Navigation Links
Study: Foreign-trained physicians frustrated at lack of residency positions
Date:6/26/2014

TORONTO, June 26, 2014Foreign-trained physicians feel there are not enough residency positions for them in countries such as Canada and the United States and this information was not communicated to them before they emigrated, a new study has found.

Researchers at St. Michael's Hospital surveyed international medical graduates to better understand the concepts of "brain drain," the migration of health care workers from low- and middle-income countries to higher-income countries, and "brain waste," where their skills are under-utilized or not utilized in their new country. Many were older physicians who had spent a considerable amount of time and money trying to obtain a medical residency position.

Residency is a mandatory stage of graduate medical training in which someone who has received a medical degree works in a teaching hospital for two to five years learning from senior doctors.

Dr. Aisha Lofters, a family physician and researcher in the hospital's Centre for Research on Inner City Health, said only about 55 per cent of international medical graduates, or IMGs, living in Canada are currently working as physicians. In 2011, 1,800 applicants competed for 191 residency spots designated for foreign trained physicians in Ontario, Canada's largest province. The success rate that year was about 20 per cent for Canadians who had gone abroad for their medical training compared to six per cent for immigrant IMGs.

The numbers are similar in the United States where almost half of international medical graduates are unsuccessful in their first attempt at securing a residency position. In 2013, 47.6 per cent of non-American citizen applicants secured a residency position compared to 53.1 per cent of U.S. citizens trained in international schools. IMGs who are originally from the United States ultimately have a 91 per cent success rate, while only 73 per cent of IMGs born outside of the United States are ultimately successful.

In a paper published in the Journal of Risk Management and Healthcare Policy, Dr. Lofters said those statistics for IMGs in Canada and the United States are not specific to immigrants from low- and middle-income countries, so it's possible their numbers might be even lower.

Of the 462 people whose survey results were studied, Dr. Lofters said the top five reasons for choosing to emigrate were: socioeconomic or political situations in their home countries, better education for their children, concerns about where to raise children, quality of facilities and equipment and lack of opportunities for professional advancement. Those same responses were the top five reasons given for choosing to immigrate to Canada.

"When asked if they had any other comments they would like to share regarding their migration experience, a substantial number of respondents reported feeling that they were misinformed as to their actual chances of obtaining a residency position in Canada," Dr. Lofters said. "Because they were skilled workers and allowed to migrate to Canada, many reported assuming that they would be easily able to find employment in medicine and expressed anger that their assumption was incorrect."

She said many spoke of the shame they felt in taking what they viewed as "survival jobs," delivering pizzas or driving a cab instead of practicing medicine. Many said they regretted their decision to move to Canada.

"Our findings suggest that brain waste is pervasive for physicians who migrate to Ontario and that both brain drain and brain waste have no easy of quick solutions," Dr. Lofters said. "Restricting emigration and immigration for health care workers would be very difficult from an ethical and moral standpoint."

She said that where feasible, low- and middle-income countries should implement incentives to encourage their physicians and other health care workers to stay in their home countries, such as improved working conditions, financial incentives for working in rural or underserved regions. At the same time, she said, countries like Canada need to ensure that the immigration process clearly outlines the relatively low likelihood of obtaining a career in medicine after immigration, the low number of post-graduate training positions available for non-Canadian IMGs and the average time and financial commitment required.


'/>"/>

Contact: Leslie Shepherd
shepherdl@smh.ca
416-864-6094
St. Michael's Hospital
Source:Eurekalert  

Related medicine news :

1. Study: Motivational interviewing helps reduce home secondhand smoke exposure
2. Study: When hospital workers get vaccines, community flu rates fall
3. Study: New test predicts if breast cancer will spread
4. Study: Baltimore hookah bars contain elevated levels of carbon monoxide and air nicotine
5. Study: New genes identified may unlock mystery of keloid development
6. First-of-its-kind study: Swimmers gain an advantage when they recover with chocolate milk
7. Study: Some pancreatic cancer treatments may be going after the wrong targets
8. Study: Former prisoners, parolees turn to emergency departments for care
9. Study: Concussion rate in high-school athletes more than doubled in 7-year period
10. Study: Custom-made mouthguards reduce athletes risk of concussion
11. Study: Low-fat diet helps fatigue in people with MS
Post Your Comments:
*Name:
*Comment:
*Email:
Related Image:
Study: Foreign-trained physicians frustrated at lack of residency positions
(Date:6/26/2016)... North Carolina (PRWEB) , ... June 26, 2016 , ... ... release of a new product that was developed to enhance the health of felines. ... for centuries. , The two main herbs in the PawPaws Cat Kidney Support ...
(Date:6/25/2016)... ... 25, 2016 , ... The temporary closing of Bruton Memorial Library on June 21 due to ... a new, often overlooked aspect of head lice: the parasite’s ability to live away from ... common occurrence, but a necessary one in the event that lice have simply gotten out ...
(Date:6/25/2016)... ... ... On Friday, June 10, Van Mitchell, Secretary of the Maryland Department of ... recognition of their exemplary accomplishments in worksite health promotion. , The Wellness at Work ... Symposium at the BWI Marriott in Linthicum Heights. iHire was one of 42 businesses ...
(Date:6/24/2016)... ... 2016 , ... Marcy was in a crisis. Her son James, eight, was out of control. ... and physically. , “When something upset him, he couldn’t control his emotions,” remembers Marcy. ... rocks at my other children and say he was going to kill them. If ...
(Date:6/24/2016)... ... ... makers of Topricin and MyPainAway Pain Relief Products, join The ‘Business for a Fair Minimum ... by 2020 and then adjusting it yearly to increase at the same rate as the ... wage floor does not erode again, and make future increases more predictable. , The company ...
Breaking Medicine News(10 mins):
(Date:6/24/2016)... 2016 Research and Markets has announced ... Diagnostic Tests" report to their offering. ... The World Market for Companion Diagnostics covers ... Market analysis in the report includes the following: ... Diagnostic Kits) by Region (N. America, EU, ROW), 2015-2020 ...
(Date:6/24/2016)... , June 24, 2016   Pulmatrix, Inc ., ... developing innovative inhaled drugs, announced today that it was ... Investments reconstituted its comprehensive set of U.S. and ... "This is an important milestone for Pulmatrix," said Chief ... shareholder awareness of our progress in developing drugs for ...
(Date:6/24/2016)... KNOXVILLE, Tenn. , June 24, 2016 /PRNewswire/ ... market providing less invasive and more durable cerebrospinal ... million in funding.  The Series-A funding is led ... the Lighthouse Fund, and other private investors.  Arkis, ... less-invasive neurosurgical instrumentation and the market release of ...
Breaking Medicine Technology: