Post-graduation migration intentions of students of Lebanese medical schools: A survey study

Elie A. Akl, Nancy Maroun, Stella Major, Claude Afif, Abir Abdo, Jacques Choucair, Mazen Sakr, Carl K. Li, Brydon J B Grant, Holger J. Schünemann

Research output: Contribution to journalArticle

37 Citations (Scopus)

Abstract

Background. The international migration of physicians is a global public health problem. Lebanon is a source country with the highest emigration factor in the Middle East and North Africa and the 7th highest in the World. Given that residency training abroad is a critical step in the migration of physicians, the objective of this study was to survey students of Lebanese medical schools about their intentions to train abroad and their post training plans. Methods. Our target population consisted of all students of Lebanese medical schools in the pre-final and final years of medical school. We developed the survey questionnaire based on the results of a qualitative study assessing the intentions and motives for students of Lebanese medical schools to train abroad. The questionnaire inquired about student's demographic and educational characteristics, intention to train abroad, the chosen country of abroad training, and post-training intention of returning to Lebanon. Results. Of 576 eligible students, 425 participated (73.8% response rate). 406 (95.5%) respondents intended to travel abroad either for specialty training (330 (77.6%)) or subspecialty training (76 (17.9%)). Intention to train abroad was associated with being single compared with being married. The top 4 destination countries were the US (301(74.1%)), France (49 (12.1%)), the United Kingdom (31 (7.6%)) and Canada (17 (4.2%)). One hundred and two (25.1%) respondents intended to return to Lebanon directly after finishing training abroad; 259 (63.8%) intended to return to Lebanon after working abroad temporarily for a varying number or years; 43 (10.6%) intended to never return to Lebanon. The intention to stay indefinitely abroad was associated male sex and having a 2nd citizenship. It was inversely associated with being a student of one of the French affiliated medical schools and a plan to train in a surgical specialty. Conclusion. An alarming percentage of students of Lebanese medical schools intend to migrate for post graduate training, mainly to the US. A minority intends to return directly to Lebanon after finishing training abroad.

Original languageEnglish
Article number191
JournalBMC Public Health
Volume8
DOIs
Publication statusPublished - 2008
Externally publishedYes

Fingerprint

Lebanon
Medical Schools
Students
Emigration and Immigration
Surgical Specialties
Physicians
Northern Africa
Eastern Africa
Middle East
Health Services Needs and Demand
Internship and Residency
Surveys and Questionnaires
France
Canada
Public Health
Demography

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health

Cite this

Post-graduation migration intentions of students of Lebanese medical schools : A survey study. / Akl, Elie A.; Maroun, Nancy; Major, Stella; Afif, Claude; Abdo, Abir; Choucair, Jacques; Sakr, Mazen; Li, Carl K.; Grant, Brydon J B; Schünemann, Holger J.

In: BMC Public Health, Vol. 8, 191, 2008.

Research output: Contribution to journalArticle

Akl, EA, Maroun, N, Major, S, Afif, C, Abdo, A, Choucair, J, Sakr, M, Li, CK, Grant, BJB & Schünemann, HJ 2008, 'Post-graduation migration intentions of students of Lebanese medical schools: A survey study', BMC Public Health, vol. 8, 191. https://doi.org/10.1186/1471-2458-8-191
Akl, Elie A. ; Maroun, Nancy ; Major, Stella ; Afif, Claude ; Abdo, Abir ; Choucair, Jacques ; Sakr, Mazen ; Li, Carl K. ; Grant, Brydon J B ; Schünemann, Holger J. / Post-graduation migration intentions of students of Lebanese medical schools : A survey study. In: BMC Public Health. 2008 ; Vol. 8.
@article{bd87baf4fbed435abc7bd0df92210620,
title = "Post-graduation migration intentions of students of Lebanese medical schools: A survey study",
abstract = "Background. The international migration of physicians is a global public health problem. Lebanon is a source country with the highest emigration factor in the Middle East and North Africa and the 7th highest in the World. Given that residency training abroad is a critical step in the migration of physicians, the objective of this study was to survey students of Lebanese medical schools about their intentions to train abroad and their post training plans. Methods. Our target population consisted of all students of Lebanese medical schools in the pre-final and final years of medical school. We developed the survey questionnaire based on the results of a qualitative study assessing the intentions and motives for students of Lebanese medical schools to train abroad. The questionnaire inquired about student's demographic and educational characteristics, intention to train abroad, the chosen country of abroad training, and post-training intention of returning to Lebanon. Results. Of 576 eligible students, 425 participated (73.8{\%} response rate). 406 (95.5{\%}) respondents intended to travel abroad either for specialty training (330 (77.6{\%})) or subspecialty training (76 (17.9{\%})). Intention to train abroad was associated with being single compared with being married. The top 4 destination countries were the US (301(74.1{\%})), France (49 (12.1{\%})), the United Kingdom (31 (7.6{\%})) and Canada (17 (4.2{\%})). One hundred and two (25.1{\%}) respondents intended to return to Lebanon directly after finishing training abroad; 259 (63.8{\%}) intended to return to Lebanon after working abroad temporarily for a varying number or years; 43 (10.6{\%}) intended to never return to Lebanon. The intention to stay indefinitely abroad was associated male sex and having a 2nd citizenship. It was inversely associated with being a student of one of the French affiliated medical schools and a plan to train in a surgical specialty. Conclusion. An alarming percentage of students of Lebanese medical schools intend to migrate for post graduate training, mainly to the US. A minority intends to return directly to Lebanon after finishing training abroad.",
author = "Akl, {Elie A.} and Nancy Maroun and Stella Major and Claude Afif and Abir Abdo and Jacques Choucair and Mazen Sakr and Li, {Carl K.} and Grant, {Brydon J B} and Sch{\"u}nemann, {Holger J.}",
year = "2008",
doi = "10.1186/1471-2458-8-191",
language = "English",
volume = "8",
journal = "BMC Public Health",
issn = "1471-2458",
publisher = "BioMed Central",

}

TY - JOUR

T1 - Post-graduation migration intentions of students of Lebanese medical schools

T2 - A survey study

AU - Akl, Elie A.

AU - Maroun, Nancy

AU - Major, Stella

AU - Afif, Claude

AU - Abdo, Abir

AU - Choucair, Jacques

AU - Sakr, Mazen

AU - Li, Carl K.

AU - Grant, Brydon J B

AU - Schünemann, Holger J.

PY - 2008

Y1 - 2008

N2 - Background. The international migration of physicians is a global public health problem. Lebanon is a source country with the highest emigration factor in the Middle East and North Africa and the 7th highest in the World. Given that residency training abroad is a critical step in the migration of physicians, the objective of this study was to survey students of Lebanese medical schools about their intentions to train abroad and their post training plans. Methods. Our target population consisted of all students of Lebanese medical schools in the pre-final and final years of medical school. We developed the survey questionnaire based on the results of a qualitative study assessing the intentions and motives for students of Lebanese medical schools to train abroad. The questionnaire inquired about student's demographic and educational characteristics, intention to train abroad, the chosen country of abroad training, and post-training intention of returning to Lebanon. Results. Of 576 eligible students, 425 participated (73.8% response rate). 406 (95.5%) respondents intended to travel abroad either for specialty training (330 (77.6%)) or subspecialty training (76 (17.9%)). Intention to train abroad was associated with being single compared with being married. The top 4 destination countries were the US (301(74.1%)), France (49 (12.1%)), the United Kingdom (31 (7.6%)) and Canada (17 (4.2%)). One hundred and two (25.1%) respondents intended to return to Lebanon directly after finishing training abroad; 259 (63.8%) intended to return to Lebanon after working abroad temporarily for a varying number or years; 43 (10.6%) intended to never return to Lebanon. The intention to stay indefinitely abroad was associated male sex and having a 2nd citizenship. It was inversely associated with being a student of one of the French affiliated medical schools and a plan to train in a surgical specialty. Conclusion. An alarming percentage of students of Lebanese medical schools intend to migrate for post graduate training, mainly to the US. A minority intends to return directly to Lebanon after finishing training abroad.

AB - Background. The international migration of physicians is a global public health problem. Lebanon is a source country with the highest emigration factor in the Middle East and North Africa and the 7th highest in the World. Given that residency training abroad is a critical step in the migration of physicians, the objective of this study was to survey students of Lebanese medical schools about their intentions to train abroad and their post training plans. Methods. Our target population consisted of all students of Lebanese medical schools in the pre-final and final years of medical school. We developed the survey questionnaire based on the results of a qualitative study assessing the intentions and motives for students of Lebanese medical schools to train abroad. The questionnaire inquired about student's demographic and educational characteristics, intention to train abroad, the chosen country of abroad training, and post-training intention of returning to Lebanon. Results. Of 576 eligible students, 425 participated (73.8% response rate). 406 (95.5%) respondents intended to travel abroad either for specialty training (330 (77.6%)) or subspecialty training (76 (17.9%)). Intention to train abroad was associated with being single compared with being married. The top 4 destination countries were the US (301(74.1%)), France (49 (12.1%)), the United Kingdom (31 (7.6%)) and Canada (17 (4.2%)). One hundred and two (25.1%) respondents intended to return to Lebanon directly after finishing training abroad; 259 (63.8%) intended to return to Lebanon after working abroad temporarily for a varying number or years; 43 (10.6%) intended to never return to Lebanon. The intention to stay indefinitely abroad was associated male sex and having a 2nd citizenship. It was inversely associated with being a student of one of the French affiliated medical schools and a plan to train in a surgical specialty. Conclusion. An alarming percentage of students of Lebanese medical schools intend to migrate for post graduate training, mainly to the US. A minority intends to return directly to Lebanon after finishing training abroad.

UR - http://www.scopus.com/inward/record.url?scp=45249098475&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=45249098475&partnerID=8YFLogxK

U2 - 10.1186/1471-2458-8-191

DO - 10.1186/1471-2458-8-191

M3 - Article

C2 - 18518954

AN - SCOPUS:45249098475

VL - 8

JO - BMC Public Health

JF - BMC Public Health

SN - 1471-2458

M1 - 191

ER -