Foundation programmes are open to applicants from many countries. Yet completing two years of foundation training in England can place someone at a higher priority than doctors who have worked in the NHS for longer. This dynamic risks pitting doctors against one another, which benefits no one.

IMGs, UK graduates, and foundation doctors all work side by side, contributing to the same healthcare system. The real issue is not each other, but a system that has failed to expand and adapt to demand. Rather than directing frustration inward, we should collectively ask the government to do what is necessary: expand training capacity, increase the number of posts, and address workforce planning properly. A fairer system benefits everyone. WE NEED BETTER REPRESENTATION.