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High-end physician migration from India.

Manas Kaushik1, Abhishek Jaiswal, Naseem Shah

  • 1Departments of Nutrition and Epidemiology, Harvard School of Public Health, Boston 02115, MA, United States of America. mkaushik@hsph.harvard.edu

Bulletin of the World Health Organization
|February 1, 2008
PubMed
Summary
This summary is machine-generated.

Top-performing physicians from elite institutions like All India Institute of Medical Sciences (AIIMS) are more likely to emigrate. Affirmative action may help retain some of these highly trained medical professionals.

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Area of Science:

  • Medical Education
  • Physician Migration
  • Public Health

Background:

  • Physician emigration represents a significant loss of human resources for health.
  • Understanding factors influencing physician migration is crucial for healthcare system planning.

Purpose of the Study:

  • To investigate the relationship between physician quality and migration patterns among All India Institute of Medical Sciences (AIIMS) alumni.
  • To analyze emigration trends of AIIMS graduates from 1989-2000.

Main Methods:

  • Retrospective cohort study design.
  • Data collected from AIIMS alumni records, professional directories, and informal networks.
  • Statistical analysis using 2x2 contingency tables and logistic regression.

Main Results:

  • Approximately 54% of AIIMS graduates between 1989-2000 reside abroad.
  • General category students were twice as likely to emigrate compared to affirmative-action category students.
  • Physicians receiving multiple academic awards had a 35% higher likelihood of emigration.

Conclusions:

  • Higher quality physicians from top institutions disproportionately contribute to emigration.
  • Even within elite institutions, better-performing physicians are more prone to migrate.
  • Affirmative action may inadvertently aid in retaining skilled medical professionals.