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Brain drain in Medical education - Coggle Diagram
Brain drain in Medical education
significance
Healthcare professionals are "essential" workers
loss of a professional
loss of govt money
loss of an experienced professional
loss of a teacher
loss of a tax
patient loss
increased burden on remaining
Reasons
push factors
Macro (global and national)
low wages (low remuneration)
political instability
conflicts
poor infrastructures
lack of jobs
Meso (professional and job related)
limited career prospect
poor working conditions
low job satisfaction
Micro (personal)
quality of life
family obligations (wanted to live with family abroad)
seeking adventure
Pull factors
Macro (national and global)
higher salaries
safety and security
conducive immigrant policies
Meso (professional and job related)
better opportunities
superior working conditions
active recruitment
Micro (personal)
better quality of life
social network reunite
new life experiences
why some dont move
family ties
older age
satisfaction
social responisibility
patrionism
high cost of move
linguistic barriers
visa issues
Ethics tug of war
right of every individual to healthcare
right of personal autonomy
The reverse foreign aid
Rich countries steal workforce from poor
Solutions
Destination "rich" countries
achieve self sufficiency
invest on developing own doctors nurses
ethical rrecruitment
WHO codes of practice
not to recruit from struggling countries
compensate for loss
pay for cost of training
invest in medical institutions
bilateral agreements
source "poor" countries
Improve working conditions
provide safety
better jobs
better pay
curricular reforms
explicit social accountability
early exposure to rural areas
professional identity formation
include rural students in admission
grants for working in rural areas
hidden curriculum
disease covering rural areas
policies
temporary work visas
circular migration
return home after a certain period abroad
"return of talent" program
incentives to return home
stop private recruiters
forceful measures
mandatory public service for defined time
violation of autonomy
skill limiting education
teaching skills only limited to your context
not useful elsewhere
violation of autonomy