Factors Influencing Migration Intentions of Undergraduate Medical Students: a cross-sectional study from two Egyptian universities | ||||
| Journal of Health Professions Education and Innovation | ||||
| Article 3, Volume 2, Issue 2, July 2025, Page 28-46 PDF (1.01 MB) | ||||
| Document Type: Research article | ||||
| DOI: 10.21608/jhpei.2025.344651.1038 | ||||
 View on SCiNiTO | ||||
| Authors | ||||
Marwa Schumann  1; Mohamed Elsayed Mohamed Amer2; Naglaa Moustafa Abdelhady Mashaal3; Nadia Abd El-Hamed Montasser4; Soha Rashed Aref Mostafa5
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| 1Department of Medical Education, Faculty of Medicine, Alexandria University | ||||
| 2Department of Histology, Faculty of Medicine, Al Azhar University, Damietta, Egypt Department of Basic Medical Sciences, Faculty of Medicine, Ibn Sina, University for Medical Sciences, Amman, Jordan | ||||
| 3Department of Internal Medicine, Faculty of Medicine, Alexandria University, Alexandria, Egypt, Department of Medical Education, Faculty of Medicine, Alexandria University, Alexandria, Egypt | ||||
| 4Department of Community Medicine and Public Health, Faculty of Medicine, Al Mansoura University, Al Mansoura, Egypt, Faculty of Medicine, Horus University, New Damietta, Egypt | ||||
| 5Department of Community Medicine, Faculty of Medicine, Alexandria University, Alexandria, Egypt , Department of Medical Education, Faculty of Medicine, Alexandria University, Alexandria, Egypt | ||||
| Abstract | ||||
| Background: The global migration of health workers generally, and physicians particularly, is affecting the health systems of both source and destination countries. Egypt, a lower middle-income country, is significantly affected by the migration phenomenon, contributing to a national shortage of physicians. This study aims to examine the factors influencing the migration intentions among undergraduate medical students. Methods: A descriptive cross-sectional study was conducted among second to fifth year medical students at 2 Egyptian universities from October 2023 to May 2024. Data were collected using a self-administered online questionnaire. Data were analysed using descriptive statistics using the SPSS program, open-ended questions were analysed thematically using Atlas ti. Results: A total of 650 students participated in the survey. The majority (91%) at both universities expressed an intention to leave Egypt to pursue a medical career abroad with 35.1% having already started planning for migration. Push factors (61%) were stronger than pull factors (39%), with financial considerations being the main driver. Almost half of students (47%) had already decided on their preferred destination, with the Arab Gulf countries being the most popular choice (34.5%). The culture of migration played a significant role facilitating the migration intentions. Conclusions: The majority of undergraduate medical students not only have a strong intention to migrate but have already started their preparations. This is largely driven by financial factors, with a culture of migration that further strengthens migration intentions. With the internationalisation of medical education, collaborative efforts are needed to develop an adequate and well-trained global medical workforce. | ||||
| Keywords | ||||
| Migration intentions; Egyptian undergraduate medical students; Facilitators and barriers; Medical migration; Push and pull factors | ||||
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