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Will the UKMLA Be Harder Than PLAB?

It’s impossible to answer the question “will the UKMLA be harder than PLAB?” But it’s not entirely pointless to consider. Given what we know about PLAB, we can speculate a little.

We’ll take apart this question in the article. We’ll also try to reverse engineer some of what we already know and hopefully come up with a placeholder for an answer.

A quick summary first:

  • The UKMLA’s difficulty is subjective
  • We might use PLAB to make estimations
  • “Perceived difficulty” of the UKMLA might change over time (given the history of PLAB)
  • Recent experiences of PLAB can not be used as reliable estimations as to how hard the UKMLA will be

UKMLA vs PLAB

A good way to go about figuring out if the UKMLA will be harder than PLAB? Thinking about the purpose of each exam. 

PLAB was introduced to in the UK in 1975. Initially called the Temporary Registrations Assessments Board (TRAB), it changed its name to PLAB in 1978. Prior to this the UK had no equivalent individual assessment mechanism for bringing non-UK doctors into the country. 

The purpose of PLAB was to enable International Medical Graduates (IMGs) to prove to employers that overseas qualifications gave them sufficient skills and knowledge to work as doctors in the UK. This has been the case with PLAB ever since.

Comparing PLAB to the UKMLA, we know the GMC’s intention is to standardise testing for all graduates entering medical practice in the UK. Meaning the UKMLA will be sat by everyone wishing to practice as a doctor in the UK. Not only IMGs.

Given this fact, we could expect the UKMLA to be harder than PLAB  because of its need to assess a larger quantity of people. Historically speaking however, and if you look at British GCSE’s as an example, the larger the intake, the more the grade boundaries get spread. Meaning the UKMLA could become easier than PLAB.

The Concept of ‘Difficulty’

Another key thing to discuss when asking “will the UKMLA be harder than PLAB” is that of the idea of difficulty itself.

What constitutes a “hard” exam? This is arguably subjective. Some students, given the length and depth of their knowledge, could find an exam “easy”. Another group of students might say the opposite.

What we can expect however, due to the fact that passing the UKMLA will be expected for everyone wishing to work as a doctor in the UK, is a larger diversity in educational backgrounds. A UK medical graduate who’s course is built around the UKMLA syllabus, for example, could be at a significant advantage over their internationally educated counterparts. 

That’s why it’s important for medical students to recognise their intention to sit for the UKMLA early in their educational development. Planning ahead, as with all things, could prove fundamental in helping a student see the exam as “easy” rather than “hard”.

Will the UKMLA Be Harder Than PLAB?

One way to answer this question is to look at what people who’ve already taken the PLAB say about it. Especially in terms of how easy or hard they report to have found it. 

Naseer’s Journey is a website that is designed to help, guide and encourage medical students and doctors who wish to work in the UK. It has a lot of information about the PLAB. It even calls PLAB “the shortest, easiest, least expensive and most convenient pathway” to becoming a doctor in the country.

But there’s more.

“PLAB is an easy exam. If you think I find PLAB easy because I’ve already passed it, let me tell you that when I wrote this post, I had not passed my PLAB 2 and I was waiting for my result. Compared to PLAB, other countries’ licencing exams are not this easy. The questions for the PLAB exam have a very low difficulty level, passing scores are very low and passing rates are very good. People who have taken PLAB, will confirm this for you.”

Question of Subjectivity

The problem with this assessment, although highly encouraging, is the fact it’s entirely subjective. Naseer, a Pakistani-born GP trainee working in the UK, doesn’t tell us more about his educational background. Nor his experiences before PLAB. Or the quality of teaching he received as an undergraduate.

Personally knowing several people who’ve failed PLAB, most with impressive academic backgrounds, I’d tell people to at least be careful here. Especially when considering someone else’s opinion.

PLAB is a medical licencing exam after all. It’s one designed to set apart the competent from the incompetent. It’s also designed to ensure the UK receives as high-quality doctors as possible. To suggest PLAB is an “easy exam” could be problematic. It could also prove insulting to the GMC, who’s intent it is to make the distinction between those ready to work and those not.

It would also be a big assumption to say that the UKMLA will be easy just because PLAB is.

Potential Problems

To fully answer if the UKMLA will be harder than PLAB, we must acknowledge one critical thing. Data? We just don’t have enough of it right now. Therefore we can’t make a credible guess.

What’s more? We can expect the UKMLA to change over time. Looking into the history of the PLAB supports this. The exam was originally a single assessment testing for Use of English and Medical knowledge (until 1995). It changed in 1998 to the two-part arrangement we see today.

Even in 2000 Part 1 of the PLAB was changed. Going from a format of three written papers to a 200-item Extended Matching Question (EMQ) exam, it changed again in 2004. This time from EMQ to a Single Best Answer (SBA) format. Before additional modifications in 2012 made it SBA only. 

What PLAB’s changes tell us about the UKMLA? It too is likely to change and evolve over time. As could its “difficulty” with each future change to the format.

Sources
https://www.whatdotheyknow.com/request/plab_exam_historical_pass_rates

Interested in receiving news about the UKMLA and joining me in my experiences studying for it? Sign up to the mailing list here.

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