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At the heart of general practice since 1960

Working life: My new life as a GP in Qatar

Dr Mudasar Khan describes a typical working day after moving to a practice in Doha

6.15 am

By the time I leave the apartment, the sun is high in the sky and the day has started for many. The warm autumn sun greets my face. It will only get warmer as the day goes on.

The journey to work takes just over half an hour as I take the dual carriageway, past the largest hospital in Doha and through six sets of traffic-lights.

6.50 am

I arrive at the brick and concrete health centre. The architecture is typical of the 21st-century cityscape, and a constant reminder I’m in a strange country. The contrast with the beautiful seaside county of Devon, where I worked as a GP for four years after finishing the GP training programme, could not be greater. While I do miss working in the UK, especially the surroundings, the nature of the bureaucracy and the ever-increasing, unnecessary administrative workload in the UK persuaded me to look out for alternatives.

I greet the staff as I walk the long corridor to our office, then scan my finger-prints on a machine outside the door to show I have arrived for work. I go to my clinic and start the computer.

In contrast to a regular day back at my Devon practice, there are no letters or X-ray reports lurking on my desk for signature, or even electronic lab reports or referrals, because I dealt with them the day before during clinic.

7.00 am

I see my first patient for the day, a young patient with viral illness, quickly followed by a middle-aged man who just requires a repeat prescription, and then a young adult who has a dry itchy patch of eczema on his foot but is not bothered about a wheeze in his chest, audible from a few feet away. I tried to convince him in my broken and inadequate Arabic that it needs examining and treating. After some discussion he agrees to my suggested course of action.

Later an adult male comes in with a cough and wants a sick note, a much sought-after piece of paper among adults and school age children here. He claims he is feeling generally tired and can’t go to work, but I explain that his illness does not warrant a sick note. He becomes annoyed and demands the note, but with the help of an interpreter I am able to get my point across. He leaves the room reluctantly because ‘the other doctors always gave me a sick note before’. I find this kind of attitude differs from what I experienced with patients in the UK, who tend to accept a rules-based explanation.

A tea boy pops his head in to check if I need a cup of tea or coffee.

1.00 pm

My morning clinic of 10-minute appointments becomes quieter in the afternoon, allowing me to catch up with paperwork.

My QAR 564,000 (approximately £100,000) per year contract commits me to approximately 40 hours a week for 45 weeks, plus 24 weekend days a year, including one in four weekends and a six or seven hour shift, depending on whether it’s in the morning or evening, with no overnight responsibilities, not to mention paid accommodation and utilities.

Our practice employs salaried GPs, with building, staff and overheads provided by the health authority. They also employ our practice nurses, reception and auxiliary staff, at no charge to us.

There is no list size to worry about, no visits, no LES, NES, DES, no commissioning, no federations and last but not least, no tax. I have better hours, more money and less stress than I had in the NHS I left just under a year ago. What’s not to like? Well, it’s true I do miss at times the more interactive communication I had with patients in the UK, and the coolish summers. Another caveat is that if you are based in centre with a large number of Qataris, you do need to know basic Arabic for a consultation. That’s not an issue if you are working in centres with a mostly expat population.

2.00pm

Clinic is over. I scan my finger prints to log out and make my way out of the building as the warm sun engulfs my body. I’ve forgotten how warm it is outside, due to the constant air conditioning indoors that sometimes makes me shiver with cold.

2.50 pm

I arrive home for a quick lunchtime snack and a nap, before I head down to the gym. I have the afternoon free, a big contrast with my working day in England which could easily stretch to 10-12 hours.

8.00 pm

I head out for dinner with friends in the souk, an old market place that bustles with expats and Qataris in the evenings. I have a lot more free time in Doha – I am learning to swim, I can go for walks on the seafront, or perhaps go to the Museum of Islamic Art, or even drive to Dubai (if the borders are open). I may come back to UK general practice in future because of its advantages, including patient involvement and my teaching passion, but in the meantime working in Doha is offering me some breathing space and helping to pay my mortgage off.

 

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Readers' comments (14)

  • Thank you, a nice article.
    Sounds tempting but these posts often stipulate 'basic knowledge of Arabic preferred', and what then about your return? You will spend best part of a year jumping through horrendous bureaucratic hoops with almost no income.
    Not for the faint hearted, but good luck.

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  • AlanAlmond

    Interesting and informative article. Gives a real feel for what your day involves. I can really picture what it’s like there. I see jobs advertised there and the pay/no tax is tempting but unfortunately I don’t speak any Arabic. Thank you for writing this piece.

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  • and this salary is tax free making it equal to £200k uk salary?

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  • Are these private patients?
    How much do they pay per consult ...
    (The docs salary has to come from somewhere )

    The grass is always greener ???
    or is the oil blacker?

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  • First of all apologies for a long comment.

    The grass always appears greener on the other side!! I have been working here for last 3 yrs having worked previously as GP in UK. I think the above article mostly tells about the positive aspect of life in UK but let me also mention the other side of the story. We do also have evening shift when you start work at 4 and night shift finishes at 11 PM. This is really difficult for people who have children as you tend to do one wk of evening alternating with a wk of morning shift. The rota doesn't come out until thursday for the next wk, and you haven't got a clue what type of clinic you are doing next wk like emergency, vaccination clinic, walk in clinic etc; In some centers it can be even more worse as your morning or evening shift during any week is decided at random as per availability of doctors making it even harder to plan your week.
    Sometimes a patient who arrives an hour late is checked in by receptionist without checking with doctor, so clearly this increases the pressure with work load. The weather can be extremely hot in summer with temperature going up to 50 degrees, and traffic can sometimes be horrendous; Local citizens can jump in the que in the clinic, and come to see the doctor in between the consultations. They come in some times only for sick leaves and when you refuse, then it’s a big problem! There is no job security and you can get terminated anytime without any prior notice. And don’t forget, British education is expensive here with some schools charging up to 15000 pounds per child for one year. Most doctors I have spoken to haven’t just come for money but for other reasons- like bringing up their children in Islamic culture and be closer to home countries namely India and Pakistan from where the majority of doctors originally come from.

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  • Very tempting!

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  • I worked in the Middle East for 17 years
    No drink or drugs problems
    No one swore at me although I was called the daughter of a donkey once. Only once!
    Not one person told me they wanted to kill them selves
    However have been back since 2002 so things may have changed
    The patients and people in the ME were delightful

    Back to the UK. Sworn at. Threatened. Abused

    Abused here by Jeremy and his buddies as well

    Call Qatar about a job last year. I speak "work Arabic"
    But alas too old as you had to be younger than 50

    So well settled in Belfast in the Shankill near where I started in Belfast in the Falls in 1985.


    GP hectic and tomorrow will spend my free time on remote access but at least I am not bored!!!

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  • The colour of the grass is in the eye of the eater 😏

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  • What is the name of the practice you are working in !

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  • This is not a true depiction of the life of a GP in Qatar. Many were attracted by the tax free package, but many were unaware of the need to consult in Khaleeji Arabic without interpreters, no breaks in a 6-7 hour shift often seeing patients every 10min, poor management, verbal aggression, abuse and even physical violence on occasions against doctors, having to beg for leave when your fellow (local) colleagues are granted with relative ease...no grass here let alone the green type, just dust and sand 😢

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