specific to any one topic, however the texts are appropriate for people entering university or professional registration.
The test consists of 40 questions, testing a range of reading skills.
Writing: 60 minutes
The writing sub-test consists of two writing tasks.
Task 1 – describe, summarise or explain the information presented in a graph, table or chart.
Task 2 – write an essay in response to a point of view, argument or problem.
Both tasks require a formal style of writing. The topics covered are general interest, and suitable for people applying for university or professional registration.
Speaking: 11 – 14 minutes
The speaking sub-test comprises of three parts, delivered by an IELTS examiner face to face:
Part 1 – you will be asked general questions about yourself, covering a range of topics.
Part 2 – you will be given a topic to talk about. You will have 1 minute to prepare, and then speak on the given topic for two minutes. You will then be asked a few questions by the examiner on the same topic.
Part 3 – You will be asked further questions on the same topic as part 2. Here you will have the chance to elaborate and discuss more ideas.
The topics covered are general interest, and suitable for people applying for university or professional registration.
What scores do I need?
To register with the GMC, you must obtain an overall score of 7.5 with minimum scores of 7.0 in each sub-test.
Remember, to sit the PLAB test, you must obtain the required IELTS overall score of 7.5 with minimum scores of 7.0 in each sub-test.
There are a few IELTS options, what test should I take?
IELTS has two versions, Academic and General. To register with the General Medical Council (GMC) in the UK, an IMG must take the Academic test, which is designed for people applying for professional registration.
However…
You can use your IELTS certificate for both the GMC and your visa application.
IELTS Academic UKVI is the only version acceptable for both GMC and Tier 2 Visa applications, and for this reason is the best route covering all application purposes in one go. Not only will this save on fees, but also will ensure that only one test is taken.
Remember, IELTS Academic UKVI is the only version acceptable for both GMC and Tier 2 Visa applications, and for this reason is the best route covering all application purposes in one go.
What scores do I need for GMC and Visa applications?
For the GMC to accept your IELTS certificate you must achieve an overall score of 7.5 across all four areas, with no less than a 7.0 in in each testing area. The pass score for a Tier 2 General Visa is 4.0 overall, and in each of the four skills.
Paper or computer version?
IELTS can now be taken on paper or computer. Both are exactly the same content, the only difference is the manner in which the answers are complete on the test.
Paper IELTS:
Reading, writing and listening sub-tests will be sat at a desk with questions papers and answer sheets.
The speaking section is carried out face to face with an IELTS examiner.
Computer IELTS:
Reading, writing and listening sub-tests will be taken at a computer with questions on screen. The speaking section is carried out face to face with an IELTS examiner.
Does time matter?
Each sub-test is timed, and you will need to practice how to give each section the right amount of time. You will have to be efficient and work quickly, dedicating the right amount of time to each question and text.
Where and when can I take the test?
IELTS can be taken in more than 1,200 locations worldwide, with 48 test dates in the calendar year. For more information on venues take a look at the official website.
Can I cancel my application?
If you cancel your application more than 5 weeks before the test date, you will receive a refund minus an administration charge. If you cancel within 5 weeks of the test date, you will be charged the full fee unless you have a medical reason.
Is the IELTS test completed in one day?
This depends on your test centre. The listening, reading and writing components of the test are always complete one after the other, with no break. The speaking test may be taken up to 7 days either before or after the test date. Check with your test centre for more details.
When will I receive my results?
The test report will be posted to you 13 days after your test date. Some test centres also provide SMS alerts and an Online Results Service, check with your centre for more information.
Keep your Test Report Form in a secure place as you only receive one copy and you will need it later!
If I don’t pass, can I re-sit?
You can sit the test as many times as necessary.
However, this will cost you more money, so at IMG Connect we advise that you prepare as best you can for every test. If you don’t pass the test, then do additional study before taking the test again.
How can I prepare?
IELTS can be challenging. It involves learning a large amount of vocabulary on a range of academic subjects so that you will be prepared to read academic texts quickly and effectively, understand lectures, talks and questions, giving opinion in detail.
You will have to prepare how to write reports on a variety of data and essay types so make sure you are as prepared as possible before sitting the exam.
Written texts are to be of a high standard, including complex structures and grammar.
Successful IMGs who have passed IELTS told us that learning key exam techniques helps you to work quickly and effectively during the test day.
You don’t need to pay take a course. However, it is highly advisable to attend a course, and/or language classes, successful overseas doctors have advised that this helped them improve their standards in all areas of the test, including improved general levels of English and get used to the test format and timings.
We strongly recommend that you start preparing for the exams as far in advance as you possibly can.
Establish your level of English, and work out what areas you will need to focus on. Identify your weaknesses, set goals for yourself and plan a revision timetable.
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.
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What resources are available?
To prepare for the tests, there are lots of online resources and practice materials available. A good start is the IELTS and British Council websites.
You can also find practice papers online.
We have also written a useful blog series on the English Language Tests for IMGs, which includes tips for studying at home.
Passed? What next?
If you have your IELTS in place you are in a prime position to apply and interview for jobs.
Take a look at our job search page if you have not already, alternatively get in touch with an IMG Consultant to put your CV to use!
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9 great tips for learning English from home
As an overseas doctor, preparing for any English Language Test, whether you have chosen IELTS or OET, requires learning a huge amount.
IMGs have told us that one of the most effective ways to improve their general level of English, and help them on their journey to improving their test scores, is to study at home. So, we have put together a handy list of IMG tips for studying for the English Language Tests at home, enjoy!
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1. Start devouring podcasts
If you don’t already listen to podcasts, you should! They are great! You can access these at home, or on your commute to work. On your laptop, or even better, on your phone. If you have an apple, simply open the podcast app already installed.
If you have Android, then try Stitcher, RadioPublic, Podbean or Pocket Casts.
Here are a few of the IMG Connect Team favourites:
There is no such thing as fish
In our time, science
The Infinite Monkey Cage
Today in Focus
Happy Place
Woman’s Hour
Ted Talks Health
Dan Snow’s History Hit
Thinking Allowed
BBC Inside Science
The Guardian’s Science Hour
Ted Talks Science and Medicine
Discovery
2. Speak to native English speakers
There really can be no substitute for regularly speaking to native English speakers. In most cities across the world there will be a community of English speakers, seek them out online or go say hello!
The IMG team are always happy to have a chat with you, so if you can’t find anyone, then give us a ring!
3. Speak to everyone!
We know that sometimes in this modern world, people would rather turn to their computers, but to learn English is to share English! Whether a colleague at work, a fellow student, a friend or family member, speaking English about a range of topics, medical and general, will help you to practice what you learn. Be sure to apply your recent learning of vocabulary and grammar.
It is widely known that students who speak and listen to people every day, learn quicker.
4. Get down with the kids… and watch YouTube!
There are millions of videos on YouTube, with thousands of great channels and shows to subscribe to. And of course, they are mostly all free! But don’t get stuck watching cute cats and dogs, stick to the task at hand – learning English!
IELTS and OET have their own official channels, full of useful resources.
Instead of randomly watching topics, think about your exams and search YouTube for suitable resources.
At IMG Connect we have found a few great suggestions to search for:
OET
Medical lectures
Nobel Lectures
Oxford University lectures – medical
Cambridge University medical lectures
IELTS
Parliamentary debates, UK
BBC, Sky, Channel four News
National geographic
Ted Talks
But don’t take our word for it, search for your own topics of interest.
5. Binge on your favourite movies (in English)
What could be better than sitting back after a day at work and watching a movie? Well, watching a movie and learning English at the same time! The rule here is to not just sit back and relax, you have to do some work too, put the subtitles on, and follow the dialogue. If you don’t understand, then pause, rewind and watch again.
Try to choose the right type of films, with lots of dialogue, so apologies to all those blockbuster fans, you may have to watch something else. Documentaries are excellent, with topics for everyone!
Listen to the way that words are said, how the actors or narrators stress the sounds. And copy it!
Even better, take a note of all new vocabulary, and when the film is finished, find out what they mean.
6. An article a day gets the doctor to the UK!
This doesn’t have to be test related, you can choose something that you really are interested in. It can’t all be boring!
Blogs, news outlets, organisations – you choose.
Reading an article a day, short or long, can dramatically improve your confidence.
7. Tweet, tweet, twooo!
Twitter isn’t just about a tweet, but there are plenty fantastic articles and up to date topics that are shared daily.
Find someone you are interested in and follow their articles.
Many news groups share excellent articles daily.
But remember don’t just read the headline!
8. Write as much as you can, to anyone you can.
Practicing writing English in different contexts will help you to cement your learning and get you into the habit of writing to a high level of structure and grammar.
You could write a blog online for your colleagues, this is free on wordpress. It is your blog, so you choose the topic!
Of course, you should practice writing the essays for the tests, but if you know anyone that reads English why not also write to them…in English of course!
9. 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.
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PMQs - Acceptable Overseas Primary Medical Qualifications
In order to apply for GMC Registration and/or take the PLAB tests, IMGs must hold a primary medical qualification acceptable to the GMC for the purpose of registration with a licence to practise.
If your primary medical qualification is from outside of the UK or EEA, the GMC will need to check that it is acceptable.
How can I check my overseas qualification is recognised by the GMC?
Your Primary Medical Qualification (PMQ) must be awarded by an institution listed in the World Directory of Medical School.
There are some qualifications that the GMC already do not accept. These are listed on their website. You should check whether your qualification meets the relevant criteria before you start an application.
As part of the GMC application, overseas doctors from outside of the EEA will need to send a copy of their primary medical qualification to the GMC.
If your primary medical qualification meets the GMC criteria, you will need to have it independently verified by the Educational Commission for Foreign Medical Graduates (ECFMG) before registration with a license to practice can be complete.
How do I verify my Primary Medical Qualification?
Verification is completed online and is a simple process. You will set up an online EPIC account (Electronic Portfolio of International Credentials), confirm your identity and upload your qualification for verification. This is then assessed by ECFMG who will communicate directly with your awarding body to confirm authenticity.
What next?
Once assessed the ECFMG will confirm the outcome with the GMC. You will receive and EPIC ID, which will be required when completing the GMC application.
At IMG we recommend that you check your primary medical qualification and start the verification process as early as possible, so that you will have your verified qualification before applying.
Once you have checked that you have a suitable overseas qualification, and your overseas primary medical qualification has been independently verified, you can complete the GMC registration online.
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CESR – am I eligible?
Here we take a quick look at the CESR route for overseas experienced specialty doctors & consultants hoping to find a senior doctor job in the NHS and qualify for the Certificate of Eligibility for Specialist Registration (CESR).
Many IMGs have recently asked if they would be eligible for the CESR route to Specialist registration. International Medical Graduates (IMGs) from any country in the world can apply for CESR, provided certain eligibility criteria are met.
To help answer this question we have put together a short article to explain further, including the following topics:
What is CESR?
How does CESR work?
Am I eligible?
I am eligible, what next?
Applications for CESR requires a lot of preparation and can seem quite daunting. This is the first in a series of articles aimed at helping doctors planning to engage in this process.
What is CESR?
The Certificate of Eligibility for Specialist Registration (CESR) is the process by which doctors who have not trained in an approved programme can demonstrate their knowledge, skills and experience are equivalent to that of the relevant CCT curriculum to join the GP or specialist registers.
How does CESR work?
The CESR is awarded by the GMC and applications are made directly to them.
The Royal College then assesses the evidence an applicant has submitted to the GMC.
The assessment is to assure the GMC that the applicant has gained the equivalent level of competence as a trainee (i.e. ST6) making application for CCT via the ARCP process (Annual Review of Competency Progression).
This means that the CESR applicant must demonstrate competence against all Intended Learning Outcomes in the curriculum of the specialty of their choice via the written evidence submitted.
Are you eligible?
There are different ways to apply for registration with a licence to practise in the UK. It depends on your nationality, qualification and experience.
To meet the minimum eligibility requirements to apply you must have either:
a specialist qualification in the specialty you’re applying in
OR
at least six months continuous specialist training in the specialty you’re applying in.
You’ll need to provide evidence of how you’re eligible as part of your application. This could be a copy of your qualification or evidence of your employment.
In your application you must show that you meet the requirements of the CCT curriculum in your specialty.
The CESR certificate is awarded only on the written evidence provided by the applicant. It is not granted on the basis of references or experience.
In most circumstances we can say that evidence must:
come from higher training equivalent
be less than 5years old
demonstrate higher level experience
map to the curriculum
be represented clearly
be current
be primary evidence
You can check the approved Royal College curricula for all 65 specialities and sub specialties here.
I am eligible, what happens next?
As an IMG, it is highly likely that you haven’t complete a UK based approved training programme but could be eligible for Specialist Registration via the CESR route. Take a look at our in-depth CESR overview for more information on how to apply and what to expect.
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Preparing for the English Language Test (IELTS & OET) - a helpful guide for IMGs
Overseas doctors hoping to register with the GMC & find a job in the NHS will have to pass an english language test.
This will demonstrate that they have the right level of English to practice safely in the NHS, and in this article we will look at how to prepare for both IELTS and OET examinations.
To help you decide the best way to prepare, we have included the following topics:
The first thing to say – it isn’t easy!
What should I expect?
Can I just take the exam?
How can I prepare? Can I do all of this at home?
Where can I find training?
Knowing your level
What resources are available online to help with my preparation?
Steps to success in the English Language Tests
The first thing to say – it isn’t easy!
Preparing for any English Language Test, whether you have chosen IELTS or OET, requires you to learn a huge amount of vocabulary, write specific reports or essays, use a high level of grammar and structure, learn how to engage with a range of scenarios and acquire a set of key exam techniques.
What should I expect?
Preparing for and sitting the exams is difficult, not least because of the overload of information that is out there, for example which sources do you trust? What is the best way to find information?
Passing the exams can take months, and in some cases years of hard work. And don’t forget that each exam costs money, with many also choosing private tuition – the money and time can soon add up.
Can I just take the exam?
The exams costs money each time and are very specific in format, with the answers requiring certain structures and techniques. A lot of IMGs don’t get the required marks at first attempt and as such, we don’t advise taking the exam without sound preparation.
Remember… failing to prepare, is preparing to fail.
In general, there are a few things that most IMGs tell us that they have improved on through preparing well:
Overall general level of English – this takes time
IMGs who passed have told us that this takes the longest, but it is time well spent…
Overall improvements in general English skills, including broadening your vocabulary, grammar and punctuation, will help you to achieve the best score possible. Try to make a little progress every day.
Refining your test skills – this takes practice
Each sub-test (reading, writing, speaking and listening) has a different style of question and answer, so each of them has a specific skill that you need to learn.
Knowing how the tests are marked – this takes guidance
To gain those valuable extra scores, get to know what the examiner wants and give it to them!
Remember, this skill alone won’t get you a pass, but combined with the above it will be a huge help to getting the score you want.
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How can I prepare? Can I do all of this at home?
IMGs have shared many ways to practice for a pass and this doesn’t mean just repeating exam questions.
Here are a few of our favourite examples that you can do every day, for free!
Find a colleague at work, friend or family member, who you enjoy speaking English with and speak to them every day!
Read a wider range of topics online, both medical and general.
Find a regular news source you enjoy reading in English.
Tune into UK radio stations, available online, or, on your mobile phone. Put the radio on before and after work, rather than your usual local station.
Listen to Podcasts in English, there are thousands of topics to choose from.
Watch YouTube channels about medicine and life in the UK.
Watch movies and TV shows in English, both with and without subtitles.
Start writing, it is key that you practice, but this can sometimes be the hardest to practice in natural contexts. IMGs have suggested writing a blog or writing letters and emails (in English) to friends and family
Watch Tedtalks, that both do and don’t interest you!
Take practice tests at home, mark your answers and check how you improve.
Basically, find your passion and go for it!
Where can I find training?
There are excellent training sessions available, including face-face and online courses to help you to prepare. They can help you to build the skills you need to succeed in your exam.
It is always good to tailor your learning to your own needs, so whether you are new to the tests, or looking for support to help you to study or retake the exams, find a training programme that suits you.
Whilst not necessary, taking up an exam preparation course led by an experienced teacher or tutor who is knowledgeable on the test and the skills – is highly recommended
Most IMGs who attend courses in person, tell us that they saw quicker results.
Knowing your level
Knowing your level is an essential part of the preparation for both IELTS and OET. Whether you decide to sign up for a course, or tutor, getting assessed and knowing your current level will help you identify your areas of weakness to focus on.
We would recommend getting your speaking and writing assessed by a qualified teacher. They can tell you what level you are at and areas for improvement.
Identify weaknesses, focus on these and get reassessed to check if you have improved.
You can find courses or individual teachers online who have been trained directly by the examining body, which can give you the boost you need. But, speak to colleagues and see if they can recommend a trusted course or teacher.
What resources are available online to help with my preparation?
The following sites will give you all the general information you need for your IELTS or OET exam preparation:
IELTS Official
British Council IELTS
IDP IELTS
OET
You can find video tutorials and support on YouTube, including official channels from both IELTS and OET:
YouTube - IELTS
YouTube - OET
You can find online practice papers at the following trusted sites:
British Council – free sample tests
IELTS Essentials – free sample tests
IDP – free sample test
OET – free sample tests
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
So, broken down, here are our steps to success in the English Language Tests:
Understand the test structure and format
Set yourself achievable learning goals
Get to know the marking criteria
Understand the various question types
Polish your exam skills
Improve your vocabulary
Take practice tests
Practice every day, and we mean every day!
Not essential depending on your level of English, but you can also find a tutor or online course.
Get assessed, identify weaknesses, work on these, get reassessed.

HCPC route to the UK – a guide for overseas psychologists
As an overseas health and care professional, the main route to the UK is via the HCPC registration.
The Health & Care Proessionals 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)
International application
Which route is for me?
It all depends on where you have trained and qualified, EEA or outside of 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 of the EEA:
If you have trained outside of 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 practice outside of 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:
all of 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
have a doctoral standard piece of research
What is the role of the standards of proficiency?
For the purposes of HCPC registration, in order to ensure all applicants will work to the standards necessary to protect the public, the HCPC set threshold standards they consider necessary to measure all candidates and practitioners against in the UK.
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
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. understand the importance of and be able to maintain confidentiality
8. communicate effectively
9. work appropriately with others
10. maintain records appropriately
11. reflect on and review practice
12. assure the quality of their practice
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.
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 complete, some courses are broader with less in-depth coverage, and others are more detailed but have a narrower scope. Therefore, as a precaution, you must detail as much experience as you can in your application in case there are any shortfalls from the training and qualifications that you have. Significant experience may make up for shortfalls in training.
TOP TIP: HCPC assessors make their determinations based on all of 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 the format 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
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 of 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.

CESR - a guide for overseas doctors
Here we look briefly at the CESR route available to overseas consultants and exerienced senior doctors who wish to secure a job in the NHS and relocate to the UK.
Many IMGs have recently asked if they would be eligible for the CESR route to Specialist registration. International Medical Graduates (IMGs) from any country in the world can apply for CESR, provided certain eligibility criteria are met.
To help answer this question we have put together a short article to explain further, including the following topics:
What is CESR?
What is the Equivalence process?
Who is the CESR for? Who can apply?
What does the CESR route involve?
Are there other senior NHS positions available?
Legal requirement before taking a substantive, honorary or fixed term NHS consultant post in the UK
What are the achieved standards?
How can I prepare my evidence for CESR applications?
What if my application is not successful?
CESR is suitable for those who have already been practising overseas for many years.
What is CESR?
The CESR is for doctors who wish to join the GMC (General Medical Council) Specialist Register, and whose specialist training, qualifications or experience was partly or completely acquired outside of an approved CCT (Certificate of Completion of Training) programme in the UK.
It is equivalent to a CCT and certifies that the recipient has all the competences defined in the CCT curriculum, known as specialist registration.
What is the Equivalence process?
Equivalence describes the process of assessing an overseas applicant’s training and experience against the current training programme requirements, in order to gain a Certificate of Eligibility for Specialist Registration (CESR) for the Specialist Register held by the General Medical Council.
The process involves submitting a written body of evidence to the GMC of:
training and/or competence
skills and knowledge
Each Royal College will assess the application against the relevant Curriculum before providing a recommendation to the GMC, who will then make a decision.
Please note that Equivalence procedures are the responsibility of the GMC.
Applications are made through their Certification Department and initial enquiries should be directed there.
Who is the CESR for? Who can apply?
If you have training, qualifications and experience in a CCT specialty but have gained these partly or completely outside of an approved CCT training programme (for example, you have trained outside the UK or EEA), you may apply for a CESR in a CCT specialty.
What does the CESR route involve?
In a nutshell, you will need to compile a portfolio of evidence to prove you have achieved the equivalent skills and experience of a doctor who has completed a full GMC-approved training programme.
You can collect this evidence prospectively through non-training jobs.
Is it the right route for me? Yes, if…
You have already completed specialty training back home
If you have already completed Specialty Training, then you’re unlikely to want to repeat it.
You haven’t completed training, but you have too much experience in your specialty to apply for training posts.
In both scenarios, even if you are willing, you may be overqualified to apply for training.
Doctors who have complete specialist training overseas or via a non-CCT pathway may be eligible for entry without further training. You can check using the guidelines below:
GMC CESR Guidance
Specialty Specific Guidance
You will need to demonstrate all specialty learning outcomes specified in the relevant CCT curriculum.
Are there other senior NHS positions available?
It is important to note that you can apply for more senior roles such as a SAS doctor, specialty doctor or a locum consultant (locum consultants are not required to be on the Specialist Register).
This way you will have better pay and the roles and responsibilities are more appropriate to your level of experience compared to a junior trainee. While working in these jobs you can collect evidence of your competences.
This is also a quicker route to the UK than the CESR route, which can take a substantial amount of time.
Legal requirement before taking a substantive, honorary or fixed term NHS consultant post in the UK:
It is a legal requirement that doctors must have their names entered on the General Medical Council's (GMC's) Specialist Register before taking up substantive NHS consultant posts in the UK.
What are the achieved standards?
To apply you will need to have either a specialist qualification or have undertaken a period of specialist training (not less than 6 months anywhere in the world).
Your application is measured against the GMC standard.
The GMC break down the standard into four domains mirroring the headings of Good Medical Practice.
The GMC recommend that you allocate the evidence you provide with your application in the following way:
Domain 1: Knowledge, Skills and Performance - 75%
Domain 2: Safety and Quality - 20%
Domain 3: Communication, Partnership and Teamwork - 5% (combined for
both domains 3 & 4)
Domain 4: Maintaining Trust - 5% (combined for both domains 3 & 4)
The full list of evidence needed for each specialty is provided here.
How can I prepare my evidence for CESR applications?
As CESR applications are currently a completely paper-based process it is important to think about the evidence you present. You should:
Research/think about the types of evidence you will need and begin to gather your evidence well in advance of making your application.
Make sure that your evidence is current and of the highest possible quality.
Always note any curriculum changes – you will be assessed against the most recent one
Ensure that the evidence you collect demonstrates your competence across the whole of the curriculum, not just your speciality.
Throughout your application you should refer to the Specialty Specific Guidance in your specialty (or the most relevant if applying in a non-CCT specialty).
You should also refer to the relevant CCT curriculum in your specialty; as this is the standard that all CCT applicants will be measured against.
Look thoroughly at the GMC guidance available and get advice on your application from the GMC before you apply.
Remember to refer to the relevant CCT Curriculum and Specialty Specific Guidance for the evidence requirements in your specialty.
The GMC has strict guidelines for presenting evidence, including verification, anonymising and translating documents. We strongly advise all IMGs to take a look here and familiarise themselves with the criteria.
What if my application is not successful?
Following an unsuccessful application, you can apply for a review within 12 months of receiving your decision from the GMC. You can apply for a review of the GMC’s decision on the grounds that:
You now have additional evidence to submit that addresses the areas of your application in which you were previously unsuccessful
You believe that there has been a procedural error or unfairness in the processing of your original application.
Please refer to the GMC guidance for further information on applying for a review.
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MRCP(UK) - a guide for overseas medicine doctors
Here we take a closer look at the Membership of the Royal College of Physicians examinations (MRCP) for doctors who have chosen their specialism in medicine, including exam dates, fees and eligibility.
International Medical Graduates (IMGs) from any country in the world can sit the MRCP examinations, provided certain eligibility criteria are met. These are summarised below along with a broad look at the following topics:
What is MRCP(UK)?
Eligibility for overseas doctors
MRCP(UK) Part 1
MRCP(UK) Part 2
MRCP(UK) PACES
How to prepare and what resources are available
How to apply
Fees
Venues
Dates of Exams
Passed? What next?
The Royal College of Physicians is the professional body responsible for the specialty of medicine throughout the UK. Amongst many other duties, its role is to set and monitor the educational curriculum for those training to enter the profession.
What is MRCP(UK)?
The MRCP examinations assess:
knowledge of basic medical sciences
clinical skills required for the diagnosis and management of disease.
The exams are designed to test both applied basic science and principles of medicine to the level of a UK trainee with two to three years postgraduate experience.
Completion of MRCP will allow you to work in the UK from ST3 level upward (ST3+), with seniority beyond ST3 level dependent on experience.
MRCP is one of two routes an overseas doctor can take full GMC registration (postgraduate qualification or PLAB route).
For doctors who wish to take more senior roles reflective of their current practice, IMG Connect advise that MRCP would be the best route to take.
MRCP (UK) is a prerequisite to anyone wishing to go on to a specialist training post as a physician in the UK.
The MRCP exam has three parts as outlined below:
MRCP Part 1 – two written papers
MRCP Part 2 – two written papers
MRCP PACES – practical assessment in a clinical setting
Eligibility for overseas doctors:
Part 1:
To be eligible you must have a GMC recognised Primary Medical Qualification and a minimum 12 months postgraduate experience in medical employment.
Part 2 & PACES:
To be eligible you must have passed Part 1 within the last seven years.
Whilst it is not essential to successfully complete Part 2 to sit PACES, the Royal College strongly advises you to do so.
To support this, pass-rates are much lower for those who sit PACES before passing Part 2.
MRCP(UK) Part 1:
The entry-level examination is accessible to doctors with a minimum 12 months postgraduate experience in medical employment.
It consists of:
one-day examination
two three-hour papers
200 multiple-choice (best of five) questions
no imagery
sat in an examination hall
A more detailed look at Part 1 can be found here.
This will include examination centers, dates, fees and advice to give you the best chance to pass at first attempt.
MRCP(UK) Part 2
Part 2 can only be taken if you have passed Part 1 (building on the knowledge already assessed).
The format at a glance:
two papers taken on one day
papers last three hours
200 multiple choice questions
questions include images
sat in an examination hall
A more detailed look at Part 2 can be found here.
This will include examination centers, dates, fees and advice to give you the best chance to pass at first attempt.
MRCP(UK) PACES:
PACES applicants must have passed MRCP Part 1. However, we echo the Royal College guidance and strongly advise our doctors to take both Parts 1 & 2 before taking PACES.
PACES is based on a format that is similar to OSCEs, a practical assessment in a clinical setting. There are five clinical stations with either patients with a given condition, or trained stand-ins (surrogates).
The format in brief:
half-day examination
takes place in a clinical setting (hospital or clinical skills centre)
assesses seven core skills
five stations
eight patient encounters
two independent examiners at each station
each candidate is assessed independently by a total of 10 examiners
A more detailed look at PACES can be found here.
This will include examination centers, dates, fees to give you the best chance to pass at first attempt.
How do I prepare and what resources are available?
With lots of resources available online, we have discussed with IMGs the best place to start looking for materials relating to the exams. Most IMGs recommended starting with the Royal College, who have created useful resources to help you to prepare for the exams. See below:
Curriculum: Applicants are tested on a range of common and important disorders in General Medicine as set out in the Joint Royal Colleges Specialty Training Curriculum for Core Medical Training.
We recommend getting to know the curriculum as early as possible, and using it as a road map for your study plan.
MRCP(UK) mock exams: We suggest registering for the MRCP mock exams here.
These will provide you with the most accurate and relevant mock questions to prepare you for the real thing.
Sample questions: Test your knowledge using example questions from the current exam syllabus provided by the Royal College, see below:
Part 1
Part 2
PACES content: prepare and practice example questions on the topics and skills covered in the PACES exam
Preparation
Sample scenarios
PACES marksheets
For a useful overview of how to prepare for exams, including advice on study groups, online community support, best use of online resources & Royal College materials and courses, take a look at our blog: IMG Connects Top Tips for exam preparation
How do I apply?
Applications for all exams are made online via My MRCP(UK) account.
You will simply need to create an account and submit evidence of your primary medical qualification, then make a payment online to confirm your application.
Application videos from the Royal College can be found below:
Part 1 & 2
PACES
Please note, the application process is a little different for those looking to sit the exam in Hong Kong. Further information can be found on the Royal College website here.
Fees for 2019:
Exam
UK Test Centres
Overseas Test Centres
Part 1
£419
£594 *
Part 2
£419
£594 *
PACES
£657
£1202 *
*the application process and fees applicable for Hong Kong and Singapore centres are different and applicants are encouraged to submit their application directly to the administration team for this centre.
Venues:
Exam
UK Test Centres
Overseas Test Centres
Part 1
&
Part 2
Edinburgh
Glasgow
London
Bahrain
Bangladesh
Egypt
Ghana
Hong Kong
Iceland
India
Iraq
Jordan
Kenya
Kuwait
Malaysia
Malta
Myanmar
Nepal
Oman
Pakistan
Qatar
Saudi Arabia
Singapore
Sri Lanka
Sudan
United Arab Emirates
United States of America
West Indies
Zimbabwe
PACES
England
Scotland
Wales
Northern Ireland
Brunei
Egypt
Hong Kong
India
Kuwait
Malaysia
Myanmar
Malta
Oman
Qatar
Singapore
Sri Lanka
Sudan
United Arab Emirates
* Please note, exact locations change from each diet of PACES.
Dates of Exams:
Upcoming dates for the exams can be found using the following links:
Part 1
Part 2
PACES
Passed? What next?
First of all, congratulations! After you have passed all parts of MRCP(UK) you can apply for a full registration with a license to practice. Once the GMC have approved your application, you can work as a doctor in the UK.
For further information on MRCP exams including structure, content, preparing, procedure, dates, locations and fees, see the following articles:
MRCP(UK) Part 1 – a closer look
MRCP(UK) Part 2 – a closer look
MRCP(UK) PACES – a closer look
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OET - FAQs
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 (50 minutes)
Reading (60 minutes)
Writing (45 minutes)
Speaking (20 minutes)
The total test time is approximately 3 hours.
How much does it cost?
Test fees are AUD $587 (approx. £323 based on February 2019 exchange rate).
Should I prepare for the exam?
Yes, exam preparation is crucial to scoring highly in the test. You might feel like you already have a good level of English, good enough to pass the tests.
But IMGs keep telling us that no matter what level of English they have, it is always better to prepare. The test consists of very specific content, so specific test skills are required.
Should I spend money on preparing?
Whilst not essential, we recommend that you seek further support. This could be via online tutorials, 1 - 1 teaching, or longer course-based learning. There are lots of OET tutors available online.
That said, there are also loads of ways that you can improve your English for free, at home and in your own time.
CLICK HERE & REGISTER FOR 10-20% DISCOUNT ON ENGLISH LANGUAGE COURSES
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.
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