Registration Decision-Making, and Public Protection: International Medical Graduates in Australia and New Zealand

2015 ◽  
Vol 41 (Supplement 1) ◽  
pp. S162-S172 ◽  
Author(s):  
Katie Elkin
Keyword(s):  
Decision Making ◽  
New Zealand ◽  
International Medical ◽  
International Medical Graduates ◽  
Medical Graduates

scholarly journals ‘The kind of doctor I wanted to be.’ A qualitative analysis of junior doctors’ reasons for choosing to train in psychiatry and in Wales

BJPsych Open ◽  
2021 ◽  
Vol 7 (S1) ◽  
pp. S351-S351
Author(s):  
Alan Slater ◽  
Rugi Saeed ◽  
Marque Fernando ◽  
Ceri Evans
Keyword(s):  
Decision Making ◽  
Focus Groups ◽  
Financial Incentives ◽  
Work Life ◽  
International Medical ◽  
Junior Doctors ◽  
International Medical Graduates ◽  
Specialty Training ◽  
Life Balance ◽  
Medical Graduates

AimsTo understand the factors underpinning junior doctors’ decision-making processes regarding their choice of psychiatry as a speciality, and why they chose to pursue specialty training in Wales.BackgroundOver recent years there have been significant challenges in recruiting junior doctors into psychiatry specialty training, both within the UK and in Wales. To counter this a number of measures have been instituted, including advertising campaigns from the Royal College of Psychiatrists (‘Choose Psychiatry’) and Health Education and Improvement Wales (HEIW) (‘Train Work Live’), together with financial incentives. To date there has been no published evaluation of the effectiveness of these measures.MethodTwo focus groups were run (in August 2019 and January 2020) with trainees appointed to new training posts in August 2019. The focus groups featured set questions acting as prompts for discussion. These focused on various factors behind making decisions to train in Psychiatry and choosing to train within HEIW. The focus groups were recorded and transcribed. Following this a thematic analysis was conducted to identify key elements arising from the discussions.ResultThe focus groups were attended by 14 trainees in total (eleven CT1s, four ST4s.) Living in Wales prior to appointment was the most common factor in leading participants to choose to train in Wales, jointly with having a support network (friends or family) in Wales (each present in 57%, n = 8.) Perceptions around a favourable work-life balance were also important (45%, n = 5.) Interactions with staff in an ambassadorial or support role were a significant driver, especially for international medical graduates. Financial incentives and advertising campaigns appeared to have limited influence over participants’ decision-making, awareness of these being highest among those already working in psychiatry or in Wales.Having a foundation year job with a psychiatry placement was a common theme in choosing psychiatry as a specialty (43%, n = 6.) Work-life balance of the specialty was also important (21%, n = 3.) Again, after these it was hard to identify coherent themes.ConclusionWe identified three separate groups, namely CT1s, ST4s and international medical graduates, each with distinct themes underlying a range of needs. There was a broad range of factors underlying trainees’ decisions which should be reflected when planning future recruitment strategies. It appeared that advertising campaigns and financial incentives were of limited influence.

scholarly journals International sore throat guidelines and international medical graduates: a mixed methods systematic review

2016 ◽  
Vol 8 (1) ◽  
pp. 20 ◽  
Author(s):  
Karen J. Hoare ◽  
Erin Ward ◽  
Bruce Arroll
Keyword(s):  
Mixed Methods ◽  
New Zealand ◽  
Rheumatic Fever ◽  
Sore Throat ◽  
Acute Rheumatic Fever ◽  
International Medical ◽  
Rural Practice ◽  
International Medical Graduates ◽  
Medical Graduates ◽  
Rich Countries

ABSTRACT AIM To examine national and international guidelines on sore throat management and subsequently, to explore the phenomenon of international medical graduates working in general and rural practice in New Zealand. METHOD Two separate systematic reviews were conducted that resulted in a contingent methodology. Contingent methodologies involve syntheses of data that are derived sequentially. The initial review for this study examined international sore throat guidelines and their key points. The results of this initial review resulted in the theory that international medical graduates may be unaware of the New Zealand specific sore throat guidelines and the problem of acute rheumatic fever in this country. The subsequent review examined the phenomenon of international medical graduates working in general or rural practice in New Zealand. Data sources were Medline, Google Scholar, Trip Database, and NHS Evidence, Embase and Scopus. Electronic databases were searched for relevant data published January 2000–December 2013. Additional hand searches found key references from articles and websites. RESULTS International guidelines for the management of sore throats differ from New Zealand guidelines. Of resource rich countries, New Zealand has the second highest number of international medical graduates: they may not use New Zealand specific sore throat guidelines. DISCUSSION Acute rheumatic fever is virtually eradicated in most resource rich countries. Rheumatic fever rates of among indigenous Māori and Pacifika people in New Zealand have failed to reduce over the last three decades. Knowledge and actions of international medical graduates in relation to sore throat management needs investigating. KEYWORDS Sore throats; acute rheumatic fever; clinical guidelines; international medical graduates; mixed methods review

International Medical Graduates in Nephrology: A Guide for Trainees and Programs

2020 ◽  
Vol 27 (4) ◽  
pp. 297-304.e1
Author(s):  
Javier A. Neyra ◽  
Maria Clarissa Tio ◽  
Silvia Ferrè
Keyword(s):  
International Medical ◽  
International Medical Graduates ◽  
Medical Graduates

Experience of clinical supervisors of international medical graduates in an Australian district hospital

2017 ◽  
Vol 41 (4) ◽  
pp. 365 ◽  
Author(s):  
David Henderson ◽  
Pam D. McGrath ◽  
Mary Anne Patton
Keyword(s):  
Healthcare System ◽  
Language Proficiency ◽  
English Language ◽  
District Hospital ◽  
English Language Proficiency ◽  
International Medical ◽  
International Medical Graduates ◽  
Clinical Supervisors ◽  
Medical Graduates ◽  
Junior Staff

Objective Herein we record the experience of clinical supervisors of international medical graduates (IMGs) working as junior staff in a district hospital by examining supervisor perspectives on IMG performance, the factors affecting their performance and the requirements of supervision under these circumstances. Methods The present study had an open-ended exploratory qualitative design. Thirteen 13 open-ended, in-depth interviews were undertaken with supervisors of IMGs employed in a public district hospital in Queensland, Australia. Results The supervisors reported that, although performance was an individual and variable characteristic, IMGs tended to perform less well than Australian graduates and required more intensive supervision. Factors that affected performance were motivation and experience, and specifically lack of familiarity with the Australian healthcare system, lack of recent of practice, education, language, communication and cultural factors. English language proficiency was regarded as crucial to performance. Conclusions The additional work required to supervise IMGs in order to enable them to perform at a satisfactory level and successfully integrate into the Australian healthcare system needs to be recognised and resourced. Assistance with attaining proficiency in English and with communication skills over and above the standard required to pass the International English Language Testing System examination should be seriously considered as a means of improving performance. What is known about the topic? To date, there is little research available about the experience of supervisors of IMGs in Australia. What does this paper add? The findings of the present study make an important contribution to the literature by examining the critical role clinical supervisors of IMGs have in helping IMGs adapt to the Australian healthcare system and ensuring that they are able to provide quality health care. It identifies current challenges and highlights areas in need of attention to ensure a strong healthcare system for Australia. What are the implications for practitioners? Supervisors of IMGs need recognition of the extra time and expertise required in their role if they are to be effectively supported in their endeavours to integrate IMGs into the Australian health workforce. More attention needs to be given to the development of English language proficiency of IMGs, including colloquial usage, and communication in medical practice.

Predictors of Matching in Ophthalmology Residency for International Medical Graduates

Ophthalmology ◽  
2014 ◽  
Vol 121 (4) ◽  
pp. 974-975.e2 ◽  
Author(s):  
Todd H. Driver ◽  
Allison R. Loh ◽  
Damien Joseph ◽  
Jeremy D. Keenan ◽  
Ayman Naseri
Keyword(s):  
International Medical ◽  
International Medical Graduates ◽  
Medical Graduates
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