GP training and careers in Scotland: A guide for IMGs

Essential requirements for all IMGs

Before you can practise as a GP in Scotland, there are 2 key requirements you must meet, regardless of your background.

1. GMC registration—You must hold full registration with a licence to practise from the General Medical Council (GMC).
   
   
   • To work as a trainee, you need full registration.
   • To work as an independent GP, you must also be on the GMC’s GP Register and be added to a local Performers’ List managed by your regional NHS Scotland Health Board.
   
   Find out more about applying for GMC registration.
   
   
2. Visas and Immigration—Most non-UK doctors will need a Health and Care Worker visa to work in Scotland. This is a specific type of skilled worker visa that requires a Certificate of Sponsorship (CoS) from an approved employer, such as NHS Education for Scotland or a GP practice.
   
   Learn more about the Health and Care Worker visa on GOV.UK.

Which pathway is right for you?

The route you take depends on your current level of experience. Broadly, there are 2 directions:

Option A: I want to train as a GP in Scotland (CCT routes)

If you have not yet completed GP specialty training, you will follow a route that leads to a Certificate of Completion of Training (CCT). There are 4 ways to achieve this:

• Standard Programme—3 years spent in GMC-approved GP specialty training.
• Accreditation of Transferable Capabilities (ATC)—If you have transferable skills from other specialties, you may be able to shorten your training (usually 6 months of other training + 30 months GP).
• Combined Programme UK (CPUK)—Combines previous non-training UK experience (usually 6 months) with GP training (usually 30 months).
• Combined Programme Overseas (CPO)—Combines previous overseas training or experience (usually 6 months) with GP training (usually 30 months).

Option B: I am already a qualified GP (recognition routes)

If you have already completed a GP training programme outside the UK, you may be eligible for direct entry to the GP Register through one of these recognition pathways.

Portfolio Pathway (formerly CEGPR)

• Who it's for—Doctors with at least 6 months of formal training and/or a qualification in family medicine who do not fit the other pathways.
• The process—You submit a portfolio of evidence to the GMC demonstrating that your knowledge and skills match UK standards.
• Timeline—The RCGP evaluates this on behalf of the GMC. The process typically takes around 6 to 8 months.

Read more about the Portfolio Pathway.

Recognised Specialist Qualification (RSQ) Pathway

• Who it's for—Doctors with specific qualifications from Australia, Canada, or New Zealand.
• The Process—Introduced in May 2024, this allows for streamlined direct entry to the GP Register by submitting a small number of documents. The RCGP does not evaluate these applications.

Find out more about the RSQ Pathway.

Relevant European Qualification (REQ) Pathway

• Who it's for—Doctors with recognised qualifications from the European Economic Area (EEA).
• The Process—The GMC automatically recognises specific European qualifications. You can apply for direct entry by submitting your documents.

Learn more about the REQ Pathway.

Still unsure?

If you're unsure which pathway applies to your specific qualification, use the GMC's interactive guide.

Check your pathway to GP registration in the UK.

Support for refugee and asylum-seeking doctors

We recognise the unique challenges you face. A dedicated support system is in place to help you return to practice. The main pathway is the funded Scotland GP Returner Programme, which provides the supervised placement you need to join the Performers’ List.

Further support is available from:

• BMA Refugee Doctor Initiative—Offers free membership and expert guidance on the process. Learn more about help for refugee doctors.
• The Bridges Programmes—Provides one-to-one support for returning to healthcare roles. Apply for The Bridges Refugee Doctors Programme.
• RefuAid—Can offer financial help for exam and re-qualification costs. Read more about RefuAid.
• UK Government—For official information on your right to work, you must refer to visa and immigration guidance on GOV.UK.

Support networks for IMGs in Scotland

We want to make sure you have the best possible start to your career. A wide range of professional and peer support is available.

Support from NHS Education for Scotland (NES)

Welcoming International Medical Graduates New to Scotland (WINS)—A dedicated programme designed to help you find your way around the Scottish healthcare system and working culture. Learn more about WINS.

Scottish IMG Buddy Scheme (SIBS)—A mentorship programme that connects you with an experienced doctor who can offer guidance and peer support as you settle in. Discover more about SIBS.

Scottish IMG Doctors Support Network—A private online community where you can connect with other IMGs in Scotland, ask questions, and share experiences. Find out about joining the closed Facebook group.

Scottish Trainee Enhanced Programme (STEP): For those on the GPST programme, STEP offers extra support with communication skills and exam preparation. Discover more about STEP.

Support from professional bodies

The Royal College of General Practitioners (RCGP —Provides a comprehensive guide for overseas doctors, free associate membership for those on an induction programme, and peer support. Read the RCGP's guide for overseas doctors.

The British Medical Association (BMA)—Provides free resources and expert guidance on visas, GMC registration, and adapting to working in the NHS. Check out the BMA’s advice and support for international doctors.

Settling into life in Scotland

Relocating to a new country involves more than just your career. Practical guidance is available to help you and your family feel at home, with information on:

• finding housing
• schools and childcare
• opening a UK bank account
• driving in Scotland

Find out more about living and working in Scotland.

Your future in Scottish General Practice

We are committed to supporting you on this journey and look forward to welcoming you to NHS Scotland.