Department of Family Medicine, Cumming School of Medicine, University of Calgary, G012F, Health Sciences Centre, 3330 Hospital Drive NW, Calgary, AB, T2N 4N1, Canada.
Department of Community Health Sciences, Cumming School of Medicine, University of Calgary, Calgary, AB, Canada.
Hum Resour Health. 2021 Apr 17;19(1):51. doi: 10.1186/s12960-021-00599-8.
There is a growing recognition that underutilization and underemployment of skilled immigrants, especially internationally trained health professionals, creates a financial burden on individuals and economic losses for the host country. Albeit a missed opportunity for both the immigrants and the receiving country, no public policy and systemic measures are in place to address this issue. Nevertheless, certain individuals and organizations have made some isolated efforts, but no synthesized knowledge is available for understanding what initiatives exist altogether and how they function. We have conducted a methodological Internet scan to identify the existing individual, private, and systemic initiatives and resources that support these health professionals. This will provide health and workforce policymakers, settlement service providers, and relevant academics with the knowledge base for potential different strategies to address this issue and guide them towards developing solution-oriented initiatives.
To identify those we have systematically searched the three most popular search engines (Google, Bing, and Yahoo!) adapting the Canadian Institute for Health Information's grey literature review protocol. We identified relevant websites per our predefined inclusion criteria, charted the data from those sources, collated, summarized, and reported the results.
From 280 webpages initially identified through keyword search, we included 26 in our full-page screen and extracted data from 16 finally selected webpages. We have found webpages with information on different alternative careers namely, regulated and non-regulated, available resources to pursue those careers, and what skills they have that can be transferred to the alternative careers.
More systemic policies and IMG specific and ACP-focused employment support programmes are required. Research and development of programmes for facilitating IMGs' alternative career support need to be increased and strengthened.
越来越多的人认识到，熟练移民（尤其是国际培训的医疗专业人员）的未充分利用和就业不足，给个人带来了经济负担，给东道国造成了经济损失。尽管这对移民和接收国来说都是一个错失的机会，但没有公共政策和系统措施来解决这个问题。尽管如此，某些个人和组织已经做出了一些孤立的努力，但没有综合的知识来了解所有存在的举措以及它们的运作方式。我们进行了一项基于互联网的方法学扫描，以确定现有的个人、私人和系统举措和资源，这些举措和资源支持这些医疗专业人员。这将为卫生和劳动力政策制定者、定居服务提供商和相关学者提供一个知识库，以便他们能够考虑采取不同的策略来解决这个问题，并指导他们制定以解决方案为导向的举措。
为了识别这些举措，我们系统地搜索了三个最受欢迎的搜索引擎（Google、Bing 和 Yahoo！），并采用了加拿大卫生信息研究所的灰色文献综述方案。我们根据预定义的纳入标准确定了相关网站，从这些来源获取数据、图表、整理、总结和报告结果。
从最初通过关键词搜索确定的 280 个网页中，我们纳入了 26 个完整网页，并从最终选定的 16 个网页中提取了数据。我们找到了关于不同替代职业的网页信息，包括受监管和不受监管的职业，以及可用于从事这些职业的资源，以及他们可以转移到替代职业的技能。
需要更多的系统性政策和针对移民医生和非医生的具体就业支持计划。需要增加和加强促进移民医生替代职业支持的方案的研究和开发。
