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  5. Guidance on providing evidence of fitness to practise

Evidence of your fitness to practise

Certificates of good standing 

In your application, you’ll be asked to list any countries where you've practised or held registration or a licence to practise in the last five years. 

We'll need a certificate of good standing from all of the countries you've been registered with in that time, even if you haven't been practising there. You can find the details of the medical regulatory authorities for each country in our certificate of good standing contact database

The certificate of good standing must:

  • cover all of your work in that country/state
  • confirm that you're entitled to practise medicine in that country 
  • confirm that you've not been disqualified, suspended or prohibited from practising medicine 
  • confirm that the regulatory authority is not aware of any matters that call into question your good standing.

If there is no medical regulatory authority in the country to issue a certificate of good standing, you will need to ask your employers to complete the employer reference form.

Clinical attachments or observerships 

If you have undertaken any clinical attachments or observerships in the UK or overseas in the last five years that lasted longer than two months, you will need to obtain employer reference forms to cover these.

Non-medical work

If you have been employed in a non-medical capacity in the UK or overseas in the last five years, you will need to ask your employers to complete the employer reference form.

Please note that certificates of good standing and employer references are only valid for three months from the date that they are issued and must be valid on the date your application is approved.

Examples of evidence required

Below are examples of typical patterns of work experience and the evidence we request to cover them:

Start date Finish date Experience Evidence
20/11/2013  30/11/2013 Hospital X, Pakistan Certificate of good standing from Pakistan Medical and Dental Council
01/12/2013  30/03/2013 Vacation  Nothing required
31/03/2014 31/12/2014 Hospital Y, Russia As there is no recognised regulatory authority in Russia, we would accept an employer's reference to cover this period
01/01/2015  31/12/2015 Hospital Z, Pakistan

Certificate of good standing from Pakistan Medical and Dental Council (one certificate of good standing would cover both periods of work)

01/01/2016  01/06/2016 Studying for USMLE exams, USA None required
02/06/2016 01/06/2016 Paramedic, USA As registration with the regulator is not required for this type of medical work, we would accept an employer's reference to cover this period
01/07/2016 30/07/2016 Clinical attachment, UK Employer's reference to cover non-medical work in the UK
01/07/2016 Ongoing Manager, care home, UK Employer's reference to cover non-medical work in the UK

Help for refugee doctors 

We realise you may not be able to provide us with the appropriate certificates of good standing. If that is the case, we will look at your individual circumstances and explore alternative options with you. 

Help for refugee doctors