Challenges and expectations of international medical graduates moving to the UK: An online survey.

IF 1.4 4区 医学 Q2 MEDICINE, GENERAL & INTERNAL Scottish Medical Journal Pub Date : 2024-05-01 Epub Date: 2024-02-19 DOI:10.1177/00369330241229922
Jenni Lane, Nitin Shrotri, Bhaskar K Somani
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Abstract

Introduction: International medical graduates (IMGs) account for 41% of the UK doctor's workforce but often work in isolated roles, receive minimal constructive feedback regarding their work and offered limited opportunities for career progression. We conducted a survey researching the views of IMGs or doctors from ethnic minority backgrounds on the support given to them.

Methods: A survey was carried out on physician demographics, grade and date of first NHS appointment, familiarity and support offered in NHS, induction and study leave, Professional and Linguistic Assessments Board exams and General Medical Council (GMC) referrals. It was drafted via surveymonkey.co.uk platform and circulated via relevant closed medical groups.

Results: A total of 173 IMGs and 16 British trained doctors (controls) took the survey. In the IMGs first job, there was no dedicated supervisor, mentor, induction, shadowing period and study leave for 56%, 86%, 52%, 59% and 52%, respectively. Suggestions given for improvements included teaching sessions, mentors, work orientation, supernumerary period and paid induction by 80%, 78%, 76%, 61% and 41% respectively. While 59% of participants knew of another IMG referred to the GMC, the primary reasons given were lack of knowledge of NHS, bias, communication difficulties and cultural differences.

Conclusion: This paper reflects the views of doctors regarding the support given to IMGs during their first NHS appointment and subsequent jobs in the NHS. IMGs require a focused and detailed induction, mentorship, educational and clinical supervision throughout their transition to the NHS.

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移居英国的国际医学毕业生面临的挑战和期望:在线调查。
简介国际医学毕业生(IMGs)占英国医生队伍的 41%,但他们往往从事孤立的工作,很少得到有关其工作的建设性反馈,而且职业发展机会有限。我们开展了一项调查,研究 IMG 或少数民族背景医生对他们所获支持的看法:调查内容包括医生的人口统计学特征、级别和首次在 NHS 任职的日期、对 NHS 提供的支持的熟悉程度、入职培训和学习假、专业和语言评估委员会考试以及医学总会(GMC)的转诊情况。问卷通过 surveymonkey.co.uk 平台起草,并通过相关封闭式医疗小组分发:共有 173 名 IMG 和 16 名英国受训医生(对照组)参加了调查。在 IMG 的第一份工作中,没有专职主管、导师、入职培训、实习期和学习假的分别占 56%、86%、52%、59% 和 52%。80%、78%、76%、61%和41%的参与者提出的改进建议包括教学课程、导师、工作指导、编外期和带薪入职培训。59%的参与者知道有另一名 IMG 被转介到 GMC,他们给出的主要原因是缺乏对 NHS 的了解、偏见、沟通困难和文化差异:本文反映了医生们对 IMG 首次在 NHS 任职及随后在 NHS 工作期间所提供支持的看法。IMG在过渡到国家医疗服务系统的整个过程中,需要有针对性的、详细的入职培训、指导、教育和临床监督。
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来源期刊
Scottish Medical Journal
Scottish Medical Journal 医学-医学:内科
CiteScore
4.80
自引率
3.70%
发文量
42
审稿时长
>12 weeks
期刊介绍: A unique international information source for the latest news and issues concerning the Scottish medical community. Contributions are drawn from Scotland and its medical institutions, through an array of international authors. In addition to original papers, Scottish Medical Journal publishes commissioned educational review articles, case reports, historical articles, and sponsoring society abstracts.This journal is a member of the Committee on Publications Ethics (COPE).
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