USMLE vs PLAB vs AMC: Which Medical Licensing Exam Should You Take in 2026?

USMLE vs PLAB vs AMC — full comparison of cost, duration, difficulty, salary outcomes, residency competitiveness, and lifestyle. Which licensing exam is right for IMGs targeting the US, UK, or Australia?

Published May 24, 202611 min readcountry guides

USMLE vs PLAB vs AMC is the most important career decision an International Medical Graduate (IMG) will ever make. Each exam unlocks a different country, salary scale, training duration, and lifestyle. This 2026 comparison breaks down USMLE (USA) vs PLAB (UK) vs AMC (Australia) on every metric that matters — cost, difficulty, residency competitiveness, and long-term earnings — so you can pick the right medical licensing exam for your goals.

At-a-Glance Comparison

FeatureUSMLE (USA)PLAB (UK)AMC (Australia)
ExamsStep 1, Step 2 CK, Step 3PLAB 1, PLAB 2AMC MCQ, AMC Clinical
Total exam cost~$3,000 + USCE~£1,180~AUD 3,000
Avg prep time2–3 years6–12 months9–18 months
Pass rate (IMG)Step 1 ~89% / CK ~85%PLAB 1 ~70%~60–70%
Post-exam pathwayERAS Match → ResidencyGMC reg → Training numberAMC cert → Internship → Training
Resident salary$65,000–$85,000£36,000–£60,000AUD 80,000–110,000
Specialist salary$300K–$700K+£90K–£180KAUD 250K–600K
Length of training3–7 years5–10 years3–7 years

USMLE — The Hardest, Highest-Paying Path

The USMLE is the most rigorous medical licensing exam globally. The reward: the highest physician salaries in the world, cutting-edge training, and global recognition. Downsides: cost, ECFMG bureaucracy, visa sponsorship limits, and the Match lottery.

PLAB — The Fastest, Cheapest Route

PLAB (Professional and Linguistic Assessments Board) is the UK's licensing exam — far cheaper and faster than USMLE. After PLAB 2, you get GMC registration and can apply for NHS jobs immediately.

  • Best for: IMGs prioritising speed, work-life balance, and lower upfront cost.
  • Downsides: NHS pay is lower than the US; specialty training competition has risen sharply post-2022.

AMC — Australia's Quality-of-Life Choice

AMC (Australian Medical Council) exams open the door to Australian internship and training. Salaries are very competitive, especially in regional areas, with an excellent lifestyle.

  • Best for: IMGs wanting balanced lifestyle, sunshine, and good pay without USMLE's intensity.
  • Downside: internship spots for IMGs are limited and competitive.

How to Choose: USMLE, PLAB, or AMC?

Choose USMLE if you want:

  • Maximum lifetime earnings and research opportunities.
  • Subspecialty training (fellowships).
  • Global mobility (US training opens any door later).

Choose PLAB if you want:

  • The fastest path from MBBS to consultant pay.
  • Lower upfront exam cost.
  • To start working as a doctor abroad in 12–18 months.

Choose AMC if you want:

  • Strong work-life balance and outdoor lifestyle.
  • Permanent residency pathway through skilled migration.
  • Competitive specialty salaries (especially radiology, anaesthesia).
Reality check: The "best" exam isn't about prestige — it's about which country's healthcare system, lifestyle, and family situation matches yours. Many IMGs choose the USMLE for the long-term earnings; many pick PLAB for speed.

Not Sure Which Exam to Pick?

At USMLE Metaverse, Dr. Nasir routinely counsels MBBS graduates on the USMLE vs PLAB vs AMC decision before they invest 2 years and thousands of dollars. Book a free consultation to think it through with someone who's walked the USMLE path himself.

Ready to start your USMLE journey?

Join USMLE Metaverse's expert-led coaching with Dr. Nasir — personalised study plans, live mentorship, and proven strategies for Step 1, Step 2 CK & Step 3.