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Physicians' Migration: Perceptions of Pakistani Medical Students
Nazli Hossain1, Nusrat Shah1, Tahira Shah1
1Department of Obstetrics & Gynaecology Unit II, Dow Medical College, Civil Hospital, Karachi.
Summary
Most medical students in Pakistan want to emigrate due to poor healthcare systems, low salaries, and insecurity. Addressing these push factors is crucial to reduce physician brain-drain.
Area of Science:
- Medical Education
- Public Health
- Migration Studies
Background:
- Physician migration, or brain-drain, is a significant global health concern.
- Understanding the motivations behind medical student emigration is vital for policy-making.
Purpose of the Study:
- To investigate the perceptions of medical students regarding factors influencing physician migration from Pakistan.
Main Methods:
- A cross-sectional survey was conducted with 240 final-year medical students and interns at Dow Medical College and Civil Hospital, Karachi.
- Data was collected using a self-administered questionnaire assessing attitudes towards migration push and pull factors.
- Statistical analysis was performed using SPSS version 16.
Main Results:
- 54% of surveyed students desired to migrate abroad, with the United States as the preferred destination.
- Key pull factors included better postgraduate education quality (48.2%) and economic prospects (35.2%).
- Major push factors identified were a weak healthcare system (94.3%), inadequate salaries (88.3%), insecurity (93.9%), and religious intolerance (78.5%).
Conclusions:
- A significant trend of physician migration from Pakistan exists, driven by a combination of push and pull factors.
- Low salaries, poor job structures, and insecurity are primary reasons for students' desire to migrate.
- Immediate interventions are necessary to mitigate medical brain-drain and retain healthcare professionals.
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