My Medical Career

My Medical Career Medical Career 🇵🇰 & Abroad. Author is Syed Ali Raza FRCP 🇬🇧,FCPS 🇵🇰

14/09/2025

میں سمجھتا ہوں کہ ہمارے ڈاکٹروں کی سوچ میں عمر اور خاص عمر کے بعد کیریئر کے فیصلوں کے بارے میں تبدیلی کی شدید ضرورت ہے۔ بہت سے لوگ سمجھتے ہیں کہ 30 سال کے بعد انہیں ایک خاص شعبہ یا راستہ چن لینا چاہیے اور اگر انہوں نے نہیں چنا تو وہ پیچھے رہ گئے۔ ایسا نہیں ہے، وہ اس عمر سے بھی ایک شاندار کیریئر کا انتخاب کر سکتے ہیں، اسے بنا سکتے ہیں اور ترقی دے سکتے ہیں۔ بہت سے لوگ سمجھتے ہیں کہ 40 سال کے بعد انہیں اسی جگہ برقرار رہنا چاہیے چاہے وہ اسے پسند کریں یا نہ کریں۔ نہیں، اگر آپ کو اپنی پوزیشن پسند نہیں تو اس سے بہتر پوزیشن کی طرف منتقل ہونے کی کوشش کریں۔ آج ایک صاحب سے ملاقات ہوئی جنہوں نے پاکستان سے FCPS,MRCP UK اور SCE مکمل کرنے کے بعد کچھ ہفتے پہلے CCT ٹریننگ شروع کی۔ برا کیریئر فیصلہ؟ ہرگز نہیں، یہ ان کے اور ان کے خاندان کے لیے ایک بہترین فیصلہ تھا۔ اور اسی طرح ایک اور ڈاکٹر جن کے پاس اسی طرح کی قابلیتیں ہیں اور وہ GMC رجسٹرڈ ہونے اور UK میں نوکری کی پیشکش کے باوجود پاکستان میں ہی رہ کر اچھی پرائیویٹ پریکٹس قائم کر رہے ہیں۔برا کیریئر فیصلہ؟ ہرگز نہیں، یہ ان کے اور ان کے خاندان کے لیے ایک بہترین فیصلہ تھا۔ ایسے بہت سے مختلف منظرنامے ہو سکتے ہیں جو ایک ہی وقت میں مختلف لوگوں کے لیے اچھے اور مناسب ہوں۔آپ کو وہ راستہ اختیار کرنا چاہیے جو آپ کے اپنے حالات میں آپ کے لیے سب سے زیادہ موزوں ہو۔ جی ہاں،آپ کو اپنے اختیارات ضرور جاننے چاہئیں جس میں اس طرح کے ذرائع مددگار ثابت ہوتے ہیں۔ آپ کو اپنے پتے (اختیارات) کو پہچاننا چاہیے اور پھر سب سے بہتر چال چلنی چاہیے
Credits : Translated by an amazing doctor

14/09/2025

I believe there is immense need to change the mind set of our doctors about the age and the career moves after certain age .Many believe after 30 they should have chosen a pathway and if they have not they are lost .No ,they can still choose ,build and develop an excellent career from this point .Many think after 40 they should stay where they are whether they like it or not .No,if you don’t like it try to move from that position to some better one .
Met a guy today started CCT training a couple of weeks back after doing a complete FCPS ,MRCP UK and SCE from Pakistan 🇵🇰. Bad career move ? Nope a perfect career move for him and his family .
And vice versa a doctor with similar qualifications and establishing a good private practice despite of GMC registered and job offer in the UK yet staying in Pakistan 🇵🇰. Bad career move ? Nope a perfect career move for him and his family .
There can be a number of scenarios all good and all appropriate at the same time for different people .You should choose the one which is most suitable for you in your circumstances.
Yes you must know your options where pages like this help.You should know your cards and then play the best one !!!

14/09/2025

Specialist Pathway to Australia 🇦🇺 by Dr. Noor Ghani Khan written for the official page
Hi everyone, I’m Dr. Noor Ghani. I have completed my FCPS 🇵🇰 in Gastroenterology and received my comparability from the RACP. Currently, I am working as a Fellow in Hepatology at Fiona Stanley Hospital in Perth , Australia 🇦🇺 .

Over time, I’ve received many questions about the specialist assessment pathway for Australia. To help those interested in moving here, I’ve put together a simplified step-by-step guide outlining the process.

I hope this resource provides clarity and helps make your journey smoother.

A Step-by-Step Guide to the Specialist Pathway for IMGs in Australia 🇦🇺

✅Step 1: Australian Medical Council (AMC) Primary Source Verification (PSV)

i. Create an AMC account:
https: account.amc.org.au/sign_in

ii. Submit for verification:
● AMC Portfolio + MBBS verification: $605.40
● AMC Additional Qualification (if applicable): $108.00

✅Step 2: ECFMG Verification
The AMC uses ECFMG (Educational Commission for Foreign Medical Graduates)
verification services for PSV.
i. Create a Physician portal login: https://www.ecfmg.org/psv/
ii. Establish an EPIC/MyIntealth account
iii. Submit required documents:
● EPIC Identification Form: $202.00
● MBBS Verification: $155.00
● Specialist Qualification Verification: $155.00

✅Step 3: College of Physicians and Surgeons Pakistan (CPSP) Verification
Obtain verification from CPSP .

✅Step 4: English Language Proficiency
Take an English language test, not older than 2 years at the time of application to AHPRA.
➡️Recommended: Occupational English Test (OET) for medical professionals
Required score: B in all modules
Cost: $587
‼️Note: OET is better for doctors. It will help improve how doctors interviewpatients, write letters, and communicate.
Other options are IEL TS and PTE.

✅Step 5: Royal Australasian College of Physicians (RACP) Application
i.Complete the RACP specialist assessment application:
https://www.racp.edu.au/overseas-trained-physicians/specialist-assessment

ii. Application fee: $1,100.00

iii. Include detailed information on:

●Research, audits, conferences
●Logbooks, teaching experience
●Consultant and other relevant experience
●House jobs/Internships
● Procedures performed
●Extensive clinical practice

iv. Fill the application thoroughly and in detail (Review it multiple times to remove
any shortcomings)

V. RACP review process: 1-2 months

✅Step 6: Interim Assessment and Interview
If your written application is successful:
i. RACP will advise for an interview
ii. Pay interview fee: $5,717.00
iii.Prepare for a 60-minute panel interview

✅Step 7: Assessment Outcome
After the interview:
i. Receive panel report (within 3 weeks)
ii. Provide comments on the report
iii. Committee reviews report and comments (meetings generally held once a
month, usually at the end)

iv. Possible outcomes:
●Not comparable
●Partially comparable
●Substantially comparable

‼️Note: Outcomes differ on a case-by-case basis.
Assessment is valid for two years and the RACP Subcommittee will only consider extensions if there is evidence of extenuating circumstances. Please note, not being able to find suitable employment will not be considered. All fees are applicable if you apply for re-assessment after your expiry date.
➡️For more information:
https://www.racp.edu.au/docs/default-source/overseas-specialists/racp-assessment-o
f-overseas-trained-physicians-and-paediatricians-policy.pdf?Status=Temp&sfvrsn=9815
2f1a_20

✅Step 8: Job Search
For partially or substantially comparable outcomes:
i. Start your job search on websites like SEEK: https://www.seek.com.au/
ii. Review the medical positions vacant on our website.
iii. Review State/Territory recruitment webpages such as:
➡️NSW Health e-recruit:
https://www.health.nsw.gov.au/careers/Pages/default.aspx
➡️Western Australia Country Health Service:
https://www.wacountry.health.wa.gov.au/
➡️WA Department of Health:
https://www.jobs.health.wa.gov.au/page.php?pageID=215
➡️NT Department of Health: https://health.nt.gov.au/
➡️SA Health:
https://www.sahealth.sa.gov.au/wps/wcm/connect/public+content/sa+he
alth+internet/careers
➡️Department of Health Victoria:
https://jobs.careers.vic.gov.au/jobtools/jncustomsearch.jobsearch?in_org
anid=17260

➡️Queensland Health:
https://www.health.qld.gov.au/employment/job-search
➡️ACT Health: https://www.act.gov.au/health
Department of Health and Human Services Tasmania:
https://www.dhhs.tas.gov.au/

iv. Check Medical practice in Australia:
Doctor Connect: https://www.health.gov.au/our-work/doctorconnect?utm_source=doctorconnect.
gov.au&utm_medium=redirect&utm_campaign=digital_transformation2

Doctor Connect connects qualified doctors with practices, focusing on improving access to primary health in Australian communities158.
➡️Doctor Connect's website lists GP jobs in Australia.

V. Contact hospitals directly
VI. Contact medical recruitment agencies
VIII. Biannual Recruitment Campaigns: Please note that for every state, jobs are typically advertised twice a year through recruitment campaigns:
➡️First campaign: January to March
➡️Second campaign: June to August
The June to August campaign generally has more job roles advertised. All these jobs are typically for positions starting the following year. Each state has at least two campaigns annually, providing multiple opportunities for job seekers.
✅Proactive Networking: Create a list of heads of departments at various hospitals
and consistently send them emails containing:
● Your introduction
● Cover letter
● Resume
● Expression of interest
This proactive approach can help you establish connections and potentially uncover job opportunities before they are publicly advertised.
Apply extensively (may require hundreds of applications)

‼️Note: Job prospects are tough but not impossible. The job market is competitive due to many UK doctors moving to Australia. Jobs are usually very well paid, even more than in the UK.
Once you secure a job the hospital will apply for your visa.
✅Step 9: RACP Role Approval
Once you secure a job offer:
1. Submit role for RACP approval
2. Pay approval fee: $4,439.00

● Partially comparable

● Substantially comparable

✅Step 10: AHPRA Registration
With a job offer:
1. Hospital assists with AHPRA application for medical license
2. Submit AHPRA fees:
●Annual registration fee: $950 (approx.)
●Application fee: $1,050
●Total: $2,040
AHPRA will gather information from the hospital and RACP for your registration.
Written for the page and upcoming edition of My Medical Career (Not to be copied )

13/09/2025

Turn failures,rejections and sufferings into opportunities.All of us face challenges through out the career and in life . What matters most is how we respond to them.
Sharing two true stories.
One my class fellow got detained in the viva of final year . He had been a decent student in earlier 4 years . I don’t remember he mentioned US as his career destination ever however on that detention incident he silently started studying for STEPS .Scored high and cleared the final year MBBS exam as well. Joined house job when the rest of the class had already completed the house job,got matched in the US and now MashAllah working as consultant there .
He could have wasted that year in depression but changed the failure into an amazing opportunity.
A junior of mine with humble background started STEPS preparation.Near the exam due to social circumstances ended up with bad mental health . Stopped the journey ,changed part to FCPS training ,while kept working towards his goal ,tried again after some year and now matched this year . He took a break,worked on his mental health,saved money and went back to his original dream and fulfilled it .
There are hundreds of stories around me which I can share .

  🇮🇪 Last date to apply 5th October 2025.Eligibility Criteria: Complete IMMValid OET/ IELTSPlease read the details from ...
11/09/2025

🇮🇪
Last date to apply 5th October 2025.
Eligibility Criteria:
Complete IMM
Valid OET/ IELTS
Please read the details from the official
Link
https://cpsp.edu.pk/HSE-CPSP-july-2026.php
Strongly recommended

11/09/2025

Dear our Gen Z doctors
The trend I am not doing any job in Pakistan as I am doing PLAB or AMC has changed.😁

Focus on the local opportunities as well at the same time as you are working towards the options abroad .

11/09/2025

As someone who is massively involved in career counseling and observing the trends ,I would like to show you a realistic picture today .
The world 🌍 around is changing. The opportunities for the IMGs are reducing . The healthcare set ups are less welcoming for the IMG doctors especially in US,Europe and Australia 🇦🇺. There is much pressure on the employers to hire local graduates rather than relying on work force from abroad . The politics is being played on reducing immigration. Thankfully doctors are categorized as highly skilled workers so policies are not impacting them strongly however the trends are influencing the recruitment process. The opportunities for health professionals were limitless during the COVID and just after pandemic however now the after effects are obvious with world closing doors step wise to foreign work force .
The situation in Gulf is still favorable for Pakistani doctors infact more favorable than ever due to geopolitical reasons.However countries like UAE are saturated now.
So what practical steps our doctors should take ?
First start prioritizing the local post graduation ( FCPS and MD) again which will help to prevent any career crisis. Even if an early career post FCPS is earning 100K this is atleast enough to survive with a modest life style. So value it please .
Similarly rather than giving entry level exams like PLAB or AMC go for post graduate qualifications like Royal College Exams or Specialist Pathways to plan a career abroad as there is still space and wil continue to have a space abroad in these .
USMLE is still maintaining its charm if someone has strong financial support and exceptional portfolio.
Work upon multiple career pathways at same time as you never know which one will click .This also means you would have to work twice hard then it was required 5 years back to earn same career level .
This post is not to disappoint you but to give you insights and advice to plan your career in best possible way .
Feedback is welcome

17/08/2025


We usually have lot of “masails “ (irrelevant and self created problems ) which stop us growing with their burden and distract us from our goals.
Some common masails include focusing more on what others doing than what you are doing ,indulging in conflicts with people which will end in nothing,trying to win arguments and satisfying ego which don’t give you any benefit in real. Feeling embarrassed on very small things which have actually no value and remaining depressed and down in life due to these .
Please throw these burdens. Expand your vision and thinking about life. Be broad minded and rather than competing with each other ,focus on win-win strategy all the time and with everyone .You will grow exponentially.
The more exposure you will have the more you will observe these things . And more mature you will become more you be following these advices .It’s just that why to wait for 40s to practice these why don’t we do it at 20’s.

16/08/2025


The screen time is not affecting the kids but affecting the adults as well. Speaking to a colleague at work place we discussed how humans are relying on AI to think and search for them making us dependent on it but more worrying stopping our own thinking process . Innovation and modernization is must to progress. These tools swift our growth.However they are creating a gap as well between the people and generations .
As like everything in life , we should be focused on solution rather than crying over the problems here I would like to write few things .✅
First as soon as possible get a grip on technology .Just like you have a choice to make friends in life and you choose better people to be around you if you are wise ,similarly choose the social media feeds which are helpful for you. Follow the pages which are around your career,join the groups where you indulge in healthy educational discussions,subscribe the YouTube channels where you learn new medical and non-medical techniques and finally visit the website of medical journals to know what’s happening in medical world. This sounds boring ❓Watch your favorite programs on TV or streaming channels .But use social media for better learning opportunities rather than entertainment only. You feel much healthy,and much available for yourself by doing so. Your vision will be broader .You will have more knowledge of the world and how to excel in it .
There is a retirement life where you can relax but till 50 atleast it’s your time to work,organize yourself ,make your present decent and build foundation for your future .
Another thing I would like to suggest is to be connected with religion please . That will give your heart peace ,will keep you hopeful and make you a kind person . Atleast once a day connect with Allah in some form.Ideal way is to offer prayer five times a day.Not as a burden but as an opportunity to share your wishes and problems with Allah almighty and feel relax .

09/08/2025

Writing the medicine only from the Hospital stock !!!

In province of Punjab in Pakistan 🇵🇰 the government has made a policy that a doctor must prescribe only the medicines available in the hospital.There are very limited medicines actually available and sometimes our clinical experience compels us to write from outside.However that results in us breaching the contract and going against the hospital policy so what we should do ?
A question sparking in the minds of our early career doctors which is frustrating them.
We always want to do the best for our patients and we should, there is no doubt in it .However at the same time being an employee it’s a duty upon us to follow the contract and hospital policy as long as we are their employee . So keep things simple for you. Prescribe the best possible medicine from the available stock and follow the government policy. Do check with your senior (HOD) or MS if you are very much concerned about a patient and a medicine required however don’t bypass them at any cost . That’s why policies are in place everywhere in the world . Like in developed countries if something goes wrong ,first thing they check is that a local policy is followed or not and as long as it is followed you are safe .
We can write pages and pages criticizing the policy but as employee we must follow a policy as long as it is there till we reach to a point where we can impact the policies and made them better for our patients .The responsibility of the medicines availability lies on the shoulders of the administrators not you so don’t feel that burden please . They be responsible for poor outcome due to their role .

09/08/2025

The people who are struggling in their careers are scared that people are judging them due to their failures. They are afraid of the negative views people have about them. This develops a sense of self-pity, as well as the belief that it’s the circumstances that resulted in these issues. This results in two things. One is that their motivation to grow and come out of that vicious cycle is at its lowest, as they believe they can’t change their circumstances, so they can’t change their fate. Secondly, their confidence is minimal, as they are more focused on what others are thinking about them and feeling humiliated than focusing on their growth.
Please, can I suggest you stop bothering about what others think, even if they are your family members, and stop judging yourself? Do a realistic self-assessment and try to do the best in your capacity. Sometimes, we are dependent upon the circumstances, but we don’t sit idle; we keep working, and as soon as we get a chance, we rock.
This is written based on a number of queries asked by doctors in my inbox who are struggling. Don’t self-judge yourself. Be contented and confident about your current situation and work all the time to come out of it, and as soon as you get a chance, click it.
In western countries, people are relax about their career progression as they hardly interfere in each others life and they hardly ask questions about the exams and career progress. It is not considered elegant to talk about your earning ,saving or asking anyone their income .So there is less peer pressure which we need to develop in our culture as well.

15/07/2025

❓How our medical students and early career doctors in Pakistan 🇵🇰 can use AI?

✅Take its help to organize the content of your CV and write a standard CV for yours.Remember to remove the generic lines as anyone can find them to be written by AI.
Use it to correct your English ,standardized your resume and add sections .
For example : A generic sentence sometimes is passionate about research .However there are no publications to demonstrate which means that’s not true and likely generic etc
✅AI can help you make the basic structure of slide set for a presentation which then you can alter and improve .
✅Finally it can sometimes help in literature review as well.Many medical search engines are incorporating AI. Ensure you are compliant with the journal policies and disclose use of AI if using it for research.
You can add further uses in the comment section based on your personal experience .

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