Klein Douglas, Hofmeister Marianna, Lockyear Jocelyn, Crutcher Rodney, Fidler Herta
Department of Family Medicine, University of Alberta, Edmonton, Canada.
Fam Med. 2009 Mar;41(3):197-201.
The global migration of physicians has led many international physicians to enter practice in Alberta, Canada. The study was designed to explore the personal side of migration and transition experiences of these international medical graduates (IMGs).
A qualitative study using telephone interviews and a semi-structured interview guide was used to interview 19 IMGs who are currently practicing and have held Part V, restricted or temporary practice licenses for less than 7 years.
Three major themes were identified. The first was the "push" from their own country of origin and their perception that moving to Alberta would be better for them. Professional opportunities in their home country had been affected by changing policies, lack of infrastructure, and personal/family safety issues culminating in highly stressful work environments. The second was "pull." An improvement in the quality of personal life was associated with geographical, educational, recreational, and spiritual aspects of daily living for participants and their families in their new environment. The third theme was "plant"ie, factors that encouraged them to stay in Alberta.
This study demonstrates the continued relevance of push and pull theory in understanding IMG physician migration. Our findings in this study indicate that remaining in place, or "being planted" is conditional on political, social, and economic aspects.
医生的全球流动致使许多国际医生在加拿大艾伯塔省执业。本研究旨在探索这些国际医学毕业生（IMGs）移民及过渡经历中的个人层面情况。
采用定性研究，通过电话访谈并依据半结构化访谈指南，对19名目前正在执业且持有第五部分、受限或临时执业执照不满7年的国际医学毕业生进行访谈。
确定了三个主要主题。第一个是来自其原籍国的“推力”以及他们认为搬到艾伯塔省对自己会更好的看法。他们祖国的职业机会受到政策变化、基础设施匮乏以及个人/家庭安全问题的影响，最终导致工作环境压力极大。第二个是“拉力”。参与者及其家人在新环境中的个人生活质量提升与日常生活的地理、教育、娱乐和精神层面相关。第三个主题是“扎根”，即促使他们留在艾伯塔省的因素。
本研究表明推挽理论在理解国际医学毕业生医生移民方面仍具有相关性。我们在本研究中的发现表明，留在原地或“扎根”取决于政治、社会和经济方面的因素。
