JOB SCOPE IN IRELAND AND UK

In current date may anaesthesia jobs are available in UK/Ireland. Those who are
interested to come to UK/Ireland can grab the opportunity. Yes of course you have
to pass IELTS and PLAB or equivalent qualifications like MCAI/FCAI/EDAIC/EDIC/FRCA
to get GMC/IMC registration. But it is now easy to get job now in UK/Ireland and also
to get training position. But before that you have to get medical council registration
from GMC or IMC.

Ireland:
To come to work in Ireland you need to get Ireland Medical Council registration first. For
more details visit this webpage (http://www.medicalcouncil.ie/Registration-
Applications/ ). Easiest way to get IMC registration is to pass PRES (Irish equivalent of
PLAB). It has 3 parts. Part I is document verification and IELTS. 2nd part is MCQ which
consists of general subjects and here psychiatry is given high importance and will
contain about 40 question. 3rd part is OSCE consisting of case situation, investigations
etc. Once you pass you can apply for IMC registration by paying the fee and can apply
for jobs. For jobs you can directly apply to the hospitals here or to main healthcare
provider (www.hse.ie , www.publicjobs.ie ). You can also contact several locum agencies
like Locum Medics and other available here.

More information about PRES and working condition in Ireland:

https://www.medicalcouncil.ie/Registration/Infomation-for-doctors-coming-to-Ireland/
http://www.msdwteam.com/2011/12/pres-licensing-exam-for-doctors-ireland.html
http://www.inis.gov.ie/en/INIS/Pages/ARRANGEMENTS%20FOR%20NON-EEA
%20DOCTORS%20WORKING%20IN%20THE%20STATE
http://www.inis.gov.ie/en/INIS/Pages/Non%20EEA%20Doctors_Doctors%20coming
%20to%20Ireland%20to%20sit%20the%20PRES%20Examination
http://www.imt.ie/tag/pre-registration-examination-system-pres

Other route is to get PRES exemption.

Any Pakistani person who has done internship after 2010 or has cleared FCPC can get
direct PRES exemption. Other either have to pass MCAI (Part I of Irish fellowship), EDAIC,
EDIC.
MCAI has again 3 parts. First part is documentation of proof of experience in
anaesthesia, 2nd part MCQ which consists of 30 each from anatomy and physiology,
pharmacology, physics and measurement and 10 from clinical anaesthesia. 3rd part is
OSCE which will again consists of 12-16 stations of clinical scenario, instruments,
investigations, charts relevant to anaesthesia and intensive care, X-ray, ABG, PFT, pre
anaesthesia evaluation, revealing bad news or counselling patient, CPR station (this is
mandatory to pass). You can give MCAI in Dublin and it is now open to all people with
anaesthesia experience for 2 years. Or you can give it in Egypt, Jordan, Muscat, Malaysia,
Brunei. For more information visit this site:
https://www.anaesthesia.ie/index.php/examinations/membership-mcai

MTI:
There is another route to come to Ireland is called Medical Training Initiative (MTI) for
developing world. But here your registration will be restricted and you can only work in
specific hospital and after coming if you clear MCAI or PRES or EDIC, EDAIC you can get
full registration. But again for this you need to pass IELTS.

https://www.anaesthesia.ie/attachments/article/49/IMGTIFrameworkAgreementFINAL.
pdf

I am not fully sure whether this is still in vogue. But worth trying. You can get more
information by writing to College of Anaesthetists of Ireland (www.anaesthesia.ie).
For living and working standard in Ireland please visit this site:

For VISA you can contact Ireland Embassy in Delhi:

http://www.embassypages.com/missions/embassy9497/

There is a Irish Consulate in Mumbai as well:

http://www.embassypages.com/missions/embassy9499/

For VISA application visit these sites:

https://www.dfa.ie/irish-embassy/india/visas/applying-for-irish-visa/
http://www.vfsglobalirelandvisa.com/india/

Also cities other than Delhi and Mumbai can apply VISA through agency:
http://www.vfsglobal.co.uk/india/

For living and working standard in Ireland please visit this site:
http://www.inis.gov.ie/en/INIS/Pages/Non%20EEA%20Doctors_Doctors%20coming
%20to%20Ireland%20to%20sit%20the%20PRES%20Examination
http://www.oocities.org/grahammcmahon/ireland.html
http://www.immigrantcouncil.ie/
http://www.workplacedoctors.co.uk/doctors-guide-to-working-in-the-republic-of-
ireland-workplace-doctors/
http://www.workplacedoctors.co.uk/doctors-guide-to-working-in-the-republic-of-
ireland-workplace-doctors/
https://www.medicalcouncil.ie/Registration-Applications/Living-and-Working-in-
Ireland/
https://www.medicalcouncil.ie/Registration-Applications/First-Time-
Applicants/Examinations.html

United Kingdom:

I cannot give first hand information as I do not work there. but can give information
only.
Again the route is mostly similar to above.
Best way to get General Medical Council (GMC), UK registration is to pass PLAB. For
more information contact http://www.gmc-uk.org/doctors/index.asp
Next alternative is to get PLAB exemption. This you can get by either passing FRCA, EDIC,
EDAIC. Here difference is that you have to pass full FRCA than part I of Irish equivalent
and FRCA is much tougher than FCAI and it can only be given in London, not like MCAI
available in other places. Again all information about FRCA can be obtained on Royal
College of Anaesthestists UK: http://www.rcoa.ac.uk/examinations
Again as far as I know people from Pakistan with FCPC can get exemption, but for more
information contact RCOA or GMC.
Again MTI is also available in UK and it is still very much in vogue. Again you have to pass
IELTS to avail this option.
https://www.rcog.org.uk/en/careers-training/working-in-britain-for-non-uk-
doctors/medical-training-initiative-mti-scheme/
https://www.rcog.org.uk/en/careers-training/working-in-britain-for-non-uk-
doctors/medical-training-initiative-mti-scheme/information-for-mti-applicants/
https://www.rcplondon.ac.uk/education-practice/advice/medical-training-initiative

Regarding working and living in UK see this link:

http://www.workplacedoctors.co.uk/doctors-guide-to-working-in-the-united-
kingdom-uk-workplace-doctors/

Again registration will be for limited period within which you have to clear either PLAB
or FRCA and you will have to work in specific hospital and cannot move.
Once you get GMC registration you can apply for jobs directly in hospitals and in NHS
site as well as BMJ Careers where you can register and can search as well as apply. Again
there are several locum agencies to help you.
Those who are having problem in passing IELTS, should take some classes and read
material before approaching for it. I personally feel ADP, Australia is better than BCL to
get better score. Again I have some online material, though old for IELTS which I can
provide.

Moreover for more information of registration, jobs, working status you can contact
Liam McGrath, Jason Taylor, Philip Braham, James Brandon and many others who
are present in this group to help you in registration, living quality queries, medical
registration and immigration. Just contact these people in need of any such queries. I
hope now people will stop me disturbing in personal msg about working and job
options in Europe. For books related to IELTS and Anaesthesia fellowships (FCAI,
FRCA) you can request me by sending msg. Do not post requests in this group and
keep this group only for academic discussion and debates.
If you are interested you can contact these persons here for both help for
immigration, visa, accommodation, registration and job, contact these persons:
1. James Brandon: https://www.facebook.com/profile.php?
id=100010702668562&fref=ts
Email: james.brandon@vobismedical.com
2. Philip Braham: https://www.facebook.com/philip.braham.5?fref=ts
Email: philip@remediumpartners.com
3. Liam McGrath: https://www.facebook.com/profile.php?
id=100013751327936&fref=ts
For medical registration related informations contact:
1. General Medical Council (GMC): http://www.gmc-uk.org/
2. Ireland Medical Council: https://www.medicalcouncil.ie/
For PLAB/PRES exemption and alternate route ask:
1. Royal College of Anaesthetists of UK: http://www.rcoa.ac.uk/
2. College of Anaesthetists of Ireland: https://www.anaesthesia.ie/

There will be some other routes like staff grade jobs in Scotland, Wales and for those
please ask these job recruitment agencies. For alternate Medical Training Initiative
for doctors of developing world scheme which may give scope without
PLAB/PRES/IELTS contact these sites:

UK:
http://www.rcoa.ac.uk/global-partnerships/overseas-doctors-who-wish-work-or-
train-the-uk/medical-training-initiative
http://www.nhsemployers.org/your-workforce/recruit/employer-led-
recruitment/international-recruitment/immigration-rules-and-the-points-based-
system/recruitment-into-medical-and-dental-posts/medical-training-initiative
http://www.frca.co.uk/Page.aspx?id=79
http://careers.bmj.com/careers/advice/view-article.html?id=20000127
http://www.nhsprofessionals.nhs.uk/download/overseas-doctors/nhsp-docs-mti-
guide-09.pdf
http://www.cosecsa.org/sites/default/files/Medical-Training-Initiative-Guide-July-
2013.pdf
https://www.rcplondon.ac.uk/education-practice/advice/medical-training-initiative
https://www.nwpgmd.nhs.uk/content/medical-training-initiative
https://www.gov.uk/government/publications/the-uk-your-partner-for-healthcare-
training/the-uk-your-partner-for-healthcare-training
http://www.westmidlandsdeanery.nhs.uk/Recruitment/Overseas-Doctors/Medical-
Training-Initiative
https://heeoe.hee.nhs.uk/mti
http://www.nhsemployers.org/your-workforce/recruit/employer-led-
recruitment/international-recruitment/immigration-rules-and-the-points-based-
system/recruitment-into-medical-and-dental-posts/medical-training-initiative
https://www.healthcareers.nhs.uk/explore-roles/anaesthesia
http://imgnewswatch.blogspot.ie/2009/04/advice-for-new-mtimedical-training.html
http://www.cmft.nhs.uk/media/1488211/international%20doctors%20at
%20cmft.pdf
http://www.salg.ac.uk/system/files/TRG-WF-NSOL-2011.pdf
http://www.ouh.nhs.uk/services/departments/anaesthetics/joining-the-nda.aspx
http://www.cuh.org.uk/addenbrookes/services/clinical/anaesthesia/international_fe
llows_programme.html
ftp://ftp.bma.org.uk/Careers_Vouchers/CR%20BMJ%20CAREERS%20MARCH
%2030%202013/CR%20Careers%20300313_a1-a20.pdf
http://www.parliament.uk/documents/TSO-PDF/committee-reports/6iii.pdf
http://www.indeed.co.uk/job/International-Training-Fellowship-Anaesthetic-at-
County-Durham-and-Darlington-NHS-Foundation-Trust-in-Darlington-
826e56d4f5bd9e8e
http://www.aagbi.org/sites/default/files/WAN%2014.1.pdf

Ireland:
https://www.anaesthesia.ie/attachments/article/49/IMGTIFrameworkAgreementFIN
AL.pdf
http://www.hse.ie/eng/staff/Leadership_Education_Development/MET/ed/IMG/
http://www.rcsi.ie/international-medical-graduate-programmes
https://www.medicalcouncil.ie/News-and-Publications/News/2014/Items/HSE-
Forum-of-Irish-Postgraduate-Medical-Training-Bodies-and-Medical-Council-to-host-
Careers-Day-for-Medical-Interns-and-Students-.html
http://www.lenus.ie/hse/bitstream/10147/42920/1/2677.pdf

For people from Nepal:

http://www.earaidnepal.org/downloadables/volunteer/Joe%20Riddell,%20full
%20article%20in%20Anaesthetic%20journal,%20November%202010.pdf

For ICU training:

https://www.ficm.ac.uk/training-examinations/overseas-training-and-queries
Now please stop disturbing me for general inquiry without reading these posts and
links. Only ask me in msg if you need anything which you are not getting from these
sites, links and those recruitment agencies.

MCAI (First part of Irish Fellowship in Anaesthesia): MCAI has again 3 parts. First
part is documentation of proof of experience in anaesthesia, 2nd part MCQ which
consists of 30 each from anatomy and physiology, pharmacology, physics and
measurement and 10 from clinical anaesthesia. 3rd part is OSCE which will again
consists of 12-16 stations of clinical scenario, instruments, investigations, charts
relevant to anaesthesia and intensive care, X-ray, ABG, PFT, pre anaesthesia
evaluation, revealing bad news or counselling patient, CPR station (this is mandatory
to pass). You can give MCAI in Dublin and it is now open to all people with
anaesthesia experience for 2 years. Or you can give it in Egypt, Jordan, Muscat,
Malaysia, Brunei. For more information visit this site:
https://www.anaesthesia.ie/index.php/examinations/membership-mcai
https://www.anaesthesia.ie/index.php/international/malaysia
https://www.anaesthesia.ie/index.php/examinations/international-examinations

Final part of Irish Fellowship of anaesthesia (FCAI): FCAI final part has two section
done on two separate dates.
1. First part (Theory): It is theory part. First 3 hours session is MCQ part which has
again 60 MCQs with true false choice followed by 40 MCQs with single best answer.
There will be a gap in between two. After a gap of 30-45 min there will be 2nd part
of theory which will consist of short question answer each having 10 marks and 10
such question. You have to answer them all, no alternatives. Do not leave any
questions blank even if you don’t know much. Try writing few lines about it. Once
you pass this you can apply for the next part which will be conducted after 2 months.

2. Final part (Viva): It has two tables. One table will be based on a long case. The
cases will be imaginary. Mostly surgical cases with loads of medical problems. You
will be given outline about the case to read. Once you finish you can ask the
examiners about other details, clinical examination finding and investigations. They
will be asking in between. There will be two examiners in a table. One will be asking
you questions, other will be giving you marks and will be monitoring our response as
well as the examiner’s attitude. Examiner will also be marked. Whole procedure will
be recorded on camera for future reevaluation if you file a reassessment or
complain. There will be set question for the examiners. They will ask them first to
pass you. Once you perform well then can ask extra. But there will be time limit for
the question and each table. Once history part gone they will be asking about
anaesthesia plan and management. Never jump to choice, but proceed as total care
stepwise. Once that is done and there is more time they may ask further related or
unrelated questions. 2nd table: This will consist of two short cases based on
intensive care and pain management. Again some details will be given about the
scenario and you will be asked a set questions. Once they are satisfied, they will
move from one question to another. And after some time the role of examiner will
change to next short case. Again the process will be same as above about evaluation
and recording. Best part here is that the examiners are trained and they are well
instructed what to ask, how much to ask for passing and for giving higher grade.
They will hardly go off the limit. If you cannot answer as question or not at all, then
they will not keep lingering on that topic and will move on to next question. Here
they need to know what minimum you need to know to be a safe anaesthesiologist.
Any answer of unsafe, bold, daring anaesthesia discussion, technique and comment
will dig your own grave and they will make sure you never ever pass the exam and
also will be reported to medical council about it. Thus if you don’t know, better do
not guess and never make wild weird guess. Admit politely you don’t know. Never
ever try to argue especially when you are wrong. The passing will depend on overall
grades and average limit. I don’t know much about FRCA or EDAIC, EDIC. But FRCA
and EDAIC are more or less similar. FRCA is much tougher than FCAI and EDAIC is bit
more easier to pass than both FRCA and FCAI. But after EDAIC you need to pass final
part of both FRCA and FCAI to get full licence for non EU candidates.
http://www.frca.co.uk/article.aspx?articleid=62
https://www.anaesthesia.ie/index.php/examinations/final-fcai
https://www.anaesthesia.ie/index.php/examinations/examination-regulations
http://www.anaesthesia.ie/archive/Examinations/Primary%20and%20Final%20FCAI
%20Examination%20Regulations%2016092011.pdf
https://www.anaesthesia.ie/attachments/article/257/Primary%20and%20Final
%20Examination%20Syllabus.pdf
https://www.anaesthesia.ie/attachments/article/83/CAI%20Regulations%20%20for
%20Examiners.pdf http://www.rcoa.ac.uk/news-and-bulletin/rcoa-news-and-
statements/exemption-qualifications-part-eligibility-towards-the
http://www.slideshare.net/SCOREMedical/anaesthesia-international-certificates
http://www.rcoa.ac.uk/examinations/eligibility-and-exemptions
Some guide to FCAI exam:
https://www.youtube.com/playlist?list=PL6MEiEkRK7pg1mLf3n5ABFro6CAPV401K

For recommended books see this list:

https://www.anaesthesia.ie/index.php/examinations/membership-mcai
http://www.anaesthesiauk.com/SectionContents.aspx?sectionid=135
All the books can be ordered online or available in market. In india it is available on
order or in Old Delhi Dariagunj Book shop and in AIIMS Hostel 7 book shop. They are
also available in Mumbai and in Bangalore. But online option in Amazon will be
better and cheaper. Moreover I can help in books as I have most in ebook format.
Even people from Pakistan with FCPS can get MCAI, part I of FCAI exemption, so will
be those who have passed EDAIC, EDRA. I recommend all trainees to registrar in this
site as EU or Non EU member. You can read loads of online materials, MCQs and
mock tests for both primary and final fellowship. Also you can get many information
in http://www.rcoa.ac.uk/

For fellowship or superspecialization positions:

Again to get such port you have to first pass anaesthesia fellowship here. After that
you can apply to college of anaesthetists (www.anaesthesia.ie) for such position.
Now CAI has started separate training positions only for ICU. There are fellowship
positions available in paediatric anaesthesia, cardiac anaesthesia, airway
management, transplant anaesthesia, regional anaesthesia, pain management,
intensive care, obstetric anaesthesia. But to get that now is extremely difficult. You
have to appear for interview and seats for outsiders are very limited.
https://www.anaesthesia.ie/index.php/examinations/diploma-in-intensive-care-
medicine http://ra-ireland.ie/index.php/component/content/category/11-
education?layout=blog http://www.jficmi.ie/training/ http://www.ra-
ireland.ie/index.php/regional-anaesthesia-fellowships http://www.ra-
ireland.ie/index.php/foundation-course http://www.saolta.ie/jobs/fellowship-year-
regional-anaesthesia-galway-university-hospital-only
https://anaesthesiaacademy.ie/ http://www.rcsi.ie/anaesthesia
http://www.stjames.ie/Careers/CareerOpportunities/RegistrarPosts-
July2014/Anaesethetics%20-%20Fellow%20Airway%20Management%20July
%202014.pdf http://www.apagbi.org.uk/professionals/education-and-training-
trainee-section/paediatric-anaesthesia-training/fellowship-data
http://www.stvincents.ie/departments/Department_of_Anaesthesia_Intensive_Care
_and_Pain_Medicine/Liver_Transplant_Program.html http://isoa.ie/
http://nasgbi.org.uk/training-fellowships/training-fellowship/
http://www.university-directory.eu/jredirect/83693/Medical+Sciences/program-
courses/Masters-degrees/126/University+College+Cork+
(UCC)/IE/2795/Anaesthesia+and+Intensive+Care+Medicine,+MSc,+Masters+-
+Research https://www.anaesthesia.ie/index.php/cat/cat-fellowship-network
http://www.stjames.ie/Careers/CareerOpportunities/RegistrarPosts-
July2014/Anaesethetics%20-%20Fellow%20Cardiothoracic%20Anaesthesia%20July
%202014.pdf http://stokeanaesthesia.org.uk/wp-content/uploads/2015/09/TRG-
overseas-eligibility_4.pdf
For getting training option based on postgraduation:
https://lookaside.fbsbx.com/file/Get_Through_Postgraduate_Medical_Interviews.pd
f?
token=AWwNH__jGbHIeFoH7kAe5iridiT90Wgugppcp9Ek1OjvU7UhiCnWXD9HEr3Dp
alvwkDkNOY_QGf5r1_hyvcy_k0jYvaC8t6OF4RfipRge_cxQl29b4a73vwYM1LtWv3uqw
YEvJKSkta0pij88DSn4RO1

EDIC (European Diploma in Intensive Care): It has two parts. MCQ and practical viva.
For best reading buy PACT materials from their website.
http://www.esicm.org/education/edic http://www.esicm.org/education/european-
diploma http://www.esicm.org/upload/544f5bad58357-edic-part-i-guidelines-
2015.pdf http://www.esicm.org/upload/EDIC%20guidelines%202012_July(1).pdf
http://njcc.nl/sites/default/files/pdf/original-article2_0.pdf
http://onlinelibrary.wiley.com/doi/10.1111/anae.12016/full
http://www.esicm.org/upload/51cd75d471038-edic-part-i-guidelines-2013-
autumn.pdf http://www.cnerea.fr/UserFiles/File/national/desc-
des/jn/jn2012/jndesc-guerin-2012.pdf http://www.esicm.org/education/european-
diploma/EDIC/edic-for-registered-candidates https://www.crit-
iq.com/index.php/blog/single/European-Diploma-of-Intensive-Care-guide-EDIC
https://www.crit-iq.com/index.php/blog/category/exam-preparation
http://inc.sagepub.com/content/10/1/16.full.pdf
https://www.esahq.org/education/edaic/about http://www.docs-
engine.com/pdf/1/how-to-prepare-for-edic-exam.html
https://www.youtube.com/watch?v=l5ETQ4pUBs8
http://www.esicm.org/education/european-diploma/EDIC/edic-part-I
http://www.esicm.org/education/european-diploma/EDIC/edic-part-II
http://www.esicm.org/upload/51e3c856229ae-edic-part-ii-guidelines-2013-
autumn.pdf http://www.atsjournals.org/doi/pdf/10.1164/rccm.201311-2058CP

PACT Material: http://pact.esicm.org/index.php?ipTested=1

http://inc.sagepub.com/content/4/3/71.full.pdf
https://healthmanagement.org/c/icu/issuearticle/pact-an-esicm-multidisciplinary-
distance-learning-programme-for-intensive-care-doctors
http://njcc.nl/sites/default/files/pdf/original-article_1.pdf
http://media.elsevierhealth.com.au/media/blfa_files/Examination_Intensive_Care_9
780729539623_Foot.pdf https://www.rairarubiabooks.com/related-pdf-the-
european-diploma-in-intensive-care-edic.html
http://bja.oxfordjournals.org/content/115/3/481.full

Finally some helpful sites to get some guide about living and working.
http://www.workplacedoctors.co.uk/doctors-guide-to-working-in-the-united-
kingdom-uk-workplace-doctors/
http://www.workplacedoctors.co.uk/doctors-guide-to-working-in-the-republic-of-
ireland-workplace-doctors/
https://www.medicalcouncil.ie/Registration-Applications/Living-and-Working-in-
Ireland/
https://www.medicalcouncil.ie/Registration-Applications/First-Time-
Applicants/Examinations.
html http://www.workplacedoctors.co.uk/doctors-guide-to-working-in-australia-
workplace-doctors/
http://www.inis.gov.ie/en/INIS/Pages/Non%20EEA%20Doctors_Doctors%20coming
%20to%20Ireland%20to%20sit%20the%20PRES%20Examination
http://www.oocities.org/grahammcmahon/ireland.html
http://www.immigrantcouncil.ie/
http://www.workplacedoctors.co.uk/doctors-guide-to-working-in-the-republic-of-
ireland-workplace-doctors/

Now stop asking repeatedly. Only ask me if you need to get more information apart
from mentioned here.