Imran Nazish, Azeem Zahra, Haider Imran I, Amjad Naeem, Bhatti Muhammad R
Assistant Professor Child & Family Psychiatry Department, King Edward Medical University/Mayo Hospital Lahore, Pakistan.
BMC Res Notes. 2011 Oct 17;4:417. doi: 10.1186/1756-0500-4-417.
The increasing migration of health professionals to affluent countries is not a recent phenomenon and has been addressed in literature. However the various facets of physician migration from Pakistan, the third leading source of International medical graduates has not been rigorously evaluated. The objective of the current study was to survey final year students and recent medical graduates in Lahore, Pakistan about their intentions to train abroad, their post training plans as well as to identify the factors responsible for their motivation for international migration.
A self administered structured questionnaire was developed to collect respondents' demographic and educational characteristics, intention to train abroad, their preferred destination & post training intentions of returning to Pakistan. Various influencing factors which impact on medical graduate's motivation to train abroad or stay in Pakistan were explored using a 10 point scale. SPSS software was used for data entry and analysis.
Of the 400 eligible respondents, 275 responded (response rate 68.7%). One hundred and sixty six respondents (60.4%) intended to train abroad either for a specialty (54.9%) or a subspecialty (5.5%) The United States and United Kingdom were the most preferred destination. While 14.2% intended to return to Pakistan immediately after training, a significant percentage (10%) never intended to return to Pakistan or wished to stay abroad temporarily (37%). Professional excellence and establishing quickly in the competitive market were the most important goal to be achieved by the respondents for intention for postgraduate training abroad. The most common reasons cited for training abroad were the impact of residency training on future career (mean score 8.20 ± 2.3), financial conditions of doctors (mean score 7.97 ± 2.37) and job opportunities (mean score7.90 ± 2.34).
An alarming percentage of medical graduates from Lahore, Pakistan intend to migrate for post graduate training, mainly to United States. A significant proportion wished to stay in the host country either temporarily or indefinitely. Impact of residency abroad on future career, financial conditions of doctors, job opportunities and better working conditions were some of the motivating factors behind the migration.
卫生专业人员日益向富裕国家迁移并非近期现象，文献中已有相关论述。然而，作为国际医学毕业生的第三大主要来源国，巴基斯坦医生迁移的各个方面尚未得到严格评估。本研究的目的是对巴基斯坦拉合尔的最后一年医学生和近期医学毕业生进行调查，了解他们在国外培训的意向、培训后的计划，并确定促使他们进行国际迁移的因素。
设计了一份自填式结构化问卷，以收集受访者的人口统计学和教育特征、在国外培训的意向、他们首选的目的地以及培训后返回巴基斯坦的意向。使用10分制探讨了影响医学毕业生在国外培训或留在巴基斯坦的各种因素。采用SPSS软件进行数据录入和分析。
在400名符合条件的受访者中，275人做出了回应（回应率为68.7%）。166名受访者（60.4%）打算出国接受专科（54.9%）或亚专科（5.5%）培训。美国和英国是最受欢迎的目的地。虽然14.2%的人打算培训后立即返回巴基斯坦，但相当大比例（10%）的人从未打算返回巴基斯坦或希望暂时留在国外（37%）。在国外接受研究生培训，专业卓越并在竞争激烈的市场中迅速立足是受访者最重要的目标。出国培训最常见的原因是住院医师培训对未来职业的影响（平均得分8.20±2.3）、医生的经济状况（平均得分7.97±2.37）和工作机会（平均得分7.90±2.34）。
巴基斯坦拉合尔令人担忧的比例的医学毕业生打算出国接受研究生培训，主要前往美国。相当大比例的人希望在东道国暂时或永久停留。国外住院医师培训对未来职业的影响、医生的经济状况、工作机会和更好的工作条件是迁移背后的一些推动因素。
