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
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Why involve BME
Who are the BME forum members
What can we do
What have we done
Conclusion
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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?
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Place of
qualificati
on
Number of High
Doctors
Impact
decision
Relative
Odds (RO)
further
investigatio
n
RO for
Referral for
further
Adjudicatio
n
RR for
Erasure or
suspensio
n
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
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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 inpractice 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
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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
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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
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Engaging our membership with GMC rules
and Consultation process
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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
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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
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Seminar on current issues in GMC as in the
programme today
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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
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Continuous dialogue and participation in consultation
exercise should be encouraged by MANSAG
executives