Push and Pull Factors of Why Medical Students Want to Leave Türkiye: A Countrywide Multicenter Study
Özet
Phenomenon: Physician immigration from other countries is increasing as developed countries continue to be desirable destinations for physicians; however, the determinants of Turkish physicians’ migration decisions are still unclear. Despite its wide coverage in the media and among physicians in Türkiye, and being the subject of much debate, there is insufficient data to justify this attention. With this study, we aimed to investigate the tendency of senior medical students in Türkiye to pursue their professional careers abroad and its related factors. Approach: This cross-sectional study involved 9881 senior medical students from 39 different medical schools in Türkiye in 2022. Besides participants’ migration decision, we evaluated the push and pull factors related to working, social environment and lifestyle in Türkiye and abroad, medical school education inadequacy, and personal insufficiencies, as well as the socioeconomic variables that may affect the decision to migrate abroad. The analyses were carried out with a participation rate of at least 50%. Findings: Of the medical students, 70.7% had emigration intentions. Approximately 60% of those want to stay abroad permanently, and 61.5% of them took initiatives such as learning a foreign language abroad (54.5%) and taking relevant exams (18.9%). Those who wanted to work in the field of Research & Development were 1.37 (95% CI: 1.22–1.54) times more likely to emigrate. The push factor that was related to emigration intention was the “working conditions in the country” (OR: 1.89, 95% CI: 1.56–2.28) whereas the “social environment/lifestyle abroad” was the mere pull factor for the tendency of emigration (OR: 1.73, 95% CI: 1.45–2.06). In addition, the quality problem in medical schools also had a significant impact on students’ decisions (OR: 2.20, 95% CI: 1.83–2.65). Insights: Although the percentage of those who want to emigrate “definitely” was at the same level as in the other developing countries, the tendency to migrate “permanently” was higher in Türkiye. Improving working conditions in the country and increasing the quality of medical faculties seem vital in preventing the migration of physicians.
Anahtar kelimeler
Sürdürülebilir Kalkınma Amaçları
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SKA 1: Yoksulluğa Son
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SKA 17: Amaçlar için Ortaklıklar
Atıf için künye
Eser, E., Cil, E., Sen Gundogan, N. E., ÇÖL, M., YILDIRIM ÖZTÜRK, E. N., Thomas, D. T., Sünter, A. T., Arslan, H. N., Citil, R., Onder, Y., Picakciefe, M., Dede, B., Demirel, C., Aydin, N., Caglayan, C., Aker, A. A., Borlu, A., Durmus, H., Can, G., … Turan, M. (2024). Push and Pull Factors of Why Medical Students Want to Leave Türkiye: A Countrywide Multicenter Study. Teaching and Learning in Medicine, 36(5), 588–600. https://doi.org/10.1080/10401334.2023.2229810
BibTeX
@article{eser2024-227545,
author = {Eser, Erhan and Cil, Elif and Sen Gundogan, Nesibe Efruz and ÇÖL, MELTEM and YILDIRIM ÖZTÜRK, ELİF NUR and Thomas, David Terence and Sünter, Ahmet Tevfik and Arslan, Hatice Nilden and Citil, Riza and Onder, Yalcin and Picakciefe, Metin and Dede, Bahadir and Demirel, Can and Aydin, Neriman and Caglayan, Cigdem and Aker, Ahmet Alp and Borlu, Arda and Durmus, Hasan and Can, Gunay and Siddikoglu, Esin and Sumer, Ergun Haldun and Uygun, Tunahan and Alkoy, Seval and Aktas Aycan, Kubra and Koruk, İbrahim and Kuzan, Rustem and Demir, Lutfi Saltuk and Hacilar, Esra and Sari, Hidir and Kilinc, Zehra and Onal, Ozgur and Dogan, Edanur and Emek, Mestan and Terzioglu, Rıdvan and Yapici, Gulcin and Erdal, Deniz and Eser, Sultan and Ayhan Akman, Emine and Koşan, Zahide and Yılmaz, Sinan and Ayoglu, Ferruh Niyazi and Acikgoz, Bilgehan and Musal, Berna and Suner, Ahmet Furkan and Erdogan, Aysegul and Cilburunoglu, İdris and Saygun, Meral and Daymaz, Didem and Arslantas, Didem and Onsuz, Muhammed Fatih and Beyhun, Nazim Ercument and Ustundag, Medine Gozde and Ekuklu, Galip and Ozder Tas, Fulya and Abacigil, Filiz and Oncu, Selcen and Hıdıroğlu, Seyhan and Ozaydin, Ayse Nilufer and Pirincci, Edibe and Bulut, Irem and Tozun, Mustafa and Eskiocak, Muzaffer and Gunel, Pinar and Torun, Sebahat Dilek and Yavuz, Melike and Hasde, Metin and Camur, Derya and Gunes, Gulsen and Kurt, Burak and Guler Baysoy, Nuket and Bakirci, Nadi and Demir, Figen and Catak, Binali and Ozyurda, Ferda and Turan, Mustafa},
title = {Push and Pull Factors of Why Medical Students Want to Leave Türkiye: A Countrywide Multicenter Study},
journal = {Teaching and Learning in Medicine},
year = {2024},
volume = {36},
number = {5},
pages = {588--600},
issn = {1040-1334},
doi = {10.1080/10401334.2023.2229810},
url = {https://akademik.atauni.edu.tr/yayinlar/227545-push-and-pull-factors-of-why-medical-students-want-to-leave-turkiye-a}
}