33M dropped out of medical school

Posting for my brother as he doesn’t have Reddit.

My Brother(33m) about 2 years ago dropped out of a Caribbean medical school(yes we fell for the trap) due to mental health reasons and extreme test anxiety(although he’s a really good student he would get extreme anxiety and panic attacks as exams would come up). He ended up dropping out after not passing USMLE step 1 for the second time because he couldn’t take the mental strain anymore.

Now it’s been 2 years and he’s doing much better mentally but he hasn’t worked or pursued any other fields or higher education. He has a bachelors in Biomedical engineering, but it’s been almost 10 years since he’s gotten his bachelors so he’s unsure if he should rejoin that field or not, or if he’d even be able to get a job in it considering his graduation date. He has been applying but as of right now he hasn’t even heard back for an interview yet.

In the past he also pursued wedding photography and has been also considering restarting that, but it’s also been more than 7 years since he last shot a wedding so he feels he’ll be extremely behind the current competition in our area and he’s not sure how lucrative the market is for wedding photography.

So I guess he would really appreciate some advice on what he should pursue. He had a a few options but he’s unsure if they’re even good ones. 1. He could keep looking for biomedical engineering jobs and hopefully eventually land a job and start his career there 2. He could go back to medical school, retake the USMLE and hopefully start clinical rotations after that. (It would be about 2 more years of school + min 3 years of residency. 3. He could go back to school and get a masters in either Physician assistant, Anesthesiology assistant, or any other related field(open to suggestions) 4. Pursue wedding photography again and restart his business 5. Any other field or career (open to suggestions)

A few things to consider are: 1. He’s in a much better place mentally but he’s apprehensive about going back to medical school because of the pressure 2. He has about 200k of student debt because of medical school so he’s unsure if it’s a good idea to pursue higher education to add on the debt 3. There is some familial pressure to go back to school instead of pursuing a career or business but I’ve told him to ignore it and do what he thinks is best (but it’s still on his mind)

All advice and suggestions are appreciated and welcome. Thank you in advance