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Re: Barriers to education of overseas doctors in paediatrics

Mahajan's study was commendable as it was pertinent to a large percentage of training paediatricians within the UK. Being of Indian ethnic origin myself (but from the African continent) I could relate to several issues highlighted by the article.

Barriers such as communication skills and work culture should also be viewed as goals or strengths whilst training within the NHS. These are major "barriers" when training within developing countries. The ever increasing patient load and lack of resources in these settings challenge medical personnel in achieving effective communication with the parent/patient. The focus on communication skills in the Royal College examinations are wholly appropriate. These desirable skills attained whilst training in the UK have afforded us (as future paediatricians) not only good medical practice, but also a boost of self-confidence and improved intercolleague relationships.

Team working has also influenced our improved communication skills. The focus on the "leader" within teams has fallen away and today all members are viewed with equal importance, each with their individual goals contributing towards a central goal. This UK work culture has humbled the "doctor" within us . It has heightened our appreciation and respect of other disciplines and personnel.

Job applications and visas do cause anxiety and are unfortunately a reality of being a foreigner working within the UK. This is time-consuming but absolutely necessary. It is a barrier for which we do not receive any support in the working environment.

Cultural differences do exist and integration within the society can be viewed as difficult to achieve. On a positive note, the UK is a multicultural society and foreigners are encountered on a day-to-day basis. Socialising is somewhat easier when people are aware of different cultures and are open minded. It is a matter of personal importance - the balance between learning new and retaining old cultural practices.