The impacts of training pathways and experiences during intern year on doctor emigration from Ireland

Autor: Frances Cronin, Nicholas Clarke, Louise Hendrick, Ronan Conroy, Ruairi Brugha
Jazyk: angličtina
Rok vydání: 2019
Předmět:
Zdroj: Human Resources for Health, Vol 17, Iss 1, Pp 1-10 (2019)
Druh dokumentu: article
ISSN: 1478-4491
DOI: 10.1186/s12960-019-0407-z
Popis: Abstract Background Emigration of domestically-trained health professionals is widespread, including in Ireland which has the highest rate of medical graduates in the OECD. Ireland’s failure to retain graduates necessitates high levels of international recruitment. This study aimed to identify factors associated with recently graduated doctors’ intention to migrate, focusing on their work experiences during the mandatory post-graduation year, their wellbeing, and their perceptions of postgraduate training in Ireland. Methods A baseline survey was administered online to all final year students in Ireland’s six medical schools. A subsequent sweep surveyed those who consented to follow-up (n = 483) during the final month of first year of practice. Results Of the 232 respondents (48% response rate), 210 (94%) were Irish passport holders. Of these, only 36% intended to remain in Ireland after their internship, 57% intended to leave but return later, and 7% intended to leave permanently. A strong predictor of intention was study pathway: 60% of Graduate Entry Medicine (GEM) graduates and 25% of Direct Entry Medicine (DEM) graduates intended to remain in Ireland. Equal proportions intended to leave permanently (8% DEM, 6% GEM). Being a GEM graduate significantly reduced the likelihood of leaving to return (relative risk ratio (RRR) 0.20, 95% confidence interval (CI) (0.11–0.39), p
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