Fouad Yousef A, Fahmy Yara M, Abdel Hady Sarah M, Elsabagh Abdelrahman E
Faculty of Medicine, Ain Shams University, Cairo, Egypt
Faculty of Medicine, Ain Shams University, Cairo, Egypt.
Int Health. 2015 May;7(3):190-4. doi: 10.1093/inthealth/ihu072. Epub 2014 Sep 24.
The migration of physicians from the developing to the developed world remains a controversial topic with many proposed negative effects. Although Egypt remains a major supplier of international medical graduates, no exploration of the root causes of the issue or the required policy changes was attempted before.
An online questionnaire was used to survey 940 Egyptian undergraduates enrolled at the Faculty of Medicine, Ain Shams University exploring their intentions of mobility following graduation and the factors impacting such intentions.
Of the responding students, 85.7% (n=806) intended to leave the country for training following graduation, mostly seeking better research opportunities (mean 4.74) and working conditions (mean 4.64). Of those, 81.8% (659) reported their plan to eventually return after training, although at different intervals, principally driven by the feeling of belonging and desire to serve their country (mean 4.01).
Due attention should be given to such an unnoticed country's issue with the adoption of evidence-based policy changes to minimize its negative effects. The affinity of the students to eventually return (driven by the desire to serve the country) could prove a valuable point to consider in policy-making.
医生从发展中国家向发达国家迁移仍是一个颇具争议的话题，人们提出了许多负面影响。尽管埃及仍是国际医学毕业生的主要供应国，但此前从未对该问题的根源或所需的政策变化进行过探讨。
采用在线问卷对艾因夏姆斯大学医学院的940名埃及本科生进行调查，了解他们毕业后的流动意向以及影响这些意向的因素。
在参与调查的学生中，85.7%（n = 806）打算毕业后出国培训，主要是寻求更好的研究机会（平均4.74）和工作条件（平均4.64）。其中，81.8%（659人）表示计划培训结束后最终回国，尽管回国时间间隔不同，主要原因是归属感和为国家服务的愿望（平均4.01）。
应通过采用基于证据的政策变化来充分关注这个未被注意的国家问题，以尽量减少其负面影响。学生最终回国的意愿（受服务国家愿望的驱动）可能是政策制定中值得考虑的一个重要因素。
