International medical graduates: from brain drain to potential gain

Majeed, Muhammad Hassan; Ali, Ali Ahsan; Saeed, Fahad

doi:10.5116/ijme.5869.008a

Cited by 24 publications

(20 citation statements)

References 4 publications

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“…30 Physicians trained in end-of-life care and palliative medicine in the West can help to bridge the gap in education and services in Pakistan. 31 Because of the excessive burden of cancer, more physicians should be educated in the effective treatment of pain disorders. 32 Pakistan's first hospice and palliative care facility is being created and hopes to provide relief to a limited number of patients.…”

Section: Discussionmentioning

confidence: 99%

Adequacy of Pain Control in Patients With Advanced Cancer in Pakistan

et al. 2018

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The rate of undertreatment of cancer pain in Pakistan is alarming. Inadequate clinicians' training, patients' and caregivers' beliefs, lack of availability of opioid medications, and socioeconomic factors are some of the barriers to effective pain control. A multidisciplinary team approach is necessary to follow the World Health Organization pain ladder guidelines for the treatment of cancer pain.

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Section: Discussionmentioning

confidence: 99%

Adequacy of Pain Control in Patients With Advanced Cancer in Pakistan

et al. 2018

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“…The collected data included incidence, prevalence, the total number of patients in each of the modalities, and percentage increments per year. In addition, data were also obtained from previous publications from the department [ 9 ] and historical records from the MOH. The data that were collected included the year of the transplant, the country where transplants were performed, and sponsorship details of the transplant.…”

Section: Methodsmentioning

confidence: 99%

“…Funding and support from experienced international associations were less forthcoming because of the affluent economic status of the country and the presumptive conviction that existing pecuniary resolve could prevail over logistical and expertise restrictions. Small countries also have to grapple with the lack of a recognized training program and the “brain drain” phenomenon with suitable foreign-trained doctors seeking work opportunities overseas [ 9 ]. Other small southeast Asian countries like Laos, Cambodia, and Timor Leste [ 10 ] have piggybacked on transplant services in neighboring countries due to constraints in setting up their own viable programs.…”

Section: Introductionmentioning

confidence: 99%

The Living-Related Kidney Transplant Program in Brunei Darussalam: Lessons Learnt from a Nascent National Program in a Small, Muslim, and Asian Country

Tan

Khalil

Ahmed

et al. 2021

Journal of Transplantation

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Brunei Darussalam commenced its living-related renal transplant program in 2013, with subsequent attainment of independent local capacity and proficiency in 2019. The preliminary outcome from the program has already begun to shape the national nephrology landscape with a 36% increment in transplant rate and mitigation of commercialized transplantations. The blueprint for the program was first laid out in 2010 and thereupon executed in four phases. The first phase involved the gathering of evidence to support the establishment of the national program, through researches investigating feasibility, public opinion, quality of life, graft survival, and cost-effectiveness. The second phase focused on laying the foundation of the program through grooming of local expertise, implementation of legal-ethical frameworks, religious legitimization, and propagation of awareness. The third phase worked on facilitating experiential exposure and strengthening local infrastructure through the upgrading of facilities and the introduction of subsidiary services. The fourth phase was implemented in Brunei in 2013 when foreign personnel worked together with the local team to perform the transplants. Between 2013 and 2019, ten kidney transplants were performed, with two being done in 2018 and three in 2019. We hope to inspire other similar countries to develop their own self-sustainable and independent local program.

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“…specialty residency and fellowship training, and/or fostering research and development. 24 More research is needed to better understand the involvement of IMGs in GH, including how best to support IMGs who are uniquely poised to conduct GH work.…”

Section: Figurementioning

confidence: 99%

Global Health Education for Pediatric Residents: Trends, Training Experiences, and Career Choices

et al. 2019

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BACKGROUND AND OBJECTIVES: Knowledge and skills related to global child health are increasingly recognized as important to the practice of pediatrics. However, little is known about the status and trends in global health (GH) education in US pediatric residency programs. Our aim was to measure trends in residents' exposure to GH training, their GH education assessments, and GH career plans. METHODS:We analyzed GH-focused questions from national American Academy of Pediatrics surveys of graduating residents in 2008 and 2016. Logistic regression was used to estimate changes over time by using derived predicted values. RESULTS:A total of 1100 graduating pediatric residents participated; response rates were 58.8% for 2008 and 56.0% for 2016. The percentage of residents reporting that their programs offered GH training grew from 59.1% in 2008 to 73.1% in 2016 (P < .001). The majority were somewhat likely, very likely, or definitely planning to work or volunteer in a low-or middle-income country after their residency (predicted value of 70.3% in 2008 and 69.4% in 2016; P = .76). Fourteen percent of respondents reported having completed an international elective in 2016; of those, 36.5% did not receive formal preparation before the experience, and 24.3% did not participate in debriefing sessions on return. Overall, 27.3% of respondents in 2016 reported excellent (8.8%) or very good (18.5%) GH training. CONCLUSIONS:Although a substantial percentage of pediatric residents participate in international electives and plan to include GH activities in their careers, gaps remain, including suboptimal preparation and debriefing for GH electives. abstract

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International medical graduates: from brain drain to potential gain

Cited by 24 publications

References 4 publications

Adequacy of Pain Control in Patients With Advanced Cancer in Pakistan

Adequacy of Pain Control in Patients With Advanced Cancer in Pakistan

The Living-Related Kidney Transplant Program in Brunei Darussalam: Lessons Learnt from a Nascent National Program in a Small, Muslim, and Asian Country

Global Health Education for Pediatric Residents: Trends, Training Experiences, and Career Choices

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