This site is intended for health professionals only

At the heart of general practice since 1960

Read the latest issue online

CAMHS won't see you now

Legal action commences over MRCGP exam failure rates

Exclusive An international doctors’ group has commenced legal action against the RCGP over the MRCGP exam, after a crunch meeting with the College, deaneries and the BMA failed to reach agreement about a way forward.

The British Association Of Physicians Of Indian Origin (BAPIO) told Pulse it was going ahead with a judicial review against the RCGP and the GMC over failure rates for international medical graduates in the clinical skills assessment of the MRCGP.

It was also revealed that the GMC will be appointing an independent party to review the fairness of the exam.

BAPIO also confirmed it is currently reviewing 60 potential claims for an employment tribunal for candidates who failed the CSA. It has said it will support the legal costs of the tribunals, which it hopes to hear as one class action.

A joint statement from BAPIO and the RCGP said that they had agreed to ‘work collaboratively towards a negotiated agreement’, and welcomed an independent review of the MRCGP commissioned by the GMC.

But BAPIO said it would carry through on its threat issued last month to give the College three weeks’ notice before legal action will commence by lawyers.

BAPIO met with College officers, including chair Professor Clare Gerada and chief examiner Dr Sue Rendall yesterday, as well as representatives from the British International Doctors Association, COGPED and the BMA.

The talks were planned to find a resolution to the issue outside of the courts, but failed to reach a consensus, although there were indications that a resolution may be found before the judicial review begins.

Related articles

Analysis: Does the row over the CSA have any basis?

Good luck: the one week countdown to the CSA

Dr Ramesh Mehta, chair of BAPIO, told Pulse: ‘We are progressing with our judicial review. The college has agreed to keep on talking to see if we can resolve the issue in due course.’

A joint statement by BAPIO and the RCGP said: ‘We agreed to move forward together to clarify accurate numbers of doctors unable to obtain their Certificate of Completion of Training (CCT) because of CSA failure.

‘All parties welcomed an external review commissioned by the General Medical Council of the MRCGP, but despite the productive meeting, BAPIO explained that they will be proceeding with their legal action.

‘All parties agree that they will continue to work collaboratively towards a negotiated agreement.’

Readers' comments (259)

  • Hi there,
    Another CSA Victim here, Narrow margin failure. Can any body advise me how to get CSA marking sheets for the exams. I have emailed college twice over last three weeks no answer yet except automated response. We have to play by the rules set by rulers. Hence I am optimistic for future attempts although still dont know why failed despite no cross at clinical indicators in use less feedback

    Unsuitable or offensive? Report this comment

  • @10:09
    You need to email college that you want your detail mark sheets under data protection act. The college by law has to provide you with it within 40 days of the original request.
    When you receive your mark sheet, you analyse it with your feedback on eportfolio, you will discover that it is not accurate. In at least 3-4, perhaps even more, crosses are not marked where they are marked in the detailed marked sheet. For rcgp, unfortunately, they can refute this hard evidence.
    If college would video the exam, it will only reveal more flaws and errors, which they want to hide, unfortunately careers are being destroyed and college behaviour is nothing other than appalling and awful.

    Unsuitable or offensive? Report this comment

  • *typo, rcgp can not refute this evidence, one more thing you will notice, some one can score 6/9 with passes in the three domains with no cross at all. The best an img will get with no crosses is7/9 hitch too is given rarely.

    if IMG gets one cross for the station, the best score that the examiner will give this candidate is 5/9, where as a white graduate even with crosses is given 6 or 7/9,as the examiner will give that candidate CP in inter personal skills and data gathering!

    The marking template is extremely flawed and can someone can easily be made to 'pass' or 'fail' the csa.

    Unsuitable or offensive? Report this comment

  • Stephen the great ,please confirm you have passed the CSA ,and if not does that make you any less of a doctor????
    College would benefit and raise both standards and income if all GP not having gone through this process make it mandatory for all non MRCGP to do the AKT as well as CSA. And if they are unable to pass , considerations of fitness to practice should ensue .

    Unsuitable or offensive? Report this comment

  • No updates from BAPIO/BIDA for some time now. Last news update on BAPIO website was on the 23-02-13. BDPF seem to be completely out of the agenda (don’t know whether pushed or pulled out). Why is this silence? Silence will only mounts to ever increasing victims of this obvious systematic and calculated discrimination!

    Unsuitable or offensive? Report this comment

  • So Claire is in India ... Here in UK people are getting kicked out of the training because they are not able to do so... What difference can she bring to Indian medical practice?

    Here also every one has disappeared... BAPIO, BPDF , GMC , BMA , RCGP ... and no surprise the issue is about communication...

    Unsuitable or offensive? Report this comment

  • She is giving 'acting classes' for CSA as IMGSa can't 'act'.

    Unsuitable or offensive? Report this comment

  • This comment has been removed by the moderator.

    Unsuitable or offensive? Report this comment

  • I am an IMG who started working in the NHS in 1998. Along the way I did 4 different exams including MRCGP - all from separate royal colleges and specialties. Never felt discriminated against during my GP days but still wonder why I failed one of earliest membership exams (not GP) when I was so confident of passing. Luckily I passed it the same year through another college but the failure still hurts - so can understand how people feel. A post exam feed back may have been useful. Not enough for the RCGP to say that the CSA is fair; it may not be racist but it is probably not fit for purpose. Aspiring GPs have to go through an assessment of suitability at the time of selection. Why then should they not be able to pass the exit exam after 3 years and thousands of pounds? That suggests that the training is inadequate. In my experience, the MRCGP exam correlates very little to the real world - it is just a game. And for the RCGP it is a power game.

    Unsuitable or offensive? Report this comment

View results 10 results per page20 results per page50 results per page

Have your say