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The National Programme for IT, choice and EMIS: what's all the fuss about?

I agree and support Dr Venugopal's plea and concern for overseas doctors (Letters, September 6). The GMC and Department of Health have a responsibility to inform incoming overseas doctors of the reality regarding a job in the UK.

I came to the UK in 1971 through the clinical attachment system, which was very simple and straightforward. During my clinical attachment for one month in paediatrics (qualified paediatrician in India, 1970) my accommodation and one-month salary and training was sufficient.

In my opinion the GMC should change the requirement for overseas doctors. Reintroduce the clinical attachment for at least three months, with financial support, hospital accommodation, and a very simple basic test for overseas doctors and registration.

A fast-track procedure for hospital jobs should also be introduced, and a vacant position should be available during the attachment ­ offered provisionally, depending on the test and a satisfactory report from the assessor.

I must remind the GMC and department they are importing ready-made doctors and that it is therefore the moral duty of all

those who are in search of overseas doctors to work for the benefit of their NHS system.

The NHS cares for the patients, therefore they must care equally for the overseas doctors at all levels.

Without their support the entire NHS would collapse within 24 hours.

Dr Pravin Kalaiya

Hornchurch, Essex

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