Document Detail


Barriers to education of overseas doctors in paediatrics: a qualitative study in South Yorkshire.
MedLine Citation:
PMID:  16935914     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVE: To explore the factors that may influence the progress of doctors who come from the Indian subcontinent to train in paediatrics in the UK. METHODS: Overseas doctors training in paediatrics in Rotherham, Sheffield and Doncaster participated in the study. Focus groups were used to collect data; two focus groups, each with 4-5 participants, were conducted at 6-week intervals. Semistructured, one-to-one interviews were conducted to add more understanding and depth to issues highlighted in the focus groups. The focus groups and interviews were audiotaped; the tapes were transcribed and data were analysed using the Grounded Theory; open codes were formed and concepts identified using microanalysis, and initial theories were built. RESULTS: Lack of information about the National Health Service (NHS)/Royal Colleges, inappropriate communication skills, difficulties in team working, difficulties in preparing for Royal College examinations, visa and job hunting, and social and cultural isolation were identified as major barriers. Problems arose not only from difficulties with language but also from use of local and colloquial words, different accents and difficulty in communicating sensitive issues. Lack of understanding of role in teams and difficulties in working in multiprofessional setting all contributed to the problems. Cultural differences inside and outside the workplace, and social isolation were also highlighted. Induction programmes, mentoring, awareness of the issues within the teams, and courses in communication specifically directed at overseas doctors were identified as means to overcome these barriers. CONCLUSIONS: Several intercultural factors were identified that could act as barriers to the progress of overseas doctors training in paediatrics in the UK. Increased awareness of these factors within the teams would be the first step in resolving some of the issues.
Authors:
J Mahajan; P Stark
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Publication Detail:
Type:  Journal Article; Multicenter Study     Date:  2006-08-25
Journal Detail:
Title:  Archives of disease in childhood     Volume:  92     ISSN:  1468-2044     ISO Abbreviation:  Arch. Dis. Child.     Publication Date:  2007 Mar 
Date Detail:
Created Date:  2007-03-05     Completed Date:  2007-05-02     Revised Date:  2010-09-14    
Medline Journal Info:
Nlm Unique ID:  0372434     Medline TA:  Arch Dis Child     Country:  England    
Other Details:
Languages:  eng     Pagination:  219-23     Citation Subset:  AIM; IM    
Affiliation:
Rotherham District General Hospital Trust, Rotherham, UK. jugnu.mahajan@rothgen.nhs.uk
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MeSH Terms
Descriptor/Qualifier:
Career Mobility
Communication
Culture
Education, Medical, Graduate / statistics & numerical data*
Educational Measurement
Emigration and Immigration
England
Female
Foreign Medical Graduates / statistics & numerical data*
Humans
India / ethnology
Job Application
Male
Pakistan / ethnology
Pediatrics / education*
Sri Lanka / ethnology
Comments/Corrections

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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