A Psychiatrist's Journey to the UK - Dr Sharma
- August 14, 2024
IMG Stories is our series introducing you to international doctors who we have helped to relocate to the UK - sharing their personal journeys from working overseas to securing a new job as a doctor in the NHS.
Today we introduce Dr. Sharma, a brilliant Specialty Doctor in psychiatry who relocated to the UK from Malaysia for a year. He is now working in a London NHS Trust, where he is making a huge impact on the service and community!
Tell us about yourself – what should the IMG community know about Rakesh Sharma?
Hello everyone, my name is Rakesh Sharma, and I’m an International Medical Graduate (IMG) originally from Malaysia. I completed my medical education at CSMU, Ukraine, where I developed a solid foundation in clinical skills and medical knowledge. After graduation, I worked for over 10 years in the psychiatry field, gaining diverse experience in managing psychiatry patients. My interest in collaborating with non-governmental agencies and carrying out research not only deepened my passion for this field but also highlighted the importance of collaborative care and evidence-based practice.
In addition to my clinical work, I am committed to continuous learning and professional development. I have attended various workshops and conferences, and I am actively involved in rehabilitative works with psychiatry patients in the community serving as a consultant psychiatrist with Perak Society For Promotion Of Mental Health. I believe strongly in the value of mentorship and community support, which is why I’m excited to connect with other IMGs here.
I’m looking forward to connecting with other professionals in the IMG community, sharing experiences, and learning from one another.
Thank you for the opportunity to introduce myself!
What motivated you to move to the UK?
I originally came to the UK because both my children had gained places as full-time international boarders at independent secondary schools here. This had been their dream since primary school. However, the COVID pandemic made it impossible for them to take up their boarding places due to international travel restrictions and they were devastated. I made the decision to enrol them as day pupils instead, and I took a 12-month career break to live here with them until they could commence full-time boarding. Once COVID settled, I had intended to return to Australia and resume my private practice, whilst my children boarded at school in the UK. However, I loved being in the UK immensely and at the age of 45 made a somewhat impulsive and life-changing decision to stay on a more permanent basis.
Applications can be frustrating... how did you find the application process for the exam?
I found the application process for the exam to be a bit challenging at times. While I appreciate the thoroughness of the steps involved, I encountered a few issues that added to the frustration. For instance, there were a couple of unclear instructions that led to confusion regarding document submissions. Additionally, I experienced some technical glitches on the application portal that delayed my progress.
Despite these challenges, I was able to resolve them by reaching out to the Royal College, which was helpful. Overall, while the process had its difficulties, I learned the importance of staying organized and proactive in addressing any issues that arose.
How far in advance did you start preparing for the MRCPsych Paper B?
I started preparing for the MRCPsych Paper B about two months in advance as I was also doing my Family Medicine papers then. This timeframe allowed me to create a comprehensive study plan that covered all the key areas within the syllabus. Initially, I focused on understanding the format and the types of questions typically asked while familiarizing myself with the recommended texts and resources. As for the time it took, I dedicated around 15-20 hours a week to studying, which included reading textbooks, attending online courses, and practicing past papers. I also joined a study group, which helped me stay motivated and allowed me to discuss difficult concepts with peers.
Looking back, I believe this preparation time was sufficient for me, but I would recommend starting even earlier if possible, especially to leave room for revision and to tackle any unexpected challenges. In the final month, I shifted my focus to intensive practice and revision, which I found crucial for solidifying my knowledge.
In summary, I recommend preparing at least six months in advance, with a structured study plan, regular practice through past papers, and possibly joining a study group to enhance understanding and retain information effectively.
Often IMGs are a bit at a loss to get support... did you benefit from speaking to senior colleagues or peers about the exam? Did you study with other candidates?
As an IMG, I found that speaking to senior colleagues and peers about the exam was incredibly beneficial. They provided valuable insights into the exam format and shared their personal experiences, which helped me better understand what to expect.
Studying with other candidates was also a helpful experience. We formed a study group where we could discuss challenging topics, quiz each other, and share resources. This collaborative environment not only made studying more enjoyable but also allowed us to learn from one another's strengths and weaknesses.
Psychiatrists are notoriously busy...in the months leading up to the exam, how much time did you spend a week on preparation?
Psychiatrists indeed have demanding schedules, especially in the months leading up to exams. In my experience, I dedicated a significant amount of time each week to preparation. On average, I spent about 15-20 hours per week focused on studying and reviewing material.
Here’s a brief outline of my study plan that International Medical Graduates (IMGs) might find useful:
- Structured Schedule: I created a weekly timetable that allocated time for various subjects, focusing on high-yield topics and areas where I felt less confident. This helped me stay organized and ensured comprehensive coverage of the syllabus.
- Resource Selection: I used a combination of online resources and practice question banks.
- Active Learning: Instead of passively reading, I made flashcards and summarized key points, which encouraged active engagement with the material. I also taught back concepts to peers, reinforcing my understanding.
- Practice Questions: I incorporated practice questions into my routine early on, gradually increasing their frequency as the exam date approached. This not only helped with content review but also improved my test-taking skills.
- Mock Exams: Closer to the exam date, I scheduled full-length practice exams under timed conditions. This was crucial for building stamina and getting used to the test format.
- Support Systems: I studied with a group of fellow IMGs, which was immensely beneficial. We held regular discussions, shared resources, and motivated each other.
- Self-Care: Finally, I made sure to balance my study time with self-care practices, including regular exercise, adequate sleep, and breaks to prevent burnout.
How did you manage to juggle other commitments whilst studying for the exam (without panicking)?
Managing multiple commitments while studying for an exam can indeed be a challenge, but with the right strategies, it’s possible to navigate it without panicking. Here's how I approached it:
- Prioritization: I made a list of all my commitments, including work, family, and study time. I prioritized them based on deadlines and importance, which helped me focus on what needed immediate attention.
- Time Management: I created a detailed schedule, breaking my study sessions into manageable blocks. I used tools like calendars and reminders to organize my time effectively, ensuring I allocated specific hours for studying without neglecting other responsibilities.
- Set Realistic Goals: I set achievable daily and weekly goals for my study material. This helped me to track my progress and stay motivated, preventing feelings of being overwhelmed.
- Communicate: I communicated with my family and Head of Department about my exam preparation, seeking their support. This open dialogue helped them understand my commitments and allowed for adjustments in my responsibilities.
- Incorporate Flexibility: While sticking to my schedule, I also allowed some flexibility. Life can be unpredictable, so being adaptable helped me manage unexpected events without too much stress.
- Focus on Self-Care: I ensured to allocate time for rest and self-care, including exercise and relaxation. This helped me maintain my energy levels and reduce anxiety, enabling me to focus better during my study sessions.
- Stay Positive and Mindful: I practised mindfulness techniques to stay calm and centred. Positive affirmations and reminding myself of my goals helped me keep a clear mindset during stressful times.
- Seek Help When Needed: When I felt overwhelmed, I didn’t hesitate to ask for help, whether it was study groups or assistance from family and friends.
While it was undoubtedly a challenge, these strategies helped me juggle my commitments effectively and succeed in my exam preparation without panicking.
What resources did you use to prepare and practice for the MRCPsych CASC exam?
To prepare and practice for the MRCPsych CASC exam, I utilized a variety of resources:
Textbooks: I focused on key textbooks that cover the core syllabus for the exam. Essential reads included:
- "The Maudsley Prescribing Guidelines in Psychiatry"
- "Oxford Handbook of Psychiatry"
- "Clinical Psychiatry" by McGeorge and others for comprehensive understanding.
- Online Resources: I leveraged online platforms like ‘Royal College of Psychiatrists' website, and other reputable medical education websites for the latest guidelines and updates in psychiatric medicine.
- Practice Papers: I accessed past papers and exam practice questions, which helped familiarize me with the exam format and types of questions asked.
- Mock Courses: I enrolled in a few mock exam courses specifically designed for the MRCPsych exam. These courses provided valuable insights into the exam structure and allowed for interaction with experienced tutors.
- Study Groups: Joining or forming study groups with peers preparing for the same exam helped facilitate discussions, clarify doubts, and share different resources and tips.
- Revision Apps: I utilized revision apps that offered flashcards and quizzes tailored for the MRCPsych syllabus, making it easier to revise on the go.
- Video Lectures: I watched recorded lectures and webinars by exam preparatory organizations, which were beneficial for the reinforcement of complex topics.
Using this combination of resources allowed me to systematically prepare for the examination and build the confidence needed to succeed.
We don’t want to give away too many secrets, but what is the single best resource you would recommend for IMGs to use when preparing for the MRCPsych Paper B? Why?
One of the best resources for International Medical Graduates (IMGs) preparing for the MRCPsych Paper B is the "SPMM Course" by Dr Sree Prathap Mohana Murthy. This site is highly recommended because it offers a comprehensive collection of practice questions that closely reflect the format and content of the actual exam.
The reasons for its effectiveness include:
- Exam Format Familiarity: The questions are designed to mirror the structure of the exam, helping IMGs become accustomed to the question style they will encounter.
- Diverse Topics: The site covers a wide range of topics relevant to the MRCPsych syllabus, ensuring that candidates can test their knowledge across all areas of psychiatry.
- Self-Assessment: Each question comes with detailed explanations for correct and incorrect answers, allowing IMGs to identify their weak areas and focus their studies accordingly.
- Time Management Practice: Completing practice questions helps IMGs improve their time management skills, a crucial aspect of exam success.
Let's face it, exams are not everyone's favourite day out... so on the day of the exam, what did you do to relax?
Exams can be stressful, but finding ways to relax on the day of the exam can help manage anxiety and improve performance. Here are a few things I did to unwind, along with some top tips:
- Mindful Breathing: I took a few minutes to practice deep breathing exercises. Inhaling deeply for four counts, holding for four, and exhaling for four can help calm the mind.
- Light Stretching: A short session of light stretching or yoga helped to relieve tension in my body and clear my mind.
- Positive Visualization: I spent a few moments visualizing myself doing well on the exam. Thinking about past successes boosted my confidence.
- Listen to Music: I created a calming playlist and listened to my favourite soothing songs to take my mind off the exam stress.
- Stay Hydrated and Eat a Healthy Snack: I made sure to drink water and eat a nutritious snack, like a banana or some nuts (e.g. almonds), which kept my energy levels stable.
Top Tips:
• Plan Ahead: Prepare everything you need the night before; this includes your materials and outfits to avoid any last-minute panic.
• Keep a Routine: Stick to your usual morning routine to provide a sense of normalcy.
• Limit Caffeine: Too much caffeine can increase anxiety, so I opted for fresh juice instead.
• Arrive Early: Give yourself plenty of time to arrive at the exam location to avoid rushing and feeling stressed.
What was your experience like on the day?
On the day of the exam, my experience was a mix of anticipation and focus. I arrived early to give myself ample time to settle in and review my materials one last time. Overall, the format matched my preparation well, as I had practised with similar structures and types of questions.
However, I did encounter a few surprises during the exam. Some questions were phrased differently than what I had practised, which required me to think on my feet. I found that the time passed more quickly than I had anticipated, especially in the latter half of the exam; I caught myself rushing through some questions as I realized I was running out of time.
In terms of content, most of it aligned with what I’d expected based on my study materials, but there were a couple of topics that I had underestimated. Overall, it was a challenging but rewarding experience, and I felt a sense of accomplishment upon completing it.
What was the most challenging part of the exam?
The most challenging part of the exam was the section that required critical thinking and application of concepts/formulas. It involved complex problem-solving questions that not only tested our knowledge but also demanded a deep understanding of the material. Managing time effectively while navigating through these challenging questions added an extra layer of difficulty, making it essential to stay focused and composed throughout the exam.
In hindsight, would you have done anything differently?
In hindsight, there are definitely a few things I would have done differently regarding my preparation for the exam, particularly for Paper B. One key change would have been to start my study regimen much earlier than I did. Beginning the preparation just two months before the exam put a lot of pressure on me, making it challenging to cover all the material comprehensively.
Additionally, I realize that I could have benefited from increasing my study time. I was dedicating around 15-20 hours a week, which was helpful, but I now see that extending that time could have provided me with a deeper understanding of the content and allowed me to practice more effectively. A more substantial time commitment could have also reduced the stress I experienced as the exam date approached.
Overall, starting earlier and committing more hours each week would have made a significant difference in my level of preparedness and confidence going into the exam.
What nugget of advice would you give to any MRCPsych CASC aspirants?
One important piece of advice for MRCPsych CASC aspirants is to thoroughly understand the exam's structure and the key subjects covered, particularly the core competencies in psychiatry. Develop a clear study plan that balances between reviewing theoretical knowledge and practising past papers. Additionally, engaging in group study sessions, such as discussing topics with peers can enhance understanding and retention. Lastly, practice time management during mock exams to ensure that you can complete the paper within the allotted time, which is crucial for success. Stay focused, and don't hesitate to seek help if you're struggling with specific topics; collaboration and support are vital during this challenging preparation period.
What are your plans going forward?
I am in the 2nd year of my subspeciality training in Community and Rehabilitation Psychiatry. In the future, my work plans involve focusing on continuous improvement and learning. I aim to enhance my skills and adapt to evolving technologies and industry trends.
Additionally, I intend to set specific objectives to measure my progress and contribute meaningfully to my team's goals. Overall, I'm committed to staying agile and open to new opportunities that align with my professional growth and my organisation's needs.
Moving to live and work in the UK is a big decision to make but can be massively rewarding in many ways. International doctors have the chance to find a new home and the NHS presents an incredible opportunity for IMGs to secure rewarding jobs, progress within their fields and explore adjacent opportunities such as CESR, writing publications, teaching opportunities and research.
Whatever route an overseas doctor may take on their journey to the UK, IMG Connect is here to support them through every step and welcome them to the IMG Family.
For regular news and updates, follow IMG Connect on social media using the links below:
Relevant Jobs
Anyone requiring portfolio support (formally known as CESR) can have their required support discussed on a case-by-case basis.
JOB REQUIREMENTS AND DETAILS
- Consultant level experience in psychiatry
- Be eligible for GMC registration, either with MRCPsych (Full), or EEA specialist certification
- Prior experience in adult community mental health care is desirable.
Anyone with an interest in community or inpatient psychiatry should apply. The salary will be between £107,144 - £142,369 per annum, dependent on experience or grade.
CORE DUTIES OF THIS ROLE
- Provide clinical leadership and management in General Adult Psychiatry services.
- Supervise junior doctors and contribute to their training and professional development.
- Work closely with multidisciplinary teams to deliver high-quality patient care.
- Participate in service development and improvement initiatives within the department.
LIFE IN SCOTLAND
This location offers a blend of urban convenience and rural tranquillity, with easy access to major cities such as Edinburgh, Dundee, and Glasgow. Whether you prefer city living with vibrant culture and nightlife or coastal and countryside retreats with stunning landscapes, there are plenty of options.The region has excellent transport links, making commuting easy, and offers high-quality schools and a wealth of recreational activities, including outdoor pursuits, cultural festivals, and family-friendly attractions.
Scotland is steeped in history, known for its ancient castles, famous universities, and contributions to global innovation. The country provides a unique cultural experience, rich in traditions and scenic beauty.
HOW WILL IMG CONNECT SUPPORT YOU?
When applying with IMG Connect you’ll have the full support of an expert recruitment team who will be your recruitment and relocation partners throughout the process. We\'ll support you with:
- CV Preparation with a bespoke session with one of our specialists
- Application support with expert knowledge of NHS specialisms & recruitment practice
- At least two video calling interview preparation sessions
- Contract and offer negotiations for salary, relocation packages, tenure and more
Once you have accepted your new role, you’ll then be supported and led throughout by one of our dedicated relocation executives who will guide you through all the way to starting your new role including:
- Document gathering and checking
- COS and Visa Application support if applicable
- Support sourcing short- and long-term accommodation
- Travel arrangements
- Family support for finding schools and any other aspects of pastoral care
Anyone requiring portfolio support (formally known as CESR) can have their required support discussed on a case-by-case basis.
JOB REQUIREMENTS AND DETAILS
- Candidates must hold MRCPsych (or equivalent) and be eligible for GMC registration with Specialist Registration in General Adult Psychiatry or within six months of gaining CCT.
- Prior experience in community or inpatient psychiatry is required.
- The salary will be between £105,504 - £139,882 per annum, dependent on experience.
- Provide clinical leadership for the Intensive Service team, ensuring high-quality home-based crisis care.
- Assess and treat patients referred to the Intensive Team, contributing to care planning and management discussions.
- Collaborate with inpatient services, community teams, and crisis services to support effective patient care.
- Participate in the teaching and development of junior doctors and multidisciplinary colleagues.
This region offers a balance of rural and urban living, with access to beautiful countryside, historic landmarks, and well-connected towns. Professionals moving to the area benefit from excellent schools, transport links, and a range of cultural and outdoor activities.
The region has a rich historical significance, featuring historic towns, world-renowned heritage sites, and a vibrant local community. It is a desirable location for families and professionals looking for a high quality of life.
HOW WILL IMG CONNECT SUPPORT YOU?
When applying with IMG Connect, you’ll have the full support of an expert recruitment team who will be your recruitment and relocation partners throughout the process. We\'ll support you with:
- CV Preparation with a bespoke session with one of our specialists.
- Application support with expert knowledge of NHS specialisms & recruitment practice.
- At least two video calling interview preparation sessions.
- Contract and offer negotiations for salary, relocation packages, tenure, and more.
- Document gathering and checking.
- COS and Visa Application support if applicable.
- Support sourcing short- and long-term accommodation.
- Travel arrangements.
- Family support for finding schools and any other aspects of pastoral care.
A leading NHS mental health hospital in the East of England is looking for a Consultant Psychiatrist in General Adult Psychiatry with an interest in acute inpatient care. The psychiatry department consists of a team of consultant psychiatrists and is supported by a large team of middle-grade doctors. This General Adult Psychiatry job is open to both international applications and UK-based doctors, though those with European Specialist or MRCPsych are most encouraged to apply.
Anyone requiring portfolio support (formally known as CESR) can have their required support discussed on a case-by-case basis.
JOB REQUIREMENTS AND DETAILS
-
Consultant level experience in psychiatry
-
Be eligible for GMC registration, either with MRCPsych (Full), or EEA specialist certification
-
Anyone with an interest and prior experience in acute inpatient psychiatry should apply.
-
The salary will be between £105,504 to £139,882 dependent on experience or grade.
CORE DUTIES OF THIS ROLE
-
Provide consultant leadership and psychiatric input into the acute inpatient unit.
-
Work closely with the multidisciplinary team, ensuring strong links with community teams.
-
Supervise junior doctors and support their training and professional development.
-
Participate in strategic planning, governance meetings, and service development.
LIFE IN THE REGION
This region offers a mix of urban and rural living, with vibrant city life and picturesque countryside nearby. Popular areas include city centre locations for convenience and scenic villages for a quieter lifestyle. The area is well connected, with excellent transport links, top-rated schools, and various leisure activities, including shopping, outdoor parks, and cultural events.
Rich in history, this region is known for its medieval architecture and contributions to British heritage, making it an attractive place to live and work.
HOW WILL IMG CONNECT SUPPORT YOU?
When applying with IMG Connect you’ll have the full support of an expert recruitment team who will be your recruitment and relocation partners throughout the process. We\'ll support you with:
-
CV Preparation with a bespoke session with one of our specialists
-
Application support with expert knowledge of NHS specialisms & recruitment practice
-
At least two video calling interview preparation sessions
-
Contract and offer negotiations for salary, relocation packages, tenure, and more
Once you have accepted your new role, you’ll then be supported and led throughout by one of our dedicated relocation executives who will guide you through all the way to starting your new role including:
-
Document gathering and checking
-
COS and Visa Application support if applicable
-
Support sourcing short- and long-term accommodation
-
Travel Arrangements
-
Family support for finding schools and any other aspects of pastoral care
JOB REQUIREMENTS AND DETAILS
- A medical degree, full professional registration, and suitable psychiatric qualifications are required for this role. Experience in community or inpatient mental health services is essential.
- The salary will be competitive and dependent on experience or grade.
- Conduct psychiatric assessments and formulate treatment plans for individuals with severe mental health challenges with adult populations.
- Participate in multidisciplinary team meetings and care planning sessions.
- Provide supervision to junior doctors and engage in research or quality improvement projects.
- Maintain professional standards through continuous learning and contribution to educational activities.
This position is based in a location offering both urban and rural living options, with easy access to local amenities, beaches, and countryside homes. Families will appreciate the excellent schools, transport links, and diverse leisure activities available in the area. The region is known for its rich history, scenic landscapes, and vibrant community, making it an attractive place to live and work.
This psychiatry job is open to both international and UK-based doctors, with MRCPsych or CESR eligibility being particularly desirable. Anyone requiring portfolio support (CESR pathway) or professional development opportunities can have their requirements discussed on a case-by-case basis.
JOB REQUIREMENTS AND DETAILS
- At least four years of postgraduate training in psychiatry
- Be eligible for GMC registration, either with MRCPsych (Full), or EEA qualification
- Prior experience in adult community mental health care is desirable.
- Provide psychiatric care and treatment for patients within a General Adult Community Mental Health Team (CMHT).
- Conduct psychiatric assessments, care planning, crisis interventions, and medication management.
- Liaise with General Practitioners, social work teams, voluntary sector providers, and other healthcare professionals.
- Participate in weekly multidisciplinary team meetings and contribute to service development initiatives.
This region offers a blend of urban and rural living, with easy access to major cities, excellent schools, and strong community ties. Residents enjoy a variety of outdoor activities, cultural events, and historic landmarks, making it an attractive place for professionals and families.
The area is historically significant, with a rich heritage and modern amenities, providing an ideal environment for career growth and work-life balance.
HOW WILL IMG CONNECT SUPPORT YOU?
When applying with IMG Connect, you’ll have the full support of an expert recruitment team who will be your recruitment and relocation partners throughout the process. We\'ll support you with:
- CV Preparation with a bespoke session with one of our specialists.
- Application support with expert knowledge of NHS specialisms & recruitment practice.
- At least two video calling interview preparation sessions.
- Contract and offer negotiations for salary, relocation packages, tenure, and more.
- Document gathering and checking.
- COS and Visa Application support if applicable.
- Support sourcing short- and long-term accommodation.
- Travel arrangements.
- Family support for finding schools and any other aspects of pastoral care.