The Savvy IMG

Frequently Asked IMG Questions

On this page, you will find quick answers to many of the questions brewing in your mind. You will also find links to articles where important concepts are explained in more detail.

We hope your question is answered on this page! If not, please search through the blog, visit relevant useful websites, or contact us here.

Savvy IMG FAQ bank for questions about GMC registration plab ukmla msra training

Exams

Including PLAB, IELTS, & OET

General questions

These are some things we recommend:

  • Continue working or go back to work overseas – having recent clinical experience is always going to look good on any application.
  • Keep up to date – make sure you maintain your clinical knowledge with courses, e-learning modules, journal articles etc.
  • Improve your CV – now may be a good time to consider preparing for a specialist exam such as MRCP or MRCS etc
  • Prepare for applications to a training job – if you thought you didn’t have time to write a publication or organise a teaching session, well now there’s no excuse! While waiting for exams or jobs to re-open, you can certainly improve your CV or portfolio!

Unfortunately, we cannot provide any assurances or advise you on the likely outcome of your application since the GMC assesses each application on a case-by-case basis.

All we can say is that everyone has been affected by COVID-19 so delays or career gaps are inevitable and understandable. The GMC will not hold you responsible for circumstances outside of your control.

But be prepared to provide documentation about what happened if they ask you about it.

For further advice, please contact the GMC directly at gmc@gmc-uk.org.

Nope. Restrictions based on age are considered age discrimination and this is illegal in the UK.

As long as you are fit and able to perform your job as a doctor, you can get GMC registration and work whatever your age!

GMC stands for General Medical Council, they are the medical regulatory organisation in the UK. You need to be registered with the GMC in order to have a medical license to practice and legally work as a doctor in the UK.

You can read more about the GMC in this article.

The NHS is the UK public health system. It stands for National Health Service. Patients in the NHS do not pay directly for medical services, this paid for through everyone’s taxes.

All specialty training programmes (residency) take place primarily in NHS hospitals.  

You can read more about the NHS in this article.

The steps are different for everyone because there are multiple paths to work in the UK. However, the most common pathway involves the following:

  1. Determine your long-term goal
  2. Gain GMC registration
  3. Apply for jobs
  4. Secure a job
  5. Apply for a UK visa (Tier 2 or Tier 5)
  6. Come to the UK +/- bring family

The order of these steps can differ depending on personal circumstances.

You can read more about the steps in the IMG Crash Course.

The main options for IMGs of all backgrounds who want to work as a clinical doctor in the UK are: 

  1. Become a UK Consultant or GP
  2. Work in the UK long-term without becoming a GP or Consultant
  3. Obtain short-term fellowship training then return home

Decide on your long-term goal, and it will become much clearer what your pathway will involve.

All the options are explained here.

Of course there are other options to pursue a career in academia, research, pharmaceuticals, hospital management etc. However, our advice in this website is mainly for clinical careers.

When referring to the different pathways to GMC registration, there are 6 possible options. 

  1. PLAB/UKMLA
  2. Relevant European qualification
    1. Acceptable overseas licensing exam (Eg. USLE, AMC, MCCQE)
  3. Accepted postgraduate qualification aka PGQ eg. MRCP, MRCS, MRCOG
  4. Sponsorship eg. MTI
  5. CESR/CEGPR

Once you eliminate the ones that are not applicable to you, you’ll need to weigh up the pros and cons of the remaining options.

Read more about the 6 routes to GMC registration and which one is most suitable for you depending on your background.

No, there are thousands of vacancies across the UK, however the number of vacancies will differ between the different specialties and grades. For example, there’s a higher need for doctors in Psychiatry compared to Neurosurgery, and there’s a higher demand for Ophthalmology Consultants compared to Ophthalmology Senior House Officers.

Regardless, the reality is that there are huge shortages of doctors in almost every specialty at all levels – from junior to senior. If you search on NHS jobs on any given day there are lots of vacancies. With the growing and ageing UK population, and the long duration of UK training, the UK will not have the number of doctors it needs for many years. 

But just because there are lots of jobs available, does NOT mean you can expect a job to be handed to you without doing the work to be a good applicant. Keep working, maintain your skills and knowledge, pursue excellence in all areas of your professional career, and you will find a job!

Unfortunately, we don’t have an NHS crystal ball so we can’t predict the future!

However, having said that, considering the growing and ageing UK population, and the long duration of UK training, the UK will not have the number of doctors it needs for many years.

Our advice is to continue working hard regardless of what’s going on in the UK, and keep your options open.

It all depends on the number of vacancies, the number and quality of applicants, and how your CV and interview performance compares to others. You can check NHS jobs for the number of vacancies, but there is no way to monitor the number and quality of other applicants.

Immigration laws are now very favourable for IMGs so there are no barriers to getting a job other than your CV and interview performance. So it all boils down to this: What are you willing to do to make yourself the best applicant for the job?

Even if there are thousands of vacancies, you won’t be handed a job with an empty and poorly written CV! Just because there are lots of vacancies, doesn’t mean they will accept anyone who applies.

It will take hard work, but if you’re willing to work hard then the process is quite fair and the chances are always good!

Unfortunately we are unable to review any job applications or assist with getting a job.

We recommend getting your CV reviewed by a professional who has experience in the hiring process for doctors. If you search “UK doctor recruitment agency”, you will find lots of agencies that offer this as a free service.

Unfortunately there are no guarantees in life. Passing PLAB is just the first step. After that, it will take hard work to get a job, but if you’re willing to work hard then the process is quite fair and the chances are always good!

There are still thousands of doctor vacancies across the UK after Brexit.

Doctors in the public health system typically take home £2,000-£4,000 each month. It depends on the level of seniority, how many hours worked each week, and how many nights and weekends worked.

You can earn more by doing extra shifts, taking on more managerial responsibilities, or working in the private sector.

You can read more about UK doctors’ salary here.

Yep. Doctors earn higher than the UK national average salary. If you’re sensible with your money then it is more than enough to live comfortably but not luxuriously.

If you’re looking for a luxury lifestyle, you can earn more by doing extra shifts, taking on more managerial responsibilities, or working  in the private sector.

It can range anywhere between £5,000 to £10,000 depending on how much you are prepared to spend for comfort, whether you need to retake exams, flight costs, etc.

Read this article for the full breakdown.

You cannot work as a doctor in the UK without first having GMC registration.

However, if you’re thinking of working in a non-medical field or non-doctor healthcare role, then it may be possible if you can find a position that will sponsor a work visa for you.

Definitely check out the UK website for the Skilled Worker Visa.

Can I work in the UK if…

What’s old? There is no such thing as being too old to work in the UK as long as you are qualified and able. There are no age limits for jobs or specialty training (residency).

Yes, as long as you do the following:

  • Declare your condition to your employer
  • Undergo serological tests to prove you are not actively infectious
  • Comply with medical treatment, and
  • Attend the regular health checks as required by your employer

If you are infectious, then there will be some limitations on what you can do until you are non-infectious.

If you do not comply with treatment, attend the regular health checks, or if you hide that you have HIV/HBV/HCV, then you may be dismissed for putting patients in danger and can face GMC disciplinary action and/or imprisonment. Honesty is the best policy!

Of course! There are options for those who wish to become UK Consultants in the same specialty, change specialty, or just gain short-term training and return home. Please see this article for your options.

However, if you intend to apply for UK training, please note that you may be overqualified. I’ve explained this in detail here.

Yes, however, your only option to work in the UK is to apply for the UK Foundation Programme.

Read more about UK internship in the UK Foundation Programme FAQ section below.

It is possible, lots of IMGs in this situation have found work in the UK with gaps of up to 10 years. However, recent clinical experience preferred for obvious reasons and is more important than the fact that you have a gap. To improve your chances of getting a job in the UK, then it’s a good idea to return to work back home.

If you’re already in the UK and therefore can’t return to work back home, you’ll need to work on your application and show you are clinically up-to-date and ready to work in the NHS through CPD and potentially a clinical attachment.

Read more about how to find a clinical attachment.

Yes. There are lots of IMGs working in surgery in the UK.

It’s difficult to get into surgery. This is no different than any other country in the world, but if you work hard and smart you can succeed.

We have a masterclass dedicated to helping IMGs overcome this obstacle, be sure to check out the IMG Masterclass.

For the pathways for surgical fields, check out our Specialty Guides.

Yes, there are doctors in the NHS with all kinds of disabilities and illnesses. As long as you coordinate with your employer to make reasonable adjustments to your work and you’re able to carry your duties as a doctor, then you can work.

No, you cannot work as a doctor without GMC registration.

You can work in other non-medical jobs but whether or not you can get a visa for other jobs is another issue. If you don’t need a visa to work in the UK, then you can apply for any jobs you like and you are qualified for.

GMC Registration

We do not know exactly how the GMC will handle your application since COVID-19 is new for everyone and the GMC assesses each application on a case-by-case basis. So unfortunately, we cannot provide any assurances or advise you on the likely outcome of your application.

All we can say is that everyone has been affected by COVID-19 so delays or career gaps are inevitable and understandable. The GMC will not hold you responsible for circumstances outside of your control. But be prepared to provide documentation about what happened if they ask you about it.

For further advice, please contact the GMC directly at gmc@gmc-uk.org.

The GMC is the UK medical authority. GMC stands for General Medical Council. If you want to work in the UK as a doctor, you need to be registered with them.

The requirements vary from person to person depending on the background. However, for most IMGs, these are the requirements:

  1. An accepted medical degree verified through EPIC
  2. +/- An acceptable pattern of internship
  3. Proof of English proficiency (IELTS, OET, or other)
  4. Proof of clinical skills (PLAB, sponsorship, or postgraduate qualification eg. MRCP/MRCS/MRCEM/MRCOG etc.)
  5. +/- Certificate of good standing
  6. Past 5-year activity record
  7. Passport

You can read about the requirements in more detail here.

Unfortunately no, we do not provide any services to assist with any part of GMC registration. 

No. All doctors in the UK must have GMC registration before they are legally allowed to work. It is not possible to start work before you have GMC registration.

If you need a visa to work in the UK, you’re very unlikely to be able to find work. This is because of the salary requirements for a Tier 2 work visa. Jobs that meet the salary threshold are not entry-level jobs, they require relevant qualifications and previous experience in that field so you cannot find a casual job while working towards your GMC registration. However, if you do manage to do this, please let us know how it goes!  

If you do not require a visa to work in the UK, eg. you are already on a dependent visa or you have permanent residence status (AKA Indfinite Leave to Remain or ILR) then yes, you can try applying for any non-medical jobs you are qualified for and work while working towards GMC registration.

No, there is no route based on experience alone. Being a Consultant overseas does not mean you will automatically be granted GMC registration.

There are 4 routes to registration: PLAB, an acceptable postgraduate qualification, sponsorship, and CESR/CEGPR (experience + comprehensive documentation of equivalence to UK training).

Read more here: 

No, only the certificate of your degree requires verification.

Yes. You just need to make an EPIC account then make a request to ECFMG to send the report to the GMC.

If you pass all exams the first time and have no issues with applying for visas to come to the UK for PLAB 2, it typically takes 8-12 months. If you have to resit exams or have your visitor visa denied and have to re-apply, then of course, it can take longer.

Things are currently delayed due to COVID-19 so it’s hard to say now. It is likely to take much longer due to exam cancellations and reduced availability of seats.

It depends. If it was just classes it should be fine, but if it also included clinical rotations and internship that could possibly be an issue. Unfortunately the GMC will only tell you once you submit your application which is after taking IELTS/OET and an exam like PLAB. They’ll usually ask to see more documentation before giving a final decision.

Internship

We do not know exactly how the GMC will handle your application since COVID-19 is new for everyone and the GMC assesses each application on a case-by-case basis. So unfortunately, we cannot provide any assurances or advise you on the likely outcome of your application.

All we can say is that everyone has been affected by COVID-19 so delays or career gaps are inevitable and understandable. The GMC will not hold you responsible for circumstances outside of your control. You will likely just need to provide documentation about what happened exactly if they ask you about it.

If you require further advice, please contact the GMC directly at gmc@gmc-uk.org.

No. Clinical rotations are a standard part of medical school and are not accepted as internship. You can read about the difference here.

No, clerkship refers to clinical rotations during medical school and is not the same as internship. The GMC does not accept clerkship as internship. You can read about the difference in this article.

The minimum requirements are:

  • Immediately before graduation (pre-graduate internship), or immediately after (postgraduate internship)
  • 12 months full-time with no gaps
  • 3 months in medical specialties
  • 3 months in surgical specialties

You can read about the internship requirements in detail here.

Unfortunately, no. Nobody can tell you for sure whether the GMC will accept your internship. However, if your internship does meet the requirements then it is likely to be accepted. Read about the internship requirements here.

Gaps tend to be accepted as long as you can provide a satisfactory explanation, the reason is valid, and you have relevant documentation.

You do not need to provide the additional documentation with your original application for registration, however the GMC may ask for it so just be prepared to provide this if needed.

Other than the above comment, unfortunately, nobody can tell you for sure whether the GMC will accept your internship gaps.

Unfortunately, the only way to really find out for sure is to submit your application for GMC registration. This means completing all the requirements first including, IELTS/OET, PLAB, certificate of good standing etc.

You can read more about the internship requirements here and valid reasons for gaps here.

Having a gap after internship is not a strict barrier to GMC registration for IMGs who sit PLAB. However, if you have a long clinical gap, you may need to submit a statement and additional paperwork to show that you are clinically up-to-date.

The criteria to continue working as a doctor after graduation is only applicable to Qualifying Swiss Applicants, and EEA applicants who hold provisional registration which was obtained prior to 1 January 2021, and who now wish to apply for full registration.

Possibly.

One of requirements to sit PLAB is that you have qualified from medical school. If your internship is a pre-requisite to qualify then you may need to complete your pre-graduate internship before you can book PLAB. 

We also asked the GMC this and they said “yes, you must complete your pre-graduate internship”, however we have come across many IMGs who have completed PLAB during a pre-graduate internship so it looks like it’s possible but we cannot provide any reassurances. Please contact the GMC if you require further clarification.

If you pass all exams the first time and have no issues with applying for visas to come to the UK for PLAB 2, it can take 12-18 months. If you have to resit exams or have your visitor visa denied and have to re-apply, then of course, it can take longer.

This pathway used to take between 8-12 months pre-COVID.

Either is acceptable, so the main factors you need to consider are:

  1. Cost
  2. Availability in your country or nearby countries
  3. Availability on the dates you need
  4. Personal preference

If cost and availability are the same, I recommend looking into both tests and trying sample questions for each to see which one you find easier.

For more tips on IELTS and OET preparation, check out our guides here.

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Exams (IELTS, OET, PLAB, UKMLA)

For GMC registration, the passing score is 7.5 overall with a minimum of 7.0 in each section (reading, writing, listening, speaking). You must take the Academic version of the IELTS.

For the UK Foundation Programme or FY2 Standalone, the passing score is 7.5 in all sections. For 2024 applications, you can take the General, Academic or UKVI version of IELTS. For 2025 applications onwards, you  must take the Academic IELTS.

The GMC requires Grade B in each section (reading, writing, listening, speaking).

For the UK Foundation Programme or Standalone FY2, the passing score is 400 in all sections. Your result must state the numeric score and not just the letter grade.

Both exams are accepted for PLAB, GMC registration, and a Tier 2 visa so it’s really up to you. Try the sample tests, pick one, and prepare for it.

You can check the validity of each exam here: 

No. None of these options reach the level of English proficiency required by the GMC.

The IELTS Academic for UKVI is no longer required for a UK work visa, so you can take the regular IELTS Academic which can be used for both GMC registration and a Tier 2 visa application.

This is a hard question to answer as there are not many IMGs that have done PLAB courses with multiple academies.

What is best for others may not necessarily be best for you. Read our article on 15 things to consider when choosing a PLAB academy.

PLAB is set at the level of a doctor who has just completed internship, and it can even be passed by those who have not yet completed internship, so it’s not that difficult if you are well prepared.

But don’t think that you can pass without adequate preparation. Give it the attention it deserves and you can pass!

Read here for more things you need to know about PLAB.

No. British nationals who graduate outside the EU must sit both PLAB and an English exam.

If you study in a country that has English as the first and native language, you may be exempt from the English exam but you still need to sit PLAB.

No, PLAB scores are not taken into consideration at all when applying for UK specialty training.

No. PLAB is set at the level of a doctor who has just completed internship but it is not required that you complete internship before you can book PLAB as you have already passed the final exams for your medical school and therefore completed your medical qualification.

Read here for more things you need to know about PLAB.

No, PLAB can only be booked once you have passed your final exams and qualified from medical school.

Possibly.

One of requirements to sit PLAB is that you have qualified from medical school. If your internship is a pre-requisite to qualify then you may need to complete your pre-graduate internship before you can book PLAB. 

We also asked the GMC this and they said “yes, you must complete your pre-graduate internship”, however we have come across many IMGs who have completed PLAB during a pre-graduate internship so it looks like it’s possible but we cannot provide any reassurances. Please contact the GMC if you require further clarification.

If you pass all exams the first time and have no issues with applying for visas to come to the UK for PLAB 2, it can take 12-18 months. If you have to resit exams or have your visitor visa denied and have to re-apply, then of course, it can take longer.

This pathway used to take between 8-12 months pre-COVID.

The UKMLA is the new UK Medical Licensure Assessment which all UK graduates and need to pass in order to get GMC registration.

Previously, the GMC have said that the UKMLA will replace PLAB in 2024. However, they now say that the exam content will follow the UKMLA content, but it will still be called PLAB for now.

You can read more about it on the GMC website here:

Specialty Training (residency)

It differs for each specialty. GP is 3 years. All other specialties range from 5-9 years. Read the duration of training per specialty here.

Please take note that you must complete 2 years of clinical experience before you can start UK specialty training. This includes 1 year of internship + 1 year experience after internship.

No, there are no tuition fees for any stage of training. All training jobs are paid, from FY1 onwards. You are paid a salary while you are training.

There are some professional fees that you need to pay each year such as GMC fees and Royal College membership (approx £200+/year), and you have to pay for your exams, but there is no tuition fee. 

You can read more about some of the common misconceptions about UK specialty training here.

There are no fees to submit an application for UK specialty training (residency)!

If you need to sit the entrance test the MSRA, there are no fees to book that either, and it can be taken anywhere in the world.

Interviews are usually online now as well so these can be done anywhere without the need to travel to or around the UK.

No. There is no age limit for GMC registration, specialty training, or any kind of job. Age discrimination is illegal in the UK.

Actually, you won’t get either.

Masters or MD degrees in the UK are completely optional. Completing one of these degrees does NOT lead to becoming a recognised GP or Consultant.

The qualification you after completing UK postgraduate training is the Certificate of Completion of Training (CCT). You will also become a member of the Royal College relevant to your specialty by passing their exams.

It’s only by obtaining the CCT that you can work as a GP or permanent Consultant in the UK.

You might be surprised to learn that the answer is no. According to the rules set in Oct 2019, UK graduates and IMGs will be given equal priority for training jobs including the UK Foundation Programme. Every applicant will be considered basis of their application score alone.

The only exception so far is Public Health.

Related: UK internship (Foundation Programme) open to all IMGs for 2020

Current immigration rules mean that IMGs have the same chances as UK graduates. UK graduates and UK citizens are no longer prioritised for training posts so it’s all down to you to make your application good enough. 

Related: 9 ways the new Shortage Occupation List affects IMGs dreaming of UK specialty training

Of course, your chances are also linked to the competitiveness of the specialty. The more competitive the specialty, the more difficult it is to get in, although it’s not impossible. You can understand more about competition in this guide under the section Competition

Current immigration rules mean that IMGs have the same chances as UK graduates. UK graduates and UK citizens are no longer prioritised for training posts so it’s all down to you to make your application good enough. 

Related: 9 ways the new Shortage Occupation List affects IMGs dreaming of UK specialty training

Of course, your chances are also linked to the competitiveness of the specialty. The more competitive the specialty, the more difficult it is to get in, although it’s not impossible. You can understand more about competition in this guide under the section Competition

Absolutely! There are no barriers specifically for IMGs when it comes to applying to surgical training in the UK. In fact, there are lots of IMGs working in surgery here.

Of course, it’s not going to be easy. There’s no doubt that it is difficult to get into surgical training, but this is no different than any other country in the world. But the application process is quite transparent, so if you work hard and organise yourself well, then you can succeed!

Start by reading what you need to know about specialty applications. 

Nothing is easy in medicine, you will need to put in the time and effort. But as long as you understand the process well, plan your strategy clearly, and put in the time and effort needed to execute your plan, then the chances of success are quite good in the UK. This is mainly because the criteria to get a high application score are quite transparent compared to other countries so you will know almost exactly what you need to do. 

We have a masterclass dedicated in helping IMGs overcome this obstacle, be sure to check out the IMG Masterclass.

I’m afraid there is no “waiting time”. It doesn’t matter how patient you are, waiting around will not lead to a training job.

You need to actively work on improving your application score. How well and how quickly you improve your application score will determine how long and how many attempts it takes for you to succeed, but in the end it will be due to your hard work, not your patience!

Related: 8 tips to succeed when applying for UK specialty training (residency)

If you feel you need help in this area, we teach a proven strategy to optimise your application to specialty training here in our IMG Masterclass.

It all depends on how much work you put into your application. Some IMGs get a training job within a year because they plan well, while others never get a training job because unfortunately, their application is never better than the competition.

Those who work hard and work smart will always be rewarded with the achievement of their goals!

Related: 8 tips to succeed when applying for UK specialty training (residency)

If you feel you need help in this area, we teach a proven strategy to optimise your application to specialty training here in our IMG Masterclass.

There is no minimum amount of time to work in a non-training job before you can apply for training. It depends on how long it takes you to meet the eligibility requirements. When you meet the eligibility requirements, then you can apply.

Of course, if you want to succeed, then you also need to work on building up a competitive portfolio and you need to be ready for the interview. 

All of this shouldn’t take more than 1-2 years if you are organised and hard-working.

No, not everyone gets a training job because not everyone has a good enough application. It is not a matter of time, it is a matter of whether your application is good enough to beat the competition.

If your application is not good and you don’t do anything to improve it, it doesn’t matter how long you “wait”, you will never get a training job.

But if you work hard and work smart, you can succeed!

We teach a winning strategy for success in the IMG Masterclass.

You can find the specific requirements for each specialty in the person specifications.

However, in general, these are the requirements to be eligible to apply:

For a first-year position (ST1 or CT1)

  • Full GMC registration by the time you start ST1 or CT1
    • This means you have completed internship (FY1 equivalent) and you are already in the process of GMC registration with IELTS/OET and PLAB.
    • If you have completed internship overseas, then you do not need to repeat internship in the UK (FY1).
    • Please note that sponsorship or MTI cannot be used for GMC registration for the purpose of a specialty training programme.
  • 12 months post-internship experience by the time you start ST1 or CT1 (not at the time of application)
    • Option A: 12 months of clinical experience in a supervised hospital post with in a specialty with acute medical responsibilities either in the UK, overseas, or a combination of both, OR
    • Option B: WAST in the UK, OR
    • Option C: Standalone FY2 in the UK
  • F2 competences
    • Option 1: A valid CREST 2020 form (previous versions of CREST will no longer be accepted). Applicable to Option A or B above, OR
    • Option 2: Foundation Programme Certificate of Completion (FPCC) – applicable to Option C above

Please note that NHS experience is not a requirement to apply but is hugely beneficial. Starting your first job in a training post is challenging and can have negative effects on your career progression if you stumble.  

Please also note that you can be overqualified for an ST1/CT1 post if you have too much experience in the same specialty you are applying for. You can read more about this here.

For a position in higher specialty training (ST3 or ST4)

  • A certificate to confirm previous training equivalent to ST1/CT1 and ST2/CT2
  • Minimum required months of experience
  • +/- Logbook & formal assessments
  • Compulsory exams eg. MRCP, MRCS, etc.
As an example of the requirements for ST3 applications, check out this article which explains the requirements for ST3 Cardiology and ST3 General Surgery.
 
Again, you can find the specific requirements for each specialty for that specialty and level in the person specifications.
 

Internship is the equivalent of FY1, so if you have completed internship overseas, then you do not need to repeat internship in the UK (FY1).

However, you still need to complete FY2 or the equivalent. This is because having 12 months clinical experience after internship, is a compulsory requirement of ALL first-year training jobs.

These are the options:

Please note that NHS experience is not a requirement to apply but is hugely beneficial. Starting your first job in a training post is challenging and can have negative effects on your career progression if you stumble.  

Please also note that you can be overqualified for an ST1/CT1 post if you have too much experience in the same specialty you are applying for. You can read more about this here.

For the competitive specialties, the answer is generally no because of the experience limits.

Please see this article: Are you overqualified for UK specialty training?

For the less competitive specialties, you may still be able to apply but this is not necessarily the best route. You don’t need to repeat training in order to work in the UK or become a UK Consultant if you already have the equivalent training and experience under your belt.

Please see this article: Career options in the UK for IMGs

If you want to become a recognised Consultant in more than 1 specialty, then there are only certain combinations of specialties that are permitted. You can check the list and GM guidance here:

If you want to train in 2 specialties that are not in the approved list, then you have to complete the programmes separately. You cannot do this simultaenously.

No. Grades during medical school might get you a couple of points in your application in some specialties, but they make up just one component of your application.

In the UK they look for well-rounded applicants with achievements in all areas including quality improvement, presentations, publications, leadership, teaching etc.

Related:

Additional degrees may score points in your application in some specialties, but they make up just one component of your application.

In the UK they look for well-rounded applicants with achievements in all areas including quality improvement, presentations, publications, leadership, teaching etc.

So although having an additional degree can help when applying to some specialties, it’s not a magic bullet. You still need to work on all areas of the portfolio.

Related:

No. PLAB scores are not given any consideration at all in your application to specialty training (residency).

No, applications for specialty training are done through the website Oriel, not through the NHS jobs website.

You can find the link to Oriel including the user guide and Oriel FAQs here.

A portfolio is essentially a folder that contains all the documentation of your professional achievements.

Professional achievements can include areas such as additional degrees, research, teaching experience, quality improvement, presentations, publications, prizes etc.

The portfolio is used as part of your application score to specialty training.

Read more about the portfolio here.

The general rule is: analyse the person specifications for the specialty you want to apply for, research the scoring criteria, and develop your portfolio accordingly.

These are our general tips on improving your application to UK specialty training.  If you need step-by-step guidance in doing this, check out the IMG Masterclass.

 

We highly recommend Arora Medical Education for your MSRA prep. As a UK-trained GP and former question writer for the MSRA, his guidance is essential. Get 10% off with the discount code ARORASAVVY10.

Of course! We love answering your questions! You can send us a question here.

But do keep in mind that if your question is already answered on this page or on the FAQ page, we’ll direct you back to the website.

At the moment, CREST forms signed overseas are acceptable, however if you are unable to get your CREST form signed overseas, you can get it signed in the UK.

In order to get it signed in the UK, you need to work in paid employment in the NHS with the same consultant for at least 3 months. This assumes that you have completed all the competences in the form. Sometimes it can take longer than that.

Consultants are not obligated to sign the form after 3 months if you have not completed all the competences to their satisfaction.

Regarding suggestions, it would be beneficial to consider returning to work if feasible, as being idle in your profession can be unproductive. Additionally, if you have the opportunity to engage in teaching within your hospital, it would be advantageous. Participating in audits could also prove useful, as well as dedicating more time to continuous medical education. These are the primary recommendations to consider.

UK Foundation Programme (internship)

It’s a 2-year postgraduate training programme for new medical graduates. It consists of Foundation Year 1 (FY1) which is equivalent to internship, and Foundation Year 2 (FY2) which is an additional year of experience before starting specialty training (residency).

No. Age does not affect your application in any way.

There are no fees to submit an application to the UK Foundation Programme.

However, if you qualified from medical school more than 2 years prior to the start date of FY1, then you will need to attend the Clinical Assessment (an OSCE exam) in the UK. The Clinical Assessment costs around £800+.

Eg. If the start date of FY1 is 6 Aug 2024, and you graduated 5 Aug 2022, then you will need to pay for and attend the Clinical Assessment.

No, you are paid a salary while in the Foundation Programme. There are some professional fees that you need to pay each year such as the GMC registration fee (approx £150 year), and you have to pay for any exams you take, but there is no tuition fee.

You can read more about some of the common misconceptions about UK specialty training here.

No. The Foundation Programme contains the UK equivalent of internship (FY1) so you cannot apply if you have already completed internship overseas.

However, if your internship does not meet the GMC internship criteria, then you can apply for the Foundation Programme since your internship will not be accepted by the GMC.

The 3 accepted forms of evidence for English proficiency for UKFP are:

  1. IELTS with a minimum of 7.5 in all sections,  OR
  2. OET Medicine with a minimum score of 400 in all sections,  OR
  3. Dean’s statement confirming that your medical degree was taught and examined solely in English, and more than 75% of clinical interactions were also conducted in English. (This is only valid if your school is not on this list)

Read more about applying to the UK Foundation Programme as an IMG here:

No, you can apply before graduating or sitting PLAB however, there is a timeline to be followed. You need to graduate and sit PLAB by a certain date otherwise your application will be rejected.

No. You do not need to have right to work in the UK before you apply. 

If you succeed with your application, you will be issued a Certificate of Sponsorship (COS) which can be used for a Tier 2 work visa. This is stated on the applicant guidance on page 24. This will provide you the right to work by the time you start.

Your chances are equal to that of any UK graduate. Nationality no longer plays a role. 

Being considered equally amongst UK graduates was introduced in 2020. You can read the official guidance here on page 2 and 3.

You can also read our article about this change here:

In terms of numbers, each year there are more than 7,000 places available. Places can even be increased to accommodate all applicants so virtually everyone who is eligible gets a place.

Ensure that your application, and all the associated paperwork, is submitted correctly and on time.

To make sure you don’t make mistakes in your application, check out our FY1 Mini-Masterclass here.

It depends on where you qualified.

If you qualified from a medical school outside the EU, then you will most likely have to sit PLAB for GMC registration which you need to work in the Foundation Programme, so, yes.

If you qualified from an EU medical school, then you most likely to not have to sit PLAB for GMC registration, so no.

Check out our article about the UK Foundation Programme.

Do also visit the official website and their FAQ page for more information.