Many times a graduate after the MBBS's ponders what to do next.Most often tide and time will pass and he would be a dedicated civil servant .
The choices are few at the current times as it takes 5 yrs before he can apply for a post graduate course .The chances at thi sjuncture may be dismal and i have seen many an occasions when it would be 8-10 years down the line before he decides to sseek help.
Lets ask the graduates wht their hopes and aspiration for the future is?

houseman->MO then wait for opportunity..

HO > MO > continue to become specialist

Hurmm i personally am thinking of getting master degree or phd in a different field and join research. Check mit media lab. They have very interesting way of thinking, using anti-disciplinary approach to solve problems. Or become a specialist