International medical graduates' experiences before and after migration: A meta‐ethnography of qualitative studies

Al‐Haddad, Mo; Jamieson, Susan; Germeni, Evi

doi:10.1111/medu.14708

Cited by 25 publications

(46 citation statements)

References 74 publications

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“…They contribute to significant child and parental anxiety, and frequently result in school absence, social withdrawal, and negative psychosocial outcomes. 1,2 The approach and management of children presenting with headaches to PED at Mater Dei Hospital Malta was assessed and compared to established guidelines issued by NICE. 3,4 Methods All children under the age of 16 presenting with non-traumatic headache as the primary complaint were included.…”

Section: Discussionmentioning

confidence: 99%

1062 Measures to improve management of young people with anorexia nervosa

Spring

Meso²

2022

Quality Improvement and Patient Safety

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Section: Discussionmentioning

confidence: 99%

1062 Measures to improve management of young people with anorexia nervosa

Spring

Meso²

2022

Quality Improvement and Patient Safety

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“…Change can result from the need to acquire a new skill, focus one's clinical practice in a specific area, or take on new administrative, educational, or research roles. 3 There is limited literature describing the transition that established physicians experience when they change geographic location, 14,15,34 but the fluidity and extent of transitions within a well-established practice have yet to be explored.…”

Section: Discussionmentioning

confidence: 99%

Transitioning to Telehealth: The Multifaceted Impact of a Midcareer Transition in Practice

Stoynova

Eva

2022

Academic Medicine

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Purpose The medical education continuum is interrupted by several transition periods that can adversely affect performance. Most of what has been learned about such periods focuses upon movement from one stage of training to another and movement from training to practice. Established physicians, however, experience transitions throughout their careers at idiosyncratic times and with little assistance. Better understanding how physicians experience transition, where they struggle and how they adapt, would enable better support to be provided. We investigated the COVID-19-forced transition in clinical practice to virtual care, particularly its effect on physician roles and the ways that established physicians faced challenges they encountered when transitioning to virtual care. Method Ten semistructured interviews were conducted between November 2020 and February 2021 with physicians across different specialties and practice contexts who transitioned their practice to virtual care during the COVID-19 pandemic. Interview data were analyzed iteratively using “generic qualitative methodology” with constant comparison to identify themes in relation to observations. Results The transition to telehealth had implications that extended beyond the patient encounter, appearing to affect all aspects of the physician’s practice. To reflect that, CanMEDS was chosen as a useful organizing framework. The effects, captured in the theme “changes to the physician’s roles,” were nuanced, illustrated a consistent need to adapt to context, and could be framed positively or negatively or both. Additionally identified themes were labeled “physicians’ mental health” and “strategies to mitigate challenges.” These themes highlighted that, despite the effort involved and novelty of the situation, all participants found remarkably similar ways of grappling with the challenges faced. Conclusions While the basic roles of the physician do not appear to have changed through the transition to telehealth, our findings indicated that these roles were redefined in fundamental ways in response to changing societal needs.

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“…These constraints on practice contribute to a perception on the part of foreign-trained healthcare workers that their skills are undervalued 7 9 28. Feelings of being undervalued are common to the IMG experience, alongside other sources of stress, including bias and discrimination, communication, limited understanding of the health system and the challenges of working in rural areas 6 7…”

Section: Harm Imgs and Provision Of Healthcare Servicesmentioning

confidence: 99%

“…In addition to stressors affecting all health professionals working in a system with inadequate human resources, the foreign-trained clinicians who help (or aspire to) address that shortage, including physicians (referred to as international medical graduates or IMGs), may confront additional challenges. These relate in particular to immigration policy and processes, credentialing, sociocultural and professional adaptation and other challenges related to the underserved areas in which they often practice 6 7…”

Section: Introductionmentioning

confidence: 99%

We want to help: ethical challenges of medical migration and brain waste during a pandemic

Fenton

Chillag²

2022

J Med Ethics

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Health worker shortages in many countries are reaching crisis levels, exacerbated by factors associated with the COVID-19 pandemic. In New Zealand, the medical specialists union has called for a health workforce emergency to be declared, yet at the same time, many foreign-trained healthcare workers are unable to stay in the country or unable to work. While their health systems differ, countries such as New Zealand, the USA and the UK at least partially rely on international medical graduates (IMGs) to ensure access to health services, particularly in underserved communities. This paper focuses on the challenges faced by many IMGs, particularly those that constrain their capacity to live and work in the countries that rely on their skills. These challenges give rise to two ethical problems. First, they represent a failure of reciprocity towards IMGs; second, they represent a source of harm, both to IMGs themselves and to communities whose healthcare service depends on contributions made by IMGs. We argue that brain waste and disvaluing the contributions of IMGs and other foreign-trained health professionals have significant costs for maintaining a functional healthcare system, costs which must be adequately recognised and counted.

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International medical graduates' experiences before and after migration: A meta‐ethnography of qualitative studies

Cited by 25 publications

References 74 publications

1062 Measures to improve management of young people with anorexia nervosa

1062 Measures to improve management of young people with anorexia nervosa

Transitioning to Telehealth: The Multifaceted Impact of a Midcareer Transition in Practice

We want to help: ethical challenges of medical migration and brain waste during a pandemic

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