Great Risk for Education Cost: Brain Drain (Resident Physicians Case)

Öz

Background: Brain drain affects health systems rather negatively. Difficulties in the education and working conditions of resident physicians may lead to brain drain. Aim: The aim of the present study was to investigate the brain drain and its causes in resident physicians and to examine its likely relationship with job satisfaction. Study Design: Cross-sectional study. Method: A total of 161 resident physicians working in university and state hospitals in Ankara city center were included in the study. The research data were collected using the questionnaire about the views of resident physicians' on brain drain and the Minnesota Job Satisfaction Scale. Results: More than half of the resident physicians participating in the study desired to attend to medical specialty programs abroad (83/161, 51.6%) and to work abroad (89/161, 55.3%). Germany, United States of America, England and Canada were the countries that the participants desired to visit for education and employment opportunities the most. The desire to work abroad was higher in residents, who are female, young, have children and have a lower socioeconomic level. While one of the main reasons for attending a medical specialty program abroad is the thought that the education conditions abroad are better, the main reason for the desire to work abroad is the better working and living conditions. Conclusion: More than half of resident physicians in Turkey, want to attend a medical specialty program abroad and work abroad for better education, employment, and living conditions.

Anahtar Kelimeler

• Resident Physicians
• Brain Drain
• Job Satisfaction
• Study Abroad
• Work Abroad

Great Risk for Education Cost: Brain Drain (Resident Physicians Case)

Öz

Arka Plan: Beyin göçü sağlık sistemlerini oldukça olumsuz etkilemektedir. Asistan hekimlerin eğitim ve çalışma koşullarındaki güçlükler bu göçe neden olabilmektedir. Amaç: Bu araştırmanın amacı asistan hekimlerde beyin göçü ve nedenlerini araştırmak, iş doyumu ile olası ilişkisini incelemektir. Çalışma Türü: Kesitsel araştırma Yöntem: Araştırmaya Ankara il merkezinde bulunan üniversite ve devlet hastanelerinde görevli 161 asistan hekim dâhil edildi. Araştırma verileri Asistan Hekimlerin Beyin Göçüne Dair Görüşlerine İlişkin Anket Formu ve Minnesota İş Doyum Ölçeği ile toplandı. Bulgular: Araştırmaya katılan asistan hekimlerin yarısından fazlası yurtdışında uzmanlık eğitimi (%51.6, 83/161) almayı ve yurtdışında çalışmayı (%55.3, 89/161) istemektedir. Eğitim ve çalışmak için en fazla gidilmek istenen ülkeler Almanya, ABD, İngiltere ve Kanada olarak sıralanmaktadır. Yurtdışında çalışma isteği kadın, genç, çocuk sahibi ve sosyoekonomik seviyesi daha düşük olan asistan hekimlerde daha yüksektir. Yurtdışında uzmanlık eğitimi için en temel nedenlerin başında yurtdışında eğitim koşullarının daha iyi olduğu düşüncesi gelirken, yurtdışında çalışmak isteğinde ise çalışma ve yaşam koşullarının daha iyi olması gelmektedir. Sonuç: Türkiye’de asistan hekimlerin yarısından fazlası daha iyi eğitim, çalışma ve yaşam koşulları nedeni ile yurtdışında uzmanlık eğitimi almak ve yurtdışında çalışmak istiyor.

Anahtar Kelimeler

• Asistan Hekim
• Beyin Göçü
• İş Doyumu
• Yurtdışında Eğitim
• Yurtdışında Çalışma

Destekleyen Kurum

Bulunmamaktadır

Teşekkür

Araştırmanın planlama aşamasında görüş ve düşüncelerini paylaşan, istatistiksel hesaplamalarda danışmanlık yapan ve çalışma raporunu inceleyen Dr. Murat TORGUTALP'a katkılarından dolayı teşekkür ederiz.

Kaynakça

1. Referans1. Anduaga-Beramndi A, Beas R, Maticorena-Quevedo J, Mayta-Tristan P. Association between burnout and intention to emigrate in Peruvian health-care workersq. J of Safety and Health at Work 2019;10:80-86.
2. Referans2. Bojanic A, Bojanic K, Likic R. Brain drain: final year medical students’ intentions of training abroad. Postgrad Med J 2015;91:315-321.
3. Referans3. Kizito S, Mukunya D, Nakitende J, Nambasa S, Nampogo A, Kalyesubula R ve ark. Career intentions of final year medical students in Uganda after graduating: the burden of brain drain. BMC Med Education J 2015;15:122.
4. Referans4. Okeke E N. Brain drain: Do economic conditions “push” doctors out of developing countries?. Social Science & Med J 2013;98:169-178.
5. Referans5. Dovlo D. Taking more than a fair share? The migration of health professionals from poor to rich countries. PLoS Med J 2005;2(5);376-380.
6. Referans6. Hossain N, Shah N, Shah T, Lateef S B. Physicians' migration: Perceptions of Pakistani medical students. J of the College of Physicians and Surgeons Pakistan 2016;26(8):696-701.
7. Referans7. WHO. Migration of health workers: The WHO Code of Practice and the Global Economic Crisis. 2014. Available from: https://www.who.int/hrh/migration/migration_book/en/.
8. Referans8. Aluttis C, Bishaw T, Frank, M W. The workforce for health in a globalized context _ global shortages and international migration. Global Health Action J 2014;7:1-8.

9. Referans9. Opoku S T, Apenteng B A. Seeking greener pastures? The relationship between career satisfaction and the intention to emigrate: a survey of Ghanaian physicians. International Health Advance Access J 2014;6(3):208-12.
10. Referans10. Baral R, Sapkato S. Factors influencing migration among Nepalese nurses. J of Chitwan Med College 2015;5(12); 25-29.
11. Referans11. Kaya M. Beyin göçü / entellektüel sermaye erozyonu bilgi çağının gönüllü göçerleri: Beyin gurbetçileri. Eğitime Bakış Dergisi. 2009;5(13):14-29.
12. Referans12. Mellin-Olsen J. Migration and workforce planning in medicine with special focus on anesthesiology. Frontiers in Med 2017;4 (111). doi: 10.3389/fmed.2017.00111.
13. Referans13. Cujec B, Oancia T, Bohm C, Johnson D. Career and parenting satisfaction among medical students, residents and physician teachers at a Canadian medical school. CMAJ- Canadian Med Association J 2000;162(5):637-640.
14. Referans14. YÖK. Tıp Dallarında Asistan Eğitimi Çalıştayı (Çalıştay Raporu). Ankara: Yüksek Öğretim Kurulu Başkanlığı, 16 Mayıs 2017.
15. Referans15. TTB . Tıpta Uzmanlık Eğitimi Raporu. Ankara: Türk Tabipler Birliği Yayınları; 2015.
16. Referans16. Baycan A. An Analysis of Several Aspects of Job Satisfaction Between Different Occupational Groups. Boğaziçi University Unpublished Master's Thesis 1985. İstanbul.
17. Referans17. George G, Atujana M, Gow J. Migration of South African health workers: The extent to which financial considerations influence internal flows and external movements. BMC Health Services Research 2013;13:297.
18. Referans18.OECD. International Migration of Health Workers. (2010). Available from: http://www.who.int/hrh/resources/oecd-who_policy_brief_en.pdf.
19. Referans19. Devlet Planlama Teşkilatı. Üçüncü Beş Yıllık Kalkınma Planı (1973-1977). Available from: http://www.sbb.gov.tr/wpcontent/uploads/2018/11/%C3%9C%C3%A7%C3%BCnc%C3%BC-Be%C5%9F-Y%C4%B1ll%C4%B1k-Kalk%C4%B1nma-Plan%C4%B1-1973-1977%E2%80%8B.pdf.
20. Referans20. Başaran İ E. Örgütsel Davranış. Ankara: Gül Yayınevi; 1998
21. Referans21. Mathaueri I, Imhoff I. Health worker motivation in Africa: the role of non-financial incentives and human resource management tools. Human Resources for Health 2006;4:24.
22. Referans22. Eastwood J B, Conray RE, Naicker S, West P A, Tutt R C, Plange-Rhule J. Loss of health professionals from sub-Saharan Africa: The pivotal role of the UK. Public Health 2006;365:1893-1900.
23. Referans23. Pantenburg B, Luppa M, Konig H H, Riedel-Heller S G. Burnout among young physicians and its association with physicians’ wishes to leave: results of a survey in Saxony, Germany. J Occup Med Toxicol 2016;11:2.
24. Referans24. Özçelik Şenocak E. The relation between burnout levels and job satisfaction and sociodemographic data in Family physicians working in Ankara. Yıldırım Beyazıt Boğaziçi University Unpublished Master's Thesis 2019, Ankara.
25. Referans25. Kaya Erdem F. Evaluation of family medicine assistants by job satisfaction and training quality. Sağlık Bilimleri University Unpublished Master's Thesis 2018. İzmir.
26. Referans26. Uyar A A. The relationship between empathy levels, burnout and job satisfaction Trakya University Faculty of Medicine Residents. Trakya University Unpublished Master's Thesis. 2018. Edirne.
27. Referans27. Tokuç B, Varol G. Medical education in Turkey in time of COVID-19. Balkan Medical J. 2020;37(4):1580-181.
28. Referans28. Aslan D, Sayek İ. We need to rethink on medical education for pandemic Preparedness: Lessons learnt from COVID-19. Balkan Medical J 2020;37(4):178-179.
29. Referans29. Danışman D, Sahip T, Hizarcı Tavlı E.. Pandemi polikliniğinde asistan olmak. Konuralp Tıp Dergisi 2020;12(1):388-390.
30. Referans30. Kerr E A, Hays R D, Mittman B S, Siu A L, Leake B, Brook R H. Primary care physicians’ satisfaction with quality of care in California capitated medical groups. JAMA The J of the American Med Association 1997;278(4):308-312.