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British Medical Journal, London WC1H 9JR.
The Overseas Doctors Training Scheme needs appraisal. Set up 10 years ago to improve the quality of postgraduate training that overseas (non- European) doctors receive in Britain, the scheme has been popular, but it is questionable how far it has achieved its aims. If Britain is to continue to employ large numbers of overseas doctors in training grades, both through the scheme and through independent arrangements, the apparent mismatch between their expectations and the reality of what Britain offers must be tackled.
The Overseas Doctors Training Scheme has acquired a bad name. Criticised by the Overseas Doctors Association, and in a "personal view" in the BMJ by one of the very people it was set up to help, it has been accused of being "one of those well intentioned training programmes which has failed to live up to expectation."1,2
Although the scheme works well for some overseas doctors, others
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