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When Does UKMLA Start? Full Timeline, Who Takes It & PLAB Impact

2025-09-30 Dr. Ran Wilkosin (Senior Advisory Chair · Royal Medical Pathways (est. 1993)) 13 min read
When Does UKMLA Start? Full Timeline, Who Takes It & PLAB Impact

The UKMLA rollout has created real confusion about dates and who it applies to. This guide sets out the actual timeline, which candidates sit the UKMLA versus PLAB, and what the transition means for international graduates planning a UK move in 2026 and beyond.

Official-source review

This educational resource was checked against publicly available regulator and examination-board guidance. Rules can change, so confirm the current requirements on the linked official pages before applying, paying or travelling.

1. When Did the UKMLA Start? (The Real Timeline)

The UKMLA began in the 2024/25 academic year. The first full cohort of final-year UK medical students sat the assessment in early 2025, and it has been the standard route for new UK graduates since then.

For 2026, the assessment continues. Each year, final-year students at UK medical schools must pass both components of the UKMLA — the Applied Knowledge Test (AKT) and the Clinical and Professional Skills Assessment (CPSA) — as part of their degree before they can be granted provisional registration.

The key nuance that most search results miss: the UKMLA is not a brand-new 'upcoming' change for 2026 — it is already live. What changes each year is the sitting schedule and, over time, the extent to which it absorbs other routes.

2. Who Has to Take the UKMLA?

The UKMLA is mandatory for final-year students at UK medical schools. Passing both the AKT and the CPSA is now a condition of graduating with a recognised UK medical degree and being granted provisional GMC registration.

For international medical graduates (IMGs), the picture is different. As of 2026, IMGs continue to register through the PLAB route, which the GMC has aligned with the same content map as the UKMLA. The UKMLA has not replaced PLAB for IMGs — they still sit PLAB 1 and PLAB 2 unless they hold a qualification or registration that exempts them.

This is the single most common point of confusion, and it is the reason we publish a separate, detailed UKMLA vs PLAB comparison.

3. Will the UKMLA Replace PLAB?

The short answer: not for international graduates, not yet. The GMC has stated that it will move toward a single licensing assessment, but as of the 2026-2027 cycle, IMGs still sit PLAB 1 and PLAB 2 to gain GMC registration.

The UKMLA and PLAB now share the same content map, so preparation overlaps substantially. This is why many candidates who have prepared for one can transition to the other more easily than before.

For the long term, the GMC's direction of travel is a unified assessment. However, any change is signalled well in advance, and existing PLAB registrants are not retroactively affected. If you are an IMG, the practical advice for 2026 remains: prepare for PLAB, and keep an eye on GMC announcements for any future migration.

4. The UKMLA Format: AKT and CPSA

The UKMLA has two components, both aligned to a single content map derived from the GMC's outcomes for graduates.

The AKT (Applied Knowledge Test) is a computer-based multiple-choice exam covering the knowledge expected of a doctor at the point of registration. The CPSA (Clinical and Professional Skills Assessment) is an objective structured clinical examination (OSCE) testing clinical and communication skills in a simulated setting.

UK medical students must pass both to graduate. IMGs who progress through the aligned PLAB route sit PLAB 1 (an AKT-equivalent written paper) and PLAB 2 (a clinical OSCE), which map closely onto the same knowledge and skills domains.

  • AKT — Applied Knowledge Test: computer-based MCQ, applied medical knowledge
  • CPSA — Clinical and Professional Skills Assessment: OSCE testing clinical + communication skills
  • PLAB 1 — written MCQ for IMGs (aligned to the same content map)
  • PLAB 2 — clinical OSCE for IMGs

5. UKMLA Timeline: Key Dates for 2026-2027

The UKMLA sits are scheduled by each UK medical school around the final-year calendar, so there is no single national 'UKMLA exam date'. Most students sit the AKT in the first half of the final year and the CPSA shortly afterward.

For IMGs, PLAB 1 sittings are held at set dates through the year (typically several sittings per year in centres including the UK), and PLAB 2 has scheduled OSCE sittings. The GMC publishes the PLAB 1 and PLAB 2 dates on its website each cycle.

For 2027, the pattern continues: UK students sit the UKMLA as part of their degree, and IMGs book PLAB sittings from the published schedule. We recommend confirming the exact dates on the GMC's official pages, as these are updated each cycle.

6. What This Means for IMGs in 2026

If you are an international medical graduate targeting GMC registration, the practical situation for 2026 is unchanged: you prepare for and sit PLAB 1 and PLAB 2 (or use an exemption such as an accepted primary qualification from a recognised country).

The UKMLA's existence does not change your route today, but the alignment of content means high-quality PLAB preparation is effectively UKMLA preparation. A strong performance on PLAB demonstrates the same competencies the UKMLA assesses.

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Official baseline for When Does UKMLA Start? Timeline, Who Takes It & PLAB Impact

PLAB, the MLA and GMC registration is governed by the UK General Medical Council. That body controls PLAB eligibility and delivery, acceptable evidence for registration, and admission to the UK medical register. A tutor, recruiter or advisory service can explain the process and help a candidate prepare, but it cannot grant eligibility, change an official result, reserve a regulatory decision or issue a professional licence. For When Does UKMLA Start? Timeline, Who Takes It & PLAB Impact, this distinction is the starting point because it separates useful preparation from a promise no private company has authority to make.

PLAB 1 contains 180 single-best-answer questions in three hours, while PLAB 2 contains 16 eight-minute clinical scenarios at the GMC assessment centre. A candidate needs an acceptable overseas primary medical qualification and acceptable English evidence before booking PLAB 1. For When Does UKMLA Start? Timeline, Who Takes It & PLAB Impact, read those rules as connected dependencies rather than isolated facts. A change at the eligibility stage can move the booking date, which can change document validity, travel plans and the date on which a registration application becomes possible. The safest plan records each dependency and names the official page that supports it.

For When Does UKMLA Start? Timeline, Who Takes It & PLAB Impact, this research was checked on 28 August 2026 against GMC PLAB and the MLA and GMC guide to PLAB. Rules that involve fees, dates, delivery locations, attempts or accepted evidence can change during a candidate's preparation period. Save the page and the access date in your planning file, then check it again before payment and again before travel. A search snippet or an old course handout is not strong enough evidence for a high-stakes decision.

Build the pathway as a chain of gates

The When Does UKMLA Start? Timeline, Who Takes It & PLAB Impact pathway is easier to manage when every step has an input, an owner and evidence of completion. Start with education recognition, then place language evidence, credential verification, assessment eligibility, booking, results and registration in the order required by the official body. Do not use a generic timeline until those dependencies are confirmed. Two candidates pursuing the same exam can have different start dates because one degree needs verification or one regulator requires pre-approval.

Passing both PLAB parts does not itself create a licence. The GMC must approve the registration application, including internship, identity, good standing and recent-activity evidence. An application for registration should normally be approved within two years of passing PLAB 2, and English evidence may need to be refreshed during the route. For When Does UKMLA Start? Timeline, Who Takes It & PLAB Impact, put each rule into a tracker with four columns: action, official owner, proof of completion and expiry date. The expiry column catches avoidable failures such as language evidence ageing out before registration or an exam authorisation ending before a suitable appointment is available.

Add a stop condition to every When Does UKMLA Start? Timeline, Who Takes It & PLAB Impact gate. If the qualification is not recognised, if an official response is pending or if a required document cannot be obtained, pause spending on later stages. Preparation can continue where it remains useful, but flights, non-refundable bookings and paid verification services should follow confirmed eligibility rather than optimism.

The evidence file that saves weeks later

Create one folder for When Does UKMLA Start? Timeline, Who Takes It & PLAB Impact with subfolders for identity, education, registration, English, examination and correspondence. Use filenames that include the document type and date. Keep the original-language document beside its certified translation, and record who sent an official transcript or verification request. This is basic administration, but it prevents a missing page or mismatched name from becoming an expensive delay near a booking deadline.

The working checklist for When Does UKMLA Start? Timeline, Who Takes It & PLAB Impact is specific: verify the primary medical qualification before planning travel; confirm English evidence validity for both booking and registration; book only through the candidate's own GMC Online account. After those are complete, budget separately for exams, registration, travel and document verification; read current location notices because international PLAB 1 availability can change; check whether PLAB is actually required by using the GMC registration-route finder. Mark an item complete only when there is evidence, such as a portal status, receipt, verification response or regulator email. A note saying "submitted" is not the same as an accepted document.

For When Does UKMLA Start? Timeline, Who Takes It & PLAB Impact, check identity consistency across the passport, candidate account, degree, transcript and professional registration. If names differ, ask the regulator which linking evidence it accepts before uploading an improvised explanation. Keep unredacted identity files out of shared study drives. Tutors usually need performance data, not passport scans or regulator passwords.

  1. verify the primary medical qualification before planning travel
  2. confirm English evidence validity for both booking and registration
  3. book only through the candidate's own GMC Online account
  4. budget separately for exams, registration, travel and document verification
  5. read current location notices because international PLAB 1 availability can change
  6. check whether PLAB is actually required by using the GMC registration-route finder

A worked planning scenario for When Does UKMLA Start? Timeline, Who Takes It & PLAB Impact

For When Does UKMLA Start? Timeline, Who Takes It & PLAB Impact, consider a hypothetical candidate who wants to act within six months while working clinical shifts. The candidate first checks GMC PLAB and the MLA and writes down the current eligibility rule. Next comes a timed diagnostic or document audit, depending on the article's goal. Only then does the candidate choose a preparation resource or pay for a service. This order may feel slower for one afternoon, but it removes the much larger risk of preparing for the wrong assessment or missing a prerequisite.

For When Does UKMLA Start? Timeline, Who Takes It & PLAB Impact, the candidate keeps two calendars. The official calendar holds application windows, evidence expiry, result dates and registration deadlines. The study calendar holds weekly outputs and mock assessments. When performance is behind plan, the study calendar changes; the official deadline does not. If the gap becomes unsafe, the candidate moves the sitting rather than buying a promise of a last-minute shortcut.

At the final When Does UKMLA Start? Timeline, Who Takes It & PLAB Impact checkpoint, the candidate can answer five questions without guessing: Who makes the decision? What evidence is still pending? What happens if the result is unsuccessful? Which fees are non-refundable? What is the next lawful step after passing? If any answer is unclear, the next action is an official enquiry, not another commercial purchase.

Failure modes that basic summaries miss

The first When Does UKMLA Start? Timeline, Who Takes It & PLAB Impact failure mode is category confusion. Candidates mix up an exam pass, an equivalence certificate, registration and a licence. International graduates continue to take PLAB. PLAB 1 meets the MLA Applied Knowledge Test requirements and PLAB 2 meets the MLA clinical and professional skills requirements. Write the desired end state in full and work backwards from the body that grants it. That exposes missing stages that a headline such as "pass and work abroad" conceals.

The second When Does UKMLA Start? Timeline, Who Takes It & PLAB Impact failure mode is stale precision. A page repeats a fee, date, pass rate or number of questions after the official body has changed it. The PLAB name remains in use. Describing PLAB as abolished or telling international graduates to wait for a separate UKMLA exam is inaccurate as of the review date. This is why the article gives a review date and links the primary source. Use precise numbers only when they help a decision, and recheck them at payment.

The third When Does UKMLA Start? Timeline, Who Takes It & PLAB Impact failure mode is weak readiness evidence. Reading notes and recognising explanations can create confidence without recall under pressure. Use timed mixed work, spoken cases, document dry-runs or calculations with full working, depending on the task. A mock score is useful as a trend, not as a guarantee. The decision to sit should combine recent performance, health, logistics and the cost of an attempt.

Questions worth answering before you pay

Before paying for When Does UKMLA Start? Timeline, Who Takes It & PLAB Impact, ask the provider what part of the official process it supports, which public blueprint its teaching follows and what happens if the regulator changes the format. Ask whether access expires, whether feedback is individual, whether a sample is available and which refund terms are binding. Do not accept a pass-rate percentage without the sample size, time period, inclusion rules and a way to verify the result.

For a When Does UKMLA Start? Timeline, Who Takes It & PLAB Impact comparison or review, test each product against the same needs: realistic task format, quality of explanations, feedback on weak areas, accessibility, update policy and total price. Brand popularity is not a learning outcome. A smaller resource that corrects the candidate's measured weakness can be more useful than a large library that repeats material already understood.

For a When Does UKMLA Start? Timeline, Who Takes It & PLAB Impact pathway, ask the regulator about the candidate's facts rather than a hypothetical. State the qualification, country, graduation year, current registration, target professional title and intended jurisdiction. Keep the written response. It will be more valuable than a forum answer from somebody whose route looked similar but depended on different rules.

Primary sources and update discipline

The sources used for the When Does UKMLA Start? Timeline, Who Takes It & PLAB Impact expansion are GMC PLAB and the MLA, GMC guide to PLAB, GMC registration guide for international graduates. They were selected because they are controlled by the examination, accreditation or licensing bodies that make the relevant decisions. Commercial comparison pages can help identify products, but they are not the authority for eligibility, attempts, accepted evidence, dates or professional registration.

When two official When Does UKMLA Start? Timeline, Who Takes It & PLAB Impact pages appear to conflict, prefer the page for the exact service and current cycle, then ask the body to clarify. Capture the URL, page title, access date and the rule that affected the plan. Avoid copying long passages into notes because the copied text loses navigation context and can become stale without notice.

A research-backed When Does UKMLA Start? Timeline, Who Takes It & PLAB Impact article should make future verification easier. It should show the reader where a rule came from, which facts are time-sensitive and what remains a personal decision. That is the standard applied here. The article explains the reasoning, but the linked official source remains the final check before a candidate submits, pays, travels or relies on the information professionally.

Dr. Ran Wilkosin

Dr. Ran Wilkosin, MD, FACP, FRCP

Chief Academic Advisor & Chair of the Corporation

Dr. Ran Wilkosin is an academic physician and medical board examiner. He oversees curriculum development and quality assurance across our medical board and specialty training pathways.

Expertise:Academic MedicineMedical Board Examination StandardsGMC & ECFMG PathwaysInternal Medicine

Frequently Asked Questions

When does the UKMLA start?

The UKMLA started in the 2024/25 academic year. The first full cohort of final-year UK medical students sat it in early 2025, and it continues each year for new UK graduates.

Does the UKMLA replace PLAB in 2026?

Not for international graduates.

Who has to take the UKMLA?

Final-year students at UK medical schools must pass both the AKT and the CPSA as part of their degree to gain provisional GMC registration. IMGs continue through the PLAB route.

What are the two parts of the UKMLA?

The AKT (Applied Knowledge Test), a computer-based MCQ, and the CPSA (Clinical and Professional Skills Assessment), an OSCE testing clinical and communication skills.

When will the UKMLA fully replace PLAB for IMGs?

There is no confirmed date.

Is UKMLA the same as PLAB?

Not exactly. UKMLA is the assessment for UK graduates; PLAB is the route for IMGs. They share the same content map, so preparation overlaps substantially.

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