How do foreign doctors find working in the NHS?

The NHS has long relied on professionals from abroad. Last year, a third of the 136 322 doctors working in NHS hospital and community services in England reported a non-British nationality—representing 168 other counties,1 including Egypt, India, Ireland, Nigeria, and Pakistan. Although employers, colleagues, and patients are mostly welcoming, insufficient initial and ongoing support, social isolation, arduous visa and exam requirements, and racism can lead to demoralisation, anxiety, and burnout. Attention to these challenges could help improve recruitment and retention of the international medical graduates (IMGs), crucial to tackling chronic NHS understaffing to the tune of 12 000 hospital doctors.2Ashwin Pandey, senior fellow in infectious diseases, LondonFrom IndiaIn the UK since 2016IMGs coming for fellowships expect to get accredited training. But soon you realise that you have been recruited to fill rota gaps. Often there’s no formal curriculum, and supervisors may not understand training needs.New IMGs need time to adapt…
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