scholarly journals International medical graduates: how can UK psychiatry do better?

2020 ◽  
pp. 1-6
Author(s):  
Emmeline Lagunes-Cordoba ◽  
Raka Maitra ◽  
Subodh Dave ◽  
Shevonne Matheiken ◽  
Femi Oyebode ◽  
...  
Keyword(s):  
National Health Service ◽  
Health Service ◽  
Adverse Effects ◽  
Well Being ◽  
International Medical ◽  
International Medical Graduates ◽  
Universal Healthcare ◽  
Medical Graduates ◽  
And Performance ◽  
The Uk

Summary The National Health Service (NHS) was created 70 years ago to provide universal healthcare to the UK, and over the years it has relied upon international medical graduates (IMGs) to be able to meet its needs. Despite the benefits these professionals bring to the NHS, they often face barriers that hinder their well-being and performance. In this editorial, we discuss some of the most common challenges and the adverse effects these have on IMGs’ lives and careers. However, we also propose practical measures to improve IMGs’ experiences of working in psychiatry.

scholarly journals Why doctors consider leaving UK medicine: qualitative analysis of comments from questionnaire surveys three years after graduation

2017 ◽  
Vol 111 (1) ◽  
pp. 18-30 ◽  
Author(s):  
Trevor W Lambert ◽  
Fay Smith ◽  
Michael J Goldacre
Keyword(s):  
National Health Service ◽  
Health Service ◽  
Patient Care ◽  
National Health ◽  
Medical Graduates ◽  
Quality Patient Care ◽  
Negative View ◽  
Job Opportunities ◽  
Questionnaire Surveys ◽  
The Uk

Objective To report the reasons why doctors are considering leaving medicine or the UK. Design Questionnaire survey. Setting UK. Participants Questionnaires were sent three years after graduation to all UK medical graduates of 2008 and 2012. Main outcome measures Comments from doctors about their main reasons for considering leaving medicine or the UK (or both). Results The response rate was 46.2% (5291/11,461). Among the 60% of respondents who were not definitely intent on remaining in UK medicine, 50% were considering working in medicine outside the UK and 10% were considering leaving medicine. Among those considering working in medicine outside the UK, the most commonly cited reasons were to gain wider experience, that things would be ‘better’ elsewhere and a negative view of the National Health Service and its culture, state and politics. Other reasons included better training or job opportunities, better pay and conditions, family reasons and higher expectations. Three years after graduation, doctors surveyed in 2015 were significantly more likely than doctors surveyed in 2011 to cite factors related to the National Health Service, to pay and conditions, to their expectations and to effects on work–life balance and patient care. Among those considering leaving medicine, the dominant reason for leaving medicine was a negative view of the National Health Service (mentioned by half of those in this group who commented). Three years after graduation, doctors surveyed in 2015 were more likely than doctors surveyed in 2011 to cite this reason, as well as excessive hours and workload, and financial reasons. Conclusions An increasingly negative view is held by many doctors of many aspects of the experience of being a junior doctor in the National Health Service, and the difficulty of delivering high-quality patient care within what many see as an under-funded system. Policy changes designed to encourage more doctors to remain should be motivated by a desire to address these concerns by introducing real improvements to resources, staffing and working conditions.

Supervision Of International Medical Graduates

2016 ◽  
Vol 33 (S1) ◽  
pp. S435-S435
Author(s):  
M. Casanova Dias ◽  
O. Andlauer ◽  
S. Dave
Keyword(s):  
Host Country ◽  
Best Practice ◽  
Early Career ◽  
International Medical ◽  
European Federation ◽  
International Medical Graduates ◽  
Host Countries ◽  
Clinical Placements ◽  
Medical Graduates ◽  
The Uk

IntroductionDoctors qualified outside the UK constitute > 40% workforce in psychiatry. Differential examinations’ attainment and poor career progression are key issues for International Medical Graduates (IMGs). Due to increased migration, this is transversal to many countries. Varying ethical standards and values in different countries can create difficulties in the workplace and impact quality of patient-care.ObjectivesTo understand current support available for IMGs across countries; identify areas of best practice.MethodsWe ran a preliminary open consultation to establish which initiatives were available across Europe and worldwide to address IMGs’ training abroad impact on their training/work in the host country and if any support exists for supervisors of IMGs. Representatives of European trainees were contacted through European Federation of Psychiatric Trainees network and early career psychiatrists through World Psychiatric Association network. Emphasis was given to identified host countries of IMGs.ResultsNo specific initiatives were identified in Europe. Out of the six main host countries – Denmark, Finland, Norway, Sweden, Switzerland, UK – one did not provide information. Many countries reported specific requirements for a doctor to be accepted to work. There are courses on language and medicolegal processes. Some support is available for doctors doing short clinical placements. However, once an IMG has been accepted to work in the host country, there is no special support given by way of supervision.ConclusionsReports suggest IMGs welcome initiatives to help them gain skills related to the system, its culture, and appreciate feedback on their performance. There is a need to help host countries better support IMGs.Disclosure of interestThe authors have not supplied their declaration of competing interest.

International medical graduates and the discursive patterns of patient-centred communication

2016 ◽  
Vol 6 (1) ◽  
Author(s):  
Robyn Woodward-Kron
Keyword(s):  
Medical Education ◽  
Well Being ◽  
Genre Theory ◽  
International Medical ◽  
Simulated Patients ◽  
International Medical Graduates ◽  
Doctor Patient Communication ◽  
Medical Graduates ◽  
Healthcare It ◽  
Optimal Approach

AbstractIn many Western countries such as Australia, international medical graduates (IMGs) play a crucial role in meeting health workforce needs. For doctors for whom English is an additional language and who have received their medical education in non-Western settings, a challenge is the patient-centred approach to communication, which is well established in Western medical education as the optimal approach for safe and effective healthcare. It acknowledges the patient as an active participant in the healthcare interaction, and the importance of the psychosocial dimension of patient well-being. While there is a vast literature on doctor-patient discourse in the qualitative health literature, there is little in the medical education domain that systematically examines the linguistic patterns of doctors who are learning or are less familiar with patient-centred paradigms of communication. This article examines how IMG doctors manage patient-centred interviewing. The data are 15 video-taped 8-minute roleplay consultations of IMGs and simulated patients. Systemic functional linguistics and genre theory provided the theoretical framework and tools to analyse how the doctors realised the tasks of patient-centred communication as informed by the medical education literature, with a particular focus on the tasks of gathering information, providing information and decision-making. The findings suggest that the discourse patterns of doctor-patient communication demonstrated by the IMG doctors were

scholarly journals Local clinical attachment scheme in psychiatry

2007 ◽  
Vol 31 (4) ◽  
pp. 142-144
Author(s):  
Oliver White ◽  
Amit Malik ◽  
Hemant Bagalkote
Keyword(s):  
Medical Association ◽  
Current System ◽  
British Medical Association ◽  
International Medical ◽  
International Medical Graduates ◽  
Medical Graduates ◽  
Essential Step ◽  
Lessons Learnt ◽  
The Uk

Clinical attachments are an essential step in the process by which international medical graduates (IMGs) secure training posts in the UK. Although the British Medical Association (BMA) provides general guidelines for clinical attachments, the current system lacks a structured process regarding selection, defined length of posts, predetermined contents of training and detailed guidance for consultants supervising clinical attachments in psychiatry. This article outlines the experience in Nottingham of developing a formalised clinical attachment scheme and includes the lessons learnt and difficulties faced during the process. Also presented are the results of feedback surveys from consultants and IMGs who have partaken in the new formalised scheme.

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