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All those graduates who are currently in house jobs or will appear in house jobs can do house job without NLE but after the completion, the house job must clear the National Licensing Examination to get permanent registration. • NLE Step 1 date: 20-27 August. Pass marks 70%. Can be taken from centers outside Pakistan as well. • The first NLE will be conducted in August for Foreign graduates. • 2nd NLE will be conducted somewhere around Nov- Dec, and local graduates will also be allowed to give this 2nd NLE. • THE PASSING PERCENTAGE FOR NLE WILL BE 70%. • NLE will be conducted a minimum of 2 times and up to 4 times annually. HOUSE JOB • 1 year = 6months General medicine and allied + 6months General surgery and allied • Medicine and Surgery ones are the most competitive and allow only the best of each graduating class. • Getting into a house job in the hospital associated with your medical college depends on the marks you’ve obtained in your final year. • Where from? FCPS • Regardless of the specialty, the FCPS exams consist of two parts: the FCPS-I and the FCPS-II. • To enter a training program, the doctor must pass the FCPS-I exam. • When training period is over, you are eligible to sit for the FCPS-II exam and once you pass it, you will be awarded the qualification of FCPS – which designates you as a specialist in his field. • From 2006, PG's are supposed to take another exam i.e. Intermediate Module once they have completed their basic training in either surgery or medicine, candidates have to pass this exam so that they can appear in FCPS Part II Final Exam at the completion of their training. ANOTHER ENTRY TEST - FCPS PART 1 • In all the specialties tests knowledge in the basic sciences but focuses on those sections of basic sciences that are relevant to its specialty. • Conducted 4 times a year but you can sit only thrice • Consists of two separate exams, 2hrs each = 100 MCQs • In order to take the FCPS exam, the application form must reach CPSP two months before the exam date itself • Application process is all online, with fee of Rs 15000. • Result in 2 weeks • How to plan it? TRAINING • After passing, you will apply for a Post Graduate Trainee post in CPSP recognized hospital. • PGs inducted twice a year however training slots are not always advertised! You must be on the lookout for different job offers at different hospitals and make sure you CV reaches the HR department of where you wish to apply atleast 2 months in advance. • Typically lasts 4-5 years • Fixed number of PG posts per province • Workload for PGs WORKSHOPS • Computer and Internet Skills. • Research Methodology, Biostatistics, Dissertation Writing. • Communication Skills. • Advanced Cardiac Life Support (ACLS) • Basic Life Support (BLS) • Advanced Trauma Life Support (ATLS) • Advanced Life Support in Obstetrics (ALSO®) These workshops are mandatory for all PGs regardless of their training. and must be taken within the first 18 months of For the PGs in surgery, an additional 3 day workshop on Basic Surgical Skills is also mandatory (The workshops can be taken by any doctor, not just a PG. Such workshops strengthen an individual’s CV as they are officially organized by the CPSP and therefore recognized abroad.) A MEANS TO AN END - FCPS PART 2 • Two components, a paper exam (100MCQs) and a clinical/oral exam (history, conduct the clinical examination, and propose a management plan i.e. Long Case and the TOACS (Task Oriented Assessment of Clinical Skills). Candidates must pass TOACS so that they can move to long case portion. • The FCPS-II is not considered to be an easy exam. The pass rate is low and it is not uncommon for doctors to take it more than once before they pass. After passing however, the FCPS period of training is officially over and the doctor is awarded the highly regarded FCPS degree, and qualified as a specialist in that field. ALTERNATIVE OPTIONS - MCPS/DCPS • Diploma of the College of Physicians and Surgeons. • Two year training program structured just like the FCPS program. • No entrance exam into the DCPS program (as FCPS-I is for the FCPS program). However, there is an exit exam. • The DCPS was introduced to correct the deficiency of doctors at the junior PG level. • Currently, it is proposed that a DCPS doctor who wishes later on to pursue FCPS training will have one year of his DCPS training counted towards an FCPS. WHY FCPS? WHY PAKISTAN? • No visa problems to address • No prolonged, expensive registration requirements • Higher acceptability rate • Familiarity with system • Overall less time spent adjusting • Cost-effective (assuming that the exams are passed in the first attempt, total expenditure is unlikely to exceed Rs 1 Lakh)Tis h • pathways. WITH PROS COMES A FEW CONS • Standard of training, work hours and patient load. • A proactive supervised evaluation of training standards (similar to that in the US) is not in effect in Pakistan. With a lack of such standardization arises the inevitable difference in the proficiency and excellence of the training programs in different hospitals throughout Pakistan. As a result, the quality of training imparted to FCPS trainees varies greatly from one hospital to the next. • Quality of training in any hospital is largely in the hands of its senior doctors. • Constant changes in the rules and regulations within CPSP as well as in PMC • Not recognized abroad • Less worth even in Pakistan as compared to foreign qualifications • Limited seats and job saturation