scholarly journals Bridging the gap – MTI experience to an excellent MTI experience – An experiential, theme driven, concordance verifying study

BJPsych Open ◽  
2021 ◽  
Vol 7 (S1) ◽  
pp. S134-S135
Author(s):  
Arun Enara ◽  
Kabir Garg ◽  
Ramachandran Kanchana

AimsTo collate experiences of international medical graduates (trained psychiatrists) on the Medical Training Initiative (MTI) and equivalent programs (International Medical Fellowship (IMF)/CESR Fellowships) in the United Kingdom and to understand shared themes.MethodThree psychiatrists with the experience of being part of MTI/IMF program, for a minimum of 1 year, participated in theme guided, focussed discussions to understand common experiences. These discussion where limited to 3 broad headings. Opportunities to grow, what we wish the college knew and what we wished the trusts and supervisors knew. The experiential accounts were captured and circulated among a group of 20 MTI/IMF/CESR fellowship doctors and rated on a 5 point Likert scale varying between strongly agree to strongly disagree.ResultThe findings suggest that the expectations and experiences of the psychiatrists on such programs share some common themes. Most of them had varied experiences under the theme ‘opportunities to grow’. The suggestions for what these doctors ‘wished the trusts, college and supervisors knew’ had a good concordance among the 20 doctors who reviewed the themes and suggestions. The details of the themes and commonalities will be discussed at the conference.ConclusionThe expectations and experiences of the doctors on MTI/equivalent program share common themes. Bridging the gap between MTI experience to an excellent MTI experience would involve identifying such shared experiences, that could potentially guide development of processes, thereby making these training fellowships better tailored to each trainee.

2012 ◽  
Vol 36 (3) ◽  
pp. 296 ◽  
Author(s):  
Pam McGrath ◽  
Saras Henderson ◽  
Hamish A. Holewa ◽  
David Henderson ◽  
John Tamargo

Objective. In Australia, 25% of international medical graduates (IMGs) make up the medical workforce. Concern is expressed in the literature about the lack of awareness and knowledge of issues that impinge on IMGs’ education. Although there is literature alluding to difficulties IMGs face with undertaking the Australian Medical Council (AMC) examination, there is little research detailing this experience. We therefore explored IMGs’ reflections on facilitators and barriers in undertaking the AMC examination. Methods. After ethics approval, in-depth telephone interviews were conducted with 30 IMGs selected from a hospital in Queensland. Data were coded and analysed using thematic analysis principles. Results. Two facilitating themes were identified: ability to sit for the first part of the examination in country of origin; and having access to resources such as bridging courses and study groups. Three themes represented barriers: not understanding procedural steps; financial issues; and lack of information on examination content and standards. Conclusion. The themes provide new insights and add depth to existing literature that can be used to improve procedural processes and education for IMGs towards successful outcomes in the AMC examination. What is known about the topic? There is concern expressed in the literature about the lack of awareness and knowledge of issues that impinge on IMGs education. The Australian work that is available only depicts educational experience of fellowships or education and training strategies after IMGs have passed their AMC examination. What does this paper add? The findings indicate that the process of sitting for the AMC examination is perceived as one of the major difficulties associated with entering and integrating into the Australian health system. The findings indicate a range of practical, financial and resource problems faced by IMGs attempting to sit for the AMC examination. What are the implications for practitioners? The detailed accounts from IMGs about their experience with undertaking the AMC examination will provide up-skilling program coordinators with the information they need to better assist IMGs to prepare for the examination. The provision of appropriate medical training and educational support will contribute to more effective integration of IMGs into the healthcare system.


2021 ◽  
Author(s):  
Igor Fiodorov

Canadian and Australian licensing and registration policies regarding International Medical Graduates (IMGs) display some noticeable similarities and differences. Both receiving countries verify IMGs educational credentials, medical training, and language proficiency, apply examinations assessing the skills of this group of foreign trained doctors and tend to place IMGs in underserviced areas responding to health care workforce shortages. However, the Australian nationally regulated, focused on specific labour market needs approach to registration allows IMGs to use various pathways to registration. IMGs who enter Australia utilizing different immigration options have to be registered by the designated registration bodies and, in most cases, to have a verified offer of employment before they are granted visas by the immigration authorities. Consequently, they can start practicing medicine right after their arrival. On the contrary, their Canadian counterparts begin their licensing process only after they enter Canada as permanent residents. The urgent need for nationally consistent, pragmatic and flexible approach to licensing of foreign trained doctors in this country is emphasized.


Author(s):  
Nyapati Rao ◽  
Saeed Ahmed ◽  
Dinesh Bhugra

International medical graduates (IMGs) provide an invaluable service in many high-income countries. Their migration patterns vary and the post-migration adjustments need to be understood to ensure that they remain well and are looked after. They hail from a variety of medical schools and with varying linguistic skills. Their religious backgrounds vary, as do reasons for migration and personal responses to changes in working in different healthcare systems. With many students from high-income countries going into low-income countries to do their medical training, the processes of adjustment can bring certain challenges. The waves of IMGs have changed from Europe to Hispanic to South Asian IMGs. The training needs of IMGs include an understanding of the healthcare system, as well as picking up evidence-based care. Language barriers and social isolation, especially for those who did not speak English as their first language or are working in remote areas can create problems in functioning well.


2021 ◽  
Author(s):  
Igor Fiodorov

Canadian and Australian licensing and registration policies regarding International Medical Graduates (IMGs) display some noticeable similarities and differences. Both receiving countries verify IMGs educational credentials, medical training, and language proficiency, apply examinations assessing the skills of this group of foreign trained doctors and tend to place IMGs in underserviced areas responding to health care workforce shortages. However, the Australian nationally regulated, focused on specific labour market needs approach to registration allows IMGs to use various pathways to registration. IMGs who enter Australia utilizing different immigration options have to be registered by the designated registration bodies and, in most cases, to have a verified offer of employment before they are granted visas by the immigration authorities. Consequently, they can start practicing medicine right after their arrival. On the contrary, their Canadian counterparts begin their licensing process only after they enter Canada as permanent residents. The urgent need for nationally consistent, pragmatic and flexible approach to licensing of foreign trained doctors in this country is emphasized.


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