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  4. I'm sharing my IELTS experience.I have also tried to answer the questions put to me to the best of my ability .I hope this helps . Before I start I'd like to make 3 important points : Despite what anyone will tell you , the ielts is not an exam to be taken lightly .You need to take it seriously and prepare for it . .Different people have varying levels of command over English .Therefore the time required for preparation can vary considerably .So don't blindly follow what people say. Each person is different , and a strategy that works for me need not work for others . With that out of the way, let me share my experience . Exam : I took my ielts for ukvi on the 17th of June this year .Many people have a doubt regarding which exam they need to take.I'd like to say that both ielts ukvi and the regular academic ielts are exactly the same in terms of difficulty.I don't buy rumors that say ukvi is harder .I would suggest that people take the ukvi for the following reasons : You need to take the exam only once(no need to take a separate exam for UK visa . You save money by not applying for 2 exams . Disadvantages of ukvi are : Held only in a limited number of places with limited slots and dates .You need to book early . you need a valid passport to apply for it . Your results cannot be previewed online and will be delayed by 3 or 4 days .This is for those who want to apply for plab 1 asap. You need to apply for a UK visa within 2 years . You can book the exam by visiting the ielts for ukvi website. Book the academic ukvi exam . Place: I took my exam in Bangalore ,India .I personally don't feel that place of exam affects scores . Time for preparation :Although English is not my mother tongue , I have conversed in english all my life (including at home ).This really helped me prepare quick for the exam .I studied for about 4 weeks(4 hours a day ). Materials used : My main study material was ieltsonlinetests.com .Its an excellent resource for listening and reading , since it has all the cambridge books .However , I would not recommend the sample answers for writing as they are submitted by users and aren't great .. Ielts Liz was another source that I used , especially for writing . Emma's videos and ielts Liz videos on YouTube provide step by step guidelines on how to structure essays for both task 1 and 2. You can also go through the sample essays on road to ielts and the book you receive when you register for the test . Now to specific areas Listening : There are 3 things to do - focus ,focus and more focus .For those 30 minutes , nothing else should be on your mind .Practice this way and you 'll ace listening .I found putting my head down and staring at the questions an effective way to focus .For those of you who find it difficult to pick up accents , watch American sitcoms , BBC and channel 9 for Australian accents .I personally found the Australian accent a bit tough . Reading :Remember that the questions asked will not have the same words as the passages .Learn synonyms .Use a thesaurus if required .Underline important dates ,names and events and learn to summarize paragraphs by understanding what the main theme is .This will come with practise . Writing : This is the part that most people are nervous about .I will be honest -I was too .Practice at least 1 essay a day (either task 1 or 2) and time yourself such that you have 5 minutes remaining for checking because there will be spelling and grammatical errors you would have made. Get your essays checked by someone proficient in english .You can do this by submitting it on a fb group for ielts or by using a professional correction service (they will charge you a fee).you could even get it checked by your school or college English teacher . Speaking :This is an area in which it's a little harder to assess yourself .Try conversing in English as much as possible in your daily life .Again , speaking to someone proficient in English will give you feedback on areas where you can improve .There are people you can Skype with on FB ielts groups . Well this is my 2 cents on the whole process.Hope it helped :)Good luck to everyone.You can do it !
  5. Tier 2 visa is needed to travel to the UK for employment. This post only covers the application process. I will publish general guidelines for Tier 2 visa if and when I get my tier 2 visa. Category of Visa Tier 2 (General) Visa – General Migrant for 3 years. Points-Based Visa Tier 2 Visa is a points-based visa. You need to score 70 points to be eligible for the visa. Scoring 70 points does not guarantee visa clearance, though. Scoring 1. Shortage Occupation 30 points 2. RLMT 30 points 3. Salary of £159,600 or more 30 points 4. Appropriate Salary20 points 5. English Language10 points 6. Maintenance10 points Total Needed 70 points . Point number 1, 2, 3 and 6 are mentioned on your certificate of sponsorship. Appropriate Salary You must be paid at least £30,000 per year or the ‘appropriate rate’ for the job you’re offered – whichever is higher. Check the appropriate rate for the job you’ve been offered. English Language You must score at least 4.0 overall in IELTS UKVI Academic or you can apply for UK NARIC. Maintenance If your hospital is not providing you with maintenance, then you must have personal savings of at least £945, which must have been held for 90 consecutive days (finishing on the date of the closing balance), ending no more than 31 days before the date of their application to score 10 points for maintenance. The Visa Process The basic process is similar to that of the PLAB visa: Submit an online visa form from the Visa4UK website. Take an appointment for passport submission and ID check. Attend the appointment. 1. The Online Form The online form is very simple and very similar to the one for PLAB visa. Once you submit this form, you will be asked to pay your visa fee and an additional immigration health surcharge fee. The Visa Fee is £587 Immigration Health Surcharge £200 per year. This depends on the length of your trip mentioned on your certificate of sponsorship. 2. Booking an Appointment As soon as you submit the above-mentioned fee, you will be asked to book an appointment for passport submission and your ID check at the visa office. You can select an appointment time that is convenient for you. 3. The Appointment Once you reach the visa office, you will be offered a premium service, which includes tea and biscuits; you will not have to wait in the queue either. A few people prefer this service. However, most reviews are negative since there is no major difference between this and the regular service. Our visa application is not processed earlier because of this service. The rest of the process will be the same as your PLAB 2 visa appointment. You will be asked to submit your passport. Your ID will be confirmed by taking a picture and fingerprint scans. There has been a recent change with regards to document submission from Pakistan. Now our documents are not submitted, but only scanned and returned back to us. Only our passport is submitted. This change has been implemented only for points-based visas and settlement visas, not for PLAB visas. Source
  6. Why Downloading a file showing error

    I am really clueless, because almost all of others than you two have downloaded. There are 1600 plus downloads till now.
  7. Why Downloading a file showing error

    Me too. I ve joined the plab club Still I cant download the file For dr khalid 1700 mcqs
  8. Why Downloading a file showing error

    I have already joined the club but still gives error.
  9. It takes Sanduk Ruit about five minutes to change someone's life. In that time, the Nepalese doctor can make a small incision in his patient's eye, remove the cloudy cataract impairing her vision and replace it with an inexpensive artificial lens. "Some of our younger surgeons even do it faster than that," Ruit told CNN. For many patients, it's the first time they've seen in years, if not decades. In the past 30 years, Ruit has personally restored the sight of more than 100,000 people across Asia and Africa, and taught his rapid-fire technique to countless other eye surgeons in parts of the world as isolated as North Korea. His patients suffer from eye conditions that are mostly preventable. But because of poverty and limited access to public health services they have been unable to seek treatment. Their story is all too common in the developing world. An estimated 39 million people are blind worldwide, according to the World Health Organization. Of these, around 90% live in low-income areas and 80% suffer from conditions that can be prevented or cured. Reaching remote communities Driven by a belief that the world's poorest people deserve safe, affordable and high-quality eye care just as much as anyone else, Ruit has made it his mission to eradicate avoidable blindness. In 1994, he joined the late Australian ophthalmologist and philanthropist Fred Hollows, who was his mentor and close friend, in establishing Tilganga -- an eye hospital in Kathmandu dedicated to providing world-class eye care to the people of Nepal. The hospital manufactures state-of-the-art lenses that are commonly used in treating cataracts or myopia, and exports them to more than 30 countries worldwide. For those who cannot reach urban areas, Ruit and his team conduct mobile eye camps in remote parts of Nepal and neighboring countries, often trekking for days and cleaning out structures like tents, classrooms or even animal stables for use as temporary operating theaters. When the eye patches come off the day after an operation, it's an incredibly moving moment for all involved. Australian photographer Michael Amendolia has been capturing these intimate scenes -- the expressions of relief and tears of joy -- while traveling with Ruit and his colleagues since the early 1990s. To mark the 20th anniversary of Tilganga, Amendolia has released some of his most striking images of Ruit and his team at work in Nepal and other countries in the region, including Bhutan, China, Myanmar, North Korea and Indonesia. Source: CNN
  10. Lots of Docs are asking the question, why I cannot download the file. I have signed up and while click download it shows an error. Please remember you have to signup first here https://www.thedoc.org/register Then you have to join the PLAB club to download files under this club. If you see the JOIN CLUB button in the downloading page like the screen shot below, you first have to join the club by clicking it.
  11. Why cannot I take the PLAB Tests

    Taking the PLAB MCQ type tests are easy. First you need to signup. Once you are logged in when you go to PLAB tests to take it it shows like this If you see the red warning you cannot take this test, make sure that you have joined the plab club. If you haven't joined yet click the JOIN CLUB button as shown above. Once you have joined, go back to the tests and these will be available to you.
  12. Asha SharanThrashed by a patient's attendants at her private nursing home, Sharan's Clinic, on Binodpur Road in Katihar I reached my nursing home around 10am on June 20 like usual. As soon as I reached the clinic, my 24-hour staff told me that the previous night (June 19) he had an altercation with the attendants of a patient, Puja, when my employees asked them not to move around on the clinic premises at night. Private hospitals usually don't allow attendants inside the premises at night. As far as my clinic is concerned, many patients come with women attendants who stay with the patients. So, we have to restrict entry of attendants at night for safety reasons. My employees told me Puja's brother had brought food around 11.30pm and when my staff objected to his entering the hospital so late, his brother started an argument. I got busy with my work after hearing what my staff had to say. I went on my rounds of the clinic. When I reached Puja's bed, I told her sister-in-law about her husband's misbehaviour with my staff, reminding her of our institution's strict rules. I did not say a word to the patient (Puja) but her sister-in-law got angry. She said private hospitals usually didn't have such rules and she went on to say kaun cheez ka paisa nahi diya hai (We haven't paid for which service?). I was angry after listening to this and told her that her family had deposited only a little amount of the total hospital fee so far. I also told her that if she isn't liking our services, she is free to take the patient somewhere else. I then started checking patients in the outpatient department. Soon, I could hear people shouting outside. My employees informed me that Puja's attendants were screaming. I told my staff to let one attendant enter but to my surprise a group of six people entered my chamber. Screaming, they asked me how I had dared to ask Puja's sister-in-law to take the patient to some other facility. They were continuously hurling abuses at me. I explained why I had said so but the attendants kept shouting. I told them I would call the police. When I said this, one of the attendants hit me on my head with the weighing machine that was in my chamber. I was again hit on the head with a chair. I fell unconscious. My lips were bleeding and a tooth had almost fallen off. The mob left the chamber soon after they saw I was bleeding from my mouth. I am still having antibiotics for the haematoma (clotting of blood) in my head and also taking a dentist's help. I am shaken but I am happy that I followed doctor's ethics even after the incident. I discharged the patient after five days. I had to remove Puja's stitches after her C-section. Even today, if Puja or any of her family members come to my clinic with any problem, being a doctor, I will give them the best treatment available at my end. But I would take legal action against them for lynching my dignity. Source: https://www.telegraphindia.com/1170701/jsp/bihar/story_159495.jsp
  13. PLAB Test 008 (25 MCQ)

    • Graded Mode
    • 15 minutes
    • 25 Questions
    • 25 Players
    PLAB Test containing 25 questions to be answered in 15 minutes. To take the test you must be logged in and member of the PLAB CLUB. Scorecard and correct answers shall be displayed at the end of the test
  14. PLAB Test 007 (25 MCQ)

    • Graded Mode
    • 15 minutes
    • 25 Questions
    • 7 Players
    PLAB Test containing 25 questions to be answered in 15 minutes. To take the test you must be logged in and member of the PLAB CLUB. Scorecard and correct answers shall be displayed at the end of the test
  15. PLAB Test 006 (25 MCQ)

    • Graded Mode
    • 15 minutes
    • 25 Questions
    • 8 Players
    PLAB Test containing 25 questions to be answered in 15 minutes. To take the test you must be logged in and join as member of the PLAB CLUB. Scorecard and correct answers shall be displayed at the end of the test If you cannot take test read this: https://www.thedoc.org/forums/topic/109-why-cannot-i-take-the-plab-tests/
  16. PLAB Test 005 (25 MCQ)

    • Graded Mode
    • 15 minutes
    • 25 Questions
    • 15 Players
    PLAB Test containing 25 questions to be answered in 15 minutes. To take the test you must be logged in and join as member of the PLAB CLUB. Scorecard and correct answers shall be displayed at the end of the test
  17. PLAB Test 004 (25 MCQ)

    • Graded Mode
    • 15 minutes
    • 25 Questions
    • 4 Players
    PLAB Test containing 25 questions to be answered in 15 minutes. To take the test you must be logged in and join as member of the PLAB CLUB. Scorecard and correct answers shall be displayed at the end of the test
  18. PLAB Test 003 (25 MCQ)

    • Graded Mode
    • 15 minutes
    • 25 Questions
    • 4 Players
    PLAB Test containing 25 questions to be answered in 15 minutes. To take the test you must be logged in and join as member of the PLAB CLUB. Scorecard and correct answers shall be displayed at the end of the test
  19. PLAB Test 002 (25 MCQ)

    • Graded Mode
    • 15 minutes
    • 25 Questions
    • 5 Players
    PLAB Test containing 25 questions to be answered in 15 minutes. To take the test you must be logged in and join as member of the PLAB CLUB. Scorecard and correct answers shall be displayed at the end of the test
  20. PLAB Test 001 (25 MCQ)

    • Graded Mode
    • 15 minutes
    • 25 Questions
    • 10 Players
    PLAB Test containing 25 questions to be answered in 15 minutes. To take the test you must be logged in and member of the PLAB CLUB. Scorecard and correct answers shall be displayed at the end of the test
  21. The reality is doctors often feel short of words while noting down history. Its not easy task to convert everything what patients say into doctors notes. This is what happen when you're too busy in the OPD Patient has left her white blood cells at another hospital. Patient has chest pain if she lies on her left side for over a year. On the second day the knee was better and on the third day it disappeared. The patient has been depressed since she began seeing me in 1993. Discharge status: Alive, but without my permission. Patient had waffles for breakfast and anorexia for lunch. While in ER, Eva was examined, x-rated and sent home. Skin: somewhat pale, but present. Patient has two teenage children, but no other abnormalities. The patient was in his usual state of good health until his airplane ran out of fuel and crashed. Mrs. Evans slipped on the ice and apparently her legs went in separate directions in early December. Patient was seen in consultation by Dr. Jones, who felt we should sit on the abdomen and I agree. The patient refused autopsy. The patient has no previous history of suicides. She is numb from her toes down. She stated that she had been constipated for most of her life until she got a divorce. Both breasts are equal and reactive to light and accommodation. Examination of genitalia has revealed that he is circus-sized. Patient was found in bed with her power mower. She has no rigors or shaking chills, but her husband states she was hot in bed last night.
  22. which arrythmia tachicardia

    Hello, my wife has a arrythmia. It is tachicardia, but we do not know what kind of arrythmia. She is 33 years old. Her disease activated when she looks normal, it is suddenly happen, then her heart beat about 180 per minute, continuously about 30 minute, then stop it. At the moment she took a konkor and a validol. We have a ECG when tachicardia activates, and echocardiogramm is when her heart rhythm is normal. Please tell me which one of arrythmia ?
  23. Surviving USMLE Step 2CK

    USMLE Step 2CK experience by Ashok Chaudhary, Test Date April 11,2017) Hello , I may be new to many of you.I am a government officer working under Ministry Of Health,Government of Nepal.I got my Step 2CK score report a few days back.I am sorry for the delay in writing this.I am writing this with a hope of making you all believe that “If I can do good,you can do it even better” and vice versa.I have named this file “surviving step 2CK” because during the course of its preparation,I think,my life was like that of in a survival mode,roughly speaking. If you have read my step 1 experience,I want to assure you that this is gonna be shorter than that.Partly because the study materials for step 2CK are less diverse than that of step 1 and partly because I don’t want to hypnotise anymore. I started my preparation for CK with the book named ”step-up to medicine”.Many people I talked to and many experiences I had read suggested MTB2 for medicine and MTB3 for other subjects like pediatrics,surgery,OB&Gyn.I bought those books as well.Actually I began with MTB2 for medicine and instantly realized that it was not my type of book.I didn’t have that bullet proof jacket to bear all those bullet styled points of MTB2.I think I was able to read only initial few pages of that book and was soon searching for its alternative.”step up” was a nice alternative I think.Its written in more of explanatory way and reading it was a smoother process.Took almost 1 month to finish it.Plz don’t get scared with the time I took for it.I was working at government hospital and it was so for the most of my preparation.So some days I could study well and some days weren’t that good.Combining job with study wasn’t very easy,I think. After stepup,I subscribed to uworld for 6 months.There were 4 or 5 days remaining in the subscription when I took the exam.If ,for step 1,First aid and uworld were the holy sources;for step 2,uworld is both.Many of you in the beginning phase of your preparation may find it difficult to accept this fact and I also didn’t realize that initially.Is it true?Are you kidding me?Only uworld and no books?Yes it is true.I am not kidding and books have very minor role.I think I didn’t remember a thing from step up but the greatest help was it made my transition to the uworld easier and smoother.Understand uworld very well.Dont just read it for the sake of reading.The tables/charts in uworld are like the pages of first aid for Step1.I mean each and every word there is for the purpose.Simply cramming up only wont help you.You need to understand those and then if needed mug them.But yes,there are few topics which you have to just mug it up.There is not much point in wasting your time understanding the developmental milestones of a child and screening/vaccination guidelines age and evaluation of pap smear of the female of age 23 and 26.But yes there is some logic behind it. Whatever you don’t understand from uworld,consult uptodate for that.Both the google and Wikipedia for the step 2 is uptodate.I think most of the things given in uworld are derivatives of the things that are already available in uptodate.You cant go through all of uptodate.It is very very detailed.So consult Uptodate for topics which are difficult to comprehend from uworld and you can also consult it for topics which are not given in uworld.Would you believe it if I said many sentences given in uworld seem to be exact copies of uptodate? And yes prepare the notes from uworld from the beginning.I had made brief notes of volatile things and things that were added from uptodate.it was brief because I did revision from uworld online on my laptop itself.Some people find reading from the notes/notebooks easier,so if you have time you can make detailed notes as well.I took photos of all the uworld tables/algorithms/charts and I used to go thru them whenever I got time like while going to my gym and while travelling.It helped me consolidate the things given there.I cant overemphasize the importance of those tables/charts.Very important and they are many. I also did CMS forms(all offline) for most of medicine,OBG,Psychiatry and few of surgery.If you have time go through all of them.If you don’t have time,go through psychiatry and OBG at least.I also did some topics from uw-3 like portions of cardiology,psychiatry and biostat.For biostat,also do Biostat review from step 1 and those portions from first aid for step 1.Actually,first aid for step 1 helps a lot for step 2.Many topics are related and while doing 1st round of uworld,I got many many qsns right because of knowledge of step 1.So I think,having read for step 1 before step 2 helps very significantly.I don’t know how much is the impact of taking step 2ck first has on step 1 exam,but I am very sure that taking step 1 before step 2 has big impact on step 2.There were many topics which I studied from “first aid for step 1 “ for my ck exam.I read mtb3 rapidly for peds,obg and surgery.I think I completed those within 1 week.I don’t know how useful it was but I did it because everybody else was doing it. I had read uworld total of 2 times from laptop and my short uworld notes once. During thelast month before my exam,I took nbme 4,6,7(all offline).4 and 6 were good,7 was demoralizing .If you are drooling for your friend’s girlfriend and you want your friend to break up with her,ask him to take nbme 7.Dont get demoralized with nbme 7 my friends.It is very ..hmm…what should I say…idiotic or you can call it stupid.Yes it is hard but it more weird than it is hard.Exam qsns were not in any way like that.Instead exam was closer to uwsa2 for me. I did uwsa1 online around 8 days prior and got 288.Yes…I also didn’t believe it thatswhy I had to shell out another 35$ to take uwsa2.It was 273 or 4.Exam was close to uwsa2 . Friends,practice time management very well.The resources for step 2 ck may be less than step 1,but the exam was harder,that is what I felt.Time was very tight.On a good block,I finished 3 minutes earlier and within that I had to review 8 or 9 qsns which I had marked.It was not a good feeling.I remember making some very silly errors and I think time pressure contributed significantly to it.Believe me,in every block you will get 7 or 8 or 9 very confusing qsns and that’s what that makes them difficult.The topics of the qsns are not new,even the options are not new(most of them).What makes them difficult is the very twisted way of asking qsns and the confusion between two options.If you think that you have understood the qsn and you are confused among two options in that qsn,just pick one option,mark it and move to another qsn,review it at last.Dont lose much time on it.In the exam,it may be very tempting that reading the qsn once again may help you clear your confusion among two options.Do so only if you have not understood the qsn properly or the options properly.If you think you have understood the qsns and options but you are still confused,pick one and move on. Many times during preparation,I used to feel so blank.I used to think I don’t know anything and some days were frustrating and depressing.Avoid those things/fb posts/persons who make you feel yourself inadequate,no matter whoever they are. Friends,the preparation time was not easy and I think it wont be very easy for many of you.It is very difficult to focus on your studies when many of your friends are busy talking about messi and ronaldo,when they are busy measuring how much cranberry juice to add to the whiskey,when they are busy making plans for a trekking, when there are so many responsibilities towards your family.But I believe,”if you want to have what other don’t have,you need to do what others cant do.” All the best
  24. PLAB Blueprint GMC

    Superb
  25. The sister of Eman Abd El Aty, an Egyptian woman thought to have been the world's heaviest, has accused doctors of lying about her weight loss after surgery in India. She underwent surgery in Mumbai's Saifee hospital, and last week doctors said she had lost 250kg (550lbs). But her sister said this was untrue, adding that her sister was in delicate health as she may have had a stroke. The hospital has angrily rejected the allegations. The row began on Monday when Ms Abd El Aty's sister, Shaimaa Selim, released a short video on social media, alleging that her sister was still unable to speak or move, and had not lost as much weight as the hospital was claiming. On Tuesday, she told the BBC that the hospital was lying about her weight loss. "He [Dr Muffazal Lakdawala, who led the operation] didn't weigh her before and after. If he has any proof of her weight loss, show us the video of her weight before and after." Describing her sister's health as delicate, she said: "Oxygen is not normal in her body. She has to wear an oxygen mask almost all the time. There is a tube from her nose to her stomach because she can't eat or drink well from her mouth. But a spokeswoman for the hospital told the BBC that Ms Abd El Aty was weighed again on Monday and she now weighed 172kg. Dr Lakdawala also strongly denied the allegations in a tweet. Image copyright TWITTER Eman Abd El Aty suffered a stroke at the age of 11 and her weight meant she was unable to leave her home for 25 years. She was flown in a special aircraft in January to Mumbai's Saifee hospital where she underwent bariatric surgery in March by a team of doctors, led by Dr Lakdawala. The hospital says she can now fit into a wheelchair and sit up for longer periods of time. It released new pictures of Ms Abd El Aty following weight reduction surgery. Reports say Ms Selim is unhappy because the hospital authorities believe that Ms Abd El Aty's treatment is almost over and that she can be sent home to Alexandria soon. "There are cases like this in other parts of the world. In America and in other countries, there are heavyweight people. They have been in the hospital for one or two years to lose weight and become normal. "But just after a month or two here, the doctors say that I can take my sister back. I asked them how, as she is still very big and if anything happens to her in Egypt, how can I go to a hospital there? "It would be impossible and nobody would help me in Egypt. I said, 'Please please keep her for a long time to help her lose weight'," her sister said. Bariatric surgery, also known as weight loss surgery, is used as a last resort to treat people who are dangerously obese (having a body mass index of 40 or above, or 35 with other obesity-related health conditions).
  26. Medical Students Guide: How to Study Less by Learning Things Once

    I am dental student ...and really this artical was of grt importance .well i always try some of above points and it works....specially connecting text with images.... One more point i would like to add....on first go ,one should avoid covering a new chapter in deep...first...brush up all the topics and then continue reading Go in deep in your second revision..on 2nd time you must go as deep as possible....its necessary to know all topic's present in a chapter,in advance it helps..{just a personal opinion}.☺
  27. Anaphylaxis Quiz

    Anaphylaxis
  28. Epinephrine Auto Injector

    Epinephrine Auto Injector helps self injecting Epinephrine in an Anaphylaxis Patient at the required doses. It is used as a shot intramuscular injection. These are used as intermediate measures while definitive treatment must be followed by a trained physician in an emergency setup. This means Epinephrine auto injector is not complete treatment for a patient with anaphylaxis. What is Epinephrine Auto Injector: Just like any other auto injector (Morphine Auto Injector, Insulin Auto injector), Epinephrine auto Injector is also a dose calibrated injector.
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