Norcini John J, Mazmanian Paul E
J Contin Educ Health Prof. 2005 Winter;25(1):4-7. doi: 10.1002/chp.2.
Physician migration is a complex and multifaceted phenomenon that is intimately intertwined with medical education. Imbalances in the production of physicians lead to workforce shortages and surpluses that compromise the ability to deliver adequate and equitable health care to large parts of the world's population. In this overview, we address a special section of the journal and briefly describe the current state of affairs in physician migration and its effects on donor and recipient countries. Global forms of practice and education, based on initiatives such as telemedicine and the International Virtual Medical School, hold promise of redressing some of these imbalances without requiring physicians to leave their countries. Other initiatives, such as those to raise the standards of medical education across the continuum, will improve the quality of care locally and permit the movement of physicians, resulting in better distribution of the workforce. All of these actions require a uniquely global perspective that places a premium on the long-term benefits to humankind while respecting the rights of patients and physicians.
医生移民是一种复杂且多方面的现象，与医学教育紧密相连。医生培养的不均衡导致劳动力短缺和过剩，这损害了为世界上大部分人口提供充足且公平的医疗服务的能力。在本综述中，我们针对该期刊的一个特别版块，简要描述医生移民的现状及其对输出国和接收国的影响。基于远程医疗和国际虚拟医学院等举措的全球实践和教育形式，有望在无需医生离开本国的情况下纠正其中一些不均衡状况。其他举措，比如在整个连续过程中提高医学教育标准的举措，将提升当地的医疗服务质量，并允许医生流动，从而实现劳动力的更优分配。所有这些行动都需要一种独特的全球视角，即在尊重患者和医生权利的同时，高度重视对人类的长期益处。
