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White candidates up to 14 times more likely than minorities to pass exam for membership of Royal College. Hundreds of black and Asian doctors have had promising careers "halted" because of racial discrimination in the way GPs are examined, a leading doctor has claimed, before a landmark High Court hearing in which two pillars of the medical establishment will be accused of breaching equality laws. Concerns have focused on the Clinical Skills Assessment CSA , which includes a mock consultation, with an actor posing as the patient. Following a six-month review, a British Medical Journal BMJ report last year concluded that while there was no hard evidence of racism, "subjective bias owing to racial discrimination" in the marking of the CSA could not be ruled out as a reason for the differences in outcomes.
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