The document titled “Educational and Career Support for Locally Employed Doctors (LEDs) and International Medical Graduates (IMGs)” provides guidance and recommendations for improving the professional development and support of LEDs and IMGs working in the NHS. Here’s a summary:
Purpose and Context
- LEDs form a significant and growing part of the NHS workforce but face inconsistent career support and development opportunities.
- Many LEDs are IMGs who require additional guidance to navigate the NHS system effectively.
- The document emphasises that all doctors should receive equitable access to education, career development, and supervision regardless of their pathway.
Key Issues Addressed
- LEDs’ Diverse Backgrounds:
- LEDs include various roles such as clinical fellows, trust doctors, and locum consultants, often without standardised contracts or progression paths.
- Many UK graduates also take up LED roles to explore alternative career pathways or improve work-life balance.
- Support Challenges for IMGs:
- IMGs, new to the NHS, face challenges like systemic racism, cultural adjustment, and a lack of tailored support.
- Without proper induction and guidance, IMGs are more likely to encounter professional difficulties.
Recommendations
- For Employers:
- Clearly define LED roles, responsibilities, and fair compensation.
- Provide comprehensive induction programs for IMGs, including shadowing opportunities and cultural orientation.
- Ensure consistent supervision and annual appraisals for LEDs.
- For LEDs and IMGs:
- Access to educational opportunities, including study leave, training, and leadership programs.
- Support for professional exams, flexible working, and integration into NHS systems.
- Cultural and Systemic Improvements:
- Address systemic biases and racism within NHS organisations.
- Promote inclusive and supportive environments for diverse medical professionals.
Broader Implications
- The Royal College of Physicians (RCP) advocates long-term support of LEDs and IMGs to ensure their integration, professional growth, and enhanced contribution to patient care.
- The guidance aligns with efforts to improve the resilience and diversity of the NHS workforce, fostering high-quality healthcare delivery.
The document concludes with an appeal for NHS organisations and stakeholders to implement these recommendations to create a more equitable and supportive system for all medical professionals.
