Looks like the balance is returning, NHS Trusts have started sacking IMG to create jobs for UK grads... read the whole article Overseas applicants to UK training restricted Thousands of overseas medical graduates in Britain could be left unemployed after new guidelines made them ineligible to apply for first year foundation posts. The deanery guidelines say overseas doctors who have completed the equivalent of a PRHO year in their home country cannot apply for F1 posts or two year foundation programmes. The vast majority of overseas graduates already have a PRHO equivalent because the GMC advises them to gain this experience before sitting the Professional Linguistics and Assessment Board exam. With most F2 posts expected to be filled by doctors completing F1, the vacancies for overseas graduates will be hugely restricted. The only available posts will be stand alone SHO posts, or some extra F2 posts deaneries hope to create The new rules will exacerbate unemployment among overseas juniors, but help ensure UK graduates get posts. Conference of Postgraduate Medical Deans chairman Prof Graham Winyard, defended the rules, saying: 'Otherwise we will be in the situation where UK graduates who have gone through five years training will not be able to become registered doctors.' International doctors' associations branded the move discriminatory. Dr Ramesh Mehta, chairman of the British Association of Physicians of Indian origin, said: 'We do accept that local graduates need to go into F1, but we must make sure there are enough F2 seats available to accommodate the thousands of overseas doctors.' A doctors' group has set up a forum to discuss the issue. Email overseasdoctors@gmail. com for details. Four trainees sacked Four trainees in Norfolk have been sacked three weeks into their foundation courses after they failed assessments. The overseas-trained doctors have been referred to the GMC. A further four have been told to improve their performance. The doctors, who were employed at Norfolk and Norwich University NHS Trust and James Paget Hospitals Trust, had passed their Professional Linguistics and Assessment Board (PLAB) exam. However they failed an objective structured clinical examination (OSCE) given to all new starters. The trust provided retraining, but sacked the doctors three weeks later saying they still failed to meet minimum standards. One doctor told Hospital Doctor he had passed the OSCE re-sit only to be sacked because of a 360 degree appraisal. He is appealing the trust's decision. International doctors associations say the doctors have been discriminated against. The trusts and deanery involved say the problem highlights concerns over the quality of international medical graduates (IMGs). The situation has sparked a nationwide review by the Conference of Postgraduate Medical Deans into IMGs.