
How to become a General Practitioner (GP) in the UK?
Samarajya Shrestha
Follow this structured pathway:
1. Medical Qualification Requirements
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Primary Medical Degree: You must hold a medical degree recognized by the UK General Medical Council (GMC).
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UK graduates: MBBS/MBChB from a UK medical school.
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International graduates: Must pass PLAB (for non-EEA doctors) or have an accepted postgraduate qualification (e.g., MRCP, USMLE).
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GMC Registration: Mandatory before starting training.
2. Foundation Programme (2 Years)
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FY1 & FY2: New UK graduates complete this paid training in hospitals.
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International doctors: May be exempt if they have equivalent experience (assessed by GMC).
3. GP Specialty Training (3 Years)
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Apply via NHS: Through the National Recruitment Office.
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Stages:
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ST1 (Hospital Rotations): 18 months in medicine, paediatrics, psychiatry, or A&E.
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ST2-ST3 (GP Placement): 18 months in a GP practice under supervision.
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Exams:
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AKT (Applied Knowledge Test) – Written exam.
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CSA (Clinical Skills Assessment) – Practical exam (now replaced by RCA - Recorded Consultation Assessment).
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Workplace-Based Assessment (WPBA).
4. Certification & CCT
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After passing exams and completing training, receive a Certificate of Completion of Training (CCT).
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Full GMC GP Registration: Allows independent practice.
5. Optional: GP Fellowship (1 Year)
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Extra training in specialties like dermatology, cardiology, or medical education.
6. Visa for International Doctors
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Skilled Worker Visa (sponsored by NHS employer).
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Health and Care Worker Visa (reduced fees, fast-tracked).
Key Facts
✅ Duration: 5 years (2 Foundation + 3 GP Training).
✅ Salary During Training:
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Foundation Doctor: £32,398 - £37,303.
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GP Trainee (ST1-ST3): £39,467 - £53,077.
✅ Qualified GP Salary: £65,000 - £98,000 (NHS) | £100,000+ (Private).
For International Medical Graduates (IMGs)
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PLAB Route: Pass PLAB 1 & 2 before GMC registration.
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Alternative Routes: MRCP, USMLE, or Sponsorship via MTI Scheme.
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GP Training Shortage: UK prioritizes IMGs for GP training.
Next Steps
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Check GMC Registration: www.gmc-uk.org.
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Apply for GP Training: https://specialtytraining.hee.nhs.uk.
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Prepare for Exams: Use RCGP resources for AKT/RCA.