The Royal College of Physicians (RCP) recently hosted a Meet your president session for international medical graduates (IMGs). Joined by Dr Mo Aye, interim RCP associate global director for IMGs, RCP president Professor Mumtaz Patel chaired a wide-ranging discussion about access to medical training, career progression and wider workforce challenges.
A key theme was fairness in recruitment and training, particularly following the passing into law of the Medical Training (Prioritisation) Act. Attendees called for a consistent and transparent approach from the government. Mumtaz acknowledged the challenges. ‘The implementation definitely matters now,’ she said, adding that, ‘it shouldn’t be about immigration status – it should be about NHS experience and ensuring that IMGs are supported and able to progress.’
Participants also highlighted variation in access to training, supervision and development opportunities, especially for locally employed doctors and those outside formal training pathways. Doctors spoke candidly about barriers to progression, including limited access to structured support and difficulties navigating alternative career routes.
Several people stressed that many IMGs start at a disadvantage and need more consistent mentorship and guidance to succeed. Mumtaz agreed that earlier, more structured support is essential. ‘If that support is delivered early, some of the later issues can be avoided and progression can be maintained,’ she explained.
The session also highlighted ongoing college work to improve support for IMGs, including RCP educational and carer support guidance for doctors and employers and resident doctor engagement with the national medical training review through the RCP next generation campaign.
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Members reflected on the cultural and professional adjustments required when entering the NHS, including differences in communication, expectations and workplace culture. One participant described this as a ‘cultural blueprint shift’, highlighting how these factors can influence progression. The discussion also explored differential attainment, with a focus on better understanding lived experience alongside existing workforce data, and ensuring targeted, evidence-based interventions.
Mumtaz highlighted the RCP’s new strategy, launched in May 2026, which focuses on supporting doctors at every career stage and strengthening education and training. ‘We want to support our membership and lead our community through every career stage,’ she said. ‘And ensure that you have a voice to shape the future of your own journey and of medicine more widely.’
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Closing the session, she encouraged members to remain engaged and continue sharing their experiences. ‘Your views matter – it’s all about your stories,’ she explained.
