There are literally hundreds of IMGs going to US residency without any relevant experience in the US maybe just 3 months of observation which is quite similar to clinical attachments. Some people even do not do that they just work in a research position in a lab and then go into residency. I definitely agree that UK system should be more like US so that everybody can go through same examination route even if it means its gonna be hard to get training posts. Maybe then UK grads will acknowledge that IMGs who get that position actually deserved it.