The pathway for international medical graduates to practise in the UK
Professional and Linguistic Assessments Board

PLAB (Professional and Linguistic Assessments Board) is the assessment run by the General Medical Council (GMC) that international medical graduates (IMGs) must pass to demonstrate they have the knowledge and skills to practise medicine in the United Kingdom. For thousands of Indian MBBS doctors, PLAB is the primary route to GMC registration and an NHS career.
PLAB has two parts. PLAB 1 is a written test of 180 single-best-answer multiple-choice questions taken over three hours, assessing applied medical knowledge in realistic clinical scenarios. PLAB 2 is a practical OSCE (Objective Structured Clinical Examination) of 16 stations that simulates real patient encounters, testing communication, examination and clinical management skills. PLAB 2 is held at the GMC’s Clinical Assessment Centre in Manchester, UK.
Before PLAB, candidates must first meet the English-language requirement (usually IELTS 7.5 / OET Grade B) and hold a recognised primary medical qualification. With structured coaching on the GMC curriculum, question-bank practice and OSCE role-play preparation, IMGs can pass efficiently and move confidently toward UK registration.
Who can appear for the PLAB exam and what you need before you book.
Section-wise structure, question types and timing for the PLAB.
| Section | What it tests | Duration |
|---|---|---|
| PLAB 1 (Written) | 180 single-best-answer MCQs across common and important clinical presentations, based on the GMC curriculum. | 3 hours |
| PLAB 2 (OSCE) | 16 stations of ~8 minutes each simulating real clinical scenarios — history-taking, examination, communication and management. | ≈ 3 hours |
| English requirement | IELTS Academic 7.5 overall (min 7.0 each) or OET Grade B, completed before applying. | — |
| Sequence | Pass PLAB 1 first, then book PLAB 2 — and pass PLAB 2 within 2 years. | — |
PLAB 1 is marked against a pass mark set by the GMC using standard-setting methods; you receive a pass or fail with your score. PLAB 2 is scored across the 16 OSCE stations on domains such as data gathering, clinical management and interpersonal skills — you must meet both the overall and minimum-station criteria to pass.
PLAB 1 is held on several fixed dates each year at test centres in India and the UK; PLAB 2 runs frequently at the GMC Clinical Assessment Centre in Manchester. Book early, as PLAB 2 dates are in high demand. After passing both parts, you can apply for GMC registration.
Indicative fees are around £262 for PLAB 1 and £934 for PLAB 2 (plus travel and stay in Manchester for PLAB 2). You must also budget for the English test and GMC registration. Confirm current fees on the official GMC website.
Once you pass PLAB 1, you must pass PLAB 2 within 2 years. After passing both parts, you generally need to apply for GMC registration within 2 years. Always check the latest GMC timelines before you plan.
Personalised PLAB coaching built to get you your target score — faster.
Learn from PLAB-specialist mentors with proven high-band/high-score track records and years of classroom + one-on-one coaching experience.
A diagnostic test pinpoints your weak areas, then we build a day-by-day PLAB plan around your target score and test date.
Practise on real exam-style, timed full mocks with detailed section-wise analysis and actionable feedback after every attempt.
Unlimited doubt sessions plus live speaking/writing evaluation so you improve exactly where the score is lost.
Weekday, weekend, fast-track and crash batches — attend live online from anywhere in India or join a classroom near you.
Structured curriculum, weekly progress tracking and re-take support until you hit the score your dream university or visa needs.
International medical graduates (including Indian MBBS doctors) who trained outside the UK and want GMC registration to practise medicine in the UK typically take PLAB, unless they qualify through another route such as an approved postgraduate qualification.
You need a recognised primary medical qualification and must meet the GMC English requirement — usually IELTS Academic 7.5 (min 7.0 in each) or OET Grade B — before applying for PLAB 1.
Most doctors prepare 3–6 months for PLAB 1 with question-bank practice, then 4–8 weeks of intensive OSCE preparation for PLAB 2. Structured coaching and mock OSCEs make a big difference to your pass chances.
PLAB 2 (the OSCE) is held only at the GMC’s Clinical Assessment Centre in Manchester, UK. PLAB 1 can be taken in India or the UK. Plan your travel and stay for PLAB 2 in advance.
After passing both parts and meeting all requirements, you apply for GMC registration with a licence to practise, then seek NHS employment. Many IMGs go on to UK specialty training. We guide you through the full pathway.
Yes — structured PLAB 1 question-bank coaching and intensive PLAB 2 OSCE preparation with mock stations and feedback, plus guidance on the English test and GMC process. Request a callback to learn more.
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