After MBBS ???? Dr T Balasubramanian

I have finished MBBS Will my future be rosy? What am I going to do next? When will I start earning money?

I want to earn real fast how? Choose a career that suits yr temperament Join a fast growing sector Going abroad ??? Private practice ?

Career options Insurance sector Health care management Health care documentation Academics Govt / Public sector / Private sector Private practice

Insurance sector Growing presently at a rate of 30% Good starting salary Stagnation +++ MBA degree in addition to MBBS will make progress easier Not challenging

Health care management Really challenging Health sector growth – 40% per annum Upcoming field (Indian scenario) Management degree ? Marketing ?

Health care documentation Medical editors Technical writers Archivers (Unknown in India)

Academics Post graduate courses PhD

Post graduate courses Main stream courses DNB courses Taking up courses abroad

Main stream courses Highly competitive 2% students will get a PG seat Clinical / Nonclinical / paraclinical ?? After PG ???

Main stream courses How? All India PG entrance Institutes run by Central Govt Institutions run by state Govt Private Institutions

All India PG Entrance Best bet MCQ based At least 1 yr preparation needed Combined studies helps Preparing from standard text books must To beat boredom choose card system

State run Institutions Easier to get if u r a service candidate Weightage is given to seniority 50% of seats allotted to All India quota Entrance exam

DNB Equivalent to PG degree No entrance exam Preliminary exam should be cleared Join any accredited Institution Two streams – Basic PG & speciality

DNB Prelims Conducted twice a year MCQ pattern 50% score is a must to clear the exam U can join the institution of choice depending on the score

DNB Final Three / Two years after registration Presentation of thesis Regular theory and Practical examination Practical exam – OSPE / OSCE 50% marks for a pass

PhD Full time registration is permitted after MBBS GATE exams – Join premier research institutes Acute shortage of research scholars in the field of medicine / evidence based medicine

What course clinical / non clinical? Non clinical courses – Immediate employment (good pay) Clinical courses – struggle / stagnation / frustration

Best preclinical / Para clinical courses Market determined always changing MD (anat) MD (FM) MD (Phy) MD (Bio) MD (SPM)

What clinical course to choose? Depends on yr interest Challenging decision not always in yr hands “Try to get what u like lest u will be forced to like what u get” should be the motto If u choose basic medical / surgical speciality be prepared for superspeciality qualification

Service Central service (UPSC) State service (Service commissions) Govt organizations & corporations Almost all Govt provide quota for service candidates in their PG selection U can draw yr pay during PG course

PG degrees abroad UK is the best bet still U can take PLAB / Moonlight to make both ends meet U can take FRCS prelims in India itself or close by countries If u want a job there choose psychiatry / anesthesia

Allied career change Medical robotics Medical software Nano technology Medical physics

Conclusion We are in at cross roads Lots of doors open out there Choosing the path of interest Pitch yr goal and start yr relentless march towards it