The consequences of Ireland’s culture of medical migration
Abstract Background In recent years, Ireland has experienced a large-scale, outward migration of doctors. This presents a challenge for national policy makers and workforce planners seeking to build a self-sufficient medical workforce that trains and retains enough doctors to meet demand. Although,...
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| Format: | Article |
| Language: | English |
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BMC
2017-12-01
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| Series: | Human Resources for Health |
| Subjects: | |
| Online Access: | http://link.springer.com/article/10.1186/s12960-017-0263-7 |
| _version_ | 1818896596156284928 |
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| author | Niamh Humphries Sophie Crowe Cian McDermott Sara McAleese Ruairi Brugha |
| author_facet | Niamh Humphries Sophie Crowe Cian McDermott Sara McAleese Ruairi Brugha |
| author_sort | Niamh Humphries |
| collection | DOAJ |
| description | Abstract Background In recent years, Ireland has experienced a large-scale, outward migration of doctors. This presents a challenge for national policy makers and workforce planners seeking to build a self-sufficient medical workforce that trains and retains enough doctors to meet demand. Although, traditionally, medical migration has been considered beneficial to the Irish health system, austerity has brought a greater level of uncertainty to the health system and, with it, a need to reappraise the professional culture of migration and its impact on the Irish health system. Methods This paper illustrates how a culture of migration informs career and migration plans. It draws on quantitative data—registration and migration data from source and destination countries—and qualitative data—in-depth interviews with 50 doctors who had undertaken postgraduate medical training in Ireland. Results Of 50 respondents, 42 highlighted the importance of migration. The culture of medical migration rests on two assumptions—that international training/experience is beneficial to all doctors and that those who emigrate will return to Ireland with additional skills and experience. This assumption of return is challenged by a new generation of doctors whose professional lives have been shaped by globalisation and by austerity. Global comparisons reveal the comparatively poor working conditions, training and career opportunities in Ireland and the relative attractiveness of a permanent career abroad. Conclusion In light of these changes, there is a need to critically appraise the culture of medical migration to determine if and in what circumstances migration is appropriate to the needs of the Irish health system. The paper considers the need to reappraise the culture of medical migration and the widespread emigration that it promotes. |
| first_indexed | 2024-12-19T19:02:47Z |
| format | Article |
| id | doaj.art-7559409f66e749a883cbdd68e7f7c159 |
| institution | Directory Open Access Journal |
| issn | 1478-4491 |
| language | English |
| last_indexed | 2024-12-19T19:02:47Z |
| publishDate | 2017-12-01 |
| publisher | BMC |
| record_format | Article |
| series | Human Resources for Health |
| spelling | doaj.art-7559409f66e749a883cbdd68e7f7c1592022-12-21T20:09:31ZengBMCHuman Resources for Health1478-44912017-12-011511910.1186/s12960-017-0263-7The consequences of Ireland’s culture of medical migrationNiamh Humphries0Sophie Crowe1Cian McDermott2Sara McAleese3Ruairi Brugha4Research Department, Royal College of Physicians of IrelandDepartment of Epidemiology and Public Health Medicine, Royal College of Surgeons in IrelandUniversity Hospital Geelong, Barwon HealthDepartment of Epidemiology and Public Health Medicine, Royal College of Surgeons in IrelandDepartment of Epidemiology and Public Health Medicine, Royal College of Surgeons in IrelandAbstract Background In recent years, Ireland has experienced a large-scale, outward migration of doctors. This presents a challenge for national policy makers and workforce planners seeking to build a self-sufficient medical workforce that trains and retains enough doctors to meet demand. Although, traditionally, medical migration has been considered beneficial to the Irish health system, austerity has brought a greater level of uncertainty to the health system and, with it, a need to reappraise the professional culture of migration and its impact on the Irish health system. Methods This paper illustrates how a culture of migration informs career and migration plans. It draws on quantitative data—registration and migration data from source and destination countries—and qualitative data—in-depth interviews with 50 doctors who had undertaken postgraduate medical training in Ireland. Results Of 50 respondents, 42 highlighted the importance of migration. The culture of medical migration rests on two assumptions—that international training/experience is beneficial to all doctors and that those who emigrate will return to Ireland with additional skills and experience. This assumption of return is challenged by a new generation of doctors whose professional lives have been shaped by globalisation and by austerity. Global comparisons reveal the comparatively poor working conditions, training and career opportunities in Ireland and the relative attractiveness of a permanent career abroad. Conclusion In light of these changes, there is a need to critically appraise the culture of medical migration to determine if and in what circumstances migration is appropriate to the needs of the Irish health system. The paper considers the need to reappraise the culture of medical migration and the widespread emigration that it promotes.http://link.springer.com/article/10.1186/s12960-017-0263-7Medical workforceMedical migrationHealth system researchCultureQualitative researchIreland |
| spellingShingle | Niamh Humphries Sophie Crowe Cian McDermott Sara McAleese Ruairi Brugha The consequences of Ireland’s culture of medical migration Human Resources for Health Medical workforce Medical migration Health system research Culture Qualitative research Ireland |
| title | The consequences of Ireland’s culture of medical migration |
| title_full | The consequences of Ireland’s culture of medical migration |
| title_fullStr | The consequences of Ireland’s culture of medical migration |
| title_full_unstemmed | The consequences of Ireland’s culture of medical migration |
| title_short | The consequences of Ireland’s culture of medical migration |
| title_sort | consequences of ireland s culture of medical migration |
| topic | Medical workforce Medical migration Health system research Culture Qualitative research Ireland |
| url | http://link.springer.com/article/10.1186/s12960-017-0263-7 |
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