Choosing to move to UK

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Annually almost ten thousand doctors graduate in Pakistan. After that, they all have to complete a one-year mandatory house job (internship) to get registered with the medical profession regulatory authority in Pakistan that is Pakistan Medical Commission nowadays.

Due to the abundance of private medical colleges and a large number of doctors being injected into the system annually, job opportunities are becoming scarce and a lot of doctors remain jobless for an indefinite period after completion of their house job. Although the number of doctors per 1000 people is just 1 in Pakistan, the government has failed to create job opportunities for doctors and bring that number up.

Many of the doctors after completing their house job go for local post-grad exams as a norm. Despite clearing the exams they have to wait for 1-2 years to start their training as there is an induction policy in place which requires them to have experience of working in the primary or secondary healthcare setting.

The government on the other hand is trying to let itself off the burden of public sector hospitals by making them an independent body to generate their funds for running expenses. This will further reduce the chances of getting a job for doctors as the private body running the hospital would try to decrease the expenses and maximize the income. In the process, they might decrease the number of doctors already working in the hospitals.

After completing my internship I decided that I would not be building my career here amidst this uncertainty. I had two options to choose from; PLAB or USMLE. It was not too hard for me to choose PLAB as I had always been inclined towards PLAB during my medical school years and after all one must choose PLAB if he has to bear the expenses for the endeavor.

Currently, I have cleared PLAB 1 and awaiting PLAB 2 while I see my colleagues and even juniors get into training posts. This can sometimes be very demotivating and frustrating but that’s okay. The destination I am willing to get to is worth the wait. I believe that five years from today when I will look back at the decision, I will be satisfied that I made the correct decision while others remained stuck and did not choose this path out of fear and uncertainty.

I aim to become a consultant oncologist in the UK. I know the path is not easy and there would be unseen and unpredictable obstacles, but they cannot let me give up on my dream. I will eventually get there one day.

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