Native vs. Migrants – same Opportunities or Discriminated? – Psychiatry Trainees's Views from the EFPT Brain Drain Study

2017 ◽  
Vol 41 (S1) ◽  
pp. S624-S625
Author(s):  
M. Pinto da Costa ◽  
S. Tomori ◽  
T. Mogren ◽  
E. Biskup ◽  
F. Baessler ◽  
...  
Keyword(s):  
Social Sciences ◽  
Brain Drain ◽  
Health Professionals ◽  
Software Package ◽  
European Countries ◽  
Equal Opportunities ◽  
Host Countries ◽  
Item Questionnaire ◽  
Competing Interest ◽  
Skilled Health

IntroductionIt is a well known fact that qualified health professionals generally migrate to high-income, developed regions. Nevertheless, the perceptions of this immigrant skilled health workforce on access to opportunities or feeling discriminated in their host countries, have not yet been explored or adequately addressed.ObjectivesThis work has focused on the perceptions of immigrant psychiatry trainees in several European countries about their views on having equal access to opportunities as natives or feeling discriminated.MethodsA semi-structured 61-item questionnaire was circulated by National Coordinators in each country and was completed by 2281 psychiatric trainees from 33 European countries between year 2013 and 2014. Data has been analysed using the Software Package for Social Sciences for Windows v. 22.0 (SPSS Inc. Chicago, IL).ResultsIn these findings, more than one in ten psychiatry trainees across Europe were immigrants, with top host countries being Switzerland, Sweden and UK. Satisfaction with migration and the perception of having equal opportunities as the native trainees varied depending on the host country they migrated to. More than one-third of the trainees felt discriminated, not having the same opportunities as the local colleagues, especially concerning the work opportunities and the academic conditions. Still, nearly two-thirds considered having the same opportunities than natives.ConclusionsA high number of immigrant psychiatry trainees subjectively feels they do not have the same opportunities as local trainees. Further research about factual and perceived discrimination by immigrant workforce should be done.Disclosure of interestThe authors have not supplied their declaration of competing interest.

Brain Drain Project

2016 ◽  
Vol 33 (S1) ◽  
pp. S17-S17
Author(s):  
M. Pinto da Costa
Keyword(s):  
Brain Drain ◽  
Work Conditions ◽  
Critical Conditions ◽  
European Federation ◽  
Junior Doctors ◽  
Host Countries ◽  
Medical Migration ◽  
Medical Specialties ◽  
Competing Interest ◽  
And Migration

Despite the ongoing reality of workforce migration, information on medical migration is missing, with lack of detailed evidence of transnational migrations within Europe, obscuring the extent of how migration occurs amongst the different medical specialties.The European Federation of Psychiatric Trainees (EFPT) has been pioneer in researching workforce migration in junior doctors, conducting the EFPT Brain Drain study, which explored the reasons and patterns of mobility and migration in 33 European countries among junior doctors training in psychiatry.The intention has been to better understand the migration phenomena, its reasoning and effects in order to give practical proposals to improve education, training and work conditions and ultimately the health care itself in both donor and host countries.Migration among medical professionals can take place throughout the career: before, during or after training. Exploring attitudes towards migration among junior doctors can help to understand the factors that shape the decision-making processes related to migration in future specialists.These findings provide objective data that can assist policy makers, providing instruments to address the critical conditions leading to migration from at-risk countries, adjusting the pull factors and improving the standards of education, work and salaries.Future studies should explore whether the presented results differ for junior doctors in other medical disciplines, as well as physicians in general and psychiatric consultants in Europe and in other areas of the world. Furthermore, the follow up of the respondents from this study could assess to what extent the migratory tendency and intention predicts the future migration itself.Disclosure of interestThe author has not supplied his declaration of competing interest.

scholarly journals Discrimination on immigrant trainees

2017 ◽  
Vol 41 (S1) ◽  
pp. 914-914
Author(s):  
S. Tomori ◽  
M. Pinto da Costa
Keyword(s):  
Health Workforce ◽  
The Other ◽  
Host Countries ◽  
Financial Conditions ◽  
The Social ◽  
Competing Interest ◽  
The Uk ◽  
Migratory Experience ◽  
Skilled Health ◽  
Structured Questionnaire

IntroductionMigration and its effects in the life of skilled health workforce immigrants are a concern. However, the perceived challenges and advantages of being an immigrant trainee and their views on having access to local opportunities have not been studied so far. This can potentially play an important role in trainees’ future decisions to migrate.ObjectivesThis work has focused in exploring the perceptions of immigrant psychiatry trainees in several European countries about feeling discriminated, the circumstances they felt discriminated and how this perception affected their future migratory plans.MethodsA semi-structured questionnaire was circulated to psychiatry trainees in Europe between 2013 and 2014.ResultsMore than one in ten trainees across Europe were immigrants already. Top host countries were UK, Switzerland and Sweden. Approximately one in twenty trainees across Europe had the perception of feeling discriminated or not having the same opportunities as the native trainees, especially concerning the work and academic conditions and the social and financial conditions. On the other hand, nearly one in ten trainees felt they had the same opportunities. The country with the highest level of satisfactionwas the UK and with the lowest was Ireland. Almost half of the psychiatry trainees who felt discriminated in their previous migratory experience want to migrate again.ConclusionsA high number of immigrant psychiatry trainees feels that they do not have the same opportunities as local trainees and they are considering migrating again. Further research on feeling discriminated by immigrant workforce is necessary to clarify this differences.Disclosure of interestThe authors have not supplied their declaration of competing interest.

Staunching the Flow

2018 ◽  
Author(s):  
Jonathan Crush ◽  
Abel Chikanda
Keyword(s):  
Brain Drain ◽  
Health Professionals ◽  
Quality Of Healthcare ◽  
Retention Strategies ◽  
Health Institutions ◽  
The Government ◽  
Using Data ◽  
The Brain ◽  
Skilled Health

South Africa has experienced a major outflow of health professionals since the end of apartheid in 1994 and this brain drain has led to a significant decline in the quality of healthcare across the country’s health institutions. This chapter provides a critical assessment of South Africa’s health professional retention strategies and asks if these have led to any significant shifts in the emigration intentions of highly skilled health professionals (medical doctors and specialists, dentists and pharmacists). The chapter provides an overview of the scale of the brain drain from the country and the emigration intentions of those still there and in training. It then examines the various strategies that the government has adopted to staunch the flow. Finally, using data from 2007 and 2013 surveys of health professionals by the Southern African Migration Program, the chapter assesses whether these strategies have had any discernible impact.

scholarly journals What makes UK, Switzerland and Sweden attractive to trainees?

2017 ◽  
Vol 41 (S1) ◽  
pp. 914-914
Author(s):  
T. Mogren ◽  
K. Holmes ◽  
E. Biskup ◽  
M. Pinto da Costa
Keyword(s):  
Brain Drain ◽  
Cross Sectional Study ◽  
Study Data ◽  
Decision Making Process ◽  
Sectional Study ◽  
Host Countries ◽  
Cross Sectional ◽  
Global Impact ◽  
Competing Interest ◽  
The Uk

IntroductionMigration of medical professionals has a global impact on healthcare and services, including on mental health. Exploring the reasons for migration and why psychiatric trainees consider to migrate to certain countries is therefore crucial to understand the decision-making process related to migration of psychiatric trainees as well as of future specialists.ObjectivesThe aims of this Brain Drain Survey, was to research which countries most trainees in Europe migrate to (host countries) and for which reasons trainees choose to migrate to these countries (“pull factors”).MethodsIn a multicenter, cross-sectional study, data was collected in 33 countries. As part of the survey, all participants responded to a questionnaire exploring trainees’ experiences and attitudes towards migration.ResultsOur results showed that Sweden, Switzerland and the UK were all significant net hosts. The percentage of immigrants varied between these countries. One of the main contributors as a “pull” factor was unsurprisingly, salary. It is notable that all three-host countries were within the highest wage brackets within our survey.ConclusionsPsychiatric trainees tend to migrate to countries with higher income.Disclosure of interestThe authors have not supplied their declaration of competing interest.

Psychiatry Trainees in Turkey Considers Leaving the Country

2016 ◽  
Vol 33 (S1) ◽  
pp. S491-S491
Author(s):  
O. Kilic ◽  
E. Sonmez ◽  
S. Guloksuz ◽  
M. Pinto da Costa
Keyword(s):  
Mental Health ◽  
Mental Health Professionals ◽  
Brain Drain ◽  
Health Professionals ◽  
Online Survey ◽  
Positive Influence ◽  
European Federation ◽  
Research Project ◽  
Competing Interest ◽  
The Brain

IntroductionThe brain drain of mental health professionals is an important issue especially for developing countries with inadequate recruitment rates. The European Federation of Psychiatric Trainees (EFPT) investigated the extent of migration among trainees across Europe by Brain Drain research project. Results from a non-EU country, with the lowest number of mental health professionals per 100 000 population across OECD countries might provide important clues.ObjectiveTo identify attitudes towards and behaviors towards international migration among psychiatry trainees from Turkey.MethodAn online survey was conducted among psychiatry trainees from Turkey in 2013, as part of the EFPT Brain Drain Research Project.ResultsOf 107 trainees surveyed, 74% considered living abroad. However, the rate of having even short mobility experience was just 13%, and these were mainly educational visits. More than half of those who visited a foreign country reported to have a satisfactory experience, which might explain the positive influence of these visits on attitudes towards migration. Responders perceived academic conditions as the most important aspect of training that needs to be improved, in line with the fact that inadequate training programs were important reasons for migrating.ConclusionOverall, psychiatry trainees in Turkey tend to remain in their country of origin, which may protect healthcare system against the detriment of workforce loss. The relatively low rate of migration may also reflect the legislative barriers (e.g. being o non-EU country) impeding migrating. Our findings also suggest that the unmet educational needs of trainees require immediate attention.Disclosure of interestThe authors have not supplied their declaration of competing interest.

Recruitment Policies of Non-EU/EEA Nurses and Ethical Issues

2018 ◽  
Author(s):  
Angèle Flora Mendy
Keyword(s):  
Public Opinion ◽  
Health Professionals ◽  
Ethical Issues ◽  
Health Workers ◽  
Ethical Considerations ◽  
Host Countries ◽  
Ethical Argument ◽  
The Past ◽  
The United Kingdom ◽  
Institutional Legacies

By examining policies of recruiting non-EU/EEA health workers and how ethical considerations are taken into account when employing non-EU/EEA nurses in the United Kingdom, France, and Switzerland, this chapter intends to show that the use of the so-called ‘ethical’ argument to convince national public opinion of the relevance of restrictive recruitment policies is recent (since the 1990s). The analysis highlights the fact that in addition to the institutional legacies, qualification and skills—through the process of their recognition—play an important role in the opening or restriction of the labour market to health professionals from the Global South. The legacy of the past also largely determines the place offered to non-EU/EEA health professionals in the different health systems of host countries.

Attitude of person living with psychosis towards MH professionals: A qualitative study

2017 ◽  
Vol 41 (S1) ◽  
pp. s843-s843
Author(s):  
K. Vaiphei ◽  
P. Sreedaran ◽  
V. Sathyanarayanan
Keyword(s):  
Mental Health ◽  
Mental Health Professionals ◽  
Health Professionals ◽  
Relationship Building ◽  
Negative Attitudes ◽  
Positive Attitudes ◽  
People With Mental Illness ◽  
Depth Interview ◽  
Competing Interest ◽  
The Relationship

AimsStudies investigating attitudes of people with mental illness are scarce. The aim of the present study was to investigate person living with psychosis on their attitudes and perception towards the mental health professionals in contact with mental health services.MethodsAn in-depth interview was used to explore their lived experiences and attitude towards mental health professionals.ResultsBoth negative and positive attitudes were prevalent among the patients. Most negative attitudes concerned on not giving time, the MHPs are most interested in financial gains. They felt attitude changes according to diagnosis, psychosis perceived as diagnosis with violence; they are more interested in protecting themselves, perception that treating symptoms and not cause of illness. On the contrary, they felt positive on the relationship and time given to them.Discussion and conclusions The PLWI's attitude to MHPs could be a product of the type of admission (forced upon), symptoms related or on the type of service settings. The present study is purely qualitative, single settings, could not be generalised. However it points on the need for sensitization of MHPs and relationship building oriented intervention.Disclosure of interestThe authors have not supplied their declaration of competing interest.

scholarly journals El perfil del docente competente de Humanidades y Ciencias Sociales en el bachillerato mexicano desde la perspectiva del alumno

2018 ◽  
Vol 36 (3 Noviembr) ◽  
pp. 353-376
Author(s):  
Erika López Rodríguez
Keyword(s):  
Social Sciences ◽  
High School ◽  
Teaching Practice ◽  
Teaching Profession ◽  
Teacher Assessment ◽  
Modus Operandi ◽  
Item Questionnaire ◽  
Teaching Competence ◽  
Leadership Evaluation ◽  
Education Model

En este trabajo se presenta el perfil que deben tener los docentes de bachillerato en el área de Humanidades y Ciencias Sociales conforme las inquietudes expresadas por los estudiantes de una escuela pública vespertina del Poniente de Mérida. Se elaboró un instrumento en escala Likert con 48 ítems que midió doce competencias obtenidas de los trabajos de connotados investigadores y de la literatura oficial mexicana que sirvió como referente. El cuestionario empleado para esta investigación fue piloteado y validado por jueces, en su confiabilidad reportó 0.94 de alfa de Crombach.Cada vez se torna necesario crear perfiles para puestos laborales, como es el caso de la docencia, a fin de crear parámetros observables de actuación profesional. En los perfiles se detallan las dimensiones de actuación y los descriptores que dictaminan el modus operandi del quehacer áulico. En el modelo por competencias estos perfiles señalan las actitudes, habilidades y conocimientos que son deseables en un docente. Estos perfiles dan la pauta para hacer una adecuada evaluación de la docencia. Los resultados se analizaron a través del software estadístico SPSS v.21, mediante frecuencias y porcentajes y comparación de medias. En la interpretación se discriminó en favor de los polos positivos que implicaban la elección racional del alumno de la competencia docente. Se encontró que todas las competencias fueron importantes, mas no todos los descriptores resultaron del agrado de los alumnos. Al final se presenta un listado con las competencias mejor evaluadas: preparación académica, comunicación asertiva, liderazgo, evaluación y ecología educativa. This paper explains the profile that teachers in high school should have in the field of humanities and social sciences according to the aims expressed by the students of a public night high school in the West of Merida. Students were asked to complete a 48-item questionnaire designed on a Likert scale with a view to measuring twelve competences obtained from the work of prestigious researches and the official Mexican documents used as a referent. This questionnaire was validated by judges, had a pilot test and a Cronbach's alpha of 0.94. It is increasingly more necessary to create job profiles, including those for the teaching profession, with a view to establishing parameters for professional development. Those profiles should detail the dimensions which the job addresses and the descriptors which adequate teaching practice should include. In the education model by competences these profiles present the attitudes, abilities and knowledge that a teacher should have. These profiles also provide guidelines to undertake accurate teacher assessment. The results were analysed with the statistical software package SPSS v.21 and frequencies, percentages and comparison of means were obtained. The interpretation especially addressed students’ positive opinions regarding what teaching competence should be. The study found that all the competences were important, but not all the descriptors satisfied the students’ expectations. This study also shows a list with the most popular competences for teaching: academic background, assertive communication, leadership, evaluation and educational environment.

Functioning in Schizophrenia: Similarities and Differences Between Clinical, Patient and Expert Perspectives

2017 ◽  
Vol 41 (S1) ◽  
pp. S105-S105
Author(s):  
M. Barrios ◽  
G. Guilera ◽  
O. Pino ◽  
E. Rojo ◽  
S. Wright ◽  
...  
Keyword(s):  
Health Professionals ◽  
Health Condition ◽  
World Health ◽  
International Classification Of Functioning ◽  
Unique Contribution ◽  
Disability And Health ◽  
Clinical Patient ◽  
Competing Interest ◽  
Health Organization ◽  
Icf Core Sets

IntroductionIn 2001, the World Health Organization (WHO) created the International Classification of Functioning, Disability and Health (ICF) to offer a comprehensive and universally accepted framework to describe functioning, disability and health. The ICF Core Sets (ICF-CS) are a selection of categories that serve as a minimal standard for the assessment of functioning and disability in a specific health condition. The ICF-CS for schizophrenia was created in 2015 based on four preliminary studies that intend to capture different perspectives.ObjectivesThe aim of this study is to describe the similarities (i.e. overlap) and discrepancies (i.e. unique contribution) between the clinical, patient and expert perspectives on the most relevant problems in functioning of individuals with schizophrenia, being focused on the European WHO region.MethodsForty-four experts from 14 European countries participated in an expert survey, patients with schizophrenia were involved in four focus groups, and health professionals assessed 127 patients in relation to daily life functioning. Information gathered from these three preliminary studies was linked to the ICF.ResultsData showed that although a considerable number of second-level ICF categories agreed on the three preparatory studies (n = 54, 27.7%), each perspective provided a unique set of ICF categories. Specifically, experts reported 65 unique ICF categories, patients 23 and health professionals 11.ConclusionsEven though there were similarities between perspectives, each one underlined different areas of functioning, showing the importance of including different perspectives in order to get a complete view of functioning and disability in individuals with schizophrenia.Disclosure of interestThe authors have not supplied their declaration of competing interest.

Diaspora: Dislocation, Development and Drawback

2020 ◽  
Vol 1 (1) ◽  
pp. 6-12
Author(s):  
Baburam Khanal
Keyword(s):  
Brain Drain ◽  
Country Of Origin ◽  
Positive Culture ◽  
Host Countries ◽  
Economic Contribution

This study focuses on painful feelings and bitter experiences of diasporas while they are living in the host land. It stresses on their efforts to maintain connections with people in their homeland. Besides, the research talks about diasporas' attempt to assimilate, acculturate and integrate in the host countries in their dislocated and un-homely state. The study also explores the changing attitude of intellectuals, writers, journalists and politicians of host countries towards diasporas, that they have recognized diasporas' positive culture and economic contribution to host societies. Gradually and cautiously host societies and their governments accept diaspora members' affiliations as legitimate and sought for their permanence. Moreover, in some host countries, and in liberal circles, membership of such entities has been regarded as exciting and advantageous but not as an obstacle. Yet, the migrants constantly face criticisms and detriments. They establish networks back in their country of origin and try to influence homeland's politics and sometimes support the violent activities. On top of that, the continued migration and increase in remittances encourage chain of migration and brain drain, and create instability in homeland economy.

Sign in / Sign up

Export Citation Format

Share Document