The NHS and international medical graduates

Pettigrew, Luisa

doi:10.1080/14739879.2014.11494249

Cited by 6 publications

(2 citation statements)

References 18 publications

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“…These group differences are known as differential attainment and pose a significant problem for the medical profession. Healthcare provision relies on IMGs,1 13 and medicine is a very popular choice for BME students 14. In the UK, public authorities such as universities, Royal Colleges and the National Health Service (NHS) have a legal duty to address differences between groups with and without the protected characteristic of ‘race’ (which covers ‘race, colour, and nationality (including citizenship) ethnic or national origins’) 15.…”

Section: Introductionmentioning

confidence: 99%

Perceived causes of differential attainment in UK postgraduate medical training: a national qualitative study

et al. 2016

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ObjectivesExplore trainee doctors’ experiences of postgraduate training and perceptions of fairness in relation to ethnicity and country of primary medical qualification.DesignQualitative semistructured focus group and interview study.SettingPostgraduate training in England (London, Yorkshire and Humber, Kent Surrey and Sussex) and Wales.Participants137 participants (96 trainees, 41 trainers) were purposively sampled from a framework comprising: doctors from all stages of training in general practice, medicine, obstetrics and gynaecology, psychiatry, radiology, surgery or foundation, in 4 geographical areas, from white and black and minority ethnic (BME) backgrounds, who qualified in the UK and abroad.ResultsMost trainees described difficult experiences, but BME UK graduates (UKGs) and international medical graduates (IMGs) could face additional difficulties that affected their learning and performance. Relationships with senior doctors were crucial to learning but bias was perceived to make these relationships more problematic for BME UKGs and IMGs. IMGs also had to deal with cultural differences and lack of trust from seniors, often looking to IMG peers for support instead. Workplace-based assessment and recruitment were considered vulnerable to bias whereas examinations were typically considered more rigorous. In a system where success in recruitment and assessments determines where in the country you can get a job, and where work–life balance is often poor, UK BME and international graduates in our sample were more likely to face separation from family and support outside of work, and reported more stress, anxiety or burnout that hindered their learning and performance. A culture in which difficulties are a sign of weakness made seeking support and additional training stigmatising.ConclusionsBME UKGs and IMGs can face additional difficulties in training which may impede learning and performance. Non-stigmatising interventions should focus on trainee–trainer relationships at work and organisational changes to improve trainees’ ability to seek social support outside work.

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Section: Introductionmentioning

confidence: 99%

Perceived causes of differential attainment in UK postgraduate medical training: a national qualitative study

et al. 2016

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“…This poses a barrier for IMGs to adopt a physician role in the NHS. 7 The MSW scheme provided IMGs with paid experience within the NHS, while they were seeking GMC registration.…”

Section: Introductionmentioning

confidence: 99%