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Appraising UK doctors working overseas: open letter to the chief medical officer

BMJ 2006; 333 doi: (Published 02 November 2006) Cite this as: BMJ 2006;333:977
  1. Alex Duncan, project leader (
  1. ORA international Wakhan community health training programme, Badakhshan, Afghanistan

    Dear Sir Liam,

    I am a GP from West Sussex, currently running a community health programme in the remote Great Pamir mountains in north east Afghanistan. I am writing to tell you that I have been removed from my primary care trust's performers' list (the list of family doctors licensed to practise in an area) because I am unable to attend a face to face appraisal. They were very nice and tried to see whether there was any way of getting round it but to no avail. This means that I cannot do locum work when I am on short leave in the United Kingdom. It's a nice source of extra income and a good way of staying in touch with UK practice. It also means that when I return to the UK I will have to reapply to the trust, a process that takes up to two months.

    I did ask if I could be “suspended” from the list, pending an appropriate appraisal, but it seems that …

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