Why do medical students seek for work abroad?

This article was exclusively written for the Sting by Mr. Cagri Orkun Kilic, a medical student at the University of Marmara Faculty of Medicine in Istanbul, Turkey and Ms Aleksandra Likońska, a medical student at the University of Lodz, Poland . Both are also affiliated to the International Federation of Medical Students Associations (IFMSA). However, the opinions expressed in this piece belong strictly to the writers and do not necessarily reflect IFMSA’s view on the topic, nor The European Sting’s one.

Article 13 of Universal Declaration of Human Rights states “Everyone has the right to freedom of movement and residence within the borders of each state.” When healthcare workers move from one country to another to work, there are two factors to consider: Those called “push factors” which incites one to leave one’s country, and “pull factors” which can attract one to another country. Push and pull factors usually exist as opposite pairs such as low financial compensation in one country, and relatively high financial compensations in another country. Here we would like to elaborate the most common reasons why medical students leave their home country to work elsewhere.

Medical students voluntarily dedicate their youth and free time to explore art of healing human body and it seems rightful to demand equitable salary for their work, which includes personal, financial and moral responsibilities. In many countries salaries for young doctors neither ensure enough livelihood nor is the reflection of the workload and responsibility. Moreover, young doctors, who know that specialty is essential for their future career very often agree to lower payments or emigrate.

Graduation is not enough – in most countries to become an independent doctor specialty is required. Specialty course is a paid position at hospital and trainees are called residents. Residents learn by working, are gradually given more advanced procedures to perform, initially under supervision, later on their own. Average time of specialty course is 4-6 years.

In Europe there is noticeably alarming trend of increasing number of medical students, but without parallel increase of specialty places. Emigration is inevitable when students don’t have possibility to continue their medical career in country they trained in. This policy that originally put forward to solve the problem of lacking doctors, instead aggravated it. Poor quality of postgraduate studies is also a drive for leaving homeland. Specialty course should be a time of gradual transition from mostly theoretical knowledge gained at university to fully individual medical practice. Regrettably, very often this process is disturbed: lack of supervisors, work overload brings overwhelming duties such as additional shifts.

Humans seek to move out of a place where they feel insecure, as shown by the recent refugee situation in Europe. Economic and political instability and minority issues of a country are important pushing factors for medical students to seek new countries to settle and work. Disruptions in a country’s management and civil turmoil affect healthcare rapidly as deterioration of societal well-being leads to overuse of hospitals. Together with a sense of insecurity, political and economical instability is the recipe for medical student emigration.

WHO suggests that heavy workload is a reason for healthcare workers migration. Medicine is a non-stop profession as people will always suffer from health problems and require treatment. The need for doctors in medical facilities are 24/7 and shifts and working hours are decided by special labor contracts. Demand for doctors’ work is high and with some poor management of human resources, doctors face inhumane working hours even around Europe.

While the movement of medical students is a human right, on the other hand migration of doctors deepen the problem of lacking medical professionals in unprivileged areas. By understanding all factors behind doctors’ migration, IFMSA believes that solutions to such a complex problem may be found when worked together with governments, medical schools and other non-governmental organisations.

About the authors

Aleksandra Likońska is 5th year medical student at Medical University of Lodz, Poland, currently Standing Committee on Medical Education Regional Assistant for Europe 2016-17, International Federation of Medical Students’ Associations (IFMSA). Medical education enthusiast and researcher. Advocator for better medical universities’ curricula. Guide for medical students that want to be a change leaders in their countries. Member of Student Taskforce during An International Association For Medical Education AMEE Conference in Glasgow and Barcelona.

Cagri Orkun Kilic is a 6th year medical student at University of Marmara Faculty of Medicine in Istanbul, Turkey. He worked as National Officer of Medical Education for Turkish Medical Students Association (TurkMSIC) 2013-2014 and as Medical Education Director for European Medical Students Association (EMSA) 2015-2016. He also worked for two years as one of the coordinators of Student Taskforce during An International Association For Medical Education AMEE Conferences in 2016 and 2017.

 

Advertising

Advertising

Advertising

Advertising

Advertising

Advertising

Advertising

Advertising

Advertising

Advertising

Advertising

Advertising

Advertising

Advertising

Advertising

Advertising

Advertising

Featured Stings

Resolving banks with depositors’ money?

Could entrepreneurship be the real cure against the side effects of Brexit?

IMF’s Lagarde indirectly cautioned Eurozone on deflation

Brexit talks started with a London handicap and Brussels’ sternness

AIESEC @ European Business Summit 2014: European Youth, Change Now Patiently

The eighth round of TTIP negotiations concludes in Brussels amid scepticism and new fears

Human Resources Information Systems Specialist Trainee – 2013

19th EU-China Summit: A historical advance in the Chino-European rapprochement

TTIP wins Merkel’s endorsement ahead of 2016 tough deadline

A Sting Exclusive: “Without climate, forget about peace!”, Swedish MEP Bodil Valero cautions from Brussels

Jo Cox’s murderer believed the ‘leave’ campaign leaders that the ‘remain’ vote is treason

Why the 33,000 staff European Commission did not have a real contingency plan for the refugee crisis?

MasterCard at European Business Summit 2015: A focus on innovation will drive inclusive economic growth for Europe

Macron has the deputies but not the people’s consent for his far reaching reforms

Tiny Iceland teaches the West how to treat bankers

A Sting Exclusive: “Doing ourselves a favour”, Vice President Dombrovskis underscores that this time growth has to come from within the EU

EU Banks still get subsidies from impoverished citizens

Commission: Raising the social issues that can make or break the monetary union

Draghi’s top new year resolution: Quantitative Easing

EU to spend €6 billion on youth employment and training futile schemes

The four top Americans who flew to Europe perplexed things about Trump’s intentions

Eurozone: Sovereign debt decreases for the first time since 2007

EU Commission says falling labour remuneration leads to deflation and damages growth prospects

More taxpayers’ money for the banks

Eurozone: A Sluggish economy offers no extra jobs

EU Parliament: Follow the fraudulent money and confiscate it

Climate Change: a challenge yet to be tackled in medical schools

Eurozone slowly but surely builds its Banking Union

The “Legend of the Sun” wishes you Happy Chinese New Year 2015 from Brussels

AIESEC @ European Business Summit 2015: The power of an individual and how we can awaken Europe’s Youth

Europe rethinking its severe austerity policies

Assembly of European Regions @ European Business Summit 2014: The European regions on the path to recovery

What UK and EU risk if Brexit “wins” these elections

Quality Education on the table at the European Parliament

Banks get trillions and the unemployed ECB’s love…

EU Parliament: It takes real banks to fight unemployment and recession

On Human Rights Day European Youth Forum calls for end to discrimination of young people

What the future holds for the EU – China relations?

Lessons from the Global Entrepreneurship Index

Poor Greeks, Irish and Spaniards still pay for the faults of German and French banks

EU citizens disenchanted with Economic and Monetary Union over rising poverty and high unemployment

The EU risks trade relations with China over the Tata hype about steel

Does the West play the Syrian game in Egypt?

International World Summit Award calls for outstanding digital applications with impact on society from 178 UN member states

Basel III rules relaxed: Banks got it all but become more prone to crisis

Will France vote for more or less Europe in the next presidential elections?

“They are trying to make improvements, but of course they are quite slow for my generation”, Vice President of JADE Victor Soto on another Sting Exclusive

EUREKA @ European Business Summit 2014: Innovation across borders – mobilising national R&D funds for transnational innovation in Europe

Who and why want the EU-US trade agreement here and now

Draghi’s ‘quasi’ announcement of a new era of more and cheaper money

The EU Spring Summit set to challenge austerity

Does the world have strong enough institutions to handle risks like Trump and Brexit?

On Grexit: Incompetence just launched the historic Ultimatum that could open “pandora’s box”

Macron’s Presidency: what the young generation’s expectations are

EU continues targeting on Chinese steel imports instead of the revival of its own economy

Industry 4.0: Championing Europe’s fourth industrial revolution

The EU Parliament and the ECB unknowingly or unwillingly fail to protect our financial assets

The 13th round of TTIP negotiations hits a wall of intense protests and growing concerns

Commission challenges Council over EU 2014 budget

Berlin cannot dictate anymore the terms for the enactment of the European Banking Union

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 )

Twitter picture

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

Facebook photo

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

Google+ photo

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

Connecting to %s