Introduction
For international medical graduates (IMGs) aspiring to practice medicine abroad, choosing the right licensing exam is a crucial decision. Two of the most popular exams are:
✔ PLAB (Professional and Linguistic Assessments Board) – For doctors looking to work in the United Kingdom (UK).
✔ USMLE (United States Medical Licensing Examination) – For doctors aiming to practice in the United States (USA).
Both exams assess medical knowledge and clinical skills but differ in format, eligibility, cost, and career opportunities. If you’re unsure which path to take, this guide will help you understand the key differences and decide the best exam for your career.
What is the PLAB Exam?
The PLAB exam is a two-part test conducted by the General Medical Council (GMC) UK. It ensures that international doctors have the necessary skills and knowledge to practice medicine in the UK at the level of a junior doctor (FY2 level).
PLAB Exam Structure
PLAB Part Details
PLAB 1 180 multiple-choice questions (MCQs)
PLAB 2 Clinical Objective Structured Clinical Examination (OSCE) with 16 stations
✔ PLAB 1 focuses on theoretical medical knowledge.
✔ PLAB 2 tests clinical skills in simulated patient scenarios.
What is the USMLE Exam?
The USMLE exam is a three-step test required for medical licensure in the United States. It is conducted by the Educational Commission for Foreign Medical Graduates (ECFMG) and assesses a doctor’s ability to apply medical knowledge and patient care in a clinical setting.
USMLE Exam Structure
USMLE Step Details
Step 1 Basic sciences (MCQs) – preclinical knowledge
Step 2 CK (Clinical Knowledge) Clinical sciences (MCQs) – patient management
Step 3 Clinical practice – final step before medical licensure
✔ USMLE Step 1 & Step 2 CK are the most important for residency matching.
✔ USMLE Step 3 is taken during or after residency.
PLAB vs. USMLE: Key Differences
Criteria PLAB (UK) USMLE (USA)
Purpose Allows IMGs to work as junior doctors in the UK Leads to medical residency & licensure in the USA
Exam Levels 2 Parts (PLAB 1 & 2) 3 Steps (Step 1, Step 2 CK, Step 3)
Exam Format MCQs + OSCE MCQs + Clinical Case Simulations
Eligibility MBBS degree required MBBS degree (or currently enrolled)
Passing Rate PLAB 1: ~65% USMLE Step 1: ~70%
Validity PLAB 1 (3 years) USMLE scores valid indefinitely (but Step 1 & 2 must be recent for residency applications)
Cost PLAB 1: £255, PLAB 2: £934 Step 1: ~$1,000, Step 2 CK: ~$1,300, Step 3: ~$900
Residency Opportunities No guarantee; need to apply for NHS jobs Higher chances of getting into a medical residency
Average Salary After Completion £30,000 – £40,000 (junior doctor) $50,000 – $60,000 (resident doctor)
Best For IMGs looking for faster entry into the UK medical system IMGs willing to go through a longer process for better salary & opportunities
Which Exam Should You Choose?
Choose PLAB if:
✔ You want to start working as a doctor faster in the UK.
✔ You are okay with working as a junior doctor first before progressing in your career.
✔ You prefer a simpler exam process with only two parts.
✔ You are looking for a more affordable pathway to working abroad.
PLAB is a good option if you want a straightforward and affordable route to working in the UK as a doctor.
Choose USMLE if:
✔ You want to pursue medical residency in the USA with a higher salary.
✔ You are ready for a longer and more competitive process.
✔ You prefer to specialize early rather than working as a junior doctor.
✔ You are willing to invest more money and time into passing all three steps.
USMLE is ideal for doctors who want higher-paying careers and better residency training but are ready for a long and competitive process.
PLAB vs. USMLE: Which is Easier?
✔ PLAB is easier because it focuses on basic clinical skills and common medical conditions found in NHS practice.
✔ USMLE is harder because it tests in-depth medical knowledge, critical thinking, and clinical case simulations.
If you are looking for a faster and easier exam, PLAB is the better choice.
If you are willing to go through a challenging, in-depth medical exam, USMLE is the better option.
Career Path After PLAB & USMLE
🔹 After PLAB (UK Pathway)
✔ Get GMC registration → Apply for NHS junior doctor roles.
✔ Gain experience → Apply for UK medical specialty training.
✔ Can eventually specialize and become a consultant.
🔹 After USMLE (USA Pathway)
✔ Apply for medical residency in the USA through the Match system.
✔ Complete 3-7 years of residency based on specialization.
✔ Pass Step 3 → Get board certification → Work as an attending physician.
Final Verdict: Which Exam is Better?
✔ If you want quick entry into medical practice with a lower cost, choose PLAB (UK).
✔ If you want better training, higher salary, and long-term career growth, choose USMLE (USA).
Both exams lead to excellent medical careers, but your decision depends on your long-term goals, financial situation, and willingness to go through a competitive process.
Why Choose Global Medi Crew for PLAB & USMLE Preparation?
At Global Medi Crew, we offer specialized coaching for PLAB and USMLE, helping doctors pass with confidence and achieve their career goals.
✅ Expert-Led Training – Learn from experienced PLAB and USMLE specialists.
✅ Structured Study Plans – Focused preparation for each exam stage.
✅ Mock Tests & Feedback – Simulate real exam conditions.
✅ Flexible Learning – Online & in-person coaching available.
✅ High Success Rate – Helping IMGs achieve medical careers abroad.
📢 Start your PLAB or USMLE journey with Global Medi Crew today!
📞 Need Help? Contact Us Now!
