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Why can we not meet the demand for posts? The royal colleges have no power to make appointments. We have to compete with a large pool of experienced, overseas trained, doctors based in Britain who have local referees and are available for interview. British surgeons prefer to select from these rather than appoint someone arriving from abroad "sight unseen." If a single trainee from the scheme disappoints them they determine never again to employ a trainee offered by the college.
Why are expectations often unfulfilled? I recently visited southern India and met enough excellent trainees to fill all our requirements for a year. Unfortunately, Britain
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