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. 2007 Mar;83(977):196–199. doi: 10.1136/pgmj.2006.050799

Table 3 Representative quotes from IMGs on their clinical attachments.

“My consultant guided me in my career options and gave me every possible opportunity of understanding the NHS, but an honorary SHO post would be better”
 
“CAs are very important for international doctors, even more important than some medical exams”
 
“I feel I am now pretty in tune with the NHS system and although I still have a lot to learn, I feel confidant I can work comfortably. I just need a job though to put all I have learnt into practice”
 
“Clinical attachments are very essential to acclimatize to the new system and help to get into the system. Also they keep us engaged so that we don't slump into depression”
 
“There should be a list of hospitals with specialties available for observership made available at the BMJ site/GMC site and a clear‐cut process for application made”
 
“It's great being part of medical community again. It feels that I am still a doctor … and free food at meetings”
 
“The experience I am gaining from attachment is really great. But staying in UK without job is very difficult as it is so costly”
 
“It would be appropriate if all trusts are compelled to give at least a locum shift for all clinical attaches”
 
“So many working hours of many talented enthusiastic and capable doctors are being wasted just in applying for clinical attachments”
 
“I was forced to do the attachment in a speciality which I was not interested. This was only for UK reference”
 
“Please make the unemployed doctor work either by giving … at least honorary posts”
 
“Clinical attachments are actually a tool to cage junior doctors at one place, offer nothing but false hope and reflect little good”
 
“Please solve the riddle where should doctor go without a job when he is jobless because of no GMC registration because he has no job”
 
“It [my clinical attachment] made me loose my sleep, confidence, my time, my energy”
 
“..we come with great hopes and expectations. Within two months you lose hope. By six months you are a nervous wreck. Completely lonely. No family. No ...comfort . No money. No job. No other professionals is made to go through the hardship we have to face as doctors…”.