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Brain Drain or Gain? Psychiatric Trainees On the Move

Published online by Cambridge University Press:  15 April 2020

M. Pinto da Costa
Affiliation:
Hospital de Magalhães Lemos, University of Porto, Porto, Portugal
E. Andreou
Affiliation:
Cyprus Mental Health Services, Nicosia, Cyprus
V. Banjac
Affiliation:
Clinic of Psychiatry, Clinical Center, Banjaluka, Bosnia and Herzegovina
F. Baessler
Affiliation:
LVR clinics, University of Duesseldorf, Duesseldorf, Germany
E. Biskup
Affiliation:
Department of Internal Medicine, University Hospital of Basel, Basel, Switzerland
E. El-Higaya
Affiliation:
Brothers of Charity Services, Galway, Ireland
M. Farrugia
Affiliation:
Mt. Carmel Hospital, Attard, Malta
D. Frydecka
Affiliation:
Department of Psychiatry, Wroclaw Medical University, Wroclaw, Poland
T. Gargot
Affiliation:
SHU, Hospital Sainte Anne, Paris, France
A. Giurgiuca
Affiliation:
“Carol Davila” University of Medicine and Pharmacy, Bucharest, Romania
K. Holmes
Affiliation:
Avon and Wiltshire Mental Health Partnership, Bristol, United Kingdom
O. Kilic
Affiliation:
Abant Izzet Baysal University, Izzet Baysal Mental Health Research and Training Hospital, Bolu, Turkey
P. Marinova
Affiliation:
University Hospital in Neurology and Psychiatry “Sv. Naum”, Sofia, Bulgaria
M. Mitkovic Voncina
Affiliation:
Day Hospital for Adolescents, Institute of Mental Health, Belgrade, Serbia
M. Pantovic
Affiliation:
Department for Affective Disorders, Clinic for Psychiatry Clinical Centre of Serbia, Belgrade, Serbia
A. Pontarollo
Affiliation:
Prison Psychiatry Department, Joseph Fourier University, Grenoble, France
C. Skjødt
Affiliation:
Mental Health Centre Northern Zealand, Copenhagen University Hospital, Helsingor, Denmark
M. Stoyanova
Affiliation:
University Hospital in Neurology and Psychiatry “Sv. Naum”, Sofia, Bulgaria
G. Strada
Affiliation:
Departament of Psychiatry, Hospital Clínico San Carlos, Madrid, Spain
S. Tomori
Affiliation:
University Hospital Center “Mother Teresa”, Tirana, Albania

Abstract

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Introduction

Migration of mental health professionals is an important phenomenon influencing mental health services of host and donor countries. Data on medical migration in Europe is very limited, particularly in the field of young doctors and psychiatry. To research this hot topic, the European Federation of Psychiatric Trainees (EFPT) conducted the EFPT Brain Drain Survey.

Objectives

To identify the impact of previous short-term mobility on international migration and to understand characteristics, patterns and reasons of migration.

Methods

In this cross-sectional European multicentre study, data were collected from 2281 psychiatric trainees across 33 countries. All participants answered to the EFPT Brain Drain Survey reporting their attitudes and experiences on migration.

Results

Two-thirds of the trainees had not had a short-mobility experience in their lifetime, but those that went abroad were satisfied with their experiences, reporting that these influenced their attitude towards migration positively. However, the majority of the trainees had not had a migratory experience of more than 1 year. Flows showed that Switzerland and United Kingdom have the greatest number of immigrant trainees, whereas Germany and Greece have the greatest number of trainees leaving. ‘'Pull factors'’ were mostly academic and personal reasons, whereas ‘'push factors'’ were mainly: academic and financial reasons. Trainees that wanted to leave the country were significantly more dissatisfied with their income.

Conclusions

The majority of the trainees has considered leaving the country they currently lived in, but a lower percentage has taken steps towards migration.

Type
Article: 0736
Copyright
Copyright © European Psychiatric Association 2015
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