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Abstract

This study was commissioned by the UK General Medical Council (GMC) to provide an evidence base on the systems of medical regulation in place in the countries of origin of doctors seeking to enter the UK and obtain registration to practise. This evidence base can be utilised in developing policy and practice regarding overseas doctors who seek registration to practice within the UK. The assurance of quality of care and patient safety are important concerns for the GMC and (partly) depend on the regulation of the medical profession. As the core regulator of the doctors in the UK, the GMC seeks to understand how the regulation of medical professionals in other countries compares to medical regulation in the UK, and whether any differences could potentially affect quality of care and patient safety. Understanding these differences might also assist the GMC in developing specific policies to facilitate the smooth transition of non-UK trained medical professionals into the UK medical system and easier adjustment into a new medical regulatory regime. The countries selected for analysis by the GMC are the countries of origin of the ten largest groups of non-UK qualified doctors registered in the UK: Egypt, Germany, Greece, India, Italy, Nigeria, Pakistan, Poland, South Africa and Spain. Medical professionals from these countries represent the largest groups of non-UK qualified doctors registered with the GMC.

Table of Contents

  • Chapter One

    Introduction

  • Chapter Two

    Research approach

  • Chapter Three

    Medical regulation in Egypt

  • Chapter Four

    Medical regulation in Germany

  • Chapter Five

    Medical regulation in Greece

  • Chapter Six

    Medical regulation in India

  • Chapter Seven

    Medical regulation in Italy

  • Chapter Eight

    Medical regulation in Nigeria

  • Chapter Nine

    Medical regulation in Pakistan

  • Chapter Ten

    Medical regulation in Poland

  • Chapter Eleven

    Medical regulation in South Africa

  • Chapter Twelve

    Medical regulation in Spain

  • Chapter Thirteen

    A comparative analysis of medical regulation

  • Chapter Fourteen

    Conclusions and recommendations

  • Appendix A

    Typology

Research conducted by

The research in this report was prepared for the UK General Medical Council and conducted by RAND Europe.

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