Got a first class physical in England
I was stationed in England with the AF last Summer when I got the call for an interview. My first class was set to expire in a month or so, so I wanted to get a new one to avoid any problems (my schedule only afforded me time to go over for the interview and come right back). So, I went on the FAA website and found an AME in the very village I was living in. He was great--not much different from the one in the US. Good news was I didn't need an EKG. Bad news was the price--like everything else in England about 50% more expensive than stateside.
My experience was good--no regrets and everything turned out great. Hope this helps...Good luck and Fly Safe.