Understanding the status of your qualifications when registering with the GMC is critical to finding the best registration route for you and streamlining your journey to the UK and working in the NHS.
The breadth of global postgraduate oncology qualifications can confuse overseas oncologists as to the status of their qualifications in the UK. This blog aims to simplify subject, covering the following topics:
How do I register with the GMC as a European specialist?
EEA Countries
GMC-accepted EEA Primary Medical Qualifications (PMQ)
GMC-accepted EEA Specialist Qualifications
I am on the Specialist Register - what type of post can I be offered?
Skip ahead to the relevant section if you know what you’re looking for.
GMC Registration for European Specialists
When applying for GMC registration, all doctors must provide evidence of sufficient skills and knowledge. For oncologists from certain European countries (those within the European Economic Area or EEA), there is a group of relevant European qualifications which are accepted as sufficient evidence of skills and knowledge to practise in the UK.
These are Primary Medical Qualifications and European Specialist qualifications which provide eligibility for Full and Specialist Registration respectively.
European Economic Area (EEA) Countries
These are the countries from which a relevant European qualification would be accepted by the GMC*:
Austria
Germany
Netherlands
Belgium
Greece
Norway
Bulgaria
Hungary
Poland
Croatia
Iceland
Portugal
Cyprus
Ireland
Romania
Czech Republic
Italy
Slovakia
Denmark
Latvia
Slovenia
Estonia
Lithuania
Spain
Finland
Luxembourg
Sweden
France
Malta
Switzerland
*When determining the eligibility of your EEA qualification, it is important to check the given dates and evidence required by the GMC for acceptance.
EEA Primary Medical Qualifications
If your primary medical qualification was awarded by a medical school in an EEA country, it may be a relevant European qualification. Oncologists with an EEA PMQ are eligible for full GMC registration with licence to practise.
You can find out whether your PMQ is eligible and what qualifications and evidence you need to send to the GMC to support your application here or by selecting your country from the table above.
EEA Specialist Qualifications
If your specialist qualification was awarded after the completion of an EEA training programme, it may also be a relevant European qualification. Oncologists with an EEA specialist qualification are eligible for direct entry to the GMC’s Specialist Register.
You can find out whether your European Specialist Qualification is eligible by searching for oncology within this list and checking whether your country’s evidence is accepted (if your country’s field is blank for oncology, your qualification would not be accepted for Specialist Registration).
You can then check what qualifications and evidence you need to send to the GMC to support your application here or by selecting your country from the table above.
NHS Posts for European Oncologists on the Specialist Register
The NHS post you would be eligible for as a European oncologist would be dependent on your level of experience with your postgraduate qualifications taken into account.
If you are on the Specialist Register for clinical or medical oncology, you are eligible fo substantive consultant positions in the NHS - meaning you can be offered a permanent consultant contract to work in the NHS.
Without GMC Specialist Registration, you can still work as a locum consultant on a fixed-term contract, and attain Specialist Registration via the CESR Portfolio Pathway.
Oncology Consultants are in high demand in the UK, and thus command competitive rates of pay.
As a Consultant Oncologist, the pay you will earn can be broken down as follows:
Basic salary for 40 hours per week or 10 PAs (programmed activities)
Pay for additional hours worked
37% premium for night hours worked
Weekend allowance for hours worked
On-call allowance
There are also other wage premiums that may be offered.
You can find the latest pay scales for NHS Consultants across the UK here.
Please use these pay scales as a guide, but bear in mind that you may be eligible for a different rate of pay than stated, based on experience and/or demand. It is therefore worth checking what you may be entitled to with your IMG Consultant.
Sources
https://www.gmc-uk.org/registration-and-licensing/join-the-register/eea-countries
IMG Connect are here to help
We hope this helps to clear up any doubts around registering to work in the UK as an EEA oncologist and securing an NHS post.
Get in touch with our oncology team if you have any further questions regarding EEA entry to the NHS, CESR or oncology in the NHS more broadly.
From the 30th of November 2023, the UK’s General Medical Council will introduce significant changes to the application process for Specialist Registration, namely CESR (Certificate of Eligibility for Specialist Registration) and CEGPR (Certificate of Eligibility for GP Registration). These changes focus on the evidence required in creating an application for Specialist Registration.
What are the new changes to the CESR and CEGPR process?
Doctors who are applying for Specialist or GP Registration will now need to demonstrate that their knowledge, skills, and experience align with the high-level learning outcomes of the GMC-approved UK curriculum in the relevant specialty. These generic professional capabilities will be incorporated into specialty curricula and will therefore be equally demonstrated by UK trainees at the end of their approved training.
Why are these changes being made?
The current system for CESR and CEGPR applications requires the mapping of evidence to the detailed CCT (Certificate of Completion of Training) curriculum in a specific specialty. The goal of this change is to ensure that doctors have a comprehensive understanding of the core competencies needed to practice effectively in their chosen specialty, whilst allowing the GMC the flexibility to accept a wider range of evidence.
This change is significant because it shifts the focus from a narrow and specific curriculum to a broader and more comprehensive approach. By aligning with the high-level learning outcomes, doctors will be better equipped to provide quality care and meet the evolving needs of patients.
What will the new system be called?
The GMC has confirmed that both the CESR and CEGPR will be known as ‘Portfolio Pathway’ from 30th November 2023. This will be a more appropriate name which aligns with the evidence of knowledge, skills and experience required for practising as an eligible Specialist or GP in the UK.
Sources
https://www.gmc-uk.org/registration-and-licensing/join-the-register/registration-applications/cesr-cegpr-application-process/changes-we-are-making-to-cesr-and-cegpr-applications
https://www.gmc-uk.org/registration-and-licensing/join-the-register/applying-for-specialist-or-gp-registration/changes-to-how-doctors-demonstrate-the-standard-required-for-specialist-and-gp-registration/what-is-changing
Connect with us
Get in touch with us to find out more about achieving CESR or CEGPR as an IMG and join our upcoming CESR workshop and webinars on the GMC registration process and working in the UK as a doctor.
In a landmark decision, the government agreed to an increase to the pay of NHS junior and senior doctors in England, based on the recommendation of the Review Body on Doctors’ and Dentists’ Remuneration (DDRB).
This pay rise will equate to an increase of 6% for senior doctors i.e., consultants and SAS doctors, and for junior doctors, an agreed average pay increase of 6% with a one-off uplift of £1,250.
This pay increase is not only a testament to the power of the industrial action by NHS doctors over the past several months.
Whilst an acknowledgement of the efforts and hard work of NHS doctors, this pay increase fails to fully consider the rationale behind these strikes and the BMA’s calls for the UK government to fully restore pay to 2008-09 levels.
In contrast, strike action was suspended in Scotland, following a 12.4% pay offer from the Scottish government.
Whilst the Scottish pay offer is a move in the right direction, IMG Connect remains fully in support of doctors taking part in industrial action. The decision to go on strike is not taken lightly, but is a fundamental right of doctors who want to protect the NHS and its ability to provide quality care to patients and our communities, whilst also ensuring their work and wellbeing are properly valued and compensated.
Sources
https://www.gov.uk/government/news/nhs-staff-receive-pay-rise
https://www.bmj.com/content/382/bmj.p1624
For more information on working in the NHS or how this pay increase will affect you as an NHS doctor or IMG, contact us at info@imgconnect.co.uk.
The IMG Connect team is delighted to announce that we have been awarded a position on the NHS Workforce Alliance International Recruitment Framework for Lots 2 and 5!
This has been a long time in the making after the tireless work of our founders Marcus and Ruaidhri. It was hard work, starting the company amidst the uncertainty and disruptions of the COVID-19 pandemic, sweating over laptops wondering how on earth to countenance for a pandemic in an international recruitment business model! But many a late night working alongside our hard-working IMG Connect team has led us to this fantastic achievement, and well, here we are, a new chapter begins. Everyone at IMG Connect relishes the challenge and opportunity presented to us with this Framework award.
Moving forward, we remain focused on connecting NHS Trusts with highly skilled and dedicated doctors who provide exceptional care, compassion, and dignity to patients. This framework allows us to nurture long-term relationships with NHS Trusts and deepen connections suited to the professional development and career goals of our candidates.
We are committed to helping our clients limit the expense and unsustainable practice of hiring overpaid temporary locum doctors; all while ensuring that we recruit only the very best medical professionals.
With our appointment to this framework, we look forward to extending our support to more hospitals and NHS Trusts across the UK, and our role in their pursuit to build a sustainable workforce and deliver outstanding healthcare services to the community.
Guest blog, written by Dr Jon Turvey, Core Psychiatry Trainee, Leicestershire Partnership NHS Trust
Dreams of providing quality psychiatric care within the dynamic medical landscape of a job in the NHS, often lead overseas psychiatrists from healthcare systems around the world to embark on the journey towards Membership of the Royal College of Psychiatrists (MRCPsych).
As a crucial milestone on the path to a career in psychiatry within the UK, the MRCPsych examinations provide an internationally recognised credential that sets the bar for clinical excellence, comprehensive medical knowledge and training, and confident decision-making skills in the field.
In this blog, we’ll be covering some of the key aspects of the Paper A and B exams, as well as introducing you to PassMRCPsych, an online learning and resources platform for MRCPsych aspirants, summarised in the headings below:
Why does MRCPsych matter?
An overview of MRCPsych Paper A
Unpacking MRCPsych Paper B
IMG Psychiatrists partners with PassMRCPsych
Mapping your MRCPsych journey
Using PassMRCPsych for exam success
Why does MRCPsych Matter?
The value of holding MRCPsych cannot be understated, serving as both a symbol of your medical competence as a psychiatrist and giving you a competitive edge in the NHS job market. Attaining full MRCPsych demonstrates to potential employers that you have the necessary knowledge, skills, and experience to provide high-quality care to patients.
MRCPsych also provides a steppingstone for further specialist training and can significantly enhance career prospects for international psychiatrists, more easily facilitating entry into more senior positions in the NHS, such as specialty doctor, the new specialist grade and consultant roles.
An overview of MRCPsych Paper A
Paper A is a written exam comprising 150 multiple-choice questions (MCQs) and extended-matching questions (EMQs), sat over 3 hours and now held online, through test centres. Paper A forms the foundation of the MRCPsych and focuses on the basic sciences that underline psychiatric practice. It touches on areas such as neurosciences, psychology, and social sciences, which are the cornerstone of psychiatry and set the scene for more advanced topics.
The average pass mark is typically around 60-70%, although this varies slightly depending on the difficulty of the paper for each diet. As per the latest statistics from the Royal College website, approximately 65% of candidates pass Paper A each diet.
You can find a detailed breakdown of the Paper A exam here.
Unpacking MRCPsych Paper B
Similarly to Paper A, Paper B comprises 150 MCQs and EMQs sat over 3 hours through a remote test centre. Paper B requires an understanding of more nuanced clinical topics like psychopathology, treatment protocols, and management strategies for psychiatric disorders. It's about applying your foundational knowledge to real-world scenarios and demonstrating effective clinical decision-making.
For Paper B, the average pass mark usually ranges around 65-70%, with a pass rate of approximately 60%.
See here for an in-depth overview of the Paper B exam.
Partnering with PassMRCPsych
As an exciting development in our provision of medical education, IMG Connect and PassMRCPsych have forged a partnership to offer extensive support to overseas doctors preparing for the MRCPsych exams. This collaboration aims to ensure your exam success through a series of exam-focused webinars and a continuously evolving and up-to-date revision resource to keep pace with the demands of the MRCPsych exams, along with discounts on revision course subscriptions.
Mapping Your Journey: A 4-Month Study Plan
Navigating the MRCPsych exams is no easy feat. It demands rigorous and methodical preparation for UK trainees and IMGs alike. Here's a 4-month study plan for each exam to keep your preparation on track:
Month 1: Get to Grips with the Syllabus - Familiarise yourself with the syllabus and identify key areas that you need to focus on (these may be areas you are less familiar with or those not covered by your current practice). Use this month to dive into the revision notes on PassMRCPsych. Join the IMG Psychiatrists Facebook group for access to Paper A and Paper B study courses to support your study alongside your PassMRCPsych resources.
Month 2: Deep Dive into Topics - In this month, start working on each topic systematically. Use the revision notes to ensure you cover every aspect and create your own short notes for quick revision closer to the exam date.
Month 3: Challenge Yourself - This is the month to test your knowledge. Attempt the MCQs in the question bank regularly. This will help you gauge your understanding and identify areas of weakness. Don’t forget to read the explanations when you get the answers wrong!
Month 4: Revise and Review - Revision is the key to retaining information. Revisit your short notes, attempt more MCQs, and make full use of the PassMRCPsych mock tests to familiarise yourself with the exam pattern. This final month should be dedicated to reinforcing your learning, particularly on topics which you need to keep in your short-term memory.
Remember, while this study plan serves as a roadmap, you should adapt it to suit your personal learning style and pace e.g., time available to prepare and external commitments. The aim is to ensure comprehensive understanding and effective retention of knowledge.
PassMRCPsych - Your Companion in Success
The seemingly vast MRCPsych syllabus might appear intimidating, but with the right guidance and resources, passing Paper A and Paper B can transform from an uphill task into an achievable goal. Here's where PassMRCPsych comes into play.
The online platform is armed with resources tailored specifically to the MRCPsych syllabus, from comprehensive revision notes that decode every topic in the syllabus, to an MCQ question bank with over 5000 questions, and mock exams providing the perfect opportunity to test your knowledge under timed conditions.
Better still, PassMRCPsych can also be used through a mobile app (on both iOS and Android), ensuring that your study materials are just a tap away and facilitating the seamless switch from studying at your desk to revising on-the-go.
It’s important to acknowledge that the MRCPsych exams come with a not insignificant cost. Understanding the financial constraints that often accompany rigorous exam preparations, PassMRCPsych offers highly competitively priced subscriptions which ensure that every aspirant, regardless of their budget, has access to top-notch preparation resources.
Dr Aisha, a satisfied user, shared her experience:
"PassMRCPsych.com was instrumental in my MRCPsych journey. The meticulous revision notes, the challenging MCQs, and the realistic mock exams provided an unparalleled learning experience. The convenience of a mobile app made it possible for me to study anywhere, anytime. And the affordable subscription didn't put a dent in my pocket while offering unparalleled resources."
Your Future Awaits
With your career goals within reach, embark on your journey towards conquering the MRCPsych exams by subscribing to PassMRCPsych for Paper A and Paper B. Utilise their exhaustive resources and mock exams, and watch your preparation transform into success!
For a walkthrough of the PassMRCPsych platform and resources, join the IMG Psychiatrists Facebook group.
To receive the latest news and updates on all things psychiatry, including the MRCPsych, GMC registration and the NHS, follow us on social media and join the conversation.
IMG Connect helps international doctors to start, and progress their career in the NHS.
A bespoke and director led company, we can help you to find that hospital that will support your training and development in the UK. An added benefit is we help the NHS to save millions year on year simply by increasing the number of skilled international international doctors working in NHS!
We offer a personalised recruitment & relocation service to any international doctor looking to find work in the UK. IMG Connect can help you start and progress your career in the NHS, with advice and guidance on every aspect of planning, finding the right job, navigating legislation and relocating.
This service can be summarised into four key areas of support and guidance:
Exams, registration and Medical Qualifications
Job search & interview preparation
UK Visa & Immigration
Relocation, aftercare & ongoing career support
As an overseas doctor, finding work in the UK is complex. Our approach is designed to simplify this process for you, so more time can be spent on job selection and interviews.
So, as an overseas doctor what are the benefits to working with IMG Connect and what happens when you register?
The Benefits:
We are set up to specifically help IMGs looking to work in the UK
First of all, it is worth remembering that IMG Connect is a specialist agency that dedicates to one thing only, helping international doctors find work & relocate to the UK.
If you are a doctor trying to take PLAB or Royal College Exams, register with the GMC or a get your Tier 2 visa it helps to work with someone who knows what they’re talking about!
Our service covers all the areas that are important to you
Our service can start from wherever you need it, from questions and advice on exams and registrations, to professional representation with an NHS hospital – we will be with you from start to finish.
Even after you’ve accepted a job our work together has barely begun. It is our goal to help you relocate painlessly to the UK, ensuring you and your family are happy from the moment you make the move.
Contact with us can continue for years after your placement should you need or want it.
In brief we label our service a Comprehensive Recruitment, Relocation and Aftercare package. All of this free of charge, from start to finish.
Bespoke representation
Getting your CV noticed by the right people is crucial, whether it’s a Clinical Director or Lead consultant, having someone to represent you personally goes a long way towards securing you an interview.
This is just not possible with online applications where your CV is bundled together with all the others.
Honest opinions beyond the technicalities of a role
We’ve worked in this field for 10 years now and have worked with almost every UK hospital at some point in our careers.
Whilst you would not only benefit from utilizing our network within the healthcare sector, we can give you an honest opinion, based on personal experience, as to what a hospital is really like and whether we think it would be the best fit for you.
Negotiating the best salary for you
It certainly helps to have someone who knows the NHS well when negotiating your salary. We’ve been in this field for a while now and know what the flexibilities are and where realistic negotiation can be found. We understand your importance to the NHS and will do everything we can to ensure you get the best salary possible for a doctor with your experience.
This is all sounds good! So how do I register and what happens when I do?
You can get in touch anytime, we’d be delighted to hear from you and introduce ourselves.
Alternatively, you can register your details here and one of the team will get back to you shortly.
The moment you register with IMG Connect you will have access to four key benefits:
1. A dedicated consultant working in your specialism only
Affording you the opportunity to build a long-standing working relationship with someone who knows your specialty inside out. We believe individual specialism is vital to proper customer service and expertise in the world of recruitment.
2. Access to hundreds of jobs across the UK
Benefit immediately from our extensive network. As an agency that works with every single hospital in the country, you will have immediate access to all jobs available in your sector. Depending on what stage you are at with your exams and registrations, we can have you interviewing almost immediately.
3. Access to our online learning and resource library
At the click of a button you will have access to a comprehensive & up to date resource library that contains all information needed for your move to UK - organised and easy to navigate for your convenience.
Access the IMG Resources library here.
4. An ever-growing online community of IMGs
It helps to get support from those around you.
Our online IMG Communities, on both Facebook and LinkedIn, can introduce you to like-minded people in a similar situation to yourself. With any questions you have, on any topic that is troubling you, just send a message to either group and receive an answer within minutes.
IMG Jobs
Search and find live NHS doctor jobs in the UK
IMG Resources
In our IMG Resources library you can 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
Get in touch using the buttons above (and below) to discuss doctor job opportunities in the NHS, including discussions regarding a typical doctor salary in the UK and the most suitable hospital locations for you.
For regular news and updates, follow IMG Connect on social media using the links below:
The identity checks (ID) usually required for GMC registration were paused earlier in the pandemic to comply with government guidance on safe workplaces and social distancing.
ID checks have now resumed and are again necessary for all doctors as part of the registration process in the UK.
The GMC has partnered with Digidentity to allow doctors to complete their GMC identity check using a secure app.
In this blog we will be looking at the process of verifying your ID with the GMC to complete the final step in the registration process.
Who needs to complete an ID check?
All doctors joining applying for registration with the GMC must complete an identity check, as well as those who want to restore their registration.
Please note, if you completed an ID check for your PLAB 2 exam, you would not need to attend another one.
When do you need to complete an ID check?
From Wednesday 19th April 2023, you will have three months to book an appointment and complete your ID check. If you don’t, you’ll have to start a new application.
How do I book an ID check?
You will be emailed by the GMC to invite you to complete your identity check as part of your application.
Where can I complete my ID check?
It is no longer necessary to come to the UK to complete your identity check - you can instead do this through the free Digidentity app.
If you are not able to complete your ID check through the app, you will need to book an appointment at the GMC's London office to complete your check in person. The
Information on booking in-person appointments can be found in your ID check invitation email.
You would need to be in the UK, either on your visitor or working visa (if you already got have one).
What documents do I need?
The GMC will accept:
passports
full UK driving licences
Forms of ID that will not be accepted are: provisional UK driving licences, expired documents and scanned or photocopies. At this time, Syrian passports also cannot be used.
The GMC recommends that you use your passport if possible; if you use a full driving licence, you may be contacted for additional information.
If you attend your ID check in person, you will need to bring the originals of the documents you submitted earlier in your online application. They must be valid on the day of the appointment and will be photocopied and returned to you.
How do I use the app to complete my ID check?
The GMC has created a short and easy to follow instruction video explaining the process of using the app to verify your identity.
Once you have watched the video, follow the steps below to complete your check using the app.
Download the Digidentity app to your mobile phone – you will need a phone with iOS 14 or Android 9 or higher.
Log into your GMC Online account – go to the 'My ID checks' section, click on 'Digital ID checks' and follow the step-by-step guide to completing your check.
When you take your selfie, please try to take an acceptable passport style photo.
You should use the email address the GMC contacted you on to create your Digidentity account and complete your check.
If you need any support during this process, please contact Digidentity.
Once you’ve completed all the steps in the Digidentity app, you must return to the ‘Digital ID check’ section of GMC Online and follow the steps on screen.
This will allow Digidentity to send the details of your check to the GMC to review.
What happens after I complete my ID check using the app?
Once you’ve successfully completed all the steps on the app, you will receive an email from Digidentity confirming your completed registration.
When Digidentity share the results of your check with the GMC, this will be manually reviewed and you will be emailed to confirm whether your check has been successful.
Please note, the registration confirmation email from Digidentity does NOT mean that you can now practise medicine in the UK. The GMC will email you separately once you have been granted registration. You must not start work until you have received the GMC confirmation email.
It can take up to ten working days to process your check, and you can monitor the progress of your verification via the 'Digital ID check' section of your GMC Online account.
If there are any issues with your check, or if the GMC requires more information, they will contact you to let you know and explain what your options are.
How do I complete my in-person ID check?
Your identity check appointment lasts around 30 minutes.
The GMC will check your passport and then take a photo of you for their records. This photo may be disclosed to employers on request - this helps them to confirm your identity when you start work, as well as to help protect you from identity fraud.
You will also have to fill and sign the declaration form.
The appointment timings are strict, so the GMC won’t be able to provide advice on any other subjects during your identity check. If you have any other questions, please speak to your applications adviser or the contact centre.
Key information for doctors attending ID checks
For doctors who registered with the GMC at the beginning of the pandemic and did not complete an identity check, the GMC will offer you an ID check at the earliest convenience, so do look out for an email from them.
You will also be able to complete your ID check using the Digidentity app.
I’ve completed my ID check, what’s next?
Firstly, congratulations! Once your identity check is complete and the GMC has confirmed your identity, you will immediately be granted registration and your name will be added to the medical register.
Get in touch with our team if you are interested in finding your perfect role in the NHS and relocating to the UK – we’re always happy to help.
Following an extensive review of its assessment strategy, the Royal College of Psychiatrists has announced changes to the delivery of the MRCPsych examinations.
MRCPsych Paper A and B will remain online for the foreseeable future, and the CASC exam will remain online for the May 2023 diet, moving back to an in-person exam from September 2023.
Online MRCPsych Written Papers
The written MRCPsych papers (Paper A and Paper B) will continue to be delivered through a test centre of your choosing (including international centres). This exciting development was of course accelerated by the COVID-19 pandemic, enabling MRCPsych examinations to be delivered for both overseas doctors and UK trainees.
The structure of MRCPsych Papers A and B remains that candidates complete 150 questions. From these questions, roughly 100 are multiple choice with single answers and 50 are extended matching questions which ask a series of multiple choice questions about information in a single question stem.
The online system is straightforward, requiring only a few checks and guidelines to follow to help you make the process a success.
In-person CASC Exam
Subject to final GMC approval, from September 2023 the CASC exam will be delivered face-to-face in the UK, with international centres for face-to-face delivery set to be introduced in 2024. There will be no further online diets after May 2023.
Face-to-face delivery enables candidates to better demonstrate that they meet the key capabilities outlined in the 2022 curriculum.
After consultation with stakeholders, it was clear that the validity and reliability of the examination was of prime importance, and that face-to-face assessment is the optimal way to assess the clinical skills required for psychiatric practice.
The structure of the MRCPsych CASC exam remains unchanged - candidates complete two circuits, each of eight stations. An examiner will evaluate your performance and the invigilator would be on hand to make sure that everything runs to plan.
The September 2023 exam will be held in Sheffield, with international centres to be confirmed for 2024 onwards. If you are an overseas candidate for whom this change will delay when you will sit CASC, email the Royal College who are able to extend validity periods according to individual circumstances.
Getting started
An online application form must be completed and takes around 15 minutes. For full guidance on the application, please visit the Royal College website here.
Join the IMG Psychiatrists Facebook group to become part of a community of like-minded MRCPsych aspirants and dedicated psychiatry recruiters.
In the group you will find tailored resources for Psychiatry IMGs including our MRCPsych Crash Course.
This course offers weekly sessions covering the entire exam and its various domains, including marking and station requirements. This is accompanied by small group role play sessions to allow IMGs to practice stations across various scenarios with feedback on each station, delivered by an experienced NHS psychiatrist and specialist psychiatry recruiters. These sessions are completely free to all doctors.
You can access our CASC Study Course by joining the Facebook group here.
Connect with us
Don’t hesitate to get in touch using the buttons above (and below) and chat with an IMG Consultant to discuss your options for NHS roles with CESR support and start your journey towards Specialist Registration with IMG Connect.
For access to a community of like-minded psychiatry IMGs and dedicated psychiatry recruiters, join the IMG Psychiatrists Facebook group.
To receive the latest news and updates on all things psychiatry, including the Royal College, GMC registration and the NHS, follow us on social media and join the conversation.
NHS Consultant Salary: Take-Home Pay for International Doctors in Northern Ireland
For international medical graduates (IMGs) interested in working in the NHS, understanding what an NHS consultant salary could mean as monthly take-home pay in Northern Ireland is crucial for financial planning. To help overseas doctors prepare for life in the UK, we’ve compiled examples to give you a clearer picture of what you might expect to take home each month.
How Much Will I Take Home?
In the UK, take-home pay refers to the amount deposited into your bank account after all necessary deductions have been made from your annual salary. These deductions typically include:
Income Tax
National Insurance contributions
NHS pension payments
It's important to note that these figures serve as guidelines. We’ve calculated them based on the gross salary at each pay threshold, assuming no other sources of income. Your actual take-home pay could vary depending on several factors, such as:
Additional responsibilities or extra hours worked
Other income sources
Your final tax bracket
Opting out of the NHS pension
Claiming tax-deductible expenses
Take-Home Pay Expectations in Northern Ireland
For NHS consultants and specialty doctors working in Northern Ireland, your monthly take-home pay will fluctuate based on these variables. We recommend consulting with an IMG specialist to help you better understand your potential earnings and to explore ways to maximise your income. Keep in mind that NHS pay scales can be influenced by factors like experience, job responsibilities, and the specific Trust you’re employed by.
By having a realistic understanding of your NHS consultant salary and how it translates into monthly take-home pay, you'll be better prepared for a successful career and life in the UK.
Threshold
Annual gross salary*
Estimated annual take-home pay**
Estimated monthly take-home pay**
1
£88,799
£60,533
£5,046
2
£91,581
£62,166
£5,181
3
£94,362
£63,779
£5,315
4
£97,141
£65,391
£5,449
5
£99,913
£66,999
£5,583
6
£106,520
£69,527
£5,794
7
£113,124
£72,037
£6,003
8
£119,723
£74,544
£6,212
*before tax and pension
**based on standard salary and not inclusive of additional payments for extra hours worked or pension deductions
To explore detailed information on NHS pay scales and salary conditions across all grades in the UK, check out our comprehensive series of blogs on career structure and NHS doctor pay in our IMG Resources library. These resources are designed to help international doctors understand their earning potential at various stages of their careers in the NHS.
Completing your exams and registrations is one thing, moving to another country is another...
All in all, IMGs aspiring to work in the NHS have an awful lot to get done. We know this and is why we exist as a company - to guide and support international doctors on their journey to becoming a doctor in the UK. Here we'll look at 7 mental approaches to making sure your early weeks, months and hopefully years in the UK are sucessful and happy ones!
1. Right mentality
When approaching this new challenge, remember the right mentality is key to enjoying your new life and flourishing in your new job. It is understandable that you might be a touch nervous before moving, but whatever your mindset before leaving home try to embrace the new challenge with enthusiasm and a positive mindset.
2. Build support networks
Having someone’s support is essential and even the most resilient of characters would struggle without it. Support can come from many different places and sources, from your friends or family back home or those you are closest to in the UK.
Online forums and communities, like our IMG Community, can be incredibly helpful when questions or experiences that you have and you can likely get a response in minutes to a problem that has bothered you for a while.
3. Build social and professional networks
At IMG Connect we are big believer in building and utilizing the communities around us, both online and in real life. Ask your peers at work for advice where you need it and think about attending the various professional or social gatherings that you come to be aware of.
It is worth remembering, most people love to share their experiences and offer their advice, whether your peers or new friends you have made in the UK. Use these as opportunities to get to know people around you better.
4. Be socially brave and integrate with your community
Always throw yourself into social scenarios and don’t be afraid to introduce yourself to new people. The quicker you settle into your new job and home, the quicker you will be feeling comfortable and happy in your day to day!
5. Be patient
Adjusting to a new system and new country will take time – remember that. It may take a number of months to get things where you want them and up to a year to feel at home in your new scenery. Don’t be afraid of this, just be aware and be patient.
6. Be resilient and remember why you’re doing this
Deciding to relocate to the UK would certainly not have been a decision you took lightly. Remember all the reasons you took the decision to move in the first place, and don’t lost sight of them. Things will invariably get tough at some stage but keep your goals in in throughout.
7. Remember your importance and the good that you do
Finally, remember the amazing things you do every day as a doctor, and what a valuable service you provide to NHS and the British population. You should never forget the importance of your job and positive impact it has on the community around you.
For more useful blogs & articles on relocation, life & culture in the UK & NHS – take a look at our IMG Library.
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The GMC is the public body that maintains the official register of medical professionals with the UK. Once a doctor has gained full GMC registration, there are a number of actions they may take to maintain their registration and keep their information up to date.
In this blog we will be looking at the how to manage your registration and the different options you have if you need to change your status on the register.
How do I maintain my registration?
What is revalidation and who needs it?
How do I give up my licence or registration?
How do I restore my licence or registration?
Skip ahead to the relevant section if you know what you’re looking for.
Maintaining your Registration
In order to manage and maintain your registration and licence to practise, you need to meet certain requirements and keep your information up to date.
The details you need to keep up to date include your address, email, designated body or suitable person (for revalidation purposes) and your direct debit details. This can all be managed through GMC Online.
To change your address, your name or your name and gender status, you will need to complete forms which can be found on the GMC website.
Please note that to change your name and gender status, there is an application process involved.
Revalidation
All doctors on the GMC’s medical register with a licence to practise must go through a process called revalidation.
Revalidation allows you to demonstrate that you:
are keeping your knowledge up to date
provide a good level of care
are fit to practise and no concerns have been raised about you
The process of revalidation differs slightly, depending on your revalidation connection type, which you can check using the GMC’s connection tool.
Doctors with a connection – most doctors have a connection and will revalidate their registration and licence every five years, by having annual appraisals based on the GMC’s core guidance for doctors: Good medical practice. All doctors working in the UK must have a designated body and will be given a five yearly recommendation from their responsible officer or suitable person, based on which the GMC would make a decision.
Doctors without a connection – you may not have a connection for example because you are not practising in the UK. In this case, you would similarly revalidate through a process of annual appraisals based on Good medical practice, annual returns submitted to us as well as a five-yearly assessment. The GMC would make a revalidation decision based on the outcomes of these activities.
Doctors in training – these doctors would revalidate through meeting the requirements of their UK training programme and the GMC would make a decision based on a recommendation from the responsible officer of their training body.
Full details on revalidation can be found on the GMC website.
Please note, if you fail to comply with the requirements of registration, including appraisals, this puts your licence to practise at risk.
Changing your Status on the GMC Register
If you're no longer practising medicine or enter into work that doesn’t require registration or a licence to practise, you can apply to give up your whole registration or just your licence.
You can choose to give up either your registration or just your licence. Which of the two options is best for you will depend on your circumstances and we will go into more details on this below.
Giving up your licence or registration is not final, and you can apply to restore it again when you're ready.
The table below will allow you to understand whether it would be better for you to relinquish your registration, your licence or both, based on some considerations you may have.
Relinquish your Registration
If you give up your licence only, you will still be able to prove your good standing with the GMC to other organisations, but you will pay a reduced annual retention fee. You will not be able to practise medicine in the UK.
Relinquishing your registration (voluntary erasure) means that your name will remain on the GMC register but with the status ‘Not registered – Having relinquished registration’
You can request to give up your registration up to three months in advance, but if you hold full registration with a licence to practise, you will still need to take part in revalidation until your registration ends.
Providing Medical Services
If you have provided medical services in the 5 years prior to giving up your registration, you will need to send the GMC a provision of medical services statement, from your employer to confirm you provided a medical service if you have used your medical knowledge and skills as part of your work.
The form can be downloaded from the GMC website and should be completed by the individual, body, or organisation where you most recently provided these services, anywhere in the world. This includes unpaid and voluntary work, or any other sort of arrangement, whether it be formal or informal.
Details of what should be accounted for in the form can be found here.
Fees
There is a processing fee which applies when giving up your registration. If your application is received by the GMC:
before your annual retention fee (ARF) is due, you will be refunded any unused part of your ARF.
after your ARF is due, you will have to pay the outstanding balance before the GMC will end your registration.
The fee is £10, but effective 1st April 2023, this will be changed to £0.
Relinquish your Licence
If you give up your registration, you will not have to pay an annual retention fee. You will not be able to practise medicine in the UK.
Giving up your licence but keeping your registration means you're able to prove your good standing with the GMC to other organisations. You will not however be able to practise medicine in the UK.
Some things to bear in mind if you give up your licence:
It’s your responsibility to establish that you do not need a licence for your work.
You’re still bound by the principles of Good medical practice if you keep your registration without a licence.
You must tell your employer and those who contract and use your services that you’ve given up your licence.
You can apply to give up your licence to practise through your GMC Online account, through the ‘My Registration’ section and you will not need to provide any evidence or documentation.
Full details of the documentation needed to reinstate your licence can be found here.
Fees
There is a processing fee which applies when giving up your licence to practise. The fee is £10, but effective 1st April 2023, this will be changed to £0.
Restore your Licence to Practice
If you were up-to-date with revalidation when you gave it up, it is relatively straightforward to have it restored.
From 2016 to 2017, it took on average 22 days for licence restoration, and you can apply for restoration up to three months in advance.
You'll need to send the GMC:
evidence to confirm your identity
statements from organisations you have most recently provided medical services to
certificates of good standing from any other regulators you’ve been registered with in the past five years
You might also be asked to attend an identity check, but the GMC will confirm this once your application has been granted and your licence restored.
Please note, if you were not up-to-date with revalidation when you relinquished your licence, you will be given a new revalidation submission date, and you will need to meet any requirements you failed to meet when you withdrew your licence.
You can apply to restore your licence to practise through your GMC Online account, through the ‘My Registration’ section, then ‘My Applications’.
Fees
There is a processing fee which applies when restoring your licence to practise. The fee is £10, but effective 1st April 2023, this will be changed to £0.
Sources
https://www.gmc-uk.org/registration-and-licensing/managing-your-registration/information-for-doctors-on-the-register/maintain-your-registration
https://www.gmc-uk.org/registration-and-licensing/managing-your-registration/information-for-doctors-on-the-register/revalidation
https://www.gmc-uk.org/registration-and-licensing/managing-your-registration/changing-your-status-on-the-register/restoration-to-the-register
https://www.gmc-uk.org/registration-and-licensing/managing-your-registration/changing-your-status-on-the-register/giving-up-your-licence-to-practise
https://www.gmc-uk.org/registration-and-licensing/managing-your-registration/changing-your-status-on-the-register/giving-up-your-registration-and-licence-to-practise
Getting started
We hope this article gives you a clearer picture of the different ways you can manage your GMC registration.
If you are looking to restore your registration or licence, get in touch with our team for support in finding your perfect role in the NHS and relocating to the UK – we’re always happy to help.
Read more useful articles on exams, NHS jobs and salaries in our IMG Resources library.
For regular news and updates, follow IMG Connect on social media using the links below:
Many junior doctors applying for Specialty Training in the UK will need to take the MSRA or Multi-Specialty Recruitment Assessment.
The MSRA plays an important role in the shortlisting and assessment process for entry into postgraduate training in several specialties for ST1 and CT1 level jobs, by assessing essential competencies.
In this blog, we will be taking a closer look at the assessment, focusing on some key questions summarised below:
Who needs to sit the MSRA?
How is the assessment formatted?
What is the structure of the MSRA?
Where can I take the MSRA and how much does the assessment cost?
How can I prepare for the assessment?
#IMG Tips
Skip ahead to the relevant section if you know what you’re looking for.
MSRA Specialties
At present, the MSRA is being used within the following specialties:
ACCS-Emergency Medicine
Anaesthetics
Child and Adolescent Psychiatry
Clinical Radiology
Community Sexual & Reproductive Healthcare
Core Psychiatry Training
Core Surgical Training
General Practice
Neurosurgery
Nuclear Medicine
Obstetrics and Gynaecology
Ophthalmology
Not every specialty uses the MSRA in the same way, however on the whole, candidates’ scores from the MSRA are used as part of CT and ST recruitment to shortlist for interviews and selection centres, as well as making up part of your overall ranking (with the rest coming from interviews selection centres).
For example in 2023, GP, CAMHS, and Core Psychiatry Training will not have any interviews or selection centres and 100% of your rank will be determined by your MSRA scores. Core Surgical Training will also be using the MSRA in shortlisting for the first time this year.
MSRA Format
The MSRA is a single computer-based exam comprising two papers: Professional Dilemmas (PD) and Clinical Problem Solving (CPS). As an exam used across many specialties for entry into Specialty Training, the MSRA assesses a foundation level of competence.
There is an optional five-minute break between the two papers. If candidates choose to take a longer break, the extra time will be subtracted from the time available to complete the CPS paper.
A combination of question types is used within the assessment, primarily extended matching questions (EMQ) and single best answer (SBA) questions, however the assessment may also include multiple best answer (MBA) questions: up to 3 correct answers, picture questions: may include skin lesions, blood reports, ECGs etc., and algorithm questions – drag boxes to the right part of the algorithm or select the correct answer from a list.
Structure of the MSRA
The MSRA last 170 minutes and is divided into two sections: Professional Dilemmas (PD) and Clinical Problem Solving (CPS).
Professional Dilemmas (PD)
The Professional Dilemmas (PD) paper is a Situational Judgement Test (SJT) which measures how a candidate’s judgement regarding challenging professional dilemmas they may face.
The PD paper is not a test of knowledge of problem-solving ability or knowledge specific to specialty training within any specialty, but aims to assess professional attributes which are considered important for successful progression through training and performance in one’s clinical role.
Time: 95 minutes
Number of questions: 50
Context: the PD component is set within the context of Foundation Training with the candidate assuming the role of an F2 doctor. There is also a mixture of settings such as a hospital (across a variety of wards or placements), general practice and out-of-hours clinics.
Core competencies: professional integrity, coping with pressure, empathy and sensitivity (you can find more information on the behavioural indicators linked to these competencies here).
Clinical Problem Solving (CPS)
The Clinical Problem Solving (CPS) paper assesses a candidate’s ability to apply clinical knowledge and make clinical decisions in everyday practice.
Again, the CPS scenarios are based on Foundation level clinical practice. They test a candidate’s ability to synthesise and apply medical knowledge (not just knowledge recall).
Questions may relate to the investigation, diagnosis or management of common and important diseases as well as rare presentations.
Time: 75 minutes
Number of questions: 86
Context: the CPS covers 12 clinical topic areas relevant to general medicine. Each test paper includes a balance of scenarios which cover all 12 topics, including:
Cardiovascular
Dermatology / ENT / Eyes
Endocrinology / Metabolic
Gastroenterology / Nutrition
Infectious disease / Haematology / Immunology / Allergies / Genetics
Musculoskeletal
Paediatrics
Pharmacology and therapeutics
Psychiatry / Neurology
Renal / Urology
Reproductive
Respiratory
Core competencies: investigation, diagnosis, emergency, prescribing, management (you can find more information on these domains here).
Exam Centres for the MSRA
The MSRA is held remotely and is delivered in partnership with Work Psychology Group and Pearson VUE. Candidates will need to register for an account with Pearson VUE and once invited, they can book an assessment at a centre, date and time of your choosing (subject to availability).
The MSRA is delivered globally on several consecutive days in many Pearson VUE Computer Testing Centres. You can find your nearest Pearson VUE assessment centre by visiting the Pearson VUE website.
The exam itself is free to sit, but depending on the centre you choose, there may be additional travel and accommodation costs. It’s therefore advisable to book your seat as soon as possible for the best chance of securing a nearby centre.
Preparation for the MSRA
On the whole, your previous (and current) experience working as a junior doctor will have prepared you for most of the questions and scenarios within the MSRA, although to different extents, depending on where you have gained your experience.
However, as your MSRA scores are often added to the interview score to determine overall rank, or even to exempt you from interview, it may be advantageous to attempt to score as highly as possible.
Blueprint: First and foremost, you should use the MSRA blueprint to better understand the target domains.
Sample questions: Sample questions for both papers are available on the Health Education England Medical Education Hub. You can access these here.
Commercial resources: Exam revision courses, books and online question banks are available, although these are not officially endorsed, and you can find some of the most popular providers below:
Medibuddy
Passtest
eMedica
Passmedicine
4,000 Question bank and mock tests
1,950 Question bank and mock tests
2,200 Question bank and mock tests
2,500 Question bank and mock tests
£30 - £50
£35 - £55
£49 - £119
£25 - £30
#IMG Tips
Start early – Once you have decided to sit the test, plan well in advance to give yourself enough time to prepare and score as highly as possible.
Take a test tutorial – You can take a practice test to familiarise yourself with the controls and screen layouts in advance – see Pearson VUE or Oriel for details.
Negative marking - One mark is given for each correct answer and negative marking is not used within the assessment, so try to answer all questions, even when unsure.
Read carefully - Read the instructions and questions carefully – you may often be looking for the most suitable answer, rather than the only correct one.
Sources
https://medical.hee.nhs.uk/medical-training-recruitment/medical-specialty-training/general-practice-gp/how-to-apply-for-gp-specialty-training/what_x0027_s-in-the-msra/structure-of-the-msra
https://medical.hee.nhs.uk/medical-training-recruitment/medical-specialty-training/general-practice-gp/how-to-apply-for-gp-specialty-training/taking-the-msra
https://www.bmj.com/careers/article/a-guide-to-the-multi-specialty-recruitment-assessment-msra-
https://heeoe.hee.nhs.uk/sites/default/files/msra_test_blueprint_information_nov_2019.pdf
The MSRA is a key examination for many IMGs developing their careers by entering Specialty Training. UK training programmes are very competitive and particularly for overseas doctors unfamiliar with the NHS system, taking the time for extensive preparation for the MSRA can greatly impact your chances of being successful in joining a training programme.
Read more useful articles on exams, NHS jobs and salaries in our IMG Resources library.
For regular news and updates, follow IMG Connect on social media using the links below: