Taking the MLA

If you're graduating in the academic year 2024-25 or beyond, you'll need to have a degree that includes passing the Medical Licensing Assessment (MLA) before you can join the medical register.

It will be a standard part of a medical degree, but we're not aiming to make all undergraduate medical courses look the same. Medical schools will still be able to teach across a range of areas and assess across a broad curriculum.

What the assessment involves

It's a two-part assessment made up of an applied knowledge test and a clinical and professional skills assessment. You'll sit both parts at your own medical school on dates chosen by them.

1 The applied knowledge test (AKT)

This is planned to be an on-screen exam, run by your medical school, with multiple choice questions. It will test your ability to apply medical knowledge to different scenarios. Find out more about the AKT in our joint statement with the Medical Schools Council.

2 The clinical and professional skills assessment (CPSA)

This is an assessment of clinical skills and professional skills, which your medical school will set and run. Each medical school calls the CPSA something different - for example, an Objective Structured Clinical Examination (OSCE) or Objective Structured Long Examination Record (OSLER). We will set requirements that all CPSAs must meet.


Your degree course is the best preparation for the MLA - you won't need to learn anything beyond what's already covered in your medical school's curriculum.

The MLA content map tells you and your medical school more about the topics and areas that your AKT and CPSA assessments could cover.

It's based on Outcomes for graduates, which sets out what newly qualified doctors from UK medical schools must know and be able to do. Every medical school already needs to make sure their graduates are meeting these outcomes - so schools are preparing students already!

Intercalating your degree

Some medical students have the option to intercalate their degree - this involves taking a year out of their regular medical degree to study a different field or specific area they're interested in.

If you're considering intercalating, this could mean that you'll return to your medical degree when the MLA is introduced. We encourage you to continue with your plans - intercalation offers the possibility of getting an extra qualification and new experiences to bring to your career. Giving up those benefits to avoid the MLA would be a missed opportunity.