Bundred Peter, Gibbs Trevor
Department of Primary Care, University of Liverpool, UK.
Med Teach. 2007 Nov;29(9):893-6. doi: 10.1080/01421590701814278.
The opportunities given for medical staff to travel, work and remain in countries other than that of their domicile or graduation have led to the phenomenon of medical migration. This has been supported by ease of travel, improved technology and a drive to share good examples of medical education through improved communication. Whilst these opportunities create positive advantages to the individuals and countries involved, through the transfer of knowledge and medical management, the situation does not always lead to long term benefits, and clear disadvantages begin to emerge. The gulf between the developed and developing countries becomes pronounced, leading to a general drift of resources away from the areas where they are most needed and subsequent profound effects upon the indigenous population. This paper suggests that it is a responsibility of medical educators throughout the world to recognize this effect and create opportunities whereby the specialty of medical education positively effects medical migration to the benefit of the less fortunate areas of the world.
给予医务人员到其籍贯或毕业国家以外的国家旅行、工作和停留的机会导致了医疗人才迁移现象。便捷的旅行、先进的技术以及通过改善交流来分享医学教育良好范例的动力，都助长了这一现象。虽然这些机会通过知识和医疗管理的转移给相关个人和国家带来了积极优势，但这种情况并不总是能带来长期利益，明显的劣势也开始显现。发达国家和发展中国家之间的差距变得显著，导致资源普遍从最需要的地区流失，进而对当地人口产生深远影响。本文认为，全世界的医学教育工作者有责任认识到这种影响，并创造机会，使医学教育专业能够对医疗人才迁移产生积极影响，造福世界上较贫困的地区。
