PLAB Exam Overview: Format, Fees, Eligibility, Test Dates & Preparation Tips

The PLAB Exam (Professional and Linguistic Assessments Board Exam) is a mandatory qualification for international medical graduates (IMGs) who wish to practice medicine in the United Kingdom. Conducted by the General Medical Council (GMC UK), it assesses whether overseas doctors possess the necessary skills and knowledge to work safely in NHS hospitals.

In 2025, the PLAB remains the key route for GMC registration, even as the UKMLA transition approaches. The test is divided into two parts: PLAB 1, a written knowledge-based exam, and PLAB 2, a clinical skills assessment held in the UK.

This guide covers everything you need to know about the PLAB Exam 2025 covering eligibility, pattern, syllabus, fees, test centres, registration process, scoring and expert preparation strategies for international doctors aiming for UK medical practice.

Explore our PLAB Preparation Guide for Indian Medical Aspirants dreaming for practice in USA

 

What is the PLAB Exam 2025 and What’s New? 

The PLAB Exam (Professional and Linguistic Assessments Board) is the principal licensing route for international medical graduates (IMGs) who want to practise medicine in the United Kingdom. Often referred to as the PLAB Test or PLAB Medical Exam, it checks that overseas doctors have the clinical knowledge, decision-making ability and professional behaviour equivalent to a UK Foundation Year 2 (FY2) doctor. The assessment is credibility-focused: it measures safe patient care, clinical reasoning, and effective communication in UK clinical contexts rather than rote memorisation of facts.

How the PLAB Test is structured

• PLAB 1 (Knowledge/Applied Clinical Test): A written, multiple-choice exam of 180 single best answer MCQs taken over 3 hours. Questions are scenario-based and test applied clinical knowledge across medicine, surgery, paediatrics, OBGYN, psychiatry, ethics and law.
• PLAB 2 (Clinical/OSCE-style Assessment): A clinical skills exam made up of 16–18 stations (typically 8 minutes per station) held only in Manchester, UK. Stations assess history taking, examination, communication, practical procedures and patient safety within NHS-style scenarios.

Why the PLAB Medical Exam matters

Passing both parts confirms you meet GMC standards for safe practice in the NHS, enabling you to apply for full registration with the GMC and take up roles at or near the FY2 level. The PLAB route is recognised by the NHS and remains the most direct pathway for many IMGs to begin UK clinical careers.

Key changes & 2025 updates (concise)

The table below summarises the main 2025 updates candidates should note.

Change	Details (2025)	Impact for Candidates
Fee revision	PLAB 1: £273; PLAB 2: £998 (confirmed 2025 rates)	Budget planning must include higher test & possible resit costs
Refund / cancellation	Tighter deadlines; reduced refunds for late cancellations	Book early and read refund rules carefully
Confirmed PLAB 1 dates	Feb, May, Aug, Nov 2025	Plan study and travel around published sittings
Booking windows	UK closes ~2 weeks prior; overseas ~6 weeks prior	Early booking required, especially for international centres

While the PLAB Exam remains the established route in 2025, the GMC’s wider move towards the UK Medical Licensing Assessment (UKMLA) as a long-term standard is ongoing. Candidates should monitor GMC announcements: PLAB remains valid now, but awareness of the UKMLA timeline will help long-term career planning. 

Not sure if your dream destination accepts the PLAB exam? Check the list of PLAB Accepted Countries.

 

PLAB Exam Eligibility 2025 

Understanding the PLAB exam eligibility criteria ensures that qualified doctors with the right credentials and language ability can attempt a PLAB exam. 

To apply for the PLAB Exam in 2025, candidates must fulfill the following PLAB eligibility criteria: 

• Primary Medical Qualification (PMQ): 
  Must be awarded by a medical school recognized by the World Directory of Medical Schools (WDMS) and accepted by the GMC. 
• English Language Proficiency: 
• IELTS Academic: Overall score of 7.5, with 7.0 minimum in each skill (reading, writing, listening, speaking). 
• OET Medicine: At least grade B in all skills. 
• Attempts limit: Maximum of 4 attempts for each exam (PLAB 1 and PLAB 2). After this, further attempts require proof of additional medical training. 
• ID requirements: Candidates must hold a valid passport that matches GMC Online details.  
• Timing: After passing PLAB 1, you must sit PLAB 2 within 2 years. 

PLAB Exam Centers 2025 

PLAB test centers are spread internationally, but the PLAB 2 exam is conducted only in the UK. Candidates must choose their centers strategically based on availability, travel convenience, and booking deadlines. Understanding the center locations and rules ensures a smooth exam experience for the students.  

The GMC conducts PLAB exams both in the UK and abroad. However, exam centers may differ for PLAB 1 exam and PLAB 2 exam. 

PLAB 1 Test Centers 

• Locations: Conducted in the UK and multiple international centers, including India, Pakistan, UAE, Egypt, Nigeria, and several other countries. 
• Booking Windows: 
• UK centers: Close approximately 2 weeks prior to the exam date. 
• Overseas centers: Close approximately 6 weeks before the exam. 
• Seat Availability: There are limited seats available at most centers, so early registration is highly recommended.. 

PLAB 2 Centers 

• Location: Conducted only in Manchester, UK. 
• Booking Requirement: Candidates can schedule a PLAB 2 exam only after passing PLAB 1. 
• Travel Planning: 
• Arrange accommodation and travel well in advance, considering exam preparation time. 
• Check local transport, NHS campus layout, and practice areas if available. 
• Seat Availability: High demand due to limited slots  early booking ensures preferred date and time. 

How to Locate a Nearby Test Center? 

To locate a nearby test center: 

a. Official GMC Test Center Locator: 

1. Use the GMC online portal to see a list of available PLAB 1 center in your country or region. 
2. Filter by city, country, and exam date to find convenient locations. 

b. Check Seat Availability: 

1. The portal shows current seat availability and registration closing dates. 
2. Plan registration based on preferred location and travel feasibility. 

c. Travel and Accommodation Considerations: 

1. Select a center that is easily accessible by transport and close to accommodation options. 
2. For overseas centers, factor in visa processing times, local holidays, and travel restrictions. 

d. Confirm Early: 

1. Once the center is selected, register immediately to secure your seat and avoid last-minute complications. 

Why Doctors Take the PLAB Exam 

The PLAB Exam is a widely recognized licensing assessment for international medical graduates who want to practice medicine in the UK. It is not only a mandatory requirement for GMC registration but also serves as a path for doctors to demonstrate their clinical competence, patient safety skills, and professionalism in alignment with UK medical standards. 

• NHS Employment Opportunities: The PLAB test ensures that international medical graduates can work in the National Health Service, handling real-life patient scenarios and following UK clinical protocols. 
• International Recognition: PLAB exam demonstrates that a doctor’s knowledge and clinical skills meet UK standards, which are recognized internationally by healthcare systems. 
• Professional Growth: Success in PLAB opens doors for residency programs, specialty training, and career advancement within the UK medical system. 

PLAB Exam 2025 Dates & Deadlines 

PLAB exam dates are fixed by GMC for 2025, and results are usually released 6 weeks after PLAB 1 and within 4 weeks for PLAB 2. Knowing the exact exam dates, registration windows, and result release schedules helps candidates plan study, travel, and logistics efficiently. Early registration allows candidates to secure preferred centers and avoid last - minute issues with seat availability or visa processing. 

Exam Part	Test Date	Registration Window
PLAB 1	February 2025	Opens months in advance, closes 2 weeks before UK & 6 weeks overseas
PLAB 1	May 2025	Opens months in advance, closes 2 weeks before UK & 6 weeks overseas
PLAB 1	August 2025	Opens months in advance, closes 2 weeks before UK & 6 weeks overseas
PLAB 1	November 2025	Opens months in advance, closes 2 weeks before UK & 6 weeks overseas
PLAB 2	Year - round (Manchester)	Book after PLAB 1 result

Why register early? 

By registering early for the PLAB exam, international students can: 

• Secure their preferred exam center. 
• Avoid late fees and registration. 
• Get more time for travel visa applications (if required). 

PLAB Exam Format & Structure 2025 

The PLAB Exam consists of two parts, and aims to evaluate knowledge, practical skills, and professionalism. PLAB 1 focuses on clinical knowledge through MCQs, while PLAB 2 assesses skills and communication through OSCE stations. This ensures candidates are ready for real - world clinical practice in the NHS. 

PLAB Exam Pattern 2025: Section - Wise Breakdown 

• Format: 180 single - best - answer MCQs 
• Duration: 3 hours 
• Content: Medicine, Surgery, Pediatrics, Obstetrics & Gynecology, Psychiatry, Ethics, and Law. 
• Questions are scenario - based, testing clinical reasoning, patient safety, and decision - making skills. 

PLAB 2: 

• Format: OSCE with 16 - 18 stations 
• Duration: 8 minutes per station 
• Skills Tested: Clinical examination, patient communication, diagnosis, emergency management, professionalism, and ethical decision - making. 

Want to prepare for your PLAB 2 exam? Know about How to Prepare for PLAB 2 Exam.

 

Duration and Question Count 

Here is the duration and the number of questions in the PLAB exam 2025: 

Exam	Number of Questions/Stations	Duration
PLAB 1	180 MCQs	3 hours
PLAB 2	16 - 18 stations	3 hours

PLAB Exam Syllabus 2025 

The PLAB Exam syllabus is designed to ensure international medical graduates have the knowledge and clinical skills equivalent to a UK Foundation Year 2 doctor. It tests a combination of medical knowledge, clinical reasoning, patient management, and communication skills, reflecting real - life scenarios in the NHS. Familiarity with the syllabus allows candidates to structure study efficiently, focus on high - yield topics, and prepare for practical clinical challenges. 

PLAB 1 Syllabus 

The PLAB 1 exam mainly assesses the core medical knowledge across multiple disciplines. Candidates must be ready to apply theory to clinical scenarios and patient management questions. The PLAB 1 exam syllabus includes: 

• Medicine: Common conditions, emergencies, pharmacology, investigations, and treatment principles. 
• Surgery: Trauma, wound management, perioperative care, and post - op complications. 
• Pediatrics: Growth, development, common childhood illnesses, and emergencies. 
• Obstetrics & Gynecology: Antenatal care, labor management, complications, and ethical scenarios. 
• Psychiatry: Mental health disorders, emergency psychiatric care, patient counseling. 
• Ethics & Law: GMC guidelines, consent, confidentiality, and professional conduct. 

PLAB 2 Syllabus 

PLAB 2 exam is a skilled based on OSCE and is designed to test practical, communication, and professional skills. Each station replicates real clinical situations in the UK. The PLAB 2 exam syllabus includes:  

• History  & Physical Exams: Structured, thorough, patient - centered assessment. 
• Communication Skills: Explaining diagnosis and treatment, breaking bad news, patient counseling. 
• Diagnosis & Management: Formulating safe and practical management plans. 
• Professionalism & Ethics: Demonstrating GMC standards in patient care, confidentiality, and teamwork. 
• Emergency Skills: CPR, anaphylaxis, sepsis management, and rapid decision - making. 

PLAB Exam Registration & Fees 2025 

The steps of PLAB Exam registration are essential to understand before starting the process. First, you need to create a GMC account, submit your primary medical qualification (PMQ) and English language proof, book your PLAB 1 slot, pay the exam fee, and finally download your booking confirmation. Knowing the detailed procedure, required documents, and cost beforehand ensures a smooth registration process and can help avoid last-minute complications. 

This section provides a step-by-step guide for international medical graduates (IMGs) who want to take the PLAB Exam in 2025. 

How to Register for the PLAB Exam 

The PLAB registration process is primarily online via the GMC portal, and involves several Proper planning ensures candidates can book preferred test dates, prepare efficiently, and comply with GMC guidelines. The important steps are: 

Step 1: Create a GMC Online Account 

• Visit the official GMC website and sign up with your personal details. 
• Use a secure email and strong password as you will need this account for all exam activities. 

Step 2: Upload PMQ and English Proof 

• Submit your Primary Medical Qualification (PMQ) certificate recognized by GMC. 
• Upload IELTS Academic or OET results. 
• Ensure all files are clear, legible, and meet GMC requirements to avoid delays. 

Step 3: Select Test Date & Center 

• Choose PLAB 1 exam date from available UK or international centers. 
• Check seat availability and allow sufficient preparation time. 
• Keep track of registration closing dates (UK:  2 weeks; Overseas:  6 weeks). 

Step 4: Pay Exam Fees 

• Use a credit/debit card or other accepted methods. 
• PLAB 1 fee: £273, PLAB 2 fee: £998. 
• Save payment confirmation; it is required for verification. 

Step 5: Download Admission Ticket 

• Admission ticket contains exam location, date, and ID instructions. 
• Print a copy and review test center rules carefully. 

Step 6: Book PLAB 2 (After Passing PLAB 1) 

• Log in after passing PLAB 1 to schedule PLAB 2 in Manchester, UK. 
• Booking is recommended as there are limited seats. 

Cancellation & Refund Policy 

Here is the breakdown of the updated refund and cancellation policy for the PLAB Exam 2025:  

For PLAB 1:

• Cancel ≥42 Days – 90% Refund
• Cancel 29 - 42 Days – n/a
• Cancel <28 Days – No Refund

For PLAB 2:

• Cancel ≥42 Days – 90% Refund
• Cancel 29 - 42 Days – 50% Refund
• Cancel <28 Days – No Refund

Candidates must also follow ID match rules strictly, ensuring that their documents match the GMC registration details. 

PLAB Exam Fees 2025  

From 1 April 2025, the General Medical Council (GMC) has confirmed updated fee structures for both PLAB 1 and PLAB 2. Candidates must account not only for exam fees but also for potential additional costs, such as cancellations, rescheduling, or multiple attempts. Knowing the PLAB exam fee policy in detail can help to plan your budget effectively, especially for international medical graduates who will be traveling to the UK for a PLAB 2 exam.  

Exam Part	Exam Fees in 2025 (GBP/INR)
PLAB 1	£273 (INR 1.19L)
PLAB 2	£998 (INR 1.19L)

Note: Exchange rates are approximate, and the amounts may vary. 

PLAB Exam Scoring 2025 

Knowledge of the PLAB exam scoring system 2025 is essential for doctors preparing to work in the UK. The scoring framework measures whether an international medical graduate is ready to practice safely at the level of a UK Foundation Year 2 doctor. Passing both PLAB 1 and PLAB 2 is required to become eligible for GMC registration, which is a mandatory step to practice in UK. The system ensures fairness through standard-setting methods that take into account question difficulty and overall candidate performance. 

How Scoring Works 

The scoring process of PLAB 2025 differs between PLAB 1 and PLAB 2, reflecting the different skills being tested. Here is the scoring process for both PLAB 1 and PLAB exams:  

PLAB 1 (Written MCQ Test): 

• The PLAB exam uses the Angoff method, where subject matter experts estimate the percentage of minimally competent candidates who would answer each question correctly. 
• The pass mark changes with every sitting, depending on exam difficulty. Historically, this ranges from 120–125 correct answers out of 180. 

PLAB 2 (OSCE Clinical Exam): 

• The scores of PLAB 2 are tested with the Borderline Regression Method, which considers examiner judgments and candidate performance across all stations. 
• Candidates are marked on clinical knowledge, communication, professionalism, and practical application of skills. 
• The outcome is a pass or fail, with no numerical score given. 

Passing Criteria 

The passing criteria for the PLAB exam are straightforward yet strict. It requires doctors to demonstrate competence in both written knowledge and hands-on skills. 

• Mandatory Completion: Candidates must pass both PLAB 1 and PLAB 2 to move forward.  
• No Score Carryover: Scores from one attempt do not transfer. If a candidate fails PLAB 1 or PLAB 2, they must retake that exam in full. 

How GMC Uses PLAB Scores 

Once the candidates successfully clear both parts of the exam, the GMC uses PLAB scores solely to measure the competence of the candidate for granting full registration.  

• Eligibility for GMC Registration: Passing both PLAB 1 and PLAB 2 confirms the eligibilty to practice at an FY2 level in UK. Candidates can then apply for full GMC registration. 
• NHS Employment Requirement: GMC registration is mandatory for doctors who wish to work in the NHS or in private healthcare across the UK. 
• Standard of Safety: This ensures patients in the UK receive care from international doctors who meet the same professional standards as locally trained graduates. 

PLAB Exam Preparation 2025 Strategy 

To perform well on the PLAB exam in 2025, a well-structured study plan, consistent practice, and effective use of trusted resources is much needed. The exam not only assesses clinical knowledge but also tests communication, decision-making, and professional conduct, especially in PLAB 2 exam. 

The preparation should be focused on meeting the GMC blueprint standards and understanding both theory and practical skills thoroughly. More importantly, organized preparation not only improves performance but also reduces anxiety, so that you can give the exam with clarity and focus. 

3 - 6 Month Study Plan 

Months 1 - 2: Build Core Knowledge 

• Go through the GMC PLAB Blueprint and divide the syllabus by subject (Medicine, Surgery, Pediatrics, Psychiatry, etc.). 
• Revise clinical guidelines (NICE, UK - based protocols) to align with NHS practice. 
• Create concise notes or flashcards for frequently tested conditions and ethical guidelines. 

Months 3 - 4: Practice with Question Banks 

• Use PLAB question banks like PLABable or PassMedicine to practice daily timed sets of 50 - 100 MCQs. 
• Track weak areas using error logs and re - read relevant guidelines. 
• Join online study groups or forums to discuss tricky scenarios and exam patterns. 

Months 5 - 6: Mock Exams and Revision 

• Attempt at least 2 - 3 full - length mock exams under timed conditions to simulate PLAB 1. 
• Focus on repeated mistakes and high - yield clinical topics like emergencies and ethics. 
• Revise systematically - one subject each week - to keep the study cycle balanced. 

For PLAB 2: Skill and Communication Focus 

• Practice OSCE roleplays with peers or through prep academies in Manchester. 
• Focus on doctor - patient communication, empathy, and clarity in history - taking. 
• Rehearse clinical skills (e.g., physical exams, emergencies) with attention to time management at each station. 

Recommended Prep Resources 

The following are some prep resources that you can use to practice for your PLAB exam 2025 and score top scores: 

• GMC PLAB blueprint. 
• Official PLAB sample questions. 
• Online question banks (PLABable, Pass Medicine). 
• PLAB 2 coaching academies (Manchester). 

PLAB Exam 2025 Test - Day Guide 

The GMC has strict rules for exam day to maintain fairness and ensure smooth conduct of the PLAB Exam 2025. Being well-prepared with the right items, while avoiding prohibited ones, can help candidates avoid unnecessary stress. 

What to Bring 

• Valid Passport: This is the only accepted form of ID. It must be valid and match the details used when registering for the PLAB exam. No other form of identification will be accepted. 
• Booking Confirmation: A printed or digital confirmation of your test booking, showing your exam date, venue, and candidate details. 
• Pens and Pencils (for PLAB 1): Carry at least 2 - 3 black ballpoint pens and HB pencils with erasers for marking answers clearly. Stationery is not provided at the center. 
• Water and Snacks: You may bring a transparent water bottle and small snacks if permitted, but these are usually consumed only during scheduled breaks. 

What Not to Bring 

• Electronic Devices: Phones, smartwatches, fitness trackers, calculators, or any device capable of storing information are strictly banned. Bringing them could lead to disqualification. 
• Study Materials: Notes, books, printed handouts, or cheat sheets are not allowed inside the exam hall under any circumstances. 
• Large Bags or Luggage: Only small, clear bags may be allowed. Larger belongings may need to be left outside the exam room or not brought at all. 

Accommodations & Special Arrangements 

• Extra Time Requests: Candidates with documented disabilities (such as dyslexia or vision impairments) can apply for extra time to complete the exam. 
• Alternative Formats: On request, exams can be arranged in formats such as enlarged print for visually impaired candidates. 
• Application Process: All requests must be submitted in advance through the GMC with valid medical documentation. Last-minute applications are generally not accepted. 

Conclusion 

The PLAB Exam remains the most reliable route for international medical graduates aspiring to practise medicine in the United Kingdom. By clearing PLAB 1 and PLAB 2, doctors demonstrate their ability to deliver safe, effective patient care aligned with GMC UK standards.

As the UKMLA gradually approaches, PLAB continues to hold full validity for candidates registering through 2025. Success in this exam not only opens pathways to GMC registration but also marks the beginning of a rewarding clinical journey within the NHS.

Plan your preparation early, stay updated with official GMC announcements, and focus on building both clinical and communication skills which are the real keys to excelling in the PLAB Medical Exam and advancing your career in UK medicine. 

For more up-to-date information, you can book a free counseling session with upGrad and seek professional guidance! We’d be happy to help you figure this out.