Abstract

We have pondered the BMJ 's coverage of the UK's crisis in specialist training. Our critics might characterise it as too much too late: too much for readers outside the UK, too late to have influenced decisions being made behind closed doors and to mitigate some of the heartache, upset, and upheaval. Amid the long list of factors that contributed to the tsunami of MMC and MTAS (well described by Madden and Madden recently: BMJ 2007;335:426-8 doi: 10.1136/bmj.39300.591632.DE) one factor has been studiously avoided in most discussions—medical immigration. Difficult though it is to raise, it cannot be ignored. We decided a few months ago to commission …

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