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OK. Hello everyone. I hope you're all. Well, I hope you've all had a good week. Um So this is the second webinar in our Bulgaria to I MG series. We had one yesterday about um transitioning to Switzerland and today we're gonna be talking about transitioning to Australia. Um So just a few words about BSS. Uh sorry BMS A before we start. Um So BMS A stands for the Bulgaria International Medical Students Alliance. Um Our mission is essentially just to build a connected community for international Medical students. Um We're trying to enhance um the accessibility of students in order for them to get support while they're studying here in Bulgaria. Um Also, we try to support the in reintegration of graduates back into the NHS in the UK. Um And we try and simplify the transition process. Um So I'm gonna send our Instagram link in the group in the chat so you guys can follow us on Instagram and see what we're doing and see what talks we're doing. Um So today, as I said, we're gonna be speaking about um transitioning to Australia and what, what that entails. Um So today we have uh a alumnus, Doctor Michelle. Um she was actually our president of the Association of International Medical Students in Bulgaria when she was here. Um And she made a really huge impact on all the students, especially the international students. So thank you, Doctor Michelle for your time. You can take care. Now, thank you Jim for the cute introduction. So, hi guys. Um So I was just telling Jemima like um it's gonna be very casual today. So if you guys have questions, feel free to like interrupt me anytime, I'm very like, I'm just gonna keep it very chill and like, um just gonna give you guys some bit of advice and you know, my experience basically. So like Jim was saying, I studied in Pleven um and a bit like about myself, um I graduated last year and moving to Australia was more because I am from Australia and I tried like after graduation, I didn't really have any direction on where to go, how to go about doing things. So for me, like I just decided to take the hard route instead of going to the UK and you know, all these different parts ways that you can take, I just decide to come to Australia. And I've realized like the pathway to Australia is quite difficult and to be honest, unlike the U Assembly and you know, pla exams, there's not much information online. So that's why I've decided to do this. Um I'll try and go through as much as I can, but it is quite a bit of information. So um I'll just start sharing my screen. Uh give me a second so like I said, like, feel free to stop me anytime and we can go through as much and you know, if I'm going too fast or something's not clear, just a message and I think um I'll keep reading um keep checking the messages. So, so yeah, um starting from just, I'll just get straight into it cause I don't wanna take too much of your time either. So, starting from like your graduation, I'm guessing most of you guys are like in your final few years and that's probably why you're here and like trying to look at different pathways to the UK. So um post graduation, there are a few things that I think in is very specific to Australia. Um The most important thing is um getting your documents sorted like um a lot of the universities I feel like don't give a lot of the documents unless you ask for it specifically. So for Australia, it's very official and you need to have pretty much everything in Bulgarian and um in English, not just that like half the time you need um it like accredited by the Bulgarian Ministry as well, which was quite a bit of a task to do cause you got to travel, like from Pleven, you got, you got to travel back and forth Sophia and get lawyers involved in things like that. I think if you look into it in your final year, you, you need should be able to give you some um some guidance in that matter as well. So I've listed the documents that you need to get and along with your documents, you need to create your Epic account, which I think you would have heard about this through like in your pathway for the UK. And I think you need it for pretty much all the countries. Um Epic is basically your um online like electronic portfolio where they just um verify your degree. And then this basically can be used for pretty much most of the countries for Australia. Once you make your Epic account, like they have their own fees for each country, I think the first one's free. So your primary um notification that can be sent uh for free to one country. But then after that, you have to pay like I think it's $50 or something, but please don't quote me on that, like try and have a look into cause it changes all the time and I did it a year ago. So I can't remember the exact fees. Um Once your Epic is done, the rest of the um registration pathway to Australia is pretty straightforward. Um You create an account with the AMC which is the Australian Medical Council. I'll try and go through the fees and everything as much as I can. But again, like when you apply, it might be different cause they change it all the time and it keeps getting more and more expensive each time. Um Something else that you need other than your documents is an English exam. So anyone that's not from the UK US or Australia or like non-english speaking countries, you need to do your ielts or your O et um O et is basically an occupational English test, which is an Australian exam. Actually, it's um heavily focused on medicine rather than like Grama. So a lot of people find it a lot easier than the AE LT S. It is about double the price, which is the catch. So with AE LT S, some people might have to do it twice. So it amounts to about the same amount of money. So I went with the O ET exam even though like I think UK requires you to do um an English exam even if you're um from an English speaking country. So I ended up um doing it just in case. Um Just so I have the option open. So sorry, I just, I someone's asking a question. Do you still need to get your documents accredited? Uh Yes, I would say do it um do it straight away because um you still need your Bulgarian ID as far as I remember to get all the documents accredited. So do it before your Bulgarian ID runs out. I feel like some people from the year before me had that issue where they came back to do it. And I think Bulgaria just makes you run around in circles for pretty much everything, but especially when your ID is expired, it becomes extra difficult. So my advice would be just get it done as soon as you're um graduated. So you don't need to come back. Um So going into the, this is where it gets a bit hefty because um something I found between UK and Australia is everything's pretty much triple the price. So just setting up an AMC portfolio sets you back like good $642. So that's an Australian dollars. So if you like convert it to UK pounds, it's about half like 300 ish pounds. So, yeah, so only do this if you're 100% sure you want to kind of, you know, uh pursue a career in Australia. Um If you change your mind later, they do give refunds, but it's very conditional. I've kind of listed it all, but again, I would say don't do it because most of the time they don't wanna return your money and it just, it just becomes a waste of um money and effort for you. Um going into the pathways. So I've been getting a lot of messages from graduates from Bulgaria just asking how to get back because there's a lot of conflicting information online. So there are uh three different pathways. Essentially, you have uh something called a competent pathway, a standard pathway and a specialist pathway. Most medical students um that graduate from anywhere other than like USU K, Canada Australia take the standard pathway. This one is basically um sometimes specialists take it as well because this one's the most straightforward one, it has two exams that you have to do, which is uh AMC part one exam, which is an M CQ cap exam and a clinical exam. The competent pathway are those graduates that um do their medical school in the UK US Canada. But there's a catch because like everything with Australia, everything is a catch. So once you graduate, if you work in the UK, if you go through PLB and work in the UK for like two years, you can take the competent pathway, same with um other exams like Canadian exams. U uh USU S family part one, part two. The catch with all of them is just doing the exam is not good enough for Australia. Like you have to also work in the USU K whatever respective countries for at least a year or two, it just changes and the specialist pathway is um something that people look into. They just think that ok, if I go to the UK and just specialize in something, can I get to um can I come to Australia without any exams? So with this one, it's also very, very tricky meaning like most of the time they don't recognize specialist, um like degrees that you do overseas, you go and apply directly to the Australian Medical Board and they assess, they spend like 2 to 3 months assessing it and then half the time they don't approve anything. So you still have to go back to the standard or the competent pathway. So, is that kind of like, does that kind of make sense? Do you guys have any questions with the pathways? It is very confusing. But I think like if you have any questions, I can clarify it. No, then I'll move on. Um So the aim of ah thank you. The aim of today was for me to just go through um that yes, clinical experience in the UK is required if you decide to go to the UK cause a lot of the times it's written online that if you just get the registration in the UK and you work there for two years, um You can come here, which was what uh my understanding was I got my complete like general registration in the UK after graduation and I was hoping I can go to UK for two years, gain that experience cause foundation year programs were a lot easier to get into and then move to Australia. But um unfortunately, you need to sit flab and then work two years if you don't do that when you come back to Australia they still require you to sit the exam. And also um uh pla exam is very difficult to get into cos most Bulgarian graduates don't need to uh do the pla anymore. Um, the specialist pathway, there's not much clarification I can give on that because unfortunately, the um Afra or the medical board directly deals with the specialist. So it depends on how long you've been a specialist for where you studied, where you did your primary qualification, what, um, what exams you've done for registration. So it's quite, it's quite, um, difficult to, for us to even know what process you, they used to, um, assess you. It's, it just depends on what they want you to do. Um, if you go back to the UK and practice for two years, can you continue through them? Um, again, you'll need to have sat the pla, um, as a Bulgarian graduate, I couldn't, uh, register for the pla pla exam. So that was one of the reasons I had, I came back directly to Australia because if you don't write Plav, then no matter how many years you do in the UK, when you come to Australia, you still have to write the exam, the AMC, part one and part two exams. Um, sorry, what was that about the GMC registration? I didn't get that one. And, yeah. N uh, no plug, it means you have to sit the AMC exams. Yes. Mhm. Do you need pla for competent pathway. Yes. Don't need to work in the UK. Um, I'm not sure I understand. Um, what do you mean? Like, you don't need to sit the pla exam if you graduate from Europe European countries? Is that what you're trying to say? Ok, I'll, I'll wait for you to clarify that because II don't quite understand the question. Um, yeah, Bulgarians graduates cannot sit the pla exam right now because, um, it's kind of weird because uh for the last two years, I think um they, they don't require Bulgari Bulgarian graduates to um sit the flab exam for a general registration in the UK. That might change. I heard that I think in 2025 or something, you, you start the UK MLA. So um when I tried for my general registration, I got my general reg but then I figured that I need to sit the Plavix exam. So when I tried applying for it, there was a one-year wait list to even get a spot because the people that actually need the exam to get their registration gets um priority over us. WW we didn't need the um exam to get the general registration. So it was a bit complicated because it's an unusual situation and um it was, I think due to Brexit and things like that, like they just didn't make it a condition anymore for us, just did the lab exams. So yeah, um that was a complication that II came across and no one could help me with it because it was, it was not normal. And I think they are introducing the UK Malay soon. So then maybe everyone would be required to sit that exam. So let's move on to the next one. So the main thing I'm gonna talk about today is the standard pathway, which is what I've personally taken cause I wasn't eligible for any of the other ones. Um, competent pathway would require me to be in the UK for at least two years and do my foundation one and two along with the pla exams and I just didn't wanna waste like three years in the UK when I know that I wanted to be in Australia. Um, do they consider your grade or de in the degree? No, they don't, they, they, they do not care as long as you have a primary degree, you, they don't really care about the grade or if you got like a six or in your exam or anything like that. Um, one thing that they do like is, um, if you can do clinical attachments in the UK during your education, like, I guess that would count because UK medical system and Australia is quite, um, quite similar. I saw online as long as you have GMC and practice for one year, you don't need to sit. Yeah. Well, see this is the thing, it's a very, it's a very small condition that they put in So this was my understanding as well that if you got your general registration with the GMC, like your open registration and you work in the UK for a year or two in your foundation one and two, you can come to Australia without any exams. But the AMC, I say that along with your GNC registration, unless you are like, unless your primary degree was from the UK, you will need to sit the pla exam. But in my situation, like the pla exams weren't a condition to get my registration. So then when I got my open registration, I came here and I was like, hey, is this still valid? So they were like, basically if you have no red, like if you have a registration without any exams, that means when you transfer over to Australia, they will expect you to sit the AMC part one and two. There's no exemptions. You're not exempted from any of the exams unless like I said, you've yeah, sat something else and cleared it and whatnot. So there's no way you can come to Australia without doing any exams anywhere. So my like, what if I have you as if, even if you have U Assembly, you need to do all three, I think three or uh how many steps, but all the steps and then um you have to get matched into a program and then work there for a year. So I'm gonna go into that now. So A NC exemptions. So to get an exemption from all the exams, A NC part one, part two, et cetera. And to be eligible for the competent pathway, you have to have any of these exams to a club, New Zealand, uh your assembly and the L MCC from Canada. But again, the catch with these is you can't just do the exam and come work in Australia, you have to do the exam and then work in the respective country for a year or two and do your foundation years, like your internship year plus like at least 1 to 2 years of like foundation training. So by then, like, I don't know if anyone's that committed to actually move to Australia do three years in another country and then decide to move here. For me. It was like my family lives here. So I was pretty motivated. Um I was pretty motivated to move camp. Um You're not not able to read. Um I think I'll drop a message for Jemima Jem. If you're in this chat, I think someone's having issues not breathing. OK, let me see. Thank you. All right. So I'm just gonna give you guys a bit of um guidance with the exams because I found it quite difficult just to get like um just to get like a structure and an idea of like where to start, how to start, what to do um while I'm in medical school. So um I basically started from scratch after graduation. And after like, cause I graduated in April and I didn't start like deciding, I didn't even decide that I wanted to come back to Australia until like August time. So um the whole purpose of this talk was like, just for people like that, I've decided that OK, UK is not for me or some the other countries are not for me and they wanna make the move to Australia. The M CQ exam is the first hurdle that you will come across cause getting the registration and like getting the, you know, getting started with your account and getting registered with the Medical Council is quite easy. They do it within two weeks. Um I know the GMC took like, I think three months to give us the general registration and the whole process took about three months ish. Um A NC took about, yeah, a couple of a couple of days to a week. Um So the first exam that you come across A NC. So to be eligible for the A NC, you have to have your primary um qualification verified by IC and then they check everything it takes about 2 to 3 days and then they'll tell you that you're eligible to book for your exam when you book for your exam. Um you're paying for one year, you can write the exam anytime within the one year. So if you book an exam like in January and you have it till next Jan. Um, you can change your dates as many times as you want within the year, but 21 days before the date, actual date of your exam within 21 days, they don't do any refunds. They don't do. Basically you forfeited your money and you, you have to, if you wanna rebook, you've gotta pay the whole amount again. Um, and that's for any excuses like family issues emergency. Like they don't, they don't really care about anything. Um The exam format itself is 100 and 50 Mc Qs. Um 20 100 and 20 of them are marked and they are unmarked. You have 3.5 hours to do it. Um The results come out in a month's time. Uh Yeah, in, in a month's time, 21 days and a pass would be anything over 250 and the score is out of 500. So it's a very weird exam because um the 30 questions that are marked are like trial questions for the next month. So most of the time people, what they do is they, um they look at the questions from the previous month. People tend to like write it down and stuff. So you get an idea of what the topics are that are, are and you're being tested on adult health, which is your medicine. It's about like 35 questions on like all your internal med, all of those medicine, sub medical subjects then your adult health, which, which is your surgery like Ortho trauma, all of that, Syne women's health, Pedes mental health and population health altogether 100 and 20 questions. And then, um, you're basically tested against everyone that's sitting the exam within the month of the exam. So I sat the exam in March and you basically get tested against everyone in March. So they'll tell you. So this is how the scores come out. So they'll tell you if you're in the top 25 bottom 25 or the average, average half. And if you get any like you go basically pass all the sections and if you get any of the sections under in the bottom 25 then you, you won't pass the exam. You basically have to pass every single section to pass the exam overall. And because it's a pass fail exam, they don't really care about um the grade like at the hospitals. Uh Can you opt out? No, unfortunately, you don't know which, which of the 30 are unmarked. So you have to complete the exam. Um There are lo loads of rumors about having to finish the exam to pass the exam. Like as in if you leave questions blank, they don't let you move forward either. So you've got to pretty much put an answer for every single question to have a uh to even have a shot of passing the exam and loads of rumors about which month is better and whatnot. So if any of you guys do, like, seriously think about taking the exam, I'll drop my email at the end. You can message me on where to like, like how to stra like use your strategy and how to strategize and all of those things. Uh Do you s yeah. Or did you have to live? I saw. Hm. This is a tough question because um my uni, I studied in Ple and I feel like it depends on how you study to pass the exams, to get through that. Like our uni was special because you could do nothing and pass the exam and you could study a lot and fail the exams. So my knowledge personally wasn't 100% I would say cause I mean, I did do well in certain subjects like internal was ok. Surgery was one of my good ones. Um, but this was, this is interesting because when I started studying for the A NC exam, I felt like there was just so much, I just didn't know and I was ok with that. It was obviously like, I freaked out for a minute but I was very, like, calm, like I was in, I was very prepared for it because I knew that even though we're forced to learn so much theory, the fact that we didn't have too much of a practical experience at the hospitals, um, will put us down when you go back to countries such as the UK US and Canada Australia, all of those countries. So I was prepared for it. But I think studying for this exam kind of showed me how much we don't get taught at our university. Um II can't say if it's the same for other universities, but at least for plein, our lectures were not really lectures and, you know, like at the hospital, we weren't allowed to do a lot. Like even in our, in our like intern years, we didn't really do as much as like an intern would do in Australia, for example. So yeah, I think we all have our work cut out for us. So no matter what exam we sit for, I think we pretty much have to learn all of medicine, like all over again. So something that's good about the A N CMC Q exam is I know for the USM, you've got to do like your basic subjects, like your physiology, anatomy and all of those in A and C. We don't have any of that. So it's like heavily clinic based, I mean, clinical based. So that was kind of like a relief and each of these sections have like s important or high yield topics, right? Um If you decide to go for the exam, I would suggest that um you guys either do a small course or like uh yeah, it was very long. Uh I mean, if you decide to go ahead with the exam, I would say do a small course. Like there are so many people that offer courses in Australia, like five weeks, six week courses, they are a bit expensive or you can reach out to someone that has done the exam before. Like me again, I'll drop my email at the end. Um So you can ask them what are the high use topics? And there are so many like Facebook groups that also talks about um like as in Facebook groups for like people who are sitting the AM CMC Q exam because 100s and 100s of people sit this exam every month. So the exam happens every month of the year except for December and January. So yeah, there's a lot of information I know, but hopefully I'm not confusing you guys too much. Um I'll go on to the next slide which is sorry how to prepare for the exam. So the first and the most important advice I have for this exam is I've, I took, I think close to five months to prepare or six months, the first two months, I was very unfocused. I kind of tried doing a lot of things altogether because I was, I just wanted to get over and done with the exam because I just want to start working and I think it's the same for a lot of us that graduate. We just wanna get back, get into work already. But I would say take your time, like actually read about the exam and take your time to build a strategy because I feel like this exam was very strategic, like passing it the first time is like quite stressful and it's a lot of pressure that you put on yourself in an exam that's like designed to fail you. Um I think uh sorry, uh I think Jemima might share it or I'm not sure how it works. Um But I think she can drop you a message about it later. OK. So yeah, just familiarize yourself with the exam and I would say kind of not use too many study resources. So there are a few books and resources that the A NC itself recommends. I would say just stick with those and try not to confuse yourself because so there are so many people out there that's offering AM CMC Q help because they make a lot of money out of it to be honest and you just have to be careful not to get scammed with, with all the resources because they just try and push a lot of things on you because everyone wants to pass the exam cos once you pass the exam, you're eligible to work in Australia without doing the clinical exam. So after a NC part one, you can pretty much work as a junior doctor. You can work as a resident medical officer like RO or a house medical officer. HMO. So yeah, just use the materials that's like recommended by A NC itself rather than anyone else out on the internet and create a study plan. Most of these Facebook groups, they have, um, like people looking to find study partners, I would say find a study partner, someone who has the same goals as you. So someone who wants to have the same timeline as you and create a study plan with them. And the most important thing about this exam is the time management because 3.03 0.5 hours to do 100 and 20 questions, 100 and 50 questions seems like a lot. But when you're actually doing the things, the questions are quite long, they're like a page long. Sometimes I've heard that it's a page and a half long. So just reading through it will take about a minute of your time and you're meant to allocate like a minute and a half per question. So it gets quite impossible if you don't practice it beforehand and obviously asked for help. Like I feel like this exam I wouldn't have gotten through it. Had I not had like people who did it before me, like advising me every step of the way because I did not know what I was doing half the time cause plumbing or bulgar didn't prepare me for any of it, to be honest. And then I basically just did a lot of assessments like a lot of practice papers and I was studying about 13 to 14 hours a day to like just for the 23 months leading up to the exam. So, yeah, it is quite intense. And I would say once you make up your mind for it, it's definitely a doable thing. So don't get scared just by listening to all of this as well. Like don't get put off by it. The main resources that I would um suggest for anyone who wants to start in their final year of med school is in your sixth year. You're basically covering all these topics that are taught um that are tested in the AMC. So I would say you could probably start reading it. If you're in your final year, you could probably get like I can share a link with um a bit later to with all the research, all these books and whatnot. So if anyone wants to, you can just download the PDF and just start revising it. So if you say, OK, I'm gonna write my exam after graduation, then when you do your internal exam actually read for read like topics from the book as well. So the main, the main book that aims recommends is the John Meta's General Practice and the companion book. So the Practice, general Practice is quite a big book. It's almost as big as Davidson's. And for me, I couldn't read through it like I couldn't sit through it even though people said that it's probably gonna help you the most in the exam. I read the companion book, which is about 700 pages, like literally the smallest book that you can find. But I read through it like two or three times before my exam and the handbook, the blue book which you can see on the screen. This book is basically the only complete form of questions that are the most similar to how it is in the actual exam. So most recommended thing like the what they recommend is read this book at least 3 to 4 times before your exam. And this book is also about 700 pages. And then ambos, I'm sure you guys would have heard of AMBOS. It's got like a complete AMC guide which is free to download and it basically breaks down topics. So under women's health, what topics are tested, et cetera. So you can look through that and kind of familiar yourself with all the topics that are most frequently asked. Um How many months did it take me? It took me about ok. So I wanted to do it in like two months, which was a bit unrealistic. I started preparing around five months, six months ago. And then like I said, the first two months I was messing about because I didn't know what I was doing. I had no real direction. But the three months before my exam, I basically spent like every day I would spend like good 1213 hours studying. Um So I would say like, give yourself a good like five months just so you can wrap your brain around. Like I would say that's the shortest time, like five months, don't go any shorter than that just to like wrap your brain around all the information that's gonna be thrown at you. Um It is quite daunting because you're basically used to doing like one exam at, at a time, like, you know, you do internal med. Ok, great. Like it has a few different specialties, but then this exam is basically everything that you do in all of your clinic years. So it is too much information and you know, you just need to be prepared for it. Um Have I looked into specializing in specializing once you pass your AM CMC Q exam, you're eligible to start working. So my pathway that I've chosen is um I'm skipping the clinical exam, which I'll get into later. Um And then once you get into the system and you start working in Australia, there are no restrictions you can specialize in anything that you want to, you can specialize in Australia. Um You just have to apply to a college and get into, get into it. Basically, research plays a huge role in that. How early can you do the exam? You can do the exam as early as the next day of your graduation. Like they don't really, as long as your Epic is done. Um There's no restriction on when you can do the exam. You can um you need, you need your degree though. Um You can't do it without actually getting your letter of completion because for Epic, you need your letter of completion and your degree like to get it verified. How many times are you allowed as much as you want? They don't uh unlike the US family, they don't really care how many times you sit the exam as long as you have the pass rate, uh pass mark at the end of it. Um It doesn't work against you when you apply for jobs or anything. In terms of research papers. I haven't personally done any research papers but I know it really, it doesn't help much when you're doing the A N CMC Q exam. It doesn't really make any difference, but it does help a lot when you wanna specialize because if you do um research papers, the more research papers you do in your area of interest that are published. Um It's easier to get into a college is what I've been told. Um in terms of getting a job, it doesn't make any difference. It doesn't make any difference if you have like clinical attachments from the UK, unless it's paid work, they still take into consideration paid work from other countries. But if it's just attachments or observer shifts, they don't really care about much because it's not in Australia it wasn't done in Australia. You can sit the exam in another country. There are, there's like, if you go to the AMC website of, like, scheduling and all of that, I think they pretty much have it in most countries. Um, but I'm not sure. I don't, I don't really have a list. Are you only, uh, no, you can sit more than once a year. Like, if, if you sit the exam in March, you fail, you only find out the results in April, right? So, um then you might have a bit of problem with writing it in April cause you need to book the exam at least 21 days before the date of your exam. So you can sit up straight after like in May, you'll be fine. Uh Does your grade at any required exam? Uh N no, your grades from your university doesn't really affect anything. Um Your grades from AMC part one doesn't, doesn't change anything and a any of the AMC exams, it doesn't really like determine anything, your research papers. However, do the more research you have, the more you're showing them that you're interested in this specialty and that's what you wanna get into. Uh Would you please repeat work and placement? I will go through some of the work and placement stuff at the end. Um Cause I still wanna go through the clinical exam and then go through the workplace phase assessment. Uh Did you do, did I do clinical attachments in Australia. I've so I grew up in Australia, I've done clinical attachment in Australia before going to Bulgaria. I also did dentistry before um before going into med school. So my situations was a, it was a bit different. I think a lot of the times people struggle with getting visas to come to Australia once you're here getting a clinical getting started with a clinical attachment, observer is not too difficult. Like you could pretty much message like hr of any of the hospitals and they're very accepting of IM GS like Australia is filled with in GS and they always want more doctors in like Outback areas like, you know, um uh regional areas. So they'll always have work for you. But if uh I personally, I've done one after my school, I did one before coming to Bulgaria. And then since I've been back, I've also done one at a GP clinic. So I've been getting, I've been doing a few here and there. Um But again, I it doesn't even if you don't do it, it doesn't really matter because once you get a job offer, they usually give you like a two-week cooling off period or um training period where it's basically like an observer or clinical attachment. Um What are the requirements for your monitor? OK. This is uh this question was very confusing for me because uh it's something I came across like when I was applying for jobs. Now, Morum doesn't really affect you here unless you are going down the GP route. So if you're already a general practitioner and you're applying to work as a GP, after your A NC part one, you cannot have any government benefits for like, I think 10 years or something. Like, it's something crazy, like 10 years, you have to work, like, in like rural areas and build your way back up before you can work in metro areas and offer those same services that an Australian doctor would. But it's too much, it's too confusing and unless you're a GP already, it doesn't really affect you. And most of the IM GSI feel go for hospital jobs because they pay a lot more. So when you're in a hospital situation, the moratorium doesn't really affect you is what I've been told by the AMC cause I thought that it would affect me considering I'm a I MGI would have had to work 10 years, not in, not in a city um area, but yeah, it doesn't affect us. So going into the clinical exam, the clinical exam is scary. So I forgot to mention the AM CMC Q exam has about 40 to 48% pass rate. But the clinical exam is a bit scary. It's only got like less than 20% pass rate and I think one year it was like seven or 8%. Um a lot of the time it's the communication skills that people fail over. So just how well you're able to empathize how well you talk and understand the meaning behind what they're saying. Just communication skills, nothing to do with the medical knowledge itself. So you could know um you could not know, like maybe you won't know what the diagnosis is or how to do the investigation. But it's more likely that you fell over a communication skill rather than um the fact that you didn't know how to diagnose the patient. So they don't care about the diagnosis or the investigation. So MC, um the clinical exam, the prerequisite is that you need to have passed the M CQ and you can either go directly and do that clinical exam, which is something I don't ever recommend because Australia has its own system for everything and it's better that you work for a year and kind of understand the system before you go into doing the clinical exam. And like one year of residency is what they um recommend as well. What the A NC recommend. It's not really an eligibility criteria, but I put it in there just because it's, it's highly, highly recommended. Um then you pay and again, you have a year to figure out a date. And with this exam, clinical, you cannot change the date once you book it, um you're basically sa locked in for the same date. Um The salary for a junior doctor, I'll get to that in the end. Um I have to plan on that too. So the format for the clinical exam is 16 stations with um four stations of rest and they're all stimulated clinical scenarios with like actors there. Um acting out each, each thing and you basically find out if you pass or fail the station based off of their reaction to um your plan or whatever that your interaction, they'll react in a way that they're either happy or sad by or not happy at the end. Um It's about 3.2 hours and you get 10 minutes in total with each patient and two minutes of reading time and eight minutes of actual investigation and patient time. The results come out in a week and you need to pass 10 or more stations to actually pass the exam. But again, very low pass rate. And uh it's not, it's not the one that I would recommend doing a NC clinical exam is scary if you just Google it as well. In terms of the fees, the M CQ exam is about three grand. Um When I started it, I paid about, I think, uh altogether, I think it cost me about a good 10 grand with all my investments and everything. So it is quite expensive. Um They, there's no point in verifying the results. If you, if you fail, even with one point and you asked for verification, there's no point. There's no, there is an option to do it, but like it's almost a 99.99% they didn't ever change the results. So it's a waste of money and you just have to accept the results. So, um, all of the rest of it is like, quite irrelevant, but they have it on their website and it's important. It's good to know. The clinical exam is about 4.5 grand altogether. Um, and again, now they have an option to do it online, which again is not recommended by the A NC itself because you have to do a lot of like examination, like patient examination. And when you do it online, you have to describe each and every movement and you can fail for not describing it. So I feel like the online clinical exam is harder than just going in person. And the in-person one is like a good $400 cheaper. So yeah, I would suggest if anyone is going for it, then go the in-person. Now, apart from the clinical exam, there's something known as workplace based assessment. So this is the pathway that I'm taking. It's about 12 grand, it's like per month that you pay 1000. Um and it's something that like you basically finish your AM CMC Q exam and you get your first job. So the job that you get um you can ask the hospital to assess you in that one year that you work with them. So it's basically got no fail, right. So it's just a highly competitive pathway because obviously the clinical exam has a very low pass rate. And then what W ba has like almost 100% pass rate. So it's just like a no-brainer, people always want to do the left leg base assessment. So if you can get into this, then that's literally the best pathway because you're working, you get paid and you're um spending the one like uh $1000 from your salary, which is almost next to nothing. But for someone who's not working, a lot of these fees are like quite a lot. And if you have to sit the clinical exam twice, that's already like close to 12 grand. So yeah, work place is base assessment is what a lot of the IM GS opt for. There are many states that do it and many hospitals that do it. And each time they take about 50 to 100 doctors, uh which is not a lot, it sounds like a lot, but there are so many IM GS that pass the exam each month. So it's really not a lot of spots. Um How can you apply for workplace um based assessment? Basically, like I said, after you finish your M CQ exam, uh you can apply, you apply for your first job. So you apply for uh but for your first job, basically in any hospital, just you just send out your email and most of the time it's the rural hospitals that take you and then once you start working, you can ask your hospital. Um hr that, ok. Listen, I'm interested in doing the W BA program. Um How can you guys organize it? You just need an attending that's willing to assess you basically. So that's something that the hospital will organize for you depending on how your performance is. Like, because it's such a competitive program, they don't wanna really offer it to people that aren't solid in their knowledge. Like you gotta show them that you're worth investing in. Basically. So you're selling yourself and your knowledge to the hospital to be like, OK, I'll be a great asset if you guys like, you know, do this for me kind of thing. It's just a ll like a way better option because you're getting paid. Like, I can't imagine not getting paid and, you know, pulling out four grand and five grand, like every time you need to sit the clinical exam. So, yeah, um if it's of working in Australia, um I'd like, this is something that I came across because Australian healthcare, I might be biased because I'm from here. But I find Australian healthcare quite amazing and the work-life balance is really good. Um The professional development, every single hospital gives you so much opportunities to do, like build your knowledge, like as much as you want and they always like, support you through it and the best thing is the salary. So starting salary for Australian doctor, a junior doctor, now that I'm applying for jobs is it's quite a lot compared to the UK where you get, I think 20 20,000 or something to 35,000. Um, it does vary per state. So I think act is the highest and when I was applying for jobs, junior doctor starting salaries were anything between 80 to like 100 grand, Like for first year doctor, um, for Queensland, which is where I'm from. It starts at 70 to close to 9890 99,000 doesn't quite hit the 100. But your salary changes every year and it keeps going up every year. As doctors in Australia, you pretty much earn quite a bit of money and you're very comfortable because you have a lot of benefits from the government. Um, one of the few things that I recently found out about is the government. If you work in a government hospital, you basically get like free cars, which is quite cool. Um, tax bracket. Um, that changes quite a lot. I don't know if I know enough about it to talk about it. Um, I can look into it and I can message you later if you guys are interested in it. I haven't really, yeah, it depends. It goes. It is, you are taxed quite heavily in Australia, but even with the tax, you still earn enough to lead a comfortable life. As a doctor, you, it's very highly paid and the more experience you have the better pay you get. Um, and the more rural you go, the better payment you get as well. Uh, does the hospital expect a minimum period? Uh, after passing the W ba, no, um, the W ba period is about a year after passing it. You're pretty much free to work in any hospital in the country, including metro areas such as Brisbane. Brisbane is a city that I am living in and to get a job before finishing your part two or W ba is pretty much impossible. You have to move out quite a bit. But um after passing W BA or your clinical exam is when you get your general registration until then you're on provisional registration with your part one exam and you're limited to where you can work, how much unsupervised work you can do, et cetera. So yeah, they don't expect too much from you. After passing, you're free to do what you want. And that is all for me. If you guys have any questions, I'm happy to take it. But I think Jemima also wanted to send a feedback form to you guys. Yes, I'm gonna send the feedback form now. So if everyone could just fill in our feedback form and then come back for the Q and A, if anyone has any more questions for Doctor Michelle, so we can come back and have AQ and a session. But if everyone could go fill out the feedback form now, um as it just helps our doctors who running the webinars with um their portfolio points. Um So it's really helpful to your feedback. And then we also know what type of um events we should do um in the future as well. So if everyone can go back um fill in the feedback forms and then return and we can do AQ and a session with the M with Doctor Michelle. Ok. So I'll read from the top. So Lulu asks, how many years do you have to work as a junior doctor before being able to apply for specialty? Or can you apply for residency right after passing the M CQ exam? Ok. So that kind of is different for each individual. So it depends on how much experience you have. So a lot of the times there are specialists that take the standard pathway just because their specialty wasn't recognized in Australia. So talking from the point of view of a graduate, like a recent graduate as my like myself, I will go from that perspective first. So for me to get into a specialty, I will have to do at least a year of junior doctor like position um along with my clinical exam and get my registration. So once I have my full registration, they expect you to do at least two years of residency before you apply for any specialty um because the reason being, um most specialty colleges won't accept you without that two year of residency work. So you could continue working without, like, that's kind of why I it's important to get the clinical exam or the W ba out of the way, like as soon as possible because you want to just get started and go into any specialty. Now, if you wanna go down the GP pathway, you just have to work as a junior doctor for one year and then do your exam or W ba and then go into GP training straight away GP training. There are a few different options. You can do just GP training, which is a three-year program, uh or you can do GP training along with another specialty which is like GP anesthesiologist, which is, I think a new program, which is for four years. So it, it really depends on what you're interested in what the college expects from you. But as a minimum, I would say two years of residency if that makes sense. And that's just for a graduate, the more experience you have. If you've done your resi residency elsewhere, if you've done your specialty elsewhere, then Afro basically decides what you need to do before um, you apply to a specialty college. Ok, cool. Thank you doctor. So just gonna ask, do you suggest foundation years or specialty, specialty training in the UK before going to Australia? So as a specialist, like if I, if you guys remember the pathway um uh in the presentation, the specialist pathway is quite difficult because you just don't know what they want and they don't tell you, there's no clear guidelines like the, the flow chart that I showed you guys is directly from the Afro website. They just have no clarity for specialists. And even if you specialize elsewhere, a lot of the IM GS that take the competent um sorry, the standard pathway, which is the AMC part one and two are specialists. They're either GPS. Like I know a few doctors that are like um specialized in OBS from India and they've been working for like 56 years or um UK doctors trained overseas. Um when you apply for a specialist pathway in Australia, they make it, they make your life way too difficult. So I got told early on that if you're planning to come to Australia, try to do that before you do your specialization. So if you decide to go the PLA pathway by uh plat pathway with the foundation, you're training in the UK and then move to Australia, good. But if you decide to do specialty training and then move to Australia, just be warned that they might not accept your specialty training in Australia and might ask you to redo the whole thing and that's just horrifying. So I would say do it before. Ok. Um Ala asks if we specialize in another country. Is it enough to do the AMC and then um be able to continue as a specialized doctor in Australia or do we ha OK. You I think you answered this right? Yeah. Yeah. Ok. So shin ask, I hope I said that right. Um What is it like that in terms of living condition and safe? Sorry, I seen a lot, some giant spiders. That's my biggest fear for me that you come across these. I mean, I was, I mean, thank you for that question because I was actually expecting this a lot earlier. Like I feel like there's so much of a stigma around Australia that you're gonna get murdered or something by some animal get eaten by a spider. I mean, this is like a question I got every day in Bulgaria like do the kangaroos bite you? Like do you get spiders falling off the sky? Um There's so many videos on this online as well like the stra where like, you know, God just decide to dump all the animals like no, it's not like that. Um In terms of all right, let's let's be serious and so on when you do your A NC exam, right? You will have a specific section designed to teach you how to deal with snake bites, spider bites. That's how you know you're being prepped for Australia, right? Like it happens not as often as you think, but it can happen a lot of the times you snake bites and spider bites and all of them, they're not fatal for me personally. I've lived in Australia for like, 25 years or longer and I've seen maybe like two snakes and that too, really far away. And I have seen a lot of spiders but none on me never been attacked by anything. So, I mean, if you're living in the city you're not gonna even come across it. But yeah, it is, it is still like a country with a lot of nature. So you're gonna see it but never inside your house like the videos online. That's mostly like, you know, people that leave the door open. I mean, you wouldn't leave the door open, don't be as trusting as when you are in Bulgaria or the UK, just make sure you lock your doors, you know, screen doors and all of that. So yeah, Australia is well prepared for this, so you'll be all right. Ok. Oman asks how did he actually go about finding a job? Did he go through an agency or did you contact the ho hospital administrations or go through your own like emailing? Um So Australia is very interesting in the sense that they don't actually accept agencies for doctors. So as an I MG, if you use an AMC uh agency, you're not gonna find a job because the hospitals don't accept agency approved doctors. So you have to apply either directly through the hr um of the hospital like you just basically start emailing the hr or there's something called smart jobs. Um I can leave that message with um Jemima as well. So it's called smart jobs.gov dot au or something. And that basically has all the jobs for all the states and you can look for it on your own. But most of the time, the, the most effective way is to email hr of a specific like area. So they just forward it to all the hospitals that they own and then they have your resume on file a lot of the time. They warn junior doctors and IM GS that already passed AMC. So yeah, they'll, they'll contact you. Ok. Super. Um ok. Um A friend asked, did you graduate with a full GMC if you applied with them? I don't know if you applied to the GMC or not. Um I didn't graduate with a G MCI graduated. Uh I think May last year April. Um Yeah, April. April May around that time and, and it took me three months to get the GMC open registration because you need your letter of completion. So after your last exam, you can basically get a letter of um completion from your university. Um Just you upload that onto Epic and give access to GMC AMC, whichever you know Medical Council you wanna get into and it takes different timing, different uh depending on which country and what documents they need, et cetera. It took me about three months to get my open GMC and about a week or so, two weeks for AMC. Mhm. Um, and obviously when you graduate from the UK, you, you can get a full chance d license internship here. Yeah. Yeah. Well, if you're a UK graduate or you graduated medical school in America or Canada, you can pretty much come to Australia without like sitting any of the exams because that degree is recognized in Australia. It's only for those who didn't graduate from any of those countries, especially the UK, I think the UK and Australia like sister countries. So they basically accept all of it. Yes. OK. So I think you might have answered this already, but I'll ask it. So I'm said, say, asks. Um so even if an individual has obtained a specialization in another country, there won't be a specialty exam for that specialized field. And therefore two years of residency with either a W BA or clinical exam excluding GP. Um for example, cardiothoracic neurosurgery or internal med. Yeah. Um Like I was saying, I've seen like when I was studying for the A NCA lot of my um study, like group members were all specialists. Like they all had more experience than me, more knowledge than me. Like they've been working in their home countries for many, many years, like some people, 15 years, you know, 20 years and they eventually decided they wanna move to Australia and they're sitting the A NC part one with me because their specialty was not recognized by the specialty colleges in Australia or Afra, which is the medical board just said, ok, it doesn't really count because the training is quite different from Australia. So then they don't accept any of it. Maybe if you're specialized, if you'd specialized in the UK, maybe a might consider, consider your specialty training as valid in Australia. But again, that's something that only they can answer because they don't give any clear guidelines. So, yeah, sorry about that. I don't know how to be any more clear. There are no specialty exams as far as I know, they just assess it and say, ok, you're good for it or you're not good for it and then you gotta go through the standard pathway, which is just the AMC exams. Ok. So you asked, can I ask, do you do the F one after the AC exam and then another year for WB or after your AC, you start the WBA when you start the foundation year? I don't know. Do you understand that question? I uh yeah, kind of. So F one is more of a UK concept. We don't really have F one F two here. It's just JM O which is your junior medical officer. So my, the pathway would be you get a job as a JM O RM O HMO, any of those M OS. And then, um, you ask the hospital to give you A W BA which is basically assess you while you're in the work. So it's not really a separate year. You just start getting assessed from whenever they sign the contract with you, which then takes up to a year for your assessments to be complete cause you'll get a whole lot of checklist to complete. And your senior, like your overseeing of, um, I don't know, um, consultant or someone has to like, make sure that you're doing each procedure, right? And you have to basically fill out the logbook and then send it off to medical board and then they, there's a whole lot of paperwork as well. So it takes, I think the quickest I've ever heard someone do the W BA program was nine months but it can take up to 12 months depending on, you know, what patients come to you and what you need to be assessed on. So, yeah. Ok. Um, then we have, how many hours did you know doctors work? Oh, that's a tough one. most of my friends that started working already, um, they don't, they don't do as many as my friends who are working in the UK. Not as much as I know. Cause in the UK, I think I've heard that they do like 80 hour weeks, which is too much over here. We have a standard of care for the doctors as well. Um, I think you can have like 12 hour shifts and things like that. But then you also get that much time off on average. I'm not really sure how much I can let you guys know once I start working at my hospital and then yeah, but II know that they do get a good life. You cause you don't want overwork to junior doctors in the hospitals that takes, brings down the whole healthcare system and no one benefits from it. So they don't do that here. Um ok. And it says are drops easy to come by. Hey, is asking he um easy. Yes and no because I mean, it takes time to get your first job. But once you're in the, in the system, you're pretty good. And once you pass your AMC part one exam, you get a lot of job offers as well. But again, it depends on your visa status. You know, I think the p the thing that people struggle with the most is not the job itself. It's more the visa or the migration process because Australian uh Australia is pretty strict with the migration. Um If you have a NC part one and part two, you, you can come, you can get a visa or pr or residency pretty much like it's pretty straightforward and easy. But if you only have a NC part one, they don't really like just give you a work visa, you gotta get the hospital to kind of give you sponsorship similar to how it's in the UK like you gotta convince the hospital like why they should hire you, if you're gonna be there long term, why should they give you a work visa? But yeah, but if you, if you have like, you know, if you get a NC part one and two and you've got open registration then I think it's a lot cause it's one of the jobs um that's on the, I don't know, um the thing that they're looking for, they give you visa, residency, all of those things, the immigration people, I just heard about it and II know a few people that went down that pathway because they wanted to get citizenship. So that's something that you can look into. I hope that answers it. Um It's not really, yeah, II could go more into like immigration and stuff but it's too much um things to, it's, it gets very complicated real quick. Um Let me go through the next one. What's the difference between junior doctor and residency? Um Junior doctor, you're very limited to what you can do and you need a lot of supervision because I don't know, I don't know for you but like at least for myself, I prefer the supervision because it's really easy to get things wrong and you don't wanna be in a position where um you feel like you're not really looked after in the hospital. Um And it teaches you a junior doctor is a position where they teach you a lot of things as well. Like they'll, they'll be more like forgiving, but also they'll be training you a lot and there'll be someone overseeing pretty much everything that you do in your residency period. Yes, you still have a team but you're expected to do a lot more things on your own. Um, I feel like, yeah, that's the big difference. So that's why resid is like the pathway to specialization. Ok. Sorry. Yeah, I can hear you. OK, cool. Uh What do I plan on specializing in? Uh That's a good question, to be honest, I am interested in everything. Um But medicine, internal medicine is what I want to get into and then subspecialise in cardio hopefully. Um cause that's what I focused on my research in as well and I wanna do like GP slash internal med like eventually. So that's the pathway most people choose where GP gives you a great like work-life balance of 9 to 5 and you can earn your clinic and you know, do all those things, but you also have the option to go into the hospital when you need to and both those specialization together is not too long either and you're working throughout. So it's like great money as well like incomewise, financially stable and all of those things. So yeah, I think that's my plan but you know, it could change, I think with medicine it's so difficult to like kind of narrow it down Um So sh us again, did you take extra courses after you've graduated to improve your practical skills, like taking bloods or did you just gradually learn? I don't think you've started working just yet though. Have you? No, but I did II wasn't a, I mean, uh without a NC exam, you're not allowed to do anything in Australia. Firstly, so I just passed my exam um like a week and a half ago, like I just got my results a week and a half ago, I did my exam in March. And then um in terms of extra courses, I did my A LS course, which is like advanced life support, which is really highly regarded here when you apply for jobs. So after you finish your university and you know, if you decide to go down the A NC way, once you do your A NC exam, you know, the time period that you're waiting the one month, um I would say do your A LS course, it's a one day course you get accredited within the same day as well and it gives like CPD like professional development points as well. And also your English exam that those are the two things that you should be focusing on after you do your A NC exams. Don't do it any sooner, don't do bloods and things like that any sooner because they all expire. Like, you know, depending on how long you take your take to do your A NC exam, just wait it out and once you clear it, then you can focus on things, taking bloods and catheters and, you know, all the, all the small things you learn pretty much on the job. And I think any doctor that graduated from Bulgaria, like all my seniors that work in the UK, they basically started working straight away and they said that it takes you a week or two but then you pick it up pretty soon, so you'll be fine, I think. Yeah. OK. Um Again, you've not really, I'll say this question, but you've not really worked yet. So, so did you feel like there was a gap or slight barrier in knowledge, practical, like skills or examination when working in Australian hospitals versus Australian medical graduates? So, yeah. Um I do have, so my brother in law is in med school right now and he's in second year and I've got a lot of friends who graduated from Australia. Um I can say that in terms of their theoretical knowledge, they probably don't get taught as much as we do in Bulgaria. Like we're expected to learn synopsis and points and like topics and everything about it. Whereas in Australia, it's more heavily based on the Australian healthcare system and they are given a lot of exposure from the beginning. So they do uh four years of med school, which is basically you're working in the first year at UNI but then second year onwards, you're pretty much at the hospital. And then the 5th and 6th year is called their intern years where they're basically interns at the hospital and they're doing everything that an intern would do before graduation, which is I think amazing because they have a lot of hands-on experience. They know how to deal with patients cause that's all they're watching from like day one and they're forced to do a lot of things, not forced. But they're, you know, unlike Bulgaria where we were just standing around doing our rotations in sixth year, we'd wait for like, you know, an hour or two hours and then we'd be told to go home, which I found like, yeah, great while you're in uni it's like, oh yay, we get to go home and you know, do other things and we'll be free to hang out with other people and whatnot. But in terms of when you look at it in the long term, we learned nothing in our intern years, which is a shame because we could have been way more useful if someone had taught us how to do bloods, you know, unless you go asking for it even then sometimes they like turn you away. I think, you know, unless you have the favor of the t like a professor or something, you're not really useful at the hospital, you're just in the way half the time. So I feel like, yeah, 100% that there is a gap because they're just taught better here and that's because they want the healthcare system to be like, as amazing as possible. Right. So, yeah, I think, yeah, there is OK, asks if we do GP training in Australia since we don't do an exam for it, the specialty will be rec will the specialty be recognized if you move out of Australia to another country if we, if they do GP training in Australia? Um yeah, even just doing the M CQ exam, I'm eligible to work in India. I can work in the UK, like Australia is quite well recognized in other countries. So I would say if you went through training in Australia, you would be eligible to get registered anywhere. And especially if you specialize even Dubai, I think, which is quite a strict country in terms of who they allow to work as doctors. If you specialize in Australia, you're eligible to work in Dubai without, without exams. So, yeah, if you do GP training elsewhere, when you come to Australia, after your N CQ part one, you're allowed to apply for GP training as well GP training program which is done to the GP training colleges. So it's a, it's a very long pathway. But again, you'll have to go through the GP training again in Australia even though you're trained elsewhere. OK. Asked after one year of W BA for GP pathway. Do you have to do a two year residency. And is it possible to start a private practice in Australia once you're fully licensed? Because I heard it's a bit difficult in the USA. So, yes, once you finish your W BA, which is one year of working, um you would have your full registration, then you can apply for GP training through the GP training college like F RA GP. And um I think it's three-year training program after which you can pretty much work as a GP registrar. And um you can start your own clinic, you can do whatever you want. It's quite like quite a free range country. So you'll be fine, I think then the moratorium might apply to you. Um But again, you should be able to do it and there are ways around the moratorium as well. So, yeah, and then asked again. So after one year of uh uh just a week to week, week for that one. Sorry Lulu um says is ju is being doing junior doctor emergency but like working as an internal medicine doctor or you do residency in a specific department, for example, residency in psychiatry. Yeah, when you do a junior doctor, like when you work as a junior doctor, you basically get, I think this is the same in the UK as well where you're given a specific department or you can choose, choose to apply in a specific department. And even in residency, you move around quite a bit depending on which department you're placed at or you can apply to certain departments as well. I don't think there's any restrictions for it. I think the one that they favor the most is emergency because in emergency you pretty much get like, um, bit of everything. So, yeah, it's not like you're just stuck with internal. Ok. Um, I asked how hard was the A S cause I've heard it, it's very hard. Um, a less in the UK. I've heard it's weirdly like ridiculously hard for some reason which makes no sense to me because when we did a less here, they just wanna like, teach you like, um, II, don't II still fully, don't understand what makes it so difficult to pass in the UK. But in Australia it was a one day, one day thing. They give you training and then they test you on pretty much everything. So the only difference between A and like a first aid course is that in A L LS? You also administer medications, which is what I think made UK kind of stress, uh, stressful in the UK. But over here it wasn't a big deal. Like we finish in a day. Everyone passes like nobody really fails it or anything. And it's just a requirement that you have it. Uh, once you start working, the hospital will give it to you as well. Every year you have a refresher course on it. So, yeah, it's not, it's not a big big thing here. Ok. Um. Mhm. Mm. Let's see. Ok. So that one, Lulu asks, can doctors have that specialized in Canada or the UK start working a specialist right away? I think we talked about this already. Mhm. Yeah. Uh, the doctors that specialize in Canada again, with specialization. I think they look at it more favorably if you did your specialization in the UK US Canada. But there's no guarantee that you might be approved straight away to work without any exams. Sometimes they might accept it depending on your experience, depending on like a whole bunch of stuff. But they're very, they, they're really not clear on it. They don't really tell you like anything specific. You just have to apply to the board, medical Board and then they'll, they'll then just decide if it's ok if you meet the requirements and whatnot. So, yeah. Ok. Ok. Cause mom asks, so if you pass the ACMC QS, you can start working as soon as possible. Uh Yes. After AMC part one, you're pretty much free to work with a provisional license in any department, any hospital that will help you. And yeah, you're, you're good to get started, get that salary in. Ok, sorry. Did you say we can do the W BA in a GP practice? Uh No, sorry. Did I not mention that? Um So W BA programs are only in a hospital setting because GP practice don't have any of the departments. They don't see patients GP in Australia is the primary care provider. So they see pretty much everyone like any, everyone and anyone but a hospital setting is what you need to do, the assessments and the necessary investigations and things like that. So, no, W ba is not offered in GP practices just in hospitals. Ok. Asks what do you need to do with the graduation document from the university? Do you need it to be certified by the Bulgarian Medical Council? And how long do you do? Um So um once you get your diploma, official diploma, you need to get to a lawyer and then they will like you need to register yourself with the Bulgarian Medical Council and get like an apostle on your document. All of this is well and good, but it hasn't Australia requires it, but they only require it when you get your open registration. So then um I got it translated as well and a puzzled just in case because I don't wanna be going back and forth Bulgaria and you know, back for documents. And then once you apply for your registration, they may say like the the translation I got was not accurate. So they might ask me to ret translate it and there were mistakes in that as well. So I might have to get it rett translated. But Epic has like um something like a system that they use for translation and things like that. So I'm hoping that it would be ok. But for now they've accepted just my letter of completion. But I know once I apply for opens they will wanna see my diploma as well. Um It usually, it took me about a month after graduation, a month and a half after graduation to get all my documents sorted. Um, ok. Last question from Lulu. If you want to specialize in psychiatry, can you just do that residency in psychiatry or do you have to do it in other departments like em, or Im? Yeah. So, um, in your internship year, which you did at uni you pretty much did all the departments in your junior medical officer year, you can work in any department and if you choose psychiatry you can request for it. Um, not sure if you'll get it, but it's always good to keep an open mind when it's your first job. Um, and then when you're in your residency years, you can choose to just do psychiatry. You can choose pretty much anything that you want to that you're interested in. Psychiatry is an especially great, um, great specialty to go into in Australia because it's one of the highest paid paid, um, specialty. It's like $800 an hour or something to see a psychiatrist in Australia, which is, like, ridiculously good. But then again, it's a very tedious, um, like specialty as well. A lot of people don't go into it. So, yeah, you can, ok. Someone said what is open registration? Ok. Uh Open registration is basically once you've completed all your assessments. So after AMC exam, part one, you get a provisional registration, which is basically saying that you need supervision for certain things. You're not really like eligible to just work, go off and work on your own because you know you've just completed part one of the assessment. Once you do either your clinical assessment or your W ba um then your eligible to apply for open registration, which gives you like entrance into residency where you're allowed to work on your own and do a lot more things that you're not allowed to um do when you're in your junior year programs. Ok? Someone's asking if you only need the letter of completion to apply or sit the part one. I think you need diabetes. Yeah. So that's what I was saying. So when you do your epic verification, which is the first thing that you have to do post graduation. You, well, I only used my letter of completion because I wanted to get it started straight away. So my diploma took like two months or something, post graduation to be ready. So you can go to your university and request for a letter of completion, which is basically an official document that states that you're a doctor. You've completed everything, upload that on to Epic and then they'll verify it as your primary qualification and you can use that to make your A NC account and sit your part one exam. And then so far I haven't had any issues with it. They haven't asked for my diploma. But like I was saying, once you do your second exam or WB, then they might be like, ok, now we need to see your degree as well. They may or may not ask for it, but I've heard that they usually do so then you can provide your diploma to the AMC or whichever organization that um you're applying to. Ok. Um If everyone has, if you've not filled in the feedback form, could you please do so for Doctor Michelle? Um and also if could people just put into the chart, some suggestions of um what other countries you'd like to hear more about in terms of transitioning over there um After you graduate just so we can get an idea of like what other countries we wanna hear about and what other co what other doctors we should um contact Canada us and Sweden. Ok, Jim, I've also dropped my email in the chat because I think it's not very clear on the um presentation. So I've just dropped it in the chat if anyone needs any help. Like, you know, once, if they, if you decide that you wanna go, you wanna go into Australia and you wanna, you know, try for the exam, feel free to drop me an email if you need any resources, et cetera happy and doctors said she'd get like a PDF drive. Um But you have to drive. We'll put that on, we'll put that on our link tree on our Instagram page. So if everyone also follows our Instagram page, so you can be up to date with what's happening. I'm gonna post that. Oh I'm gonna post that. Uh bear with me. So it'll be on our link tree, our link, the link in our bio on Instagram. Um Ireland will be doing a talk at the end of this month with Ireland um the UK. We actually, I believe we have some talks already about the UK, but um some of the film team members such as myself are graduating this year. So we're trying to collect some information for you um about moving back to UK and getting all your documents sorted um UK Dubai USA. Ok. Um So Jim, um I'll also drop you like the presentation and a drive with um just resources to get you started like books and things like that. So if anyone wants it, you can pass that along. Ok. Um Anything else Ireland? Uh ok. So yeah, Doctor Michelle is gonna send me the PDF drive and we'll put that on our IG bio. So you'll find that in our link tree. Um You have her email address if you want to reach out to her. Um Anything else? Thank you so much doctor. We really, really appreciate your time. Thank you so much. Um Thank you for attending us. Well, everyone hope good luck to all of you guys, you know, hope you guys all do really well, post graduation. Yeah, you'll be fine. Yeah, and ok guys. So that's it for today. Thank you very much for joining us. We hope to see you in our next talk. It will be on the 30th of April. Um We'll see you then. Bye everyone. Bye bye.