general medical council & black and ethnic minority forum
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General Medical Council & Black and Ethnic Minority Forum. Mr Abiodun Fakokunde FWACS MRCOG Cons. Obs. and Gynae. & Clinical Lead Women’s Health North Middlesex University Hospital, London MANSAG Rep at the GMC/BME Forum. Contents. Why involve BME Who are the BME forum members - PowerPoint PPT PresentationTRANSCRIPT
Mr Abiodun Fakokunde FWACS MRCOG
Cons. Obs. and Gynae. & Clinical Lead Women’s HealthNorth Middlesex University Hospital, London
MANSAG Rep at the GMC/BME Forum
Why involve BME Who are the BME forum members What can we do What have we done Conclusion
BME doctors are disproportionately represented at the GMC good medical practice issues
Raised fundamental issues:◦ Are we poorly trained or clinically less competent?◦ Are we not conversant with the law and custom?◦ Is it Institutional racism or ethnic biased?◦ Can we improve ourselves by working with the
system?◦ Is the system ready to engage with us to address
the issue?
Place of qualification
Number of Doctors
High Impact decision
Relative Odds (RO) further investigation
RO for Referral for further Adjudication
RR for Erasure or suspension
UK 4702 30% 1 1 1
Outside UK but within EU
624 43% 1.67 2.14 2.16
Outside EU
2190 46% 1.61 1.68 1.48
Total 7526 cases
BMJ 2011: Humphrey, Hickman, Guilford
Slowther et al in the Royal Society of Med Publication 2012 105(4) – concluded from their survey on Experience of non UK qualified doctors within the UK registration framework – a qualitative study:“Provision of information and education resources before registration, together with in-practice support would help to develop a more effective understanding of the GMC good medical practice code and its implication for medical practice in the UK”
Allegation category
Asian or Asian British
Black or Black British
Mixed Other Ethnic group
Total allegations
Clinical Care 1107 (49%) 226 (46%) 95 (49%) 167 (46%) 1595
Probity 417 (18%) 123 (25%) 28 (14.5%) 79 (21%) 647
Relationship with Pts
446 (20%) 73 (15%) 43 (22%) 79 (21%) 641
Working wt colleagues
115 (5%) 56 (11%) 17(8%) 21 (5%) 199
Health 64 14 6 9 93
Maintaining Good Med Practice
60 7 3 3 73
Teaching and Supervision
7 2 0 2 11
Compliance wt GMC Inv
7 0 0 1 8
Total 2223 (68%) 491 (15%) 192 (6%) 361 (11%) 3267
Need to find a common front on why and how to reduce the discrepancy
Need to engage the BME on finding solutions to current issues with regards to medical practice in the UK
Need to tailor training to needs of each ethnic group with regards to FtP and GMP issues
Regular meetings for the last 3years ◦ 2x a year between GMC and BME representatives
BMA Equality and Diversity Committee British International Doctors Association British association of Physicians of Indian Origin African-Caribbean Medical Society All British Pakistani and Physician association British Asian Medical association British International Doctors’ Association Egyptian Medical Society MANSAG Indian Medical association Medical Institute of Tamils Sri-Lankan Medical and Dental Association in the UK Muslim Doctors and Dentist Association Christian Medical Fellowship British Arab Medical Association BMA – Equality and Diversity Committee and SAS Committee
Engaging our membership with GMC rules and Consultation process◦ Appraisal◦ Revalidation◦ Fitness to Practice panels ◦ Formation of Opinion leaders resource base
Organising seminar and conferences on current issues within the GMC Good Medical Practice
Inductions programme following passing PLAB or gaining GMC registration
MANSAG has been represented at the forum since inception – A Fakokunde, E Okirie and D Anumba
Suggestions and Consultation facilitated by MANSAG on current issues◦ Consultation on recruitment into Fitness to Practice
panels◦ Consultation on the future of adjudication and setting
up of Medical Practitioners Tribunal Service◦ Reform of the FtP procedures at the GMC◦ Good management Practice – guidance for doctors◦ Reviewing the PLAB test
Seminar on current issues in GMC as in the programme today
Practicing outside one’s country of qualification is associated with a lot of challenges
Culture and Perception are different Adaptation to local custom is important to achieve
success Working within the frame work of the GMC needs
continuous update for our members MANSAG needs to form a core base of Opinion
leaders among our members to support the GMC work- ◦ names can be submitted to Andrea Callendar Head of
Diversity division of the GMC Continuous dialogue and participation in
consultation exercise should be encouraged by MANSAG executives