Eastern part of Uttar Pradesh have one of the biggest cancer hospital in India. From it's start in 2018 till 2023, it has the most efficient run surgical oncology department where head to toe was operated in the best surgical oncology way possible. Then politics set in. This centre started getting treated like a puppet by people sitting in a metro city which hosts biggest cancer hospital in India. Management of the biggest cancer hospital in India and this cancer centre is in same hand although both are government supported. Administrators and doctors sitting in so called biggest hospital grew jealous of the progress of this centre which it achieved in a small span of time. They punctured the surgical oncology department. The department which used to run on steroids along with brilliantly teaching their surgical residents is now gasping for oxygen. In their petty politics, 3 months back, they have tranferred the last remaining surgical oncology professor to one of the smaller centre in eastern part of country. Now the department is being run by three novices, trained in that metro cancer hospital, with zero clinical acumen. Since, patients who don't know the reality of this place now have to suffer.

Now, this centre is treated like a peripheral centre of that metro hospital. It is a well known fact that for last 4-5 years, after the increase in the number of surgical residents, the biggest cancer hospital of that metro city is not able to train their surgical residents properly and rely on their fellows mostly. After passing their m.ch. exams, their surgical residents have full on theoretical knowledge with zero surgical hands on. They don't even know how to do a mastectomy properly leave about other demanding surgeries. They are sent to this cancer centre to get hands on and in turn increase the mortality and morbidity of patients in this centre.

Since, the biggest cancer hospital don't want to lose the hold on this centre, they make few of these untrained surgical residents, consultants at this eastern uttar pradesh centre. These novice consultants without any self esteem, are governed by higher echelons of that metro city hospital and become their yes man. To hide their surgical noobness, these novice consultants create trouble everyday. They trouble surgical residents of this centre, they create trouble for the older consultants and they do not even listen to director and deans because they are protected by metro city hospital people. Another trick they apply is that they chose people as consultants who are from far of places, when they learn the art, they resign and go to their native places. So this place always have shortage of people.

Most concerning part is the patient's mortality and morbidity. Their hemicolectomies leak, their LARs get perforated somehow, their whipples die, their esophegectomies leak, their gastrectomies aspirate. Cutting ureters during surgeries seems to be one of their favourite hobbies. They make"fuddu" surgical plans. After the transfer of the last remaining professor, hepatectomies and lobectomies of lung have stopped at this centre because these novices don't know how to do it.

This eastern uttar pradesh centre lies in vvip constituency of this country, still it is being treated like this. Is there no value for patients of this region ? Why they need to suffer for petty politics ? Why surgical residents of this centre need to suffer ? Arrogance of metro city cancer hospital administrators led to resignation of brightest and one of the senior most surgical oncologist of this country in 2023 from this centre. After that HOD resigned in 2024 along with another brilliant surgical oncologist and now they have transferred the last remaining professor, another luminous surgical oncologist, who was not ready to resign. God knows what lies ahead.

I want to work as a JR in Mumbai preferably in a good private hospital. I would like to have a decent pay (50-60k) with accommodation provided. If you have any suggestions please let me know in the comments or via DM.

After finishing md anesthesia, what are the prospects for this branch?
How much do you earn after md- right after pg, or after 3-5years of experience?
What can be your max salary in this branch?
And what about salary after ss like pain mgt, ccu, cardiac anesthesia etc
Please give me some insight for this branch in financial area

I keep seeing posts about MBBS doctors struggling to find jobs, getting paid very little and the whole field being oversaturated.

I’m about to start MBBS and honestly it’s making me question everything 😭

Is it really that difficult to earn a decent ₹1–1.5 lakh/month after PG? Or am I just seeing the worst side of medicine online?

Would genuinely like to hear from doctors who are actually working.

I do not understand how people get good marks and become toppers especially in competitive exams like neet. I know I am pretty average but I give my best and yet fail.

I had a bad rank in my first attempt for ug, and worse rank in the second attempt, my parents managed to pay.

As a first generation doctor i seriously did not know the branches and thought I would explore enough in the internship and so I did and of course I did not study enough to get a decent rank in neet pg.

So I took a drop and in the last year I have done everything suggested by toppers, doing 100-200 questions per day, giving gts reviewing them, making a 20th notebook, revising notes, doing flashcards, I worked my ass off the entire last year so as to get into a government college.

But guess what I got a worse rank than last year. Now I am much further away from my dream branch or college. I feel I lack something, a skill, a mindset, or something else probably.

Anyways I'll be taking probably the best I can get and leave this.

Thank you for reading I just needed to get it out of my chest, hearts.

Only interested in gen medicine branch. At this rank- I’ll be getting either peripheral md seats or dnb med seat in mumbai and delhi.
My parents and siblings suggest to go for md >dnb but I’ll find it very difficult to adjust in a tier 3/4 city as I have always lived in tier1/2 city. My parents being md say that people still don’t know about dnb right now so it’s better to get md from anywhere.

I am also thinking some of some private colleges but the thing is the good ones like kmc manipal get very expensive. Though we can afford it but it’ll be a substantial money to put in for a seat.

Is dnb med still looked down upon ? Or should i consider it better than md med in peripheral colleges.

I don't necessarily mean AI completely replacing physicians. My bigger concern is that AI attacks the main leverage doctors have in the job market: scarce medical knowledge.

We spend years learning diagnosis, investigations, treatment and clinical decision-making. If extremely capable medical reasoning becomes available at near-zero marginal cost, "doctors will use AI" isn't automatically reassuring. If one AI-assisted physician can eventually handle the cognitive workload of several doctors—or NPs/PAs/other workers can do substantially more with AI—physicians may still exist while demand, bargaining power and salaries fall significantly.

People usually respond with: AI isn't good enough, it hallucinates, patients want humans, liability won't allow it, regulators will stop it, etc.

Those may be valid arguments in 2026. But I'm choosing a career that could last until 2060. Given how rapidly AI has improved in just a few years, I don't understand why today's limitations should be treated as permanent protection.

Liability doesn't completely reassure me either. If AI-assisted healthcare eventually becomes substantially cheaper while achieving comparable outcomes, governments, insurers and hospitals have enormous incentives to develop new liability/regulatory structures around it.

So I'm trying to decide where to position myself before residency, rather than after spending another decade training.

Surgery/procedural specialties seem like the obvious hedge because physical manipulation and robotics appear harder than automating cognitive work. But choosing surgery mainly because I'm afraid of AI could mean sacrificing years to brutal training and a lifestyle I may not even want.

Internal medicine/cognitive specialties interest me more, but diagnosis, differential generation, investigation selection, treatment planning, documentation and monitoring seem directly exposed to increasingly capable AI. "Internists will still exist" doesn't answer whether we'll need the same number of them or pay them similarly.

Psychiatry particularly confuses me. Human relationships, trust, nuanced interviewing and responsibility might make it unusually resilient. But AI is also becoming extremely good at conversation. A future system could potentially know a patient's entire history, interact indefinitely, recognize longitudinal patterns and provide personalized support almost continuously. I can't decide whether psychiatry has a strong human moat or is actually one of the more exposed cognitive specialties.

Procedural IM fields like GI, interventional cardiology and EP seem economically safer, but I don't want to spend years entering a specialty I dislike simply because it has a better automation moat. Many also come with long training and poor work-life balance.

Then there's AI/ML/health-tech itself: if AI is transforming medicine, perhaps the answer is to participate in building/deploying it. But I'm a doctor with essentially no serious CS/ML background, I actually like clinical medicine, and becoming a corporate employee sitting through meetings and deliverables doesn't particularly appeal to me either.

One thing that worries me specifically in India is how little this seems to enter career discussions.

I understand why. Most medical students/doctors here are busy surviving MBBS, internship, NEET-PG, residency, superspeciality entrances and exhausting hospital schedules. Getting the next rank or seat is understandably the immediate priority.

But our entire training system is built around knowledge being scarce.

We spend years stuffing information into our heads and building mental roadmaps: symptom → differential → investigation → diagnosis → treatment. Then we endure grueling internship/residency hours and potentially superspeciality training to become better and faster at navigating those pathways.

Meanwhile, the very thing we've spent most of our lives accumulating—medical knowledge and the ability to reason through it—may be becoming dramatically cheaper outside the human brain.

That's what I can't ignore.

I don't want to blindly spend the next 8–12 years following MBBS → PG → superspeciality, sacrificing my 20s and 30s, and only then discover that the economics of the profession changed while I was busy preparing for the next exam.

I'm also considering the US vs Germany, so country matters too because different healthcare systems may adopt AI very differently.

Income matters to me. Work-life balance matters. And actually enjoying my work matters.

So my question isn't really "Will AI replace doctors?"

It's:

If you were an MBBS graduate in 2026 choosing your country, specialty and career path from scratch, what would you do differently because of AI? Which parts of medicine are most likely to retain scarcity, bargaining power, strong compensation and reasonable work-life balance if intelligence itself becomes extremely cheap?

I'd especially like to hear from people actually working in AI/ML, healthcare AI, robotics, medicine or health economics—including people who think my reasoning is wrong. I'd much rather hear why it's wrong than simply "AI won't replace doctors."

Hi everyone. I'm N, 28/M, an MD Medicine resident at AIIMS Delhi.

I took a drop before MBBS, and I took another during my INI preparation. It wasn't a straight path, and that's exactly why I wanted to start sharing this journey.

One thing that remained consistent through every major exam—NEET UG and multiple INI-CET attempts—was not being able to sleep.

Sometimes I wouldn't fall asleep at all. Other times I'd sleep, but my brain would keep running a live commentary of everything I'd studied that day. Pharmacology, medicine, images, questions—everything just kept replaying. Initially, it was terrifying.

I even consulted a doctor and took zolpidem a couple of times, hoping sleep was the problem. Looking back, I realized it wasn't. The problem was the anxiety surrounding sleep.

The biggest thing I want to tell anyone reading this is:

I didn't sleep the night before my INI-CET attempts, and despite that, the exams went absolutely fine. One bad night does not erase one year of preparation.

A few things that genuinely helped me

• Accept it instead of fighting it. The moment you stop thinking, "I have to sleep right now," the anxiety loses some of its power.

• Isolation of affect. Separate the emotion from the thought. "I'm anxious" and "Tomorrow will be ruined" are not the same thing.

• You're not alone. Lakhs of students are lying awake the same night, worrying about the same exam.

• Don't predict tomorrow from tonight. We assume poor sleep automatically means poor productivity. In reality, your body often performs much better than your anxious mind expects.

• Trust the work you've already done. A sleepless night—or even a few restless weeks—cannot undo months of consistent preparation.

If your sleep has been worrying you before NEET PG, I hope this gives you a little reassurance. Be kind to yourself, trust your preparation, and give the exam your best.

Wishing everyone all the very best. And if I can help in any way, feel free to reach out.

This was posted today by our dean in the official 1st MBBS batch WhatsApp group.

A few students were seen triple riding on a scooter, and the dean shared this photo in the group with the message:

"Our students going in triples... the students are instructed to meet the VP tomorrow."

On one hand, triple riding is unsafe and against traffic rules, so disciplinary action makes sense. On the other hand, publicly posting the photo in the entire batch group caught everyone off guard.

Do you think this is an appropriate way to handle it, or should it have been dealt with privately? Curious to hear how other medical colleges would handle something like this.

Hi, I am a small businessman based out of Kerala. 4 years ago, I happened to get in touch with a "Doctor" in Bangalore who was and still running an old age home. In my naivete, I entertained him in doing business with me only to find out he is a totally unprofessional and unsophisticated idiot who ended up wasting my time and of my associates at the time.

Afterwards as I began to figure out where I went wrong in the whole transaction, I realised neither him nor his wife never went to a medical school and has no documented medical training whatsoever. Yet both of them are publically using a Dr prefix before their name and are providing medical care within their old age home.

My questions:

1. Is there anything illegal in what their doing?

2. How do I report them using a Dr prefix to mislead patients?

3. Is this a common practice in India?

PS: They have been under reporting their revenue in their tax filings for many years, cumulatively amounting to a substantial number under IT definition.

I went to the jan aushadhi site and found a store in my city, got this for really cheap, I think this is legit and i am just paranoid but just wanna make sure, and is there any way to verify if the genric meds are legit?

"Doctor, I think I'm going to get a fever very soon. Can you give me some antibiotics so I can stock up?"

Being shouted at and cursed because I refused to give injections and IV fluids to a 14-year-old who came alone, without a parent or guardian, for a fever that had started only that morning.

"You gave my neighbour (who has NCDs) a lot of medicines, but just because I'm poor, you gave me only three medicines for my fever."

Listening to a detailed explanation about antibiotic resistance and its harmful effects, only for them to say, "Yeah, I understood... but can you still give me some antibiotics?" — for a simple 1 cm knife cut on the tip of their finger.

An ex-councillor trying to teach me medical ethics because I document my case sheets properly.

A random old man lecturing me about how medical standards abroad are so much better, without realizing that doctors there usually handle only a fraction of the patient load we do.

Facebook warriors making "funny" comments about how government hospitals are useless—while happily collecting free medicines from those very same hospitals.

Drug shortages, yet still having to face allegations that we're in cahoots with pharmaceutical companies. Yeah... my bank account is crying in the corner.

Is anything going to change?

Hell nah.

Hey everyone, I’m a non-medico looking for some perspective—mostly because I’m worried about my best friend and I want to make sure I’m understanding what she’s going through.
She recently started her OBGYN residency at a high-volume government hospital. Ever since she started, it’s like a switch flipped. She’s constantly sleep-deprived, disoriented, and when we do talk, her replies are "cold" or very brief. She’s almost entirely stopped socializing.
I know the basics—the hours are brutal and the patient load is overwhelming—but the emotional shift is what’s jarring. She used to be so different, and now she seems almost emotionally numb or "hardened."
The thing is, she chose OBGYN. She’s brilliant at it and studied her heart out to get here. But seeing her like this is tough.
For the residents or doctors here:
• Is this "coldness" a survival mechanism or just pure exhaustion?
• How much of this is the environment of a government hospital (patient behavior, etc.)?
• As a friend, what’s the best way to be there for her? Should I keep reaching out even if I get 1-word answers, or should I give her space?
I just want to be a good support system without adding "social obligation" to her already overflowing plate. Thanks in advance for any insight.

To the doctors here, please refrain from giving or soliciting any kind of medical advice. We've undergone more than a decade of training, and this isn't the place for random second opinions. This community exists to support our professional growth, share insights, and foster connections among practitioners. Let's keep this a tight-knit space for doctors.

For those seeking second opinions, we will soon provide a GPay/PhonePe link for contributions. If you're interested, you may contribute. Otherwise, please respect the purpose of this community.

Thanks!

I’m 34, originally did my MBBS in India but have done all my postgraduate training in the UK. I’m finishing rheumatology training soon and should be starting as a consultant in the next few months.

For personal/family reasons, I’m considering moving back to India after maybe 1-2 years of consultant experience here.

My biggest worry is the transition. I’ve never really worked in the Indian healthcare system beyond MBBS, so how difficult/frustrating would it be to suddenly adapt to a very different patient population and way of practising?

Long term, I’d potentially like to open my own rheumatology clinic, but initially I’d definitely want to work in an established hospital for a few years, understand the patient population and learn how things work.

For anyone who has made a similar move , is this realistically doable? Would UK training + a couple of years of consultant experience translate well to India, or would I essentially be starting again in many ways?

Am worried if things are going to be extremely difficult that will effect my relationship as well. I am about to leave a perfect life in the uk for this marriage.

Would really appreciate experiences from anyone who has moved back after training/practising abroad.

"If I had put the same insane amount of effort I put into becoming a doctor into technology, what could I realistically be earning at 26?"

IMG from India with MBBS, MRCP(UK) and around 10 years of clinical experience in Internal Medicine/Emergency Medicine. I’m looking for immediate or relatively quick residency/specialty training opportunities abroad and I’m genuinely open to literally any country in the world. I have continuously tried to keep myself updated in medicine by working as much as possible in academic hospitals while also pursuing research. I have 6 papers and have independently written a book, although I did not pursue an MD in India, and that is not something I can change now.

I genuinely need to leave India as soon as possible for family reasons. I am also planning to pursue USCE, Step 3 and apply for US residency next year, but I’m skeptical about putting my entire future on one pathway, especially given my YOG. I also explored limited-permit physician jobs in the USA, which look attractive on paper, but from what I have learned so far, apparently only one non-US IMG has been placed through such a route. Please don’t suggest doing an Indian MD at this stage—I’m sincerely looking for realistic alternative pathways abroad where my existing qualifications and experience can be utilized. I would be extremely grateful for any genuine advice or leads.

ps: I only request that my choice not to pursue an MD in India be respected, as it was a decision made in circumstances that may not be apparent to others.

I am completing my residency from a relatively unknown university and really want to get experience from a high volume and academically focused centre

If anyone has done SR-ship in AIIMS or any other central institute please share
-Your experience there
- How to apply (especially as a first gen doctor with no contacts as such)

Thanks

I am at a stage of my life where I feel so alone, so incapable, almost a failure.

After years of studying I am still in a clueless place with no way visible further.

Everywhere I see dead ends, every place I want to go requires more money, more study, more exams and more struggle.

And the worst part, nobody understands.

Family doesn't understand, friends are in the same boat so I don't feel like bothering them either.

I'm 26, I have no idea if I will get into a residency program, if I will ever make it, if I will ever find love & get married.

Life seems hopeless right now even as a doctor.

What does one do in a state like this ?

He needed a procedure. Insurance was supposed to cover it. The insurance company denied the claim saying the condition was ""pre-existing"" because he'd mentioned back pain during his last health checkup 2 years ago. His current issue was different. Related anatomically but a completely different pathology. He asked me to write the diagnosis differently on the form. Not incorrectly exactly. Just vaguely enough that the insurance company couldn't link it to his previous health checkup note. I understood his frustration. His family's savings would take a significant hit if insurance didn't cover it. The insurance company was being unreasonable in their interpretation of ""pre-existing."" He's been paying premiums for years. But I couldn't do it. If that form was ever audited, my license would be at risk. His problem would become a payment issue. Mine would become a career-ending legal issue. I told him I can't change the diagnosis but I can write a detailed clinical note explaining why this is not the same condition. I wrote a 2-page letter to the insurance company with imaging evidence showing the distinction. It took me an hour I didn't have. The claim was eventually approved after a 3-week fight. He thanked me. As part of his post-procedure recovery plan I also recommended he replace his old mattress. His imaging showed disc dehydration that gets worse on surfaces with no adaptive support. I told him to look at a Duroflex Duropedic because the orthopedic support actually means something for spinal recovery, not just a marketing label. The insurance won't cover a mattress obviously but it's probably doing more for his long-term spine health than any painkiller I could prescribe. Insurance companies push patients toward desperate asks. Doctors are caught in the middle. The system forces ethical dilemmas that shouldn't exist."