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Seanad Éireann debate -
Thursday, 27 Jul 1961

Vol. 54 No. 15

Medical Practitioners Bill, 1961— Second and Subsequent Stages.

Question proposed: "That the Bill be now read a Second Time."

By this short Bill, it is proposed to make a minor change, which has been recommended to me by the Medical Registration Council, in the law on medical registration.

The Medical Practitioners Act of 1951 provides that a medical practitioner is not entitled in this country to full registration until, after obtaining his qualifying diploma, he had a year's practical experience in an approved hospital. The purpose of the "intern year", as this period of experience is commonly called, is to ensure that each medical practitioner will, in addition to his academic knowledge, have practical experience under supervision before he enters fully on the practice of his profession.

The obligation to do the intern year presents no problem in the case of a medical practitioner qualifying for the first time in this country. If a medical practitioner, qualified in Britain, comes to live in Ireland and wishes to transfer from the British to the Irish Register, there is likewise no difficulty as the obligation to do an intern year applies in Britain also. Similarly, if a medical practitioner wishes to be registered here on the basis of a qualifying diploma obtained in one of the territories with which we have reciprocal arrangements for medical registration, our present law exempts him from the obligation to do an intern year here if he can satisfy the Medical Registration Council that, after qualifying abroad, he has gained experience equivalent to that which he would get if he did his intern year in this country.

A small number of medical practitioners, however, come here from countries with which we have no reciprocal arrangements for medical registration. Some of these practitioners may have high qualifications, and they may have had very considerable professional experience; but before one of them can become registered here he must, after obtaining an Irish qualifying diploma, then undergo the intern year as if he were a newly-qualified Irish medical graduate with no experience whatever. This is obviously not a practical necessity where the medical practitioner has been, for many years perhaps, in practice in his native land and it is a defect in our present legislation that the Medical Registration Council cannot exempt such a man or woman from this requirement, if it wishes to do so.

It is to correct this defect that I have introduced the present Bill. It will enable the Medical Registration Council to waive the requirement to do an intern year for any foreign medical practitioner applying for inclusion in the Irish Register who, having taken an Irish qualifying diploma, satisfies the Council that his original qualification was sufficient for the efficient practice of medicine and that he has had experience equivalent to that of the "intern year" in his own or another country. While such a practitioner will still need to get the Irish qualifying diploma, I understand that concessions in relation to the period of study required before sitting for the examination for such a diploma are given in such cases by some of the medical schools. The Bill will make a desirable improvement in the law relating to Medical Registration and I recommend it accordingly.

I should like to support this Bill. There is at the moment considerable difficulty in regard to these practitioners to whom the Minister has referred. Some of them come from countries which have not got reciprocal arrangements with us. It is not really a question of their practising here; it is a question of their obtaining provisional registration here in order that they may study for a higher diploma. This cannot be done under the present arrangement. One difficulty is that we have not got reciprocal arrangements with all the countries with which the General Medical Council of the United Kingdom has arrangements. Through this reciprocal arrangement with the United Kingdom, our practitioners can go on the General Medical Register of the United Kingdom and, through that, can go to any country that is reciprocally recognised by the General Medical Council, but some of these countries are not recognised by us and their practitioners cannot come here.

This anomaly has given rise to some uneasiness in these countries and to their representatives in Britain and it has caused uneasiness in the General Medical Council. This Bill will go a long way towards remedying that state of affairs. The simplest thing, of course, would be to grant recognition to every country recognised by the General Medical Council, but it was thought that there would be some difficulties about that. After all, we produce many more doctors than can find jobs here. A large percentage of our graduates go abroad and therefore the Irish Medical Registration Council is, very rightly, rather cautious about the terms under which people from other countries practise here.

This is a very good compromise and it enables a man who wants to come here for a higher diploma, or to practise here, to put his case before the Irish Medical Registration Council and receive recognition, which he could not have received before. In that way, it makes things easier, without opening any wide gate, or any back door, to practise in this country for those from other countries with which we have not got this reciprocal arrangement.

I just want to draw the attention of the Seanad briefly to the fact that while we appear to have more medical graduates than we require, and large numbers are going abroad, during the present flight from the country, in a few years, I feel we are going to run into a serious shortage of junior and higher medical staff, unless we make provision to ensure that conditions here are as good as the conditions available abroad. I am referring in particular to the large number of students going for postgraduate work, internships and so on, to the United States. Very few of these students will return to the conditions here in view of the conditions available to them abroad. In short, the medical profession must be treated as befits that noble body.

Question put and agreed to.
Agreed to take remaining Stages today.
Bill put through Committee; reported without amendment; received for final consideration and passed.
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