Migration of Junior Doctors: The Case of Psychiatric Trainees in Portugal

Introduction: In the last few decades, the rates of international medical migration have continuously risen. In Psychiatry, there is great disparity in the workforce between high and low-income countries. Yet, little is known about the ‘push’ and ‘pull’ factors and the migratory intentions of train...

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Main Authors: Mariana Pinto da Costa, Cátia Moreira, Luis F. S. Castro-de-Araujo, Fábio Monteiro da Silva, Renato Antunes dos Santos
Format: Article
Language:English
Published: Ordem dos Médicos 2021-06-01
Series:Acta Médica Portuguesa
Subjects:
Online Access:https://actamedicaportuguesa.com/revista/index.php/amp/article/view/12562
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author Mariana Pinto da Costa
Cátia Moreira
Luis F. S. Castro-de-Araujo
Fábio Monteiro da Silva
Renato Antunes dos Santos
author_facet Mariana Pinto da Costa
Cátia Moreira
Luis F. S. Castro-de-Araujo
Fábio Monteiro da Silva
Renato Antunes dos Santos
author_sort Mariana Pinto da Costa
collection DOAJ
description Introduction: In the last few decades, the rates of international medical migration have continuously risen. In Psychiatry, there is great disparity in the workforce between high and low-income countries. Yet, little is known about the ‘push’ and ‘pull’ factors and the migratory intentions of trainees. This study aims to assess the factors impacting the decisions of psychiatric trainees in Portugal towards migration. Material and Methods: A questionnaire was developed in the Brain Drain study and was distributed to psychiatric trainees in Portugal. Results: The sample consists of 104 psychiatric trainees (60.6% female). Overall, 40.4% of the trainees had prior experience of living abroad and the majority (96.9%) felt that this experience influenced their attitude towards migration in a positive way. About 75% of trainees had ‘ever’ considered leaving the country, but the majority (70.0%) had not taken any ‘practical steps’ towards migration. The main reasons to stay in Portugal were personal, while the main reason to leave was financial. The majority of the trainees (55.7%) were dissatisfied or very dissatisfied with their income, working conditions and academic opportunities. Discussion: Working conditions, salaries and academic opportunities are the main triggers for the migration of psychiatric trainees from Portugal. Conclusion: These results may inform the decisions of stakeholders in the health and education sectors and point out the necessary investments required and the impact it may have on the workforce.
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spelling doaj.art-d728479bcaf84bb288dd94ca30152a472022-12-22T02:25:18ZengOrdem dos MédicosActa Médica Portuguesa0870-399X1646-07582021-06-01347-810.20344/amp.125625114Migration of Junior Doctors: The Case of Psychiatric Trainees in PortugalMariana Pinto da Costa0Cátia Moreira1Luis F. S. Castro-de-Araujo2Fábio Monteiro da Silva3Renato Antunes dos Santos4Psychiatry Department. Hospital de Magalhães Lemos. Porto. Portugal. Institute of Biomedical Sciences Abel Salazar. University of Porto. Porto. Portugal. Unit for Social and Community Psychiatry (WHO Collaborating Centre for Mental Health Services Development). Queen Mary University of London. London.Psychiatry Department. Centro Hospitalar Psiquiátrico de Lisboa. Lisboa.Centre of Data and Knowledge Integration for Health (CIDACS). Instituto Gonçalo Muniz. Fundação Osvaldo Cruz. Salvador. Brazil. Department of Psychiatry. The University of Melbourne. Victoria.Psychiatry Department. Hospital de Magalhães Lemos. Porto.Department of Psychiatry. Douglas Mental Health University Institute. McGill University. Montréal. Introduction: In the last few decades, the rates of international medical migration have continuously risen. In Psychiatry, there is great disparity in the workforce between high and low-income countries. Yet, little is known about the ‘push’ and ‘pull’ factors and the migratory intentions of trainees. This study aims to assess the factors impacting the decisions of psychiatric trainees in Portugal towards migration. Material and Methods: A questionnaire was developed in the Brain Drain study and was distributed to psychiatric trainees in Portugal. Results: The sample consists of 104 psychiatric trainees (60.6% female). Overall, 40.4% of the trainees had prior experience of living abroad and the majority (96.9%) felt that this experience influenced their attitude towards migration in a positive way. About 75% of trainees had ‘ever’ considered leaving the country, but the majority (70.0%) had not taken any ‘practical steps’ towards migration. The main reasons to stay in Portugal were personal, while the main reason to leave was financial. The majority of the trainees (55.7%) were dissatisfied or very dissatisfied with their income, working conditions and academic opportunities. Discussion: Working conditions, salaries and academic opportunities are the main triggers for the migration of psychiatric trainees from Portugal. Conclusion: These results may inform the decisions of stakeholders in the health and education sectors and point out the necessary investments required and the impact it may have on the workforce. https://actamedicaportuguesa.com/revista/index.php/amp/article/view/12562Emigration and ImmigrationInternship and ResidencyJob SatisfactionMotivationPhysiciansPortugal
spellingShingle Mariana Pinto da Costa
Cátia Moreira
Luis F. S. Castro-de-Araujo
Fábio Monteiro da Silva
Renato Antunes dos Santos
Migration of Junior Doctors: The Case of Psychiatric Trainees in Portugal
Acta Médica Portuguesa
Emigration and Immigration
Internship and Residency
Job Satisfaction
Motivation
Physicians
Portugal
title Migration of Junior Doctors: The Case of Psychiatric Trainees in Portugal
title_full Migration of Junior Doctors: The Case of Psychiatric Trainees in Portugal
title_fullStr Migration of Junior Doctors: The Case of Psychiatric Trainees in Portugal
title_full_unstemmed Migration of Junior Doctors: The Case of Psychiatric Trainees in Portugal
title_short Migration of Junior Doctors: The Case of Psychiatric Trainees in Portugal
title_sort migration of junior doctors the case of psychiatric trainees in portugal
topic Emigration and Immigration
Internship and Residency
Job Satisfaction
Motivation
Physicians
Portugal
url https://actamedicaportuguesa.com/revista/index.php/amp/article/view/12562
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