Push and Pull Factors of Why Medical Students Want to Leave Türkiye: A Countrywide Multicenter Study

dc.authoridUygun, Tunahan/0000-0003-3560-2514
dc.authoridDede, Bahadir/0000-0003-3985-5973
dc.authoridESER, ERHAN/0000-0002-2514-0056
dc.authoridSEN GUNDOGAN, Efruz/0000-0003-0308-0256
dc.authoridYildirim Ozturk, Elif Nur/0000-0003-1447-9756
dc.authoridSUNTER, AHMET TEVFIK/0000-0002-7264-9760
dc.authoridErdal, Deniz/0000-0001-7721-0653
dc.contributor.authorEser, Erhan
dc.contributor.authorCil, Elif
dc.contributor.authorSen Gundogan, Nesibe Efruz
dc.contributor.authorCol, Meltem
dc.contributor.authorOzturk, Elif Nur Yildirim
dc.contributor.authorThomas, David Terence
dc.contributor.authorSunter, Ahmet Tevfik
dc.date.accessioned2025-02-22T14:08:56Z
dc.date.available2025-02-22T14:08:56Z
dc.date.issued2024
dc.departmentDicle Üniversitesien_US
dc.description.abstractPhenomenon: 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 T & uuml;rkiye, 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 T & uuml;rkiye 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 T & uuml;rkiye in 2022. Besides participants' migration decision, we evaluated the push and pull factors related to working, social environment and lifestyle in T & uuml;rkiye 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 T & uuml;rkiye. Improving working conditions in the country and increasing the quality of medical faculties seem vital in preventing the migration of physicians.en_US
dc.identifier.doi10.1080/10401334.2023.2229810-2
dc.identifier.endpage600en_US
dc.identifier.issn1040-1334
dc.identifier.issn1532-8015
dc.identifier.issue5en_US
dc.identifier.pmid37530502en_US
dc.identifier.scopusqualityQ1en_US
dc.identifier.startpage588en_US
dc.identifier.urihttps://doi.org/10.1080/10401334.2023.2229810-2
dc.identifier.urihttps://hdl.handle.net/11468/29721
dc.identifier.volume36en_US
dc.identifier.wosWOS:001376774700006
dc.identifier.wosqualityQ2
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakPubMed
dc.language.isoenen_US
dc.publisherRoutledge Journals, Taylor & Francis Ltden_US
dc.relation.ispartofTeaching and Learning in Medicineen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.snmzKA_WOS_20250222
dc.subjectMedical educationen_US
dc.subjectmedical studentsen_US
dc.subjectcareer choiceen_US
dc.subjectimmigrationen_US
dc.subjectemigrationen_US
dc.titlePush and Pull Factors of Why Medical Students Want to Leave Türkiye: A Countrywide Multicenter Studyen_US
dc.typeArticleen_US

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