Within 2 years of successfully passing the first part of the Professional Linguistic Assessment Board (PLAB), candidates must attempt and pass the PLAB 2 exam. As you well know, it is the practical portion of the PLAB exams, and it is used to assess the clinical and professional skills of medical professionals who have obtained their primary medical qualifications outside the UK. The Objective Structured Clinical Examination (OSCE) is administered by the General Medical Council (GMC) and it’s meant to evaluate a doctor’s ability to apply their hard-worn knowledge and skills in real-life medical scenarios, covering areas like history taking, physical examination, and practical procedures. It is expected that IMGs should have the clinical and communication skills equal to a Foundation Year 2 doctor working in the NHS.
PLAB 2 is an approximately 3-hour exam that consists of 16 clinical stations that last for 8 minutes each. There are two rest stations interspaced between the active ones, and this is to allow you the chance to rest, rehydrate, and refocus in preparation for the remaining stations. The active station will be operated by actors who can play any role from a patient to a fellow healthcare provider. You have 2 minutes to read and understand the questions before you try to fulfill the task asked of you. Keep in mind, your performance will be watched and assessed by a team of doctors who know exactly what is needed to be an effective doctor.
What to expect on Exam day
Exam Location
After completing the registration and paying the exam fee, you will receive an email from the GMC, which will tell you the venue and time for the exam. The exam is typically held at the GMC Clinical Assessment Centre in Manchester, and there are two possible locations where the exam will be held, namely, Hardman Street and Hardman Square. As you can see, both addresses are similar, so it is vital that you know which one is your location.
However, there is no need to panic if you go to the wrong centre, the two locations are pretty close to each other.
What to bring
The most important thing to carry with you to the location of the exam is your acceptable means of identification. The ID you bring along with you should be the same one you used to book the exam, for most people, they choose their passport. Next is your GMC booking confirmation email. You can have this either in a printed or digital form; it will be necessary to ensure you pass through security faster. You don’t need to carry any stationery or tools like a pen or stethoscope, as the GMC provides everything you will need for the exam. For your outfit, avoid wearing any watches, bangles, or rings, and wear comfortable but professional attire. As for your phone and other essentials, you will be given a small locker where you will be asked to keep them.
Identity Checks and Briefing
Once inside the venue, your name will be checked on their list before you are called inside. You will be directed to queue up before your ID is checked, and a photograph of you will be taken, which will be used to make your ID badge. Your badge must be worn at all times throughout the exam, as it is proof that you have been screened. Finally, you’ll be directed to the personal lockers where you will store your belongings.
Next, you will be taken to a briefing room where all the candidates will be addressed by GMC staff who will explain how the exam works, safety measures, and rules that you must follow. Refreshments will also be provided, and we recommend that you indulge a bit because you may wait for a bit. During this waiting period, candidates are free to talk to each other and trade stories.
Exam Time
Before each station, a two-minute warning bell sounds, signaling you to stand outside the designated room and review the scenario printed on the door card. This card includes the patient’s name, the clinical setting (such as a GP clinic, A&E, or hospital ward), your specific task (for example, “Take a history and explain diagnosis”), and any special notes (like “You do not need to examine the patient”). Once the 8-minute buzzer goes off, you enter the room and begin the task. At the end of the station, a bell will ring to signal that time is up, and you must stop immediately—even if you’re mid-sentence. You’ll then move straight on to the next station.
Inside each station, you will interact with a simulated patient (a trained actor) or, in some cases, a role-playing healthcare colleague such as a nurse. A silent examiner will be present in the room, assessing your performance using a detailed checklist. Your performance is judged across three core areas: clinical competence, communication and interpersonal skills, and professional behavior.
After the Exam
After the exam, you will be calmly guided out of the assessment area by the exam staff. You’ll be asked to return your ID badge and will then be directed to retrieve your personal belongings from the secure lockers. Once this process is complete and you are formally dismissed, you are free to leave the centre.
As for your results, they are typically released within four weeks of the exam date. You’ll receive an email notification from the GMC once your results are ready. You can then log in to your GMC Online account to view your score and overall outcome.
Tips for Exam Day
- Start every station by confirming the patient’s identity and introducing yourself clearly.
- Stay polite and professional, no matter what scenario you’re given.
- Always explain what you’re doing and ask for consent—even if it’s just a mannequin.
- Manage your time well; some stations require you to grab equipment or look through drawers.
- When writing a prescription, don’t forget to write the patient’s details first and use a black pen.
- In telemedicine or video scenarios, always verify the identity of the person on the other end.
- For teaching stations, don’t just explain—demonstrate the skill and walk the learner through it patiently.
Beyond clinical preparation, your mindset plays a crucial role. PLAB 2 can feel overwhelming, especially if it’s your first time taking such an exam, and you’re in a foreign country, away from familiar surroundings. But remember, most candidates have put in the hard work and practiced diligently. Using trusted resources like CanadaQBank can help boost your confidence, offering realistic OSCE practice cases that closely mimic the actual exam format. On exam day, what truly matters is your ability to stay calm, composed, and confident. Trust in your preparation—whether it’s through clinical experience, personal study, or tools like CanadaQBank. Remain polite and empathetic throughout each station, and carry yourself with professionalism. You’ve come a long way and put in the work—now is the time to shine. Best of luck to everyone preparing for PLAB 2!