The General Medical Council (GMC) has published a final report on an independent review it commissioned in order to identify whether there was evidence of discrimination against international medical graduates of British black and minority ethnic graduates in the Membership of the Royal College of General Practitioners (MRCGP) examination set by the Royal College of GPs (RCGP).

The GMC said the review, led by the University of Manchester’s Professor Aneez Esmail, who has written extensively on racism in medicine, ruled out bias in the examination, but a number of recommendations highlighted the need for more diverse examiners and more support for overseas GP trainees.

However, another version of the research published in the British Medical Journal (BMJ) made the slightly differently worded conclusion that “subjective bias due to racial discrimination” in the clinical skills assessment (CSA) may be a cause of higher failure rates for UK-born ethnic minority and international candidates taking the exam.

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