Evidence map›Paper›PMID 41287130›Full record

ArticleHuman resources for health2025

A scoping review on medical students' international migration: trends, determinants, and implications for global health workforce planning.

Gerald Tze Zhen Ser, Zhi Sean Teng, Yady Zikry Yusni, Krisada Shen Yang Ooi, Zhi Yong Wong, Prashwin Singh Tejpal Singh, Wei-Han Hong

Abstract readScoping Review
In one paragraph

Article in Human resources for health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 1 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

3 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Article
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.

Gerald Tze Zhen SerFaculty of Medicine, Universiti Malaya, Kuala Lumpur, Malaysia.
Zhi Sean TengFaculty of Medicine, Universiti Malaya, Kuala Lumpur, Malaysia. sean.tengzs@gmail.com.
Yady Zikry YusniFaculty of Medicine, Universiti Malaya, Kuala Lumpur, Malaysia.
Krisada Shen Yang OoiEdinburgh Medical School, The University of Edinburgh, Edinburgh, UK.
Zhi Yong WongFaculty of Medicine, Universiti Malaya, Kuala Lumpur, Malaysia.
Prashwin Singh Tejpal SinghFaculty of Medicine, Universiti Malaya, Kuala Lumpur, Malaysia.
Wei-Han HongMedical Education and Research Development Unit, Faculty of Medicine, Universiti Malaya, Kuala Lumpur, Malaysia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPhysician migration is a known global phenomenon, with the migration intention of medical students serving as early indicators of the trends in workforce mobility. Understanding the factors influencing their decision to migrate is crucial in the planning of human resources for health in a country and the sustainability of a healthcare system, particularly in low- and middle-income countries (LMIC). This scoping review synthesises current available evidence on the trends, determinants, and implications of medical student international migration.

methodsA systematic search was conducted on PubMed, Scopus, and Proquest from July 2013 to May 2025, following the PRISMA for Scoping Reviews framework. The selected articles included primary research investigating factors influencing migration intention among medical students. Articles were excluded if the study only explored on perception of migration. Included studies were assessed for quality according to Joanna Briggs Institute (JBI) Critical Appraisal tool, and extracted factors were reclassified and regrouped into domains of Academic and Personal Development, Economic and Working Conditions, and Social and Living Environment factors.

results517 articles were screened, of which 33 articles were included, covering medical students from diverse geographical locations. Migration intentions were varied across regions, with studies from 6 countries each reporting that over 80% of sampled medical students intended to migrate. The most common push factors included income, working culture and environment, and career progression. The most frequently cited stay factors were family, financial, and patriotism.

conclusionMigration intentions were widely reported among medical students across different regions, though the proportions varied by country. This serves as a predictor and could indicate the evolving global trend of physician migration in the years to come. Financial prospects, career opportunities, and working conditions play critical roles in determining the migration intentions of medical students. Targeted retention strategies should be implemented especially in resource-limited settings to address brain drain, although at the same time achieving balance in ethical recruitment practices in high-income countries. Future research is warranted to study the longitudinal trends of migration intention and assess the impact of policies on retention.

Indexed as

Emigration and ImmigrationGlobal HealthHealth WorkforceStudents, MedicalDeveloping CountriesHumansIntentionInternationalityBrain drainGlobal healthHealthcare policyHuman resources for healthMedical student migrationWorkforce planning

Identifiers

PMID41287130
PMCPMC12642250

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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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.