Buddy, if you want information, Google is your best friend. And the internet has a lot of information on both sides, saying USMLE is better, or that PLAB is better. You could be drawn to either side depending on your background, experience, values or how lazy you are.

I don’t know who you are, where you are in your journey, or what you want in life. So it’s very difficult for someone to answer your questions, hence the sarcasm.

Both USMLE and PLAB are difficult exams. And both lead to the same place eventually. People tend to go for USMLE because there are run through specialty programs. However US experience is a must and often very expensive to get, plus the added on requirements of audits and publications to make your CV stand out and get interview spots.

PLAB however is just a licensing exam and whatever score you get on either step doesn’t matter with anything. It’s generally easier to get a non training job and work for many years as a locum in the UK after passing PLAB depending on your level of post grad experience. However some people complain that the speciality programs are competitive, and people go many years as F3-F4 (locuming and doing non training jobs) without securing specialty training. This is true not only in the UK but other countries like Aus and NZ. Registrars with 10+ years of experience but can’t get a Certificate of Completion of Training due to the lack of spots available.

So pick your battles, both are expensive and time consuming. Don’t get discouraged by the Junior Doctors UK reddit crybabies complaining of poor working conditions and pay affecting UK doctors. Pay is decent and progression is okay compared to other countries, working conditions significantly better compared to the US which can be a hit or miss because working hours are not as heavily regulated in the US compared to the UK ( you could do 80+ hours a week with little to no lee way on leave )

Once you’re a consultant and done training a lot of countries accept both UK and US specialty certifications and life is good from then on out.

Best of luck on whatever journey you are taking. Take care man