Evidence map›Paper›PMID 24321432›Full record

ArticleHuman resources for health2013

A cycle of brain gain, waste and drain - a qualitative study of non-EU migrant doctors in Ireland.

Niamh Humphries, Ella Tyrrell, Sara McAleese, Posy Bidwell, Steve Thomas, Charles Normand, Ruairi Brugha

Abstract read
In one paragraph

Article in Human resources for health, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 36 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
36citing papers in PubMed, 2 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

36 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Development and Validation of the Medical Brain Drain Attitudes Scale (MBDAS) in Turkey.The International journal of health planning and management · 2026
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  6. The experiences of migrant pharmacists: A phenomenographical study.Exploratory research in clinical and social pharmacy · 2023
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  12. Perceived Stress Levels among Ukrainian Migrant and LGBT+ Minorities in Poland during the COVID-19 Pandemic.International journal of environmental research and public health · 2021
    Article
  13. Article
  14. Professional experiences in the transition of Cuban-trained South African medical graduates.South African family practice : official journal of the South African Academy of Family Practice/Primary Care · 2021
    Article
  15. Doctor Retention: A Cross-sectional Study of How Ireland Has Been Losing the Battle.International journal of health policy and management · 2021
    Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Niamh HumphriesDepartment of Epidemiology and Public Health Medicine, Royal College of Surgeons in Ireland, Dublin, Ireland. nhumphries@rcsi.ie.
Ella Tyrrell
Sara McAleese
Posy Bidwell
Steve Thomas
Charles Normand
Ruairi Brugha

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundIreland is heavily reliant on non-EU migrant health workers to staff its health system. Shortages of locally trained health workers and policies which facilitate health worker migration have contributed to this trend. This paper provides insight into the experiences of non-EU migrant doctors in the Irish health workforce.

methodIn-depth interviews were conducted with 37 non-EU migrant doctors in Ireland in 2011/2012.

resultsRespondents believed they had been recruited to fill junior hospital doctor 'service' posts. These posts are unpopular with locally trained doctors due to the limited career progression they provide. Respondents felt that their hopes for career progression and postgraduate training in Ireland had gone unrealised and that they were becoming de-skilled. As a result, most respondents were actively considering onward migration from Ireland. DISCUSSION &

conclusionsFailure to align the expectations of non-EU migrant doctors with the requirements of the health system has resulted in considerable frustration and a cycle of brain gain, waste and drain. The underlying reasons for high mobility into and out of the Irish medical workforce must be addressed if this cycle is to be broken. The heavy reliance on non-EU migrant doctors to staff the medical workforce has distracted from the underlying workforce challenges facing the Irish medical workforce.

Indexed as

Emigration and ImmigrationAdultAgedAttitude of Health PersonnelCareer MobilityClinical CompetenceFemaleForeign Medical GraduatesHealth WorkforceHumansIrelandJob SatisfactionMaleMiddle AgedQualitative ResearchSurveys and Questionnaires

Identifiers

PMID24321432
PMCPMC4029175

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.