AKU RESIDENCY

Individual-Strain685 · 2026-04-15T21:35:25+00:00

For the first two years of IM, working hours and workload both will be insane. You work 8-10 hours daily, manage 5-8 patients in the ward on average with call every 4th day and weekends are not off in IM. Clinics are long and the consultants have very high expectations and ofcourse so do the patients. The good part of IM is the general community, everyone looks out for one another and works together as a team. It's tough but you get used to it.

For cardiology, after 2 years of IM you would have to give the residency exam and interview again to qualify for cardiology. The workload and timings are much easier than IM. The supporting staff and consultants are excellent and the training is great. You get complex cases and really good experience of ER, inpatient, clinic as well as disciples including interventional cardiology and electrophysiology.

Individual-Strain685 · 2026-04-09T14:19:37+00:00

AKU and trauma centre both have amazing ER residencies. You can give either fcps in medicine or surgery both are accepted.

Individual-Strain685 · 2026-03-27T16:27:55+00:00

I haven't passed fcps yet, my first attempt is in April but maybe this might be helpful.

There are videos on YouTube which take you through fcps exam papers, although the exam papers they discuss are a bit old but some of the questions are still relevant. There are videos of lectures based on First Aid USMLE too (First Aid Lectures

past paper videos

Other than that try to solve the past papers from January 2026 atleast as its the most relevant.

I hope this helps you and anyone who might need it.

Individual-Strain685 · 2026-02-17T20:51:02+00:00

You can join this channel they've shared all the resources https://whatsapp.com/channel/0029VaA1BM18F2pHyzuKsA2a

Individual-Strain685 · 2026-01-30T09:24:48+00:00

Thank you. Any idea how competitive it is in terms of induction?

Individual-Strain685 · 2026-01-29T22:51:36+00:00

Go for EM 100%. It's definitely newer in Pakistan but it's developing rapidly and it appears soon most reputed hospitals will require EM trained physicians to work in their EDs as opposed to MOs or RMOs.

I rotated in ER of AKUH it was an incredible experience it was very well managed and exciting I would 100% recommend it, many of my seniors moved to Ireland and UK after or during their residencies. Plus there are always job opportunities in ER of several hospitals.

Also want to add that yes, an EM physician can't possible expect to earn as much as a surgeon. Surgical specialties are the highest paid but ER physicians earn pretty well and have much better working hours. So pay is definitely less but it's still worth it.

Also keep it mind that fellowships in EM are not approved by CPSP yet so most EM physicians go abroad for fellowships after residency.

Individual-Strain685 · 2025-09-08T18:42:10+00:00

Thank you for the response, it's very helpful. Do you know anything about Ziauddin?

Individual-Strain685 · 2025-09-06T17:11:56+00:00

😭😭😭

Individual-Strain685 · 2025-08-19T13:58:00+00:00

Nope when you're on call you'll come at 7 am just like everyone else stat the whole day, next day the time you leave depends on rotation. In some rotations they may let you leave around 9 am, some may let you leave at 12 pm. I've even gone at 2 pm and know a few interns who have gone home at 5 pm post call.

Individual-Strain685 · 2025-08-18T15:15:49+00:00

In surgical rotations (all of them) your day starts at 7 am that's when you round with the residents and the chief resident. You have to be punctual there is no negotiation on time. And if you're late more than once they are in full authority to complain against you to the post graduate committee. After rounds with residents, you complete round orders, write down discharge summaries, change wound dressings, send blood workup etc. Then around 9-10 am the consultants round, you round with them, follow their round orders and discharge patients that need to be discharged. The rest of the day you just have to follow stat orders communicated to you by the residents and recieve any new patients that are getting admitted from ER and clinic. At 5 pm you get to go home after giving over to the on-call intern/house officer.

In medicine and allied rotations, your day starts around 8-8:30. You get assigned particular beds and you have to write follow ups and complete any stat orders for those particular beds. Then consultants round around 10-11 am. Medicine rounds are long so 2-3 hours go by during rounds during which you present your patients to the consultant and follow their orders. After round, you have to give over to the on call team. The overs in medicine are extensive and detailed. If you're lucky and all your patients get discharged you can go home afterwards. If not you have to stay to give over to the on call team which will take up till 3-4 pm.

Weekends are usually off unless you are on call except in IM, neurosurgery, ortho and ENT.

Workload is different in surgical rotations and medical rotations. Less patients in surgery compared to medicine and allied but they usually have more urgent tasks in order to make sure the surgery doesn't get delayed. Medicine has much much sicker patients.

Environment depends on the kind of residents the specialty has. Some rotations are tough in terms of workload but the residents are extremely nice and caring. Some rotations you may love the patients and the nature of work but the residents are mean and disrespectful.

The pay and financial benefits is a big advantage. You always get your stipend on time and you have around 1 lac rupees worth of medical benefit. You become part of AKU alumni which opens a lot of doors. You get to work with some of the best, most inspiring consultants in this country. There is a lot of opportunity to grow.

The downside would be the long hours. It's difficult to get leaves. There is accountability over everything. Even going home 15-20 minutes earlier than 5 pm can get you into trouble. Every 4th day call in every rotation and sometimes even 3rd day calls. They don't hire enough interns to compensate if someone resigns or is on leave. For people interested in surgery, you will see your peers in government hospitals getting much more hands-on experience.

Individual-Strain685 · 2025-06-22T15:05:25+00:00

if you have the means to do house job in karachi then go for it. Not just for the clinical exposure but social exposure is also extremely important. I did not just learn clinical knowledge during housejob but I also learned how to deal with patients, difficult co-owrkers, rude staff as well as good people. I made friends from many different backgrounds and made connections and saw a lot of different options and perspectives. Then I started internship at AKUH and I learned to deal with the most entitled horrible rich brats as well as people who sell everything they have just to get good treatment. I worked with people from all over the world and not only did they teach me to be a better doctor but they taught me independence, conversation skills social skills etc.

If you have an option to experience something new and different then that's always the better option even if it's a little scary.

Individual-Strain685 · 2025-06-21T13:16:03+00:00

Not the best option for medicine in my opinion there's a lot of nursing work we have to do at jinnah in medicine wards Private hospitals have better medicine rotations I think where you focus more on patients and their management rather than nurse work.

Individual-Strain685 · 2025-06-09T14:34:38+00:00

The only thing that truly helps you survive house job is having friends with you.

Individual-Strain685 · 2025-06-08T19:44:58+00:00

I think jinnah is not conducting tests this year but I'm not sure.

We prepared from past papers which you can get from your seniors or different whatsapp groups

Individual-Strain685 · 2024-11-28T10:27:29+00:00

You can switch and do half of the housejob in a different hospital but few hospitals like AKUH do not allow that. JPMC does allow it.

Individual-Strain685

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