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5 May 2025

An internationally trained doctor brings professional knowledge and experience to the NHS, while still needing time to learn the details of a different system. The Welsh pilot described in this feature focused on making that transition more structured and supportive.

Learning the local context

Referral routes, electronic records, clinical protocols and professional responsibilities can differ between countries and organisations. An induction gives new colleagues a place to explore those differences without assuming that unfamiliarity with a process reflects a lack of clinical skill.

Practice and conversation

The approach included shadowing, workshops, simulated scenarios and opportunities to meet peers. Those activities served different purposes: seeing how a team works, discussing expectations and practising decisions in a local context.

Support after the first few days

Supervision, feedback and pastoral support were also part of the model. Questions often emerge only after someone has begun working, so a continuing point of contact can be more useful than a large amount of information delivered once.

Belonging and retention

A welcoming induction benefits the whole team by creating clearer expectations and routes for asking questions. Supporting internationally trained colleagues means recognising what they already contribute while giving them the local knowledge and relationships needed to work with confidence.