What is the future for training overseas graduates?

Editorial by Welsh

The United Kingdom has traditionally accepted many overseas doctors for higher medical training. They receive some structured training and they also fill posts in the NHS. Traditionally, entry was via the PLAB (Professional and Linguistic Assessment Board) test conducted by the General Medical Council (GMC). Although the GMC undertakes responsibility for the conduct of the tests and registering these doctors, it takes no responsibility for identifying or providing training posts. In the past, the relatively unlimited number of registrar posts in medical subspecialties meant that these doctors could take up posts for as long a period as required to fulfil their training and diploma requirements and also gain valuable experience in their chosen specialty. However, recent changes to the career structure and other factors have led to what I believe is a crisis.

The situation gives no cause for pride

We recently advertised for a four month locum senior house officer post in medicine. We received 224 applications. All but three were …