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Comparing international postgraduate training and healthcare context with the UK to streamline overseas GP recruitment: four case studies

BACKGROUND: There are ambitious overseas recruitment targets to alleviate current GP shortages in the UK. GP training in European Economic Area (EEA) countries is recognised by the General Medical Council (GMC) as equivalent UK training; non-EEA GPs must obtain a Certificate of Eligibility for Gener...

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Autores principales: Fletcher, Emily, Campbell, John, Pitchforth, Emma, Freeman, Adrian, Poltawski, Leon, Lambert, Jeffrey, Hawthorne, Kamila
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Royal College of General Practitioners 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7465586/
https://www.ncbi.nlm.nih.gov/pubmed/32522751
http://dx.doi.org/10.3399/bjgpopen20X101034
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author Fletcher, Emily
Campbell, John
Pitchforth, Emma
Freeman, Adrian
Poltawski, Leon
Lambert, Jeffrey
Hawthorne, Kamila
author_facet Fletcher, Emily
Campbell, John
Pitchforth, Emma
Freeman, Adrian
Poltawski, Leon
Lambert, Jeffrey
Hawthorne, Kamila
author_sort Fletcher, Emily
collection PubMed
description BACKGROUND: There are ambitious overseas recruitment targets to alleviate current GP shortages in the UK. GP training in European Economic Area (EEA) countries is recognised by the General Medical Council (GMC) as equivalent UK training; non-EEA GPs must obtain a Certificate of Eligibility for General Practice Registration (CEGPR), demonstrating equivalence to UK-trained GPs. The CEGPR may be a barrier to recruiting GPs from non-EEA countries. It is important to facilitate the most streamlined route into UK general practice while maintaining registration standards and patient safety. AIM: To apply a previously published mapping methodology to four non-EEA countries: South Africa, US, Canada, and New Zealand. DESIGN & SETTING: Desk-based research was undertaken. This was supplemented with stakeholder interviews. METHOD: The method consisted of: (1) a rapid review of 13 non-EEA countries using a structured mapping framework, and publicly available website content and country-based informant interviews; (2) mapping of five ‘domains’ of comparison between four overseas countries and the UK (healthcare context, training pathway, curriculum, assessment, and continuing professional development (CPD) and revalidation). Mapping of the domains involved desk-based research. A red, amber, or green (RAG) rating was applied to indicate the degree of alignment with the UK. RESULTS: All four countries were rated ‘green’. Areas of differences that should be considered by regulatory authorities when designing streamlined CEGPR processes for these countries include: healthcare context (South Africa and US), CPD and revalidation (US, Canada, and South Africa), and assessments (New Zealand). CONCLUSION: Mapping these four non-EEA countries to the UK provides evidence of utility of the systematic method for comparing GP training between countries, and may support the UK’s ambitions to recruit more GPs to alleviate UK GP workforce pressures.
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spelling pubmed-74655862020-09-10 Comparing international postgraduate training and healthcare context with the UK to streamline overseas GP recruitment: four case studies Fletcher, Emily Campbell, John Pitchforth, Emma Freeman, Adrian Poltawski, Leon Lambert, Jeffrey Hawthorne, Kamila BJGP Open Research BACKGROUND: There are ambitious overseas recruitment targets to alleviate current GP shortages in the UK. GP training in European Economic Area (EEA) countries is recognised by the General Medical Council (GMC) as equivalent UK training; non-EEA GPs must obtain a Certificate of Eligibility for General Practice Registration (CEGPR), demonstrating equivalence to UK-trained GPs. The CEGPR may be a barrier to recruiting GPs from non-EEA countries. It is important to facilitate the most streamlined route into UK general practice while maintaining registration standards and patient safety. AIM: To apply a previously published mapping methodology to four non-EEA countries: South Africa, US, Canada, and New Zealand. DESIGN & SETTING: Desk-based research was undertaken. This was supplemented with stakeholder interviews. METHOD: The method consisted of: (1) a rapid review of 13 non-EEA countries using a structured mapping framework, and publicly available website content and country-based informant interviews; (2) mapping of five ‘domains’ of comparison between four overseas countries and the UK (healthcare context, training pathway, curriculum, assessment, and continuing professional development (CPD) and revalidation). Mapping of the domains involved desk-based research. A red, amber, or green (RAG) rating was applied to indicate the degree of alignment with the UK. RESULTS: All four countries were rated ‘green’. Areas of differences that should be considered by regulatory authorities when designing streamlined CEGPR processes for these countries include: healthcare context (South Africa and US), CPD and revalidation (US, Canada, and South Africa), and assessments (New Zealand). CONCLUSION: Mapping these four non-EEA countries to the UK provides evidence of utility of the systematic method for comparing GP training between countries, and may support the UK’s ambitions to recruit more GPs to alleviate UK GP workforce pressures. Royal College of General Practitioners 2020-06-10 /pmc/articles/PMC7465586/ /pubmed/32522751 http://dx.doi.org/10.3399/bjgpopen20X101034 Text en Copyright © 2020, The Authors https://creativecommons.org/licenses/by/4.0/ This article is Open Access: CC BY license (https://creativecommons.org/licenses/by/4.0/)
spellingShingle Research
Fletcher, Emily
Campbell, John
Pitchforth, Emma
Freeman, Adrian
Poltawski, Leon
Lambert, Jeffrey
Hawthorne, Kamila
Comparing international postgraduate training and healthcare context with the UK to streamline overseas GP recruitment: four case studies
title Comparing international postgraduate training and healthcare context with the UK to streamline overseas GP recruitment: four case studies
title_full Comparing international postgraduate training and healthcare context with the UK to streamline overseas GP recruitment: four case studies
title_fullStr Comparing international postgraduate training and healthcare context with the UK to streamline overseas GP recruitment: four case studies
title_full_unstemmed Comparing international postgraduate training and healthcare context with the UK to streamline overseas GP recruitment: four case studies
title_short Comparing international postgraduate training and healthcare context with the UK to streamline overseas GP recruitment: four case studies
title_sort comparing international postgraduate training and healthcare context with the uk to streamline overseas gp recruitment: four case studies
topic Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7465586/
https://www.ncbi.nlm.nih.gov/pubmed/32522751
http://dx.doi.org/10.3399/bjgpopen20X101034
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