Starting in the NHS as an International Medical Graduate: A Guide to Wellbeing and Adaptation

Moving into a new healthcare system can be overwhelming. Many international medical graduates face this reality when joining the NHS. Whether you’re starting as a Junior or Senior Clinical Fellow, adjusting to unfamiliar systems, protocols, and environments can be very challenging and stressful.

In this article, we’ll explore strategies for managing change, staying safe, and maintaining your mental health and well-being as you transition into your new role.

1. Care for Yourself as You Would for Others

As healthcare professionals, we often prioritise the needs of our patients over our well-being. However, if you do not care for yourself, it can lead to burnout, ultimately impacting the quality of care you provide. Recognising the importance of self-care is crucial for your long-term success and satisfaction in your career.

2. Make use of the Induction Courses on ESR

During your induction, you’ll be introduced to mandatory courses that familiarise you with your trust’s electronic systems and care pathways. But beyond these essentials, the Electronic Staff Record (ESR) platform offers a wide range of free courses that can further enhance your knowledge. Explore modules on topics like wellbeing, adult and child safeguarding, organ donation, and palliative care. These courses can broaden your knowledge, making you more comfortable in your new role.

3. Utilise Local Wellbeing Resources

Every NHS trust offers well-being resources to support staff, from free counselling services to mental health referrals. These resources can be invaluable if you find yourself feeling overwhelmed or stressed. Do not hesitate to explore these options, they’re designed to help you maintain your mental wellness.

4. Make Use of Wellbeing Apps like Headspace

Did you know that NHS staff can access wellbeing apps like Headspace for free? These tools offer meditation, mindfulness exercises, and stress management strategies tailored to healthcare professionals. Incorporating these into your daily routine can help you manage the demands of your role and prevent burnout.

5. Take a Break and Explore the UK

While it’s easy to get caught up in work and admin tasks during your free time, it’s essential to disconnect and enjoy life outside the hospital. The National Trust app is a great resource for finding beautiful natural spots across the UK which can be perfect for a weekend escape or a casual stroll to recharge.

6. Don’t Hesitate to Ask for Help

One of the key traits of a successful doctor is knowing when to seek advice. Whether you’re unsure about a clinical decision or navigating a new protocol, never hesitate to ask a colleague or senior for guidance. Proactively seeking support can prevent mistakes and help you grow in confidence.

7. Keep Your Life Support Training Up to Date

Although not mandatory for every role, staying current with courses like Advanced Life Support and Basic Life Support is critical. These practical resources ensure you’re prepared to respond to emergencies appropriately, keeping you level-headed.

8. Grow at Your Own Pace; Your Journey is Unique.

It can be tempting to compare yourself to colleagues who seem more experienced or confident, but it’s important to remember that true progress is personal. Set realistic goals and celebrate your growth, no matter how small. Compare yourself to who you were yesterday and not to someone else.

9. Tap into Your Hospital Library

Your hospital library is a treasure trove for expanding your medical knowledge. Beyond textbooks and journals, many libraries offer self-help books like the “Reading Well” series, which can support your mental health. Becoming a member can help you stay updated with medical advancements while also nurturing your well-being.

10. Add Exercise and Meditation into Your Routine

Regular physical activity, whether it’s jogging, Pilates, or weightlifting has proven mental health benefits. Choose something you enjoy and make it a part of your routine; it will help you manage stress and maintain a healthy work-life balance. Complement this with meditation or mindfulness practices to cultivate inner calm.

11. Reflect and Grow with Journaling

Journaling is a powerful tool for processing your daily wins and lessons. Jotting down what went well and areas where you can improve can offer valuable insights into your progress. Over time, this habit can boost your self-awareness and reveal new growth opportunities.

12. Peer Support is Your Superpower

Join the mess at your local trust, meet other international medical graduates or junior doctors, and discover online international medical graduate forums. These resources not only will provide you with real-life experience and advice but also ensure you build lifelong friendships along the way

Conclusion

Adapting to a new healthcare system, particularly the NHS, can be a steep learning curve for international medical graduates. However, by taking advantage of available resources, and caring for your mental and physical well-being, you’ll not only survive but thrive in your new environment.

So take a deep breath and savour the journey!

Written by Mr Peter Labib (Vascular SCF)

Reviewed and Edited by Dr Sithhipratha Arulrajan (FY3)

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