Jalal Mustafa, Schirwani Schaida, Bardhan Karna Dev
Department of Infection, Immunology and Cardiovascular Diseases, University of Sheffield, Sheffield, GBR.
Academic Department of Gastroenterology, Sheffield Teaching Hospitals, Sheffield, GBR.
Cureus. 2021 Feb 14;13(2):e13336. doi: 10.7759/cureus.13336.
Background Recent reports showed that overseas doctors were more likely than UK graduates to be referred by their employers to the General Medical Council (GMC) We investigated the trend of medico-legal insurance awareness and uptake of medical defence organisations (MDOs) by junior doctors and to examine if there is a difference between overseas and UK graduates. Methods Online questionnaire survey sent to junior doctors within the Yorkshire and Humber Deanery. Data regarding year of graduation, country of origin of primary medical qualification, year of starting work in the National Health Service (NHS) and date of joining an MDO were collected. Participant-identifiable information was not collected. Results A total of 202 junior doctors completed the survey: 153 (76%) UK graduates and 49 (24%) overseas. Overseas doctors were less likely to know about MDO compared to UK graduates prior to working in the NHS (13 [26.5%] vs. 146 [95.4%]; p < 0.0001). At the time of starting practice, MDO uptake was still significantly lower amongst overseas graduates (4 [8.2%] vs. 144 [94.1%]; p < 0.0001). Uptake by overseas doctors increased after starting work to 33 (67.3%). However, despite improvement in MDO uptake, a significant number of overseas doctors still did not have independent cover compared with UK graduates (16 [32.7%] vs. 3 [2%]; p < 0.0001). Conclusions Overseas graduates joining the NHS are still less likely to be aware of the requirement of adequate medico-legal cover and are less likely to join an MDO compared with UK graduates. Healthcare providers and regulators should work to decrease the existing gap and increase awareness amongst newly arrived overseas doctors.
背景 近期报告显示，与英国本土毕业生相比，海外医生被雇主转介至英国医学总会（GMC）的可能性更高。我们调查了初级医生对医疗法律保险的认知趋势以及加入医疗辩护组织（MDO）的情况，并研究海外毕业生与英国本土毕业生之间是否存在差异。方法 向约克郡和亨伯地区 deanery 的初级医生发送在线问卷调查。收集了毕业年份、初级医学资格的原产国、在国民健康服务体系（NHS）开始工作的年份以及加入 MDO 的日期等数据。未收集可识别参与者身份的信息。结果 共有202名初级医生完成了调查：153名（76%）为英国本土毕业生，49名（24%）为海外毕业生。在 NHS 工作之前，与英国本土毕业生相比，海外医生了解 MDO 的可能性较小（13名[26.5%]对146名[95.4%]；p<0.0001）。开始执业时，海外毕业生加入 MDO 的比例仍然显著较低（4名[8.2%]对144名[94.1%]；p<0.0001）。海外医生开始工作后加入 MDO 的比例增加到33名（67.3%）。然而，尽管加入 MDO 的比例有所提高，但与英国本土毕业生相比，仍有相当数量的海外医生没有独立保险（16名[32.7%]对3名[2%]；p<0.0001）。结论 与英国本土毕业生相比，加入 NHS 的海外毕业生仍然不太可能意识到充足的医疗法律保险的必要性，也不太可能加入 MDO。医疗服务提供者和监管机构应努力缩小现有差距，并提高新到任的海外医生的认识。
