If you’re an international doctor planning to work in the UK, you might have come across the term “UKMLA.” It’s a new exam that’s becoming a key part of the journey to practise medicine here. So what exactly is the UK Medical Licensing Assessment, and how does it affect you? Let’s break it down.
What Is the UKMLA?
The UK Medical Licensing Assessment (UKMLA), also known as the MLA, is a standardised test introduced by the General Medical Council (GMC). It’s designed to ensure all doctors starting work in the UK, whether trained here or abroad, meet the same baseline of knowledge and skills. From 2024 onwards, passing the UKMLA is a requirement for gaining a full GMC licence to practise.
Think of it as a gatekeeper. It checks that you’re ready to deliver safe, effective care in the NHS, regardless of where you earned your medical degree.
Who Needs to Take It?
The UKMLA applies to two main groups. First, UK medical students graduating from 2024 will take it as part of their degree, replacing older assessments. Second, international medical graduates (IMGs) like you, applying for GMC registration from 2024, will need to pass it too. If you’re already registered or complete registration before the cutoff, you won’t need to sit this exam.
For overseas doctors, the UKMLA replaces the clinical part of the Professional and Linguistic Assessments Board (PLAB) test. The PLAB blueprint is being phased out, and the MLA steps in to standardise the process.
What Does the UKMLA Involve?
The UKMLA has two sections. The first is a written exam, called the Applied Knowledge Test (AKT). It’s a multiple-choice test that assesses your understanding of medical theory, diagnostics, and treatment principles. Expect questions on topics like general practice, surgery, and paediatrics, all tied to UK guidelines.
The second part is a practical exam, known as the Clinical and Professional Skills Assessment (CPSA). This tests your hands-on abilities through scenarios with simulated patients. You’ll demonstrate skills like taking histories, performing examinations, and communicating clearly, mirroring real-life NHS situations.
How Does It Differ from PLAB?
If you’re familiar with PLAB, the UKMLA might feel similar but broader. PLAB’s second part (the OSCE) focused on clinical skills, while the UKMLA combines that with a tougher written test. It’s meant to be more thorough, aligning with what UK graduates face. Plus, it’s tailored to NHS standards, so you’ll need to know local protocols and ethics.
How to Prepare
Preparation is key. The GMC provides a content map outlining what’s tested, based on their Outcomes for Graduates framework. Brush up on UK medical guidelines, like those from NICE, and practise clinical scenarios. Courses and study materials for PLAB might still help, but look for UKMLA-specific resources as they roll out. Mock exams and peer practice can boost your confidence too.
For the language side, you won’t need a separate English test like IELTS if you pass the CPSA, as it assesses communication skills. Still, strong English is essential to succeed.
Why It Matters for Overseas Doctors
The UKMLA might sound daunting, but it’s a leveller. It ensures every doctor in the UK, homegrown or international, meets the same bar. For you, passing it opens the door to GMC registration and NHS jobs. It’s also a chance to prove your competence and adapt to UK healthcare before you start work.
When and Where to Take It
The GMC hasn’t locked in all the details yet, but the UKMLA will likely be offered several times a year, with testing centres in the UK and possibly abroad. Keep an eye on their website for updates on dates, fees, and locations as 2024 approaches.
Your Path to Practising in the UK
The UKMLA is a big change, but it’s manageable with planning. For doctors moving to the UK, it’s your ticket to joining the NHS and building a career here. Start researching now, and you’ll be ready to tackle it when the time comes.
If you’re interested in working in the UK and would like to discuss this blog, available positions in your specialty, or how we can assist you, please contact our Permanent & Fixed-Term Recruitment team at [email protected].
