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In addition, of the 28 RCGP bodies that took part in the consultation, 20 reported a majority view against a change in the law. Although a minority of respondents put forward cases to shift the Colleges collective position to neutral or in favour of a change in law on assisted dying, most respondents were against a change in the law. These are a few of their reasons: change would damage the doctor-patient relationship it puts the most vulnerable groups in society at risk It is impossible to eliminate the possibility of coercion. A change would shift the focus away from investing in palliative care and treatments for terminal illnesses New laws would instigate a slippery slope whereby it would only be a matter of time before assisted dying was extended to those who could not consent due to reasons of incapacity and the severely disabled. Some doctors thought that the possibility of a wrong decision being made was too high to take the risk. The GP-patient relationship, with GPs often attending patients in the final days and hours of their lives, means that GPs would be one of the professional groups most affected by any change in the law on assisted dying. Dr Maureen Baker, Chair of the RCGP, said: “This was one of the most comprehensive consultations the College has ever undertaken and the quality of the responses on this extremely important issue has been very high. GPs will continue, as they have always done, to provide excellent care to patients in the final days and hours of their lives.” This article is published by Michael Cook and BioEdge.org under a Creative Commons licence. You may republish it or translate it free of charge with attribution for non-commercial purposes following these guidelines . If you teach at a university we ask that your department make a donation. Commercial media must contact us for permission and fees.
But the number went up unprecedentedly for the following years. In 2010 and 2011, 2490 doctors sat PLAB1 Test and 1011 took PLAB2 Test for the same period. The number of Pakistan registered on the GMC data stood at 8,552 on 7th of August, 2012. Until 2006, around 70 per cent of the so-called “international medical graduates came from the Indian subcontinent, considered till then a traditional recruiting ground for NHS recruitment but the Labour government brought in new and stricter immigration rules to benefit doctors from the European Union (EU) countries. Till that time the greatest export of doctors was from India while Pakistan stood at around number 5. Large scale protests were held by the 25,000-strong British Association of Physicians of Indian Origin (BAPIO) against the new government regulations which were brought in without any consultation and warning. However, the government was not budging. Eventually BAPIO challenged the government in the court of law. The case went up to the House of Lords where BAPIO had a victory for those who were already in the training posts, thus saving jobs of about 15,000 doctors. However there were about 10,000 doctors who were not in the job and had to return to their countries mostly to India and Pakistan. This episode created really bad vibes in India and since then Indian doctors are hesitant to come to UK. India is number 5 on the list now, from number one, according to GMC figures. There are two more reasons why Indian doctors are not keen on coming to the UK anymore. Indian doctors are enjoying benefits of the economic boom in India, private hospital conglomerates are expanding and public and private sectors are investing in the health sector while this is not the case in Pakistan. There are many Pakistani doctors organisations active in the UK especially the alumni associations of medical colleges and there are three large collective associations, British Pakistani Doctors Forum, All Pakistani Physicians and Surgeons UK and Pakistan Medical Association UK; these have about 8000 doctors as members amongst them.
The GMC says the NHS has relied heavily on their skills and dedication, and could not have kept going without them. But it says they need better support in order to practise safely. The recommendation for an induction programme comes in its first State of Medical Education and Practice report. This presents a profile of the medical profession and outlines challenges for the future. Continue reading the main story Experiences of three foreign doctors “In my country, the doctor is a kind of king who can do everything that he wants to, so there were no actual dilemmas because I was brought up in a way that whatever was decided was the right thing.” “The whole approach of explaining every aspect of treatment and giving the patient the option to actually make her own decisions, it was something totally new to me.” “I have come to know that that the important things in the UK which I didn’t really take seriously is confidentiality which is different in our culture, confidentiality is important but in the UK it is very, very important.” It says last year there were 239,270 doctors on the medical register. Just over 150,000 qualified in the UK, a further 23,000 trained initially in the European Economic Area (EEA), and 66,000 completed their medical undergraduate education overseas. Cultural attitudes Drawing on a wide range of data including doctors’ surveys and patients’ complaints, the report concludes that many overseas doctors have problems adjusting to a different cultural, ethical and professional environment in the UK. The GMC says these differences become particularly important in handling the doctor-patient relationship. The report also says doctors should have specific advice about what will be expected of them, how the health service works and how they will be regulated. It recommends training in communication skills to help them handle sensitive situations and avoid misunderstandings: “While there are some good local schemes for supporting doctors who are new to this country, there are too many examples of new doctors undertaking clinical practice with little or no preparation for working in the UK. There have also been accounts of locum doctors being sent to undertake duties for which they have not been appropriately trained.” The GMC restates its worry that it is prevented under European law from providing language checks on doctors from the EEA. This became a central concern in the case of Dr Daniel Ubani, an out-of-hours doctor from Germany who killed a patient, David Gray, with an overdose of a painkiller. The report confirms that the GMC is working with the UK government to change this restriction. The GMC’s chief executive, Niall Dickson, said the regulator was preparing an induction scheme with doctors’ employers and professional bodies: “Developing an induction programme for all doctors new to our register will give them the support they need to practise safely and to conform to UK standards. This will provide greater assurance to patients that the doctor treating them is ready to start work on day one.” Protection for patients Dr Tom Dolphin from the British Medical Association’s Junior Doctor Committee welcomed the move. “Being a doctor in the UK requires much more that just clinical expertise.