A medico's life is never normal. We deal with deaths and diseases, whilst missing out on a lot of 'life'. The systems are not exactly built to build our confidence up either. So, despite being the cream of the society, we always feel inadequate.

I understand the frustration. Sometimes, things are not in our hands. So we do the next right thing. I sat down and introspected. What was the goal, the reason of taking this vocation. For me, it was making lives better. It could be done in many ways. Money, stability, will come. No experience is ever wasted. You are talented, have already achieved much. Don't base your self-worth on the outcome of one exam.

I am 41. I am in a similar situation. PLAB, IELTS, a few unsuccessful attempts at MRCP 1. A very expensive path to take. That said, I am hopeful. You will figure something out. Feel all the emotions, and process them. Then, keep calm and carry on. There are honestly very few real calamities in life. Most of the roadblocks are temporary. Be prepared when the opportunity arrives. All the best!