The UK's dysfunctional relationship with medical migrants: the Daniel Ubani case and reform of out-of-hours services

Simpson, Julian M.; Esmail, Aneez

doi:10.3399/bjgp11x561230

Cited by 12 publications

(8 citation statements)

References 11 publications

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“…International comparisons suggest that such working models, though resource intensive, are feasible, with trainees in Norway, for example, working a 40 h week but with training that is considered adequate because of the emphasis placed on continuing professional development and on favourable doctor–patient ratios. 23 …”

Section: Discussionmentioning

confidence: 99%

UK doctors’ views on the implementation of the European Working Time Directive as applied to medical practice: a qualitative analysis

et al. 2014

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ObjectivesTo report on what doctors at very different levels of seniority wrote, in their own words, about their concerns about the European Working Time Directive (EWTD) and its implementation in the National Health Service (NHS).DesignAll medical school graduates from 1993, 2005 and 2009 were surveyed by post and email in 2010.SettingThe UK.MethodsUsing qualitative methods, we analysed free-text responses made in 2010, towards the end of the first year of full EWTD implementation, of three cohorts of the UK medical graduates (graduates of 1993, 2005 and 2009), surveyed as part of the UK Medical Careers Research Group's schedule of multipurpose longitudinal surveys of doctors.ResultsOf 2459 respondents who gave free-text comments, 279 (11%) made unprompted reference to the EWTD; 270 of the 279 comments were broadly critical. Key themes to emerge included frequent dissociation between rotas and actual hours worked, adverse effects on training opportunities and quality, concerns about patient safety, lowering of morale and job satisfaction, and attempts reportedly made in some hospitals to persuade junior doctors to collude in the inaccurate reporting of compliance.ConclusionsFurther work is needed to determine whether problems perceived with the EWTD, when they occur, are attributable to the EWTD itself, and shortened working hours, or to the way that it has been implemented in some hospitals.

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Section: Discussionmentioning

confidence: 99%

UK doctors’ views on the implementation of the European Working Time Directive as applied to medical practice: a qualitative analysis

et al. 2014

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“…Unfortunately, however, public focus on the role of IMGs in these areas has been mainly negative as a result of media attention on a small number of high-profile significant events. [32][33][34] In addition to filling a significant hole in the NHS's workforce and taking up posts that attracts less UK graduates, cultural diversity in the NHS brings additional benefits. Globalisation is upon us and the demographics of the UK population are also changing.…”

Section: Challenges Faced By International Medical Graduatesmentioning

confidence: 99%

The NHS and international medical graduates

Pettigrew

2014

Education for Primary Care

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“…[29][30][31] An example is the out-of-hours service. Such positions often provide care during unsociable hours, 32 which local graduates avoid or are reluctant to fill because they lack working time restrictions or because the workload is excessive. 33 The mismatch was accentuated when priority for higher specialty training posts was given to UK and EEA graduates.…”

Section: Clinical Educational and Work-culture Challengesmentioning

confidence: 99%

International: Overseas doctors of the NHS: migration, transition, challenges and towards resolution

Jalal

Bardhan

Sanders

et al. 2019

Future Healthcare Journal

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Overseas doctors are playing an important role in the successful running of the NHS. They represent one-third of the total number of UK doctors and include doctors from the European Economic Area and international medical graduates. The main aim of this review is to explore the challenges that overseas doctors might face when they take up their first job in the UK. We conducted literature search using MEDLINE and EMBASE databases. The inclusion and exclusion criteria were designed to include published literature concerning overseas doctors in the UK and the NHS. Lack of information about the UK health system; language and communication challenges; clinical, educational and work-culture challenges; and discrimination challenges are some of the difficulties that overseas doctors might experience. Understanding these challenges and providing support are important steps in helping overseas doctors to make a smooth transition.

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The UK's dysfunctional relationship with medical migrants: the Daniel Ubani case and reform of out-of-hours services

Cited by 12 publications

References 11 publications

UK doctors’ views on the implementation of the European Working Time Directive as applied to medical practice: a qualitative analysis

UK doctors’ views on the implementation of the European Working Time Directive as applied to medical practice: a qualitative analysis

The NHS and international medical graduates

International: Overseas doctors of the NHS: migration, transition, challenges and towards resolution

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