en
Professional article
Open access
English

Physician brain drain : can nothing be done?

ContributorsEyal, Nir; Hurst, Samiaorcid
Published inPublic health ethics, vol. 1, no. 2, p. 180-192
Publication date2008
Abstract

Access to medicines, vaccination and care in resource-poor settings is threatened by the emigration of physicians and other health workers. In entire regions of the developing world, low physician density exacerbates child and maternal mortality and hinders treatment of HIV/AIDS. This article invites philosophers to help identify ethical and effective responses to medical brain drain. It reviews existing proposals and their limitations. It makes a case that, in resource-poor countries, ‘locally relevant medical training'—teaching primarily locally endemic diseases and practice in scarcity conditions, training in rural communities and admitting rural students preferentially—could help improve retention. Locally relevant training would arguably diminish medical brain drain in five ways. It would (i) make graduates less attractive for Western employers, (ii) align graduates' expectations with actual practice, diminishing ‘burn-out', (iii) enhance the professional prestige of local practice, (iv) hold rotations in, and recruit applicants from, rural areas, which is known to improve retention there, and (v) create local career development options that attract practitioners to stay. Such educational reform may raise worries about poor-quality care, breach of the freedom of education and occupation, breach of the freedom of movement, unequal distribution of opportunities among students, hypocrisy and resistance from influential actors. We address these worries.

Citation (ISO format)
EYAL, Nir, HURST, Samia. Physician brain drain : can nothing be done? In: Public health ethics, 2008, vol. 1, n° 2, p. 180–192. doi: 10.1093/phe/phn026
Main files (1)
Article (Published version)
accessLevelPublic
Identifiers
ISSN of the journal1754-9973
589views
573downloads

Technical informations

Creation06/24/2016 9:44:00 PM
First validation06/24/2016 9:44:00 PM
Update time03/15/2023 12:33:17 AM
Status update03/15/2023 12:33:17 AM
Last indexation05/02/2024 5:36:09 PM
All rights reserved by Archive ouverte UNIGE and the University of GenevaunigeBlack