M Pinto da Costa1, A Giurgiuca2, K Holmes3, E Biskup4, T Mogren5, S Tomori6, O Kilic7, V Banjac8, R Molina-Ruiz9, C Palumbo10, D Frydecka11, J Kaaja12, E El-Higaya13, A Kanellopoulos14, B H Amit15, D Madissoon16, E Andreou17, I Uleviciute-Belena18, I Rakos19, J Dragasek20, K Feffer21, M Farrugia22, M Mitkovic-Voncina23, T Gargot24, F Baessler25, M Pantovic-Stefanovic26, L De Picker27. 1. Hospital de Magalhães Lemos, Porto, Portugal; Institute of Biomedical Sciences Abel Salazar (ICBAS), University of Porto, Porto, Portugal; Unit for Social and Community Psychiatry (WHO Collaborating Centre for Mental Health Services Development), Queen Mary University of London, London, United Kingdom. Electronic address: mariana.pintodacosta@gmail.com. 2. The Carol Davila University of Medicine and Pharmacy, Bucharest, Romania. 3. Avon and Wiltshire Mental Health Partnership Trust, Bristol, United Kingdom. 4. University Hospital of Basel, Department of Internal Medicine, Basel, Switzerland; Shanghai University of Medicine and Health Sciences Basic Medical College, Shanghai, China. 5. Allmänspykiatriska kliniken Falun/Säter, Säter, Sweden. 6. University Hospital Center Mother Teresa, Department of Pediatrics, Tirana, Albania. 7. Koc University Hospital, Department of Psychiatry, Istanbul, Turkey. 8. Clinic of psychiatry, University Clinical Center of the Republic of Srpska, Banjaluka, Bosnia and Herzegovina. 9. CSM de Hospital Universitario Fundación Alcorcón, Psychiatry Department, Madrid, Spain. 10. Hospital Papa Giovanni XXIII-Bergamo (BG), Department of Psychiatry, Bergamo, Italy. 11. Department of Psychiatry, Wroclaw Medical University, Wroclaw, Poland. 12. Universiy of Tampere, Tampere, Finland. 13. School of Medicine, National University of Ireland, Galway, Ireland. 14. Mental Health Care Unit, Evgenidion Therapeftirion, National & Kapodistrian University of Athens, Greece. 15. Tel Aviv University, Department of psychiatry, Geha Mental Health Center, Petach Tiqwa, Israel. 16. South-Estonian Hospital, Psychiatry Clinic, Võru, Estonia. 17. Athalassa Mental Health Hospital, Mental Health Services, Nicosia, Cyprus. 18. Clinical hospital of Vilnius, Office of primary mental health care, Vilnius, Lithuania. 19. University Hospital Dubrava, Department of Psychiatry, Referral Center for the Stress-Related Disorders, Zagreb, Croatia. 20. Pavol Jozef Šafárik University, Faculty of Medicine, 1st Department of Psychiatry, Košice, Slovakia. 21. Shalvata mental health center, Hod-Hasharon, Israel. 22. Mount Carmel Hospital, Triq l-Imdina, Malta. 23. Belgrade University School of Medicine, Institute of Mental Health, Belgrade, Serbia. 24. Service de psychiatrie de l'enfant et de l'adolescent, hôpital de la Pitié-Salpêtrière, Paris, France; Equipe interaction, institut des systèmes intelligents et de la robotique, Paris, France. 25. Centre for psychosocial medicine and department of general internal medicine and psychosomatics, University Hospital Heidelberg, Heidelberg, Germany. 26. Department for Affective Disorders, University Clinical Center of Serbia, Belgrade, Serbia. 27. Collaborative Antwerp Psychiatric Research Institute, Faculty of Medicine, University of Antwerp, Antwerp, Belgium.
Abstract
BACKGROUND: There is a shortage of psychiatrists worldwide. Within Europe, psychiatric trainees can move between countries, which increases the problem in some countries and alleviates it in others. However, little is known about the reasons psychiatric trainees move to another country. METHODS: Survey of psychiatric trainees in 33 European countries, exploring how frequently psychiatric trainees have migrated or want to migrate, their reasons to stay and leave the country, and the countries where they come from and where they move to. A 61-item self-report questionnaire was developed, covering questions about their demographics, experiences of short-term mobility (from 3 months up to 1 year), experiences of long-term migration (of more than 1 year) and their attitudes towards migration. RESULTS: A total of 2281 psychiatric trainees in Europe participated in the survey, of which 72.0% have 'ever' considered to move to a different country in their future, 53.5% were considering it 'now', at the time of the survey, and 13.3% had already moved country. For these immigrant trainees, academic was the main reason they gave to move from their country of origin. For all trainees, the overall main reason for which they would leave was financial (34.4%), especially in those with lower (<500€) incomes (58.1%), whereas in those with higher (>2500€) incomes, personal reasons were paramount (44.5%). CONCLUSIONS: A high number of psychiatric trainees considered moving to another country, and their motivation largely reflects the substantial salary differences. These findings suggest tackling financial conditions and academic opportunities.
BACKGROUND: There is a shortage of psychiatrists worldwide. Within Europe, psychiatric trainees can move between countries, which increases the problem in some countries and alleviates it in others. However, little is known about the reasons psychiatric trainees move to another country. METHODS: Survey of psychiatric trainees in 33 European countries, exploring how frequently psychiatric trainees have migrated or want to migrate, their reasons to stay and leave the country, and the countries where they come from and where they move to. A 61-item self-report questionnaire was developed, covering questions about their demographics, experiences of short-term mobility (from 3 months up to 1 year), experiences of long-term migration (of more than 1 year) and their attitudes towards migration. RESULTS: A total of 2281 psychiatric trainees in Europe participated in the survey, of which 72.0% have 'ever' considered to move to a different country in their future, 53.5% were considering it 'now', at the time of the survey, and 13.3% had already moved country. For these immigrant trainees, academic was the main reason they gave to move from their country of origin. For all trainees, the overall main reason for which they would leave was financial (34.4%), especially in those with lower (<500€) incomes (58.1%), whereas in those with higher (>2500€) incomes, personal reasons were paramount (44.5%). CONCLUSIONS: A high number of psychiatric trainees considered moving to another country, and their motivation largely reflects the substantial salary differences. These findings suggest tackling financial conditions and academic opportunities.
Authors: Alexandra Kristufkova; Mariana Pinto Da Costa; Gesthimani Mintziori; Juan Luis Vásquez; Anna J M Aabakke; Mikkel Fode Journal: Sex Med Date: 2018-04-26 Impact factor: 2.491
Authors: Laura Orsolini; Irena Rojnić Palavra; Gabriele Duccio Papanti; Matej Potočan; Diego Quattrone; Matis Martens; Sandra Sklenářová; Jonna Levola; Leslie Grichy; Sean Naughton; Indre Kotryna Grinevičiene; Jelly Petra Kuiters; Tomasz M Gondek; Anca-Livia Panfil; Milica M Borovcanin; Alberto San Roman Uria; Ewelina Biskup; Ekin Sönmez Güngör; Marisa Casanova Dias; Sonila Tomori; Visnja Banjac; Petra Marinova-Djambazova; Mariana Pinto da Costa Journal: Front Psychiatry Date: 2021-01-08 Impact factor: 4.157