Push and pull factors of why medical students want to leave Türkiye: A countrywide multicenter study

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dc.contributor.authorEser, Erhan
dc.contributor.authorÇil, Elif
dc.contributor.authorGündoğan, Nesibe Efruz Şen
dc.contributor.authorÇöl, Meltem
dc.contributor.authorÖztürk, Elif Nur Yıldırım
dc.contributor.authorThomas, David Terence
dc.contributor.authorSunter, Ahmet Tevfik
dc.date.accessioned2024-04-24T16:24:48Z
dc.date.available2024-04-24T16:24:48Z
dc.date.issued2023
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 Turkiye, 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 Turkiye 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 Turkiye in 2022. Besides participants' migration decision, we evaluated the push and pull factors related to working, social environment and lifestyle in Turkiye 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 Turkiye. 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.citationEser, E., Çil, E., Gündoğan, N. E. Ş., Çöl, M., Öztürk, E. N. Y., Thomas, D. T. ve diğerleri. (2023). Push and pull factors of why medical students want to leave Türkiye: A countrywide multicenter study. Teaching and Learning in Medicine, 1-13.
dc.identifier.doi10.1080/10401334.2023.2229810
dc.identifier.issn1040-1334
dc.identifier.issn1532-8015
dc.identifier.pmid37530502
dc.identifier.scopus2-s2.0-85166773311
dc.identifier.scopusqualityQ1
dc.identifier.urihttps://doi.org/10.1080/10401334.2023.2229810
dc.identifier.urihttps://hdl.handle.net/11468/16861
dc.identifier.wosWOS:001039609700001
dc.identifier.wosqualityN/A
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.language.isoenen_US
dc.publisherRoutledge Journals, Taylor & Francis Ltden_US
dc.relation.ispartofTeaching and Learning in Medicine
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
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.titlePush and pull factors of why medical students want to leave Türkiye: A countrywide multicenter study
dc.typeArticleen_US

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