TIMESTAMPS 0:00 What's the scoop in the Intro? 1:07 How's the residency journey been? 2:45 Truth about toxicity and racism in USA during residency? 4:33 Sacrifices on the road to becoming a US doctor? 6:15 Any age restrictions for USMLE attempts? 8:34 Unlocking research opportunities as an MBBS student? 13:10 Skipping research but still landing in internal medicine? 13:57 Options after Failing on Step 1? 16:55 Ideal timing for the USMLE exam? 18:29 Is Step 2 a tougher beast than Step 1? 19:33 Can UK experiences spice up your USMLE CV? 20:33 Navigating the match journey as a couple? 21:48 Secrets to scoring 260+ in Step 2? 23:27 Crafting the perfect application for a competitive spot? 24:46 Initiating USMLE prep in your first year? 26:06 Job hunting post residency? - How tricky is it? 27:25 No interviews this year - Weird or not? 28:29 Explaining gaps in your medical journey? 30:04 Cracking Yale electives via VSLO? 31:14 Can foreign students match into general surgery? 32:18 States favored for clinical rounds for IMGs ? 33:19 Networking in the US - Are they worth it? 35:30 Getting electives in the US - Join an organization or go solo? 37:13 Diving into the US after DNB ortho in India? 38:28 Building a standout CV post MBBS and internship? 39:38 USMLE prep on a tight budget - Possible or not? 41:20 Timing for electives and when to start applying? 41:48 Stress management during USMLE prep - spill the secrets! 43:13 Topnotch resources for USMLE prep? 44:08 USMLE vs PLAB - Why the former? 45:28 Externship vs electives - Is one really worse? 47:10 Feeling the heat of discrimination in your US residency? 47:50 Internal medicine vs family medicine - How to choose? 49:02 Cracking the code for a paid research position? 50:02 Fresh from Step 1 - What's the next move? 50:50 Does dual specialty applications hurt your match chances? 51:52 Does the med school choice dictate your match destiny? 52:55 Overview of bookshelf assembly and table unboxing? 53:17 Post assembly bookshelf unboxing? 53:27 Can 3 interviews land you a spot in internal medicine? 54:44 Juggling mental health and effective study habits? 56:38 Post Step 1 anxiety - Universal or just you? 57:42 How long's the journey to become a US doctor? 58:30 Money matters: Residency income, expenses, and vacations? 58:55 Who paid the bill for your USMLE journey? 1:01:47 How to study for USMLE Step 3? 1:06:13 Table assembly overview and bookshelf filling? 1:06:44 Favorite books on the newly assembled bookshelf?
Wonderful video🎉 please keep doing more Q and A videos as it covers many topics in one video which is extremely helpful. Thankyou so much once again beta.
@@Okiedokieyes Possibility shouldn’t be confused with feasibility. My college alumni matched into Neurosurgery in a Colorado hospital. He had 10 gold medals in mbbs, got double digit rank in neet pg, spent 3 years in US for research, impressed all profs there and had an impressive CV overall. That’s not the kind of advise we’d give to an average person.
As a final yr medical student , who juat planned on giving USMLE , what would you advise to do : - Prepare for step 1 Or - Do electives in US I would really appreciate your advise in this regard Secondly how long does it take to prepare for step1?
Great content Manik but wanted to share some pov on the information presented. If you have a target audience that is IMG, resident salary will seem high because you will have foregone the debt accrued by home graduates. If you were a US or Caribbean medical graduate, then no, the resident salary is terrible with nearly 10% interest on half a million dollars of loan. The other aspect is that if you live in a big city like LA or NY, then the cost of living will be nearly what your salary alone. The other thing to note is that you are a psychiatry resident, which is comparatively less grueling in training hours to internal medicine or some surgical specialty. That is perhaps why psychiatry is becoming more competitive as today's generation values work-life balance.
Hi Dr Manik. I'm an img currently prepping for step 1and i wish to match into UofPenn internal medicine residency. If you would be so kind to make a video on what they look for /prefer in their applicants cause ive heard its a very competitive/difficult to get into program . I can work to craft my cv towards the kind of applicant they would take.
i have a doubt please help,i have been studying basic pharma from First Aid along with B&B,but B&B do not have video on Autonomic drugs,Gprotein linked receptors,sympathomimetics drugs and these topics are given in first aid books 2023,so what to do now go on with B&B only that is i am asking study only what B&B are teaching and leave the extra topics of first aid,please help🙏🙏 and please do reply.
Hi Manik, Can you please make a video on Residency in Anesthesiology ? If possible, perhaps an interview with an IMG that matched in Anesthesiology? Thanks for the videos.
Brother,just now I saw in usmle sarthi website that immunization certificates are required for usmle which will contain proofs of vaccines like polio,measles, hepatitis b etc.but my father and in fact whole family is homeopathic doctor and they gave me homeopathic medicines instead of vaccines which i dont have any proof.they didn't belief in vaccine.so what shall I do?can I take all those at this age?I am 22
Plz make a video for Indian students doing mbbs from russia Phillipines etc. If possible plz post an interview with any resident who has done mbbs from russia and is now working in us🌟
Hi Manik, I have to disagree with you on a point. I was in peds residency and the program was very toxic and racist. in fact Im indian and one co resident said many racist things to my face. There were two other IMGs who were from a muslim country and people said many things about them as well. so always keep your guard up and never think anywhere is safe. I was even called a "foreigner" when I went to go get a check up at a doctor's office. So yes be careful because one persons perspective is not anothers.
Hello sir.. Doing research in India is also considered/ improve chances to match into residency for USA? or do they only consider doing research electives in USA?
Hello Dr, What are my chances to match into family medicine with a failed step1? I am eu graduate, and I will have around 2-3 LoRs from american doctors.
@@manikmadaan Brother,just now I saw in usmle sarthi website that immunization certificates are required for usmle which will contain proofs of vaccines like polio,measles, hepatitis b etc.but my father and in fact whole family is homeopathic doctor and they gave me homeopathic medicines instead of vaccines which i dont have any proof.they didn't belief in vaccine.so what shall I do?can I take all those at this age?I am 22.what will I show if I need in usmle?
At 30:46 you say that a friend was able to get a sub internship at Duke being a research fellow. How did they get that being an IMG? SubIs are reserved for third or final year students. Is there a link to this sub internship? Additionally, Duke sponsors students from accredited LCME schools and takes in students through VSLO only. Can you elaborate on this?
Do they have a public account or a way I can reach out to them? Because as I mentioned already in the initial comment, SubIs can't be done by graduates. They'll need to have a limited/restricted/temporary license issued by the State Medical Board to do it unless it was not a SubI and an observership and then the preceptors allowed the observer to have hands-on xp which is not legal but a very commonly practiced thing in the IMG circle.
Does the type of college i attend during my years in mbbs be a major factor for my match in usmle? And if it's a private college does the chance of getting in get lower and lower?
do you think its still worth it when the situation for H1B visas is getting worse and worse? i mean people are drowning in debt who come from the comp sci and IT major... but is it the same case for usmle residents too? ive seen people getting kicked out of usa in a split second just bcz of getting laid off.. is it the same case for the doctors too?
@@manikmadaan oml thanks for the reply !! I'm not quite sure if I'll ever get into the mbbs field but sure enough to say that I'll opt for nursing in the future.. so ig your statement applied to nursing students as well ..? Hope you have a great day ahead !!
Currently a final year student and will be giving step 1 in august.What should i after giving step 1? Option 1: I can go to US for one month elective. Option 2: Prepare for my final year exams along with step 2. I’ll be graduating this year in december after my final profs and i haven’t done any electives yet,so will it affect my matching chance in future or i can somehow make up for it after i graduate? Bec i heard you need 3-4 LORs for good application. Also i want to internal med^
Can we do 3 months electives and what is the minimum timeline to do research in us for usmle? When should we do the research before internship or after internship? Can you also tell me about the 2 year home country practice after 1 year residency through J1 visa and can we apply for H1b visa after doing that 2 year home country practice and do we have to come back to the same University or hospital to complete our residency after that 2 year practice???
Can one switch speciality during residency to a different residency Or re apply for residency after finishing one’s Let’s say i want to do general surgery but end up getting in an internal medical as an img so any chances i can switch during of after residency to general surgery residency
@@ogwangjoshua695 step out means i have to leave the residency which I would probably be in just to be able to apply for a different one? Isn’t it if i get selected i leave the old residency and if I don’t match i can continue with my residency program
@@manikmadaan tq madaan for replying.. i mean to ask , I want to join in hemat n onco.. am i eligible to take directly bypassing internal medicine residency after clearing steps?
Hi doctor I am a DNB General Medicine graduate from India and have cleared MRCP exam all three steps. I have 3years of experience working in a medical college after my PG. Now I am an assistant professor in the department of general medicine. With this qualification am I eligible to apply for a job in australia? If so, what level of job can i get? Should I have to clear the AMC exams (as I cleared MRCP)? Please help me doctor. Thank you.
Can u kindly tell us the branches where u can do pg in India n after that 2-3 fellowship in us can give them license to work in us as a physician at least if not specialist I.e bypassing usmle n residency in us!
Yes it does. If a PD is from India and they know govt colleges generally get students who were academically better that could effect their decision regarding ranking or whom to even interview
TIMESTAMPS
0:00 What's the scoop in the Intro?
1:07 How's the residency journey been?
2:45 Truth about toxicity and racism in USA during residency?
4:33 Sacrifices on the road to becoming a US doctor?
6:15 Any age restrictions for USMLE attempts?
8:34 Unlocking research opportunities as an MBBS student?
13:10 Skipping research but still landing in internal medicine?
13:57 Options after Failing on Step 1?
16:55 Ideal timing for the USMLE exam?
18:29 Is Step 2 a tougher beast than Step 1?
19:33 Can UK experiences spice up your USMLE CV?
20:33 Navigating the match journey as a couple?
21:48 Secrets to scoring 260+ in Step 2?
23:27 Crafting the perfect application for a competitive spot?
24:46 Initiating USMLE prep in your first year?
26:06 Job hunting post residency? - How tricky is it?
27:25 No interviews this year - Weird or not?
28:29 Explaining gaps in your medical journey?
30:04 Cracking Yale electives via VSLO?
31:14 Can foreign students match into general surgery?
32:18 States favored for clinical rounds for IMGs ?
33:19 Networking in the US - Are they worth it?
35:30 Getting electives in the US - Join an organization or go solo?
37:13 Diving into the US after DNB ortho in India?
38:28 Building a standout CV post MBBS and internship?
39:38 USMLE prep on a tight budget - Possible or not?
41:20 Timing for electives and when to start applying?
41:48 Stress management during USMLE prep - spill the secrets!
43:13 Topnotch resources for USMLE prep?
44:08 USMLE vs PLAB - Why the former?
45:28 Externship vs electives - Is one really worse?
47:10 Feeling the heat of discrimination in your US residency?
47:50 Internal medicine vs family medicine - How to choose?
49:02 Cracking the code for a paid research position?
50:02 Fresh from Step 1 - What's the next move?
50:50 Does dual specialty applications hurt your match chances?
51:52 Does the med school choice dictate your match destiny?
52:55 Overview of bookshelf assembly and table unboxing?
53:17 Post assembly bookshelf unboxing?
53:27 Can 3 interviews land you a spot in internal medicine?
54:44 Juggling mental health and effective study habits?
56:38 Post Step 1 anxiety - Universal or just you?
57:42 How long's the journey to become a US doctor?
58:30 Money matters: Residency income, expenses, and vacations?
58:55 Who paid the bill for your USMLE journey?
1:01:47 How to study for USMLE Step 3?
1:06:13 Table assembly overview and bookshelf filling?
1:06:44 Favorite books on the newly assembled bookshelf?
Brother if i take drops for neet ug,will it affect the chance of matching in usa?
Sir I have a question 🤗
This
This
buddy you are doing god's work with these videos. thank you.
Have been waiting for manik madan video for a while, as soon as it pops just I instantly click it , because his content never fails to amaze us
ruclips.net/video/NhWAzZ4v-FM/видео.html
This video is very very helpful, thank you. Everytime I watch one of your videos I get a good feeling about the whole process.
Wonderful video🎉 please keep doing more Q and A videos as it covers many topics in one video which is extremely helpful. Thankyou so much once again beta.
This is so helpful thank you so much!
Want a video on residency in Harvard and John Hopkins medical school....
Yes please make a video for that
Yes please with all expenses
Lmao that is damn near impossible for am IMG and it should be reserved fro american medical graduates
@@antiracistbaby1085yo,KMC Manipal/KMC mangalore people have matched into those schools!
@@Okiedokieyes
Possibility shouldn’t be confused with feasibility.
My college alumni matched into Neurosurgery in a Colorado hospital. He had 10 gold medals in mbbs, got double digit rank in neet pg, spent 3 years in US for research, impressed all profs there and had an impressive CV overall.
That’s not the kind of advise we’d give to an average person.
As a final yr medical student , who juat planned on giving USMLE , what would you advise to do :
- Prepare for step 1
Or
- Do electives in US
I would really appreciate your advise in this regard
Secondly how long does it take to prepare for step1?
Step 1
Great content Manik but wanted to share some pov on the information presented. If you have a target audience that is IMG, resident salary will seem high because you will have foregone the debt accrued by home graduates. If you were a US or Caribbean medical graduate, then no, the resident salary is terrible with nearly 10% interest on half a million dollars of loan. The other aspect is that if you live in a big city like LA or NY, then the cost of living will be nearly what your salary alone. The other thing to note is that you are a psychiatry resident, which is comparatively less grueling in training hours to internal medicine or some surgical specialty. That is perhaps why psychiatry is becoming more competitive as today's generation values work-life balance.
Doctor after 5 years (completion of my degree) what will be the usmle/residency succeeding difficulty rate ? Will it be too much of difficult ?
Due to the high yog, it will be slightly harder but nothing is impossible
@@manikmadaan thanks doc ❤️
Can you help me with the type of US visa that I should apply for to do my observership and write Step 3 USMLE?
Hi Dr Manik. I'm an img currently prepping for step 1and i wish to match into UofPenn internal medicine residency. If you would be so kind to make a video on what they look for /prefer in their applicants cause ive heard its a very competitive/difficult to get into program . I can work to craft my cv towards the kind of applicant they would take.
i have a doubt please help,i have been studying basic pharma from First Aid along with B&B,but B&B do not have video on Autonomic drugs,Gprotein linked receptors,sympathomimetics drugs and these topics are given in first aid books 2023,so what to do now go on with B&B only that is i am asking study only what B&B are teaching and leave the extra topics of first aid,please help🙏🙏 and please do reply.
Thank you so much for your time and your info .
Big inspiration on my Current Journey ♥️♥️♥️
😊
Does mbbs marks and attempts matter at any stage in usmle like matching into residency programme ?
Hi Manik,
Can you please make a video on Residency in Anesthesiology ? If possible, perhaps an interview with an IMG that matched in Anesthesiology?
Thanks for the videos.
Brother if i take drops for neet ug,will it affect the chance of matching in usa?
No
Is the salary different for different residency programs? Like is general surgery different from med in terms of salary. Thank you
It's the same
Brother,just now I saw in usmle sarthi website that immunization certificates are required for usmle which will contain proofs of vaccines like polio,measles, hepatitis b etc.but my father and in fact whole family is homeopathic doctor and they gave me homeopathic medicines instead of vaccines which i dont have any proof.they didn't belief in vaccine.so what shall I do?can I take all those at this age?I am 22
You definitely have to take vaccines. No other way
My daughter is confused because mach in Residency ship is so less possibility so plz reply to how to possibilities in mach for Indian doctors ?
Whats a parsantge of residencyship available in USA from Indian doctors? My daughter MBBS was completed and USMLE part 1 also cleared
Plz make a video for Indian students doing mbbs from russia Phillipines etc. If possible plz post an interview with any resident who has done mbbs from russia and is now working in us🌟
Does doing mbbs in russia affect usmle or plab
Thank you Manikjee.
Heyy doc, if someone is applying for residency at 27/28 years of age from india, are the chances of matching low??..... please reply doc🌻🌻
Hi Manik, I have to disagree with you on a point. I was in peds residency and the program was very toxic and racist. in fact Im indian and one co resident said many racist things to my face. There were two other IMGs who were from a muslim country and people said many things about them as well. so always keep your guard up and never think anywhere is safe. I was even called a "foreigner" when I went to go get a check up at a doctor's office. So yes be careful because one persons perspective is not anothers.
Can USMLE step 1 be given in final yr or during housejob .
Or is it too late ?
Secondly how long is the preparation time for step 1.
38:10 as am IMG it is difficult to match into radiology so we can do md in radiology in India n write steps and apply for fellowships in USA
Yes
Hello sir.. Doing research in India is also considered/ improve chances to match into residency for USA? or do they only consider doing research electives in USA?
Hey Bhaiya 💙 I HOPE YOU GREAT.
NICE INFORMATIVE VIDEO AND EVERYTHING LOOK FINE INCLUDING YOU. LOTS OF 👍🏻 AND REMEMBER ME THOUGH?
Is FM lifestyle balanced? I have mental health issues and want to work in US. I always wonder what specialty would be best for me?
depends on the program
Dr. Manik sir plzz make vdo on your new apartment on rent.
Which elective is better for getting into surgery??? Clinical or research???
Hi...how to prepare for usmle..do we have to join coaching
Can you please make a detailed video of neurosurgery
Proud of you
Sir you can work there after your residency without the green card or if it need then how indian work there because it takes lots of time for indian
Hello Dr,
What are my chances to match into family medicine with a failed step1? I am eu graduate, and I will have around 2-3 LoRs from american doctors.
You will need to do a research fellowship to make up for it
For USMLE , which is better a GMC or a peripheral AIIMS, like AIIMS nagpur?!
Same doubt,manik bhaiya plz reply🙏🙏
AIIMS unless that gmc has alumini in US
@@manikmadaan Brother if i take drops for neet ug,will it affect the chance of matching in usa?
@@titly1175 no
@@manikmadaan Brother,just now I saw in usmle sarthi website that immunization certificates are required for usmle which will contain proofs of vaccines like polio,measles, hepatitis b etc.but my father and in fact whole family is homeopathic doctor and they gave me homeopathic medicines instead of vaccines which i dont have any proof.they didn't belief in vaccine.so what shall I do?can I take all those at this age?I am 22.what will I show if I need in usmle?
Hey doc, can one do residency in gen surgery from india then apply for fellowship in usa?? Also, can they work in usa after that?
What resource did you use for biochemistry???
At 30:46 you say that a friend was able to get a sub internship at Duke being a research fellow.
How did they get that being an IMG? SubIs are reserved for third or final year students. Is there a link to this sub internship? Additionally, Duke sponsors students from accredited LCME schools and takes in students through VSLO only. Can you elaborate on this?
They had a research position at duke and got the sub I through networking
Do they have a public account or a way I can reach out to them?
Because as I mentioned already in the initial comment, SubIs can't be done by graduates. They'll need to have a limited/restricted/temporary license issued by the State Medical Board to do it unless it was not a SubI and an observership and then the preceptors allowed the observer to have hands-on xp which is not legal but a very commonly practiced thing in the IMG circle.
@@daaxab Google Stony Brook Southampton Subinternship, one of my friends who was a graduate applied and did it legally as a SUB I
Bhaiya can you make a video about becoming a surgical oncologist in usa after mbbs in india
Does the type of college i attend during my years in mbbs be a major factor for my match in usmle? And if it's a private college does the chance of getting in get lower and lower?
no
Does NEET drops effect the USMLE journey??
24:11 Can someone please explain what does research mean ?
do you think its still worth it when the situation for H1B visas is getting worse and worse? i mean people are drowning in debt who come from the comp sci and IT major... but is it the same case for usmle residents too? ive seen people getting kicked out of usa in a split second just bcz of getting laid off.. is it the same case for the doctors too?
Not in medicine. The demand will keep increasing
@@manikmadaan oml thanks for the reply !! I'm not quite sure if I'll ever get into the mbbs field but sure enough to say that I'll opt for nursing in the future.. so ig your statement applied to nursing students as well ..? Hope you have a great day ahead !!
Currently a final year student and will be giving step 1 in august.What should i after giving step 1?
Option 1: I can go to US for one month elective.
Option 2: Prepare for my final year exams along with step 2.
I’ll be graduating this year in december after my final profs and i haven’t done any electives yet,so will it affect my matching chance in future or i can somehow make up for it after i graduate? Bec i heard you need 3-4 LORs for good application.
Also i want to internal med^
Step 2 so that you don't have to worry about it
Can you plz tell that since you will be giving step 1 in August, when did you apply for it and how long did the preparation take ?
If we do one year research in ent surgeon not matched then we take internal medicine as backup plan
Yes
Thanks doctor ❤
Can we do 3 months electives and what is the minimum timeline to do research in us for usmle? When should we do the research before internship or after internship? Can you also tell me about the 2 year home country practice after 1 year residency through J1 visa and can we apply for H1b visa after doing that 2 year home country practice and do we have to come back to the same University or hospital to complete our residency after that 2 year practice???
After internship. At least 1 year. Yes you can
Can one switch speciality during residency to a different residency
Or re apply for residency after finishing one’s
Let’s say i want to do general surgery but end up getting in an internal medical as an img so any chances i can switch during of after residency to general surgery residency
step out and apply again afresh in the next cycle
Yes
@@ogwangjoshua695 step out means i have to leave the residency which I would probably be in just to be able to apply for a different one?
Isn’t it if i get selected i leave the old residency and if I don’t match i can continue with my residency program
Can u please make video on MCCQE
if i finished postgraduation ( gen medicine)in india and done with all steps . can i skip residency and do a hematoncology fellowship,..pls reply
yes
@@manikmadaan tq madaan for replying.. i mean to ask , I want to join in hemat n onco.. am i eligible to take directly bypassing internal medicine residency after clearing steps?
Hi doctor
I am a DNB General Medicine graduate from India and have cleared MRCP exam all three steps. I have 3years of experience working in a medical college after my PG. Now I am an assistant professor in the department of general medicine.
With this qualification am I eligible to apply for a job in australia?
If so, what level of job can i get?
Should I have to clear the AMC exams (as I cleared MRCP)?
Please help me doctor. Thank you.
Hey man. I am following your steps of kind of. Can I contact you for some advice?
If you want they allow to come back to India for vacations in a year ?
yes but you might have to renew visa
First one to like and comment ❤
Can u kindly tell us the branches where u can do pg in India n after that 2-3 fellowship in us can give them license to work in us as a physician at least if not specialist I.e bypassing usmle n residency in us!
You can't bypass USMLE. You need it for fellowship application. That said radiology you can do a fellowship and apply for board certification
I heard people who would do residency training in dubai would be able to apply for fellowship in US and information on this?
Yes but that applies to most countries
@@manikmadaan thanks dear would you like making a video about this and also residency training in dubai
@@manikmadaan crazy question but after fellowship will the doctors be recognized by the US as well? So you can work in USA!
@@ridingflame3814 no unless you repeat the residency
Heyy, i wanted to ask, can an img apply for a match in September if he/she is going to get graduated in the march of the following year??
Yes.. but they won't have ecfmg certification
@@manikmadaan so basically, img's have to wait for 1 year to get matched into residency in the usa?
Can one match without usce?
Manik, is USMLE valid for gmc registration???
No
Sir will residency interviews continue to be virtual or will it revert back to in-person in the upcoming years ?
Virtual for sure because it saves everyone so much money
Hey. Aren't you IM resident? When did you switch to psychiatry? 😮
I was a psych resident
Which is better Abmoss or uworld?
Uworld is the gold standard
Sir will Indian imgs get affected due to the usmle cheating scandal?
Video coming up on this
medschool bro notes please
Can imgs match into derma or gynae in us??
Yes but it's more difficult as these have more amg applicants
So, like general surgery or derma , which is more challenging for imgs?
@@user-dl4vo3hl9t derm
Can i stay in usa with wife during residency
yes under j2
❤
Sir can you make a quick video regarding UK NHS recruiting Indian doctor because of Shortage of doctors In UK
👍 ✌️
Does college also matter? Do they also judge on the basis of college?
Yes it does. If a PD is from India and they know govt colleges generally get students who were academically better that could effect their decision regarding ranking or whom to even interview
But let's say among govt colleges?@@manikmadaan
U were from private med school too so did it affect ur chances
@@soul5212 it could have.. but my scores trumped that it in many places
@@manikmadaan so all u need is good score and good profile regarding research
Your soul👁️🪬
How old are you?
28
@@manikmadaan how can I contact with, I've so many questions?
Do you have a telegram?
💔
Usmle is impossible so Don't try it😢
Why not possible
@@hamdihersi-xz7kc yes dear it is so hard and competitive 😓
@@jesanahmed7858 I like competition
Bhai khud nhi krna to mat kr pr doosro ko demotivate mat kr
@@areej1fatima Nope! Desperately I can assure that.Hence, I tried to display. 🤨I Don't know your Language entirely
Can you please make a detailed video of neurosurgery
Already available check