2) IMGs are often applying for higher specialty jobs with less years of NHS experience than equivalent UK trainees, eg a friend with 1 year of NHS after 2 years of IMT equivalent abroad and straight into ST4 (despite being PGY3 vs a UK grad PGY5 IMT3). If we truly want to be fair, each doctor should have the same NHS experience.

Before people say IMGs are at a disadvantage, there are entire systems set up to “score 
points” eg publication mills, QIP factories, irrelevant leadership positions (and yes this happens here too). Points are becoming similar eliminating the previous disadvantage.

High competition and “points mining” is also creating points/degree inflation and degrading medical training as a whole. Do we need hundreds of more low quality QIPs/the need to have masters or PhD for the sake of it? The “winners” aren’t better doctors, just those who played the system well.