International comparison of ten medical regulatory systems

What were the key findings?

We commissioned this research to investigate the similarities and differences of the systems of medical regulation in place in a number of countries where many doctors working in the UK obtained their primary medical qualification. The countries selected for analysis were 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.

The study developed a typology of medical regulatory systems and characterised the medical regulatory system of each of the ten countries according to this typology, based on available documentation and key informant interviews. It then compared medical regulation across the ten countries, and analysed similarities and differences within each subsection of the typology. Overall findings demonstrate that there is significant variation in the structure, remit and values of medical regulation in the countries analysed. In many, medical regulation is a shared responsibility between a number of bodies, most notably regulators, ministries of health and education and professional bodies. The values of medical regulation found across the ten countries can be grouped into three clusters: those which are patient-focused, those which focus on scientific knowledge, and those which focus on the welfare/interests of medical professionals.

Improved communication with other regulators to improve information sharing about medical practitioners wishing to practise in the UK.

The provision of assistance to non UK-qualified medical graduates to adapt to and understand the UK patient-centred approach to medical practise.

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