Latest update: International Medical Graduates (IMGs) who have already passed PLAB are not required to take the UKMLA. However, for those planning to enter practice after the transition, the UKMLA will be the required assessment.
The PLAB (Professional and Linguistic Assessments Board) examination is geared mostly towards international medical graduates (IMGs ) who wish to work as doctors in the United Kingdom. But as of 2025, more than 15 countries accept the UK medical degree, such as Australia, New Zealand, Ireland, and a number of Gulf countries. Although PLAB in itself can be technically accepted solely in the UK, it can be used as a stepping stone in the provision of the requirements of other countries, when in tandem with other requirements, such as the relevant clinical experience, as well as GMC registration.
An example here would be that countries like Australia and Canada might consider the option of licensing the doctors who have a PLAB trainee as long as they fulfil their country-specific criteria. It should also be emphasized that every country has a licensing scheme and that PLAB is not an alternative to their domestic qualification. Hence, to gain an upper hand, there is a potential of passing the PLAB, but this does not imply that you qualify to work overseas without requirements.
Which countries officially accept PLAB?
The main avenue of work within the UK where non-EEA doctors practice is through PLAB. In other countries, PLAB is not formally recognised but the clinical practice acquired in PLAB is transferable to developing career opportunities internationally.
UK experience is usually used by doctors who want to give leverage to their job applications, licensing examinations, or other countries training programs as specialists. The recognition and relevancy of PLAB across the regions is as follows.
Is PLAB accepted in the UK?
PLAB is fully accepted in the UK for GMC registration.
Non-EEA (European Economic Area) doctors must pass both PLAB 1 and PLAB 2 to gain a license to practice medicine in the UK.
Official Stat: According to the GMC, over 50% of international doctors in the UK qualify via PLAB each year, highlighting its importance as a pathway for overseas doctors.
UK-based clinical experience after PLAB can significantly improve career prospects, including specialty training applications.
Are there countries where PLAB experience is valued?
While PLAB is only officially recognized in the UK, doctors with PLAB certification often gain indirect advantages in other countries:
Ireland & EU:
PLAB itself is not recognized. Doctors must pass the Prescribing Safety Assessment or PRES exam to practice.
UK clinical experience post-PLAB can strengthen job applications in hospitals and private clinics.
USA, Canada, Australia, New Zealand:
Each country has its own licensing exams: USMLE (USA), MCCQE (Canada), AMC (Australia), NZREX (New Zealand).
PLAB is not sufficient for independent practice but may provide clinical exposure credibility.
Middle East (UAE, Qatar, Saudi Arabia, Oman):
Local exams are mandatory: DHA (UAE), HAAD (Abu Dhabi), QCHP (Qatar), SCFHS (Saudi Arabia).
PLAB-qualified doctors may have an edge in recruitment, especially in private hospitals.
South Asia & Africa (India, Pakistan, Nigeria, South Africa):
PLAB is not a substitute for local licensing exams.
However, UK experience after PLAB can enhance recognition, increase employability, and sometimes reduce the required internship duration.
PLAB Recognition Overview:
Region / Country
PLAB Recognition
Notes / Extra Info
UK
Fully accepted
Mandatory for GMC registration
Ireland
Not accepted
PRES exam required; UK experience helps in recruitment
EU countries
Not accepted
Local licensing exams mandatory
USA
Not accepted
USMLE required; UK experience adds credibility
Canada
Not accepted
MCCQE required; PLAB experience valued in recruitment
Australia
Not accepted
AMC exam required
New Zealand
Not accepted
NZREX required
GCC countries (UAE, Qatar, Saudi Arabia, Oman)
Not accepted
Local licensing exams; UK experience may help in hiring
South Asia & Africa
Not accepted
Local licensing exams required; UK experience can boost recognition
The PLAB (Profession and Linguistic Assessments Board) exam is specifically addressed to International medical graduates (IMGs) to become registered by the General Medical Council (GMC) in the UK. The question often raised by numerous candidates is whether the experience of passing PLAB gives people an opportunity to practice medicine in other countries. So, here is the black-and-white rating: PLAB is recognised in the UK only.
Although PLAB itself can help to supplement your profile and provide an example of competence in a clinical experience in the UK, the requirements of other countries typically involve country-specific exams and regulatory clearance.
Which countries officially accept PLAB?
Answer upfront: PLAB is only officially accepted for GMC registration in the UK.
No other country currently recognises PLAB as a direct license to practice medicine.
However, passing PLAB can strengthen applications for other licensing exams or international recruitment, as UK clinical experience is highly valued globally.
Can I work in Ireland or the EU with PLAB?
Ireland: The Irish Medical Council (IMC) requires the Pre-Registration Examination System (PRES) for licensing. PLAB results cannot replace the PRES exam.
European Union: Medical licensing is regulated independently by each member state. UK PLAB qualifications do not automatically grant practice rights within the EU. Some countries may consider UK experience during recruitment, but passing local exams is mandatory.
Stat insight: Over 1,000 IMGs annually move to Ireland or EU countries; only those with local licensure are legally allowed to practice.
Is PLAB recognised in the USA, Canada, Australia, or New Zealand?
Each of these countries has its own licensing exam:
Country
Licensing Exam
Notes
USA
USMLE
PLAB may support residency applications but does not replace USMLE
Canada
MCCQE
Canadian Medical Council requires MCCQE Part I & II
Australia
AMC
PLAB not accepted; AMC exams mandatory
New Zealand
NZREX
Only NZREX-certified doctors can practice independently
Does PLAB help in the Middle East (UAE, Qatar, Saudi Arabia, Oman)?
Licensing exams in GCC countries:
UAE → DHA (Dubai Health Authority)
Qatar → HAAD (Health Authority Abu Dhabi equivalent)
Oman → QCHP (Oman Council for Healthcare Practitioners)
Saudi Arabia → SCFHS (Saudi Commission for Health Specialties)
PLAB cannot replace these exams, but it may provide a competitive edge for recruitment in hospitals that value UK training experience.
Stat insight: GCC hospitals often prefer IMGs with UK qualifications, which can increase interview chances by 20–30%.
Can PLAB help me practice in South Asia or Africa?
Countries like India, Pakistan, Nigeria, and South Africa have their own licensing councils:
India → National Medical Commission (NMC)
Pakistan → Pakistan Medical Commission (PMC)
Nigeria → Medical and Dental Council of Nigeria (MDCN)
South Africa → Health Professions Council of South Africa (HPCSA)
PLAB alone is not sufficient for practice in these countries.
However, UK clinical experience after PLAB can boost recognition, open doors for teaching roles, consultancy, or recruitment into private hospitals, and may speed up local licensing in some cases.
Clearing PLAB allows international medical graduates to pursue medical practice in the UK. However, passing the exams is just the beginning. To work in the NHS, you must follow a structured path including GMC registration, visa approval, and securing an NHS job. Here’s a detailed breakdown.
What are the steps after PLAB 1 and PLAB 2?
After passing both PLAB exams, there’s a clear roadmap to start your career in the UK:
Step 1: Complete PLAB 1 and PLAB 2 successfully.
Step 2: Apply for GMC registration to obtain full license to practice.
Step 3: Apply for the relevant visa (Skilled Worker or Health and Care Worker).
Step 4: Apply for NHS jobs at SHO, Trust-grade, or Foundation Year 2 equivalent levels.
Step 5: Relocate and complete hospital induction before starting clinical duties.
How do I apply for GMC registration after PLAB?
To get GMC registration, you need to submit key documents demonstrating your qualifications and professional status:
Primary medical degree verification
IELTS or OET certificate
PLAB exam results
Internship completion proof
Certificate of good standing from previous medical councils
What visas are available for doctors after PLAB?
UK visas for doctors depend on your NHS employment:
Skilled Worker visa: Requires sponsorship from an NHS trust; allows you to work in the UK.
Health and Care Worker visa: Designed for healthcare professionals; faster processing, reduced fees, and no immigration health surcharge.
What jobs can I apply for in the NHS as an IMG?
Depending on experience and PLAB results, you can target:
SHO (Senior House Officer) positions
Trust-grade roles with flexible responsibilities
Foundation Year 2 equivalent positions for UK training experience
How much salary can I expect after PLAB in the UK?
Salaries depend on your role, experience, and location:
Additional allowances may apply for London weighting or extra duties
Salary grows with specialty training and experience
What should I know about the PLAB exam?
PLAB (Professional and Linguistic Assessments Board) is the UK exam for international medical graduates to practice in the NHS. It has two parts: a written test (PLAB 1) and a practical OSCE (PLAB 2). Knowing the differences, costs, validity, attempts, and language requirements is essential before planning your UK journey.
What is the difference between PLAB 1 and PLAB 2?
PLAB 1 and PLAB 2 assess different skills. PLAB 1 tests medical knowledge, while PLAB 2 evaluates clinical skills and patient interaction.
PLAB 1: Written multiple-choice exam, held internationally.
Is PLAB better than other medical licensing exams?
When choosing a medical licensing exam, it’s important to match it with your career goals and target country. PLAB is designed for doctors aiming to practice in the UK, while USMLE, AMC, and MCCQE are required for the USA, Australia, and Canada, respectively. Here’s a detailed comparison to guide your decision.
Should I choose PLAB or USMLE for my career?
PLAB and USMLE serve different purposes and countries:
Overview: Both exams test medical knowledge and clinical skills but cater to different healthcare systems.
Key comparison points:
Target country: PLAB → UK, USMLE → USA
Cost: PLAB (£1,189), USMLE ($1,000–$2,000 per step + travel/accommodation)
Difficulty: PLAB is considered less time-intensive; USMLE requires longer preparation
Does PLAB give me an advantage in Canada or Australia compared to AMC or MCCQE?
PLAB is not recognised as a direct license outside the UK
Canada (MCCQE) and Australia (AMC) require their own exams
UK experience post-PLAB may strengthen your CV, but does not replace local licensing exams
Can I switch from PLAB to USMLE, AMC, or MCCQE later?
Yes, doctors can attempt other exams after PLAB
PLAB does not exempt you from US, Canadian, or Australian exams
Must meet local eligibility rules and prepare for each exam individually
Which exam is easier: PLAB, USMLE, or AMC?
PLAB is generally considered less time-intensive
USMLE and AMC require more extensive preparation
“Easier” depends on your strengths, preparation time, and target country
Is PLAB a good choice if I want to settle in the Gulf countries?
Gulf countries (UAE, Saudi Arabia, Qatar, Oman) require local licensing exams
PLAB cannot substitute them
UK experience after PLAB may improve chances during hospital recruitment
What documents and requirements do I need after PLAB?
After clearing PLAB, several documents and requirements are essential to practice in the UK. These ensure your eligibility for GMC registration, visas, and NHS jobs. Below is a clear breakdown.
EPIC verification (primary source verification of your degree)
Good standing certificate from previous employers or medical council
Do I need internship or work experience before PLAB?
Yes, a 12-month internship is mandatory to be eligible for GMC registration. This ensures you have practical clinical experience before appearing for PLAB exams.
What visa documents are needed to move to the UK?
To work as an international medical graduate in the UK, you typically need:
Valid passport
Sponsorship certificate from an NHS trust
TB test report (depending on the country of origin)
Proof of funds for initial settlement
Is there an age limit for PLAB?
There is no strict age limit for taking PLAB
However, significant gaps in practice may affect employability and job prospects in the NHS
How can I plan my career after PLAB?
After clearing PLAB and securing GMC registration, planning your medical career in the UK is crucial. Strategic steps like understanding job timelines, entering specialty training, and building a strong portfolio—can significantly impact your career growth in the NHS.
How long does it take to get a job after PLAB?
Typically, it takes 3–6 months to secure an NHS job after GMC registration. The timeline depends on:
Availability of vacancies in your preferred region
Specialty demand
Your preparation for interviews and portfolio
Can I enter specialty training in the UK after PLAB?
Yes, you can apply for specialty training, but the competition is high. To improve your chances, you’ll need:
Relevant clinical experience in the NHS
Strong portfolio evidence
References from UK supervisors
What should I include in my portfolio for NHS jobs?
A well-prepared portfolio demonstrates your skills and experience. Include:
Clinical audits you’ve conducted
Teaching experience for students or colleagues
Research projects or publications
Continuing Professional Development (CPD) courses
Any awards or recognitions
Should I choose PLAB or another pathway?
The decision to select the appropriate pathway will be determined by your career interest and the country of practicing. PLAB is country specific (UK focused) whereas other tests, such as USMLE, or AMC, or MCCQE focus on other countries. You can communicate the priorities to arrange speed, location, and long-term plans with a view to making a decision.
Who is PLAB the best option for?
PLAB is ideal for doctors who:
Want to practice in the UK quickly after graduation
Are comfortable with UK-specific medical practices and NHS protocols
Prefer a straightforward exam route without pursuing a UK postgraduate degree
When should I consider USMLE, AMC, or MCCQE instead of PLAB?
Consider other licensing exams if:
Your target country is not the UK (e.g., USA → USMLE, Australia → AMC, Canada → MCCQE, New Zealand → NZREX)
You aim for residency or permanent practice in those countries
You are willing to invest time and resources in the local exam pathway
Is studying a PG in the UK a better alternative than PLAB?
Comparing PG routes vs PLAB:
PG in the UK (Master’s/Clinical Training):
Pros: Can lead to higher specialization, may improve long-term career prospects
Cons: Takes 1–2 years, more expensive than PLAB
PLAB Exam:
Pros: Quicker route to practice in the UK, less costly upfront
Cons: Only opens general medical practice opportunities; specialty training is competitive
Successful completion of PLAB allows practicing medicine in the UK and provides talented UK-experience. It is an appropriate option for the doctors who want a quicker way into the NHS without a complete postgraduate degree. Nevertheless, the suitability of PLAB compared with other options such an alternative route like USMLE, AMC and MCCQE should be governed by your career objectives, preferred country and long-term career future ambitions.
Taking time to organise yourself, study for your exam, register with the GMC, and obtain information on visa and job requirements can help you take full advantage of your PLAB experience and make the right start in your UK medical career.
Get the right support to succeed in your PLAB exam and take confident steps toward your medical career. Book a free 1:1 session with an upGrad expert today for tailored guidance.
FAQs
Is PLAB tougher than NEET PG?
Many doctors wonder about the relative difficulty of PLAB versus NEET PG. While NEET PG focuses heavily on India-specific medical theory, PLAB tests practical knowledge and clinical decision-making for UK practice. Your preparation strategy will differ depending on which exam you take.
Which one is better, PLAB or USMLE?
Choosing between PLAB and USMLE depends on your career goals. PLAB is geared toward working in the UK, while USMLE opens doors in the US. Consider factors like location preference, training style, and long-term residency plans before deciding.
Does Australia accept PLAB?
Doctors often ask if clearing PLAB allows them to practice in Australia. The answer is no—Australia has its own licensing exam (AMC). However, UK experience gained after PLAB may enhance your profile for international recruitment.
How long is PLAB 1 valid for?
PLAB 1 validity is crucial for planning your next steps. Once you pass, you have two years to clear PLAB 2. This gives candidates time to prepare while keeping their UK registration path open.
Can PLAB help me get specialty training in the UK?
Many IMGs want to know if PLAB can fast-track them into specialty programs. While PLAB provides GMC registration, entry into competitive specialty training still requires strong portfolios, references, and clinical experience.
How much does PLAB cost in total?
Apart from exam fees, doctors often ask about travel, accommodation, and preparation costs. Considering PLAB 1, PLAB 2, and associated logistics, the total investment can vary widely depending on your location and exam centers.
Do I need prior UK experience before attempting PLAB?
Some candidates wonder if working in the UK before PLAB helps. While not mandatory, clinical exposure or observerships in the UK can make the exam feel less foreign and improve understanding of NHS protocols.
How quickly can I find a job in the UK after PLAB?
Post-PLAB job timelines vary. While some secure positions within a few months, others may take longer based on specialty, location, and demand. Planning applications and preparing your portfolio early can shorten this period.
Are there age limits or restrictions for PLAB?
Curious doctors often ask if age impacts eligibility. There’s no strict age limit, but extended gaps in practice or outdated clinical skills might affect employability and confidence during the exam.
Can I retake PLAB if I fail?
Understanding attempts is important. Both PLAB 1 and 2 have limits, and some flexibility exists with valid justification. Knowing the rules helps plan preparation without undue stress.
How do I prove my English proficiency for PLAB?
Doctors must meet GMC language standards. While IELTS or OET scores are mandatory, candidates often ask which test is easier or faster to prepare for. The choice depends on your comfort with reading, writing, listening, and speaking English in a clinical context.
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