scholarly journals Resilience-culture of support

BJPsych Open ◽  
2021 ◽  
Vol 7 (S1) ◽  
pp. S139-S139
Author(s):  
Nazish Hashmi ◽  
Sunitha Muniyappl
Keyword(s):  
Positive Impact ◽  
Clinical Skills ◽  
Local Level ◽  
General Medical Council ◽  
International Medical ◽  
International Medical Graduates ◽  
Medical Council ◽  
Monthly Basis ◽  
Code Of Practice ◽  
Medical Graduates

AimsBetter-informed trainees will have increased confidence and improved resilience which will have a positive impact on the workforce. To promote and celebrate diversity in psychiatric workforce it is imperative to acknowledge the above and provide adequate support to IMGs across UK.BackgroundNearly two fifth of licensed doctors in NHS are from black and ethnic minorities. Studies have shown that International Medical Graduates (IMGs) are particularly prone to certain difficulties compared to UK graduates. IMGs are more likely to be subject to investigations by General Medical Council for concerns over clinical skills and knowledge, communication skills, lack of awareness of the laws and code of practice. This has been highlighted by GMC as well as Royal College of Psychiatrists. To promote and celebrate diversity in psychiatric workforce it is imperative to acknowledge this and provide adequate support to IMGs across UK.MethodAn additional rotation wide induction programme was started for IMGs in August 2018 in West Yorkshire. This has continued on a 6 monthly basis for all new starters and last one was held on 21st of August 2019. Teaching included information about Good Medical Practice, confidentiality issues, principles of consent, information about living skills and practical teaching on phlebotomy and requesting investigations.ResultThe doctors who attended these sessions found it to be very helpful and some suggested it to be a full day programme. According to the feedback collected there was a definite improvement in understanding noted by IMGs in most areas covered. This induction was also acknowledged in the School of Psychiatry conference in October 2019.ConclusionConsidering the increasing numbers of International medical graduates it will be beneficial to arrange similar events at local level for easier accessibility. In line with RCPsych and GMC guidelines all trusts should be encouraged to offer IMG induction sessions locally.

scholarly journals Aspirations of unemployed international medical graduates in the UK

2021 ◽  
Vol 14 (2) ◽  
pp. 1-8
Author(s):  
Montila Ghosh ◽  
Suvalagna Chatterjee
Keyword(s):  
Medical Profession ◽  
Current System ◽  
General Medical Council ◽  
International Medical ◽  
International Medical Graduates ◽  
Medical Council ◽  
Home Office ◽  
Safe Delivery ◽  
Medical Graduates ◽  
The Uk

The trials and tribulations of immigrant professionals such as international medical graduates (IMGs) to the UK have been a topic for discussion and debate over many years. Many challenges faced by immigrant doctors have been reviewed and reformed over time and many rules pertaining to the registration and induction of international doctors to UK practice has been modified to facilitate safe delivery of care in the UK National Health Service (NHS). The General Medical Council (GMC), NHS employers, and the UK Home Office contribute to a three-tier filtration sieve for selecting suitable IMGs who aspire to either education and training or pursue a career in the UK health and care sector. This article pertains to the cohort of IMGs, who have been cleared by immigration regulations to reside in the UK but have not been able to initiate a career or active employment in a medical profession. The process of GMC registration referred to and discussed in this article is based on GMC rules prior to Jan 2021.  The perspective from which some of the attributes of the current system has been observed has shown it to be efficient but not uniform, robust but not considerate, thorough but not perfect. During the research for this article, we realised that there are many different opinions or conflicting views on this topic, which have all developed either from an individual or a group’s own experience in the UK. There are similarities and differences in opinions and thus to broaden the scope of the discussion, we report the results of a survey exploring where and how the IMGs (currently resident in the UK) are at the start of their careers in the UK.

International medical graduates' reflections on facilitators and barriers to undertaking the Australian Medical Council examination

2012 ◽  
Vol 36 (3) ◽  
pp. 296 ◽  
Author(s):  
Pam McGrath ◽  
Saras Henderson ◽  
Hamish A. Holewa ◽  
David Henderson ◽  
John Tamargo
Keyword(s):  
Medical Training ◽  
Study Groups ◽  
International Medical ◽  
International Medical Graduates ◽  
Medical Council ◽  
Or Education ◽  
Program Coordinators ◽  
Australian Health ◽  
Medical Graduates ◽  
Facilitators And Barriers

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.

scholarly journals The clinical skills assessment for international medical graduates in The Netherlands

2009 ◽  
Vol 31 (11) ◽  
pp. e533-e538 ◽  
Author(s):  
Marye J. Sonderen ◽  
Eddie Denessen ◽  
Olle Th.J. Ten Cate ◽  
Ted A.W. Splinter ◽  
Cornelis T. Postma
Keyword(s):  
The Netherlands ◽  
Clinical Skills ◽  
International Medical ◽  
Skills Assessment ◽  
International Medical Graduates ◽  
Clinical Skills Assessment ◽  
Medical Graduates

scholarly journals Medical Migration: a review on the licensing process for International Medical Graduates in Australia and other destinations

2018 ◽  
Vol 9 (1) ◽  
pp. 26-34
Author(s):  
Sharafat Malek ◽  
Md Humayun Kabir Talukder
Keyword(s):  
Health Care Professionals ◽  
Developed Countries ◽  
International Medical ◽  
Adjustment Process ◽  
International Medical Graduates ◽  
Medical Council ◽  
Success Rates ◽  
Medical Migration ◽  
Medical Graduates ◽  
Permanent Migration

Movement of health care professionals, nationally or internationally, has now become a common trend worldwide. International recruitment of efficient physicians is an ongoing process for years although some studies have identified this culture as an issue.10-11 Waves of migration to popularly Australia under ‘Skilled Migration’ and other categories started in Bangladesh in early 1970, which have been ongoing since then.1 Among over thirty thousands of such migrants living in the popularly Australian States2; the medical graduates from Bangladesh are identified through their associations/forum made in each State as well as from the data on their participation in the re-accreditation examinations.3-4, 7-8 A lack of pre-migration awareness on social and academic barriers in the host country has been found far more common in the Australian International Medical Graduates’ (IMGs) studies published before 20045. Poor knowledge on the hurdles may affect IMGs’ post-migration coping or adjustment process. Fortunately, internet facilities are widely available so, modern IMGs no more need to rely on information from relatives, friends or high commission/embassy people. Yet, full access to career and job related journals could still be out of reach for many IMGs. Updated clear knowledge around licenselegislation at the destination would help IMGs gaining smoother transition whilst preparing to build the same career, albeit in a different system. This review article at first presents the background behind strict regulations on permitting the IMGs to practise in major destinations. It then progresses with reviewing these regulations in the developed countries including Australia. Following that a detailed summary has been made on the Australian regulations. Available literature6-8 demonstrates a large discrepancy between IMGs’ success rates in the knowledge and practical part of the licensing (Australian Medical Council) process (i.e. 80% vs. 42% in case of Bangladeshi-IMGs). Therefore, this paper has properly discussed the nature and structure of the practical (AMC-Clinical) examination incorporating examples. Useful web-links on Australian IMGs’ accreditation preparation, permanent migration and finding medical jobs have been provided at relevant sections. Finally, a recommendation has been made to teach 3rd-year medical students on this important area under the ‘Community Medicine’ curriculum in Bangladesh.Bangladesh Journal of Medical Education Vol.9(1) 2018: 26-34

scholarly journals International migration of health labour: monitoring the two-way flow of physicians in South Africa

2019 ◽  
Vol 4 (5) ◽  
pp. e001566 ◽  
Author(s):  
Akhenaten Siankam Tankwanchi ◽  
Amy Hagopian ◽  
Sten H Vermund
Keyword(s):  
South Africa ◽  
Low Income ◽  
Health Personnel ◽  
Health Workers ◽  
Oecd Countries ◽  
International Medical ◽  
International Medical Graduates ◽  
Medical Council ◽  
Medical Graduates ◽  
The Difference

IntroductionAlthough health labour migration is a global phenomenon, studies have neglected the flow of health workers into low-income and middle-income countries (LMICs). In compliance with the data-monitoring recommendation of the WHO Global Code of Practice on the International Recruitment of Health Personnel (Code), we estimated post-Code physician net migration (NM) in South Africa (SA), and SA’s net loss of physicians to Organisation for Economic Co-operation and Development (OECD) countries from 2010 to 2014.MethodsWe sourced data from the National Reporting Instrument reports, the OECD and the General Medical Council. Using the numbers of foreign nationals and international medical graduates (IMGs) registered in SA, and SA medical graduates registered in OECD countries (South African-trained international medical graduates (SA-IMGs)) as respective proxies for immigration and emigration, we estimated ‘NM’ as the difference between immigrant physicians and emigrant physicians and ‘net loss’ as the difference between OECD-trained IMGs and OECD-based SA-IMGs.ResultsIn 2010, SA hosted 8443 immigrant physicians, while OECD countries hosted 14 933 SA-IMGs, yielding a NM of −6490 physicians and a NM rate of −18% in SA. By 2014, SA-based immigrant physicians had increased by 4%, while SA-IMGs had decreased by −15%, halving the NM rate to −9%. SA-to-OECD estimated net loss of physicians dropped from −12 739 physicians in 2010 to −10 563 in 2014. IMGs represented 46% of 2010–2014 new registrations in SA, with the UK, Nigeria and the Democratic Republic of the Congo serving as leading sources. Registrants from conflict-scarred Libya increased >100-fold. More than 3400 SA-IMGs exited OECD-based workforces.ConclusionNM is a better measure of the brain drain than simply the emigration fraction. Strengthened health personnel data management and reporting through implementation of the Code-related system of National Health Workforce Accounts will further increase our understanding of health worker mobility in LMICs, with policymakers empowered to make more informed policies to address shortage.

69. International medical graduates (IMGs) needs assessment study: A comparison between current IMG trainees and program directorss

2007 ◽  
Vol 30 (4) ◽  
pp. 66
Author(s):  
S. Verma ◽  
R. Zulla ◽  
M. O. Baerlocher
Keyword(s):  
Needs Assessment ◽  
Cultural Sensitivity ◽  
Clinical Skills ◽  
Program Directors ◽  
Likert Scale ◽  
International Medical ◽  
International Medical Graduates ◽  
Canadian Health Care System ◽  
Medical Graduates ◽  
Assessment Study

A needs assessment study was conducted to explore the types of issues or challenges IMG trainees encounter and the experiences of Program Directors with teaching this unique group. Both groups were asked to rate the importance of a series of issues in a horizontal curriculum using a 5-point Likert Scale. These issues fell under one of the following categories: Clinical Skills and Knowledge, Other Skills, Communication and Working Relationships, Macro Issues and Other Work-Related Issues. The scale was then collapsed to a 3-point Likert scale. Results were used to develop a horizontal curriculum for incoming IMGs to help ease their transition into residency training within the Canadian context. The majority of program directors (93%) and IMG trainees (63%) surveyed agreed that a horizontal curriculum for IMGs should be developed. Program Directors indicated that basic clinical skills and communication with team members were important to include (79% and 90%, respectively). IMGs felt that Marco Issues were importance in a horizontal curriculum, namely an orientation about the Canadian healthcare system and site hospitals (71% and 59%, respectively), followed by communication with patients (67%). Significant differences were found with regards to the inclusion of communication with other residents and the inclusion of orientation sessions on the Canadian Health Care System and site hospitals. These findings demonstrate there is a need for a core IMG curriculum. There is a slight disparity regarding what specific topics to include but a consensus between both groups exists on the primary domains of communication, inclusion of specialty specific skills and knowledge as well as professional interaction. Kraemer M. Educational Challenges of International Medical Graduates in Psychiatric Residents. Journal of the American Academy of Psychoanalysis and Dynamic Psychiatry 2006; 34(1):163-171. Whelan GP. Coming to American: The integration of the International Medical Graduates into the American Medical Culture. Academic Medicine 2005; 81(2):176-178. Majumdar, B, Keystone JS, Cuttress LA. Cultural Sensitivity Training among Foreign Medical Graduates. Medical Education 1999; 33:177-184.

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