Why are you draining your brain? Factors underlying decisions of graduating Lebanese medical students to migrate

Akl, Elie A.; Maroun, Nancy; Major, Stella; Afif, Claude; Chahoud, Bechara; Choucair, Jacques; Sakr, Mazen; Schünemann, Holger J.

doi:10.1016/j.socscimed.2006.10.021

Cited by 55 publications

(79 citation statements)

References 6 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…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

View full text Add to dashboard Cite

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.

show abstract

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

View full text Add to dashboard Cite

show abstract

“…As noted, research has examined the push factors of the country of origin and the pull factors in the destination country that prompt individuals and families to migrate, and highlight the complexity of the pre-migration process (e.g., Alk et al, 2007). For women in this study, the premigration processes consisted of decisions to migrate, reasons for migrating to the U.S., and preparations for migration.…”

Section: Women's Pre-migration Processesmentioning

confidence: 98%

“…Given the growing immigrant population, it is necessary to better understand the dynamics of the immigrant experience, from the decision to migrate through adjustment to the U.S. Research indicates that a number of factors shape immigrants' experiences at various turning points throughout the migration process. In particular, push and pull factors often influence individuals' reasons for migrating and experiences post-migration (Alk et al, 2007;Goldin, Cameron, & Balarajan, 2011); these factors include economic stability in the country of origin and the new host culture, language ability, the presence of ethnic enclaves, documentation status, social support, immigration and social service policies, and cultural identity and acculturation (Chen, Benet-Martinez, & Bond, 2008;Portes & Rumbaut, 2006;Settles, 2001). Moreover, recent research points to the unique experiences of women in migration (Curran, Shafer, Donato, & Garip, 2006;Falicov, 2007), as well as the important role of families in immigration decisions and experiences (Bashi, 2007;Glick, 2010).…”

mentioning

confidence: 99%

Turning Points and Transitions: The Role of Family in Women’s Immigration Experiences

Vesely

Goodman

Scurlock

2014

ijcyfs

View full text Add to dashboard Cite

Given the significant number of immigrants in the United States, especially immigrant families with young children, there is a need to better understand the experiences of immigrant women, and especially immigrant mothers. In particular, the factors impacting women's decisions to migrate, migration journeys, and post-migration adjustment should be examined. Framed in family life course theory and using ethnographic, in-depth interviews, we explored these three immigration phases for 40 first-generation Latina and African immigrant women who experienced motherhood in the U.S. Results of the study expand the literature focused on immigration experiences by considering turning points and transitions in women's migration processes, as they are shaped by both micro-(family) and macro-(socio-historical) level factors. The findings illustrate the spontaneous nature of some decisions to migrate, as well as how immigration journeys are influenced by the financial and physical supports of families and the status of their documentation. In addition, study findings point to motherhood as an important turning point for first-generation immigrant women in their adjustment to life in the U.S., and particularly in their planning with respect to staying long term. Implications for programs, policy, and future research are discussed.

show abstract

“…We have previously developed, using qualitative methodology, a conceptual framework depictingthe factors influencing the decisions of graduating Lebanese medical students to train abroad [11]. The main influencing factors were categorized as push, pull, retain and repel factors and related to the following: residency training, professional career, personal conditions, political conditions, and social conditions.…”

Section: Introductionmentioning

confidence: 99%

“…The main influencing factors were categorized as push, pull, retain and repel factors and related to the following: residency training, professional career, personal conditions, political conditions, and social conditions. There were three additional factors: societal expectations that students should train abroad; marketing of abroad training; and an established culture of migration [11]. There were also perceived "barriers" to abroad training.…”

Section: Introductionmentioning

confidence: 99%

Factors Influencing Lebanese Medical Students' Decisions to Train Abroad: Evaluation of a Conceptual Framework

Akl

Maroun²,

Li³

et al. 2012

TOPHJ

View full text Add to dashboard Cite

Abstract:Objective: To evaluate a conceptual framework portraying the factors underlying the intentions of medical students to train abroad.Methods: Eligible subjects were students in the pre-final and final years of medical studies in Lebanon. A survey questionnaire based on the conceptual framework inquired about demographic and educational characteristics, influencing factors, and intentions to train abroad. We assessed each of the factors for its frequency, distribution, and association with the intention to train abroad.Results: Of 576 eligible students, 425 (74%) participated. The frequency of the framework factors varied from 16% to 94% and was the highest for factors related to training and professional career. The factors independently associated with the intention to train abroad related to residency training, concern with professional career and political conditions. The intention to train abroad was also associated with thinking that the general public considers doctors trained abroad as more qualified (OR=6.3; 95% CI=1.2-33.2); receiving information about abroad training from doctors trained or training abroad (OR= 9.7; 95% CI=1.7-56.6); having relatives or friends living abroad (OR=6.9; 95% CI=1.4-35.7); and witnessing residents traveling to retrain abroad (OR=22.2; 95% CI=4.5-111.1).Conclusions: Issues related to residency training, concerns about future career, and political conditions are the main motivators for Lebanese medical students to train abroad. The proposed conceptual framework provides a useful tool, but requires further evaluation.

show abstract

Why are you draining your brain? Factors underlying decisions of graduating Lebanese medical students to migrate

Cited by 55 publications

References 6 publications

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

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

Turning Points and Transitions: The Role of Family in Women’s Immigration Experiences

Factors Influencing Lebanese Medical Students' Decisions to Train Abroad: Evaluation of a Conceptual Framework

Contact Info

Product

Resources

About