Dear Friends, I see many opinions of different people with regards to the above. I am curently working in sydney in area of need but i like to clear few facts Area of need means after advertising many times for australian graduates the ospital still cannot fill the necessary vacancy.Most such positions although still designated as area of need have Drs working on area of need basis,or they dont want to recruit just for the sake of it,,but select only highly skilled experienced medical Drs. 1.IELTS is necessary to prove to the NSW Medical Board that you are proficient in English>i think now the other medical boards too are beginning to ask for this...things are changing now even though they have a shortage 2.You have to be a experienced doctor like emergency /ICU experience/Anaesthetic with experience in doing central venous lines and handling ventilors/intubation with out supervision,,,,when i started my job here i had all those experience and my bosses used to watch me doing it when i had to do them,,so you cant bluff your CV if you have not done it 3.in addition to the above having additional qualifications like MRCP Parts or mRCS UK parts or anaesthetics will be helpful. 4.Even if you get the job your boss will assess you every 3 to 6 months on yur performance and will have to send a written report of you to the relevant medical board,,and if this report is not good you lose the job and registration. 5 in summary you have to be a experienced doctor and be able to work independently and with confidence in the australian set up. 6 My advice for young doctors is to concentrate on the AMC, pass it, and do internship in australia as this pathway will make you a good doctor in this set up and make you familiar with the aussie set up 7 Unfortunately "Dr Death" =DR J Patel's incidents have created a negative impression here in australia for doctors from the Indian subcontinet and they are painting everyone with one brush.so the climate to get jobs for drs from the indian subcontinent is not favourable right now ,,i am sorry to say this although indian Drs have contributed a very good service towards australian health system. one rotten egg spoils the rest!! 8 For those with GP experience rural doctors network would be a good thing to look at to work as GP in rural australia.