Foreign Medical Graduates-FMGs

10/19/2025

Emergency Medicine training in United Kingdom

Emergency Medicine (EM) has rapidly become one of the most sought-after and dynamic specialties in the medical field. Twenty years ago, emergency departments were often managed by non-specialist doctors or physicians with backgrounds in internal medicine. Today, Emergency Medicine is a well-recognised and well-established specialty across many developed nations.

In several underdeveloped countries, however, EM training remains relatively new, and there continues to be uncertainty about pursuing a career in this field. In the United Kingdom, Emergency Medicine training is highly competitive — with the latest recruitment ratio being approximately 7 applicants for each available post. You need to have GMC registration to apply for training program.

This article aims to provide guidance for those interested in entering structured Emergency Medicine training in the UK, outlining key requirements and pathways.

Emergency Medicine Training Pathway in the UK

• Structured Training Programme:
Emergency Medicine in the UK is a run-through training programme, providing a continuous pathway from entry level to completion without the need to reapply between stages.

• Duration:
The training programme lasts six years.

• Annual Recruitment:
Applications open once per year, typically from the end of October to the end of November.

• Application Portal:
All applications are submitted through the national recruitment platform Oriel:
🔗 https://www.oriel.nhs.uk/Web/

Selection and Assessment Process

• Application Assessment Domains:
Your application is evaluated across two main domains:

a. Portfolio and MSRA (Multi-Specialty Recruitment Assessment) score

b. Interview performance

• Portfolio Assessment:
You will be awarded marks based on your achievements in the following areas:

◦ Research publications

◦ Additional qualifications (other than MBBS, excluding MRCEM)

◦ Teaching experience and recognised teaching qualifications

◦ Poster and oral presentations at conferences

◦ Leadership or management roles

◦ Completion of accredited resuscitation courses

• MSRA Examination:
The MSRA is a mandatory recruitment exam used across multiple specialties. Your score contributes significantly to your overall ranking and interview eligibility.

• Interview:
Candidates meeting the required MSRA threshold are invited for a panel interview, which typically includes clinical, ethical, and non-clinical scenarios.

• Offers and Allocation:
Following the interview, a combined score is calculated (portfolio + MSRA + interview). Candidates are then ranked nationally, and training offers are made according to rank and regional preferences. Offer cycles run weekly until all training posts are filled.

Examinations During Training

• MRCEM (Membership of the Royal College of Emergency Medicine):
Must be completed within the first three years of training.

• FRCEM (Fellowship of the Royal College of Emergency Medicine):
Must be completed before the end of the training programme.

Alternative Training Routes

1. CESR Pathway (Certificate of Eligibility for Specialist Registration)

• This is a non-structured, portfolio-based pathway designed for doctors who have not entered formal training but wish to demonstrate equivalent competencies to those of UK-trained Emergency Medicine consultants.

• Candidates are required to gather evidence of meeting all competencies outlined by the Royal College of Emergency Medicine (RCEM).

• Four mandatory rotations are essential during the CESR Pathway.

◦ Intensive Care Medicine (ITU)

◦ Paediatrics

◦ General Medicine

◦ Anaesthetics

• Further details can be found here:
🔗 https://rcem.ac.uk/certificate-of-eligibility-for-specialist-registration-cesr-and-combined-programme-cesr-cp/

2. DRE-EM Pathway (Defined Route of Entry into Emergency Medicine)

• The DRE-EM pathway allows direct entry into ST3 (Specialty Training Year 3) for suitably qualified doctors.

• Applicants are assessed based on their portfolio and shortlisted for interview if they achieve the required score.

• Successful candidates are then added to a pool for available training slots.

• More information is available here:
🔗 https://heeoe.hee.nhs.uk/emergency_medicine/specialist-trainee-year-3-em-defined-route-entry-emergency-medicine

I hope this article provides clarity and encouragement for doctors planning to embark on a training pathway and career in Emergency Medicine.

10/06/2023

08/29/2022

08/29/2022

08/29/2022

08/21/2022

Ireland 🇮🇪 Pathway (Without any licensing exam)
How you can get Registration of Irish Medical Council (Ireland)?

If you have done Housejob after 2009 in Pakistan, then you don't need any exam (PRES). You are from one of the few blessed countries which are exempted.

What you need?
👉 MBBS Degree
👉 Acceptable Pattern of Housejob rotations.
👉 PMC Housejob Experience
👉 OET/IELTS Certificate
👉 EPIC Verification of MBBS Degree
👉 EPIC Verification of PMC Housejob Experience
👉 Passport
👉 Persistence

What is acceptable pattern for House Job?
👉 There is a set criteria which is acceptable by Irish Medical Council. You cannot submit any random rotations. Your rotations must have 3 months in General Surgery and 3 months in General Medicine along with 3 months each in Medicine and Allied and Surgery and Allied.
Not all sub specialities are acceptable as well. You need to check the list of acceptable rotations from IMC website.

Average Time Duration to get IMC?
👉6-8 months

Average Cost for IMC whole process?
👉2.5 to 3 lacs

What is EPIC?
👉 It is a kind of 3rd party independent body which verifies documents and degree transcripts across the world. Once they verify your documents personally from your University or Medical Commission only then all of your documents are acceptable in the global market.

💥STEP 1:
✅ Clear OET or IELTS with acceptable grades. (Google acceptable Grades)
✅ Get your MBBS Degree from UHS.
✅ Get your Housejob Experience Letter from PMC using PMC online portal.
✅ Make an account on EPIC. (Google it)
✅ Upload your details to EPIC.
✅ Set an appointment with United States Notary Public via EPIC and get your identity verified.

💥STEP 2:
✅ Upload your MBBS degree and Experience Certificate to EPIC.
✅ Provide details of the University or Medical Council.
✅ Once they send the documents to PMC, pay the fee to PMC via online portal to get the Experience verified.
✅ Once they send the documents to your MBBS Institute, call your University or Medical College and remind them to reply to EPIC email for verification.
✅ Once credentials are verified send them to Irish Medical Council.

💥STEP 3:
✅ Establish an account on IMC website.
✅ Provide your details.
✅ Once account is approved, prepare the documents required for IMC.
✅ Notarize your Passport, MBBS Degree Copy and OET Result from local district court or any lawyer.
✅ Send the documents via courier to Ireland.
✅ Apply for Good Standing Certificate from PMC online portal.
✅ This certificate will be sent to Irish Medical Council directly.
✅ Pay the application fee for IMC.

💥Step 4:
✅ Wait. Wait. Wait.
✅ After 3-4 months they will evaluate your application.
✅ Your application status will be changed from 'Awaiting Assessment' to 'Under Assessment'.
✅ Once they assess your application. They will send you a final form called GENFORM.

💥Step 5:
✅ Fill out that form and send it back.
✅ Pay the Council Retention Fee for half year or one year.
✅ Wait. Wait.
✅ Done. You will get your Registration.

Detailed Guidance of each step is available on this website which is developed by a Pakistani Doctor.
www.irishukdoc.com

This amazing blog is written by Dr. Labeeq Afzal from GPs of Pakistan 🇵🇰

The aim of this platform is to guide physicians on the Irish and UK Medical Registration Pathway From License Application to Securing a Job in Ireland/UK and Much More... Read the Guide Search for: Recent Posts TSS/CCERS (Educational Support Schemes for Irish Doctors) 24 July, 2022 Join Family visa....

06/08/2022

03/27/2022

09/16/2020

THE FIRST AND OLDEST CARDIOLOGIST OF INDIA, Dr. S.I. Padmawati [103 years], passed away today due to COVID-19

Widely regarded as the Doyenne of cardiology in India, Dr Sivaramakrishna Iyer Padmavati, India's first woman cardiologist is a woman of many firsts!

Dr Padmavati established
●the first cardiology clinic and catheter lab,
●the first Indian medical school-based cardiology department, and
●India's first heart foundation.

She turned 103 in June this year.

Born in 1917 in Burma (now Myanmar), Padmavati excelled in school and earned the first medical degree at Rangoon Medical College awarded to a female student.

Soon after she completed her studies, Japan invaded Burma in 1942.

Padmavati with her mother and four sisters fled the country, taking the last flight to India. She was eventually reunited with her father and brothers when World War II ended.

●In 1949, Dr Padmavati moved to London as a fellow with the Royal College of Physicians in London and the Royal College of Physicians in Edinburgh
●She studied in Sweden before receiving a 1949 fellowship with the Johns Hopkins University Department of Pediatrics
●In Baltimore, Dr Padmavati trained under Dr Helen Taussig, who pioneered the first surgeries on 'blue babies,' or babies born with congenital heart defects
●In 1952, she joined Harvard Medical School under Dr Paul Dudley White, a pioneer of modern cardiology
●In 1953, Dr Padmavati returned to India, paving the path of cardiovascular medicine for generations

After returning to India:-
1. Dr Padmavati began as a lecturer at Delhi's all women's Lady Hardinge Medical College and was promoted to Professor of Medicine within a year.

2. She set up north India's first cardiac catheterization lab, with a grant from the Rockefeller Foundation.

3. The department became so popular that even men with cardiac problems started coming to the hospital, which treated women only.

4. For decades Dr Padmavati conducted clinical investigations and published over 300 research articles on preventive cardiovascular medicine.

5. In 1967, the Government of India asked her to take over as Director-Principal of Maulana Azad Medidcal College (MAMC) where she also set up a Cardiology Department.

6. MAMC had 26 departments and it was Dr Padmavati who introduced the DM course in Cardiology, which admits postgraduates

HONORS:-
●Dr Padmavati was awarded the Padma Bhushan in 1967 and the Padma Vibhushan in 1992, the highest civilian honors granted by the Indian government.
●She is also a recipient of Harvard Medical International award, BC Roy award, and Kamla Menon Research award

After retiring from government services in 1981, she served as the founding director of the National Heart Institute, Delhi.
Even at the age of 103, she used to see patients.

Dr Padmavati stands as a great inspiration not only for the millions of aspiring female doctors but also for those who consider age as a constraint. She never gave up, especially during a period of time when medicine was not seen as a suitable profession for women.

🙏

09/16/2020