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International doctors at CMFT
Dr Sujesh Bansal
Trust International Tutor & Consultant Anaesthetist
Central Manchester University Hospitals
Supervising International doctors:
points to consider
Dr Sujesh Bansal
Trust International Tutor & Consultant Anaesthetist
Central Manchester University Hospitals
A typical year in NHS
• 300 million consultations • 70 million outpatient appointments • 21 million people visit A&E department • 5 million emergency admissions • 7.6 million elective admissions
Non-UK qualified
DOCTOR
Tier 5 visa
Max 2 years in UK
Through PLAB
Tier 2 visa
EEA Graduate
? Already on SR
SASG
Clinical Fellows
Deanery trainee
Clinical Fellows
Consultant
Deanery trainee
International Fellow
MTI Scheme
• Approval by DME, HEE-NW, RCoA
• Sponsored by AoMRC
• Tier 5 visa (max 2 years stay in UK)
• Training & support as NTN trainee
• Can appear for speciality examinations
• 3 years speciality experience
• Our experience: – Motivated, Attitude, Experienced
– > 50% returned to home country
Central Manchester University Hospitals
CMFT ~ 70 – 80 international doctors recruited every year
New starters Nov 2013 - Oct 2014
All grades 283
British 171
non-British 112
Europe 49
outside Europe 63
Clinical Fellows 159
British 84
non-British 75
Europe 25
outside Europe 50
CF: Aspirations
Clinical Fellows/ EEA Fellows:
1st job in UK
Tertiary UK clinical experience
CV : for ST jobs / Consultant job
Specialist experience
Coasting…
Speciality experience:
Post-CCT experience
CESR
Education
MTI International Fellows:
UK experience, UK career
Enhanced Educational Supervision
• Initial meeting with ES / IAC
• Frequent meeting with ES/Peer Buddy
• 3 - 6 monthly ES report
– WPBA (CBD, DOPs, ACEX, ALMAT)
– MSF
– Logbook
– CPD matrix
– Encourage Study Leaves
– Audit/QI
CLINICAL
Management & QI Projects
Research
Teaching
‘Online’ Induction
Supervisors
INCREASED SUPPORT
Peer ‘Buddy’
‘Online’ Induction
CMFT International Induction
Enhanced Induction
• E-LfH Induction for International Doctors
• Corporate/ Clinical/ ANTT/ BLS/ Pain
• Trust Email i.d.
• IT software training & various passwords
• Transfer training (Inter/Intra)
• A&E session
• ITU session
• IMPACT/? ALERT / ALS
C P D
• 10 to 30 days of study leave
• £700 / year
• Internal
– Audit & Clinical effectiveness day
– Journal club
– Morbidity & mortality meetings
– FRCA Preparation Courses
– Free days organised by the Trust / Deanery / Locally
• External
– Specialist societies
**Annual Appraisal**
• Trust Employees
– Concerns re. poor engagement
• 12 monthly appraisal (9-15 months)
• Agree on appraisal date on induction
– Birthday, Previous ARCP date, Pragmatic approach
• Contact for Equiniti portfolio
• Bespoke workshop on Equiniti portfolio
• Maintain portfolio (Online + Paper)
• All CS/ES paperwork
Management
• Use Trust policy
• Involve CS, ES, Tutors, CD, MD
• Advice from Postgraduate Medical Education Department
– Simon Carley, Mark Forrest, Sujesh Bansal
• Might need to involve
– Human Resources
– Occupational Health
Our experience: Issues
• Independent lists (worked as SAS)
• Not called for help in A&E (worked as SAS)
• Not understanding the work culture (NEW)
• No UK experience in transfer, A&E, solo (NEW)
• Attitude
• Motivation
• WPBA, CPD, Teaching
Examination & International Doctors
• Additional training for international medical graduates to enable their adaptation to the UK healthcare system.
• Diversity of examiners and actors, the type of cases included in the examination and the feedback given to candidates
• Deaneries: – Additional training support
– Rotation in proven stronger training hospitals
– Trainers are given additional support.
Know the Challenges
• What does IMG wishes to achieve over the next few years?
• What training or resources would this require?
• Would this need a change in their current job?
• Strengths?
• Weaknesses? why ?
resources, further training, personality, systemic, remedies?
• What guidance or help do they need? Who? How?
• Clinical/training/organisational.
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