Sorry--I am now based in the U.S., so I'm not the best person to help. Try posting in the ophthalmology thread on this forum. The best start would be the GMC website: http://www.gmc-uk.org/information_fo...imgs/index.asp which details credentialing for foreign medical doctors wishing to practice in the U.K. Off the record, I can tell you that the U.K. has traditionally granted U.S. and Canadian academic physicians hospital privileges through legal loop holes. Honestly, the onus should lie on your boss. It might be worth telling your boss that the U.K. likes 'the paper trail' and, unlike the U.S. where you can argue your case, you must present the information exactly as they request it. Call the relevant people up: British people tend to be highly efficient at their job. Good luck!