It is not an easy thing to suffer failure, especially when the exam is apart of the goal, the dream that you've set out before yourself to accomplish. You must have heard 'It'll be okay' or 'Better luck next time' a thousand times already. Let's look beyond that to see what options you have now.
Retake the exam
If you fail PLAB 1, you can book to take the exam again provided you still meet all the requirements (e.g. valid IELTS). You can attempt the exam a maximum of four times.
If you’ve failed the exam four times, you can apply for one final attempt. You will need to demonstrate evidence of additional learning over a 12 month period and make an application to GMC.
Reassess your approach
Perhaps the first . . .
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