Exploring Factors That Influence Differential Attainment in MRCPsych Passing Rates in Resident Doctors in Core Training Based on Their Place of Qualification
Prathibha Rao

TL;DR
This study explores why international medical graduates in psychiatry training in the UK have lower exam pass rates than UK-trained doctors, focusing on communication challenges and training factors.
Contribution
The study identifies five key themes influencing differential attainment in MRCPsych exams, emphasizing communication barriers and trainer awareness gaps specific to international medical graduates.
Findings
Communication difficulties and cultural differences significantly impact exam performance of international medical graduates.
Trainers lack awareness of differential attainment in theory papers and struggle to address it due to competing priorities and sensitivity.
Early trainer support and improved sociolinguistic competence can help reduce disparities in exam outcomes.
Abstract
Aims: Differential Attainment (DA) based on place of qualification has been demonstrated with consistent trends in Psychiatry. Factors contributing to this however, are ill understood. A significant proportion of residents in core training in Psychiatry are International Medical Graduates (IMG). Retention and consultant recruitment continue to be ongoing challenges in Psychiatry. We aimed to explore the awareness amongst trainers and to explore factors that influence DA, in relation to passing rates in MRCPsych examination, between the groups of IMGs and UK Medical Graduate (UKMG) resident doctors in core training. Methods: Following a constructivist ontology, eight semi-structured interviews were conducted with core psychiatry trainers who were recruited via purposive sampling technique. Interpretative phenomenological analysis was used to identify themes. Results: DA in the CASC…
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Taxonomy
TopicsInnovations in Medical Education · Counseling Practices and Supervision · Cultural Competency in Health Care
