What domains are assessed in PLAB 2?

The main domains assessed are communication skills, data gathering, clinical examination, management planning, and professional behaviour aligned with GMC standards.

Is PLAB 2 difficult for international doctors?

PLAB 2 is challenging mainly due to consultation structure and UK communication expectations. With structured preparation and mock practice, candidates can perform confidently.

Last updated: February 2026 • For: International Medical Graduates (IMGs)

PLAB 2 Exam Format Explained for International Doctors (2026 Guide)

Q: How many stations are in PLAB 2?

PLAB 2 consists of 16 OSCE-style stations assessing communication, data gathering, examination, management and professionalism.

Understanding the PLAB 2 exam format is the first step toward passing confidently. Many international doctors focus heavily on clinical knowledge but underestimate how the exam structure and marking system influence performance.

PLAB 2 is not simply a clinical exam — it is an assessment of how safely and professionally you practise medicine in a UK consultation setting. This guide explains the structure, stations, domains assessed, and what examiners are really looking for.

Overview of the PLAB 2 Structure

PLAB 2 is an OSCE-style exam consisting of 16 stations. Each station lasts approximately 8 minutes, followed by brief changeover time.

16 clinical stations
Simulated patient interactions
Realistic NHS consultation scenarios
Assessment based on performance, not written answers

Stations may include history taking, counselling, ethical discussions, practical procedures, and focused clinical examinations.

What Types of Stations Appear in PLAB 2?

History & Communication Stations
Clinical Examination Stations
Procedural Skills Stations
Ethics & Professionalism Scenarios
Breaking Bad News / Counselling Stations

Each station tests both clinical reasoning and your ability to communicate clearly and empathetically.

Domains Assessed in PLAB 2

Examiners assess candidates across several key domains:

Communication Skills
Data Gathering
Clinical Examination Technique
Management & Clinical Judgement
Professional Behaviour

Importantly, unsafe practice or poor professionalism can significantly reduce overall performance.

How Is PLAB 2 Marked?

Each station is scored independently. Performance is judged against GMC standards expected of a Foundation Year 2 doctor.

Structured consultation approach
Identification of red flags
Clear explanation of diagnosis & plan
Safe management and appropriate escalation
Effective safety-netting

Consistency across stations is crucial. One strong station does not compensate for repeated unsafe practice.

Why Understanding the Format Improves Performance

Candidates who understand the PLAB 2 format tend to:

Manage time more effectively
Maintain structured consultation flow
Remain calm under exam pressure
Adapt communication to different station types

Preparing Strategically for PLAB 2

Structured training, repeated mock exposure, and targeted feedback aligned with GMC standards significantly improve performance for international doctors preparing for PLAB 2.

Frequently Asked Questions

How many stations are in PLAB 2?

PLAB 2 includes 16 OSCE-style stations.

What is the biggest challenge for IMGs?

Adapting to UK consultation structure and patient-centred communication style.

Is clinical knowledge alone enough?

No. Structure, safety, communication and professionalism are equally important.