The Institute of Psychiatry accepts approximately 30 postgraduate students each year from overseas countries. The composition varies, largely as a result of international economic changes, and since 1977 students from 60 countries have attended (Appleby & Araya, 1990). Knowledge of English also varies and can influence the training of a student in many ways. Difficulties in understanding and communicating with patients, colleagues and teachers can adversely affect study, clinical practice and examination performance. MRCPsych results are poorer for non-UK than for UK doctors (Cawley, 1986): one reason may be poor communication.
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