"Brain drain" and "brain waste": Experiences of international medical graduates in Ontario

Risk Management and Healthcare Policy

Volumn 7, Issue , 2014, Pages 81-89

  Lofters, Aisha ^a,b,c,d   Slater, Morgan ^b   Fumakia, Nishit ^b   Thulien, Naomi ^e  

^a UNIVERSITY OF TORONTO   (Canada)

^b ST MICHAEL'S HOSPITAL   (Canada)

^c ST MICHAEL'S HOSPITAL   (Canada)

^d CANADIAN INSTITUTES OF HEALTH RESEARCH   (Canada)

^e UNIVERSITY OF TORONTO   (Canada)

Author keywords

Global health; Human resources

Indexed keywords

ADULT; ARTICLE; DATA ANALYSIS; DESCRIPTIVE RESEARCH; E-MAIL; FEMALE; FOREIGN WORKER; HEALTH SURVEY; HUMAN; MALE; ONLINE ANALYSIS; OPEN ENDED QUESTIONNAIRE; PERSONAL EXPERIENCE; PHYSICIAN ATTITUDE; PHYSICIAN INCOME; POPULATION MIGRATION; RESIDENCY EDUCATION; SOCIOECONOMICS; STRUCTURED QUESTIONNAIRE; THEMATIC ANALYSIS; WORK EXPERIENCE;

EID: 84900530646     PISSN: None     EISSN: 11791594     Source Type: Journal    
DOI: 10.2147/RMHP.S60708     Document Type: Article

References (31)

1. Dovlo D. Taking more than a fair share? The migration of health professionals from poor to rich countries. PLoS Med. 2005;2(5):e109.
2. Kondro W. Canada's physician density remains stagnant. CMAJ. 2006;175(5):465.
3. World Health Organization. 10 facts on health workforce crisis. Geneva, Switzerland: World Health Organization; 2008. Available from: http://www.who.int/features/factfiles/health_workforce/en/index.html. Accessed March 31, 2014.
4. Scott ML, Whelan A, Dewdney J, Zwi AB. "Brain drain" or ethical recruitment? Med J Aust. 2004;180(4):174-176.
5. Connell J, Zurn P, Stilwell B, Awases M, Braichet JM. Sub-Saharan Africa: beyond the health worker migration crisis? Soc Sci Med. 2007; 64(9):1876-1891.
6. Shuchman M. Economist challenges recruiting hyperbole. CMAJ. 2008;178(5):543-544.
7. Mullan F. The metrics of the physician brain drain. N Engl J Med. 2005;353(17):1810-1818.
8. Goffe L. An exodus of doctors: wealthy countries snapping up Jamaican physicians. The Jamaica Observer. November 6, 2005.
9. Regional Core Health Data System. Country Profile: Jamaica. In: Health in the Americas. Kingston, Jamaica: Pan-American Health Organization; 1998.
10. Lofters A, Slater M, Thulien N. The "brain drain": factors influencing physician migration to Canada. Health. 2013;5(1):125-137.
11. Syed NA, Khimani F, Andrades M, Ali SK, Paul R. Reasons for migration among medical students from Karachi. Med Educ. 2008;42(1):61-68.
12. Pang T, Lansang MA, Haines A. Brain drain and health professionals. BMJ. 2002;324:499-500.
13. World Health Organization. Migration of health workers: Fact sheet no 301 2010. Geneva, Switzerland: World Health Organization; 2013. Available from: http://www.who.int/mediacentre/factsheets/fs301/en/index.html. Accessed March 31, 2014.
14. Carr SC, Inkson K, Thorn K. From global careers to talent flow: reinterpreting 'brain drain'. Journal of World Business. 2005;40: 386-398.
15. Schrecker T, Labonte R. Taming the brain drain: a challenge for public health systems in Southern Africa. Int J Occup Environ Health. 2004;10(4):409-415.
16. Health Force Ontario. Licensing information for international medical graduates (IMGs) living in Ontario. Available from: http://www.healthforceontario.ca/en/Home/Physicians/Training_%7C_Practising_Outside_Ontario/International_Medical_Graduate_Living_in_Ontario. Accessed March 31, 2014.
17. American Medical Association. State Licensure Board Requirements for IMG. Available from: http://www.ama-assn.org//ama/pub/about-ama/our-people/member-groups-sections/international-medical-graduates/practicing-medicine/state-licensure-board-requirements-img.page. Accessed March 31, 2014.
18. Jolly P, Boulet J, Garrison G, Signer MM. Participation in US graduate medical education by graduates of international medical schools. Acad Med. 2011;86(5):559-564.
19. National Resident Matching Program. Results and Data: 2013 Main Residency Match®. Washington, DC, USA: National Resident Matching Program; 2013. Available from: http://b83c73bcf0e7ca356c80-e8560f466940e4ec38ed51af32994bc6.r6.cf1.rackcdn.com/wp-content/uploads/2013/08/resultsanddata2013.pdf. Accessed March 31, 2014.
20. Cooper RA. Physician migration: a challenge for America, a challenge for the world. J Contin Educ Health Prof. 2005;25(1):8-14.
21. Thomson G, Cohl K. IMG Selection: Independent Review of Access to Postgraduate Programs by International Medical Graduates in Ontario 2011. Available from: http://www.health.gov.on.ca/en/common/ministry/publications/reports/thomson/v1_thomson.pdf. Accessed March 31, 2014.
22. Creswell JW, Fetters MD, Ivankova NV. Designing a mixed methods study in primary care. Ann Fam Med. 2004;2(1):7-12.
23. World Bank. Country and Lending Groups-Data 2013. Available from: http://data.worldbank.org/about/country-classifications/country-and-lending-groups. Accessed March 31, 2014.
24. Creswell JW. Research Design: Qualitative, Quantitative, and Mixed Method Approaches. 4th ed. Thousand Oaks, CA, USA: Sage Publications; 2014.
25. Lopes C. Restrictions on health worker migration proving problematic. CMAJ. 2008;178(3):269-270.
26. Nguyen L, Ropers S, Nderitu E, Zuyderduin A, Luboga S, Hagopian A. Intent to migrate among nursing students in Uganda: measures of the brain drain in the next generation of health professionals. Hum Resour Health. 2008;6:5.
27. Edge JS, Hoffman SJ. Empirical impact evaluation of the WHO Global Code of Practice on the International Recruitment of Health Personnel in Australia, Canada, UK and USA. Global Health. 2013;9:60.
28. Kuehn BM. Global shortage of health workers, brain drain stress developing countries. JAMA. 2007;298(16):1853-1855.
29. Bourgeault IL, Neiterman E, LeBrun J. Brain gain, drain and waste: the experiences of internationally educated health professionals in Canada. Ottawa, ON, Canada: University of Ottawa; 2010. Available from: http://www.threesource.ca/documents/February2011/brain_drain.pdf. Accessed March 31, 2014.
30. Humphries N, Tyrrell E, McAleese S, et al. A cycle of brain gain, waste and drain-a qualitative study of non-EU migrant doctors in Ireland. Hum Resour Health. 2013;11:63.
31. Sheikh A, Naqvi SH, Sheikh K, Naqvi SH, Bandukda MY. Physician migration at its roots: a study on the factors contributing towards a career choice abroad among students at a medical school in Pakistan. Global Health. 2012;8:43.