LONDON,
NOV 10: "Don't come here! It's a trap!" warns Sanjay Teotia, an
Indian doctor whose dream of travelling to Britain for better
training and higher income has become a nightmare.
"Everyone who lands up in the United Kingdom regrets within a
week that he has come here," said 30-year-old Teotia, who has a
post-graduate qualification in general medicine from Bangalore.
"It's now five months after I passed my exam and I have filled
at least 400 applications, and there is not a single shortlisting
for an interview for me," he told AFP.
Pulled by a tempting trainee salary of 22,000 pounds, about 10
times the average they could expect back home, as many as 30
percent of India's medical graduates every year opt to come to
Britain.
On arrival, they must take the second part of the Professional
and Linguistic Assessments Board (PLAB) exam, which costs 430
pounds. The 135-pound first part will already have been taken and
passed back home.
The PLAB secures registration with the General Medical Council
(GMC), step one to becoming a trainee doctor in Britain's
state-run, free-care-for-all National Health Service (NHS).
Sanjay ended up in East Ham, one of east London's poorest
districts, where the burgeoning demand for PLAB cramming courses
has led to an influx of up to 500 so-called 'plabbers' a month.
"It was a pathetic situation in most of the houses where PLAB
doctors stayed, 10-12 doctors apart from the landlords paying 200
pounds-a-month for one room," he said. "Now I realise that it was
far better in India."
Real trouble looms post-PLAB when doctors find themselves
caught in a vicious circle, desperate for experience and unable to
get it. Faced with year-long waiting lists in some hospitals,
trainees fork out hundreds of pounds to shadow a consultant,
hoping that he may one day become their all-important local
referee.
Sandip Mandal, a 32-year-old postgraduate in medicine from
Kolkata, arrived in Britain in December 2003 and passed his PLAB
the following month. He is still searching for work almost a year
later.
"When I was in India my impression was that after passing PLAB
I'll get a clinical attachment very soon and I'll get a job within
three to four months and maximum six months," he told AFP.
"After August I got three interviews in different facilities,
but I was not selected," he said. "I feel that to get an interview
is basically a lottery, because for one post it is chosen from six
or seven hundred people."
Like Teotia, Mandal's advice to those back home thinking of
making the trip is not to bother. "Don't come here to suffer. I
have been here for about 11 months without any job and I have
spent lots of pounds here which I haven't in India," he said.
Anand Kulkarni, an Indian-born consultant anaesthetist at
Tameside General Hospital in Ashton Under Lyne, northwest England,
told AFP the problem is getting worse and worse.
"Nothing has been done," he said. "Basically, the number of
people taking PLAB has gone up. There is a misconception back home
that the UK is in need of doctors and that there is a big shortage
of doctors," he said.
Everyone, including the General Medical Council, seems to agree
that the opportunities in Britain are at consultant level, not at
the junior level, but somehow that message is not getting across
to where it has to.
"The solution is that either the GMC should cut down the number
of people taking PLAB or the government should guarantee a job
once they pass the PLAB," Kulkarni said.
Despite the financial and emotional struggle, Kulkarni does not
write off the decision to come to Britain. "In my opinion the NHS
is a very fair system," he said.
"Once they get on to a training post, I have seen most of them
progressing very well through the system and have been successful
in their exams and in their careers and most of them have become
consultants themselves."
At the end of September, 2003, over 13,000, or 16.8 percent of
Britain's medical and dental staff were of Indian origin,
according to official figures. The GMC told AFP it was bringing in
concessions in February next year to try and make it cheaper for
foreign students taking the PLAB in Britain.
(AFP) |