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This article is under review: Author's MTI application is under process via RCPE and RCPL, and this article will be updated in future for further guidance.  29-April-2019: Royal College of Physicians and Surgeons started Mutual Training Initiative. In this program, post-graduate medical residents are asked to apply and shortlisted candidates are interviewed. Among those interviewed, almost all are selected if they have passed the IELTS. MTI program - Who is eligible.  Every post-graduate medical trainee who has completed two years of residency training in a subject (department) is eligible to apply.  Many say MRCP 1 or IMM is a mandatory requirement and these requirements are mentioned on their official website as well. But in reality, this is not strictly followed. If your CV and academic background are good, you can be selected.  Furthermore, Many say IELTS is a mandatory requirement, but again this is not strictly followed. I know a few students w...

Reading ECG (electrocardiogram) can be a tricky thing. It needs a clear understanding of the underlying physiology. ECG is a graphical representation of the heart's electrical activity. With the help of the ECG, we can determine the heart rate, rhythm, axis or any other abnormality of the electrical conduction system. When ECG is not normal it means there is some problem in the conduction system. The cause of this problem is usually damage to the myocardium. The damaged myocardium or an abnormal myocardium can't conduct the electrical charges in a normal way and these abnormal conductions are reflected on an electrocardiogram (ECG). Axis can also be determined with the help of an ECG. Cardiac axis can deviate to right or left. But please keep in mind in pure right bundle branch block or in pure left bundle branch block cardiac axis remains normal. Thus, if you find a right axis deviation or a left axis deviation think of a pathology. Please note that the right axis devia...