After registration most IMGs start in a service post such as a locally employed doctor (LED), Trust grade SHO or clinical fellow. These are not national training posts, but they give you UK experience and references.
- Search NHS Jobs and the BMJ Careers job board; trust websites list locally employed doctor posts.
- A clinical attachment or observership can help you learn the system, but check that it is genuine and does not charge unreasonable fees.
- Prepare a UK-style CV and a clear statement about your experience and your plan.
- Ask about supervision, rota, study leave and support for exams before accepting.
- Use the early months to complete workplace assessments, build a portfolio and prepare for specialty applications.
Reading a job advert
- Grade and level: SHO-level, registrar-level, or junior clinical fellow.
- Rota and banding: number of nights, weekends and on-call periods.
- Supervision: named clinical and educational supervisors.
- Training value: access to teaching, audit and exams.
- Sponsorship: check that the employer holds a sponsor licence for the visa.
Fees, English-test scores and dates were last checked against official sources on 24 October 2026.
This page is general education, reviewed 24 October 2026. Rules, fees and dates change: always confirm with the official sources below. It is not medical, legal or immigration advice.