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International Comparison of Ten Medical Regulatory Systems

Egypt, Germany, Greece, India, Italy, Nigeria, Pakistan, Poland, South Africa and Spain

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By: Han de Vries, Paul Sanderson, Barbara Janta, Lila Rabinovich, Fragiskos Archontakis, Sharif Ismail, Lisa Klautzer, Sonja Marjanovic, Bhanu Patruni, Samir Puri, Jan Tiessen

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.

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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

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

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