Indian Medical Students' Views on Immigration for Training and Practice

Rao, Nyapati R.; Rao, Uttam K.; Cooper, Richard A.

doi:10.1097/00001888-200602000-00020

Cited by 32 publications

(29 citation statements)

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“…Importantly, our findings reflect prior work indicating the role of economic and political stability,25 professional opportunities,26 poor work environment27 and sub-optimal workforce dynamics 28 29. This study expands the framework to include intended and unintended effects of workforce policies and the broader contexts within which migration decisions are made.…”

Section: Discussionsupporting

confidence: 75%

“…Among health workers in the African diaspora, Clemens et al 25 report an inverse relationship between economic and political stability and physician migration. Evidence from India indicates that perceived greater professional opportunities drive many potential migrant physicians 26. Similarly, a survey in Pakistan indicated that low remuneration and poor training and work environment influenced potential migrant physicians 27.…”

Section: Introductionmentioning

confidence: 99%

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International medical graduates in the USA: a qualitative study on perceptions of physician migration: Table 1

et al. 2011

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ObjectivesPhysician migration from low-income to high-income nations is a global concern. Despite the centrality of understanding the perspectives of international medical graduates (IMGs) who have experienced migration to understanding the causes and consequences of this phenomenon, empirical literature is limited. The authors sought to characterise the experiences of IMGs from limited resource nations currently practicing primary care in the USA, with a focus on their perspectives on physician migration.DesignThe authors conducted a qualitative study utilising in-depth, in-person interviews and a standardised interview guide. The sample comprised a diverse, purposeful sample of IMGs (n=25) from limited resource nations (defined as having ≤2 physicians per 1000 population).ResultsAnalyses revealed four recurrent and unifying themes reflecting the perspectives of IMGs in the USA on physician migration: (1) decisions to migrate were pragmatic decisions made in the context of individual circumstance; (2) the act of migration ultimately affected participants' ability to return home in multiple, unpredictable ways; (3) the ongoing process of acclimation was coupled with inherent conflicts surrounding the decision to remain in the USA; and (4) the effects of policies in both the home country and in the USA occurred at multiple levels.ConclusionThe perspectives of IMGs who have migrated to the USA are an important addition to the ongoing discussion surrounding the global health workforce. Our findings highlight the effects of workforce policies which are often developed and discussed in abstraction, but have real, measurable impacts on the lives of individuals. Future efforts to address physician migration will need to acknowledge the immediate needs of the health workforce as well as the long-term needs of individuals within health systems.

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Section: Discussionsupporting

confidence: 75%

Section: Introductionmentioning

confidence: 99%

International medical graduates in the USA: a qualitative study on perceptions of physician migration: Table 1

et al. 2011

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“…10,[14][15][16][17][18] As for this study, other studies [7][8][9]28 reported that many students were not sure of their future area of specialization. In many other developing countries, the critical step in the migration of medical graduates is the moment when they decide to obtain specialized training: a frequent individual decision is to look for it abroad, 7,[28][29][30] leading to a subsequent decision to stay in the host country. 28 Reflecting the lack of specialist training in the country, students in Cape Verde would like to obtain specialized training abroad.…”

Section: Discussionmentioning

confidence: 99%

Medical Training Experience and Expectations Regarding Future Medical Practice of Medical Students at the University of Cape Verde

2017

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RESUMOIntrodução: Cabo Verde é um pequeno estado insular em desenvolvimento. A sua primeira experiência em educação médica pré-graduada começou em outubro de 2015. O objetivo deste artigo é descrever e analisar as expectativas profissionais e o perfil da primeira turma de estudantes de medicina na recente escola de medicina de Cabo Verde. Material e Métodos: Um questionário padronizado, dirigido, com perguntas fechadas e abertas, foi distribuído aos estudantes de medicina inscritos que frequentaram as aulas no dia da pesquisa. Todos os dados foram analisados usando SPSS. Resultados: Os alunos decidiram estudar medicina a meio da adolescência. Parentes e amigos parecem ter tido uma influência importante nessa decisão. Outras razões principais para escolher a formação médica incluem "para cuidar de outras pessoas", "fascínio para os assuntos da medicina" e "meu desejo desde sempre". O grau de feminização dessa população estudantil é extremamente alta (20/25; 80,0%). Os estudantes de medicina estão, em geral satisfeitos com o programa de formação e têm expectativas de que a formação recebida lhes permitirá ser bons profissionais. No entanto, eles consideram o curso muito teórico. Os estudantes de medicina consideram que isso pode representar a sua oportunidade para contribuir para o bem-estar público e suas expectativas são para combinar o uso do sector público com o trabalho privado. Os estudantes de medicina vieram principalmente da ilha de Santiago, onde está localizada a capital do país e que também é o local preferido para a prática futura. Eles ainda não decidiram sobre a sua futura área de especialização. Mas todos aqueles que querem se especializar, querem fazê-lo no estrangeiro. A maioria deles espera seguir carreira hospitalar em vez de trabalho baseado na administração de saúde ou nos centros de saúde. Discussão: Este estudo contribui para o crescente conhecimento sobre as dificuldades do estudante de medicina e expectativa das escolas médicas ou programas de ensino médico nos países lusófonos. A decisão de investir na formação local de médicos justificase pela necessidade de se ser menos dependente do estrangeiro no processo. Programas locais de pós-graduação médica são considerados uma prioridade para o futuro imediato. with closed and open-ended questions, was distributed to registered medical students attending classes on the day of the survey. All data were analyzed using SPSS.Results: Students decided to study medicine in their mid-teens with relatives and friends having had significant influence over their decisions. Other major reasons for choosing medical training include "to take care of other people", "fascination for the subject matters of medicine" and "I have always wanted to". The degree of feminization of the student population is extremely high (20/25; 80.0%). Medical students are in general satisfied with the training program, and have expectations that the training received will allow them to be good professionals. Nevertheless, they consider the course too theoretical. Medical student...

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“…Concerns about the long-term impact of the migration of health professionals from developing countries have recently led to a focus on the next generation, both in Africa [8][9][10][11][12][13][14] and elsewhere [15][16][17][18][19][20]. Many countries invest substantial financial resources in the training of physicians and nurses.…”

Section: Introductionmentioning

confidence: 99%

The Brain Drain Potential of Students in the African Health and Nonhealth Sectors

Crush

Pendleton

2012

International Journal of Population Research

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The departure of health professionals to Europe and North America is placing an intolerable burden on public health systems in many African countries. Various retention, recall, and replacement policies to ameliorate the impact of this brain drain have been suggested, none of which have been particularly successful to date. The key question for the future is whether the brain drain of health sector skills is likely to continue and whether the investment of African countries in training health professionals will continue to be lost through emigration. This paper examines the emigration intentions of trainee health professionals in six Southern African countries. The data was collected by the Southern African Migration Program (SAMP) in a survey of final-year students across the region which included 651 students training for the health professions. The data also allows for the comparison of health sector with other students. The analysis presented in this paper shows very high emigration potential amongst all finalyear students. Health sector students do show a slightly higher inclination to leave than those training to work in other sectors. These findings present a considerable challenge for policy makers seeking to encourage students to stay at home and work after graduation.

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Indian Medical Students' Views on Immigration for Training and Practice

Abstract: While optimism about future medical careers in India is increasing, the interest of Indian medical students in training and subsequently practicing in the United States remains high.

Cited by 32 publications

References 10 publications

International medical graduates in the USA: a qualitative study on perceptions of physician migration: Table 1

International medical graduates in the USA: a qualitative study on perceptions of physician migration: Table 1

Medical Training Experience and Expectations Regarding Future Medical Practice of Medical Students at the University of Cape Verde

The Brain Drain Potential of Students in the African Health and Nonhealth Sectors

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