Push and Pull Factors of Why Medical Students Want to Leave Turkiye: A Countrywide Multicenter Study

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dc.authoridYavuz, Melike/0000-0001-9037-6770
dc.authoridESER, ERHAN/0000-0002-2514-0056
dc.authoridDede, Bahadir/0000-0003-3985-5973
dc.authoridDogan, Edanur/0000-0002-0728-3408
dc.authoridSUNTER, AHMET TEVFIK/0000-0002-7264-9760
dc.authoridTorun, Sebahat Dilek/0000-0001-9139-9325
dc.authoridThomas, David Terence/0000-0002-8278-5934
dc.contributor.authorEser, Erhan
dc.contributor.authorCil, Elif
dc.contributor.authorSen Gundogan, Nesibe Efruz
dc.contributor.authorCol, Meltem
dc.contributor.authorYildirim Ozturk, Elif Nur
dc.contributor.authorThomas, David Terence
dc.contributor.authorSunter, Ahmet Tevfik
dc.date.accessioned2025-01-21T16:43:51Z
dc.date.available2025-01-21T16:43:51Z
dc.date.issued2023
dc.departmentKırıkkale Üniversitesi
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.
dc.identifier.doi10.1080/10401334.2023.2229810
dc.identifier.issn1040-1334
dc.identifier.issn1532-8015
dc.identifier.pmid37530502
dc.identifier.urihttps://doi.org/10.1080/10401334.2023.2229810
dc.identifier.urihttps://hdl.handle.net/20.500.12587/25344
dc.identifier.wosWOS:001039609700001
dc.identifier.wosqualityQ2
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakPubMed
dc.language.isoen
dc.publisherRoutledge Journals, Taylor & Francis Ltd
dc.relation.ispartofTeaching and Learning In Medicine
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsinfo:eu-repo/semantics/closedAccess
dc.snmzKA_20241229
dc.subjectMedical education; medical students; career choice; immigration; emigration
dc.titlePush and Pull Factors of Why Medical Students Want to Leave Turkiye: A Countrywide Multicenter Study
dc.typeArticle

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