My wife has an MBBS from Pakistan (DOW University). The free WES tool does not mention Pakistan and hence I do not have a rough idea about ECA equivalency. Do we directly apply for ECA for the MBBS degree or do we need to have an additional step for it? Asking this because I know medical degrees are a tough nut to crack. My wife's MBBS degree was almost useless back in Australia when I was doing PhD.