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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 1 in detail →
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
PLAB 2 in detail →
YOUR ORDER OF WORK

PLAB route, step by step

  1. What is PLAB?The Professional and Linguistic Assessments Board test: two exams, one purpose.
  2. Are you eligible? Primary medical qualification and internshipCheck your degree, your medical school and your internship before spending a penny.
  3. English-language requirements: IELTS, OET and alternativesThe scores the GMC accepts, how long they last, and the exemptions.
  4. Your GMC Online account and verifying your documentsIdentity, qualifications, certificates and the order to do them in.
  5. PLAB 1 in detailFormat, content, booking, centres and the day itself.
  6. PLAB 2 in detailThe OSCE in Manchester: stations, skills, booking and preparation.
  7. What PLAB really costsExam fees, English tests, verification, travel and registration.
  8. After PLAB: registration, licence and GMC numberThe steps from a PLAB 2 pass to a doctor’s ID, and what “licence to practise” means.
  9. Visas and sponsorshipVisitor visas for exams and the Health and Care Worker visa for jobs.
  10. Finding your first UK jobNHS Jobs, trust grade posts, clinical attachments and the new competition for training places.
  11. Other routes to GMC registrationSponsorship, approved postgraduate qualifications, the MTI and CESR.
  12. Important: the Medical Training (Prioritisation) Act 2026UK graduates are now prioritised for Foundation and specialty training. What it means for you.
  13. 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.