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My Medical Career, Kelmscott Crescent, Leeds (2026)

19/01/2026

Favorite part of my medical career is to give talks and teach medicine to the fellow clinicians, residents, nurses and medical students.
Something where I put my heart and brain 🧠 to get the best out of a topic.
What helps most is the strong imagination to be a naive audience who knows nothing.
So in real time I act as teacher and in imigination I take the role of a student and read the same lines as a student to see if I can understand them easily. Thats how I am able to make a strong presentation which makes a difference whether teaching basics or discussing phase 3 advanced trial .
You may follow same theme when you prepare a talk and hopefully your audience will like it.

19/01/2026

When you are looking for the options abroad ,first step is to get the license to practice in that country ,then you see the job situation and demand for the foreign workers ,then you consider visa situation of that part of the world against your passport and finally you look for the residency options .
Thats how you should plan your career in the year 2026.
During Covid years 2019/2021 the demand for the foreign doctors was very high so the rules were very much flexible.
Now the governments have changed the focus to local graduates and hence reliance on foreign labor is decreasing which means you have to choose your options wisely.
Always focus on the bird in hand (local training/practice) as well when you are preparing for the two in the bushes (abroad).
Not to discourage you but to prepare you for the bigger struggle .
Personal thoughts !!!

31/12/2025

2025 was a year where I reduced my Facebook and social media usage a lot and there was a reason why.
I was working to learn something to make an alternative career path slowly. Hence was spending hours and hours on the project .
Now with a full time job and family commitments where the extra time comes ?It’s always by reducing mobile,TV and socializing. Whenever I have to work on anything like developing any new course or write a book I simply cut off these and get atleast 1-2 hours a day which I can give to that project .
Just check your mobile screen time daily or weekly (most of the smart phones have this feature ) and you will realize how many hours you are spending on social media which can be easily used for anything you want to work upon.
Remember people out there are doing a number of projects at the same on top of their usual career thing and that’s how they groom and progress in life .
Just give time with patience with a plan to work upon that for many months to years and it will click. Remember resilience and persistence is the key alongwith hardwork and good intention.
Just a writing on the morning of the last day of 2026.
(Picture : Back of my house )

17/10/2025

Today I was invited at as a speaker to share my work on the SAS Career development which I am doing in collaboration with NHS England.
Appreciated by more than 100 delegates from different cities who liked the impact project Alhamdulillah .
I be very happy to do anything similar for the training institutes and universities in Pakistan 🇵🇰.

16/10/2025

“Canadian new rule for doctors
The new rule — announced Oct. 8 — means international medical graduates are now required in Ontario to have completed at least two years of high school in Ontario to be considered for the first round of matching. This will seriously impact already struggling healthcare system and it also does not make any sense. I am afraid that other provinces will soon follow as well.”

This is the trend all countries are following to prioritize their own graduate.

15/10/2025

Something that the digitization of the records can sort very quickly. ‏

میں نے یونیورسٹی سے ڈگری کی۔ پھر پیسے جمع کر کے ڈگری لی اور ڈگری پر کنٹرولر اور وائس چانسلر نے دستخط بھی کیئے۔اس کے بعد میں نے دوبارہ پیسے جمع کر کے ڈگری ان کو واپس بھیجی کہ اب یہ ویریفائی کر لو کہ آپ لوگوں نے مجھے جو ڈگری دی ہے وہ فیک تو نہیں ہے۔ بات یہاں پہ ختم نہیں ہوئی۔ اس کے بعد وہی ڈگری HEC کو بھیجی کہ آپ کے ساتھ جو یونیورسٹی Affiliated ہے اس نے یہ ڈگری جاری کی ہے اور ویریفائی بھی کی ہے۔ اب آپ بھی ویریفائی کر لے کہ کہیں یہ ڈگری جعلی تو نہیں۔ آگے کی بات سنئے۔ پھر HEC کے بعد میں نے وہ ڈگری MOFA کو بھیجی اور ان سے کہا کہ یہ جو HEC نے سٹیمپ لگایا ہے اس کو چیک کرے کہ کہیں یہ فیک تو نہیں ہے۔اس پورے کام میں آپ کے ہزاروں روپے الگ سے ضائع ہو جاتے ہیں، ساتھ میں وقت بھی ضائع ہوتا ہے، اور سب سے اہم بات وہ نمونے جو خود میٹرک فیل ہوتے ہیں ان کی باتیں بھی سننے کو ملتی ہے۔ یہ ایک بھیانک قسم کا مذاق ہے ہمارے ساتھ اور اس پہ کوئی بولتا بھی نہیں ہے۔

copied

15/10/2025

It was a pleasure to share my experience and case study on treatment paradigm for breast cancer with brain metastasis last night .
Always a fun to present data and answer the tricky questions.

11/10/2025

Today we successfully delivered the SAS Career progression workshop at University of Hull as regional impact project of NHSE Alhamdulillah.I designed this workshop especially for the IMG colleagues based on survey findings which was done last year to quantify their needs .Thanks a lot to Saira Sayeed (IMG Tutor ) for an amazing session on navigating challenging situations and Sunil Upadhyay for sharing his wisdom .In addition a powerful presentation by Andy Bolton (Associate Dean for SAS) on NHS structure . NHSE has already promised to sponsor this workshop twice a year in future InshAllah.

06/10/2025

When you start doing anything then immerse in it and be in that particular mode all the time.
Use your conscious at allocated time and subconscious all the time towards the same activity .Let me give you a current example.
I have designed a workshop for NHSE England for the career progression of the SAS doctors .I am now working on the presentation I am giving this Friday so I will now be in that presentation making mode till that activity.
Whatever I am doing ,at the background my brain 🧠 is thinking on different aspects of it .From there the ideas come and refine.
I don’t switch off myself and don’t disconnect from that activity and hence use my subconscious while doing routine job things even while writing this blog etc.
This maintains the flow of the mind and results into best possible version of a project.
Similarly when I prepare for any exam I just go into exam mode for some weeks/months which means that in my subconscious different topics are circulating.This generates lot of focus and speed.Just make sure this should not result you being absent minded for the routine things. Your conscious should be working normally it’s the subconscious thinking the primary activity all the time .

05/10/2025

This weekend read :
Chapter 6 of the career counseling book is for all the females out there who want to become a surgeon. Written by Dr. Sidra Javed a consultant surgeon currently living in Ireland 🇮🇪.

02/10/2025

MRCEM and Career in Emergency Medicine – A Comprehensive Guide By Dr. Muhammad Asif

✅Brief Introduction

I am Dr. Muhammad Asif Nazir, currently holding MRCEM, MRCGP (UK), and CCT (UK). Over the course of my career, I have had the privilege of working in Pakistan, Saudi Arabia, the United Arab Emirates, and the United Kingdom, where I have been based for the last five years.

➡️1. What is MRCEM?

MRCEM (Membership of the Royal College of Emergency Medicine) is a postgraduate diploma in Emergency Medicine recognised worldwide. It demonstrates competence in the specialty and is particularly valued in regions where Emergency Medicine is an evolving field.

➡️2. How many exams are required for MRCEM?

MRCEM consists of three examinations:

• MRCEM Primary (Theory Exam)

◦ Format: Multiple-choice, single best answer (SBA)

◦ Number of Questions: 180

◦ Duration: 3 hours

◦ Location: Pearson Vue Test Centres worldwide

◦ Content: Based on the RCEM Basic Sciences Curriculum (June 2010)

• MRCEM Intermediate (Theory Exam)

◦ Format: Multiple-choice, SBA

◦ Number of Questions: 180

◦ Duration: 4 hours (2 × 2 hours with a 1-hour break)

◦ Location: Pearson Vue Test Centres

◦ Content: Covers a wide range of clinical conditions encountered in Emergency Medicine

• MRCEM OSCE (Practical Clinical Exam)

◦ Format: 16 Objective Structured Clinical Examination (OSCE) stations

◦ Duration: 2 hours 42 minutes (16 × 8-minute stations with 1-minute reading time; 2 rest stations)

◦ Locations: London (UK), Kuala Lumpur (Malaysia), Chennai, Hyderabad, and Kochi (India)

◦ Content: Assesses clinical skills, communication, and decision-making using simulated patient encounters

➡️3. What is the cost of MRCEM?

The total cost for all three examinations is approximately £1,579 (subject to periodic updates from RCEM).

➡️4. How should I prepare for MRCEM?

• For Primary and Intermediate exams, the best preparation is through high-quality online question banks. A dedicated period of 4–6 months of self-study is generally sufficient.

• For the OSCE, attending a structured, exam-focused preparatory course is strongly recommended, as it helps in refining communication and practical skills under exam conditions.

➡️5. What is a career in Emergency Medicine like?

Emergency Medicine is challenging, high-pressure, and highly rewarding. It requires quick decision-making, adaptability, and resilience.

• In many countries, Emergency Departments were historically run by Medical Officers (MOs), but there is now an increasing demand for formally trained Emergency Physicians.

• In the UK, Emergency Medicine is considered one of the most demanding specialties within the NHS due to its rotational shifts (day, evening, night, twilight), high workload, and responsibility of supervising junior staff. Even at senior levels, unsocial working hours are common.

• In the Middle East, Emergency Medicine specialists are in demand, but shift work and rotation remain an expectation, even at consultant level.

Working in the NHS is significantly different from practising in South Asia or the Middle East. The system is more structured but also more demanding.

➡️6. What are the benefits of MRCEM?

• MRCEM is valuable only if you intend to pursue a career in Emergency Medicine.

• In the Middle East, it can allow you to work as a Specialist in Emergency Medicine, even without formal CCT training. However, outside Emergency Medicine, it does not confer any specialist recognition.

• In the UK, MRCEM alone does not place you on the Specialist Register. You can work in Emergency Departments without MRCEM, but progression to consultant status requires structured training and CCT. Some trusts may appoint experienced doctors with MRCEM/FRCEM to locum consultant roles, but this is not the standard route.

➡️7. Should you choose Emergency Medicine as a career?

Emergency Medicine is best suited for doctors who are:

• Passionate about acute care,

• Able to work under pressure,

• Comfortable with unsocial working hours and shift patterns, and

• Motivated to handle fast-paced, unpredictable environments.

If you are unsure about committing long-term to this lifestyle, I would advise against pursuing MRCEM, as it requires considerable time, financial investment, and personal commitment.

✅8. My Guidance and Support

Over the years, I have conducted multiple online sessions guiding colleagues about the MRCEM pathway and Emergency Medicine as a career. I am always happy to share my experience and provide honest advice, free of charge, to those who genuinely seek guidance.

I strongly prefer direct conversations over calls or structured sessions, as they are far more effective than prolonged messaging.

🛑Final Thoughts

Emergency Medicine is not just a career — it is a lifestyle. If you are genuinely passionate about it, the rewards in terms of professional growth and personal fulfilment are immense. However, it is equally important to make an informed decision before embarking on this demanding but rewarding journey.

Good luck to all doctors who are working hard to shape their careers and striving for a better future.

28/09/2025

This Sunday read from the chapter 2 of My Medical Career book 📕.
This is for those who have just completed or going to complete their FCPS/MD etc training .

My Medical Career

19/01/2026

19/01/2026

31/12/2025

17/10/2025

16/10/2025

15/10/2025

15/10/2025

11/10/2025

06/10/2025

05/10/2025

02/10/2025

28/09/2025

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