ROUTE B · OVERSEAS-QUALIFIED DOCTORS
PLAB 1 and PLAB 2, explained
The Professional and Linguistic Assessments Board test is how most international medical graduates show the GMC they can practise safely in the UK.
Fees, English-test scores and dates were last checked against official sources on 24 October 2026.
PLAB 1
The written exam
- 180 single-best-answer questions in 3 hours
- Computer-based, at a test centre
- Fee from 1 April 2026: £283
- Equivalent to the UKMLA Applied Knowledge Test
PLAB 2
The clinical exam
- Timed OSCE stations with simulated patients
- Manchester only
- Fee from 1 April 2026: £1,036
- Must be passed within 2 years of PLAB 1
YOUR ORDER OF WORK
PLAB route, step by step
- What is PLAB?The Professional and Linguistic Assessments Board test: two exams, one purpose.
- Are you eligible? Primary medical qualification and internshipCheck your degree, your medical school and your internship before spending a penny.
- English-language requirements: IELTS, OET and alternativesThe scores the GMC accepts, how long they last, and the exemptions.
- Your GMC Online account and verifying your documentsIdentity, qualifications, certificates and the order to do them in.
- PLAB 1 in detailFormat, content, booking, centres and the day itself.
- PLAB 2 in detailThe OSCE in Manchester: stations, skills, booking and preparation.
- What PLAB really costsExam fees, English tests, verification, travel and registration.
- After PLAB: registration, licence and GMC numberThe steps from a PLAB 2 pass to a doctor’s ID, and what “licence to practise” means.
- Visas and sponsorshipVisitor visas for exams and the Health and Care Worker visa for jobs.
- Finding your first UK jobNHS Jobs, trust grade posts, clinical attachments and the new competition for training places.
- Other routes to GMC registrationSponsorship, approved postgraduate qualifications, the MTI and CESR.
- Important: the Medical Training (Prioritisation) Act 2026UK graduates are now prioritised for Foundation and specialty training. What it means for you.
- A 12-week PLAB 1 study planA realistic weekly plan you can adapt to full-time work or study.
Changes announced for 2026–27
PLAB fees increased on 1 April 2026. From February 2027 the GMC withdraws PLAB 1 from Dhaka, Alexandria, Accra and Chennai and moves to three sittings a year outside the UK and EEA. 30 PLAB 1 centres are listed; PLAB 2 stays in Manchester. See the exam-centre directory. Last reviewed 24 October 2026.