Quality of medical training and emigration of physicians from India.

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Author
Kaushik, M; Roy, A; Bang, AA; Mahal, ADate
2008-12-30Source Title
BMC Health Services ResearchPublisher
Springer Science and Business Media LLCUniversity of Melbourne Author/s
Mahal, AjayAffiliation
Melbourne School of Population and Global HealthMetadata
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Journal ArticleCitations
Kaushik, M., Roy, A., Bang, A. A. & Mahal, A. (2008). Quality of medical training and emigration of physicians from India.. BMC Health Serv Res, 8 (1), pp.279-. https://doi.org/10.1186/1472-6963-8-279.Access Status
Open AccessOpen Access at PMC
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2637864Abstract
BACKGROUND: Physician 'brain drain' negatively impacts health care delivery. Interventions to address physician emigration have been constrained by lack of research on systematic factors that influence physician migration. We examined the relationship between the quality of medical training and rate of migration to the United States and the United Kingdom among Indian medical graduates (1955-2002). METHODS: We calculated the fraction of medical graduates who emigrated to the United States and the United Kingdom, based on rankings of medical colleges and universities according to three indicators of the quality of medical education (a) student choice, (b) academic publications, and (c) the availability of specialty medical training. RESULTS: Physicians from the top quintile medical colleges and of universities were 2 to 4 times more likely to emigrate to the United States and the United Kingdom than graduates from the bottom quintile colleges and universities. CONCLUSION: Graduates of institutions with better quality medical training have a greater likelihood of emigrating. Interventions designed to counter loss of physicians should focus on graduates from top quality institutions.
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