Introduction Internationally-Trained Medical Graduates (IMGs) make up approximately a third of the registered doctors in the UK1.Despite this there are still unmet needs with close to 40% IMGs in one program not having an induction before starting and 12% of them finding that the induction was relevant to their needs. 3 #

‘The HeadStart Project’ (THSP) was and after attending the webinars, self-reported confidence increased by 64.44%, we discuss this below.

Intervention A team of IMGs were consulted, areas of NHS practice that IMGs struggle with were identified.

A series of 12 webinars to introduce new IMGs to the NHS was planned with the following features:

1. Peer led and delivered to ensure relevant topics :

2. Topics were broadly divisible into two groups, General introduction to the NHS and Speciality Specific introductions to the NHS.

3. Online format allowing international participation

4. In time for the August start

Methodology Surveys were conducted before and after each webinar and participants were asked to rate their confidence on a scale of 1-5 (1 being not at all confident and 5 being very confident). Average confidence scores and a percentage increase in confidence was calculated.

Results Pre and post surveys were available for 11 sessions.

‘In Introduction to working in A&E’ had the lowest pre-webinar confidence scores (1.875) and also the highest increase in confidence scores of 120.07%.

‘Common procedures for the NHS SHO’ was the session that had the highest pre-session confidence score (3.322) and the lowest increase in confidence 23.57%. It also had the highest number of participants at 81.

There was an overall increase in confidence by 64.44% over the course of the 12 webinars.

Inference Peer led and delivered webinars to orient new IMGs to the NHS helps improve confidence for new starters.