Your medical degree was the only permission slip you needed.
The rest is just someone's insecurity dressed as protocol.
"Wait 5 more years for your turn"
"Get one more fellowship first"
"You need senior's blessing"
"This is how the system works"
Every gatekeeper telling you to wait is protecting their position, not your future.
That MBBS/MS wasn't a learner's permit - it was your licence to practice, build, and succeed.
Yet here you are, 7 years post-graduation...