As a European medical graduate, securing a position as a doctor in the NHS can be a challenging yet rewarding journey. Having graduated a few years ago, I quickly realized that gaining the necessary UK experience would be key to my success. This is how I navigated the various pathways and found employment as a doctor, and some advice for those who may be in a similar position.

One of the first steps I took was arranging a clinical attachment at Birmingham Heartlands Hospital. This opportunity was essential, as it gave me firsthand experience of working within the NHS system. I became familiar with its unique processes, expectations, and challenges, which are often quite different from those in other healthcare systems. During my attachment, I shadowed doctors, observed patient care, and learned more about clinical protocols specific to the UK.

After completing the clinical attachment, I faced the reality that European graduates like myself are not eligible for the complete UK Foundation Training Programme, which is the standard route for UK-trained doctors. Instead, there is the possibility to apply for an FY2 standalone position, however, there are very limited slots available with high competition rates. This limitation meant that I had to seek alternative pathways to gain work experience and employment. I joined a locum agency, as locum work provides an immediate opportunity to gain experience and earn an income while I build my career.

The locum path, however, comes with its own set of challenges. It requires flexibility and adaptability since the jobs can vary greatly in terms of duration, from single-day shifts to contracts lasting several months. Being open to travelling and working in different hospitals or even regions is essential to finding consistent work. This lack of a structured pathway can make the process feel daunting at times, but it also offers opportunities to experience a variety of specialities and working environments.

Another option available to European graduates is the Gateway Programme, which is specifically designed to support international doctors in securing roles within the NHS. However, the programme has a limited number of spaces, making it highly competitive. For those who don’t manage to secure a spot, locuming remains one of the most viable options to gain that much-needed experience in the UK.

Over time, I secured locum positions across a range of departments, allowing me to further develop my skills and build relationships with NHS staff. While working as a locum offers invaluable experience, the lack of stability and clear career progression can be a source of frustration for many European graduates. To overcome this, I started applying for trust-grade positions, which offer more permanent employment and structured opportunities for career advancement.

Currently, I continue to work as a locum while exploring opportunities for trust-grade roles. The journey has been long and often unpredictable, but the experience gained has been invaluable in helping me grow both professionally and personally. For new graduates, my advice is to be persistent, flexible, and open to different opportunities. The road may not be straightforward, but with perseverance and dedication, you can find your place in the NHS and build a fulfilling career.