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PLAB and UK graduates’ performance on MRCP(UK) and MRCGP examinations: data linkage study

BMJ 2014; 348 doi: https://doi.org/10.1136/bmj.g2621 (Published 17 April 2014) Cite this as: BMJ 2014;348:g2621

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Re: PLAB and UK graduates’ performance on MRCP(UK) and MRCGP examinations: data linkage study

What does the NHS want from its doctors? Why do the indigenous doctors fly away?
In this debate, the NHS has remained silent.

I ask:

Why do the natives run away? Modernised Medical Careers? Too little money? Obscene working conditions? A straightjacket of protocols, best practices, tick the boxes and never mind the individual patient?

The SKYPE recruits from india. According to press reports, these angels will bypass the normal checks, such as PLAB. All doctors, whether from Oxbridge or Timbucktoo can be, rightly or wrongly, accused of medical negligence. WILL THESE DOCTORS HAVE TO. PAY EXTRA FEES For MEDICAL DEFENCE? OR , WILL THE HUMAN RESOURCE DEPARTMENT OBTAIN EXTRA FUNDS FROM THE EXCHEQUER?

Mr Buchanan has been worried about the morality of taking doctors away from the land of their birth. I presume he is equally saddened about a Rhodesian born who runs the English NHS, a South African born who wins the presidency of the College in Lincoln's Inn. I for one respect Dr Livingstone (of the I presume fame) who gave his life for the natives of Nyasaland. He could have served the sick of Scotland instead.
Mr Buchanan bemoans the lack of decent medical manpower planning. Perhaps he is too young to remember that even in the good old days, UK trained doctors were constantly sailing forth to wherever the Union Jack fluttered in the breeze of the Empire. Certainly we could do decent planning even now. Provided that we adopt a Maoist government. Unlikely.

One other point. Doctors from Hungary, Poland, Romania speaking good English, qualified from medical schools in Europe and therefore, by definition, good clinicians, are often here. Sometimes flying into do a couple of days work every week or so. Why did the NHS choose to Skype Indians instead of East Europeans? Just curious. Perhaps cheaper, more compliant labour East of Suez?

Competing interests: Old man, needs NHS treatment from competent doctors of any colour, origin , with acceptance in the UK on equal terms with the natives.

19 May 2014
J K Anand
Retired doctor
Free spirit
3 Wayford Close, Peterborough