Klaus Schiller: Pioneering Physician And Gastroenterologist

Talk of the town: Is gossip a good indication of character?

Truelove had acquired the first flexible fibre-optic gastroscope capable of taking biopsies under direct vision, and together they pioneered its early use. Some conservatives opposed them, but they soon demonstrated that it allowed for safe and non-invasive investigations that frequently obviated the need for surgery. In 1967, Schiller was appointed consultant physician to St Peter’s Hospital, Chertsey, where he developed a thriving endoscopy unit. His interest led him to make contact with other aspiring endoscopists and the formation of the British Society for Digestive Endoscopy (BSDE), an influential organisation that campaigned successfully for NHS support. With Truelove as president and Schiller as honorary secretary, training courses flourished and regular national and international conferences ensued. While at St Peter’s, Schiller found himself increasingly at odds with what he regarded as political and managerial interference. A passionate supporter of the founding ideals of the NHS, he had no time for Thatcherite fads: he refused to write a “mission statement”, declaring that he was a doctor, not a missionary. Nevertheless, he made a major contribution to the growing reputation of the hospital, especially in gastroenterology and endoscopy. He also established a successful private practice. Schiller was a remarkable stylist and wrote a number of papers and chapters in books, and edited and contributed to three endoscopy-related volumes. The most significant was A Colour Atlas of Gastroenterological Endoscopy (1986, revised 2002). The BSDE was subsumed into the BSG (British Society of Gastroenterologists) and Schiller was elected its vice-president. Schiller was a man of wide-ranging interests. He had a passion for the natural world the wildflowers of the Austrian Alps, migrating birds in Norfolk, and his garden in Oxfordshire.

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CORPAK Acquires Merck Serono’s UK Gastroenterology Sales and Distribution Operation

Merck Serono had previously served as CORPAK’s distribution partner for the region. “The acquisition of the Merck Serono gastroenterology business strengthens our presence in Europe and our direct operation will support high levels of customer service and continued growth,” says Tom Kuhn, President of CORPAK. “I would like to thank the employees at Merck Serono for their support in building the CORPAK business in the UK and Republic of Ireland.” “The gastroenterology business is a strong and growing operation in the UK and Ireland, but Merck Serono has made a strategic decision to focus on our core pharmaceutical business,” explains Charles Dring, Commercial Director of Merck Serono Limited. “We have been working very closely with CORPAK to make the transition as seamless as possible for our customers.” There will be no change to the product range and all CORPAK products will continue to be available on the current codes and prices. The acquisition keeps relationships with existing sub-distributors unchanged. “We are especially pleased to be able to welcome the gastroenterology employees from Merck Serono to the CORPAK family,” says Jeff Blair, CEO of CORPAK. “We are confident that the UK and Ireland team will continue the history of excellence and dedication that has benefitted our customers in the past.” “This acquisition represents an important step in expanding our international presence and we look forward to continuing to provide our innovative, quality products to the European market,” added Eric Larson, Chairman of the CORPAK Board. CORPAK MedSystems UK ( http://www.corpakmedsystemsuk.com ) Tel: +44 (0) 129 380 4769 Fax: +44 (0) 129 380 4770 E-mail: info@corpakuk.com About CORPAK MedSystems, Inc. ( http://www.corpakmedsystems.com ) CORPAK MedSystems, Inc. is a leading developer, manufacturer, and marketer of innovative medical devices focused on the enteral-feeding and bedside-location markets, including the company’s flagship CORTRAK computer-guided system that enables real-time visualization of the feeding-tube tip during placement. The company has established the leading market position in premium branded, adult, long-term nasogastric feeding tubes and offers a broad portfolio of other high-quality enteral products, including gastrostomy feeding tubes, gastric-pressure relief devices, and enteral-feeding safety devices. Founded in 1979, CORPAK was acquired by Linden Capital Partners in August 2008 from Cardinal Health. The company has recently moved to a new state-of-the-art facility just north of Chicago in Buffalo Grove, Illinois. Mergers, Acquisitions & Takeovers

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‘don’t Ignore Stomach Pain And Indigestion’

Supine GERD patients with large breaks experienced higher acid exposure, prolonged bolus clearance

He said that Korea had high incidence of gastric cancer in the world. More than 60 per cent of it had been detected at an early stage as there was awareness about the disease among the people. We have high incidence of gastric cancer in Korea because people use a lot of salt in their food. Thirty years ago, only 20 per cent of cases were detected early. Today, after creating awareness through mass media and offering free screening for people, more than 60 per cent of cases are detected early. People in Korea get screened once in every two years, the professor informed. In India, 90 per cent of cases are detected when the cancer is at an advanced stage. Thats the big problem. The doctors find they cant do anything about the cancer only after they open the stomach during surgery, the professor added. Pointing out that there was lack of awareness on gastric cancer in India, the professor warned that people should not ignore symptoms of abdominal pain, indigestion, loss of appetite or black stool, and consult a doctor immediately. He further advised that people should go for endoscopy or gastroscopy for early diagnosis. The best way to save yourself from gastric cancer is to avoid salty food, eat fresh fruits and vegetables, stop smoking and drinking, Yang advised. The professor clarified doubts pertaining to gastric cancer when he spoke about lifestyle changes that could lead to gastric cancer. Smoking and alcohol consumption are dangerous. Especially smoking, it has all kinds of carcinogens that affect not only the lungs, but also the stomach and bladder.

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Researchers used high-resolution manometry to study the esophageal motility of 40 patients (mean age, 44 years; 26 women) with recurrent gastroesophageal reflux disease ( GERD ) symptoms but no evidence of hiatal hernia. All patients had at least two incidents of vomiting weekly and/or heartburn that lasted for more than 6 months. Patients extended breaks of esophageal peristalis and delayed bolus clearance also were measured by 24-hour multichannel impedance-pH to determine if a relationship existed. Both total bolus clearing time, while patients were in upright and supine positions, and acid exposure time (AET) were assessed during the 1-year study. Among the GERD patients, 23 displayed a pathological AET (mean, 10.8%), while the others exhibited normal pH. Fifteen of the patients had erosive reflux disease (ERD), including 10 who had an abnormal number of small or large breaks (P<.05). Researchers determined that patients who had an excessive number of esophageal peristalsis breaks, assessed by manometry, had significantly longer prolonged reflux clearance while in the supine position along with greater AET. Patients with ERD exhibited more esophageal breaks, which researchers said, may possibly cause erosions. These findings might explain, if confirmed by outcome studies, that weak peristalsis together with other factors, is involved in the development of erosions of the esophageal mucosa and further confirm the need [for] more effective prokinetic drugs, the researchers concluded. Disclosure: The researchers report no relevant financial disclosures.

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Canadian Doctors Demand More Pay

He said that among Western nations only Britain spent less than this and that the United States devoted about 10 percent of its G.N.P. to health care. Ottawa Cuts Contributions With inflation running high and the federal Government anxious to keep its deficit down, the 10 provinces, which are responsible for their own health systems, are undergoing a particularly tight financial squeeze this year. Ottawa has cut the rate of growth of its contributions to the provinces for health care by about 15 percent. Well before the cuts, doctors’ incomes were losing ground to those of other professional groups, the Medical Association says. It cited tax figures indicating that between 1971 and 1977 lawyers, dentists and accountants increased their incomes at a much faster rate than doctors. In Ontario, according to an association spokesman, the average net income for a doctor is about $53,000 a year. The doctors want their yearly incomes increased to well over $100,000 in some cases, and Mr. Geekie acknowledged that it was difficult to get support for this from ordinary Canadians making much less. Talks Break Down, Then Resume Ontario doctors were particularly upset last week when the provincial government tried to impose new fee schedules when negotiations with their representatives broke down. Although there have been further talks since then, many doctors saw the government’s move as the start of a process that could lead to state medicine and the transformation of doctors into salaried civil servants. The present Ontario fee schedule allows about $7.80 for an ordinary office visit, about $114 for an appendectomy and about $230 for complete obstetrical care over 11 months. Ontario has been proposing to raise these fees by some 10 percent a year over three years, while the Ontario Medical Association has been demanding twice that amount so doctors can ”catch up” with inflation. Talks in the last few days have narrowed the gap somewhat, and there was a possibility of an accord over the weekend. In Ontario 15 percent of the doctors do not participate in the system at all and charge what they like.

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Doctor Who: Vastra, Jenny And Strax To Return In Series 8

Patients need to be ‘Equal Partners’ with Doctors to get Treatment

That’s right folks – while filming has only just begun for the new series of ‘ Doctor Who ‘ it looks as though fan-favourites, The Paternoster Gang, will be back on our screens. And it’s going to be another Victorian episode for The Doctor. But how will they get along with The Doctor’s new face? I get the feeling Peter Capaldi is going to fit right in [ Doctor Who: The Day of The Doctor is here ] Appearing on location for the first time this series, the ‘Doctor Who’ crew rolled up at The Maltings in Cardiff to recreate a sort-of Victorian train platform and while a number of extras were spotted sporting period costumes (including dapper waistcoats and even pocket watches) it wasn’t long before The Paternoster Gang were spotted on set. Of course, the fan-favourites were quickly ushered into the relatively-closed set for filming. And while many were able to catch a glimpse of the action from adjacent offices, not much could be seen from the ground. #DWSR another pic taken from filming at my place of work today! #Vastra makes her appearance!! pic.twitter.com/hE78UBPEnV – Simon Clements (@BlueBotDesign) January 7, 2014 But that didn’t stop us from nabbing a few pictures of Madame Vastra, Jenny and Strax as they left the set and headed back to the production base still adorned in their full make-up. [ Doctor Who: Jon Pertwee was my first Doctor ] While they only stayed at the location for a single morning of shooting, there was plenty of excitement as fans reportedly saw smoke emanating from one of the windows and heard loud bands from within. And in the chaos, it seems there was one man who went completely un-noticed – a British actor by the name of Richard Harrington.

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Strax takes a moment to stop for the fans.

United Kingdom Professor David Haslam, chairman of the National Institute of Health and Care Excellence (Nice), has noticed a lot of difference between American and British patients’ behaviour. Prof. Haslam has worked as a doctor near an American air force base in Cambridgeshire. While working there, he has observed that American patients always wanted to know more about their treatments and what else they can do to improve their health. But such a thing has not been seen among British patients. British patients are more dependent on doctors to help them in bettering their plight. Prof. Haslam has suggested patients to be ‘equal partners’ with doctors when seeking treatment. The former GP also wants that people should have better understanding about drugs and treatments they take. Knowledge of the same will help people work better with their doctors to seek more effective treatment for their conditions. It has also come into his notice that 33% of kidney cancer patients and one in three motor neurone disease patients are not being able to get drugs that they require. An investigation into the matter is being carried out to know the truth. “When products have been approved for use by the NHS by Nice, patients have a legal right to those drugs – as long as they are clinically appropriate”, said the former GP.

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‘surplus’ Of Medical Specialists In Canada No Surprise

Canada to Host World’s Medical Specialists

Once you consider this fact, the startle factor disappears. Canada now has at least 85 per cent more new physicians ready to enter practice each year, on average, than physicians retiring. And this is before considering those Canadians who have gone to medical schools abroad and then returned hoping to practice in Canada, or the influx of medical graduates from other countries. Their numbers have also increased dramatically over the past decade, and there is considerable pressure, particularly from Canadians who have gone abroad for training (currently about 3,500, with more joining every year) and organizations representing them, to increase numbers even further. It is not that the one in six implies that Canada now has an overall surplus of specialists, any more than the widespread claims of shortage in the mid-1990s meant we then had an overall shortage of physicians. Both then, and now, we have, rather, an inability or unwillingness as a country to develop plans and policies designed to train and deploy physicians in a sensible manner. The report was, however, correct in noting that there is no quick fix here. The Royal Colleges plan to convene a meeting early next year to discuss a nationally coordinated approach to health system workforce planning may be a useful start. It is difficult to imagine the recommendations that might emerge from such a meeting being worse than the current uncoordinated mess. At present, policy decisions, or often the lack thereof, are failing to meet the needs of new trainees or of patients. For example, there are no national (and few provincial) mechanisms in place to channel new graduates into the specialties where they are likely to be most needed rather than into the specialties most needed by teaching hospitals or most favoured by students. And despite the fact that we live in a hyper-active era of tweets and blogs in which the new generation seems to be constantly connected, there is no structured electronic meeting place for job hunters and job seekers. New graduates are somehow failing to figure out where the jobs are (and there are, in fact, plenty of communities desperately seeking specialists). In some cases, at least, the new specialists are simply the victims of the completely predictable fallout from that earlier medical school expansion.

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The beautiful city of Vancouver, B.C. will welcome the world’s dermatology community as it hosts the 23rd World Congress of Dermatology in 2015. The Canadian Dermatology Association is delighted by the announcement that delegates at the 22nd World Congress of Dermatology (WCD) in Seoul voted to see the largest conference of dermatologic specialists come to Canada. Other locations that were in the running to the host the 23rd WCD included Rome, Vienna, Istanbul and Bangalore. “The Vancouver Bid Committee has worked tirelessly over the last three years attending countless dermatology meetings and strengthening international relationships in order to put a face to the Canadian bid,” says Dr Ian Landells, CDA President. The theme for the Vancouver WCD will be A Global Celebration of Dermatology and will mark the first time the conference has ever been held in Canada. To encourage participation from dermatologists around the globe, the Committee established a comprehensive scholarship program targeted at dermatologists and trainees from developing countries who might otherwise be unable to attend. “Vancouver is a dynamic, multicultural city in a spectacular natural environment and we’re honoured our colleagues around the world elected to use it as the setting for the 2015 World Congress of Dermatology,” says Dr Jerry Shapiro, Vancouver Bid Committee President. Canada’s dermatologists and their supporters will be taking time to celebrate this well-earned victory at the WCD Gala in Seoul before returning home to begin planning for the 2015 WCD. About CDA The Canadian Dermatology Association, founded in 1925, represents Canadian dermatologists. The association exists to advance the science and art of medicine and surgery related to the health of the skin, hair and nails; provide continuing professional development for its members; support and advance patient care; provide public education on sun protection and other aspects of skin health; and promote a lifetime of healthy skin, hair and nails. For further information:

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New study shows 1 in 6 newly graduated medical specialists can’t find work

Australia, Britain and the U.S. all have such an entity. The report pointed to a number of factors that have contributed to the oversupply of specialists. Poor stock market returns in recent years have meant that some older doctors most of whom must finance their own pension plans have delayed retirement. And there has been a realignment or rationalization of tasks in health care, with nurses and physician assistants taking on responsibilities that were once left to doctors, freeing them up to do some tasks that used to fall to specialists. That effect, which Lewis called sensible, will only accelerate as less invasive treatments are brought on line. For instance, angioplasty opening blocked cardiac arteries with balloons and stents has replaced many open heart surgeries to bypass blocked arteries. Lewis suggested the cycle of training specialists which typically takes about nine years is out of sync with the cycle of assessing future medical system requirements. Forecasting health human resource needs more than three or four or five years out is a fools game, because medical science changes, health needs can change, technology can change and so on. But Frechette said there are some low hanging fruit problems that should be relatively easy to address. For instance, her study noted there are jobs going for the asking. And yet while it seems inconceivable in the era of Craigslist and LinkedIn, doctors are having a hard time finding these help wanted ads. Our research did discover that there are a lot of people who cant find jobs, including orthopedic surgeons who would gladly go to where the jobs are, but they dont know where they are, she said. Lewis said there are some other adjustments the system should consider. One is shortening the period of time it takes to train a specialist, which would allow planners to adjust the course more quickly if it appeared that a glut of doctors was forming.

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Neonatal Specialist Named Act Australian Of The Year

Neonatal specialist Zsuzsoka Kecskes was named as the ACT Australian of the Year in a ceremony at the National Arboretum.

“We need to look after them and look after the families that care for them in the future and they will grow up to be the Australians that shape this nation.” Dr Kecskes’ research into babies who have suffered a loss of oxygen during birth continues to guide the treatment of newborns around the world. The Clinical Director of Neonatology also helped design and develop the recently built neonatal intensive care unit at Canberra’s new Centenary Hospital for Women and Children. Supporting servicemen and women Veterans’ campaigner Graham Walker has been awarded the ACT Senior Australian of the Year 2014 title for his work supporting returned servicemen and women. Mr Walker served for 21 years in the Army including the Indonesian Confrontation and the Vietnam War. During the 1980s, Mr Walker worked with the Vietnam Veterans Federation of Australia, to help thousands of veterans to receive their entitlements. He also advised governments, authored research and campaigned for the official history of the chemical Agent Orange to be rewritten. Now aged 74, Mr Walker hopes his support will ensure that the Vietnam veterans’ story is faithfully captured for future generations. Increased access The ACT Young Australian of the Year 2014 is a disability advocate keen to break down the barriers. Photo: ACT Young Australian of the Year winner Huy Nguyen is passionate about improving building accessibility for people in wheelchairs. (ABC News) Huy Nguyen, 29, was born in Vietnam and contracted polio when he was 18 months old. Since then he has used a wheelchair to get around and is passionate about engineering designs to assist people with disabilities to access buildings. Mr Nguyen is the founder of Enable Canberra, an online resource which helps people to plan their visits to Canberra’s national institutions. He has also taken his unique perspective overseas as the founder of Enable Development. Mr Nguyen has facilitated disability programs in the Solomon Islands and Timor Leste to help break down the barriers stopping people with physical challenges from moving about. A special mother This year’s ACT Local Hero is a woman who has adopted four children with special needs.

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Melbourne Medical Specialists with Extensive Waiting Lists – How to Shortcut The List and See a Specialist Faster

Parnis. Gallstones need quick action to prevent infections from putting a patients life at risk. The more the delays occur in that area, the more it impacts on the individuals health and adversely affects other parts of the hospital. People who are outpatients too long could end up in already overcrowded hospital emergency departments.* Victorian father and founder of a search engine to find Melbourne medical specialists I Need A Specialist, Darren Lemin says, This is exactly why we created our search engine that links patients in need with qualified and respected medical specialists in Melbourne who dont have such ridiculous waiting lists. The problem is that a high amount of GPs are referring patients to just a small number of specialists, but realistically there are many more specialists available and the patient has a right to have access to health care sooner. http://www.ineedaspecialist.com.au/ Darren was diagnosed with Acute Myloid Leukaemia 13 years ago. With a wife and 3 children all under the age of 8, it was one of the scariest times of his life. Darren was completely in the hands of the local GP who referred him to the best specialists in the field, and luckily for Darren he has been in remission ever since. But his health scare prompted a commitment from Darren and his family to spend the rest of their lives giving back to others. Darrens wife Michelle has now been working in the health industry for 15 years, and each time family or friends have had health issues they turned to Michelle to see what she could do to help them, who she recommended they saw, and sometimes she could even link them with Melbourne medical specialists that had shorter waiting lists than their GP-recommended specialist. This got Darren thinking, wouldnt it be great if everyone had access to this sort of information and contacts that are usually exclusive to people working in the health industry? http://www.ineedaspecialist.com.au/ Darren launched the online search engine for medical specialists I Need A Specialist to provide patients with options that he knows he wouldve appreciated when he was battling cancer. Patients using the I Need A Specialist service have reduced waiting times for initial appointments from 3-6 months, to under two weeks.

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Uk Has Fewer Doctors Per Person Than Bulgaria And Estonia

UK welcomes 51 Indian doctors to ease doctors’ shortage

Union minister Shashi Tharoor in an ambulance...

The figures, showing the number of physicians practising in all EU countries during 2010, come after a string of events which critics say show the NHS faces a staffing crisis. Related Articles Head to sunny Dorset for a little ‘re-abling by the sea 25 Jul 2013 Last summer MPs on the Health Select Committee warned that only one in five casualty wards in England had enough consultants on duty, leading it to conclude that A&E departments are in crisis. Rehana Azam, GMB National Officer for the NHS said: “Enough is enough, there can be no more cuts to budget or staffing. “There is so much pressure on NHS staff because of the shortage and the huge number of patients they treat. It’s extremely worrying, particularly as we are facing the toughest winter in years. Dr Paul Flynn, Chair of the British Medical Association Consultants Committee, said: Policy makers need to get a grip on NHS workforce planning. Projected imbalances between different specialties will have serious implications for patient care and we are already seeing the effect of staff shortages in key areas such as emergency care. In addition, despite the pledge to protect front-line services, many employers in the NHS are freezing recruitment in response to financial pressures. Dr Flynn said that staffing levels must be aligned to meet the changing demands of patients and address issues such as workload pressures and work-life balance that might be deterring medical graduates. Doctors in the NHS face increasingly challenging, high pressured and stressful work environments, often with limited resources and gruelling workloads. Only by making working practices and environments safe and sustainable will the NHS be able attract and retain the required number and mix of doctors, he said. According to OECD data, the number of doctors per head of population in the UK has been increasing from just 1.9 per 1,000 in 2000, when European average stood at 2.9. The UK has seen more rapid growth than others, narrowing the gap against the European average, which had grown to 3.4 per 1,000 in 2010.

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Philippines typhoon: UK doctors speak from storm-hit country

A make-shift hospital waiting room in a damaged building in the Philippines

That will start taking its toll. “It’s the lack of medication and care,” Dr Hall says. “But also any event that puts such a stress on the population, you do see a rise in heart disease and stroke.” Treating infected wounds is a top priority for medics in the Philippines Thousands have been treated by medics from the Philippines and abroad Many people in the Philippines are still desperate for help According to the WHO, 28 international medical teams are currently in the Philippines but only eight of these have started work. At 21:00 GMT on Sunday, the WHO said another 14 were expected to be operational “in the next 48 hours”. It says the Philippines government does not need any more foreign medical teams now, but will call on countries in the coming weeks to provide relief for current teams. One of the foreign medical teams is from the UK, sent by the Department for International Development. Many children in the Philippines are in need of treatment Half of the 12-strong team is now on board HMS Daring, which is heading to remote islands off the north of Cebu, where there has been limited medical help so far. The other half is heading for Tacloban, the scene of some of the worst devastation, where the medics are expected to arrive on Monday. Orthopaedic surgeon Dr Steve Mannion, a member of the team which left the UK last week, says they have been told what to expect in Tacloban. “There are people presenting with very badly crushed lower limbs which may need amputation,” he says. “A week after the typhoon people are presenting with very, very badly neglected septic wounds and there have even been three deaths from septic wounds in the last few days.” Many in Tacloban and in other more remote areas have still not received the medical care they so desperately need. Treating infected wounds remains a top priority to stop more people losing limbs, or dying from sepsis.

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Some senior NHS doctors are claiming more than £150,000 in overtime to care for patients out of hours, it has been disclosed.

The doctors recruited in India will hold middle grade positions. India has long been a source of medical professionals for Britain, but the recruitment of Indian doctors was reduced to a trickle after 2006 when tighter rules prevented doctors from non-European Union from taking up training jobs in the NHS. The 51 Indian doctors have been recruited by the Wales deanery on a two-year contract, which will not lead to settlement. Leona Walsh, who led the recruitment drive and is performance manager at Cardiff University’s school of postgraduate medicine and dental education, said: “All the doctors we interviewed said the reason they were after these jobs was because of the experience of working abroad.” “More than 40 per cent of doctors working in Welsh hospitals are from overseas, which is a very large contingent. I think most patients are quite used to seeing doctors from other cultures and backgrounds within Welsh hospitals.” The first contingent of Indian doctors is expected to arrive in Wales in August and will be posted at various hospitals there. The 51 doctors have two years’ experience in their chosen speciality in India. They have been recruited from a number of specialities, including paediatrics, A and E, general surgery, trauma and orthopaedics and obstetrics and gynaecology. They will complete the necessary exams to ensure they have the right qualifications to work in Wales and register with the General Medical Council. A Welsh Assembly Government spokesman said: “We are working with health boards, the Wales Deanery and the BMA to find ways to recruit and retain doctors in Wales and promoting Wales as a place to live and work.” He added: “As part of this, the Wales Deanery, along with a number of deaneries in the UK, has been to India recently to recruit middle-grade doctors. Fifty-one doctors were identified for Wales and were successful at interview. The necessary arrangements for them to begin their employment here are currently being made.” Since 2006, the tighter rules have led to an acute shortage of junior doctors, leading to some local hospitals closing down specialities and emergency divisions. An Indian doctor holding a senior position in the NHS told PTI: “Many Indian doctors who were training here returned home when immigration rules were tightened in 2006, and media reports in India about the rules stopped many from coming here.” He said even though some deaneries were now recruiting from India, not many Indian doctors would be interested because immigration rules prevented them from staying for more than two years. This short period would prevent them from having a career in the NHS, he said. Given the acute shortage of doctors, the Department of Health is reported to be in favour of relaxing visa norms for Indian and other non-EU doctors, but immigration policy is the domain of the Home Office, which so far has not indicated any possibility of change. The Home Office is currently headed by Conservative leader Theresa May (Home secretary) and Damian Green (Immigration minister).

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