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Setting up international medical graduates to succeed

Balakrishnan R Nair and Mulavana S Parvathy
Med J Aust 2012; 197 (8): . || doi: 10.5694/mja12.11325
Published online: 15 October 2012

Overseas-trained doctors need guidance through the labyrinth of providing medical care in a new country

Australia, like many other developed countries, depends on international medical graduates (IMGs) to fill workforce shortages. About one in every three to four members of our medical workforce are trained overseas,1 and this dependency is likely to continue for many more years. IMGs are a heterogeneous group with varied skills and competencies. Their training and orientation needs differ according to the strengths and weaknesses they show within the Australian health care context. During the 2009–10 financial year, over 3000 medical graduates came to Australia from other countries.2


  • Centre for Continuing Medical Professional Development, John Hunter Hospital, Newcastle, NSW.


Correspondence: kichu.nair@newcastle.edu.au

Competing interests:

The Centre for Continuing Medical Professional Development has implemented the first workplace-based assessment project for overseas medical graduates for the Australian Medical Council (AMC). Our project was funded by the AMC and the Department of Health and Ageing. We are both IMGs who have passed the AMC examination and are now examiners.

  • 1. McLean R, Bennett J; Implementation and Technical Committees of the Australian Health Ministers’ Advisory Council. Nationally consistent assessment of international medical graduates. Med J Aust 2008; 188: 464-468. <MJA full text>
  • 2. Health Workforce Australia. Australia’s health workforce series. Doctors in focus. Adelaide: Health Workforce Australia, 2012. https://www.hwa.gov.au/sites/uploads/australias_health_workforce_series_doctors_in_focus_20120322.pdf (accessed Sep 2012).
  • 3. Elkin K, Spittal MJ, Studdert DM. Risks of complaints and adverse disciplinary findings against international medical graduates in Victoria and Western Australia. Med J Aust 2012; 197: 448-452.
  • 4. Castel OC, Ezra V, Alperin M, et al. Can outcome-based continuing medical education improve performance of immigrant physicians? J Contin Educ Health Prof 2011; 31: 34-42.
  • 5. Miller GE. The assessment of clinical skills/competence/performance. Acad Med 1990; 65 (9 Suppl): S63-S67.
  • 6. Nair BR, Hensley MJ, Parvathy MS, et al. A systematic approach to workplace-based assessment for international medical graduates. Med J Aust 2012; 196: 399-402. <MJA full text>
  • 7. Curran V, Hollett A, Hann S, Bradbury C. A qualitative study of the international medical graduate and the orientation process. Can J Rural Med 2008; 13: 163-169.
  • 8. Wilks CM, Oakley Browne M, Jenner BL. Attracting psychiatrists to a rural area — 10 years on. Rural Remote Health [internet] 2008; 8: Article 824. http://www.rrh.org.au/publishedarticles/article_print_824.pdf (accessed Aug 2012).
  • 9. Atri A, Matorin A, Ruiz P. Integration of international medical graduates in US psychiatry: the role of acculturation and social support. Acad Psychiatry 2011; 35: 21-26.
  • 10. Mahajan J, Stark P. Barriers to education of overseas doctors in paediatrics: a qualitative study in South Yorkshire. Arch Dis Child 2007; 92: 219-223.
  • 11. Pilotto LS, Duncan GF, Anderson-Wurf J. Issues for clinicians training international medical graduates: a systematic review. Med J Aust 2007; 187: 225-228. <MJA full text>
  • 12. Maudsley RF. Assessment of international medical graduates and their integration into family practice: the Clinician Assessment for Practice Program. Acad Med 2008; 83: 309-315.
  • 13. House of Representatives Standing Committee on Health and Ageing. Lost in the labyrinth: report on the inquiry into registration processes and support for overseas trained doctors. Canberra: The Parliament of the Commonwealth of Australia, 2012. http://www.aph.gov.au/Parliamentary_Business/Committees/House_of_Representatives_Committees?url=haa/overseasdoctors/report.htm (accessed Sep 2012).

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