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BMJ 2006;332:1033 (29 April), doi:10.1136/bmj.332.7548.1033-a
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EDITORThe following is the approximate investment each overseas doctor has to put in before applying for jobs in the United Kingdom:
IELTS (language exam): £150 PLAB1 (medical exam): £145 PLAB2 (medical exam): £430 Provisional GMC registration: £100 GMC limited registration: £290. As each of these doctors has to purchase a return ticket to their home country (around £500), spends £300 a month on subsistence, spends another £100 a month on job applications, takes one year to get the first job, and additionally has to pay a visa fee of about £400, add another £5700. Moreover, visas are only extended for the period of clinical attachment (1-3 months) and the candidate has to apply again. This amounts to a total of at least £7500 that an international medical graduate would have to spend before securing his or her first job in the United Kingdom. Multiplying this by the presumed
Sasi Attili, senior house officer, dermatology
Department of Dermatology and Photobiology, Ninewells University Hospital, Dundee DD1 9SY skattili@hotmail.com