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Saturday, January 26, 2013

PLAB 2 Guide

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By DR. Irfan

INTRODUCTION

If you are reading this, then with the fair assumption of you having cleared PLAB 1, I first of all congratulate and welcome you to the second half of your UK journey – the PLAB 2. This exam is probably the exact opposite of PLAB 1. That’s right! No pen, paper or even a book for this one. It relies wholly and solely on your clinical skills and approach. So hang tight and start getting enlightened.
PREREQUISITES
There are certain things that need to be taken care of before you get on board with this exam.
  1. Make sure you visit the GMC website and go through what you need for your PLAB 2 exam and very importantly, your GMC registration. Those who have done their house jobs / internships, please visit: http://www.gmc-uk.org/doctors/registration_applications/routeG.asp and http://www.gmc-uk.org/doctors/registration_applications/img_plab_p1.asp . There are 9 pages in the second link. Please go through them thoroughly as they contain information about what internship rotations you need for GMC registration along with other needs and exemptions. Those who have not done their house jobs / internships, please visit:  http://www.gmc-uk.org/doctors/registration_applications/img_pr_p1.asp
  2. Work on your CV and tidy it up before coming to the UK. Visit http://www.get-uk-jobs.com/sample-medical-cv.html for a sample medical CV.
  3. Try to attend the ATLS workshop before coming. It really adds to your CV remarkably.
  4. If possible, try to have a paper publication in your name. The UK system has also started to have a liking for research publications.
  5. Your visit will probably be for around 5-6 months. So if you are interested in doing attachments, apply for them while you are still in your home country. Some institutions ask for a fee and some may let you do it for free. You may also ask for an attachment through consultants by searching for their email contacts on google and sending them your CV along with a request. The HR department would probably run a criminal check (CRB) before they allow you to join in and may ask for a police certificate from your hometown. The whole process may take up to 1-2 months to finalize properly, and that’s why I recommend you to apply for it while you’re still in your home country to save time rather than applying later on after your PLAB 2 exam.
IF YOU HAVE TIME:
  1. Search for past PLAB 2 questions and topics available on forums and start reading about them through information pamphlets on www.patient.co.uk
  2. Also visit http://www.gmc-uk.org/guidance/case_studies.asp to understand good medical practice in the UK.
  3. If you want to read a book, the one I would recommend is “London PLAB”, but that is only if you want to.
THE EXAM – PLAB 2
This exam comprises of 16 stations along with 1 rest station. In each station, you will need to perform a specific task in 5 minutes. You will have a 1 minute interval between every station to read the task, enter the station and perform the task in 5 minutes, and the cycle continues until you have completed all your stations. One thing is for sure: This will be the fastest 100 minutes of your life.
There are basically 5 types of tasks that you are asked to perform in this exam. They are:
  • History taking: You will be given a scenario stating a certain complaint, and you will need to take a history. You may also be asked to come up with a diagnosis or differential diagnosis and discuss it with the examiner at the end.
  • Counselling: You will be asked to talk to a patient who may have some concerns or problems that he wants to discuss OR you may need to explain and take consent for a procedure OR you may need to break bad news.
  • Examination: You will be asked to perform a clinical examination which may be from medicine, surgery, orthopedics, psychiatry, ophthalmology, ENT or gynecology and obstetrics.
  • Skill: You will be asked to perform a clinical procedure on a mannequin
  • Miscellaneous: You may be asked to perform dose calculation / give a viva to an examiner on a certain medical emergency. These types of stations do not come very often.
There is always a good mix of all stations and there is no set pattern or number, which means that you need to be ready for all of them! Result comes in 2 weeks time.
THE PREPARATION
As I mentioned before, you don’t need a lot of books to study for this exam. Your knowledge has already been tested and now is the time to show how you interact with the patient. So just as soon as you have booked your place for the exam, start working on your approach to the patient. Be kind, gentle and courteous to your patients wherever you are working. Try to use phrases like “thank you”, “please”, “sorry” when you interact with your patients (sounds difficult!!!).
Lower your voice but keep your tone confident. Inquire and try to address your patient’s queries and be comfortable saying “I don’t know” if you don’t know the answer. Try explaining your prescribed treatments to your patients; it will help you develop patience towards their questions. These practices may not seem of much value right now, but trust me you will thank me after the exam.
You basically need a month’s time to get set for this exam. So, how to start up for the real deal? You will need to attend a training course conducted here in the UK as it will give you a good orientation of how to plan, manage, train and prepare for this exam. The good courses are “PLAB Right” in Liverpool and “Swamy” in London.
I prefer PLAB Right because it has a good teaching faculty which involves consultants rather than PLAB students. Its accommodation is very good and their administration is very helpful. Since I didn’t attend Swamy course, therefore I can’t say how good it is. So visit their websites, do your homework on this and decide on one keeping in mind your financials, accommodation facilities etc.
It’s usually a 10 day course with a mock at the end. It’s preferable if you take a course that gives you a month for preparation for your exam. There is usually a mock at the end of the course. DON’T TAKE IT THEN!! First prepare and practice and when you are 10 days or so away from your exam, then appear for the mock.
It’s simply a self-assessment tool for you to know whether you’ve prepared correctly or not and also how the exam is going to be like, therefore one mock exam is sufficient. Also remember, take the mock from where you did your course. There’s no point if you go to PLAB Right for your course and appear in Swamy’s mock, simply because you will FAIL!!!
If there is one tip I want you to take from me it’s this…. PRACTICE!! You can forget this whole note I have written, take nothing from it but just remember the word “PRACTICE”. It is the key to passing this exam. Find yourself a partner and start talking and acting.
Ideally, a group of three works great; 1 actor, 1 performer and 1 examiner. But even if you are just 2, its equally good. If you think about it, the exam is virtually known.
You can download the list of stations from www.aippg.com or www.rxpgonline.com which will be around 250-300 stations. The GMC just puts in twists and turns in these stations every now and then. So why is it that people still fail? It’s probably because THEY DON’T PRACTICE ENOUGH or are just too STEREOTYPED.
One more thing: people who may have given Step 2 C/S might think this exam is easy. It’s very different from what you might have practiced and you seriously would need to tune up before you sit for this exam.
So let’s briefly go through the preparation of the different stations one by one:
In general: Your approach, your communication, your mannerism holds true for all stations – PROFESSIONAL AND NATURAL. Try to practice one or two liner introductions. Do it in front of a mirror, but keep repeating it so that it becomes spontaneous for you. Try to use “Hello” rather than “Good morning / evening”. You may be asked to tell someone he has terminal cancer and if you start your station saying “Good morning”, it won’t leave a very nice impression. Similarly practice nice conclusions of your meetings.
Try to keep your eyes and ears open. Be receptive and act natural. If you see that someone is in pain, at least be bothered enough to inquire how bad the pain is, and if he requires pain meds before he can talk to you. Similarly, if someone mentions a loss of a loved one or a tragic incident, be polite and give a simple acknowledgment by saying “im sorry to hear that”. Maintain good eye contact throughout the station.
Try to stay balanced; not so much caring and humane that you forget to perform the task, and not so ignorant that you simply don’t care for the patient at all. Try to start ending your stations smoothly at the 4 minute 30 second mark.
History Taking: Nothing new, you have done it hundreds of times before and the same practice applies. There are two things you need to work on; differential diagnosis and a patterned detailed history format. As soon as you read your tasks, start thinking about differentials.
For e.g. your task could be to take a history of a 25 year old female who has come with tummy ache. Gather all the differentials in your head for tummy ache in young females. Start your history with an open question: “Can you tell me more about your problem?”
Although differentials are very important, but sticking to a pattern is equally important. You can’t start asking about vomiting or burning urine without inquiring about PAIN itself. Remember: YOU NEED TO PROBE INTO THE PRIMARY COMPLAINT THOROUGHLY BEFORE YOU CAN JUMP TO OTHER LINKED QUESTIONS TO RULE OUT YOUR DIFFERENTIALS.
If you get a positive response to an answer, probe into it. For e.g. you ask about travel history and the patient replies yes, then you need to ask where he went, for how long, did he seek GP advice, did he take any vaccinations or medications. Don’t be hasty with asking questions and remember to stick to your practiced pattern. If you find yourself lost, then briefly recheck a summary of what you have gathered so far with the patient, so as to buy time to think over your next questions. BUT don’t do this too often.
Counseling: This task is actually meant to see your communication skills. People who have good English language skills often do well in these stations. You need some background knowledge on certain topics so that you can speak on them. You will be provided that material in the course you take. BUT the catch is that you don’t have to say it all. The simulator patient in front of you will be given a set of questions to ask you.
Many candidates start and finish the task with the objective of saying as much as they can, in the process not giving the opportunity to the patient to speak. So whatever knowledge base you have, try to break it up into 1 minute talks. Tailor your talks according to your patient’s needs, e.g an obese non-smoker who has suffered from MI would benefit from talk on exercise as a lifestyle modification rather than non-smoking. After small bits of information ask the patient if he was able to follow you, and if he wants to ask you something.
If the patient asks you something you don’t know, then simply say that you don’t know and you would ask you’re senior about it. Delivery of wrong information can get you failed here easily. Also remember not to prescribe or change any medication on your own, unless instructed in the task. If you feel that you need some information before you can start counseling, you can ask a couple of questions to clear your path. Keep in mind that it’s not a history taking station and the questions should be very precise and minimal.
Another important thing: be wary of different departments and specialties and know when to involve them. This is called team work, something GMC is eagerly looking for. For e.g. A Stroke patient needs follow up from a Neurologist, the Stroke Rehabilitation Unit, a Physiotherapist, a Swallowing Assessment Team (SAL) and maybe later on an Occupational Therapist. Some people may need adjustments in diet and would therefore need to see …………….  A DIETICIAN! It’s not that difficult, just needs your presence of mind.
Examination: Practice, practice, practice. Try to learn good, systematic examinations and how to ask your patient to perform different maneuvers for you. For e.g. if you want to check gait, you can either say “walk for me”, or “please walk for me” or “can you manage to walk for me?” The third one is the best because it is giving your patient an option to choose rather than an order to follow.
Before starting, ensure patient’s comfort and request for appropriate exposure. Avoid touching or handling the patient too much unless you are performing palpation. Be gentle, and let your patient know if you are going behind him / touching him at any point during the examination. Keep your eyes open, as patients may have findings in them. Try to do a running commentary of what you see and what you don’t. If you leave it for the end, it will be difficult to sum up your findings properly.
REMEMBER: the objective of this station is not how quickly you finish the exam, but how gentle you are with the patient, how important it is for you to look and focus on findings and how systematic and good you look while performing it. Don’t worry if you cannot finish the examination on time; just look professional and smart while you’re doing it.
  1. Skill: These are simple procedures that you need to perform and can easily do after good practice on mannequins. It has some stereotyped precautions that you will be taught in the course e.g. sharps in the sharps bin, and sterile techniques etc.
  2. Miscellaneous: If you get time, just go through the emergency pages on OHCM and some routine X-rays and ECG’s.
When you are done with your course and practicing on your own, try to make a schedule of when to cover what. Be honest to identify where you are good and where you need to work hard. Try to allocate time for history taking, counseling and examinations daily. How much time you need to give each – you decide, but do all three daily. Mannequins can be practiced once every alternate day or in 3 days.
EXAM DAY: A good night’s sleep and punctual arrival at GMC goes without saying. Don’t reach GMC at 8 o’clock if you have been asked to come at 10. You will tire for no reason. Dress smartly and feel positive. Once there, avoid talking too much to people around you, and if possible, avoid reading notes as well. Just stay focused and go through your stations in your head.
You can’t smoke once inside the building, so smokers need to be wary of that. Also avoid drinking coffee 30 minutes before the exam; it causes tremors. Once the exam starts, read the question properly and completely. Be ready for surprises and some twists.
Try to identify what you need to do and think how you will do it. Do they want you to talk to the examiner at the end or not? As soon as you open the station door, you will see two of the most pleasant faces on the planet: the examiner and the actor. They are very nice individuals, so don’t be afraid of them. Give a simple greeting to your examiner and let him check you’re ID. DON’T RUSH TO THE TASK. Take 10-15 seconds for yourself. Have a look inside the station, see where the question is and read it if you want to.
Look for any equipment or charts that they might have kept for you to use. Turn towards your patient and start off with your introduction. By using these 10-15 seconds for yourself, your nerves would have come in control by now and leave the rest to your reflexes. At the 4 minute 30 second mark, try to smoothly windup your station and thank your patient. Once you step outside the station, NO MATTER WHAT HAPPENS, don’t think about it. Go towards the next station and continue you’re routine. In your rest station, try and think about stations that you did well, so as to boost yourself and carry on with your momentum. Once you have finished, take a good sigh of relief and don’t forget to ENJOY UK!!
The above guide is not an exhaustive list of how to prepare. There are many more things you will need to polish up, but it’s just my way to show you how to start. Well that’s all I can think of at the moment. Feel free to share your experiences and fill in information about the exam if I have missed anything. And for those who are appearing – GOOD LUCK AND GODSPEED!!!!!!

PLAB 1 Guide

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The Professional & Linguistics Assessment Board (PLAB) is a set of licensing exams one needs to pass before he/she is allowed to practice medicine in the UK (i.e. England, Scotland and Wales – NO IRELAND as they have a separate licensing exam). Once the exam is cleared, the candidate is eligible to apply for General Medical Council Registration (exactly the same as Pakistan Medical & Dental Council right here, except that they charge in pounds – EXPENSIVE!!). After registration, it’s a green signal for you to do your thing…practice medicine. Sounds Simple – it is too.
ATTACHED RESOURCES-PLAB1 MCQ Material
metalseinen.com/PubImages/plabmcqmaterial1.zip
IELTS
If you are a FRESH GRADUATE, then here is some GOOD NEWS (one I didn’t hear about on time). You can be EXEMPTED from appearing in IELTS if your college gives you a certificate that the language of instruction and examination was English.
Visit http://www.gmc-uk.org/doctors/registration_applications/language_proficiency.asp for further details on the subject. For all the rest of you, read the following.
This is an exam to judge your command over the English language. You should think of it as a friend actually, because it is keeping most of Europe out of the UK and leaving empty places for you to fill. You need to sit for the Academic version and will be tested in the following sections – Listening, Reading, Writing & Speaking (thank God there is no such thing as drawing in English). The Speaking section is conducted on a separate date and venue. The scoring system is based on bands and one can score from 0-9. The minimum bands you need to score (effective as of Oct 2010) for GMC purpose are:
Listening – 7
Reading – 7
Writing – 7
Speaking – 7
Overall – 7
The GMC is very strict with regards to their benchmark and will not; I repeat WILL NOT, show any leniency even if it’s for just 0.5 band.
WHERE TO APPLY: IELTS exam is conducted by the British Council and AEO Australia. It is believed that a better band is secured via the AEO. But the AEO charges Rs.2000/- more than the British Council. Visit www.aeo.com.pk/ for info on the current exam fees and most importantly – the exam dates.
PREPARATION: Before sitting for the exam, be honest about one thing. Are you really good in English? If yes, then this is how you should prepare. Buy the 6 book set series of the ESOL Cambridge University IELTS examination. It is available in Urdu bazaar (Karachi) and a good Photostat version costs around a 1000 Rs. Audio CD is provided with each book to practice the listening section. Each book has 4 sample tests designed in the exact pattern as the real test. So in total, there are 24 tests and even if one test is attempted / day, a month is all that is needed to prepare for the exam. You may start off slowly initially but timing yourself is mandatory in at least 10 practice tests. Focus greatly on listening and reading as you can score a full 9 band in these sections and can boost your overall band. I need not remind you that this is an English test and therefore Spellings need to be in order. As for the writing section, read what you have written and ask for help from a colleague to check your work (if possible). This will improve the basic structure of your write-up. As for Speaking, please remember that it’s an English language test, not your M.B.B.S viva. The examiner just asks you about general things, so it’s not a big deal. Try and converse in English for at least 10 minutes daily (hard labor eh!!)
If you’re not that good with your English, I suggest you take up preparatory classes from any renowned institute and do as they guide you (BE HONEST!!).
EXAM: The best part about this exam is that it does not bother your brain cells too much. The only thing you need to be careful about is timing. The exam is not held in a cumulative timing manner i.e. all sections are conducted separately having their own time slots. So no matter how fast you finish one section, you cannot use the spare time for the other section as it is not given to you. This poses a problem, especially for the Reading section, which can be quite difficult. Word of Advise: Please make sure both your bladders are empty before starting the test. It can be really distracting if you’re having an urge to purge. Result comes out exactly in 2 weeks time.
PLAB 1
The PLAB exam Now Only Consists Of 200  Select Best Answers (SBAs), the ones that we are used to.  You will only have 3 hours – 180 minutes – to attempt 200 questions, which makes it less than a minute for every question .
The second part is a clinical evaluation of your skills and you are tested in an OSCE pattern. You need to clear your part 1 before you can sit for your part 2. There are 15 stations, 5 minutes each.
HOW TO APPLY: The first thing to do is visit http://www.gmc-uk.org/doctors/plab.asp
Go through the website as well as all the other individual sub-sections. There is a lot of helpful information available.
And have a look at the available dates for the exams. PLAB 1 is held 4 times a year in the UK, but only twice overseas. PLAB 2 on the other hand is held every other month.
Next visit http://www.gmc-uk.org/doctors/plab/advice_part1.asp#3 and go to the set up a MYGMC account section. You need to book exams online and therefore need to set up your account.
PREPARATION: PLAB 1 exam is mainly based on final year syllabus. Its major emphasis lies on medicine, with more or less equal coverage to Gynea / Obs, Pediatrics, Surgery, Psychiatry, Eye & ENT. Basic sciences are not tested in too much depth usually with one or two questions randomly asked.
Traditionally, people go through Oxford handbook of Medicine and Clinical Specialities cover to cover for the exam. This can be very tedious and you may end up remembering NOTHING. What I did was somewhat a little different. A senior colleague of mine (whom I am very grateful to) advised me to go through STEP 2 USMLE. So I bought the USMLE WORLD STEP 2 question banks and started preparing. Not only did I get good mcq practice, my topics started to cover on their own. Please remember, if you intend to follow this theme, then you may need to make an index of the topics while you’re attempting the questions. It will help you revise the topics from question bank book with precision.
While you’re at it, start collecting PLAB 1  SBAs for practicing. PLAB DIGEST is an old resource (last updated 2002) and the bank has changed from then, but you can still practice from it if you want. A reasonable amount of recent material is present on www.aippg.com and www.rxpgonline.com
It is mandatory that you go through a healthy amount of PLAB material and TEST & TIME yourself and keep check on your scores if possible. Oxford handbooks will now come in handy to look into topics that you still have not covered via STEPS. If possible, do repeat the USMLE WORLD questions at least once for better memory. One thing about EMQs – train your self not to look at the options first. Just see the theme and start attempting the question. Whatever answer pops up, look for it in the options. If you see it, then you are 99% right and need not look at the other options. It will help save you time and a lot of confusion.
Just 3 days before the exams, acquaint yourself to Britain’s S.I.Units and their reference ranges for common lab tests and try to memorize them. Although these are given at the back of your exam, it saves a lot of time if you already know them.
If you follow the above scheme, 3 months full time preparation will hopefully bag you the exam. Even if you have 2 months, I believe the above plan can still help you, if you put in the hours and work hard. Trust me, it can be done.
EXAM: Let me make one thing clear. The only challenge this exam holds is the timing. Questions are not that difficult, except for some random ones, and you can manage them if your preparation is good. The exam is meant to finish in 3 hours and trust me, every minute is important. People who do not time themselves while testing do not finish up on time. Sadly, due to the time constraint, the Urging Purging rule applies here also.
Trust yourself: Like I mentioned before, do not look at the options initially. Seeing 15-18 options can be intimidating and will confuse you for no reason. Read the theme CAREFULLY. Know what you are asked to do. Read the question, think over it for 5-10 seconds and let an answer pop up. If it’s in the options, go for it and shade it in the answer sheet. Its better to manage the answer sheet while you’re attempting the questions rather then shade it later because you won’t get time later. If the answer doesn’t pop, then look at the options and see if it helps. If even that doesn’t help, just mark it to check it later. Don’t waste time thinking over it and try the next one.
The exam has no negative marking. So it goes without saying that you attempt all questions. One good thing about this exam is that the marks you secure is not that important, the end result is. All the GMC is interested in is whether you pass or fail the exam. Usually the benchmark for passing is somewhere between 60-70%. Your aim should be to make it to the 80% mark with a certainty (unlike a simple 99 in STEPS..yeah right).
PLANNING
PLAB is an exam which is based primarily on final year M.B.B.S knowledge. So the ideal time to appear for it, in my opinion, should also be near the final year M.B.B.S exam, preferably two to three months after it if you have already appeared for your IELTS exam. IELTS result is valid for two years, so try to appear in it as close to your PLAB 1 attempt as possible.
In case you have not sat for your IELTS yet then firstly get your passport in order and seek the date that is around 4-5 months from your final year M.B.B.S exams. Sit for your IELTS exam nearly 1 and a half month before the last date of registration for PLAB 1. IELTS result comes out in 2 weeks and so you will have at least 3 months to prepare for your PLAB. If for some reason, you miss out on your IELTS Bands but think that you can still score them, you have 1 month in spare to appear for your second IELTS attempt before the last date of registration for PLAB 1.
You do not need your housejob / internship to appear for your PLAB 1. I will still encourage people to sit for the exam soon after their M.B.B.S final year exams. The knowledge is still fresh, you can work out your IELTS exemption and you have good time in your hands to prepare. PLAB 2 though requires housejob / internship and should only be attempted once you are through with it. Also, internship adds in your CV and helps you get a job in the UK (another difference from STEPS)

BOOKS

Dr,Hina
Part 1 of Plab is a computer-marked written examination consisting of extended matching questions (EMQs) and single best answer (SBA) questions. The paper contains 200 questions and may contain images. It lasts three hours. The proportion of SBA questions may vary from exam to exam but no more than 30% of the paper is composed of SBA questions. You can have an unlimited number of attempts but you must pass Part 1 within two years of the date of your IELTS certificate.
The two main books are:
1. OHCS (Oxford Handbook of Clinical Specialties)
2. OHCM ( Oxford Handbook Of Clinical Medicine)
A book for Surgery is optional because the OHCM has a section on surgery which is sufficient.  If you want to use another book, then you may use “Oxford Handbook of Surgery”. Likewise, for gynecology/obstetrics, OHCS and OHCM are sufficient if you read them thoroughly and try to remember important details. If you want to use another book, then you may use “Ten Teachers”. For Psychiatry, however, it’s better to do it from Davidson since many people find it better than OHCS.  I also felt that in the exam, Psychiatry came mostly from Davidson.
The Extended Matching Question (EMQ) books are:
  1. 1000 EMQS by Una Coales.
  2. Medicbyte 3 Volumes.
  3. Plab Digest by Atish Pratap Mathur.
  4. RXPG First Aid 3rd International Edition by Tyagi Vidyarthi.
I suggest that you take about 4 months for the preparation for this exam. So, 1.5 month for the OHCS, 1.5 months for the OHCM, and then, take 1 month to do book and online EMQs. However, the time varies with everyone and also depends on when you graduated and for how long you haven’t been in touch with regular studies.
Join different forums where questions are discussed regularly. One of the best forums I have seen is rxpgonline.com Plab 1 forum. I also suggest that you book “123Doc Plab Part1 Online E- Course” which costs 24 Pounds for a 2 month subscription. They have up to 2000 EMQs in their bank and they daily select a topic and then you have to solve the questions. Most people recommend one online examination. It’s best to first give at least two reads to OHCM and OHCS thoroughly. And then, you should solve EMQs daily. Last but not the least; solve all the past papers from 2001 till the time you take the exam. I solved all the papers from 2001 to 2009.
Hope all the above information helps. If you have any more confusion, let me know and try to get the latest editions of all the books. Many of the latest editions are not in Pakistan, so I ordered a few books from www.amazon.co.uk and there are many book shops who can order them for you. They give you the photocopy of that book at a reasonable price.
Remember that practice is the key. Good luck!

Wednesday, January 23, 2013

List of Hospitals in Pakistan for House Job as Recognized by Pakistan Medical & Dental Council PMDC / PM&DC

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Approved Hospitals for House Job



List of Hospitals approved for the purpose of House Job/Internship in addition to teaching Hospitals attached to Medical Colleges/Postgraduate Medical Institutes.

PUNJAB – Public
S.No.Name of HospitalAffiliated Medical College
1.i. Jinnah Hospital, Maulana Shaukat Ali Road, Lahore.Allama Iqbal Medical College, Lahore.
2.i. Military Hospital, Rawalpindi.
ii. Combined Military Hospital, Rawalpindi.
iii. AFIC/NHID, Rawalpindi.
Army Medical College, Rawalpindi.
3.i. Sir Ganga Ram Hospital, 17-Queen’s Road, Lahore.Fatima Jinnah Medical College for Women, Lahore.
4.i. Mayo Hospital, Lahore.
ii. Lady Willington Hospital, Lahore.
iii. Lady Aitcheson Hospital, Lahore.
King Edward Medical College, Lahore.
5.i. Nishtar Hospital, Nishtar Road, Multan.Nishtar Medical College, Multan.
6.i. Allied Hospital, Jail Road, Faisalabad.
ii. DHQ Hospital, Mall Road, Faisalabad.
Punjab Medical College, Faisalabad.
7.i. Bahawal Victoria Hospital, Circular Road, Bahawalpur.Quaid-e-Azam Medical College, Bahawalpur.
8.i. Holy Family Hospital, Satellite Town, Rawalpindi.
ii. Benazir Bhutto Hospital, Rawalpindi.
iii. DHQ Hospital, Rawalpindi.
Rawalpindi Medical College, Rawalpindi.
9.i. Services Hospital, Lahore.Services Institute of Medical Sciences, Lahore.
10.i. DHQ Teaching Hospital, Sargodha.Sargodha Medical College, Sargodha.
11.i. Shaikh Zayed Hospital, R. Y. Khan.Shaikh Zayed Medical College, Rahim Yar Khan.
12.i. Aziz Bhatti Shaheed Hospital (DHQ), Bhimber Road, Gujrat.Nawaz Shairf Medical College, Gujrat.
13.i. Shaikh Zayed Hospital, Lahore.Sheikh Khalifa Bin Zayed Al-Nahyan Medical College Medical College, Lahore.
14.i. Pakistan Institute of Medical Sciences, Islamabad.Federal Medical and Dental College, Islamabad.
15.i. Allama Iqbal Memorial Hospital, Sialkot.
ii. Sardar Begum Hospital, Sialkot.
Khawaja Muhammad Safdar Medical College, Sialkot.
16.i. Gujranwala Civil Hospital, Gujranwala.Gujranwala Medical College, Gujranwala.
17.i. DHQ Hospital, Sahiwal.
ii. Haji Abdul Qayum Govt. Hospital, Sahiwal.
Sahiwal Medical College, Sahiwal.
18.i. Lahore General Hospital, Lahore.Ameer-ud-Din Medical College (PGMI), Lahore.
PUNJAB – Private
S.No.Name of HospitalAffiliated Medical College
1.i. Fatima Memorial Hospital, Shadman, Lahore.
ii. Khair-un-Nisa Hospital, Civic Centre, Faisal Town, Lahore.
FMH College of Medicine & Dentistry, Lahore.
2.i. Fauji Foundation Hospital, Jhelum Road, Rawalpindi.Foundation University Medical College, Rawalpindi.
3.i. Islamic International Medical College Trust Railway Hospital, Westridge, Rawalpindi.
ii. Islamic International Medical Complex, G-7/4, Islamabad.
iii. Heart International Hospital, The Mall, Rawalpindi.
Islamic International Medical College, Rawalpindi.
4.i. Ghurki Trust Teaching Hospital, Lahore.
ii. Surgimed Hospital, Lahore.
iii. Doctors Hospital, Lahore.
Lahore Medical & Dental College, Lahore.
5.i. Shifa International Hospital Ltd. Pitrus Bukhari Road, H-8/4, Islamabad.Shifa College of Medicine, Islamabad.
6.i. POF Hospital, Wah Cantt.Wah Medical College, Wah Cantt.
7.i. Madina Teaching Hospital, Sargodha Road, Faisalabad.University Medical & Dental College, Faisalabad. Sargodha Road, Faisalabad.
8.i. Nawaz Sharif Social Security Hospital, Multan Road, Lahore.
ii. Al-Khidmat Hospital, Multan Road, Lahore.
University College of Medicine & Dentistry, Lahore.
9.i. Combined Military Hospital, LahoreCMH Lahore Medical College, Lahore
10.i. Punjab Employees Social Security Institute, Hospital, I-12, Islamabad.
ii. Ahmad Medical Complex, Sadiqabad Road, Rawalpindi.
iii. Saint Joseph’s Hospital, Westridge, Rawalpindi.
Islamabad Medical & Dental College, Islamabad.
11.i. Independent University Hospital, Faisalabad.
ii. Mian Muhammad Trust Hospital, Faisalabad.
iii. Surriya Majeed Trust Hospital, Faisalabad.
Independent Medical College, Faisalabad.
12.i. Sharif Medical City Hospital, Jati Umra, Raiwind Road, Lahore.Sharif Medical & Dental College, Lahore.
13.i. Ch. Rehmat Ali Memorial Trust Hospital, 2-Civil Centre, Township, Lahore.
ii. Saira Memorial Hospital, 1-M, Civil Centre, Modren Town, Ext. Lahore.
Continental Medical College, Lahore.
14.i. Akhtar Saeed Trust Teaching Hospital, DHA Sector, Multan Road, Lahore.
ii. Farooq Teaching Hospital, Asif Block, Allama Iqbal Town, Lahore.
Akhtar Saeed Medical & Dental College, Lahore.
15.i. Bhatti International Teaching Hospital, Kasur.
ii. Wapda Hospital Complex, Ferozepur Road, Lahore.
Central Parks Medical College, Lahore.
16.i. Ibn-e-Siena Hospital & Research Institute, Southern Bypass, Jehangirabad, Multan.Multan Medical & Dental College, Multan.
17.i. Shalamar Hospital, Shalamar Link Road, Mughalpura, Lahore.Shalamar Medical & Dental College, Lahore
18.i. Avicenna Hospital, DHA Badin Road, Lahore Cantt.
ii. Aadil Hospital, Main Boulevard, DHA Lahore.
Avicenna Medical College, Lahore.
19.i. Cantonment General Hospital, Saddar, Rawalpindi.
ii. Al-Sayed General Hospital (Kidney Centre), Hill Park, Jhelum Road, Rawalpindi.
Yusra Medical & Dental College, Islamabad.
20.i. Arif Memorial Teaching Hospital, Ferozepur Road, Lahore.
ii. Umeed Latif Hospital, 14-Abu Bakar Block, New Garden Town, Lahore.
Rashid Latif Mediacl College, Lahore.
21.i. Islam Teaching Hospital, Pasrur Road, Sialkot.
ii. Islam Central Hospital, Commission Road, Sialkot.
Islam Mediacl College, Sialkot.
22.i. Kishwar Fazal Teaching Hospital, Sheikhupura.Amna Inayat Medical College, Sheikhupura.
23.i. Surraya Azeem Hospital, Lahore.
ii. Ch. Muhammad Akram Research and Teaching Hospital, Lahore.
Azra Naheed Medical College, Lahore.
24.i. Rawal General & Dental Hospital, Islamabad.Rawal Institute of Health Sciences, Islamabad.
25.i. Social Security Hospital, Lahore.
ii. Pak Red Crescent Hospital, Dina Nath, Lahore.
Pak Red Crescent Medical & Dental College, Lahore.
26.i. Al-Nafees Medical College Hospital, Islamabad.Al-Nafees Medical College, Islamabad.
27.i. Al-Shaffi Hospital, Gujrat.
ii. Gujrat Hospital, Gujrat.
iii. Shilokh Hospital, Gujrat
Hashmat Medical & Dental College, Gujrat.
28.i. Aziz Fatimah Hospital, Faisalabad.Aziz Fatima Medical & Dental College, Faisalabad.


SINDH – Public
S.No.Name of HospitalAffiliated Medical College
1.i. Chandka Medical College Hospital, Larkana.
ii. Civil Hospital, Larkana.
iii. Shaikh Zayed Women Hospital, Larkana.
iv. Paediatrics Medicine Hospital.
v. Paediatrics Surgery Hospital.
Chandka Medical College, Larkana.
2.i. Civil Hospital, Karachi.
ii. Sindh Govt. Layari General Hospital, Karachi.
Dow Medical College, Karachi.
3.i. Jinnah Postgraduate Medical Centre, Karachi.
ii. National Institute of Child Health, Karachi.
iii. National Institute of Cardiovascular Diseases, Karachi.
Sindh Medical College, Karachi.
4.i. Abbasi Shaheed Hospital, CDGK Nazimabad No. 7 Jillani Masjid, Karachi.Karachi Medical & Dental College, Karachi.
5.i. Liaquat University Hospital, Jamshoro.
ii. Liaquat University Hospital, Hyderabad.
iii. Liaquat University Eye Hospital, Hyderabad.
Liaquat University of Medical & Health Sciences, Jamshoro.
6.i. Peoples Medical College Hospital, Nawabshah.Peoples University of Medical & Health Sciences for Women, Benazirabad/Nawabshah
7.i. Sindh Government Lyari General Hospital, Karachi.Dow International Medical College, Karachi.
8.i. GMMC Teaching Hospital, Sukkur.
ii. Govt. Anwar Piracha Teaching Hospital, Station Road, Sukkur.
iii. Civil Hospital, Khairpur.
Ghulam Mohammad Maher Medical College, Sukkur.
9.i. Sindh Government Lyari General Teaching Hospital, Karachi.Shaheed Benazir Bhutto Medical College, Lyari, Karachi.
SINDH – Private
S.No.Name of HospitalAffiliated Medical College
1.i. The Aga Khan Hospital, Karachi.
ii. The Aga Khan Maternal & Child Care, Hyderabad.
iii. The Aga Khan Hospital for Women & Children and Aga Khan Diagnostics Kharadar, Karachi.
iv. The Aga Khan Hospital for Women & Children and Aga Khan Diagnostic Centre, Garden, Karachi.
v. The Aga Khan Hospital for Women, Karimabad, Karachi.
The Aga Khan University Medical College, Karachi.
2.i. Baqai University Fatima Hospital, Karachi.
ii. Baqai Teaching Hospital, Nazimabad, Karachi.
Baqai Medical College, Karachi.
3.i. Isra University Hospital, Hyderabad.Faculty of Medicine & Allied Medical Sciences/Isra University, Hyderabad.
4.i. Hamdard University Hospital (Taj Medical Complex), M.A. Jinnah Road, Karachi.
ii. Kalsum Valika Social Security Hospital, H-3 Manghopir Road, Site, Karachi.
iii. Niamat Begum Mother & Child Care Unit, Nazimabad No. 3, Eid Gah Ground, Karachi.
Hamdard College of Medicine & Dentistry, Karachi.
5.i. Jinnah Medical College Hospital, Korangi Industrial Area, Karachi.i. Jinnah Medical & Dental College, Karachi.
6.i. Sir Syed Hospital, Off. Korangi Road, Qayyumabad, Karachi.Sir Syed College of Medical Sciences for Girls, Karachi.
7.i. Ziauddin University Hospital, North Nazimabad Campus, Karachi.
ii. KDLB/ZUH, Kemari, Karachi.
iii. Ziauddin University Hospital, Clifton Campus, Karachi.
iv. Ziauddin University Hospital, Goal Market, Karachi.
Ziauddin Medical College, Karachi.
8.i. Muhammad Medical COllege Hospital, Ratanabad, Mirpurkhas.Muhammad Medical College, Mirpurkhas.
9.i. Darul Seht Hospital, Karachi.
ii. SESSI Hospital, Karachi.
Liaquat College of Medicine & Dentistry, Karachi.
10.i. Liaquat National Hospital, Stadium Road, Karachi.Liaquat National Medical College, Karachi.
11.i. PNS Shifa, Karachi.Bahria University Medical & Dental College, Karachi.
12.i. Al-Tibri Medical College Hospital, Old Thana Village, Gadap Town Malir, Karachi.Al-Tibri Medical College, Karachi.
K.P.K – Public
S.No.Name of HospitalAffiliated Medical College
1.i. Ayub Teaching Hospital, Abbottabad.Ayub Medical College, Abbottabad.
2.i. Khyber Teaching Hospital, University Road, Peshawar.Khyber Medical College, Peshawar.
3.i. Saidu Teaching Hospital, Saidu Sharif, Swat.Saidu Medical College, Swat.
4.i. DHQ Teaching Hospital, Dera Ismail Khan.
ii. Mufti Mehmood Teaching Hospital, D.I. Khan.
Gomal Medical College, Dera Ismail Khan.
5.i. DHQ Hospital, KDA, Kohat.
ii. Liaquat Memorial Hospital, Kohat.
KUST Institute of Medical Sciences, Kohat
6.i. Government Hayatabad Medical Complex, Peshawar.Khyber Girls Medical College, Peshawar.
7.i. Mardan Medical Complex, Sheikh Matloon Town, Mardan.Bacha Khan Medical College, Mardan.
8.i. Khalifa Gul Nawaz Teaching Hospital, Bannu.
ii. D.H.Q. Hospital, Bannu.
iii. Women & Children Hospital, Bannu.
Bannu Medical College, Bannu.
K.P.K – Private
S.No.Name of HospitalAffiliated Medical College
1.i. DHQ Teaching Hospital, Mansehra.Frontier Medical College, Abbottabad.
2.i. Naseer Teaching Hospital, Nasar Bagh Road, Peshawar.
ii. Town Teaching Hospital, Canal Road, Peshawar.
Kabir Medical College, Peshawar.
3.i. Benazir Bhutto Shaheed Teaching Hospital, Link Road, Abbottabad.Women Medical College, Abbottabad.
4.i. Kuwait Teaching Hospital, Peshawar.
ii. Mercy Teaching Hospital, Peshawar.
iii. Hayatabad Surgical Hospital, Peshawar.
iv. Prime Medical Complex, Peshawar.
Peshawar Medical College, Peshawar.
5.i. DHQ Teaching Hospital, Haripur.Abbottabad International Medical College, Abbottabad.
6.i. DHQ Teaching Hospital, Charsadda.Jinnah Medical College, Peshawar.
7.i. Peshawar Institute of Medical Sciences, Plot No.2, Sector G-2, Phase-V, Hayatabad, Peshawar.
ii. Fauji Foundation Hospital, No. 1 Aziz Shaheed Road, Peshawar Cantt.
Pak International Medical College, Peshawar.
8.i. Rehman Medical Institute, Hayatabad, Peshawar.Rehman Mediacl College, Peshawar.
Baluchistan – Public
S.No.Name of HospitalAffiliated Medical College
1.i. BMC Hospital, Quetta.
ii. Sandeman Provincial Hospital, Jinnah Road, Quetta.
iii. Fatima Jinnah General & Chest Hospital, Brewery Road, Quetta.
iv. Helpers Eye Hospital, Quetta.
Bolan Medical College, Quetta.
Baluchistan – Private
S.No.Name of HospitalAffiliated Medical College
1.i. i. C.M.H Quetta.Quetta Institute of Medical Sciences, Quetta.
AJK – Public
S.No.Name of HospitalAffiliated Medical College
1.i. Shaikh Khalifa Bin Zayed Hospital, Muzaffarbad-AJK.
ii. Abbas Institute of Medical Sciences, Muzaffarabad-AJK.
Azad Jammu & Kashmir Medical College, Muzaffarabad-AJK.
2.i. D.H.Q Hospital, Bhimber, Mirpur-AJK.
ii. T.H.Q Hospital, Mirpur-AJK.
Mohtarma Benazir Bhutto Shaheed Medical College Mirpur-AJK.
AJK – Private
S.No.Name of HospitalAffiliated Medical College
1.i. DHQ Hospital, Mirpur AJK.Mohiuddin Islamic Medical College, Mirpur.
List of Hospitals Approved for the purpose of House Job/Internship other than the attached teaching hospitals affiliated to Medical Colleges.
Sr.NoHospitalsSr.NoHospitals
1.Aziz Fatimah Trust Hospital, Faisalabad.51.Govt. Mian Munshi Hospital, Lahore.
2.Aziz Bhatti Shaheed Hospital, Gujrat.52.Health Care Centre, Peshawar.
3.Allama Iqbal Memorial Hospital, Sialkot.53.Haji Murad Trust Hospital, Karachi.
4.Abbas Institute of Health Sciences, Muzaffarabad AJK.54.Ittefaque Hospital, Lahore.
5.C.M.H., Sialkot.55.Isra Postgraduate Institute of Ophthalmology, Karachi.
(Previously its name was Al-Ibrahim Eye Hospital, Karachi).
6.C.M.H., Quetta.56.K.R.L. General Hospital, Islamabad.
7.C.M.H., Kharian.57.Kidney Centre, Karachi.
8.C.M.H., Multan.58.Kharadar General Hospital, Karachi.
9.C.M.H., Abbottabad.59.Lady Dufferin Hospital, Karachi.
10.C.M.H., Okara.60.L.R.B.T. Hospital, Karachi.
11.C.M.H., Gujranwala.61.Masoomeen Hospital, Karachi.
12.C.M.H., Jhelum.62.Marie Adelaide Leprosy Centre, Karachi.
13.C.M.H., Malir Cantt.63.M. Rab Medical Centre, Karachi.
14.C.M.H. (DHQ), Muzaffarabad.64.Marhaba Hospital, Peshawar.
15.C.M.H., Peshawar.65.Murshad Hospital & Health Care Centre, Karachi.
16.C.M.H., Kohat Cantt.66.Multan Institute of Nuclear Medicine & Radiotherapy (MINAR), Multan.
17.C.M.H., Noshehra Cantt.67.Navel Surgery, Karachi.
18.C.M.H., Pano Aqil Cantt.68.NESCOM Hospital, Islamabad.
19.C.M.H., Hyderabad Cantt.69.National Institute of Handicapped, Islamabad.
20.Capital Hospital, CDA, Islamabad.70.P.A.F. Hospital, Mauripur Karachi.
21.Cairns Hospital, P.W.R., Lahore.71.P.A.F. Base Hospital, Sargodha.
22.Civil Hospital, Abbottabad.72.Pakistan Institute of Medical Sciences, (PIMS), Islamabad.
23.Chiniot General Hospital, Karachi.73.Punjab Institute of Cardiology, Lahore.
24.Children Hospital Complex, Multan.74.PNS Hafeez, Pak Navy Hospital, Islamabad.
25.The Children’s Hospital/Institute of Child Health, Lahore.75.PAEC General Hospital, Islamabad.
26.D.H.Q.Hospital, Sialkot.76.Patel Hospital, Karachi.
27.D.H.Q.Hospital, Jhelum.77.P.A.F. Hospital, Islamabad.
28.D.H.Q.Hospital, Larkana.78.Pakistan Aeronautical Complex Hospital (PAC), Kamra.
29.D.H.Q.Hospital, Sukkur.79.Rafiq ANwar Memorial Trust Hospital, Gujranwala
(Previously named: Faisal Memorial Trust Hospital, Gujranwala).
30.D.H.Q.Hospital, Rahim Yar Khan.80.Sardar Bahadur Khan T.B. Sanatorium, PWR, Quetta.
31.D.H.Q.Hospital, Sahiwal.81.Sobraj Maternity Home, Karachi.
32.D.H.Q.Hospital, Mardan.82.S.R.S. Hospital, Karachi.
33.D.H.Q.Hospital, Gujranwala.83.Social Security Hospital, Landhi, Karachi.
34.D.H.Q.Hospital, Sargodha.84.Sindh Govt. Hospital, Liaquatabad, Karachi.
35.D.H.Q.Hospital, Attock.85.Spencer Eye Hospital, Karachi.
36.D.H.Q.Hospital, Kasur.86.Skin & Hygiene Centre, Karachi.
37.D.H.Q.Hospital, Jhang.87.Sir C.J. Institute of Psychiatry, Hyderabad.
38.D.H.Q.Hospital, Vehari.88.Surgical Unit, Society of Rehabilitation of Disabled, Lahore.
39.D.H.Q.Hospital, D.G. Khan.89.Sughra Shafi Medical Complex, Narowal.
40.D.H.Q.Hospital, Muzaffargarh.90.Sialkot Hospital Complex, Sialkot.
41.D.H.Q.Hospital, Bahawalnagar.91.United Christian Hospital, Lahore.
42.D.H.Q.Hospital, Rahim Yar Khan.92.Military Dental Centre, Quetta.
43.D.H.Q.Hospital, Sheikhupura93.Northwest General Hospital & Research Centre, Peshawar.
44.D.H.Q.Hospital, Mianwali.
45.Data Darbar Hospital, Lahore.
46.Dental Section JPMC, Karachi.
47.Federal Govt. Services Hospital, Islamabad.
48.Fauji Foundation Hospital, Lahore.
49.Fazal-e-Omer Hospital, Rabwah.
50.Gulab Devi Hospital for Chest Diseases, Lahore.

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