Unconscious Bias: Why it Happens and How to Unlearn It
I opted for FCPS Part 1 in surgery but alot of students who have given MD MS PLAB USMLE exams and not securing a training position anywhere, can relate to my story.
Clearing FCPS Part 1 in Surgery in my first attempt—after just 1.5 months of preparation—should have felt like the biggest breakthrough of my career. And it did… for a moment. But what came after was something NO ONE warns you about:
the silent gap, the waiting, the rejections, and the fear of falling behind while everyone else seems to be moving forward.
I applied to all the major teaching hospitals and well-known institutes in my city. I walked into every induction test with hope, confidence, and my freshly passed FCPS exam. But the result was the same everywhere—
I didn’t get selected for residency training in surgery.
And that’s when the panic began.
Sometimes the gap isn’t empty; it’s where growth quietly happens.
I didn’t want a break in my CV. I needed to stay financially independent. So I decided to look for RMOSHIPs that were related to surgery—something that kept me in touch with my field and strengthened my future application.
But reality hit again.
Wherever I applied, the only RMOSHIPs available were in:
Not a single surgical MOSHIP.
And that put me in a cycle of confusion:
-Should I continue searching for a surgery moship, even if it takes more time?
-Should I join medicine or paeds related jobs , just to prevent a career gap?
-Should I switch completely and prepare for FCPS Part 1 in Medicine as well?
I kept thinking: I have six months—maybe I can do another Part 1? But deep down, I knew I wouldn’t enjoy medicine. I don’t feel connected to it. Surgery feels like passion, pace, movement, life. Medicine feels slow. Time doesn’t pass.
And then Ramadan period was around the corner—a month where duties are easy, but studying? Nearly impossible.
So preparing another Part 1 didn’t make sense.
What did make sense was simple:
I need surgical exposure. Even if it’s a small MOSHIP. Even if the hospital is not famous. Even if the pay isn’t high. I just need something that keeps me connected to surgery.
Because losing an entire year before the next residency cycle would push me far behind.
I tried everywhere to get it but got failed so i joined my MOSHIP in paeds related setup instead of wasting my time.
I didn’t lose time—I gained perspective, strength, and clarity about what I truly want.
Many doctors face this exact situation—passed, qualified, motivated, but unable to secure training due to seats, competition, or timing.
These 6 months can either break your confidence…
or they can build your CV.
Here’s how to make the best use of this gap:
Don’t wait for a “big name” institution
Even district hospitals or private setups matter
Hands-on experience (OT, ward rounds, minor procedures) adds weight during residency interviews
(If available in your city)
Examples:
-Basic surgical skills workshops
-Laparoscopic simulation training
-ATLS (highly valuable for surgery applicants)
These certificates make your CV stronger.
You already have high-yield exam experience. Share it.
Topics such as:
-FCPS Part 1 preparation guide
-Study schedules
-Mistakes to avoid
-Mental health during gap periods
This builds your professional presence and keeps you mentally engaged.
Even small clinical audits or case reports help your residency application.
Find a consultant willing to supervise your write-up.
-Keep a list of hospitals and their announcement dates
-Improve your CV
-Focus on recommendation letters
-Don’t rely on only top institutes—apply widely
Just 1–2 hours/day revision is enough:
This ensures you won’t feel rusty when residency starts.
Failing to get training immediately doesn’t mean you failed.
It means your timing didn’t match the system.
Thousands of brilliant doctors have been through this exact phase.
The journey pauses not to stop you, but to prepare you.
What matters is:
- You keep moving
- You stay connected to surgery
-You use your gap wisely
- You don’t let fear stop you from trying again
Your FCPS journey is not a race—it’s a path.
Sometimes the path slows down to prepare you for something bigger.
And trust me—no experience, no rejection, and no gap ever goes to waste.
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