The sad plight of fledging doctors

This article was exclusively written for the Sting by Mr. Manish Kumar Gupta, a medical student at VA Healthcare medical center at Miami, FL. He is also affiliated to the International Federation of Medical Students Associations (IFMSA). However, the opinions expressed in this piece belong strictly to the writer and do not necessarily reflect IFMSA’s view on the topic, nor The European Sting’s one.

Migration of human beings has taken place at all times and in substantial diversity of circumstances. Causes have been climatic, political upheaval, economic or simply marketing of western concepts of living. The migration of medical students from developing to developed countries often remains a contentious topic with international policy makers. Arguments have long been made that migration stands as a stumbling block on the road map of global health. In “An essay on the principle of population,” Thomas Malthus wrote: “An emigration necessarily implies unhappiness of some kind or other in the country that is deserted.” The rationale behind emigration of human beings orbits around this Malthusian principle and it bodes well for fledgling doctors as well.

The linchpin behind emigration of medical students in general is debated around “Push/Pull” polarities. The strands that weave the thought inside medical students to leave their own native country are called “Push” factors, and the facets that inveigle them towards the high-income group countries are called “Pull factors”.

The Cardinal push factors that compel medical students to migrate towards the high-income group countries are already well documented in literature and these factors remain unchanged since many decades. These elements are lack of financial resources in the healthcare sector, limited career opportunities, poorly structured residency programs, intense and unfair (nepotism) competition for few residency positions, inability to practice theoretical concepts, dissatisfactory mentorship, weak institutional commitment towards teaching, lack of incentives for hard work and ever going culture of migration towards the west.

But in the year 2017, the pivotal role driving the exodus of medical students is played by deadly armed conflicts between the government and various factions that are prevalent in South East Asian and Middle Eastern countries. The conflict has arisen due to the malfunction of geopolitical structures built over the past one century, escalating the risk of ferocity and withering the world’s joint ability for conflict management. Geopolitical shifts, intensifying rivalries between major powers and rising regional tensions have fueled conflicts and made emigration towards the high-economic group countries an only available option for common citizenry including medical students.

Key pull factors that fascinate medical students towards high-income group countries incorporate higher remuneration, availabilities of larger number of residency positions, competition based on intelligence and productivity, higher commitment and collegial relation of attendings towards the trainees, well-structured research environment and above all the covenant of safety and security of the family.

The sincere challenge is what can be done now to revitalize the economic and political framework of countries, which are already facing a health crisis, topped with skilled workforce wanting to migrate. The area would benefit by a security centric approach coupled with developmental initiatives and arbitration and mediation by international peacekeeping institutions such as the United Nations. Additionally, efforts should be made in formulating policies that focus mainly on diminution of push factors and building up of elements that may persuade medical students to stay back in their aboriginal countries.

 

About the author

Manish Kumar Gupta is a research associate at VA Healthcare medical center at Miami, FL. Born and brought up in heart of India, Manish’s interests include a commitment to medically underserved population, preventive medicine and a love for teaching. By incorporating these in to a full service practice, he can truly meet the needs of his community as well as his own personal goals. Other interests include also reading geopolitical and other non-fiction literature and debating with people on geopolitical equations.

Advertising

Advertising

Advertising

Advertising

Advertising

the European Sting Milestones

Featured Stings

Stopping antimicrobial resistance would cost just USD 2 per person a year

Opening Remarks by H.E. Ambassador Yang Yanyi, Head of the Chinese Mission to the EU at the Chinese Fashion Night

FROM THE FIELD: South Sudan’s green shoots, highlight environmental recovery from war

European Commission determined to conclude EU-Mercosur trade deal this year despite French concerns

Refugee crisis: Commission proposes a new plan urging EU countries to help Italy

Rising insecurity in Central Africa Republic threatens wider region, Security Council told

PM May fosters chauvinism, declares trade war on Europe

Statement by Cecilia Malmström, Member of the EC in charge of Trade, on the successful conclusion of the final discussions on the EU-Japan Economic Partnership Agreement (EPA) – Brussels, 08 Dec 2017. (Copyright: European Union; Source: EC - Audiovisual Service; Photo: Georges Boulougouris)

The EU and Japan seal free trade pact that will cover 30% of global GDP

World Cancer Day: Early cervical cancer diagnosis could save lives of over 300,000 women

The ECB again takes care of the bankers not the people

MWC 2016 LIVE: Ingenu steps up efforts to build LPWA networks across the globe

The EU Commission by serving the banks offers poor support to European mainstream political parties

We know ethics should inform AI. But which ethics?

It’s ‘time for concrete action’ says UN chief, welcoming inter-Korean agreement

“Financial crisis will not happen in China!”, the Chinese Premier underlines from Switzerland; the Sting reports live from World Economic Forum 2015 in Davos

How will the NATO-EU competition evolve in the post Brexit era?

Third Facebook-Cambridge Analytica hearing: data breach prevention and cures

May led Britain to chaos, now looks for way out with unpredictable DUP

How can consumers be effectively protected from insurance sellers?

EU decides “in absentia” of civil society

New energy security framework will help meet growing needs in East Africa, sustainably – UN economic wing

Close to 7,000 evacuated from Syrian towns after enduring nearly 3-year siege

Chart of the day: The internet has a language diversity problem

Reality Shock

Intel @ European Business Summit 2014: Better decisions now, the new business dashboard 

EU, Brazil to hold high level Summit in Brasilia

UN says ‘many humanitarian achievements’, one year after ouster of ISIL from Mosul

Scientists can lead the fight against fake news

The sad plight of fledging doctors

IMF: All you want to know about Argentina

Vaccinations and the movement of anti-vaccers

Why we need a moderate approach to moderating online content

A Sting Exclusive: “Europe must be more ambitious in COP21 and lead on climate finance and sustainable development”, Green UK MEP Jean Lambert points out from Brussels

Confronting neo-mercantilism: why regulation is critical to global trade

How the powerful science of behaviour change can make us healthier

South Sudan’s foreseen genocide: from “Never Again” to “Again and Again and Again”?

Ukraine pays the price for lying between Russia and the EU

Breaking barriers between youth in the new tech era: is there an easy way through?

New roadmap toward healthier and cleaner oceans adopted by UN Environment and European Commission

This Chinese tech giant’s latest gadget is… a bus

Oh, well, you are wrong, Google responds to the European Commission

‘Favour dialogue’ over violence, UN chief urges all parties following clashes in Mali’s capital

COP21 Breaking News_03 December: UNFCCC Secretariat Launches Forest Information Hub

How music can help children with autism connect

Consumers suffer three defeats

Trump questions US – Europe kinship, approaches Russia

The European Sting @ Mobile World Congress 2014, Creating What’s Next for the World. Can EU Policy follow?

Here’s how to prepare South-East Asia’s young people for the future

What the global Internet’s stakeholders can learn from Europe’s new data law

In the future of work it’s jobs, not people, that will become redundant

Summer JADE Meeting 2015: We came curious, we left inspired

Women vital for ‘new paradigm’ in Africa’s Sahel region, Security Council hears

2016 crisis update: the year of the Red Fire Monkey burns the world’s markets down

Parliament: Last compromise on bank single resolution mechanism

Threats from mammoth banks and Brussels fuel May’s poll rates

Why Eurozone needs a bit more inflation

UN chief welcomes ‘first concrete step’ in normalizing Eritrea-Ethiopia relationship

Eurozone: In vicious cycle of disinflation and unemployment?

Guterres expresses ‘grave concern’ following explosion at large political rally for reform-minded Ethiopian Prime Minister

A few, or rather two, trade and economic alliances may rule our brave new world

UN gender agency hails record-breaking number of women in new US Congress as ‘historic victory’

More Stings?

Speak your Mind Here

Fill in your details below or click an icon to log in:

WordPress.com Logo

You are commenting using your WordPress.com account. Log Out /  Change )

Google+ photo

You are commenting using your Google+ account. Log Out /  Change )

Twitter picture

You are commenting using your Twitter account. Log Out /  Change )

Facebook photo

You are commenting using your Facebook account. Log Out /  Change )

Connecting to %s