Lakhey M, Lakhey S, Niraula S R, Jha D, Pant R
Department of Pathology, Kathmandu Medical College, Sinamangal, Nepal.
Kathmandu Univ Med J (KUMJ). 2009 Apr-Jun;7(26):177-82. doi: 10.3126/kumj.v7i2.2717.
Many doctors are leaving Nepal to work abroad. To understand this problem better, we decided to study the attitude and plans of young doctors and medical students.
This cross-sectional study was conducted at Kathmandu Medical College involving 65 first year medical students, 100 interns and 100 house officers. The data collected was entered in Microsoft excel and analysed by SPSS (Statistical Package for Social Sciences) programme. Chi-square test was used to compare two proportions. Significance level was set at 5%.
Only 2% house officers said that their job prospects were excellent as compared to 22.4% of students, whereas 20% house officers as compared to 9% students thought job prospects in Nepal were poor (p= 0.003). Eighty two percent of students thought that a doctor's service to his country was very important as compared to 51% of interns (p= 0.001) and 58% of house officers. Forty percent of students, 58% of interns and 48% of house officers (no statistical significance between the three groups) planned to migrate to a developed country after graduation. Eighty eight percent of students, 89% interns and 74% of house officers (no statistical significant differences between the three groups) were of the opinion that improving career opportunities or working environment of the doctor could make the profession more attractive.
Although majority of students, interns and house officers were of the opinion that a doctor's service to his community/country was very important, almost half of them still planned to migrate to a developed country after graduation. Improving the chances of professional advancement and professional working environment can make the profession more attractive, and therefore, may decrease this tendency for brain drain from our country.
许多医生正离开尼泊尔到国外工作。为了更好地理解这一问题，我们决定研究年轻医生和医学生的态度及计划。
这项横断面研究在加德满都医学院进行，涉及65名一年级医学生、100名实习生和100名住院医师。收集到的数据录入微软Excel，并通过SPSS（社会科学统计软件包）程序进行分析。采用卡方检验比较两个比例。显著性水平设定为5%。
只有2%的住院医师表示他们的职业前景极佳，而学生中有22.4%持此观点；20%的住院医师认为尼泊尔的职业前景不佳，而学生中这一比例为9%（p = 0.003）。82%的学生认为医生为国家服务非常重要，相比之下，实习生中这一比例为51%（p = 0.001），住院医师中为58%。40%的学生、58%的实习生和48%的住院医师（三组之间无统计学差异）计划毕业后移民到发达国家。88%的学生、89%的实习生和74%的住院医师（三组之间无统计学显著差异）认为改善医生的职业机会或工作环境可使该职业更具吸引力。
尽管大多数学生、实习生和住院医师认为医生为社区/国家服务非常重要，但几乎一半的人仍计划毕业后移民到发达国家。改善职业晋升机会和职业工作环境可使该职业更具吸引力，因此，可能会减少我国人才外流的这种趋势。
