scholarly journals Equality & Diversity Perspectives for the Proficiency in English Assessment for IMGs

The Physician ◽  
2021 ◽  
Vol 7 (2) ◽  
pp. 1-5
Author(s):  
Indranil Chakravorty
Keyword(s):  
Proficiency Test ◽  
International Medical Graduates ◽  
Home Office ◽  
Medical Graduates ◽  
Department Of Health ◽  
Health And Social Care ◽  
West Midlands ◽  
Young Family ◽  
Minimum Requirements ◽  
The Uk

The story of a West Midlands General Practitioner who faced the fearsome prospect of deportation and severance from her young family due to expiry of her English proficiency test after 2 years- highlights the lack of consultation, awareness, empathy and dignity that is perceived by international medical graduates in the UK. What is most alarming is that evidence of working as a GP in the UK for 8 years, communicating with patients and colleagues in English - and passing all the standardised professional examinations set by the medical royal colleges was not considered sufficient for her to be assessed to have the minimum requirements for her permit/ leave to remain to be renewed. The mental anguish and stress that a frontline GP has to face is totally avoidable.   The NHS, GMC and Department of Health and Social Care need to have robust consultation with the Home Office department on making the rules sensitive and meaningful and applied with awareness, understanding and compassion that is critical for the wellbeing of the healthcare workforce- and the benefit of our patients.

scholarly journals Aspirations of unemployed international medical graduates in the UK

2021 ◽  
Vol 14 (2) ◽  
pp. 1-8
Author(s):  
Montila Ghosh ◽  
Suvalagna Chatterjee
Keyword(s):  
Medical Profession ◽  
Current System ◽  
General Medical Council ◽  
International Medical ◽  
International Medical Graduates ◽  
Medical Council ◽  
Home Office ◽  
Safe Delivery ◽  
Medical Graduates ◽  
The Uk

The trials and tribulations of immigrant professionals such as international medical graduates (IMGs) to the UK have been a topic for discussion and debate over many years. Many challenges faced by immigrant doctors have been reviewed and reformed over time and many rules pertaining to the registration and induction of international doctors to UK practice has been modified to facilitate safe delivery of care in the UK National Health Service (NHS). The General Medical Council (GMC), NHS employers, and the UK Home Office contribute to a three-tier filtration sieve for selecting suitable IMGs who aspire to either education and training or pursue a career in the UK health and care sector. This article pertains to the cohort of IMGs, who have been cleared by immigration regulations to reside in the UK but have not been able to initiate a career or active employment in a medical profession. The process of GMC registration referred to and discussed in this article is based on GMC rules prior to Jan 2021.  The perspective from which some of the attributes of the current system has been observed has shown it to be efficient but not uniform, robust but not considerate, thorough but not perfect. During the research for this article, we realised that there are many different opinions or conflicting views on this topic, which have all developed either from an individual or a group’s own experience in the UK. There are similarities and differences in opinions and thus to broaden the scope of the discussion, we report the results of a survey exploring where and how the IMGs (currently resident in the UK) are at the start of their careers in the UK.

Achieving self-sufficiency: training Australia’s future medical workforce

2018 ◽  
Vol 42 (6) ◽  
pp. 640
Author(s):  
Brian Fernandes ◽  
Edward R. Scheffer Cliff ◽  
Amelia Chowdhury
Keyword(s):  
Vocational Training ◽  
Junior Doctors ◽  
International Medical Graduates ◽  
Medical Workforce ◽  
Rural And Remote ◽  
Remote Areas ◽  
Medical Graduates ◽  
Department Of Health ◽  
Self Sufficiency ◽  
Rural And Remote Areas

There is an oversupply of Australian junior doctors, but significant training bottlenecks are developing, and geographical maldistribution in rural and remote areas remains. Last year, the Federal Minister for Immigration rejected a Department of Health recommendation for the removal of 41 health roles from the Skilled Occupation List after concerns that rural and regional communities would be left without access to medical services in areas currently serviced by international medical graduates. In an effort to achieve workforce self-sufficiency, Australia must ensure access to high-quality vocational training places in rural and regional settings while managing immigration of overseas-trained health professionals.

“Hybrid” medical leadership emergency medicine training for international medical graduates

2020 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Prakash Subedi ◽  
Jill Aylott ◽  
Naushad Khan ◽  
Niki Shrestha ◽  
Dayaram Lamsal ◽  
...  
Keyword(s):  
Emergency Medicine ◽  
Health System ◽  
International Medical Graduates ◽  
Content Type ◽  
Medical Graduates ◽  
Health System Improvement ◽  
New Learning ◽  
System Improvement ◽  
The Uk ◽  
Medical Leadership

Purpose The purpose of this paper is to outline the “Hybrid” “International” Emergency Medicine (HIEM) programme, which is an ethical pathway for the recruitment, employment and training of Emergency Medicine doctors; with a rotation through the NHS on a two-year medical training initiative with a Tier 5 visa, “earn, learn and return” programme. The HIEM programme offers an advantage to the Tier 2 visa by combining training, education and employment resulting in new learning to help improve the health system in Nepal and provide continued cultural support, clinical and leadership development experience in the UK NHS. Finally, this programme also provides a Return on Investment to the NHS. Design/methodology/approach A shortage of doctors in the UK, combined with a need to develop Emergency Medicine doctors in Nepal, led to a UK Emergency Medicine Physician (PS) to facilitate collaboration between UK/Nepal partners. A mapping exercise of the Royal College of Emergency Medicine curriculum with the competencies for the health system and quality improvement leaders and partners with patients produced a “HIEM programme”. The HIEM programme aims to develop first-class doctors to study in Emergency Departments in the UK NHS while also building trainee capability to improve the health system in Nepal with a research thesis. Findings The HIEM programme has 12 doctors on its programme across years one and two, with the first six doctors working in the UK NHS and progressing well. There are reports of high levels of satisfaction with the trainees in their transition from Nepal to the UK and the hospital is due to save £720,000 (after costs) over two years. Each trainee will earn £79,200 over two years which is enough to pay back the £16,000 cost for the course fees. Nepal as a country will benefit from the HIEM programme as each trainee will submit a health system improvement Thesis. Research limitations/implications The HIEM programme is in its infancy as it is two years through a four-year programme. Further evaluation data are required to assess the full impact of this programme. In addition, the HIEM programme has only focussed on the development of one medical speciality which is Emergency Medicine. Further research is required to evaluate the impact of this model across other medical and surgical specialties. Practical implications The HIEM programme has exciting potential to support International Medical Graduates undertake a planned programme of development while they study in the UK with a Tier 5 visa. IMGs require continuous support while in the UK and are required to demonstrate continued learning through continuous professional development (CPD). The HIEM programme offers an opportunity for this CPD learning to be structured, meaningful and progressive to enable new learning. There is also specific support to develop academic and research skills to undertake a thesis in an area that requires health system improvement in Nepal. Originality/value This is the first time an integrated clinical, leadership, quality improvement and patient partnership model curriculum has been developed. The integrated nature of the curriculum saves precious time, money and resources. The integrated nature of this “hybrid” curriculum supports the development of an evidence-based approach to generating attitudes of collaboration, partnership and facilitation and team building in medical leadership with patient engagement. This “hybrid” model gives hope for the increased added value of the programme at a time of global austerity and challenges in healthcare.

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.

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.

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.

Self-assessment of health and social care needs by older people

2006 ◽  
Vol 16 (4) ◽  
pp. 301-312 ◽  
Author(s):  
Ruth Harris ◽  
Roz Ullman ◽  
Peter Griffiths
Keyword(s):  
Social Services ◽  
Social Care ◽  
Care Needs ◽  
Self Assessment ◽  
Long Term Conditions ◽  
Self Monitoring ◽  
Department Of Health ◽  
Health And Social Care ◽  
The Uk

The involvement of service users as active participants is a stated aim of many current developments within health and social care, and self-assessment has been identified as a key mechanism. For over 15 years, the UK Department of Health has referred to the importance of the service user's views in assessment, and this has been re-emphasized recently in guidance issued to both local authorities social services and the NHS. The concept of the expert patient and the promotion of self-care amongst people with long-term conditions are also highlighted as central to current NHS development. Although not specified as such, self-assessment is an important component of these person-centred initiatives which encourage self-diagnosis, self-monitoring and self-management.

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