Pathways to practice: overseas trained psychiatrists’ experiences of the processes involved in commencing professional practice in Australasia

Huthwaite, Mark; Short, Jacqueline; Garg, Vikas

doi:10.1177/1039856211430143

Cited by 6 publications

(14 citation statements)

References 3 publications

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“…The College Royal Australian and the New Zealand College of Psychiatrists has recently introduced workplace-based assessments as a pathway to fellowship [35,40]. However, this option is only available to those trained in Anglo-Saxon countries, and may reinforce the perception of this policy as discriminatory and divisive [35,40]. …”

Section: Discussionmentioning

confidence: 99%

Fellowship exit examination in orthopaedic surgery in the commonwealth countries of Australia, UK, South Africa and Canada. Are they comparable and equivalent? A perspective on the requirements for medical migration

Hohmann

Tetsworth

2018

Medical Education Online

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International migration of healthcare professionals has increased substantially in recent decades. In order to practice medicine in the recipient country, International Medical Graduates (IMG) are required to fulfil the requirements of their new countries medical registration authorities. The purpose of this project was to compare the final fellowship exit examination in Orthopaedic Surgery for the UK, Australia, Canada and South Africa.The curriculum of the Australian Orthopaedic Association (SET) was selected as a baseline reference. The competencies and technical modules specified in the training syllabus, as well as the specifics of the final fellowship examination as outlined in SET, were then compared between countries.Of the nine competencies outlined in SET, the curricula of the UK, South Africa and Canada were all compatible with the Australian syllabus, and covered 97.7%, 86% and 93%, respectively, of all competencies and sub-items. The final fellowship examinations of Australia, South Africa and the UK were all highly similar in format and content. The examination in Canada was substantially different, and had two written sessions but combined the oral and clinical component into a structured OSCE using standardized patients and the component included unmanned stations. There were no significant differences for completion certificate of training and/or board certification observed between these countries.The results of this study strongly suggest that core and technical competencies outlined in the training and education curriculum and the final fellowship examination in Orthopaedic Surgery in Australia, South Africa and the UK are compatible. Between country reciprocal recognition of these fellowship examinations should not only be considered by the relevant Colleges, but should also be regulated by the individual countries health practitioner registration boards and governing bodies.

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Section: Discussionmentioning

confidence: 99%

Fellowship exit examination in orthopaedic surgery in the commonwealth countries of Australia, UK, South Africa and Canada. Are they comparable and equivalent? A perspective on the requirements for medical migration

Hohmann

Tetsworth

2018

Medical Education Online

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“…IMGs may feel that their previous experience is not acknowledged. 10 Cultural support from doctors of similar backgrounds may help trainees navigate such cultural stressors.…”

Section: Discussionmentioning

confidence: 99%

Trainee welfare: a New Zealand perspective

Davison¹,

Amer²,

Krishnan

et al. 2018

Australas Psychiatry

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Objective: To explore key sources of stress experienced during training by psychiatry registrars and identify which coping strategies they found helpful or unhelpful. Method: We used three data sources: a) ‘stress’ vignettes written by Stage 3 trainees; b) minutes of regular registrar meetings; c) focus groups. We analysed these using abbreviated grounded theory, generating themes. Results: The main sources of stress during training were disempowerment, adverse events, difficult supervision and cultural perspectives. Other themes included difficulties in after-hours work, and organisational issues. Stressors may differ in impact according to training stage. Peer support and a good supervisory relationship reduced stress. Conversely, a poor supervisory relationship compounded stress. Trainees were motivated to address modifiable problems. Conclusions: A variety of stressors influence training at all stages. Trainees, the College and employers each have a role in promoting trainee welfare. Interlinking cultural dimensions are not currently addressed in the training curriculum and require attention. A good supervisory relationship can buffer many stressors for trainees.

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“…32, p.39 More than 80% of candidates complained about the ‘lack of recognition and respect’ for their previous professional credentials, which was referred to as a ‘discriminatory and humiliating’ process. 33, p.25 A recent study revealed that overseas-trained psychiatrists felt that they were filling positions ‘in which Fellows did not wish to work’ and considered the required examination process ‘flawed’ and inaccurate. 33 In fact, the majority of the survey’s respondents would not enrol in the Fellowship pathway due to the examination requirement.…”

Section: The Case Of Overseas Trained Psychiatrists In Australia and mentioning

confidence: 99%

“…33, p.25 A recent study revealed that overseas-trained psychiatrists felt that they were filling positions ‘in which Fellows did not wish to work’ and considered the required examination process ‘flawed’ and inaccurate. 33 In fact, the majority of the survey’s respondents would not enrol in the Fellowship pathway due to the examination requirement. 33…”

Section: The Case Of Overseas Trained Psychiatrists In Australia and mentioning

confidence: 99%

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The international migration of health care professionals

Zúbaran

2012

Australas Psychiatry

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An international strategy is required to promote sustainable health care systems worldwide. Additional academic and scientific partnerships must be established between developed and developing nations in order to minimize discrepancies. There is an urgent need to review policies related to the recognition of medical credentials in host countries, including Australia. There are clear implications for psychiatry and psychiatrists.

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Pathways to practice: overseas trained psychiatrists’ experiences of the processes involved in commencing professional practice in Australasia

Cited by 6 publications

References 3 publications

Fellowship exit examination in orthopaedic surgery in the commonwealth countries of Australia, UK, South Africa and Canada. Are they comparable and equivalent? A perspective on the requirements for medical migration

Fellowship exit examination in orthopaedic surgery in the commonwealth countries of Australia, UK, South Africa and Canada. Are they comparable and equivalent? A perspective on the requirements for medical migration

Trainee welfare: a New Zealand perspective

The international migration of health care professionals

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