We're on your side
In November 2025, MDDUS brought together doctors, educators, regulators and support organisations for a dedicated IMG Conference focused on the lived experiences of International Medical Graduates (IMGs) working across Scotland’s NHS. As hosts, we set out to create a space for honest discussion about the challenges IMGs face, from adapting to new clinical environments to navigating cultural, organisational and regulatory expectations. The event made one thing clear: supporting IMGs effectively is essential to a fair, safe and thriving health system.
Insight from Dr Naeem Nazem, Head of Medical at MDDUS
Drawing on his long-standing work supporting IMGs across the NHS, Dr Nazem reflected on the themes that emerged throughout the event:
“I have worked alongside International Medical Graduates throughout my career. They arrive here with skill, resilience and ambition, yet face the challenge of adapting to a new country, a new culture and a new health system. And all while trying to prove themselves from day one.”
Dr Nazem noted that many IMGs continue to experience unsympathetic attitudes or bias. Recent MDDUS insight shows that 58% have experienced racist microaggressions, with many choosing not to report them. These pressures are real, shaping confidence, wellbeing and progression and reinforcing why a consistent, compassionate approach is needed.
Across discussions, several clear themes emerged:
Everyday challenges outside work
such as housing, transport and induction—can have a significant impact during the transition to life in the UK.
Systemic issues, not ability
drive many of the attainment and cultural barriers IMGs face.
Trust, fairness and consistent guidance
remain critical concerns, particularly around raising issues and navigating early career uncertainty.
Supervisors need clearer tools
time and support to guide IMGs effectively.
What needs to happen next
The conference reinforced the need for:
Standardised approach
A national, standardised approach to IMG induction with earlier access to help, before issues escalate
More support
Stronger, better-supported supervision
Processes
Clearer, fairer local processes to build confidence and trustMDDUS continues to support IMGs directly and use our insight to help shape meaningful, practical change across the system.
Watch the highlights from the event below:
Free webinar for MDDUS members
This hour-long webinar is available on-demand and draws on MDDUS advisory and case experience, our own commissioned research, and our experience in delivering CPD to senior clinicians, helping them develop as inclusive leaders.
Watch now
About MDDUS
We are a mutual, not-for-profit defence organisation founded by and for healthcare professionals. Our doctors are experts in the medico-legal field.
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Who?
We offer access to professionally trained advisers 24 hours a day – 365 days a year – and legal support and indemnity against claims of negligence.
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What?
We exist to support and protect healthcare professionals throughout their career.