Webappendix: The state of medical education and practice in ... - GMC

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Webappendix: The state of medical education and practice in the UK: 2014. 02 | General Medical Council. Total doctors wi
Webappendix: The state of medical education and practice in the UK: 2014

Webappendix: The state of medical education and practice in the UK: 2014

Definitions: Black and minority ethnic (BME) includes Asian, black, other ethnic groups and mixed ethnic groups. European Economic Area (EEA) graduates are doctors who gained their primary medical qualification in the EEA, but outside the UK, and who are EEA nationals or have European Community rights to be treated as EEA nationals. International medical graduates (IMGs) are doctors who gained their primary medical qualification outside the UK, EEA and Switzerland, and who do not have European Community rights to work in the UK. PMQ = place of primary medical qualification.

01 | General Medical Council

Webappendix: The state of medical education and practice in the UK: 2014

Demographic characteristics of doctors who do not have a licence to practise

2010 % of group without a licence*

2013

Number of doctors

% change

% of group without a licence*

Number of doctors

Gender All doctors Male

5.6%

7,747

70%

9.0%

13,179

Female

4.8%

4,838

70%

7.2%

8,224

953

1.7%

598

59%

2.5%

50

10%

6,452

61%

15%

10,373

3,956

2.3%

1,527

159%

5.3%

BME White

4.0%

4,805

92%

6.9%

9,233

12%

6,253

31%

16%

8,214

Of doctors with no licence, just under two-thirds are male. The percentange of male doctors without a licence is slightly higher than for female doctors.

Age (years)

Doctors 50 years old and over are more likely to not have a licence than other age groups: 15% have no licence. The proportion of all doctors over 50 years old without a licence has increased by 70% since 2010.

Ethnicity

Unknown

Doctors for whom we have no ethnicity information are less likely to have a licence than those of known ethnicity.

Place of primary medical qualification

UK graduates EEA graduates IMGs

Total doctors with no licence

4.3% 7.0% 6.9%

5.3%

6,423 1,583 4,579

60% 101% 73%

6.2%

10,293

12% 12%

3,182 7,928

12,585

70%

8.2%

21,403

* The denominator used to calculate the percentages is the total number of registered doctors with each personal characteristic.

02 | General Medical Council

The population of doctors who are unlicensed has grown particularly among EEA graduates and IMGs in the past three years.12% of EEA graduates and IMGs were unlicensed in 2013, compared with only 6.2% of UK graduates. Overall, just over 8% of doctors had no licence in 2013. This is an increase of 70% since 2010.

Webappendix: The state of medical education and practice in the UK: 2014

The gender split of medical students in each ethnic group (2013) All UK

Gender split

White

44%

56%

South Asian

51%

49%

Other Asian (excluding Chinese)

47%

53%

Chinese

47%

53.1%

Black African

37%

Mixed

45.5%

Male

Female

63% 54.5%

Other and other black

45%

55%

Total stated ethnicity*

45%

55%

Ethnicity not stated

47%

Grand total

45.5%

*

Excludes 1,860 medical students who did not supply their ethnicity.

03 | General Medical Council

53% 54.5%

Webappendix: The state of medical education and practice in the UK: 2014

Gender split for licensed doctors aged 30–50 and doctors 50 years and over who are not in training (2013) Exclude doctors with unknown location unless otherwise specified so the data exclude 8.8% of all doctors, 19% of doctors not on the GP or Specialist Register, 2.3% of GPs and 8.1% of specialists, some of whom had non-UK addresses.

All doctors Part of the UK

30–50 years

>50 years

>30 years

Total

Male

Female

Total

Male

Female

Total

% of doctors

22,896 13,723 8,907 19,438 13,608 7,001

13,125 8,058 4,937 9,827 7,047 3,551

9,771 5,665 3,970 9,611 6,561 3,450

12,171 7,174 5,248 9,739 7,841 3,910

8,902 5,381 3,763 6,562 5,404 2,675

3,269 1,793 1,485 3,177 2,437 1,235

35,067 20,897 14,155 29,177 21,449 10,911

Male 63% 64% 61% 56% 58% 57%

Female 37% 36% 39% 44% 42% 43%

England (total)

85,573

46,545

39,028

46,083

32,687

13,396

131,656

60%

40%

Northern Ireland

2,786

1,379

1,407

1,511

1,049

462

4,297

57%

43%

Scotland

8,954

4,327

4,627

4,790

3,179

1,611

13,744

55%

45%

Wales

4,539

2,512

2,027

2,668

1,940

728

7,207

62%

38%

UK

101,852

54,763

47,089

55,052

38,855

16,197

156,904

60%

40%

UK (including doctors with unknown location)

111,991

61,466

50,525

59,975

42,805

17,170

171,966

61%

39%

North East and West Midlands East London Southeast Southwest

Doctors on the GP Register Part of the UK

North East and West Midlands East London Southeast Southwest England (total)

30–50 years

>50 years

>30 years

Total

Male

Female

Total

Male

Female

Total

% of doctors

8,246 4,780 3,321 4,762 5,292 2,893

3,712 2,274 1,435 1,782 2,096 1,151

4,534 2,506 1,886 2,980 3,196 1,742

4,698 2,756 2,204 2,954 3,069 1,783

3,131 1,915 1,489 1,837 1,912 1,123

1,567 841 715 1,117 1,157 660

12,944 7,536 5,525 7,716 8,361 4,676

Male 53% 56% 53% 47% 48% 49%

Female 47% 44% 47% 53% 52% 51%

29,294

12,450

16,844

17,464

11,407

6,057

46,758

51%

49%

Northern Ireland

1,096

440

656

604

406

198

1,700

50%

50%

Scotland

3,715

1,393

2,322

2,018

1,241

777

5,733

46%

54%

Wales

1,551

639

912

1,038

719

319

2,589

52%

48%

UK

35,656

14,922

20,734

21,124

13,773

7,351

56,780

51%

49%

UK (including doctors with unknown location)

36,259

15,245

21,014

21,867

14,316

7,551

58,126

51%

49%

Doctors on the Specialist Register Part of the UK

30–50 years

>50 years

>30 years

Total

Male

Female

Total

Male

Female

Total

% of doctors

9,687 5,461 3,291 7,993 5,192 2,733

6,300 3,592 2,114 4,486 3,210 1,726

3,387 1,869 1,177 3,507 1,982 1,007

5,581 3,271 2,189 4,747 3,301 1,570

4,445 2,635 1,679 3,355 2,519 1,214

1,136 636 510 1,392 782 356

15,268 8,732 5,480 12,740 8,493 4,303

Male 70% 71% 69% 62% 67% 68%

Female 30% 29% 31% 38% 33% 32%

England (total)

34,357

21,428

12,929

20,659

15,847

4,812

55,016

68%

32%

Northern Ireland

1,178

714

464

658

503

155

1,836

66%

34%

Scotland

3,742

2,208

1,534

2,116

1,599

517

5,858

65%

35%

Wales

1,846

1,193

653

1,114

885

229

2,960

70%

30%

UK

41,123

25,543

15,580

24,547

18,834

5,713

65,670

68%

32%

UK (including doctors with unknown location)

44,893

28,247

16,646

26,559

20,495

6,064

71,452

68%

32%

North East and West Midlands East London Southeast Southwest

Doctors not on the GP or Specialist Register Part of the UK

30–50 years

>50 years

>30 years

Total

Male

Female

Total

Male

Female

Total

% of doctors

4,868 3,426 2,235 6,612 3,051 1,336

3,057 2,156 1,347 3,528 1,701 648

1,811 1,270 888 3,084 1,350 688

1,779 1,062 785 1,947 1,331 493

1,251 773 545 1,313 874 294

528 289 240 634 457 199

6,647 4,488 3,020 8,559 4,382 1,829

Male 65% 65% 63% 57% 59% 52%

Female 35% 35% 37% 43% 41% 48%

England (total)

21,528

12,437

9,091

7,397

5,050

2,347

28,925

60%

40%

Northern Ireland

496

216

280

230

125

105

726

47%

53%

Scotland

1,438

690

748

588

293

295

2,026

49%

51%

Wales

1,122

668

454

477

307

170

1,599

61%

39%

UK

24,584

14,011

10,573

8,692

5,775

2,917

33,276

59%

41%

UK (including doctors with unknown location)

30,296

17,649

12,647

10,798

7,476

3,322

41,094

61%

39%

North East and West Midlands East London Southeast Southwest

04 | General Medical Council

Webappendix: The state of medical education and practice in the UK: 2014

Primary medical qualification of licensed doctors aged 30 years and over and not in training (2013) Excludes doctors with unknown location unless otherwise specified so the data exclude 8.8% of all doctors, 19% of doctors not on the GP or Specialist Register, 2.3% of GPs and 8.1% of specialists, some of whom had non-UK addresses.

All doctors Part of the UK

Licensed doctors

UK graduates

EEA graduates

IMGs

35,067 20,897 14,155 29,177 21,449 10,911

21,441 11,618 7,613 15,763 14,147 8,619

2,612 1,521 1,409 4,136 1,897 779

11,014 7,758 5,133 9,278 5,405 1,513

39% 44% 46% 46% 34% 21%

England (total)

131,656

79,201

12,354

40,101

40%

Northern Ireland

4,297

3,391

541

365

21%

Scotland

13,744

10,993

873

1,878

20%

Wales

7,207

4,471

529

2,207

38%

UK

156,904

98,056

14,297

44,551

38%

UK (including doctors with unknown location)

171,966

100,620

20,567

50,779

41%

Licensed doctors

UK graduates

EEA graduates

IMGs

% Non-UK licensed GPs

12,944 7,536 5,525 7,716 8,361 4,676

9,895 5,494 3,842 5,128 6,763 4,252

610 276 384 544 422 213

2,439 1,766 1,299 2,044 1,176 211

24% 27% 30% 34% 19% 9.1%

England (total)

46,758

35,374

2,449

8,935

24%

Northern Ireland

1,700

1,480

201

19

13%

Scotland

5,733

5,218

211

304

9.0%

Wales

2,589

2,082

112

395

20%

UK

56,780

44,154

2,973

9,653

22%

UK (including doctors with unknown location)

58,126

44,874

3,365

9,887

23%

Licensed doctors

UK graduates

EEA graduates

IMGs

% Non-UK licensed specialists

15,268 8,732 5,480 12,740 8,493 4,303

9,596 4,972 2,993 7,721 5,782 3,342

1,354 840 679 2,215 947 383

4,318 2,920 1,808 2,804 1,764 578

37% 43% 45% 39% 32% 22%

England (total)

55,016

34,406

6,418

14,192

37%

Northern Ireland

1,836

1,438

244

154

22%

Scotland

5,858

4,576

494

788

22%

Wales

2,960

1,891

297

772

36%

UK

65,670

42,311

7,453

15,906

36%

UK (including doctors with unknown location)

71,452

43,218

10,860

17,374

40%

% Non-UK licensed doctors on neither register (based on doctors whose

% Non-UK licensed doctors

(based on doctors whose location we know) 50%

North East and West Midlands East of England London South East South West

Doctors on the GP Register Part of the UK

(based on doctors whose location we know) 35%

North East and West Midlands East of England London South East South West

Doctors on the Specialist Register Part of the UK

(based on doctors whose location we know) 50%

North East and West Midlands East London Southeast Southwest

Doctors not on the GP or Specialist Register Part of the UK

Licensed doctors

UK graduates

EEA graduates

IMGs

6,647 4,488 3,020 8,559 4,382 1,829

1,788 1,043 685 2,801 1,422 928

618 385 327 1,347 509 178

4,241 3,060 2,008 4,411 2,451 723

73% 77% 77% 67% 68% 49%

England (total)

28,925

8,667

3,364

16,894

70%

Northern Ireland

726

446

88

192

39%

Scotland

2,026

1,080

161

785

47%

Wales

1,599

451

114

1,034

72%

UK

33,276

10,644

3,727

18,905

68%

UK (including doctors with unknown location)

41,094

11,559

6,113

23,422

72%

North East and West Midlands East London Southeast Southwest

05 | General Medical Council

location we know)

80%

Webappendix: The state of medical education and practice in the UK: 2014

Ethnicity of licensed doctors aged 30 years and over and not in training (2013) Excludes doctors with unknown location unless otherwise specified so the data exclude 8.8% of all doctors, 19% of doctors not on the GP or Specialist Register, 2.3% of GPs and 8.1% of specialists, some of whom had non-UK addresses.

All doctors Part of the UK

Number of doctors

BME

White

Unknown

% BME

35,067 20,897 14,155 29,177 21,449 10,911

11,420 8,221 5,047 10,561 5,379 1,405

18,096 9,458 6,724 13,196 11,973 7,720

5,551 3,218 2,384 5,420 4,097 1,786

39% 47% 43% 44% 31% 15%

England (total)

131,656

42,033

67,167

22,456

38%

Northern Ireland

4,297

325

2,705

1,267

11%

Scotland

13,744

1,642

8,197

3,905

17%

Wales

7,207

1,729

3,455

2,023

33%

UK

156,904

45,729

81,524

29,651

36%

UK (including doctors with unknown location)

171,966

48,939

87,958

35,069

36%

Number of doctors

BME

White

Unknown

% BME

12,944 7,536 5,525 7,716 8,361 4,676

2,927 2,301 1,502 3,031 1,457 271

7,110 3,581 2,772 2,715 4,941 3,399

2,907 1,654 1,251 1,970 1,963 1,006

29% 39% 35% 53% 23% 7.4%

England (total)

46,758

11,489

24,518

10,751

32%

Northern Ireland

1,700

32

1,236

432

2.5%

Scotland

5,733

377

3,825

1,531

9.0%

Wales

2,589

365

1,510

714

19%

UK

56,780

12,263

31,089

13,428

28%

UK (including doctors with unknown location)

58,126

12,453

31,864

13,809

28%

North East and West Midlands East London Southeast Southwest

(based on doctors whose ethnicity we know) 50%

Doctors on the GP Register Part of the UK North East and West Midlands East London Southeast Southwest

(based on doctors whose ethnicity we know) 55%

Doctors on the Specialist Register Part of the UK

Number of doctors

BME

White

Unknown

% BME

15,268 8,732 5,480 12,740 8,493 4,303

4,885 3,350 1,926 3,654 1,981 579

9,033 4,720 3,070 7,579 5,370 3,317

1,350 662 484 1,507 1,142 407

35% 42% 39% 33% 27% 15%

England (total)

55,016

16,375

33,089

5,552

33%

Northern Ireland

1,836

152

1,092

592

12%

Scotland

5,858

700

3,400

1,758

17%

Wales

2,960

636

1,506

818

30%

UK

65,670

17,863

39,087

8,720

31%

UK (including doctors with unknown location)

71,452

18,776

42,124

10,552

31%

North East and West Midlands East London Southeast Southwest

(based on doctors whose ethnicity we know) 45%

Doctors not on the GP or Specialist Register Part of the UK

Number of doctors

BME

White

Unknown

% BME

6,647 4,488 3,020 8,559 4,382 1,829

3,575 2,545 1,601 3,842 1,921 551

1,805 1,063 796 2,807 1,508 930

1,267 880 623 1,910 953 348

66% 71% 67% 58% 56% 37%

England (total)

28,925

14,035

8,909

5,981

61%

Northern Ireland

726

140

351

235

29%

Scotland

2,026

561

880

585

39%

Wales

1,599

720

399

480

64%

UK

33,276

15,456

10,539

7,281

59%

UK (including doctors with unknown location)

41,094

17,556

13,088

10,450

57%

North East and West Midlands East London Southeast Southwest

06 | General Medical Council

(based on doctors whose ethnicity we know) 70%

Webappendix: The state of medical education and practice in the UK: 2014

Gender split and % change over 3 years of doctors in each specialty group ranked by % females in 2013 Excludes 254 doctors with old specialties that do not group into currently defined groupings.

Specialty group

Number of licensed specialists Male Female Total

Gender split by specialty Male Female

% change over 3 years (2010–2013) Male Female Total

Public health

474

481

955

50%

50%

-9.0%

-1.0%

-5.2%

Paediatrics

2,556

2,529

5,085

50%

50%

12%

20%

16%

Obstetrics and gynaecology

2,029

1,724

3,753

54%

46%

3.5%

28%

13%

Pathology

1,698

1,290

2,988

57%

43%

-3.4%

8.3%

1.4%

Psychiatry

4,810

3,326

8,136

59%

41%

4.7%

12%

7.7%

Radiology

3,418

1,873

5,291

65%

35%

6.1%

14%

8.8%

Medicine

12,001

5,734

17,735

68%

32%

11%

30%

17%

Anaesthetics and intensive care

6,554

3,094

9,648

68%

32%

6.6%

16%

9.4%

Emergency medicine

1,321

572

1,893

70%

30%

28%

44%

33%

Occupational medicine

326

140

466

70%

30%

-7.4%

2.2%

-4.7%

Ophthalmology

1,585

571

2,156

74%

26%

13%

29%

17%

Surgery

11,776

1,325

13,101

90%

10%

12%

42%

14%

TOTAL

48,745

22,716

71,461

68%

32%

8.8%

21%

12%

07 | General Medical Council

Webappendix: The state of medical education and practice in the UK: 2014

% change over 3 years of doctors aged over 50 years in each specialty group, ranked by % over 50 in 2013 Excludes 254 doctors with old specialties that do not group into currently defined groupings.

Specialty group

Number of licensed specialists 50 Total

Age split by specialty 50

% change over 3 years (2010–2013) 50 Total

Occupational medicine

168

298

466

36%

64%

-2.9%

-5.7%

-4.7%

Public health

395

560

955

41%

59%

-17%

5.1%

-5.2%

Pathology

1,587

1,401

2,988

53%

47%

-2.5%

6.1%

1.4%

Obstetrics and gynaecology

2,211

1,542

3,753

59%

41%

11%

16%

13%

Psychiatry

4,902

3,234

8,136

60%

40%

6.5%

9.5%

7.7%

Surgery

8,000

5,101

13,101

61%

39%

12%

17%

14%

Ophthalmology

1,347

809

2,156

62%

38%

17%

17%

17%

Medicine

11,500

6,235

17,735

65%

35%

18.5%

14%

17%

Paediatrics

3,312

1,773

5,085

65%

35%

15%

17%

16%

Radiology

3,476

1,815

5,291

66%

34%

8.5%

9.3%

8.8%

Anaesthetics and intensive care

6,515

3,133

9,648

68%

33%

6.3%

16%

9.4%

Emergency medicine

1,440

453

1,893

76%

24%

37%

21%

33%

TOTAL

44,902

26,559

71,461

63%

37%

7.6%

9.3%

8.2%

08 | General Medical Council

Webappendix: The state of medical education and practice in the UK: 2014

Place of primary medical qualification, and % change over 3 years of doctors in each specialty group ranked by % UK graduates in 2013 Excludes 254 doctors with old specialties that do not group into currently defined groupings.

Specialty group

Number of licensed specialists UK EEA IMGs Total graduates graduates

Occupational medicine

356

Public health

702

PMQ split by specialty EEA UK graduates graduates

% change over 3 years (2010–2013) IMGs UK EEA IMGs Total graduates graduates

47

63

466

76%

10%

14% -13%

24%

43%

81

172

955

74%

8.5%

18% -7.4%

3.8%

0.6% -5.2%

Emergency medicine

1,391

146

356

1,893

73%

Radiology

3,531

620

1,140

5,291

67%

Medicine

-4.7%

19% 29%

27%

50%

33%

12%

22% 8.3%

17%

5.9%

8.8%

7.7%

11,789

2,362

3,584

17,735

66%

13%

20% 12%

32%

23%

17%

Anaesthetics and intensive care 5,984

1,443

2,221

9,648

62%

15%

23% 9.0%

6.7%

12%

9.4%

Surgery

7,565

2,862

2,674

13,101

58%

22%

20% 11%

25%

14%

14%

Pathology

1,704

417

867

2,988

57%

14%

29% -2.2%

13%

3.6% 1.4%

Psychiatry

4,536

1,027

2,573

8,136

56%

13%

32% 2.3%

8.4%

18%

7.7%

Paediatrics

2,748

705

1,632

5,085

54%

14%

32% 9.6%

26%

23%

16%

Ophthalmology

1,095

526

535

2,156

51%

24%

Obstetrics and gynaecology TOTAL

09 | General Medical Council

1,660 43,218

591

1,502

3,753

44%

10,868

17,375

71,461

61%

16% 15%

25% 7.9%

45%

15%

17%

40% 0.5%

21%

29%

13%

24% 8.5%

21%

18%

12%

Webappendix: The state of medical education and practice in the UK: 2014

Ethnicity of doctors in each specialty group, ranked by % BME in 2013 Excludes 254 doctors with old specialties that do not group into currently defined groupings.

Specialty group

Number of licensed specialists BME White Total

Ethnicity split by specialty BME White

Obstetrics and gynaecology

1,448

1,841

3,289

44%

56%

Paediatrics

1,655

2,785

4,440

37%

63%

Psychiatry

2,397

4,532

6,929

35%

65%

Ophthalmology

620

1,195

1,815

34%

66%

Radiology

1,398

3,098

4,496

31%

69%

Pathology

785

1,767

2,552

31%

69%

Medicine

4,471

10,614

15,085

30%

70%

Surgery

3,122

7,887

11,009

28%

72%

Anaesthetics and intensive care

2,175

6,149

8,324

26%

74%

Public health

204

583

787

26%

74%

Emergency medicine

414

1,229

1,643

25%

75%

Occupational medicine

55

300

355

15.5%

TOTAL

18,776

42,133

60,909

31%

10 | General Medical Council

84.5% 69%

Webappendix: The state of medical education and practice in the UK: 2014

Change in the number of licensed doctors for different demographic characteristics (2013) Licensed doctors

Leavers*

Permanent joiners

Difference 919

Gender

Age

Ethnicity

Male

-1,367

Female

2,286

50 years

-5,359

BME

1,410

White

1,718

Unknown

-2,209

UK graduates PMQ

2,268

EEA graduates

317 -1,666

IMGs

Licensed doctors PMQ UK graduates

IMGs

Male

140

Female

2,128

Total

2,268

Female

-7 324

Total

317

Male

-1,500

Female

Includes those who gave up their licence to practise but remained on the register.

11 | General Medical Council

Difference 919

Total *

Permanent joiners

Gender

Male EEA graduates

Leavers*

-16 -1,660

Webappendix: The state of medical education and practice in the UK: 2014

Change in the number of licensed doctors for age group, place of primary medical qualification and gender (2013) Licensed doctors Age

50 years

Difference

All

Male

30–50 years

Permanent joiners

-1,044 -3,313 -382 -116 -498 -1,222 -326 -1,548

Webappendix: The state of medical education and practice in the UK: 2014

Reasons for leaving the register for doctors aged under and over 50 years (2013) Doctors aged 50 years or younger Number of doctors

Doctors aged >50 years % total with known reason

Reason

Number of doctors

% total with known reason

Reason

Moving overseas

3,887

81%

Leaving or left the profession

167

3.5%

Maternity or paternity

134

2.8%

Retirement

2,999

65%

Moving overseas

1,006

22%

Revalidation

161

3.5%

122

2.7%

Revalidation

118

2.5%

Leaving or left the profession

Retirement

28

0.6%

Maternity or paternity

469

9.8%

Other

Other

Total with reason

4,803

No reason given

Total

13 | General Medical Council

100%

0 291

Total with reason

4,579

1,771

No reason given

1,078

6,574

Total

5,657

0% 6.4%

100%

Webappendix: The state of medical education and practice in the UK: 2014

Reasons that doctors gave for leaving the register or relinquished their licence by place of primary medical qualification (2013) UK graduates

EEA graduates

IMGs

Number of doctors

Number of doctors

Number of doctors

% with known reason

% with known reason

TOTAL % with known reason

Number of doctors

% with known reason

Reason Moving overseas

1,507

33%

1,141

68%

2,245

71%

4,893

52%

Retirement

2,344

52%

128

7.6%

555

18%

3,027

32%

Leaving or left the profession

215

4.7%

38

2.3%

36

1.1%

289

3.1%

Revalidation

117

2.6%

63

3.8%

99

3.1%

279

3.0%

Maternity or paternity

65

1.4%

35

2.1%

34

1.1%

134

1.4%

295

6.5%

270

16%

195

6.2%

760

8.1%

Other Total with reason

4,543

No reason given

720

1,131

998

2,849

Total

5,263

2,806

4,162

12,231

14 | General Medical Council

100%

1,675

100%

3,164

100%

9,382

100%

Webappendix: The state of medical education and practice in the UK: 2014

Number of doctors progressing through our fitness to practice procedures by ethnicity, place of primary medical qualification, age, gender and register, 2010–13 Doctors on the GP register aged 30-50 years

FITNESS TO PRACTISE Average number of doctors on the register (2010–13)

Male doctors

Female doctors

UK graduates

EEA graduates

IMGs

UK graduates

All doctors EEA graduates

IMGs

BME

White

UK

EEA

All aged 30-50 years*

IMGs

graduates graduates

BME

White

BME

White

BME

White

BME

White

BME

White

BME

White

1,845

6,207

132

625

2,026

178

1,970

10,943

82

765

1,562

270

7,616

18,986

28,173

2,180

5,250

35,603

Doctors complained about

345

788

31

88

348

35

185

709

9

69

175

26

1,093

1,715

2,882

278

787

3,947

Doctors investigated

123

227

21

45

137

14

48

184

1

24

52

6

382

500

864

121

295

1,280

Warnings

16

12

3

2

17

1

1

5

0

2

3

0

40

22

52

9

29

90

Conditions

1

2

0

1

1

0

0

1

0

0

1

0

3

4

6

3

4

13

Undertakings

5

16

1

4

1

0

2

12

0

3

0

0

9

35

52

10

3

65

Erasures and suspensions

4

2

0

4

7

1

0

2

0

1

2

0

13

10

17

5

14

36

Doctors on the GP register aged >50 years

FITNESS TO PRACTISE

Male doctors

Female doctors

UK graduates

EEA graduates

IMGs

UK graduates

All doctors EEA graduates

IMGs

BME

White

UK

EEA

All aged >50 years*

IMGs

graduates graduates

BME

White

BME

White

BME

White

BME

White

BME

White

BME

White

Average number of doctors on the register (2010–13)

587

7,455

72

500

2,361

193

208

4,314

16

287

739

114

3,983

12,863

15,990

1,215

4,394

21,599

Doctors complained about

166

1,423

23

107

731

56

37

520

2

41

174

20

1,133

2,167

2,830

248

1,282

4,360

64

438

12

45

312

26

12

160

0

15

61

6

461

690

937

108

541

1,586

Warnings

4

22

2

2

13

3

1

5

0

1

5

0

25

33

44

8

30

82

Conditions

0

3

0

1

3

0

0

1

0

0

0

0

3

5

6

1

3

10

Undertakings

1

21

1

6

15

0

1

5

0

2

2

0

20

34

45

13

25

83

Erasures and suspensions

1

9

0

1

16

2

0

1

0

0

1

0

18

13

17

1

26

44

Doctors investigated

Doctors on the specialist register aged 30–50 years

Male doctors

FITNESS TO PRACTISE

BME

Average number of doctors on the register (2010–13)

Female doctors

UK graduates

EEA graduates

IMGs

UK graduates

All doctors EEA graduates

IMGs

BME

White

UK

EEA

All aged 30–50 years*

IMGs

graduates graduates

White

BME

White

BME

White

BME

White

BME

White

BME

White

2,638

10,692

300

3,232

5,453

790

1,384

7,189

90

2,156

1,994

454

11,859

24,513

25,474

7,219

9,941

42,634

Doctors complained about

336

987

31

192

494

67

86

354

3

84

136

31

1,086

1,715

2,033

390

835

3,258

Doctors investigated

131

324

16

97

218

24

25

98

3

41

64

15

457

599

670

204

366

1,240

Warnings

14

19

2

0

21

5

2

1

1

2

3

1

43

28

42

8

37

87

Conditions

0

0

0

0

2

0

0

1

0

0

0

0

2

1

1

1

2

4

Undertakings

4

16

0

7

4

0

0

4

0

5

3

1

11

33

30

15

10

55

Erasures and suspensions

1

2

0

2

5

0

0

0

0

1

0

1

6

6

5

4

6

15

Doctors on the specialist register aged >50 years

FITNESS TO PRACTISE

Male doctors

Female doctors

UK graduates

EEA graduates

IMGs

UK graduates

All doctors EEA graduates

IMGs

BME

White

UK

EEA

All aged >50 years*

IMGs

graduates graduates

BME

White

BME

White

BME

White

BME

White

BME

White

BME

White

Average number of doctors on the register (2010–13)

685

9,840

120

1,348

3,390

877

164

3,056

22

543

747

243

5,127

15,906

16,196

2,739

6,204

25,139

Doctors complained about

123

1,476

20

199

544

136

18

252

1

50

77

29

783

2,142

2,166

324

887

3,377

55

501

10

86

272

51

5

73

0

22

30

10

372

743

749

154

417

1,320

Warnings

2

31

0

6

11

2

3

2

0

1

5

0

21

42

40

10

24

74

Conditions

0

3

0

1

2

1

0

0

0

0

0

0

2

5

3

1

3

7

Undertakings

1

16

1

4

8

1

0

0

0

1

2

0

12

22

20

9

11

40

Erasures and suspensions

2

9

1

7

12

2

0

0

0

0

0

0

15

18

13

8

14

35

Doctors investigated

Doctors on neither register aged 30–50 years

FITNESS TO PRACTISE Average number of doctors on the register (2010–13)

Male doctors

Female doctors

UK graduates

EEA graduates

IMGs

UK graduates

All doctors EEA graduates

IMGs

BME

White

UK

EEA

All aged 30–50 years*

IMGs

graduates graduates

BME

White

BME

White

BME

White

BME

White

BME

White

BME

White

3,204

7,028

507

2,146

11,206

1,274

2,932

9,221

234

2,150

6,233

953

24,315

22,771

27,057

6,386

26,957

60,401

132

250

52

90

599

80

69

170

9

60

219

36

1,080

686

822

266

1,293

2,389

Doctors investigated

84

159

36

57

417

52

39

88

5

41

135

18

716

415

495

174

885

1,554

Warnings

10

9

2

6

40

4

0

4

0

2

11

1

63

26

41

14

91

146

Conditions

2

0

0

1

1

0

1

0

1

0

1

0

6

1

4

2

4

10

Undertakings

8

13

5

3

23

2

3

15

1

4

21

0

61

37

60

16

59

135

Erasures and suspensions

6

10

3

4

25

4

1

4

1

3

4

0

40

25

25

13

54

92

Doctors complained about

Doctors on neither register aged >50 years

Male doctors

FITNESS TO PRACTISE

BME

Average number of doctors on the register (2010–13)

Female doctors

UK graduates

EEA graduates

White

BME

IMGs

White

All doctors

UK graduates

BME

White

BME

EEA graduates

White

BME

IMGs

White

BME

White

UK

EEA

graduates

graduates

IMGs

All aged >50 years*

BME

118

1,228

100

289

2,878

513

61

1,299

24

217

871

202

4,051

3,747

4,045

1,022

6,511

11,578

Doctors complained about

15

143

18

33

317

54

2

56

2

12

51

13

405

311

334

103

588

1,027

Doctors investigated

11

68

13

18

199

37

1

24

2

7

31

6

257

160

160

61

379

600

Warnings

0

2

0

1

8

3

0

1

0

0

0

0

8

7

5

3

16

24

Conditions

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

1

0

1

Undertakings

0

0

1

1

8

2

0

3

0

0

3

0

12

6

4

2

15

21

Erasures and suspensions

1

4

2

1

17

4

0

0

1

1

0

0

21

10

11

6

29

46

* Includes those with unknown ethnicity.

15 | General Medical Council

Webappendix: The state of medical education and practice in the UK: 2014

Top 52 countries where doctors joining the medical register gained their primary medical qualification, ranked by the numbers joining in 2013 2008

COUNTRIES

Difference

% change

Number of doctors

% excluding UK

Number of doctors

2013 % excluding UK

2013–2008

2008–13

6,774

n/a

7,531

n/a

757

11%

1

UK

2

Italy

274

5.3%

616

11%

342

125%

3

Pakistan

607

12%

507

9.0%

-100

-16%

4

Greece

227

4.4%

483

8.6%

256

113%

5

India

671

13%

368

6.5%

-303

-45%

6

Spain

91

1.7%

325

5.8%

234

257%

7

Romania

235

4.5%

280

5.0%

45

19%

8

Sri Lanka

124

2.4%

185

3.3%

61

49%

9

Nigeria

325

6.2%

181

3.2%

-144

-44%

10

Ireland

109

2.1%

174

3.1%

65

60%

11

Poland

203

3.9%

170

3.0%

-33

-16%

12

Egypt

162

3.1%

152

2.7%

-10

-6.2%

13 Germany

185

3.6%

142

2.5%

-43

-23%

98

1.9%

139

2.5%

41

42%

170

3.3%

129

2.3%

-41

-24%

14

Sudan

15

Hungary

16

Czech Republic

92

1.8%

124

2.2%

32

35%

16

Australia

81

1.6%

124

2.2%

43

53%

18 Netherlands

55

1.1%

102

1.8%

47

85%

Bulgaria

122

2.3%

97

1.7%

-25

-20%

20 Portugal

28

0.5%

84

1.5%

56

200%

21

59

1.1%

75

1.3%

16

27%

22 Iraq

117

2.2%

57

1.0%

-60

-51%

23

38

0.7%

46

0.8%

8

21%

24 Malta

60

1.2%

42

0.7%

-18

-30%

25

Austria

31

0.6%

40

0.7%

9

29%

26

Russia

64

1.2%

39

0.7%

-25

-39%

26

Bangladesh

56

1.1%

39

0.7%

-17

-30%

28

Lithuania

28

0.5%

38

0.7%

10

36%

29

South Africa

49

0.9%

37

0.7%

-12

-24%

29

Switzerland

32

0.6%

37

0.7%

5

16%

29

New Zealand

16

0.3%

37

0.7%

21

131%

32 China

12

0.2%

33

0.6%

21

175%

33

Ukraine

59

1.1%

32

0.6%

-27

-46%

34

United States

25

0.5%

31

0.6%

6

24%

35

Argentina

11

0.2%

29

0.5%

18

164%

36

Nepal

25

0.5%

26

0.5%

1

4.0%

37

Singapore

8

0.2%

25

0.4%

17

213%

37

Croatia

2

0.04%

25

0.4%

23

1150%

39

Sweden

37

0.7%

23

0.4%

-14

-38%

39

Belgium

31

0.6%

23

0.4%

-8

-26%

39

Libya

26

0.5%

23

0.4%

-3

-12%

42

Myanmar

49

0.9%

22

0.4%

-27

-55%

42

Latvia

13

0.2%

22

0.4%

9

69%

44

Colombia

10

0.2%

21

0.4%

11

110%

45

Syria

40

0.8%

19

0.3%

-21

-53%

45

Canada

13

0.2%

19

0.3%

6

46%

47

Iran

45

0.9%

18

0.3%

-27

-60%

48

Brazil

16

0.3%

17

0.3%

1

6.3%

49

Denmark

18

0.3%

16

0.3%

-2

-11%

50

Jordan

31

0.6%

15

0.3%

-16

-52%

50

Malaysia

13

0.2%

15

0.3%

2

15%

50

Venezuela

1

0.02%

15

0.3%

14

1400%

Total

4,894

94%

5,338

95%

444

9.1%

Total (all countries excluding UK)

5,204

100%

5,619

100%

415

8.0%

Total (all countries including UK)

11,978

230%

13,150

234%

1,172

10%

19

France

Slovakia

16 | General Medical Council

Webappendix: The state of medical education and practice in the UK: 2014

Proportions of specialists complained about by gender and place of primary medical qualification 2010–13

SPECIALTIES

Number of specialists

Proportion of male specialists complained about

Proportion of female specialists complained about

Male

UK graduates

UK graduates

Female

EEA graduates

IMGs

EEA graduates

IMGs

Psychiatry

4,732

3,167

22%

20%

19%

12%

10%

13%

Obstetrics and gynaecology

2,012

1,530

19%

10%

18%

10%

6.0%

13%

Occupational medicine

340

141

19%

*

*

11%

*

*

11,205

1,130

16%

9.4%

15%

6.9%

4.7%

15%

Ophthalmology

1,506

509

13%

5.2%

12%

8.7%

3.2%

5.6%

Paediatrics

2,428

2,324

11%

5.5%

9.2%

6.2%

3.1%

7.9%

11,429

5,055

11%

6.9%

9.9%

5.4%

3.9%

4.3%

Emergency medicine

1,176

489

9.5%

7.4%

12%

3.5%

*

*

Radiology

3,339

1,766

5.9%

5.4%

5.3%

4.0%

3.1%

4.4%

Pathology

1,737

1,243

5.3%

4.8%

3.7%

1.7%

4.9%

2.8%

Anaesthetics and intensive care

6,382

2,885

4.5%

4.6%

5.4%

2.4%

3.8%

3.0%

499

488

3.8%

*

*

2.7%

*

*

Surgery

Medicine

Public health

*Cohort of doctors was too small to calculate a representative percentage.

17 | General Medical Council