Today, we introduce Dr Simone Layton, a highly skilled general adult psychiatrist who, with our support, secured a specialist grade job with CESR support and made the move from Australia to the UK. Now thriving in the NHS and making a huge impact on her service, after a year Simone has recently been promoted to Clinical Director. An incredible achievement, highlighting her incredible journey and talent, as well as the exciting opportunities available to international doctors who are considering a move to the UK to make a positive impact in the NHS. Tell us about yourself – what should the IMG community know about Simone Layton? I am a 47-year-old mother of two teenagers from Australia. I’m also a cat lover, active yogi, and history enthusiast. I completed my M.B.B.S in Australia in 2004, then specialized as a psychiatrist, becoming a Fellow of the Royal Australian and New Zealand College of Psychiatrists (FRANZCP) in 2013. For 8 years, I worked as a Consultant Psychiatrist in Brisbane, managing both inpatient and outpatient care at a large private mental health hospital. My area of expertise included complex trauma and dissociative disorders, and before moving to the UK, I managed a busy private practice. What motivated you to move to the UK? My children received places at independent boarding schools in the UK, but due to COVID-19, they couldn’t take up their places. I decided to take a 12-month career break and move with them. During this time, I fell in love with the UK and made the decision to stay long-term, which led me to pursue a career in the NHS. Tell us about your experience gaining your GMC registration. I was fortunate that my FRANZCP qualification was accepted by the GMC, so I didn’t need to take the MRCPsych exams. However, being on a career break meant I had to provide substantial evidence of my clinical skills. I submitted over 100 pages of evidence to demonstrate that I was up to date, which eventually secured my GMC registration. How did you navigate and juggle the different aspects of registration whilst working full-time? I was on a career break when I started my GMC registration process, but this actually caused challenges. I had to provide a lot of additional evidence to prove that I was still fit to practice, which delayed the process slightly. How did you find a psychiatry job in the NHS? I started by searching for a recruitment agency online and found IMG Connect, which specializes in helping international doctors secure NHS jobs. They quickly responded to my inquiry and matched me with opportunities that suited my preferences. Within 5 weeks, I had an interview and a job offer at the Herefordshire and Worcestershire Health and Care NHS Trust. Tell us about a day in the life of a specialist grade psychiatrist in the NHS? As an Associate Specialist or Specialist Grade in Psychiatry in the NHS, I manage around 180 patients, work independently, and handle various responsibilities, including teaching and supervision. It’s a busy role that involves a lot of meetings, paperwork, and cross-sector collaboration with local authorities and third-party organizations. What opportunities have become available to you through your work? Since joining the NHS, my career has accelerated. In just 12 months, I’ve been invited to lecture to GPs, supervise a trainee GP, and was recently promoted to Clinical Director of Community Mental Health for Herefordshire and Worcestershire. The NHS offers numerous opportunities for career growth. Tell us about your journey to the UK? My family helped me look after my home in Australia, so I didn’t have to leave everything behind. Securing a rental property, opening a bank account, and getting a car were the trickiest parts, but I was fortunate in other areas. What have you enjoyed most about living in Gloucestershire in particular? I love the variety of weather and the beautiful natural environment. The Cotswolds are perfect for hiking, and as a history enthusiast, I’ve enjoyed visiting the stately homes and cathedrals. What’s been the biggest challenge you’ve faced in moving to the UK? Even though Australia and the UK share cultural ties, I still felt isolated at first. Navigating the UK bureaucracy was also difficult, especially when it came to things like renting a property and being treated as a 'new driver' despite 30 years of experience. What have you missed about Australia the most? I miss the fresh food, particularly the seafood and fruit in Australia, as well as the smooth roads. The English weather, however, is much more pleasant than the extreme heat of Australia. Is there anything you wish you’d known before you began your journey to live and work in the UK? I didn’t expect to stay in the UK long-term, so I didn’t have many expectations. However, I don’t regret my decision to remain here and continue working in the NHS. What has been your experience working with IMG Connect? IMG Connect was incredible. They were responsive, helped me tailor my CV, prepared me for interviews, and even negotiated a higher salary and a longer contract for me. They also made sure I was emotionally supported throughout the process. What advice would you give to international doctors who want to move to the UK? My advice is to trust IMG Connect to guide you through the process. You may need to adjust your expectations and accept a lower level or pay cut initially, but the NHS offers incredible opportunities for career development. Focus on building relationships at work and in your community, and be patient with the system—it can be slow, but things usually work out. 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.  

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 Brittany Meyer, a brilliant general adult psychiatrist who relocated to the UK from the US. Having completed the USMLE during her training, Brittany was able to gain full GMC registration with license to practise. She is now working in the NHS at West London Mental Health Foundation Trust, where she is making a fantastic impact on the service and wider community.   Tell us about yourself – what should the IMG community know about Brittany Meyer?  I am a US-trained psychiatrist now working as a specialty doctor in the NHS. I trained in psychiatry at Vanderbilt University Medical Center in Nashville, Tennessee, and following training, I worked at a consultant level in an intensive outpatient treatment centre specialising in OCD and anxiety.  My academic interests include catatonia, psychosis, OCD, and teaching, and I have a special love for opportunities that allow blending the arts and humanism with medicine. What motivated you to move to the UK?  I moved to the UK to be with my fiancé, who is a born and bred Londoner. The pandemic was a major motivator to be in the same country finally! Luckily, I have dual US-UK citizenship, so this made the move over much simpler. How did you manage to navigate and juggle the different aspects of registration whilst working full time?  During the registration process, at which point I had moved to the UK, I worked part-time for a tele-psychiatry service located in the USA, allowing me to treat patients from abroad. This was invaluable in terms of flexibility, and it prevented my clinical skills from becoming too rusty while I waited for my licensing to be approved.  My main struggle, if anything, was having so much unfamiliar unstructured time on my hands. I strongly recommend setting out a weekly schedule for yourself if you are in a similar situation, filled with other means of staying productive and gaining a sense of accomplishment you might otherwise get from your job. It’s also important to maximize such rare time to enjoy nourishing hobbies and interests - for example I learned to watercolour and spent many mornings at the V&A museum - and in hindsight wish I had been more proactive in seeking such activities out. How did you find a general adult psychiatry job within the NHS?  I was hoping to find an outpatient mental health team position and Ruaidhri fully facilitated the job search. When I began the registration process, I felt quite disoriented, and it was difficult to find someone who had an incentive to talk me through my options and the steps to get there.  It was only when I found IMG Connect and Ruaidhri that I felt someone was in my corner, illuminating an otherwise confusing journey and assisting with each step along the way. It was no different for the job search, when Ruaidhri deftly handled the search and communication with NHS trusts to find a position for me. I am deeply indebted to Ruaidhri for not only the logistical work he put in on my behalf, but also the moral support along the way. Tell us about a day in the life of a general adult psychiatrist in the NHS...  Learning an entirely new system has been quite an adjustment. In addition, I am working in a model that is new to the NHS, so the system is foreign in ways I didn’t expect, for example not having the ability to order blood work or imaging, or to even prescribe anything beyond very short-term medications. The team I work with has been incredibly welcoming and have helped orient me to resources like the BNF and Maudsley Prescribing Guidelines to orient me to standard practice.  Working in the NHS can be quite chaotic, and this is an especially challenging time in terms of staffing and funding within the system, but the difference I can make in my patients’ lives is striking. What opportunities have become available to you through your work?  I am still in the infancy of my NHS career, but I am hoping to pursue teaching opportunities, particularly around the diagnosis and management of catatonia. I have found everyone to be very supportive and willing to connect me to those who can further this. How are you settling into life in the UK?  London is a magical space. Having access to some of the best museums, opera, theatre, restaurants and architecture in the world is a luxury. I have also loved the flexibility of being so close to other amazing places in the UK and Europe, which has allowed me to spend time in France, Spain, Italy, Wales, Northern Ireland, and more. Being able to spend a weekend in another country the way we would visit another state in the US is incredible! I hope to eventually have a role that blends more teaching and support of trainees and medical students with clinical care. I am very excited to get married in 2023 and hopefully become a dog parent as well! You’re of course a British citizen, is living in London what you had expected?  Yes and no! Though a British citizen, I had only lived in Scotland as a small child and spent holidays with my family in Northern Ireland growing up. So the big city - especially a walkable city - was a new experience for me! I’ve really enjoyed not owning a car and using public transport, and I’ll admit I’m still adapting to the very small stores with fewer than the usual 500 options of cereal that the US touts. What’s been the biggest challenge you’ve faced in moving to the UK?  Leaving family and friends, especially during the pandemic, was even more difficult than I expected. Not being able to have anyone visit in the first year of being in the UK was challenging. I think it is important to normalise that moving to a new place - even an incredibly exciting and vibrant place like London - can feel lonely at times, and that it is expected to have a period of transition that might not feel comfortable. However, London is feeling increasingly like home, and I have made wonderful friends since arriving. What have you missed most about the US? Target! Hidden Valley Ranch Dressing (for the very desperate like me, available for ten pounds at Partridge’s)! Tacos! Smiling and saying hello to strangers on the street! Is there anything you wish you had known before you began your journey to the UK? I wish I had found IMG Connect while living in the US so I could have prepared and submitted my application while living in the US before moving; this would have cut down on a lot of limbo time after I moved. I also wish I had understood the CESR process for specialist registration while still in the US, as that would have allowed me to gather and anonymise patient documentation from my job there to support my CESR application; unfortunately I have now lost the right to access that documentation due to patient information protection laws. If you are considering applying for specialist registration and are still in your pre-NHS job, collect all the supporting documentation you can! What has been your experience working with IMG Connect?  IMG Connect has been incredibly key in helping me to get licensed and find a position working as a doctor in the UK. Ruaidhri has been helpful in a multitude of ways: explaining a foreign system and where I might fit in, doing the groundwork of distributing my CV and liaising with HR departments to explore job possibilities, setting up interviews, guiding my licensing application, and supporting my appeal including with a written letter of support. I truly would not have been able to navigate this on my own - and had tried unsuccessfully before I found IMG Connect. Do you have any tips or advice for international doctors who want to move to the UK? I tried to seek information from a lot of different sources: forums, family friends who were practicing physicians in the UK, online blogs, the Royal College of Psychiatrists, the GMC. Ultimately the most helpful resource by far was IMG Connect: both the one-on-one tailored advice, as well as their handouts that break down the ins and outs of the UK system and guide you through exactly what documents you need to collect in what order, etc., to achieve licensing. It’s such a niche process that I found the only really helpful resource to be a service that is devoted to my precise needs as an internationally-trained doctor transitioning to the UK. 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:              

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 Connie Chan, a brilliant perinatal psychiatrist who relocated to the UK from Hong Kong in 2022. Having passed the MRCPsych and English language exams, Connie received full GMC registration with license to practise. She is now working in the NHS at Lancashire & South Cumbria NHS Foundation Trust, where she is making a fantastic impact on the service and wider community.   Tell us about yourself – what should the IMG community know about Connie Chan?  I was born and trained in Hong Kong as a psychiatrist and have been working in perinatal mental health in the last 8 years, before I moved to practice in the UK in Spring 2022. I find working in perinatal mental health rewarding and it’s something I’m passionate about, so I was lucky to be able to find a job in the same sub-specialty in the UK. What motivated you to move to the UK?  My main priority has always been my children’s education, so quite naturally, I had considered sending them to study in the UK, where the standard of schools (both private and state) is excellent and world-class. My kids are still young, and so rather than sending them to boarding schools, I preferred to relocate with them so that I would not miss out on seeing them grow up. Tell us about your experience of completing MRCPsych as part of your training in Hong Kong...  I completed the Royal College of Psychiatrists examinations years ago, during a time when it was the norm in Hong Kong to do both our local professional exams and Royal College exams simultaneously. However, things have changed in my home city recently, and trainees can opt to complete the local membership examination only. How did you manage to navigate and juggle the different aspects of registration whilst working full time?  I did not face any major setbacks in my registration, and it was quite smoothly done. My GMC registration only needed restoration, but when I made the decision to restore it, it was at the height of the COVID-19 pandemic, so the restoration process was delayed by the suspension of all identity checks. How did you find a perinatal psychiatry job within the NHS?  I made IMG Connect aware of my intention to look for jobs in perinatal psychiatry and there were several openings around the country. Ruaidhri, the co-founder, helped me to line up interviews and with the preparation, and voila, I got the job. Tell us about a day in the life of a perinatal psychiatrist in the NHS...  I am currently working in the community team of a perinatal psychiatric unit.  We have multidisciplinary team meetings to discuss cases and I am amazed by the different perspectives contributed by different disciplines in the team to make discussions really meaningful, tailor-made and human-centred. I make home visits, do clinics and attend meetings, and have supervision with my line manager and supervise my junior doctors as well. Work-life balance is something that is important to a lot of people. My previous job was more about meeting deliverables for the service pledge, which emphasised efficiency and service output, and sometimes led to staff burnout. Working in this new environment, I feel that I do have a choice. What opportunities have become available to you through your work?  The Trust I am working in has quite a comprehensive programme for IMGs, including personal development, understanding the values of the NHS, general IMG support and advice and peer groups for CESR. It is a good way to become familiar with the system. There are also a lot of managerial training and professional updates available.    How are you settling into life in the UK?  I am living in Greater Manchester with about a 45-minute commute into work each way. I prefer living a little further from work as driving by myself can be a good time for my own mindfulness to clear my thoughts. On weekdays, things are quite busy and it takes some planning to get my kids off to school and for pickups, as well as working and cooking in the evening. At the weekend, it is really a time that I can unwind and have quality time with my children. We have so many new things to learn and to share and new places to explore together. What have you enjoyed most about living in Greater Manchester?  There is the airport in Manchester which brings a lot of vibrancy to the city and the areas around it. The atmosphere of traveling and the mood for holidays is infectious. It makes friends stopping by for a visit whenever they come to visit the UK much easier. In fact, there are quite a lot of Hong Kong communities in the area, so it made my initial move feel less isolated and the transition period easier. What’s been the biggest challenge you’ve faced in moving to the UK?  Living in a bigger place has been both a blessing and a curse. Manchester is the 2nd largest city in the UK, and living nearby allows me to have easy accessibility to many different things. However the vast area means to get from one place to another, I rely heavily on driving, and there is more to consider with regard to my children’s care and school runs. For me, driving is a challenge in winter as it gets dark earlier, and the rain makes the motorway quite daunting. What have you missed about Hong Kong the most? Definitely Hong Kong street food! There are just so many food delicacies there and they are a part of my cultural heritage that I am really proud of. In hindsight, is there anything you would’ve done differently? Honestly, I would do most things the same way. I would still choose to work with IMG Connect.  But as a parent, I would try to plan my relocation to coincide with the beginning of the academic year for school admissions, so that it would be easier to find schools for the kids, as in-year transfers are more difficult. What has been your experience working with IMG Connect?  My experience working with IMG Connect has been nothing short of amazing. I have been well taken care of on every level from job hunting, interview preparation, negotiations with human resources, to the choice of home, location, phone cards, school information, interesting places to visits, etc.  My queries and my worries were always addressed and attended to, and that was massive help for someone like me with no prior connections in the UK. Ruaidhri was really my guiding star in getting me through tricky situations, and it is a testament to how helpful and easily approachable everyone at IMG Connect is, from top to bottom. Do you have any tips or advice for international doctors who want to move to the UK? It is certainly a huge decision to make to relocate to the UK to work as a doctor. It is easier if one has a clear goal and works toward it step-by-step. Most importantly, I find it is the psychological preparedness to adapt to a new culture and work model that matters. It is never too late to make a new start. 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:              

Are you an overseas emergency medicine doctor taking the postgraduate route to GMC registration through the MRCEM exams? Are you interested in sitting the exams in the future?  As part of IMG Stories, we introduce to you Dr Behzad Rashid, an emergency medicine doctor who has recently sat and passed the MRCEM Primary exam. Dr Rashid will be sharing with you his experiences of the first of the Royal College of Emergency Medicine exams, taking you through his preparation, experience of sitting the exam and sharing some hot tips for international MRCEM aspirants.  Tell us about yourself... what should the IMG Community know about Behzad Rashid?  I am a Resident Emergency Medicine Physician, currently working in Pakistan and have worked in A&E since completing my internship. I started off as a medical officer, and then began an A&E residency programme in my country. I would say a combination of hard work and fate are the reason why I am where I am today.  What motivated you to sit the MRCEM exams?  I had booked a space on the PLAB 1 exam, however, due to COVID, it was unfortunately cancelled (three times in fact). By the third time, I’d had enough. I decided to progress my career in Pakistan because I felt I wasn’t getting anywhere with the exam bookings, and everything was very uncertain at that time.  Even though time felt like it had stopped, it was actually flying by. I therefore decided to sit the residency exam in Pakistan. I worked in A&E at the time and had heard about the MRCEM exams from my colleagues. Due to the lockdown, they had just announced that the exam could now be taken online, even within the comfort of your own home. I was ready to go all in and grind my way through both exams, so I studied and succeeded in clearing both PLAB 1 and MRCEM Primary.  At what point in your career and training did you sit the MRCEM Primary exam?  There wasn’t anything in particular that made me realise that I was ready to sit this exam, besides the fact that COVID had been ruining my plans. I was going through a difficult time, and A&E was something I dearly wanted to pursue. I saw an opportunity, and I took it.  Applications can be frustrating… how did you find the application process for the exam?  The whole process took me about 30-45 minutes to complete.  The details of application and exam are available on the website, and whilst a bit tedious, it is a straightforward process. Based on the RCEM’s eligibility criteria for the first exam, you only need to have graduated with an approved medical degree in order to sit the exam.   Since I was planning to sit the exam in my own country, I was provided with some options for exam centres. There were multiple private exam centres nearby, and I did not want to sit the exam at home and risk the internet issues others had experienced. I booked my exam for 8 am, because that's when I function best, and I would recommend that everyone books whatever time of day you think you would perform best.  How far in advance did you start preparing for the MRCEM Primary?  I booked the exam 4 months in advance (around the end of October, with the exam in Dec). Everyone has their own method of studying, and for some, this may not be enough time, so whatever schedule has worked for you in the past - stick to it. In my opinion this exam requires about 3-4 months of studying if you are unemployed or have any daily commitments, and about 5-6 months if you are working or have a very busy schedule.   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?  I was in touch with a few individuals who had already sat the exam. They guided me through the application process and resources I could use to prepare. They were also the ones who entertained my idea in preparing for both exams at once, and they believed that I could succeed in both.   You don’t need a lot of friends, just the right ones who will push and support you in your journey.   You were preparing for PLAB at the same time as the Royal College exams...how do you feel studying for PLAB 1 compares to your experience of MRCEM Primary?  PLAB 1 and MRCEM Primary are completely different exams.  PLAB 1 focuses on the application of medical knowledge in common day-to-day scenarios that a doctor would encounter in the UK. MRCEM Primary is more of a theoretical assessment of the basics i.e. anatomy and physiology of emergency related scenarios. This became even more apparent after I’d gone over the curriculum provided by the GMC and RCEM, which is honestly the best part of the exams. I would not say that one is easier than the other – they assess different things.  I focused on the blueprint/curriculum for each exam and made sure to get in as many MCQs as possible. That gave me a better overview of what I would actually be tested on.  Emergency medicine doctors are notoriously busy...in the months leading up to the exam, how much time did you spend a week on preparation?  In my case, I had to appear for the MRCEM Primary first, and then a week later for the Pakistan Residency (FCPS I) exam. Since work was extremely hectic, and I felt that I was not able to set aside much time to prepare for both, I quit my job to study for the exams and managed my time throughout the day to study and prepare for both (around 12 hours each day).  It goes without saying that any goal without a plan is just a wish. I divided my day into 2 halves where I would wake up at 5am, and study till 12pm, take a break (which included sleeping, eating or working out), then start off again at 5pm and go at it till 10pm. The first half would be MCQS and making Anki flash cards, second half would be to review the cards I had pending for that day. I would throw in a mock exam every week to see where I stood at that point, correct my mistakes and make cards on those as well. I stuck to this routine for 3 months and by the end of the 3 months, I had a deck of about 2000 Anki flash cards, divided into two groups for the 2 exams, and that is all I would review because I was confident that is all they would test me on.  How did you manage to juggle other commitments whilst studying for the exam (without panicking)?  During COVID, I was pretty much stranded by myself in Pakistan. My family lived in a different country, and I had limited interactions with the family I did have around me. This bizarre period of isolation and confusion gave me ample time to prepare for my exams. Being alone did get frustrating at times, and anxiety would creep up on me, but the hunger to clear my exams and progress my career gave me tunnel vision and cancelled out all the other noise.  The preparation for 2 examinations was an enlightening and humbling experience. My goal is to reach out to students and help them understand what works best for them. I’d be more than happy to provide students with any resources (Including my Anki flash cards) they need. However, there isn’t a cookie cutter plan that will suit everyone - I did what was best for me in my circumstances, and you must do the same.  What resources did you use to prepare and practice for the MRCEM Primary exam?  I used the curriculum provided by the MRCEM on their website which you will find here.  Along with that I was using the MRCEM Success question bank, which I have to say is an excellent resource. The actual exam was very close to the MCQs provided, which is why I would highly recommend it.  I am also an avid user of Anki. It has helped me ace exams in med school, the MRCEM primary, FCPS I and even the PLAB 1. I have never made any notes from any textbooks, and I honestly think hardcovers will eventually become obsolete. I would highly recommend making your own cards since that allows you to work at your own pace and address any weak points. I would love to share my own deck of Anki cards as well, which covers everything provided in the MRCEM curriculum. Feel free to add more to this deck and pay it forward.  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?  I woke up early and decided not to go over any cards. I’m the type of exam-taker who enjoys working out and listening to music before an exam. At that point, I know what I know, and that is all I know. So I drank a nice cup of coffee and got some cardio done while listening to music.   What was your experience like on the day?  My exam was around 8:30am, so the drive was about 5 minutes to the exam hall and I got there around 30 minutes before it started. The invigilator was friendly and after leaving my personal belongings in a small locker, they provided a sheet of paper and stationary at the centre. The computer prompted me to start once the invigilator asked me to, and everything after that went smoothly. The invigilators are ready to help you with your queries if you experience any problems during the exam as well.  What was the most challenging part of the exam?  In my honest opinion, I did not come across anything that would throw me off. After going over the curriculum, and having a plan, I just stuck to that plan and followed it till the end.  In hindsight, would you have done anything differently?  I was already taking the most extreme measures by preparing for multiple exams and taking time off work, given everything was shut down during COVID. I have no regrets and cannot think of anything I’d have done differently.  What nuggets of advice would you give to any MRCEM Primary aspirants?  The best thing about the Royal College exams is that they provide a curriculum of what you should know, and they would never ask anything more than that. I would highly recommend you go over that and familiarise yourself with the content you will be tested on. Question banks might provide extra information to give you a different perspective of the subject, however the real exam sticks to its curriculum. If you know what you are required to know, preparation for the exam becomes easier.  What are your plans going forward?  I'm planning on appearing for the PLAB 2 and the MRCEM Intermediate soon. I have already started preparing my Anki deck for the intermediate as well, so wish me luck and stay tuned for that as well.   To learn more about the RCEM exams, see our IMG Resources library. For news and updates on all things emergency medicine, follow us on social media and join the conversation.             

Are you an overseas psychiatrist taking the postgraduate route to GMC registration through the MRCPsych exams? Are you interested in sitting the exams in the future? As part of IMG Stories, we're introducing Dr Bilal Zafar, a psychiatrist who has recently sat and passed the MRCPsych Paper A exam. Bilal will be sharing his experiences of the first of the Royal College of Psychiatrists exams, taking you through his preparation, experience of sitting the exam and sharing some hot tips for international MRCPsych aspirants. 1. Tell us about yourself... what should the IMG Community know about Bilal Zafar? My name is Dr. Bilal Zafar and I'm from Karachi, Pakistan. I graduated from Dow University of Health Sciences (DUHS) in 2018 and cleared my FCPS residency entrance exam from College of Physicians & Surgeons, Pakistan. Currently, I'm working as a psychiatry resident at Liaquat National Hospital in Pakistan. I am also Editor in-chief at MEDizzy UK, Global Executive Member at Oli Health Magazine Turkey, and an i-act manager for mental health certified by the Royal College of Psychiatrists, UK. I served as an ambassador for Banja Luka International Medical Congress (BLIMC) 2019, the 25th Scientific Congress of Hellenic Medical Students and the 13th International Forum for Medical Students and Junior Doctors from Pakistan. More recently in 2022, I excelled in the MRCPsych Paper A examination by Royal College of Psychiatrists. 2. What motivated you to sit the MRCPsych exams? When I started my residency, I was originally convinced to aim for PLAB, however during my practice, I watched one of my supervisors clear all the Royal College exams. This inspired me to switch to my focus to MRCPsych. 3. At what point in your career and training did you sit the MRCPsych Paper A exam? I took the MRCPsych Paper A exam in December 2021. For me, the timing was appropriate as I was in the second year of my residency, therefore more aware of the fundamentals. By this point, I had built enough thorough clinical experience to tackle Paper A. 4. How far in advance did you start preparing for the MRCPsych Paper A and how much time did you spend on revision? I started studying for MRCPsych Paper A soon after clearing my FCPS entrance exam. I had initially allocated 2 hours of studying daily, but as I was at the beginning of my residency so my dedicated study time fluctuated. However, I did my best to adhere to my study plan. When I was around 6 months away from the MRCPsych Paper A exam date, I started aggressive preparation. This is what I recommend to everyone; you will never feel ready for the exam. Book a place, start your preparation and take the exam! 5. Did you benefit from speaking to senior colleagues or peers about the exam? Did you study with other candidates? I was grateful to find very professional, concerned and co-operative senior colleagues. Their thorough guidance and support provided me with the strategy and study materials for this exam. Around 6 weeks before the exam, I joined a study group of IMGs (which I found through IMG Connect) where I found an amazing study partner. She had more than 5 years' experience in clinical psychiatry, and together we solved MCQs and discussed concepts - her experience benefited me a lot! 6.  You are one of the creators of the fantastic MEDizzy UK Journal. How has this impacted your study and practice as a psychiatrist? MEDizzy is the world's fastest growing medical learning communities. I joined the community 4 years ago. Back then, I was doing my internship and preparing for the residency entrance exam. For me, MEDizzy is a door to non-stop medical exposure, and I've learned a lot from the app and journal. MEDizzy journal was launched in 2020 and since then I've served as Editor-in-Chief. We serve the global medical community with the latest news, medical cases, medical technology, inspirational interviews and much more. I must say, sometimes it becomes difficult to maintain a work and study balance and there's no perfect formula for this. I would say my studies have made me what I am today and MEDizzy polished me. 7. How did you manage to juggle other commitments whilst studying for the exam (without panicking)? Sometimes I don't know, myself! After booking my exam, I created a study plan. At the same time, I had to juggle my residency, medical writing on Fiverr, MEDizzy projects and, most importantly, my wedding. It was scheduled for the day after my MRCPsych Paper A exam. I was tangled in multiple commitments and you can only imagine the difficulty. Fortunately, I could manage my personal life, residency and exam and passed the exam on my first attempt, despite the odds. The key is to remain calm and believe that nothing in this world is impossible. 8. What resources did you use to prepare and practice for the MRCPsych Paper A exam? I relied on SPMM notes, SPMM high yield MCQs and mock exams. For my MRCPsych Paper A, I used a retro approach to studying. In this technique, I first solved the MCQs of any topic and studied the same topic later from the SPMM notes. I practiced mock exam questions 6 times. Always remember - revision is the key. You may cover a long list of topics but if you don’t revise what you studied earlier you won’t retain this information. While practicing questions, read them carefully and memorise the explanations. Lastly, I also used the Shorter Oxford Textbook of Psychiatry and Kaplan Neuroanatomy. 9. What is the single best resource you would recommend for IMGs to use when preparing for the MRCPsych Paper A and why? SPMM and SPMM only. The mock exams and practice questions are similar to real exam questions. Take the mock exams 6 weeks prior to the actual exam and solve them in the provided time. This will give you real insight about your time management and retention and recall power. 10. 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? Nobody should study on the day of exam. This makes you more anxious. For me, I was getting married the very next day and I had so much going around at home and in my mind. My exam was at 12pm, so I woke up at 7am, took a shower, got dressed, and left for the examination centre at 10:00 am.  11. What was your experience like on the day? My experience was overwhelmingly amazing! It was an online exam at a local examination centre. In the exam there were 3 sections of 50 questions each. We had an option to take a break after completing each section, but I didn’t take any breaks as I thought it might disturb my continuity. Most of the questions were doable for me as I had practiced mock questions. However, there were some entirely new questions as well. In every section, I gave a reasonable amount of time to at least 5 questions. The rest of them didn’t take much time. Therefore, I completed the exam in 2 hours. 12. What was the most challenging part of the exam? The most challenging part of the exam was the EMIs. They took a fair amount of time and I had to recall my basic concepts and put them together to solve these questions. 13. In hindsight, would you have done anything differently? After the exam, I was confident about my performance. I thought I'd taken a good approach to the exam and ws confident in the results. 14. What nuggets of advice would you give to any MRCPsych Paper A aspirants? I would recommend that you not wait for the ‘right time' or a time when you're ‘fully prepared'. There is neither a right time nor any point when you're completely prepared. Book the test, make full use of the question banks, take mock exams, start studying and sit your exam. 15. What did you do to celebrate passing the exam? On the day the exam results were to be released, I was at home, and my wife and I were anxiously waiting for the email from the Royal College. The moment we saw “PASS” in the email, my wife literally shouted “You did it, Bilal!”. It was a priceless moment. Later that night, we arranged a gathering of close friends and family to celebrate my achievement. 16. What are your plans going forward? So far, I am a candidate for FCPS (Psych) and MRCPsych. My plan is to take the intermediate module of FCPS in August 2022 and then take MRCPsych Paper B in September 2022. I aim to complete MRCPsych by next year. As far as MEDizzy is concerned, we aim to expand the community by initiating new projects such as the ambassador program and advancing MEDizzy Inspire where we interview the most deserving personalities from the world of medicine who can become inspiration for young healthcare professionals. Join the IMG Psychiatrists Facebook group for access to a community of like-minded overseas MRCPsych aspirants. For news and updates on all things psychiatry, follow us on social media and join the conversation.             

Are you an overseas oncologist looking to move to the UK? Have you always wanted to hear first-hand the experiences of an international oncologist who has been through the process, from completing their FRCR (Oncology) exams, to GMC registration, securing an NHS job and relocating to the UK?    As part of IMG Stories, we introduce to you, Dr Eric Lee, a wonderful clinical oncologist who relocated to the UK from Hong Kong. Eric has been living and working in the UK with his family after gaining full GMC registration with license to practice.   Today, Eric will be sharing with you his journey and experiences as an IMG oncologist, now working in Colchester in the southeast of England.   Introducing Eric Lee  My name is Eric and I'm a clinical oncologist. I have worked as an oncologist in Hong Kong for 25 years, where I received training in both medical and clinical oncology, in line with the UK system.  Overall, I think the UK system has been so well suited to myself and other generations of doctors and learners, and this was one of my motivations for bringing my family to the UK. Also, for my daughter's education.  Training as a clinical oncologist in Hong Kong  I completed my MBChB and then the FRCR (Oncology) examinations. These were held in Hong Kong with the examiners coming from the UK for assessment. As standard, HK trainees begin FRCR (Oncology) right after becoming medical graduates. Alongside the Royal College exams, you also complete the FHKAM, which is the Hong Kong Academy of Medicine and are the standard qualifications for doctors to complete during their training in Hong Kong.   I began the FRCR (Oncology) training one year after my graduation from medical school. This was in 1996. I spent a total of five years in FRCR (Oncology) training in Hong Kong and received my official FRCR (Oncology) qualification in 2001.  One of the main differences between the UK and Hong Kong systems is that where FRCR (Oncology) tells the medical council that you are almost at the level to work as a consultant. The medical council in Hong Kong has further requirements for doctors transitioning to consultant grade. So, after receiving FRCR (Oncology), I still had to go through 2 to 3 more years of training.   In regards to the Royal College exams, if there's one thing to mention, it's that the examiners are always looking for safe doctors who make patients' safety and comfort their top priority, therefore, my advice for overseas doctors who are looking towards Royal College examinations, especially in oncology, is to remain conscientious and diligent in every aspect of their clinical care, particularly in protecting patients' privacy, rights and safety.   My career as a clinical oncologist  Over the past twenty-five years, I've had rotations in different oncology sub-specialties, including paediatrics, CNS, GI, GU, breast cancer, haematologic malignancies and forensic malignancy. In the last 15 years however, I've been specialising in forensic and genitourinary cancers.   In 2005/ 2006, I had the opportunity to go to Australia for one year for a fellowship. So, I spent almost a year gaining experience in prostate cancer under the supervision of British oncologists in Sydney.  Over the past few years, I've had many thoughts about moving abroad from Hong Kong and looked at several options, including the UK. Finally, it was a Trust in the UK that offered me a job.  This ended up being a very good choice for me, because the UK system is quite similar to medical system in Hong Kong. As an oncologist, I can administer both radiation therapy and chemotherapy, whereas in Australia for example, I'd only be able to practice radiation oncology. So, in the UK, I'm able to use my full training to practice in both medical and radiation oncology.   Going through English language testing  There were several things to consider before I was able to move.   First of all, I had to pass an English language exam. I initially attempted the IELTS exam, but in the end decided to change to the OET exam, because the OET focuses on medical situations, so you don't need to spend too much time going through subjects in other areas.  I managed to achieve a B grade in all 4 sections of the OET exam, which was not easy as my weakest areas are still speaking and writing, and there is of course speaking in the OET exam. You spend 20 minutes speaking in a seminar, similarly to an OSCE. In my exam, I had to take the patient history and give them advice in English.  When the context of the exam is relevant to your specialty e.g. a breast cancer patient, then it’s much easier. However, in the OET exam, the context is not limited to your specialty alone. My tasks for example included two patients with diabetes mellitus and polymyalgia rheumatica. I've not had experience of psychiatry or endocrinology or orthopaedics for many years, but I had to use this knowledge in the exam and act like an orthopaedic surgeon.  Many who take the OET fall into the mindset of a clinical examination and become nervous when presented with a clinical scenario they don’t identify with. My advice to anyone sitting the OET exam is to forget about all the medical things. Forget all your clinical problems. Just relax. Don't worry if your answers aren't 100% correct. What you're expected to do is speak clearly and have an overall caring manner.   The GMC registration process  During the GMC process, I was asked to submit evidence of my continued medical training over the past 10 years because it has been quite a few years since I received my FRCR (Oncology). The GMC wanted to know more about my further medical education over the past 10 years, so I had to submit evidence of all my CME training.  Personally, I'm incredibly fortunate that I've been in the habit of keeping all my certificates of attendance whenever I attend any workshops, conferences or courses, so I have a good record of all my certificates. I spent around a week scanning in all my certificates of attendance from 2002 to 2021, all into one big PDF file.   This advice was given to me by one of my favourite mentors 20 years ago, Dr F.L. Chan, a renowned radiologist in Hong Kong and the warden of the college in Hong Kong. He passed away 10 years ago, sadly, but he gave me some of the most important advice I've been given. He said, 'Eric, you have to keep every one of your certificates, even if you don't see the benefit of the course or workshop, you will find them useful one day'. Since then, I've held onto that advice, and over the last 20 years, I've kept every last certificate in a hard copy!  Finding a job in the UK  I actually posted my CV on LinkedIn and was then contacted by Marcus from IMG Connect. Initially, I wasn't sure if his offer was real as it sounded too good to be true! But I quickly realised that IMG Connect is incredible and could support me with every stage necessary. I personally had a lot of apprehension about the process of moving overseas. I'd been working in a secure job for 25 years, so for me to move from that into the unknown - I would need a lot of support, a lot of counselling. IMG Connect & Marcus were there to provide me with all the support I needed, from day one.  I received job offers from three different Trusts, each with interview processes that began with a stage of informal question, before two rounds of formal interviews online in Microsoft Teams.  Ultimately, the offer from Colchester was the best fit for me. It is the closest to my previous set-up, because I had been working in a General Hospital in Hong Kong and Colchester has the same kind of general hospital set up. This position also allows me to work in my subspecialties of interest - GU and forensic cancers.   My journey to the UK  The timings worked out well for me when it came to the move. We spent some time considering whether to apply for the Tier 2 or BNO visa. The Tier 2 visa requires additional documentation like police checks, but before we had to decide, we received the BNO visa in a matter of days and the decision was made for us. Luckily, because of this, things were much easier - with the BNO visa, my whole family - that is my wife and daughter - could come to the UK as a unit.  The pandemic was really an issue because there was a lot of uncertainty about things like flights, and new variants. After we landed here, all the flights from Hong Kong to the UK were cancelled, so we wouldn't have been able to travel until 2022 if we hadn't left at the time we did.   Since I still have many family members in Hong Kong, I was able to leave behind a lot of my property and belongings with them, and only brought my most important belongings with me. This meant that it didn't take too much time for me to pack all my things together to move, but I still had to do things like sell my car.  What I wish I’d known before I moved to the UK  I wish I’d known more about driving in the UK! There are rules here that I'm not used to, like driving in bus lanes. If I'd known about these things earlier, it may have been easier for me.  My experience working with IMG Connect  First, I must mention Marcus Anderson and IMG Connect - they were very helpful and did such a great job. Everything they do is perfectly timed. I couldn’t improve anything!  Over the past half a year, Marcus was in constant contact with me over WhatsApp and email, and whenever I had a question, I'd WhatsApp or email him, and he’d always get back to me with the answers I needed.   What’s next for me and my family?  I still see myself as someone who is learning, so I'd like to continue with my career development in GU, GI and forensic cancers. I may also try to continue some of my medical studies, for example in palliative medicine, because I know the training for this is very good in Cardiff, where there is a distance learning programme. I'm also looking forward to joining the specialist register for oncology.  My daughter is now enrolled in a private school in Colchester, where the teachers and students are very lovely, so I hope she'll adapt to the system and be able to enter the grammar school here too.   For my wife, she first wants to be able to drive in the UK. She has a driving license, but she's still quite hesitant, so that's a priority for her.   A message to my colleagues in Hong Kong  I have a heartfelt message to my colleagues in Hong Kong, if they are interested in moving to the UK. First of all, there's a lot of negative news in Hong Kong, saying that a lot of good doctors are Hong Kong, leaving those living there unattended. My message to HK doctors is that things aren’t necessarily that bad in HK, but they can be better in the UK.  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.    Join the IMG Oncologists Facebook group for access to a community of like-minded FRCR (Oncology) aspirants and dedicated oncology recruiters. In this group you will find tailored resources for oncology IMGs, including access to our FRCR (Oncology) crash courses, completely free to all doctors. You can access our IMG Oncologists community here. For regular news and updates on the Royal College and all things oncology, follow IMG Connect on social media using the links below:              

Are you an overseas physician looking to move to the UK?  Here, you can hear first-hand the experiences of an international general physician who has been through the process, from completing their MRCP and GMC registration, to securing an NHS job and relocating to the UK? 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 you to Rehan Qureshi, a brilliant general medicine specialty doctor who relocated to the UK from Saudi Arabia with his wife, children and his mother in 2020. Having passed the MRCP and English language exams, Rehan received full GMC registration with license to practise. He is now working in the NHS at Scarborough General Hospital in the north of England – where he is making a fantastic impact on the service and wider community.   Tell us about yourself - what should the IMG community know about Rehan Qureshi? I'm a physician with a special interest in acute and renal medicine and over 19 years of multi-centre clinical experience. My other areas of interest are clinical research, healthcare quality and patient safety, medical education as well as medical leadership. What motivated you to move to the UK?  I was practicing overseas where despite working very hard, I had very limited prospects in terms of career progression and growth. I have always admired the NHS’ policy of ‘fair and equal opportunities for all’, and I view the UK in general as a fair and multicultural society. Tell us about your experience with the Royal College of Physicians exams... Honestly, these were some very hard times … as a family, it was quite tough for us while I was taking my MRCP exams. Each time I failed, my wife cried … but I didn't because I knew, the only way to get through the process and past failure was resilience! That helped and in the end I passed! Do you have any tips or advice for overseas doctors who are currently working towards MRCP? Never lose hope. Set a goal, work hard towards it and keep trying until you succeed! Avoid negativity and people who discourage you. Remember, MRCP is very much doable, though not easy. Practice is the key! How did you manage to navigate and juggle the different aspects of registration whilst working? I divided my day into four parts: work, MRCP, family and rest. I'd ususally finish work by 5pm and immediately begin my MRCP practice from 5pm - 8pm at the hospital. After getting back home at about 8:30pm, I'd have time for dinner and to spentd a couple of hours with family before going to sleep. The weekends were definitely better, but I'd still spend at least 6 hours in the library. I'd suggest you start your intense preparation no sooner than 6 months in advance. You need to work hard, but try to avoid burnout. For me, it worked. Did you have any major or unexpected issues with the GMC registration process or your visa application? I had none at all - everything went smoothly. How did you find a medical oncology job within the NHS?  To be honest, I connected with Marcus & Ruaidhri, who did everything for me. They actually made my journey to getting my first NHS job a piece of cake! This was to the extent that when we arrived in the UK and reached our hotel, (at a time when the UK was in lockdown due to COVID), we had all our groceries promptly delivered by them. What more could anyone ask for? I knew some friends who were working with other agencies that left everything to them. With how much IMG Connect had helped me, I used to ask Ruaidhri questions to help my friends as well. My advice: find yourself an agency that is known to be responsible and is keen to truly help. I personally found IMG connect very very helpful! Tell us about your journey to the UK... It was scary to travel at a time when the UK was in lockdown and COVID-19 cases were so high. However, my journey was made very simple, since all the logistics including visas were sorted by Ruaidhri, so we did not face any unnecessary hassle. I would say, it was a very smooth transition, we enjoyed two weeks of quarantine as we had been longing to spend some quality time together as a family and enjoy a good rest before starting up again. What has been your experience working with IMG Connect?  The support I received on this journey was amazing. I absolutely could not ask for more. For the first time in my life, I traveled without any need to think or worry about logistics because they were being so well-managed by Ruaidhri and his team at IMG connect. My wife and I were traveling with young children and my elderly mother, and I must say, we have been taken care of very well! How are you settling into life in the UK? We have been settling in very well. In Scarborough, we have a beach that my children enjoy going to, and they also love their new school. Not for a single day have we felt that we are in a country of different culture, ethnicity or faith. My daughter had a pleasant surprise when her school teacher greeted her with 'Eid Mubarak' on the day of Eid festive, which was a great welcome during our first time celebrating Eid in the UK. The UK is truly wonderful and people are very welcoming here. It's beautifully blended multi-cultural society and we consider the UK our home now. What have you enjoyed most about living in Scarborough in particular? So many things: the beach, the variety of fun activities for children - like steam engine trains and parks. We've even enjoyed snow for the first time. Fish and chips are great! Traveling in the UK is absolutely easy and fun and there's so much to do and see. What opportunities have become available to you through your work? I am really enjoying my current role. Within a year of joining the NHS as a specialty doctor, I now hold 4 different roles: I'm a senior lecturer at Hull York Medical School, an SAS regional representative for RCP London, an SAS Teaching Fellow and a member of the RCPQI. I’m also starting my postgraduate certificate in health professions education funded by the HEE. I have the support of mt Trust with my CESR application and have been given the opportunity for research and to become a medical examiner.  For comparison, I was in my previous position for a decade, and only had one role with no career progression prospects. What’s next for you now that you’re working in the UK? I think you should always aim high with your goals. I aim to establish myself as a clinical leader as well as an academic leader, a clinical researcher and principal investigator. In the short term, I look forward to taking on the new 'Specialist' role and making progress on my CESR application with my hospital's support. What’s been the biggest challenge you’ve faced in moving to the UK? This would be my mother's visa. I'm an only child, so I couldn't relocate without her. Before finding IMG connect, many agencies had contacted me with job opportunities and all refused to help with my mother's visa. IMG Connect on the other hand, never give up. Marcus & Ruaidhri, perhaps, enjoy such challenges :-) Ruaidhri literally went out on a limb to help me on this. He contacted people, introduced me to an agency, helped me prepare the entire case and finally - we got it done and my mother was given her visa! I can't tell you what a huge relief it was. A big thank you to Ruaidhri, Marcus and the entire team at IMG Connect for this! Have you experienced any culture shocks living in the UK? Not at all! As I said, the UK is a multicultural, multi-faith country. People here in Yorkshire are very welcoming. We can easily find Halal food from local shops which also sell vegetarian food. We have a mosque in town, and there are separate prayer rooms for both male and female Muslim staff in the hospital. We feel so at home here. What have you missed about Saudi Arabia the most? We've definitely missed our old friends, and relatives. Is there anything you wish you’d known before you began your journey to live and work in the UK? I already had most of the information I needed before I came by Ruaidhri and Marcus, so there was nothing that came as a shock or surprise to me. Do you have any tips or advice for international doctors who want to move to the UK? I have a couple of pieces of advice. Firstly, if you are struggling to progress in your career, consider relocating to the UK. Here, it does not matter who you are, or where you come from. What matters is how dedicated and hardworking you are and I think your hard work always pays off. The NHS is a great institution and wonderful place to work. Secondly, I'd say consider taking an specialty doctor role. It's a great position where you'll have career prospects to develop as a locum consultant and enjoy a good work-life balance. 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 to secure rewarding jobs, progress within their field and explore adjacent opportunities such as CESR (for non-EEA doctors), writing publications 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 Connect family.    To receive the latest news and updates on the Royal Colleges, GMC registration and the NHS, as well as more #IMGStories, follow us on social media and join the conversation.              

Are you an overseas psychiatrist looking to move to the UK? Here, you can hear first-hand the experiences of an international doctor who has been through the process, from completing GMC registration, to securing an NHS job and relocating to the UK. 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 you to Linda Granqvist, a fantastic child and adolescent psychiatrist who relocated to the UK from Sweden. Linda has been living and working in the UK since earlier this year when she received full specialist registration from the GMC. She is now working in the Lancashire and South Cumbria NHS Foundation Trust in the north west of England – where she is making a huge contribution to the NHS and wider community.   Tell us a little about yourself – what should the IMG community know about Linda Granqvist?  I’m a mum of three who comes from Sweden and I work as a child and adolescent psychiatrist, which I have done for many years. I'm also a family therapist and a certified therapy dog handler. In my free time, I really enjoy hiking and diving – I'd say those are my main interests.  What motivated you to move to the UK?  So, for a couple of years, I’d been thinking about moving to an English-speaking country. Both because I want to improve my English skills and the same for my kids – I also wanted them to learn how to speak English fluently. Also of course, to experience another country, to see how they work within CAMHS, and to be able to develop professionally in a new place.  Your journey to the UK was an adventure! Why did you decide to drive rather than fly to the UK?  In the beginning, it was just practical reasons really. I wanted to have the car with me to be able to move around easily in the UK, also, I don't like to put Iris on aeroplanes. So I decided I’d rather drive. I also have a lot of friends in the countries I’d be passing through along the way, so I thought I might be able to stop and say hi. In these strange times, this was a different way to stay in touch. To be honest, I was a little bit nervous at first - it's a long journey. And initially, it was just going to be me and Iris in the car, fully packed with all of our things. But then a very sweet friend of mine offered to join me on the trip. This made the whole trip incredibly easier and so much more fun. I'd recommend traveling with a friend to anyone thinking of coming to the UK the same way.  Tell us about your journey to get here, any issues or exciting moments along the way?  The trip took us four days, which doesn’t sound very long, but then we were on the road for long periods of time, because we needed to cross the French and English borders within 72 hours of us departing Sweden because of the COVID situation. So, we had that tight schedule to work to, but it all worked out!  Alongside taking wonderful swims in the ocean and being on the beach when we were taking a break, getting to visit friends was great. I was a little curious about the COVID restrictions, to see how they would hold up in practice. There was no one checking us at any of the check points we passed at the borders between Denmark and Germany, Germany and Belgium then on to France. The only place where they actually checked all the certificates and vaccination status was on the ferry between France and England, so that was surprising to me.  What were the best places or things you saw on your journey?  The most exciting thing for me, just off the top of my head, is when we got to Dover. It was such a beautiful moment, having these white cliffs heading towards us on such a beautiful evening. I had a moment of strong emotion when I realised this would be my home for a long time and I was finally here.  You are the first psychiatrist we have worked with who has travelled with their care dog - exciting! We can’t wait to meet Iris, what was it like travelling here with her?  Iris is so relaxed. She's very used to me taking her everywhere, to all sorts of places, so she was quite happy after around 12 hours of travelling, when she realised she could just chill out. So she's no problem at all. Even now, I think she sort of misses the car!  Was it difficult to make arrangements to come to the UK with a dog?  You have to have your shots up to date and have the all the tablets that you need. But not really, it's not really been much of a fuss and was quite easy. Also, we'd travelled abroad before, so she had a passport and things like that.  What role does Iris play in your daily practice in the NHS?  Iris is a trained Care and Therapy Dog and we have worked side by side for 4 years now. There were no protocols in place for a care dog at first, so the situation needed some working out, but now that’s been sorted, we’re up and running and I'm working with her clinically every day. She helps me with patients so they feel emotionally supported. She can do most tricks in the book and loves children and adults and is so proud to be helping me with these sometimes very vulnerable children. How did you manage to navigate and juggle the different aspects of registration whilst working full time in Sweden?  Without all the support from Ruaidhri, I don’t think I would have, to be honest - all the credit goes to him. There was so much paperwork and so much to consider in doing things in the right order that it would have taken me forever. But Ruaidhri has been so supportive, holding my hand all the way, always letting me know what the next step was and what I would have to do, helping me wherever he could. He's just been amazing.  Do you have any advice for international doctors hoping to find jobs in the UK?  Find IMG Connect. Seriously, it made all the difference for me. If I’d had less support, I don't think I would have gone through with the move.  From your experience so far, tell us about a day in the life of a consultant CAMHS psychiatrist in the NHS…  I'm a locum consultant, so I work together with one other senior doctor and then another part-time consultant, as well as other doctors who are training and more junior. I take part in assessments and support the team in medical issues spend time on-call.   It's a big difference from what I’ve experienced before. I've worked both privately and in the NHS in Sweden, and I'd say it's a big difference in terms of the psychiatry role, and also how we support the team. It’s understaffed in some areas, and the socio-economic factors within the area can make things more difficult. I think I was maybe a little bit naïve coming into this role. But everybody is so supportive and really welcoming.  How are you settling into life in the North West of England?  So far, we’re enjoying it very much. It's almost like a tropical environment for us compared to Sweden. The people are extremely friendly and open, and not to say the least, they're very dog oriented. Iris really gets to socialise, so the dog life here is much easier. And then the nature, I mean, it's beautiful. Preston doesn’t have the most wonderful nature, but it's so close to the Lake District and the sea, so we're taking advantage of that as well.  What’s next for you now that you’re working in the UK?   My field of interest is in using dogs as part of the work within Child and Adolescent Psychiatry. So I’d love to do more research on this, to find out who benefits the most from having a therapy dog - I think that will be my next step. I always give everyone feedback forms to comment on how they found the appointment with a therapy dog present. I've previously done a small project in Sweden related to this, but I would like to expand on that.  Have you had any culture shocks living in the UK so far?  Probably the dog culture being so friendly. It's I think a positive culture shock. I'm really happy with how things are going. We’re vegetarians, me and my three daughters, and we’re finding that British vegetables are so much tastier than in Sweden! We talk about it at dinner all the time, wondering how they can taste so good. I'm not too keen on fish and chips and some other typical British dishes, they’re not my cup of tea, but there’s so much choice here as well.  What have you missed about Sweden the most?  I guess there's the emotional part of it - leaving your closest friends, and some family. I think that's the hardest part and what I've missed most.  Do you have any advice for international doctors who want to move to the UK?  It’s a big step, relocating with your family, so it’s good to have practical and emotional support around you. But don't be afraid to try new things. Embrace everything, be flexible and just go for it. You will have an experience you will never forget.  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 to secure rewarding jobs, progress within their field and explore adjacent opportunities such as CESR (for non-EEA doctors), writing publications 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 Connect family.                

Are you an overseas psychiatrist looking to move to the UK? Have you always wanted to hear first-hand the experiences of an international psychiatrist who has been through the process, from receiving full GMC registration to securing an NHS job and relocating to the UK?    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 Francesco Spadaro, a brilliant consultant psychiatrist who relocated to the UK from Italy. Francesco has been living and working in the UK after receiving full GMC with specialist registration. He is now working in the NHS at Central and North West London NHS Foundation Trust, where he is making a positive impact on the service and the wider community.   Tell us about yourself - what should the IMG community know about Francesco Spadaro? My work is my passion. I really love the clinical aspect of it, especially talking with patients. I enjoy trying to help my patients as much as I can and giving them a hope in trying to improve their clinical condition. No matter who they are, where they come from, or how serious is their disorder may be. At the same time, studying and looking at how the mind works has always been such an important part of my life. What motivated you to move to the UK?  I was very keen to move to the UK. London is such a special place and completely unique in my opinion. The city is so open and inclusive and really encourages you to get involved in so many ways. This was a really big motivating factor for me. Was Brexit an issue for you at all? It was definitely something to consider, but I was lucky enough to be able to anticipate my leave at my previous job in order to avoid any potential Brexit complications. How did you find a general adult psychiatry job within the NHS?  I personally found IMG Connect to be a great help on this. The team really encouraged me with lots of advice and suggestions on how I could tailor my CV to specific roles I was applying to. Most importantly, they really listened and took into consideration all of my needs and difficulties. They go far beyond any of the simple questions you may have for them and cover all angles, including things you may not have considered yourself! Tell us about a day in the life of an international General Adult Psychiatrist. I work in a secondary care, Community Services facility. We work in teams which cover several boroughs and are led by a senior practitioner, ans supported by health professionals with a range of expertise: nurses, social workers, support workers, psychologists and NGO volunteers. We start each day with an MDT (multi-disciplinary team meeting) where we discuss our first assessments, feedback and cases with cause for concern. The great thing about these meetings is that we're all equally involved - everyone participates, sharing knowledge specific to their experience and role. Consultants are involved in the most severe cases. They will also have slots where they will supervise trainee GPs and junior doctors. We also have lots of meetings throughout the week: scientific meetings, journal clubs and meetings concerning the organisation. Sometimes it feels like there are too many meetings, but I'm still getting used to the differences between the UK and Italian healthcare systems.  Tell us about your journey to the UK... It was really quick! Once I'd passed had my interview and been offered the job, I just organised my affairs and hopped on the plane. Of course COVID-19 complicated things, but that was the case for everyone in almost every country at the time. What has been your experience working with IMG Connect?  My experience with IMG Connect has been excellent. They carefully listened to my needs and requests and were always able to offer me appropriate jobs along my requests. They also prepared me in coping with any type of difficulties I would face in regard to relocation to London and my new role in the NHS. They were such a solid presence throughout this process for me and were always there to offer support, both before I had the job and afterwards. Within the IMG Connect team, I would like to take this opportunity to thank Ruaihdri MacKay in particular, who is an excellent professional recruitment consultant. He was a wealth of guidance, advice and support for me during, and also after, my entire recruitment and relocation. He showed what I consider a unique commitment, dedication and foresight and completely kept me at ease with his justified optimism and knowlegde of the steps in my journey. I was really lucky to have him on my side. How are you settling into life in the UK? Things were a little difficult to begin with due to the COVID-19 restrictions, but things have really eased and I'm enjoying living here. What’s next for you now that you’re working in the UK? At the moment I'm still settling in, learning a lot about the UK's system and procedures. Once things have settled a little more for me, I'd like to see whether I can incorporate some teaching or lecturing work into my career path in the UK. What’s been the biggest challenge you’ve faced in moving to the UK? One of the challenges I've faced has been finding really affordable housing, but this was expected in moving to such a large and popular city as London. Have you experienced any culture shocks living in the UK? I wouldn't consider it so much of a cultural shock, instead I'm pleasantly surprised by the opportunity to work with such a diverse range of people. It really is a special experience that connects you to cultures and people all over the world. What have you missed about Italy the most? Most of all, I miss the lifelong friends I've made in Italy. Do you have any tips or advice for international doctors who want to move to the UK? I would just say, do it. Take a chance and live the experience! 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 to secure rewarding jobs, progress within their field and explore adjacent opportunities such as CESR (for non-EEA doctors), writing publications 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 Connect family.   

Are you an overseas Psychiatrist looking to move to the UK? Have you always wanted to hear first-hand the experiences of an international Psychiatrist who has been through the process, from completing their MRCPsych exams to GMC registration, and from securing an NHS job to relocating to the UK?    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 Kevin Li, a brilliant psychiatry specialty doctor who relocated to the UK from Hong Kong in 2021. Having passed the MRCPsych and English language exams, Kevin received full GMC registration with license to practise. He is now working in the NHS at Lancashire & South Cumbria NHS Foundation Trust in the north of England – where he is making a fantastic impact on the service and wider community.   What motivated you to move to the UK?  Psychiatrists are in demand in the UK and Hong Kong psychiatrists who have years of experiences would be very much welcomed to work in the country. With some NHS Trusts there is also a well-established CESR program to help overseas psychiatrists with MRCPsych to attain specialist registration. Specialist registration in the UK is also well recognised in a lot of other English-speaking countries.  Tell us about your journey through the Royal College of Psychiatry exams…  I had completed my specialist training in Hong Kong quite some time ago. I only decided to sit the MRCPsych exams last year. Due to the pandemic, all exams were conducted online which actually facilitated a lot of Hong Kong doctors to sit for the exams. Having always been involved in training and supervision of junior psychiatrists, it helped me a lot to keep myself updated with the knowledge and skills required for sitting examinations.   Do you have any tips or advice for overseas doctors who are currently working towards MRCPsych?  For the MCQ based paper A and B, it is important to set aside time for some intensive studying before the exam as a lot of the knowledge asked would not come up in everyday work. It is also important to pay attention to minute details in each topic which would often come up in the exams.   For CASC exams, it would be useful to form a study group with colleagues and have practice sessions together, as well as watching demonstration videos (such as some paid online courses) to learn the skill required to pass type of different stations. Time management (7 minutes) to complete the tasks in each station is also crucial.   How did you manage to navigate and juggle the different aspects of registration whilst working full time?  For overseas doctors having attained MRCPsych, registration with the GMC is fairly straightforward after taking an English proficiency exam, which should not be too difficult if one received medical education in English.  However, as the GMC closes an application if it could not be completed within 90 days, I found it important to have all the documents ready prior to submitting the application, especially letter of good standings, further proof of qualification and training from the university faculty which took time to be prepared.  Did you have any major or unexpected issues with the GMC registration process or your visa application?  There had been no major difficulties in terms of the registration. The HR team and IMG connect have been in constant touch with me to see what my needs are and accommodate my relocation schedule.  How did you find a general adult psychiatry job within the NHS?  For Hong Kong doctors coming to the UK, it is better to look for job openings that specifically states that IMG applicants are welcome. It would usually take IMGs quite a while to adapt to the system in the NHS and it is important that the Trust would give time for induction and support for IMGs during the initial phrase when they start their job.   It is also good to keep one’s mindset open to offers in locations that might not be the most popular at first look. Posts in popular locations such as Greater London or Greater Manchester are usually a lot more competitive and the support provided to IMGs could be less sometimes. It would also be a good opportunity to experience life in the UK out of the usual few big cities. There are always opportunities to move to another place after gaining experiences working in the UK.  Tell us about a day in the life of an international General Adult Psychiatrist, newly started in the NHS…  As a specialty doctor with the MRCPsych qualification, one is expected to take an active role in the MDT team with the support of the Consultant, for example on deciding on medications, deriving a care package with other stakeholders.   There is a strong focus on mental health legal and human rights compliance in the field of psychiatry, as well as adherence to treatment guidelines in the UK. Some doctors may need certain time to adjust to such differences in practice from their home countries. There are junior doctors who can readily assist with physical problems of patients, which might make it easier for a Hong Kong psychiatry specialist to adapt after years of working in psychiatric setting only.   What was your journey like to the UK during a period of COVID-19 restrictions?  I arrived at a time when restrictions were gradually easing. It was very easy to arrange mandatory COVID tests according to the government requirements. Most hotels or Airbnbs would welcome arrivals into the UK to be used as self-isolation.   What has been your experience working with IMG Connect?  I had received excellent support from IMG connect in terms of securing a job offer that suits my level and experiences, as well as advising on the career prospect and negotiating an attractive numeration package. The IMG connect team also gave me a lot of useful suggestions about finding accommodation in a suitable area close to work.   Most importantly they have excellent communication with the HR team in the Trust, which makes formalizing the offer and completing the necessary paper works much easier.  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 to secure rewarding jobs, progress within their field and explore adjacent opportunities such as CESR (for non-EEA doctors), writing publications 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 Connect family.   

Are you an overseas psychiatrist taking the postgraduate route to GMC registration through the MRCPsych exams? Are you interested in sitting the exams in the future? As part of IMG Stories, we introduce to you Dr Praveen Kumar, a psychiatrist who has recently sat and passed the MRCPsych Paper B exam. Praveen will be sharing with you his experiences of the second of the Royal College of Psychiatrists exams, taking you through his preparation, experience of sitting the exam and sharing some hot tips for international MRCPsych aspirants. 1. Tell us about yourself... what should the IMG Community know about Praveen Kumar? I'm a Malaysian psychiatrist and I completed most of my training as an Ob-Gyn in Borneo. I originally came to the UK for the PLAB 2 exam, with my ultimate aim being to relocate to Australia. I had planned on spending a few weeks in the UK as a vacation, as it was my first time flying to the west. Due to the COVID-19 pandemic, I was stuck in the UK for some time. I decided to enter the psychiatry training programme in Inverness, Scotland (CT1) just out of curiosity, because mental health was hardly spoken about in rural Malaysia, so I knew little about it. This was my main plan while I waited for restrictions to ease in Malaysia so I could return home, however plans changed, and I've been here ever since. 2. What motivated you to sit the MRCPsych exams? I had no experience in psychiatry before starting my training in February 2021, but I felt I owed it to my patients to have at least some basic knowledge. I felt studying for MRCPsych would prepare me for the role, so I took Part A and B early on. 3. At what point in your career and training did you sit the MRCPsych Paper B exam? I sat Paper A in December 2020 and Paper A in October 2021, so this was quite early on in my training.  4. How far in advance did you start preparing for the MRCPsych Paper B and how much time did you spend on revision? I began preparing around 6 months before the exam. I'd have 8-20 hours of zoom study sessions weekly for the 6 months, studying around 4-6 days a week. 5. Did you benefit from speaking to senior colleagues or peers about the exam? Did you study with other candidates? I relied on study groups via a WhatsApp group for discussions and attended weekly zoom study sessions. I formed a study group by seeking out other candidates after posting a message on MRCPsych groups on Facebook. 6. Have you already completed MRCPsych Paper A and how do you feel it prepared you for the Paper B exam? I completed MRCPsych A on Dec 2020. By then I had already conducted many group studies and had 117 group study mates that continued with me into part B. We did the same format of group study that I hosted before. 7. How did you manage to juggle other commitments whilst studying for the exam (without panicking)? Since I am on my own here in the UK, I was able to invest a lot of time and energy in hosting daily study sessions because at the start, it kept me grounded while I was stuck in a foreign country. It gave me the opportunity to communicate with so many people in a setting other than my workplace. It was fairly challenging initially while I moved between Airbnbs (7 in total!) while waiting for flights back home. It was only when I was accepted into a psychiatry training programme in Inverness and acquired stable accommodation that things became a lot easier. 8. What resources did you use to prepare and practice for the MRCPsych Paper B exam? The hardest part was actually statistics which took up 1/3rd of the exam questions, so the goal was to complete the statistics syllabus, then move on to cover clinicals, repeat statistics again, then finally start mocks before the exam. This was the process that was recommended to me by some friends who passed the exam before me. The SPMM mocks and high yield questions were most helpful for clinical and stats, but the Psychmentor notes were also really good with the questions and mocks helping to fortify our knowledge. The Statistics and Research Methods (Cambridge Crash Course) by Dr Paul Wilkinson helped loads with statistics near the end. I didn’t use any notes or SPMM videos, but I’ve heard they helped others quite a lot. 9. 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? I prepped by reassuring myself that I did practice and study as best I could. I was ultimately looking to gather knowledge that would allow me to better help my patients. Whatever else came out of the process was secondary. 10. What was your experience like on the day? I felt like I could hear the voices of my study mates as I did the exam. It didn't feel particularly difficult to be honest, because I'd had lots of practice sessions. 11. What was the most challenging part of the exam? There were some tricky bits, for example being asked the percentage of patients who have a particular illness! 12. Now that the MRCPsych exam is provided online, how (if at all) was the test different to exams sat in person? I didn't see it as much different to be honest. 13. In hindsight, would you have done anything differently? Nothing really. I genuinely enjoyed the study sessions and I hope others did too. 14. What nugget of advice would you give to any MRCPsych Paper B aspirants? Form or join a study group with people from various backgrounds. Mine had folks from around the globe with psychiatry experience ranging from none at all to 12 years. Their input was gold - more so since the exam is very relevant to our day-to-day practice. 15. What are your plans going forward? I’m actually doing a couple of diplomas at the moment. I plan to collaborate with some people on some research/publication opportunities. This is mostly to bide time during CT2 as I am only allowed to sit the CASC exam during CT3 after 2 years psychiatry experience. The postgraduate route to GMC registration, whilst not the fastest, can be the most rewarding in the long run. The MRCPsych exams are the central components of psychiatry training in the UK, and as an international psychiatrist, this is the route that allows you to most closely align your qualifications with the requirements of more senior roles in the NHS. Join the IMG Psychiatrists Facebook group for access to a community of like-minded overseas MRCPsych aspirants and dedicated psychiatry recruiters. For news and updates on all things psychiatry, including GMC registration, the Royal College and the NHS, follow us on social media and join the conversation.             

Are you an overseas medical oncologist looking to move to the UK? Here you can hear first-hand the experience of an international medical oncologist who has been through the process, from completing their MRCP and GMC registration, to securing an NHS job and relocating to the UK? 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 Kishore Kumar, a brilliant consultant oncologist who relocated to the UK from India. Kishore has been living and working in the UK after receiving full GMC with license to practice. He is now working in the NHS at South Tees Hospitals NHS Foundation Trust, where he is making a positive impact on the service and the wider community.   Tell us about yourself - what should the IMG community know about Kishore Kumar? I am a medical oncologist who moved to the UK from India. I moved to the UK later in my life than most IMGs, I'd say, having worked as a consultant medical oncologist in India for over 11 years before I decided to move to the NHS. The system I worked in was quite similar to the NHS (free medical care at the point of access), and whilst I was looking for a change, this was something I enjoyed about my previous work and was looking for that in any healthcare system I may move into. What motivated you to move to the UK?  The NHS is arguably one of the finest healthcare systems in the world (I know many some may disagree, but having personally seen some other systems, I would definitely rate the NHS very highly). Working in the NHS was a long-held desire of mine, so the move was logical once the opportunity presented itself. Tell us about your experience with the Royal College exams... I passed the MRCP exams in 2005 at a time when there were no overseas centers in India. I had to travel to the UK for the exam, which was held in Glasgow and I also attended a training session in Ealing Hospital for the exam. It was very exciting process for me, especially visiting the UK for the first time. Do you have any tips or advice for overseas doctors who are currently working towards MRCP? I passed the exam quite a while ago, so I'm not sure how relevant my advice will be to current candidates. However, from my experience, overseas doctors need to understand the NHS system to do well, especially for the PACES exam. Practices which build on this knowledge would be helpful. How did you manage to navigate and juggle the different aspects of registration whilst working? Since I was working full time, I needed to set aside dedicated time to study for the MRCP exams. I roped in a friend (a very bright doctor) who would conduct mock exams for me over the weekends. Did you have any major or unexpected issues with the GMC registration process or your visa application? Since I was applying for GMC registration a significant amount of time after passing the MRCP, the GMC wanted evidence that I was still up-to-date in my practice. Luckily, this wasn't too complicated and the GMC advisor was very helpful. How did you find a medical oncology job within the NHS?  Two words: IMG Connect. I was completely new to the process and I was quite unsure about locations and the general steps. Ruaidhri form the IMG Connect team was my go-to person for everything, from advice regarding locations, to job profiles, visas, and GMC registration. I don’t think I would have made it here if not for him. Most importantly, IMG Connect really listened and took into consideration all of my needs and worries. They go far beyond any of the simple questions you may have for them and cover all angles, including things you may not have considered yourself! I would advise any IMGs hoping to relocate to the UK to find someone (like Ruaidhri) who will genuinely look after THEIR interests. It is easy to land up in the wrong role and to struggle through the complications of trying to leave soon after. If in doubt, seek advice from overseas doctors already in the UK and honest recruitment teams like IMG Connect. Tell us about a day in the life of an NHS consultant medical oncologist... The days are usually quite busy. They are split into two sessions (morning and afternoon), with at least one session (sometimes both) being a clinic and the other an MDT or another supportive activity. Working in the UK is very different to working in India, in some ways. At my current hospital, we see far less patients than I used to, but the amount of time spent on each patient is far greater. Of course, five-day working weeks are very welcome (it was six in India). Tell us about your journey to the UK... I arrived in early November 2020, when the UK had just gone into its second lockdown. COVID numbers were very high and many people advised me against traveling until things had settled. However, at this point I didn’t see COVID-19 going away anytime soon and decided there was no time like the present. The only difference was my family made sure I traveled business class to decrease the risks - this was the only time I've ever flown business class and it was nice ;-) What has been your experience working with IMG Connect?  Absolutely fantastic! I can’t thank Ruaidhri and Marcus enough for everything. Just to give you an example, once I'd landed in the UK and reached my accommodation, I had to quarantine for two weeks. Ruaidhri drove over 3 hours (one way, at night) from Scotland to my place and brought in groceries for the next two weeks, since I would not be able to go shopping. Need I say more. Although it’s been almost a year since my arrival in the UK, I still regularly chat with Ruaidhri and Marcus. We're like old friends at this point. How are you settling into life in the UK? I'd say I'm settling in quite well, and my colleagues agree. I am currently here without my family (they will join me later), so I've needed something to do at the weekends. Once the lockdown lifted, I bought a car and have traveled quite a bit. I go trekking most weekends and enjoy visiting new places. What have you enjoyed most about living in Middlesbrough in particular? The proximity to great places to visit. It’s just 20 minutes from the beach, or the Yorkshire Moors. London (from Darlington) is less than 3 hours away, and Scotland is a couple of hours away, as is the lake district. What’s next for you now that you’re working in the UK? My department has been very helpful. They are actively supporting me in my CESR application process, and I'm getting involved in research and clinical trials. I have also been given teaching opportunities, and even delivered a talk in the Royal College of Physicians CPD series. What’s been the biggest challenge you’ve faced in moving to the UK? I'd say the separation from my family, primarily on account of the COVID-19 pandemic.  Have you experienced any culture shocks living in the UK? No real 'shocks', but I've found the people here quite friendly. The only shock really is how expensive things are compared to India (things like train fares, eating out etc). I've also been introduced to things I'd never done before, like filling petrol and air in a car, ironing clothes etc. What have you missed about India the most? Other than my family, I miss the sunny days most (where I lived in India was sunny and not very hot). I will never take the sun for granted again! Is there anything you wish you’d known before you began your journey to live and work in the UK? Not really. Having friends and family who already lived in the UK (as well as the power of the internet), meant that a lot of my questions had already been answered and there was a lot of information available to me. Do you have any tips or advice for international doctors who want to move to the UK? Moving to the UK is something to consider if you're an IMG looking for a good work-life balance. A medical oncologist might be paid better in some countries, but it would be difficult to beat the quality of work and the relatively stress-free work environment here. I'd say try to avoid landing here during the winter - it does not make a very good first impression, but if you have interests in other areas (especially travel or hiking), the summers here are really awesome! 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.    Join the IMG Oncologists Facebook group for access to a community of like-minded MRCP aspirants and dedicated oncology recruiters. In this group you will find tailored resources for oncology IMGs, including access to our MRCP crash courses, completely free to all doctors. You can access our IMG Oncologists community here. For regular news and updates on the Royal College and all things oncology, follow IMG Connect on social media using the links below: