BJGP Open (Jan 2019)

Overseas GP recruitment: comparing international GP training with the UK and ensuring that registration standards and patient safety are maintained

  • Emily Fletcher,
  • Anna Sansom,
  • Emma Pitchforth,
  • Gerens Curnow,
  • Adrian Freeman,
  • Kamila Hawthorne,
  • John Campbell

DOI
https://doi.org/10.3399/bjgpopen18X101640
Journal volume & issue
Vol. 3, no. 2

Abstract

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Background: Ambitious overseas recruitment targets have been set by the UK government to help alleviate the current GP shortage. European Economic Area (EEA) doctors can join the UK’s GP register under European law. Non-EEA doctors must obtain a Certificate of Eligibility for General Practice Registration (CEGPR), demonstrating equivalence to UK-trained doctors. CEGPR applications can be time-consuming and burdensome. To meet overseas recruitment targets, it is important to facilitate the most efficient route into UK general practice while maintaining registration standards and patient safety. Aim: To develop a methodology to map postgraduate GP training and healthcare contextual data from an overseas country to the UK. Design & setting: Desk-based research and stakeholder interviews. Method: Four stages were undertaken: 1) developing a data collection template; 2) conducting a case study (using Australia as a test case); 3) refining the data collection template; and 4) creating a mapping framework. The case study used the 2016 curricula for the UK and Australia. Results: Five ‘domains’ were identified: healthcare context, training pathway, curriculum, assessment, and continuing professional development (CPD) and revalidation. The final data collection template comprised 49 mapping items across the domains. The methodology incorporated the application of a red, amber, or green (RAG) rating to indicate similarity of data across the five domains. Australia was rated ‘green’ for training pathway, curriculum, and assessment, and ‘amber’ for healthcare context and CPD and revalidation. The overall rating was ‘green’. Conclusion: Implementing this systematic methodology for mapping GP training between countries may support the UK’s ambitions to recruit more GPs, and alleviate current GP workforce pressures.

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