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The sound of Silence

A short story by Hamdan Ali Khan, 1st Year MBBS

The old man sat on the beach, barefooted and alone. Silence reigned everywhere except the occasional thrashing of waves which disturbed the acoustic equilibrium. Night it was, the sky filled with a million lanterns, the birds dozing off quietly and the sea like an old pirate sang a silent shanty. Oh! He missed his youth, when he could swim to the Black Rock without drowning, when he could shout at the vast ocean, his resonant voice fading upon the edges of horizon. But all good things come to an end, the voice that once resonated; now a husky whisper. The man who was the fastest swimmer; now an ancient remainder of time and its echoes. The doctors said he had terminal cancer that he would die in a week. He didn’t fear death, he had no family, nothing to lose except maybe the sight when someone would break his 50 years old record. The silence of the calm sea nurtured in him a desire to swim to the Black Rock once again, one last time. He …

United States Visa Guide for USMLE, Electives and Residency

United States Visa Guide for USMLE, Electives and Residency

VISA B1/B2- When Should Be Applied & with What Perspectives:

Article by : Waqas Nawaz MD

There are three points where visa can be applied . Each point has it's own positives and negatives :

1. On the basis of Electives : 

Visa can be applied on the basis of electives. The success chance is 60-70 percent and if gets visa one can go to USA either in final year summer vacation or immediately after final year.
If visa obtained , one should not only do the electives but also do CS on same trip as Cs does not depend on Step 1and 2 . One can pass CS even before step 1 and 2.

2- On basis of USMLE Step 2 CS after taking USMLE Step 1 :
Second point where visa can be applied is after step 1 and before step 2. Success chance is 70-80 percent as they may ask you to do step 2 first and then apply for visa . ( I applied visa after step 1 and fortunately got it ) . You should get registered for CS and take a date of CS before applying visa. That date can be postponed later on once you get visa . Advantage is that you can go to USA early and while doing your rotations , you can prepare for step 2 that may save time if you are late for match . I adopted this way and prepared for step 2 while doing rotations as I was late for match . You can take step 2 ck in USA and then take cs and step 3 in same trip

3-On Basis of USMLE Step 2 CS After USMLE Step 1 and 2 :

Third point where visa can be applied is after step 1 and step 2 on basis of Cs. Success chance is 80-90 (highest) percent and this is point where most of IMGs apply visa. One should be registered for CS before visa application.
One can apply visa at any of these points depending on his circumstances . Remember if refused once, it does not mean that you can not get visa . There are examples when after getting refused even 4 times people got visa . Moreover , externships or observerships don't promise visa as much as electives . Rather observerships / externships decrease chance of visa if u apply visa solely on the basis of them instead of CS. I applied visa on basis of both Cs and externships . I was told to show cancellation of externship because they thought that I would get some pay for externship that is not legal on visit visa . After showing cancellation , I was given visa ( although I still did externships). So don't think that mentioning observership / externship will help u getting visa . Instead Cs is more helpful in getting visa as you have solid proof why u wanna go there .

Other factors which help / support in getting visit visa are : >strong bank statement
> working status in Pakistan ( another thing that makes house Job imp )
>Travel history
> married status


Chance VISE: visa at Point 3> point 1> point 2

Advantage Vise: Visa at point 1> point 2>point 3

Any questions will be appreciated !

J-1 Visa

Explained by Dr. Irfan Ahsan

 J-1 visa is a Student Exchange program. 
A) If you are getting visa through ECFMG to begin your US Residency then you are subject to following 2 clauses:
1) Rule 212E applies to you means---- you are subject to the two-year home-country physical presence requirement, also known as the foreign residence requirement under U.S. law.
2) You can't change your visa status before fulfilling this home residency physical presence requirement or completing a waive job. 

B) If you are given J-1 Research Scholar visa directly through program then it depends on source of funding that is given to you. There are 3 points to be noted in this regard.

i : If your funding is from USA government (NIH)
ii: If your funding is from your own home country government.
iii: Your country is in the Skills list subject to rule 212 E.( Pakistan is not in the skills list).

If any of these three apply to you when you get paid research spot in USA sponsored by program then you are subject to 2 year home residency physical presence requirement/Waiver job within USA (if you don't wanna go back). In this case you CANNOT CHANGE YOUR VISA STATUS FROM J-1 TO ANY OTHER VISA LIKE H1b/GREEN CARD. 

If all the above three point don't apply on you then you can change your visa status from J-1 to H1b. 

References can be found here:

JazakAllah Khair.


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USMLE Step 1 Experience by Ayaz Mehmood (Score : 99/266)

USMLE Step 1 Experience by Ayaz Mehmood (Score : 99/266)
Salam everyone, let me start in the name of Allah who’s the greatest benefactor of all mankind. I am going to write a detailed composition regarding preparation for USMLE Step 1. I am a final year student at King Edward Medical University and I took my exam on June 10th. Final year is the year before internship/ house job in Pakistan. I just got my scores: 99/266

Let me introduce some myths surrounding USMLE Step 1 which are especially prevalent within Pakistan; I am not too sure about India because I heard their students typically appear in their final years.

 Myth number 1:Do not appear for USMLE Step 1 within your graduation

 Verdict: Baseless, illogical reasoning

Explanation: This is so prevalent in Pakistan it’s almost pathetic. One of the biggest concerns surrounding our students is that Step 1 is a huge risk to be taken before graduation. Let me put it in another way: Step1 would always remain a risk whenever it is taken, …

Australian Medical Council AMC Part 1 Guide - Experience and Tips

AMC Part 1 by Dr. Asad Khizar Malik (Rank : 77/620) Australian Medical Council  Guide - Experience and Tips
Salam people, let me start in the name of Allah who’s the greatest benefactor of all mankind. Hope everyone is doing great. I'll try to write as much as I can for the people who are due to various reasons more interested in joining Australian Hospitals for post-grad training as compared to the USMLE pathway.

I am a graduate of King Edward Medical University, class of 2004-2010. I did my 6 months house job after graduation in Mayo Hospital, and after that, i gave my AMC Part 1 in November, 2010 from Brisbane. With the grace of Allah, I passed that in first attempt.


First thing in mind that comes with post grad training in Pakistani doctors minds is: Which way to go after graduation? That is a very tough decision that is …

FSc Premedical Guide - How to fly high..

FSc Premedical Guide - How to fly high.. Unsa Athar Your 40% needs to be excellent to get into KEMU or  some other good place.
(Dedicated to my teachers who not only taught me the fsc books but also many priceless lessons of life)
(Unsa Athar)
The tree that never had to fight For sun and sky and air and light, But stood out in the open rain And always got its share and rain, Never became a forest king, But lived and died a scrubby thing… Good timber does not grow with ease, The stronger wind, the stronger trees.
Getting yourself educated in the desi manner i.e. through the Board of Intermediate and Secondary Education is one of the top most challenges of today’s society. Matriculation seems difficult at that time, but when you enter FSc, you realize that matric was the easiest job in the world.  Those obese books of intermediate part I and part II are the worst enemies one can ever have.  People say Medical is tougher, but I find one basic difference in both. When you enter a medical college, y…


Anatomy/Histology Gallery
Read the instructions here 1st Year

Histology Slides for Professional Exams
Folder 1- Labelled Folder 2 - Labelled Folder 3 - Labelled
Histology Revision Slides Updated (2011)
by Laiba Khalid
Lower Limb Anatomy Spotting Labelled

Embryology Models Some models are labelled and others mentioned in comments

Anatomy Museum Models (unlabelled) This album covers Upper limb, Lower limb and Thorax regions of anatomy

2nd Year
HISTOLOGY Diagrams Hand-drawn CARDS 2ND YEAR MBBSThese are hand-drawn histology diagrams by Demonstrator Dr. Shaista (Dept of Anatomy, KEMU) and submitted by Anosha.NEUROLOGY/ Neuroantomy SPOTTING  (LABELLED SPECIMEN) 2ND YEAR  Each structure is labelled and a great job done by Anosha. Neuroanatomy / Brain 2nd Year Important topics by LaibaNeuroanatomy Models Labelled  Gross models labelled by Maryam Shahid Abdomen & Pelvis Anatomy Spots Labelled Excellent job by Maryam Shahid
Anatomy Learni…

USMLE Step 2 CK experience by Rizwan Khan (254)


     I recently got done with Step 2 CK exam & I want to elaborate my experience and the mistakes that I made during my prep so that any of my colleagues who are preparing for this exam might benefit from them. I wont go much in detail about how to prepare and where to prepare from since it is already highly debated on the forum and in the previous posts but would focus more on my personal experience and the bad choices which I made during the preparation phase.
SELF-ASSESSMENTS AND QBANKS Uworld 74% Kaplan Qbank 69%
Kaplan diagnostics  = 80% (70 days before exam) Kaplan Simulation Exam 1 = 71% (50 days before exam) Kaplan Simulation Exam 2 = 76%  (40 days before exam) Fred simulation for CK = 84% (39 days before exam) NBME 2 (offline) 21 mistakes (30 days before exam)
NBME 4  =    263 (13 days before exam) UWSA =  259 (2 days before exam)
Real exam = 254