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PATHWAY TO THE UK Anas Ahmed Hashmi Foundation year 1 LIFE IN THE UK • Depends on where you live • Southern coast– smaller Muslim population which means more difficult to get halal food. • More in the central region of the UK and London. • Expenses – food from store is reasonably cheap, restaurants definitely more expensive. Please learn how to cook. • London – rent more expensive, better salary but expenses cancel • Rent – might feel that high, London insane, houses not too big • Environment– your choice, London busy city very diverse city(place to work, not to live), other cities generally better to live, live in county if want peace and quiet + nature) • Transport – publictransport good – buses, London underground,train • Crime – can be relatively high in some areas (certain parts of London), generally lower where I am (population is older) HOW BUSY DOES IT GET? • Depends on the hospital and department you are in • Currently the country is understaffed so some departments can be pretty insane and disorganized (my current department) • Hours per week – generally 40 max but choice to work more (get compensated) • Senior help available? Mostly yes, but not always so might have to contact other specialties if in emergency situations • Paid annual leaves, study leaves WHAT DO I DO IN MED SCHOOL? 1) Don’t panic 2) Get through med school 3) Maybe do someextracurriculars WHICH YEAR DO I JOIN? • Options: 1) F1 2) F2 3) SHO/CT/IMT training 4) Even later (eg consultant, reg) F1 / FY1 • My preference • Get to know the system and NHS better • Can be quite different (not necessarily the med knowledge, more about getting acquainted with how things work here can take a while and you might be slower than the local alumni initially) • Do not need to do house job/internship in Pakistan or wherever you are. • Need provisional registration from the GMC WHEN DO I START APPLYING AND HOW? • Important bodies to be aware of 1) GMC 2) UKFPO • Start applicationprocess after final year usually from around May/June. • Start the applicationprocess before you have done the PLABs but after you have your degree. You will get the chance to submit your PLAB results during the applicationprocess because it is quite a long one. Example if you want to join F1 in 2022 • Go to high level timeline under UKFPO 2022 to view the schedule https://foundationprogramme.nhs.uk/ • Applicant’s handbook for detailed explanations • Learn how to use Oriel (you will get comfortable with it, don’t worry) • Applicants graduating from a medical school outside of the UK mustcomplete an online eligibility applicationform on Oriel (you will need to register if you have not used the system before) between Wednesday 14 July and 12:00 noon (BST) on Wednesday 4 August 2021. (This is if you want to join F1 in 2022) GMC • Provisional vs Full registration • All F1s are working with provisional registration • Don’t worry too much about the restrictions with rov reg, there aren’t too many and you’ll have an idea as you’re coming into training • Need full reg to be an F2 • Registrations explained later F2 / FY2 STANDALONE PROGRAMME • Only international students come directly into the F2programme. • Need to have finished house job/internship • Not my preference as you’re thrown into the wild without knowing what’s up or down. (might not even be a proper orientation) • Now have to do SJT as well (situational judgement test)F1 VS F2 STANDALONE F1 GAP YEAR • Reason for gap year is that you will probably need to do the PLABs • You can check if you do need to do it over here: https://www.gmc- uk.org/registrationand-licensing/j-the-register/registration - applications/application-registration • Exams other than the PLABS that the UK accepts : https:www.gmc- uk.org/registration-and-licensing/-the-register/registration - applications/application-guides/full-registration-for-imgs-who-have-passed- an-acceptable-overseas-registration-exam RESPONSIBILITIES AS AN F1 • Ward round with the seniors • Clerking patients • Carrying out plans – ordering investigationseg imaging, taking bloods, making referrals to other specialties or hospitals, discharging patients and writing up discharge letters, admitting patients with seniors • Getting bleeped about unwell patients and escalating if necessary • Tackling patient concerns • Knowing your limitations and that you can’t do everything by yourself especially when you get bleeped about multiple unwell patients PLAB 1 • Not a very difficult exam • Need evidence of English before sitting this exam (explained later) • Can only do PLABs after graduation with a degree • 180 questions (was 200) in 3 hours. • All MCQs • How I studied – pastest for content, plabable MCQs, made my notes • Focuses on clinical aspect more than basic sciences (unlike STEP 1) • How long – you only need 2-3 months but I spent around 6 just because I had the time • How to book – make an account on the official GMC website and look for the dates on their website • Pass/Fail (score doesn’t matter). Pass percentage varies PLAB 2 • More challenging than PLAB 1 but still very doable • 18 stations ( 16 OSCE stations + 2 reststations). Each 8 mins ( 3 hours total) 2 mins to read station instructions outside and prepare • Pass/Fail (score doesn’t matter).Pass percentage varies • Where? In the UK in Manchester GMC building, now 2 centres (make sure to get a visit visa nice and early) • How to study?: 1) Some people take a course in the UK 2) Practise with friends using scenarios What you can be tested on History taking, examination, management including investigations and treatment, procedures,patient consultations, how to deal with medical errors,ethical scenarios and more Check out the PLAB blueprint for more details - https://www.gmc-uk.org/registration-and-licensing/join-the- register/plab/plab-test-blueprint/download-the-plab-blueprint PLAB 2 POSSIBLE PROCEDURES • Venepuncture/Phlebotomy (taking blood) • ABGs • Checking BP • Urine dipstick • ECG • Catheter • IV cannulation • Otoscopy • Opthalmoscopy • And more (please check the blueprint) • improve with these procedures duringyour Foundation yearsions + you’ll probably CSA EXAM (CLINICAL SKILLS ASSESSMENT) • If there have been more than 2 years since graduation without any official clinical work then you have to take this exam as well • Similar to PLAB2 • Have to come to the UK as well SJT (SITUATIONAL JUDGEMENT TEST) • While going through the applicationprocess, you’ll have to do the SJT exam which is an ethics exams. • Number of questions varies, 2 hours 20 mins (was 3 ) • Can do it online or at centres • Don’t worry too much about it now, you only need about 2-4 weeks to study for it • Done in Decemberor January of the year you are applying (eg if my application process starts in July 2022, I will do the SJT in Dec 2022 or Jan 2023) • Used to be for F1s only, now for the F2 standalone programme as well but shorter • Score matters – explained on next slide DEANERIES • When going through the application process of the Foundationrogramme, you will pick and choose the deaneries you want to work in. There are 20 deaneries in total. • Some deaneries require a higher score to work i g in and aroundLondon • Total 100 points for F1programme • 50by EPM (educational performance measurement) • The EPM comprisestwo elements: medical school performance in deciles for which 34- 7 points. A maximum of 50 points can be awarded for the EPMa.e worth up to • points for an additional degree and maximum of 2 points for publications (1 point for each publication ). • The remaining 50 points are scored in the SJT exam ENGLISH ASSESSMENT • Have to satisfy GMC and UKFPO requirements • Can use univerisity’senglish letter and dean’s statement if all of your education and >75% of rotations weEeg ilish (ask your med school if they have this option) hence skipping IELTs and OET • Need this to sit PLAB 1 • GMC requirement at least 7.0 in each testing area and an overall score o7.5 for IELTS OET - you got at least a grade ‘B’ in each testing area (speaking, listening, reading and writing • UKFPO - IELTS certificate with aminimum scoreof 7.5 in eachdomain and achieved in one sitting (speaking, listening, reading and writin). Evidence of completion of the OET with a minimum score of 400 in each domain (listening, reading, writing and speahe i sg)scoresmust have been achieved in one sitting of the OE xamination. Do not accept OET results which are graded with a letter only, e.g. ‘Grad’. B For more info - https://foundationprogramme.nhs.uk/faqs/engli lhnguage -eligibility-faqs/ (UKFPO) https://www.gmc -uk.org/registrationand-licensing/jointhe-register/before -you-apply/evidence-of-your-knowledge-of-english (GMC) GMC REGISTRATION Provisional All F1s are on provisional registration. Requirements – PLAB1 and PLAB2 (unless exempt, then only need medical degree) Full If you are going for the F2 standalone programme, this is what you will need. Requirements - PLAB1 and PLAB2 (unless exempt, then only need medical degree) + evidence of your internship/house job WHY NOW IS A GREAT TIME TO APPLY • RTW (right to work) removed • RTW – UK doctors > EU doctors > other countries • Now all on the same levelRESPONSIBILITIES AS ANF1 SCENARIO EXAMPLE WHAT YOU CAN DO DURING THE GAP YEAR • If you are going for the F1 programme, you might not want a whole year to go to waste • Other than following your interests, from an educational point of view you can study for the PLABs, and even for post grad exams like the MRCP or MRCS. (MRCP needs to be done 12 months after graduation) • Sites like pastest provide great questions CAN I COME IN LATER? • There are options to work in the UK starting off as an SHO/resident or even registrar or consultant • I do not recommend them as much because a lot will be expected from you and you won’t even know the system + sometimes a lot of paperwork is required • Eg consultant à SHO ANY QUESTIONS? • Feel free to contact me • Get my whatsappthrough Asad or • Email – anaswaheedhashmi@gmail.com RESOURCES AND USEFUL WEBSITES • Make sure to check the GMC and UKFPO website for the finer details https://www.gmc -uk.org/ https://foundationprogramme.nhs.uk(UKFPO website) https://www.youtube.com/channel/UCircL4h_e0r0hOIhGOhEfEg (great youtube channel by my seniors which really helped me called IMG marvels) Definitely use this channel when you are in the process off applying, they really help with the steps. https://plabable.com/(PLAB MCQs) https://www.passmedicine.com/(PLAB content)