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Dr. Rekha's Medical Diary, London (2025)

18/10/2025

Just a little snap from my recent Ultrasound Course (Core 1) organised by the West Midlands Emergency Medicine Society.

I’m really sorry I haven’t been active on my page over the past couple of months... I’ve been quite busy with ED shifts, exam preparation, and a few courses.

In my next post, I’ll share details (with links) about all the recent courses I’ve completed, and I’ll also write about how to prepare for the MRCEM Part 2 (SBA).

Stay tuned! 🌸

18/10/2025

Doing weekend shifts isn’t something I hate... I actually enjoy the work itself.. but it’s a bit sad having to sacrifice my weekends and sleep...🥹🥹

16/05/2025

📌🇬🇧

👉A Step-by-Step Guide Based on My Experience!

Many juniors, batchmates, and fellow IMGs have been reaching out to me, asking how to apply for a clinical attachment in the UK.

So I thought I’d share my personal experience and tips that I wish I had when I first started this journey.

First Decide Your Approach:

📍If you have a specific location in mind:

-First, list all the NHS hospitals and trusts in that area.

-Go to their official websites/ Linkedin you’ll usually find contacts for the HR department or even the medical education department and consultant.

-Many consultants also have NHS email addresses listed on these site.

-Start emailing politely, introducing yourself, your background, and your interest in doing a clinical attachment.

📍If you’re open to any location:
-Search actively on LinkedIn, NHS Jobs, or simply through Google and list all the NHS Hospital.
-Type in things like “Emergency Medicine Consultant NHS” or “Clinical Supervisor NHS” and look for their email address.
-Again, introduce yourself through email, stating your qualifications (e.g., PLAB 2 cleared, GMC registered) and your flexibility with dates and duration.

📩What to Include in Your Email 📧
-Brief introduction (name, background, recent qualifications)
-State your interest in gaining NHS clinical experience through an attachment
-Mention the specialty you’re interested in (if any)
-Highlight your flexibility and eagerness to learn

★★Why Clinical Attachments Matter (Even if Some Say They Don’t) 💭

There’s an ongoing debate... some say clinical attachments aren’t that important. But let me tell you, from my personal experience, it helped me a lot. Here’s why:

✅ NHS Exposure: You get to see how the NHS works... patient flow, team dynamics, documentation, and communication styles.

✅ CV Booster: You can write “NHS Experience through Clinical Attachment” with clear keywords. It strengthens your CV and portfolio.

✅ Interview Advantage: When you get interview calls, you’ll be able to talk confidently about real cases you’ve observed and how the system works.

✅ Networking: You’ll meet consultants, doctors, and other staff who might help or guide you in the future.

✅ References: If you’re proactive and sincere, your supervising consultant might give you a reference...and that is very valuable when applying for jobs.

🌼My Own Story🌸

I really enjoy my Clinical attachment days..🤩🤩
I remember being asked a clinical scenario in an interview, and I reflected on something I saw during my attachment. I could talk about it confidently.. the management, team approach, and even the outcome. That moment showed the panel I had real NHS insight, even before starting a job.

So yes, it may feel like a small step, but trust me... it counts. ✌️
Be proactive, humble, and eager to learn during your attachment. That’s what leaves a lasting impression.

All the best on your journey! Don’t lose hope if replies are slow from HR and Consultant.. But please be consistent and keep trying. Your time will come! 😇

12/04/2025

📌
Thinking of doing a Master’s as a medic? 👩🏻‍🎓
Here’s What You Need to Know! 🔗

Many of you have been asking about Master’s,
so I thought I’d share some insights from my own journey! 🤗
First of all, I’d like to mention that I was genuinely passionate about understanding research in a well-structured and meaningful way. 👩🏻‍🎓
I pursued my Master’s with full focus and dedication , not just as an entry pathway. 🌸

Step-by-Step Process to Apply for a Master’s in the UK...📘🎓

1️⃣ Language Proficiency Test
Start with a language test... IELTS or OET.
✅ Most universities accept IELTS
⚠️ Only a few accept OET

2️⃣ Choose Your Location and Master’s subject
📍 Decide where you want to study.

I applied to many universities, trying different subjects ( Oncology, Moleculer Biology, Public health) and locations, and received offer letters from more than five universities. Eventually, I chose Master’s in Public health from a university in London . It all depends on a person’s preferences and goals.

3️⃣ University Search & Application
🧑‍💻 Search for universities in your preferred city.
✍️ Apply directly OR get help from a student agency if you’re unsure.
(But still, know the process yourself!)

4️⃣ Submit Required Documents
🗂️ Complete the online form
📄 Upload transcripts, references, personal statement (SOP), etc.

5️⃣ Receive Conditional Offer
📧 This includes conditions like:
✅ IELTS/OET result
✅ Proof of your Bachelor’s degree

6️⃣ Pay Tuition Fees
💷 After meeting conditions, pay 50% of the tuition fee... usually 50% of total £10,000–£15,000 fees, depending on the university and city.

7️⃣ Get Unconditional Offer & CAS Letter
🎉 Receive your Unconditional Offer and CAS (Confirmation of Acceptance for Studies)

8️⃣ Apply for UK Student Visa
🛂 Use your CAS to apply for a Tier 4 Student Visa
💰 Don’t forget to include:
★Visa Fee
★Immigration Health Surcharge (IHS)

After You Arrive in the UK...🛬🇬🇧

You’ll usually get a 2-year Post-Study Work (PSW) visa after completing your course.
★★★Use this time wisely to:
✅ Prepare for PLAB or Royal College Exams
✅ Gain Clinical or Research Experience
✅ Apply for NHS Jobs

Note: Some rules have recently changed.
★For Taught Master’s, dependents might NOT be allowed ❌
★For Research Master’s, dependents ARE allowed ✅

“Should I do a Master’s?”
This is the most common question I get:

My answer: It depends on your personal goals!

✔️ If you already have GMC registration, then a Master’s isn’t essential.
You can boost your CV with:
★Royal College Exams (e.g. MRCEM, MRCP)
★Clinical Experience in your home country
★Research Experience

✔️ If you’re a fresh graduate, like me... a Master’s can help you step into the UK system.
Here is My Journey in Short....🛤️📖
✅ Completed Internship
✅ Worked 1 year as a Medical Officer
✈️ Moved to the UK for Master’s
👩🏻‍🎓 Graduated with Distinction
🕓 Got 2-year PSW visa
🌸In just 1 year of my PSW I completed
✅ MRCEM Part 1
✅ PLAB 1 & 2
✅ ALS
✅ Clinical Attachment

But let me be honest:
⚠️ A Master’s alone won’t land you a clinical job in the NHS.
💡 You need to pair it with PLAB or Royal College exams!

What If You’re Coming with a Partner? ❤️👫

Great!
Your partner can work full-time in the UK 💼
You can work part-time 🕐 while preparing for your exams.
This helps you:
💸 Manage finances
📚 Focus on studies & licensing exams
🧠 Gain UK-based research experience

What if you’re coming alone? 🤗

To be honest, I wouldn’t recommend coming alone as a doctor. 🩺
The journey can be quite tough with the pressure of studies, licensing exams, and the overall struggle of settling in, it can get overwhelming. 📚⏳💼
It also requires more money, more time, and a lot more hard work. 💸💪
I’m not the best person to advise on balancing a Master’s degree with the clinical pathway while managing everything alone, as I didn’t go through it that way.
You might want to reach out to someone who has done it solo for more accurate guidance. 😊

It’s not impossible...but it is definitely challenging. ⚠️

Final Thoughts 💬

If you’re planning to come to the UK..
🎯 Stay focused
🧭 Stick to your plan
💪 Stay motivated

You CAN make it! 😎

Coming to the UK with a Master’s degree was one of the best decisions of my life. 🎓
I approached my Master’s with full focus and dedication, not like some who take it just as an entry route. 🙂

I invested both my money 💸 and effort 💪 to make the most of it and uncover all the academic research knowledge and skills..🤩

It was more than just a degree for me.. it was a journey of growth, knowledge, and purpose. Alhamdulillah for everything! 😇

I hope my journey helps guide yours! 🌸

Please follow my page for free tips and insights! 😇Here, I share my journey to inspire and guide IMGs worldwide. 📎Link: https://www.facebook.com/share/1Do1EDG9UC/?mibextid=wwXIfr

28/03/2025

📌 📌

PLAB vs. Royal College Exams in the UK 🇬🇧
Which One Should You Choose?

This is one of the most requested topics I’ve received in my inbox! 📩

To practice as a doctor in the UK, you need GMC registration, and both PLAB and Royal College exams (MRCP, MRCEM, etc.) can help you achieve that. However, there are key differences between the two.

🔍 PLAB vs. Royal College Exams

★PLAB is a licensing exam, not a postgraduate qualification. It’s designed to assess whether an overseas doctor has the skills and knowledge to work at the level of an FY2 doctor in the UK.

★Royal College Exams (MRCP, MRCEM, etc.) are postgraduate qualifications, equivalent to FCPS/MD in many home countries. These degrees not only help with GMC registration but also improve career progression.

📌 How to Plan Your Medical Career in the UK?

You should divide your career path into Plan A, B, and C and prioritize based on your circumstances.

🅰️ Plan A: The Fast-Track Route

👉 If you want GMC registration and aim to get a job within short period of time then:
✅ PLAB + Royal College Part 1/2
✅ Additional achievements to build a strong portfolio (ALS, clinical attachments, research, etc.)

💰 Drawback: This plan costs more and can be financially stressful.

🅱️ Plan B: The Cost-Effective Route

👉 If you want a more affordable option and are willing to spend extra time before getting GMC registration:
✅ Skip PLAB and go for a Royal College exam (MRCP, MRCEM, etc.)
✅ Build your portfolio with clinical experience, courses, and research

⏳ Drawback: Takes longer, but you can secure senior trust-grade jobs directly after GMC registration.

🆕 Plan C: Master’s in the UK + Clinical Pathway

👉 If you’re considering higher education alongside the clinical pathway, you can,
✅ Enroll in a Master’s program in the UK (e.g., Public Health, Other Medical subject MSc) and along with PLAB/Royal College exam.

📌 This is a completely different approach, and I’ll write about it in detail in a later post! Stay tuned.

★Nowadays...
❗PLAB Is Becoming Less Favorable for IMGs in 2025 & Beyond

Given the current job market trends, PLAB alone is becoming less advantageous for IMGs. Instead, Royal College degrees offer better long-term benefits:

1️⃣ More Cost-Effective 💰 : Compared to PLAB, investing in a Royal College exam gives you an actual postgraduate qualification.

2️⃣ Recognized Internationally 🌍 : Many countries accept MRCP, MRCEM, etc., including home countries.

3️⃣ Easier Job Opportunities 📄 : Having a postgraduate degree makes securing a job easier than just having PLAB.

4️⃣ Less Financial Stress 💸 : If you invest in a Royal College degree, it will cost less than PLAB.

5️⃣ Gain Clinical Experience 🏥 : While preparing for Royal College exams, you can work in your home country, gaining more clinical experience there.

🔑 Final Tips for Juniors:

If you are a fresh graduate, I strongly recommend considering MRCP/MRCEM instead of PLAB. It might take longer, but in the end, it’s more beneficial for your career.

📌Please Follow my page for free tips and insights! 😇Here, I share my journey to inspire and guide IMGs worldwide. 📎Link: https://www.facebook.com/share/1Do1EDG9UC/?mibextid=wwXIfr

24/03/2025

In just two weeks of my new page, I reached 1K followers! Thank you for continuing support. I could never have made it without each and every one of you. 🙏🤗🎉

23/03/2025

📌 ! ⌛

Applying for multiple NHS jobs can feel overwhelming, especially when writing Supporting Information for each role. The first few weeks of applications might seem time-consuming, but if you plan strategically, you can save hours without compromising quality.

Here’s a smart and efficient strategy to help you submit applications quickly and confidently! 😇

🔍 Identify Common Patterns in Job Descriptions

Every NHS job has a Job Description (JD) and Person Specification (PS), which list the key skills, qualifications, and experience required for that role. If you go through a few job postings in your specialty (e.g., Emergency Medicine, General Medicine, Surgery), you’ll notice that many roles have overlapping requirements.

Most NHS Job Descriptions Include:

✅ Clinical skills – patient management, procedures, resuscitation skills, etc.
✅ Teamwork & leadership – ability to work in a multidisciplinary team, leadership roles in audits, quality improvement projects, etc.
✅ Teaching & development – experience in teaching medical students, involvement in professional development, etc.
✅ Research & audits – participation in research projects, audits, and quality improvement initiatives.

Since these themes repeat across different roles, you don’t need to write completely new Supporting Information for every application! Instead, you can create a well-structured template and modify it for each role.

📋 Create Your Own Supporting Information Template

🖇️The Key to Saving Time: Build a department-specific template for your Supporting Information.

➡️ Write a detailed, well-structured Supporting Information statement that covers the common requirements seen in most job descriptions within your specialty.
➡️ When applying for a specific job, edit your template to highlight the unique requirements of that role.

For example:
🔹 If a hospital asks for experience in Paediatric Resuscitation, you can quickly add that you have experience managing paediatric cases in A&E or that you are preparing for APLS (Advanced Paediatric Life Support).
🔹 If a job prefers candidates with MRCEM Part 1, you can write that you have already passed MRCEM Part 1 and are preparing for MRCEM Part 2.

This way, 80% of your Supporting Information stays the same, and you only need to modify 20% based on the specific job!

🕒 Why Is This Strategy a Game-Changer?

For every NHS job application, most of the information stays the overall same only the Supporting Information needs customization. If you save time here, you can:

✅ Submit applications faster – Apply quickly after a vacancy opens.
✅ Increase your chances of selection – Early applications often get shortlisted first.
✅ Reduce stress – No last-minute rush to rewrite everything from scratch.

🔹 Steps to Set Up Your System:

✔️ Step 1: Create a department-wise file for Supporting Information (e.g., Emergency Medicine, General Medicine, Surgery, Psychiatry, etc.).
✔️ Step 2: Spend the first 15-20 days reading various NHS departmental job descriptions if you’re applying full-time.
✔️ Step 3: Write and save notes for Supporting Information based on each department.

Whenever you see a new job posting, simply:
📌 Open your file → 📌 Copy the relevant section → 📌 Make small edits based on Person Specification → 📌 Submit! ✅

✍️ How to Customize Your Supporting Information Efficiently

📌 Person Specification Matching
Each job has slight variations in requirements, such as:

✔️ Specific Royal College exams (e.g., MRCEM, MRCP)
✔️ Additional clinical experience (e.g., paediatrics, geriatrics)
✔️ Required certifications (e.g., ALS, APLS)

To quickly adjust your template, use keywords from the job description:

✔️ “I am currently preparing for [exam name] and have practical experience in [related skill].”
✔️ “I have completed [certification] and regularly apply these skills in a clinical setting.”

📌 Use OET Exam Tricks! 🎯
Remember how we used scanning and skimming techniques in the OET exam? Apply the same strategy here:

🔹 Quickly scan the job description
🔹 Identify key phrases
🔹 Modify your Supporting Information accordingly

This method ensures that your application stays relevant without wasting time on unnecessary edits.

🏆 Applying for a Job Is Like an Exam!

⏳ Just like an exam, you have limited time to read, write, and submit your application. If you delay, the vacancy might close, or early applicants may be shortlisted first.

To succeed in job applications, you must be:

✔️ Fast & Efficient – Save time with a structured approach.
✔️ Accurate & Relevant – Use keywords from the job description.
✔️ Well-Prepared – Have pre-written Supporting Information ready to modify.

By following this time-saving strategy, you can:
✅ Save hours of unnecessary writing
✅ Apply before vacancies close
✅ Submit high-quality, professional applications

So, work smart, not hard! 😎
Build your templates, refine them, and watch your job search become faster, easier, and more effective! 💪

Please Follow my page for free tips and insights! 😇Here, I share my journey to inspire and guide IMGs worldwide. 📎Link: https://www.facebook.com/share/1Do1EDG9UC/?mibextid=wwXIfr

14/03/2025

📌
# A Step-by-Step Guide 📝

Hey everyone! I know writing Supporting Information for NHS job applications can be overwhelming, but it’s arguably the most crucial part of your application. Here’s a detailed guide to help you craft a strong and effective supporting statement.

🔍 What is Supporting Information?

In this section, you must demonstrate that you’ve carefully read the Person Specification and how you meet the essential and (if applicable) desirable criteria for the post.

✅ Highlight your skills, experiences, and achievements.
✅ Emphasize what makes you unique and why you’re the ideal candidate.
✅ Avoid repeating information already mentioned elsewhere in your application.

⚠️ Important: Keep your statement within 1500 words and avoid adding personal details.

📋 My Step-by-Step Strategy

I recommend structuring your supporting information in clear sections using headings to make it easy for the recruiter to follow. Here’s how I organize mine:

Dividing your statement into clear sections with headings makes it organized and easy to read. Here’s a recommended structure and how I organize mine:

1️⃣ Introduction

Start with a little bit introduction about yourself. Mention your background, career goals, and commitment to the specialty you’re applying for.

2️⃣ Clinical Experience

Detail your clinical experience, starting with your most recent roles. Mention your rotations, key responsibilities, and the skills you developed.

➡️ Include your experience from FY1, FY2, internships, and post-internship clinical work.
➡️ Highlight your experience in acute care, managing emergencies, and working in multidisciplinary teams.

3️⃣ NHS Experience

Outline your experience in NHS settings, such as clinical attachments or observer roles.

➡️ Mention the skills you gained, your understanding of NHS protocols, and your experience working within a team in a UK healthcare environment.

4️⃣ Academic Achievements & Research

Highlight your educational background and qualifications.

➡️ Include degrees like your MBBS, Master’s, and postgraduate exams such as PLAB, MRCEM, and MRCP.
➡️ Mention any research involvement, publications, Audit or quality improvement projects.

5️⃣ Teaching & Leadership

Emphasize your involvement in teaching, mentoring, or leadership roles.

➡️ Mention any experience in conducting teaching sessions, mentoring colleagues, or contributing to clinical improvement projects.

6️⃣ Personal Skills

Highlight key skills that demonstrate you are a well-rounded candidate.

➡️ Focus on your communication skills, teamwork, time management, and problem-solving abilities.
➡️ Include technical skills like IT proficiency, audit participation, and data interpretation.

7️⃣ Reason for Applying

Clearly explain why you are interested in this particular role and how your skills align with the Person Specification.

➡️ Tailor this section to the job requirements and highlight the aspects of the role that align with your career goals.

8️⃣ Alignment with Trust Values

Research the trust’s values and demonstrate how you embody those values in your clinical practice.

➡️ Emphasize qualities like compassion, respect, teamwork, or inclusivity and how you apply them in your work.

9️⃣ Conclusion

End with a confident statement summarizing why you are suitable for the role and your enthusiasm to join the team.

★★Final Tips for Success

✅ Use clear headings to improve structure.
✅ Provide specific examples to support your claims.
✅ Tailor your statement to match the Person Specification and Trust Values.
✅ Keep your language professional yet enthusiastic.

Writing a strong supporting statement takes time, but with a clear structure and thoughtful content, you can create a compelling narrative that highlights your strengths.

Best of luck with your applications! 🌼

Please Follow my page for free tips and insights! 😇Here, I share my journey to inspire and guide IMGs worldwide. 📎Link: https://www.facebook.com/share/1Do1EDG9UC/?mibextid=wwXIfr

13/03/2025

This is me in 2015! And this photo takes me back to my first year of medical College... those anatomy days. 🫠

Life back then felt like living in a world of real human body parts. I’d study for hours, only to find myself dozing off with a long bone in one hand or a human skull right next to me! 😅

I remember thinking, “Once I finish MBBS, I’ll finally have the freedom to study whenever I want!” 🙃

Well… fast forward to today, and I’ve realized that life after MBBS is just a never-ending chain of study!! Only now it comes with a side of adulthood responsibilities! 😷

Honestly, I wouldn’t mind going back to those first-year anatomy days... when all I had to worry about was memorizing bones and muscles, and not juggling ten different things at once. 🤯

Funny how what once felt tough now feels like the ‘good old days’! 🙂

10/03/2025

📖 📌

🔥 Ultimate Guide to MRCEM Part 1 Preparation 🔥

If you’re planning for MRCEM Part 1, here’s a detailed breakdown for beginners and the best study method!💡

MRCEM Primary is quite manageable since it’s all about the basics from our undergraduate medical days! 📚

Prep time depends on your foundation:
✅ Strong basics? 2 months of full-time study is enough! ⏳📖
✅ Working with an average foundation? Give yourself 6 months to be on the safe side! 🔥💪

Plan smart & stay consistent—success is yours! 🎯

★Step 1: Set a Goal 🎯

The first and most important thing...set a determined goal for the upcoming exam diet! Having a structured plan will keep you on track! ✌️

★Step 2: Understand the Exam Format 📑

Total: 180 questions (MCQ format, computer-based)

✅ Anatomy – 60 Questions
✅ Physiology – 60 Questions
✅ Pharmacology – 20-25 Questions
✅ Microbiology – 15-20 Questions
✅ Pathology – 10 Questions
✅ Evidence-Based Medicine – 10 Questions

★Step 3: Subject-Wise Breakdown 🧠

📌 1. Anatomy

🧩 CNS
🧩 Head & Neck
🧩 Thorax
🧩 Upper Limb
🧩 Abdomen
🧩 Lower Limb

📌 2. Physiology

🔬 Basic Cellular Physiology
❤️ Cardiovascular System
💨 Respiratory System
🩸 Renal System
🍽 Gastrointestinal Tract System
🛠 Endocrine System

📌 3. Pathology

⚡ Inflammatory Responses
🛡 Immune Response
🦠 Infection
🩹 Wound Healing
🩸 Hematology

📌 4. Pharmacology

💊CVS Pharmacology most important
Little bit Respiratory and GIT pharmacology
🧠 CNS and Anesthesia Pharmacology
🦠Antiplatelet Drugs and Antibiotics list for Infections

📌 5. Microbiology

🦠 Principles of Microbiology
🦠 Pathogen Groups wise disease

📌 6. Evidence-Based Medicine

📊 Statistics
🧐 Study Methodology
📈 Basic Epidemiology

★Step 4: Best Study Resources 📚

1️⃣ MRCEM Success Subscription (Theory Section)
2️⃣ MRCEM Success Subscription (Question Bank Section)
3️⃣ Recalls (Essential for spotting high-yield topics!)
4️⃣ Make Your Own Notes (For quick revision before the exam)

★Step 5: Best Study Methods 🎯

⏳ 😎

You can Follow Study Method 1 or 2.

🔹 Method 1 (If you prefer structured learning)
✅ Start with the MRCEM Success Theory Section
✅ Read each topic carefully
✅ Move on to the Question Bank for practice

🔹 Method 2 (If you already have a strong foundation)
✅ Directly solve 100+ questions per day from the Question Bank
✅ Read the explanations carefully
✅ Revise weak areas using clincher notes

💡 Tip: The exam covers basic medical knowledge from undergrad studies, but some questions can be tricky. So, multiple revisions are key! 🔑

★Lastly,

🚀 The MRCEM Part 1 exam can feel boring and repetitive, but the key to success is consistency and smart preparation! 🤞
★Choose the study method that works best for you.
★Use recalls and question banks effectively.
★Make concise Clincher notes to revise quickly.

🔥 Stay focused, revise well, and you’ll smash the exam! 💪

🔹 Best of luck, future EM Doctors! 🚑💙

★Please Follow my page for free tips and insights! 😇 I share my journey to inspire and guide IMGs worldwide.
📎Link: https://www.facebook.com/share/1Do1EDG9UC/?mibextid=wwXIfr

09/03/2025

📌

Nowadays, securing an interview for an NHS job has become increasingly challenging. And even when you do get an opportunity, the time available for preparation is often limited—sometimes just a couple of days. In such cases, thorough and strategic preparation is key to successfully cracking the interview. 😎

Here are some valuable tips to help you make the most of your preparation time. I hope you find them useful! 😇
★It focuses on Emergency Medicine, but I hope it will help other medical departments as well.

🚨 Emergency Medicine Interview Preparation Guide

🔹 Structure of the Interview

The interview generally consists of three main sections:
1️⃣ CV & Personal Experience-Based Questions
2️⃣ Clinical Scenario Questions
3️⃣ Ethical Questions

🏆 ★1. CV & Personal Experience-Based Questions
• The first question will most likely be: “Take me through your CV.”
• Know your CV inside out, especially the version you submitted on Trac Jobs.
• Pay close attention to your personal statement, as interviewers often ask questions based on it.
• First impressions matter—memorize your CV and practice delivering it fluently.
• Recommended resource: ST Interview Book – Use this to prepare for all personal and experience-based questions.

🏥 ★2. Clinical Scenario Questions (Emergency Medicine Focus)
• These questions test your clinical knowledge and structured approach.
• Recommended resource: Oxford Handbook of Emergency Medicine
• Focus on the Emergency section (less than 100 pages).

****How to Present a Case Smartly:

1️⃣ Start with a structured history (keep it concise).
2️⃣ Follow the A to E assessment approach.
3️⃣ Think about possible differential diagnoses (D/Ds).
4️⃣ Request appropriate investigations based on your differentials.
5️⃣ The interviewer will provide results—use these to rule in/out differentials.
6️⃣ Once you’ve reached a diagnosis, explain your management plan.
7️⃣ Always mention involving a senior at the end!

⚖️ ★3. Ethical Questions
• Be prepared for ethics-based scenarios, such as patient confidentiality, consent, and dealing with conflicts.
• Recommended resource: ST Interview Book – This covers ethical questions in detail.
• Make your own answers while studying to ensure you can explain concepts confidently.

⚡ ★4. Revise ALS Algorithm
• Advanced Life Support (ALS) algorithms are essential for Emergency Medicine interviews.
• Focus on adult and pediatric resuscitation protocols.
• Be thorough with:
✅ Cardiac Arrest Algorithm (Shockable & Non-Shockable rhythms)
✅ Peri-Arrest Arrhythmias (e.g., Tachycardia & Bradycardia management)
✅ Anaphylaxis Algorithm
✅ Sepsis Management
✅ Airway Management Basics
• Ensure you understand the rationale behind each step so you can confidently discuss them in the interview.

🎤 ★5. Practice, Practice, Practice!
• Practice delivering your CV and answers to all possible questions.
• Use a mirror or record yourself using your laptop camera to observe your facial expressions, tone, and fluency.
• This will help you identify areas for improvement and build confidence before the actual interview.

📌 Final Tips**

✅ Read the ST Interview Book and prepare all the Questions-Answer in your own words.
✅ Practice clinical cases with a structured approach.
✅ Revise the Emergency section of the Oxford Handbook.
✅ Revise ALS Algorithms thoroughly.
✅ Practice speaking in front of a mirror or laptop camera.
✅ Be confident, structured, and professional.

That’s all you need to ace your Emergency Medicine interview! Good luck! 🍀🔥.
★★Please like and follow my page, where I share my journey to inspire and guide doctors worldwide. I provide free insights and tips to support International Medical Graduates (IMGs).

08/03/2025

📌

All About ALS and eALS: It’s an Important and Mandatory Training. 🧑🏻‍⚕️

First of all, How to Book the ALS and eALS Course (Resuscitation UK) 🏥📚

Types of ALS Courses: 📌
1. 🟢 eALS (1-day course) – More cost-effective
2. 🔵 ALS (2-days course) – More expensive but provides 2 days training with extra practice.

Booking Process: 🖥️📩
• Visit the Resuscitation UK website.
• Enter your local area within the UK to find nearby centers with available dates and contact details (email & phone).
• Email your chosen center about your interest in the course. They will reply with the details booking process.

***After Booking – Preparation Materials: 📖📝
• You will receive the ALS manual for study and an online account for basic practice.
• MCQ Test: You need at least 75% to pass.
• Practical (CAS Test): No need to worry! The center will teach everything, and you will have hands-on practice during the course.

Recommended YouTube Videos for Practical Exam: 🎥✅
📎 https://youtu.be/jQYHQr3ebLo?si=nBBqtbCLriagxcgn

📚 Detailed Chapter-Wise Preparation for ALS MCQs & Practical Exam

1️⃣ Learn Key ALS Algorithms by Heart 🧠💡
• ALS Algorithm – Most important!
• Bradycardia & Tachycardia Management
• ACS (Acute Coronary Syndrome)Management
• Anaphylaxis Management
** Remember 4H & 4T – Reversible Causes of Cardiac Arrest (high-yield for both MCQ & practical).

🔹 Key Chapters to Focus On:

📖 Chapter 4 – Cardiac Arrest & ACS (Highly Important) ❤️🚨
• Understand Cardiac Arrest causes & treatment.
• MI (Myocardial Infarction) Management – Must know for MCQs and practical.

📖 Chapter 6 – Advanced Life Support (Very High MCQ Frequency) 🏥💊
• Know the entire ALS algorithm inside out.
• When to start and stop CPR.
• Drugs used during Cardiac Arrest (Adrenaline, Amiodarone, etc.).
• Defibrillation steps in shockable rhythms (VF/pVT).
• Post-resuscitation care principles.

📖 Chapter 7 – Airway Management (Important for MCQs & CAS Test) 🫁
• Basic and advanced airway skills (e.g., bag-valve-mask, supraglottic airway, intubation).
• How to recognize airway compromise (stridor, gurgling, silent chest).
• When and how to use oxygen therapy & ventilation support.

📖 Chapter 8 – Rhythm Recognition (Extremely Important, 25+ ECGs!) 🫀
• Bradycardia, Tachycardia, Ventricular Fibrillation, and Pulseless Electrical Activity (PEA).
• High-yield ECG findings – You will get 10x4 = 40 MCQs from here!
• Learn the differences between narrow and wide QRS tachycardias and their management.

📖 Chapter 9 – Defibrillation (Essential for MCQ & Practical Exam) ⚡🛑
• How to use a Defibrillator correctly.
• Safety precautions: Always make sure no one is touching the patient before delivering a shock.
• In an exam setting, do not look at the monitor when delivering the shock—look at your team to ensure safety.

📖 Chapter 10 – Pacing (Important for MCQ & Practical Understanding) 🔄🫀
• Learn the concept of transcutaneous pacing.
• When and how to use synchronized DC cardioversion.
• Basic pacing indications and troubleshooting.

📖 Chapter 12 – Resuscitation in Special Circumstances (Very Important for MCQ & CAS Test) 🚑🌍
• all Electrolyte imbalance specially
Hypo-HyperKalaemia, Sepsis,Asthma, Hypothermia, Drowning, Traumatic Cardiorespiratory arrest, Anaphylaxis, Pregnancy-related arrests.
• Key management differences in special cases.

📖 Chapter 15 – Blood Gas Analysis & Metabolic Disorders (Important for MCQ & CAS Test) 🩸📊
• Interpretation of ABG (Arterial Blood Gas) results.
• Metabolic acidosis, alkalosis, respiratory failure cases.

📌 Other Chapters
• Just skim through the remaining chapters for a general idea.

🩺 Practical Exam (CAS Test) – What to Focus On?

1️⃣ Leadership & Communication Skills 🎤🦸‍♂️
• Stay calm and confident when leading the team.
• Give clear commands to your team members.

2️⃣ A-E Assessment for Non-Cardiac Arrest Patients 🏥👩‍⚕️
• If the patient is alive, follow the A-E approach systematically.

3️⃣ Cardiac Arrest Management – Follow ALS Algorithm 🚨🔄
• Identify shockable vs. non-shockable rhythms.
• Correctly use defibrillation and drugs according to guidelines.

4️⃣ Post-Resuscitation Care 🏥📑
• Know what investigations to order.
• Understand who to hand over to and the next steps in management.

5️⃣ Defibrillator Safety Rules ⚡❌
• Ensure everyone is clear before delivering a shock.
• Look at your team, not the monitor, to confirm safety.

Now,
😎 Final Advice:
• ALS content is high-yield for maximum Royal College Exam, MSRA Exam, and also for NHS job interviews, so don’t just study for passing—learn for long-term benefit! 🤞
• Focus on key chapters, learn the algorithms, and watch scenario videos.

**If you want to practice MCQ test, you can subscribe this one ( 📎 https://advancedlifesupportmcq.com/)
it will cost only 6 pound.

• The practical exam is easy if you remain calm and systematic.

Good luck & happy learning! 📖

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