International medical graduates: how can UK psychiatry do better?

Lagunes-Córdoba, Emmeline; Maitra, Raka; Dave, Subodh; Matheiken, Shevonne; Oyebode, Femi; O'Hara, Jean; Tracy, Derek K.

doi:10.1192/bjb.2020.118

Cited by 7 publications

(4 citation statements)

References 23 publications

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“…The struggle to acclimatise while at the same time needing to be a functional part of a multidisciplinary team, meeting family needs in a new environment and building new social networks are other challenges an MTI trainee would need to surmount. 11,12 The RCPsych's guidance to trusts 1 and the Academy of Medical Royal Colleges' relocation guide 12 provide useful information to both trusts and the relocating MTI doctor and we recommend that these documents are read by both parties.…”

Section: Constraints To the Mti Trainee On Forensic Placementsmentioning

confidence: 99%

The Medical Training Initiative scheme in forensic psychiatry: reflections on training and practice in the UK and Nigeria

et al. 2022

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The Royal College of Psychiatrists’ Medical Training Initiative (MTI) enables qualified foreign-trained psychiatrists to gain further experience within the UK National Health Service (NHS). This article summarises the observations of two Nigerian psychiatrists during their forensic psychiatry placements on the MTI scheme and two of their UK supervisors. It discusses similarities and differences between Nigeria and the UK in forensic psychiatry, including the use of mental health legislation, the scope of forensic psychiatry and elements of the pathway to qualification in both countries. It concludes with recommendations that could improve the robustness of the MTI scheme.

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Section: Constraints To the Mti Trainee On Forensic Placementsmentioning

confidence: 99%

The Medical Training Initiative scheme in forensic psychiatry: reflections on training and practice in the UK and Nigeria

et al. 2022

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“…30 A large proportion of SAS doctors are international medical graduates (IMG), a group of doctors who have been recognised as facing many social and professional challenges, including loss of status, bullying and discrimination. 31 Additionally, doctors from black, Asian and minority ethnic (BAME) backgrounds, which are also over-represented in SAS doctors, 31 have been found to be less likely to apply, be shortlisted or offered a consultant post. 32 BAME doctors report more difficulties and more problematic relationships with senior doctors, compared with white trainees.…”

Section: Other Intersectional Issues Impacting Sas Representationmentioning

confidence: 99%

Time to get serious about distributed leadership: lessons to learn for promoting leadership development for non-consultant career grade doctors in the UK

Lagunes-Córdoba

Shale

Evans

et al. 2021

leader

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COVID-19 has exposed the National Health Service (NHS) to the greatest challenge in its existence, highlighting the need for nimble, reactive and inclusive leadership. It is set against a backdrop of a workforce recruitment and retention crisis predicted to worsen in coming years. There is a need to do things differently in healthcare, including better diversity and distribution of leadership. We make the case for senior non-consultant doctors, in the UK more usually referred to as specialty and associate specialist or locally employed doctors. These skilled, experienced medics have much to offer yet are frequently overlooked, with little guidance or support from central organisations and medical colleges or within NHS Trusts themselves. In this commentary, we suggest ways this workforce might be better tapped into, to the benefit of patients and healthcare systems, as well as the doctors themselves.

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“…The differences between the health system and the medical law between the country of origin and that of the UK may create a number of challenges during the transition into the UK [ 4 ]. Although there has been increasing effort to support overseas doctors in the NHS, the need for adequate medico-legal cover for them seems to be overlooked [ 5 ].…”

Section: Introductionmentioning

confidence: 99%

The Imbalance in Medico-Legal Cover Awareness and Uptake Between Overseas Junior Doctors and Local Graduates in the NHS

Jalal

Schirwani

Bardhan

2021

Cureus

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Background Recent reports showed that overseas doctors were more likely than UK graduates to be referred by their employers to the General Medical Council (GMC). We investigated the trend of medico-legal insurance awareness and uptake of medical defence organisations (MDOs) by junior doctors and to examine if there is a difference between overseas and UK graduates. Methods Online questionnaire survey sent to junior doctors within the Yorkshire and Humber Deanery. Data regarding year of graduation, country of origin of primary medical qualification, year of starting work in the National Health Service (NHS) and date of joining an MDO were collected. Participant-identifiable information was not collected. Results A total of 202 junior doctors completed the survey: 153 (76%) UK graduates and 49 (24%) overseas. Overseas doctors were less likely to know about MDO compared to UK graduates prior to working in the NHS (13 [26.5%] vs. 146 [95.4%]; p < 0.000). At the time of starting practice, MDO uptake was still significantly lower amongst overseas graduates (4 [8.2%] vs. 144 [94.1%]; p < 0.0001). Uptake by overseas doctors increased after starting work to 33 (67.3%). However, despite improvement in MDO uptake, overseas doctors still did not have independent cover compared with UK graduates (16 [32.7%] vs. 3 [2%]; p < 0.0001). Conclusions Overseas graduates joining the NHS are still less likely to be aware of the requirement of adequate medicolegal cover and are less likely to join an MDO compared with UK graduates. Healthcare providers and regulators should work to decrease the existing gap and increase awareness amongst newly arrived overseas doctors.

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International medical graduates: how can UK psychiatry do better?

Cited by 7 publications

References 23 publications

The Medical Training Initiative scheme in forensic psychiatry: reflections on training and practice in the UK and Nigeria

The Medical Training Initiative scheme in forensic psychiatry: reflections on training and practice in the UK and Nigeria

Time to get serious about distributed leadership: lessons to learn for promoting leadership development for non-consultant career grade doctors in the UK

The Imbalance in Medico-Legal Cover Awareness and Uptake Between Overseas Junior Doctors and Local Graduates in the NHS

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