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Mobility trends in Psychiatry trainees: an Italian perspective.

Lia Orlando¹, Francesco Altamore², Claudia Palumbo³

¹South London and Maudsley NHS Foundation Trust, London, United Kingdom - Institute of Psychiatry, Psychology & Neuroscience, King's College London, United Kingdom.

Rivista Di Psichiatria

|July 20, 2022

Summary

Many Italian psychiatry trainees consider leaving Italy due to work and academic factors. Personal reasons are the primary factor influencing their decision to stay in the country.

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Area of Science:

Medical Education
Psychiatry Workforce Studies
Migration Research

Background:

The 'Brain Drain' phenomenon impacts the global psychiatric workforce, with professionals migrating from lower- to higher-income countries.
Italy faces a declining psychiatric workforce, yet factors influencing trainee migration are poorly understood.

Purpose of the Study:

To investigate the migration intentions of psychiatry trainees undergoing training in Italy.
To identify key drivers and barriers influencing the decision of psychiatry trainees to migrate from Italy.

Main Methods:

A cross-sectional survey was administered to psychiatry trainees across Italy.
Data collected explored trainees' past and present considerations of leaving Italy and practical steps taken towards migration.

Main Results:

A significant majority of trainees (84.2%) have considered leaving Italy, with over half (60.4%) considering it currently.
Work and academic reasons were the most frequently cited factors for considering migration and for desired improvements in Italy.
Trainees without children and those from southern Italy were more likely to consider leaving.

Conclusions:

A substantial proportion of Italian psychiatry trainees contemplate migration, primarily motivated by professional and academic opportunities.
Personal reasons serve as the main deterrent for trainees considering leaving Italy.
Addressing the reasons for trainee migration is essential for retaining psychiatric professionals and mitigating future medical shortages.