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Surgeon Migration Between Developing Countries and the United States: Train, Retain, and Gain from Brain Drain

Hagander, Lars LU ; Hughes, Christopher D.; Nash, Katherine; Ganjawalla, Karan; Linden, Allison; Martins, Yolanda; Casey, Kathleen M. and Meara, John G. (2013) In World Journal of Surgery 37(1). p.14-23
Abstract
The critical shortage of surgeons in many low- and middle-income countries (LMICs) prevents adequate responses to surgical needs, but the factors that affect surgeon migration have remained incompletely understood. The goal of this study was to examine the importance of personal, professional, and infrastructural factors on surgeon migration from LMICs to the United States. We hypothesized that the main drivers of surgeon migration can be addressed by providing adequate domestic surgical infrastructure, surgical training programs, and viable surgical career paths. We conducted an internet-based nationwide survey of surgeons living in the US who originated from LMICs. 66 surgeons completed the survey. The most influential factors for... (More)
The critical shortage of surgeons in many low- and middle-income countries (LMICs) prevents adequate responses to surgical needs, but the factors that affect surgeon migration have remained incompletely understood. The goal of this study was to examine the importance of personal, professional, and infrastructural factors on surgeon migration from LMICs to the United States. We hypothesized that the main drivers of surgeon migration can be addressed by providing adequate domestic surgical infrastructure, surgical training programs, and viable surgical career paths. We conducted an internet-based nationwide survey of surgeons living in the US who originated from LMICs. 66 surgeons completed the survey. The most influential factors for primary migration were related to professional reasons (p a parts per thousand currency sign 0.001). Nonprofessional factors, such as concern for remuneration, family, and security were significantly less important for the initial migration decisions, but adopted a more substantial role in deciding whether or not to return after training in the United States. Migration to the United States was initially considered temporary (44 %), and a majority of the surveyed surgeons have returned to their source countries in some capacity (56 %), often on multiple occasions (80 %), to contribute to clinical work, research, and education. This study suggests that surgically oriented medical graduates from LMICs migrate primarily for professional reasons. Initiatives to improve specialist education and surgical infrastructure in LMICs have the potential to promote retention of the surgical workforce. There may be formal ways for LMICs to gain from the international pool of relocated surgeons. (Less)
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author
organization
publishing date
type
Contribution to journal
publication status
published
subject
in
World Journal of Surgery
volume
37
issue
1
pages
14 - 23
publisher
Springer
external identifiers
  • wos:000312808400003
  • scopus:84871763679
ISSN
1432-2323
DOI
10.1007/s00268-012-1795-6
language
English
LU publication?
yes
id
677b34f2-6e37-4e69-a9f5-b491fe0ff921 (old id 3481504)
date added to LUP
2013-03-01 07:49:59
date last changed
2019-11-13 02:45:38
@article{677b34f2-6e37-4e69-a9f5-b491fe0ff921,
  abstract     = {The critical shortage of surgeons in many low- and middle-income countries (LMICs) prevents adequate responses to surgical needs, but the factors that affect surgeon migration have remained incompletely understood. The goal of this study was to examine the importance of personal, professional, and infrastructural factors on surgeon migration from LMICs to the United States. We hypothesized that the main drivers of surgeon migration can be addressed by providing adequate domestic surgical infrastructure, surgical training programs, and viable surgical career paths. We conducted an internet-based nationwide survey of surgeons living in the US who originated from LMICs. 66 surgeons completed the survey. The most influential factors for primary migration were related to professional reasons (p a parts per thousand currency sign 0.001). Nonprofessional factors, such as concern for remuneration, family, and security were significantly less important for the initial migration decisions, but adopted a more substantial role in deciding whether or not to return after training in the United States. Migration to the United States was initially considered temporary (44 %), and a majority of the surveyed surgeons have returned to their source countries in some capacity (56 %), often on multiple occasions (80 %), to contribute to clinical work, research, and education. This study suggests that surgically oriented medical graduates from LMICs migrate primarily for professional reasons. Initiatives to improve specialist education and surgical infrastructure in LMICs have the potential to promote retention of the surgical workforce. There may be formal ways for LMICs to gain from the international pool of relocated surgeons.},
  author       = {Hagander, Lars and Hughes, Christopher D. and Nash, Katherine and Ganjawalla, Karan and Linden, Allison and Martins, Yolanda and Casey, Kathleen M. and Meara, John G.},
  issn         = {1432-2323},
  language     = {eng},
  number       = {1},
  pages        = {14--23},
  publisher    = {Springer},
  series       = {World Journal of Surgery},
  title        = {Surgeon Migration Between Developing Countries and the United States: Train, Retain, and Gain from Brain Drain},
  url          = {http://dx.doi.org/10.1007/s00268-012-1795-6},
  volume       = {37},
  year         = {2013},
}