Clinical Attachments (Observerships) and the GMC

IMGs can observe medical processes in the UK, particularly in the NHS, under the supervision of a consultant. ​Initially, IMGs cannot make clinical decisions or give advice. ​ After observation, they may take on limited duties, such as:

➽ Observing consultations

➽ Clerking (patient administration) ​

➽ Taking patient histories ​

➽ Physical examinations (under direct supervision) ​

➽ Observing surgery

Clinical Attachments for Doctors with Undertakings/Conditions:

Used as a way to reintroduce clinical duties after being out of practice. ​ Supervised by a named clinical supervisor, with duties aligned to restrictions or requirements. ​ There is to be an initial observation phase, followed by limited duties after a risk assessment, including:

➽ Observing consultations

➽ Clerking

➽ Taking patient histories ​

➽ Physical examinations (under direct supervision) ​

➽ Observing or assisting surgery (under direct supervision) ​

Clinical Attachments for Suspended Doctors:

Duties must align with those of a final-year medical student (unregistered and unqualified). Direct supervision is required, and no clinical decisions or advice can be given. ​ Suspended doctors must:

➽ Inform their supervisor and patients about their suspension and the reasons for it. ​

➽ Obtain informed consent from patients before taking histories or conducting examinations. ​

Role of Clinical Supervisors:

➽ Supervisors are responsible for the actions of suspended doctors, who lack indemnity insurance. ​

➽ Supervisors must ensure patient safety and avoid reputational risks, especially in cases of suspension due to misconduct. ​

➽ Regular progress reports and task confirmations must be provided to the GMC. ​

This guidance ensures clinical attachments are conducted safely and ethically while supporting professional development.