If you’re an IMG in the UK, you’ve probably heard the advice: “Do a clinical attachment — it’ll help you get a job.” It’s repeated often, but let’s be honest — no one tells you how it actually works. How exactly does spending a few weeks observing a consultant in a hospital turn into a real NHS job?
The truth is: a clinical attachment won’t guarantee you a job — but if you approach it the right way, it can absolutely open doors that might otherwise remain closed.
Let’s break down what a clinical attachment really is, what it isn’t, and how you can make the most of yours — to the point that the trust doesn’t want to let you go.
What Is a Clinical Attachment?
A clinical attachment (also known as an observership) is a short-term, unpaid opportunity for international medical graduates to shadow doctors in an NHS setting, usually for 4–6 weeks.
You don’t perform procedures or make decisions — but you observe patient care, attend ward rounds, and begin to understand the NHS system from the inside.
More importantly: you begin to build relationships.
And in a system where competition is high and many IMGs apply without UK experience, those relationships can set you apart.
Why Do Clinical Attachments Lead to Job Offers?
You might think: It’s unpaid, I’m just observing — how can this help me get a job?
Here’s what actually happens when you do an attachment the right way:
You prove your commitment to the NHS system.
Anyone can say they want to work in the UK. But showing up, observing with professionalism, and learning on-site? That’s action — and it matters to hiring teams.You get consultant recommendations.
When it’s time to apply for trust-grade jobs, having a UK consultant write you a reference can move your application to the top of the pile.You become a familiar face.
When a vacancy opens up (and they always do), who do you think they’ll consider first: the IMG whose CV they don’t recognize, or the observership doctor they’ve seen showing up, asking questions, and blending in well with the team?You learn how to “speak NHS.”
The NHS has its own system, language, and unwritten rules. A clinical attachment gives you insight into how the wards actually run, which can make a big difference in interviews and your first days on the job.
How to Make a Clinical Attachment Work for You
Here’s the truth: Not every IMG who does an attachment gets a job out of it. But the ones who do follow a few key strategies.
1. Act like a team member (not a tourist).
Yes, you’re not officially employed. But show up like you are. Arrive on time. Wear appropriate clothes. Carry a notebook. Ask thoughtful questions. Offer to help (within your limits).
Be the kind of person people want on their team — curious, respectful, and reliable.
2. Know the team. Build real relationships.
Don’t just shadow the consultant. Talk to the SHOs. Get to know the registrars. Say hi to the ward clerks and nurses. These people will remember you — and some might be in charge of hiring when the time comes.
Relationships aren’t built overnight, but kindness and professionalism go a long way.
3. Make your intentions clear.
If you’re hoping to work in that hospital, say so — respectfully and clearly. Let the consultant know you’re looking for trust-grade roles. Ask if they know of any openings, or if they’d be willing to provide a reference.
You’re not begging — you’re showing initiative.
4. Keep a learning portfolio.
Treat your attachment like a mini-rotation. Log what you observe. Write reflections. Note down learning points. If you assist in audits or teaching, document that too.
Later, you can show this in interviews — and it helps build your NHS portfolio for training applications.
5. Apply early — while you’re still there.
This is one of the most overlooked strategies. While you’re still doing your attachment, check that trust’s job postings. If something opens, apply immediately and mention that you’re currently attached to their department.
Hiring managers love when they already “know” the applicant.
What If There Are No Job Openings?
It’s possible that even if you impress everyone, there’s no vacancy available at the time. Don’t let that discourage you.
What you walk away with is UK experience, NHS references, and insights that make you a much stronger candidate for jobs in other trusts.
Plus, consultants often share your CV with colleagues in other hospitals — if you’ve left a good impression.
A Word of Caution: Don't Wait for Magic
A clinical attachment is an opportunity — not a guarantee. If you just show up, stay quiet, and leave after 4 weeks, you likely won’t get much out of it.
But if you show up with intention, professionalism, and persistence, the NHS will take notice.
You might not get a job offer on Day 1. But you’re laying the groundwork for when an opportunity does appear — and when it does, you’ll be ready.
Final Thoughts: Attachments Are Just the Start
Getting an NHS job isn’t just about exams and paperwork. It’s about people. It’s about showing who you are, not just what you’ve done.
A clinical attachment is one of the few chances IMGs have to do just that — to be seen, known, and remembered.
So don’t just “complete” your attachment. Use it. Grow through it. Connect through it. Let it be more than a tick-box. Let it be a bridge — from observing to belonging.
Have you done a clinical attachment? Did it help you get your first NHS job?
Share your experiences below or ask your questions and connect with others doing the same. You’re not alone in this journey, and we’re here to support you every step of the way.