Print this page Email this page Users Online: 3252 | Click here to view old website
Home About us Editorial Board Search Current Issue Archives Submit Article Author Instructions Contact Us Login 
ORIGINAL RESEARCH PAPER
Year : 2011  |  Volume : 24  |  Issue : 3  |  Page : 614

Career intentions of medical students trained in six sub-Saharan African countries


1 University of Cape Town, Faculty of Health Sciences, Department of Medicine, Anzio Road, Observatory, Cape Town, South Africa
2 Foundation for Advancement of International Medical Education and Research, Philadelphia, PA, USA
3 University of KwaZulu-Natal, Nelson R Mandela School of Medicine, Durban, South Africa
4 Makerere University, College of Health Sciences, K'la, Kampala, Uganda
5 University of Pretoria, Pretoria, South Africa
6 Stellenbosch University, Centre for Teaching and Learning, Manewales, Stellenbosch, South Africa
7 University de Kisangani, Kisangani City, Democratic Republic of Congo
8 Muhimbili University of Health and Allied Sciences, dar es Salaam, Tanzania
9 University of Lagos, College of Medicine, Akoka Yaba, Lagos, Nigeria
10 Moi University, School of Medicine, Eldoret, Kenya

Correspondence Address:
V C Burch
University of Cape Town, Faculty of Health Sciences, Department of Medicine, Anzio Road, Observatory, Cape Town
South Africa
Login to access the Email id

Source of Support: None, Conflict of Interest: None


PMID: 22267357

Introduction: Sub-Saharan Africa (SSA) is the world region worst affected by physician migration. Identifying reasons why medical students wish to stay or leave Africa could assist in developing strategies which favour retention of these graduates. This study investigated the career intentions of graduating students attending medical schools in SSA to identify interventions which may improve retention of African physicians in their country of training or origin. Methods: Final year medical students attending nine medical schools in SSA were surveyed - students from four schools in South Africa and one school each in the Democratic Republic of Congo, Kenya, Nigeria, Tanzania and Uganda. The response rate was 78.5% (990 of 1260 students); data from the 984 students who indicated they were remaining in medicine were entered into a database, and descriptive statistics were obtained. Results: Most (97.4%) of the 984 responding students were African by birth. The majority (91.2%) intended to undertake postgraduate training; the top three specialty choices were surgery (20%), internal medicine (16.7%), and paediatrics (9%). Few were interested in family medicine (4.5%) or public health (2.6%) or intended to practice in rural areas (4.8%). Many students (40%) planned to train abroad. About one fifth (21%) intended to relocate outside sub-Saharan Africa. These were about equally divided between South Africans (48%) and those from the other five countries (52%). The top perceived career-related factors favouring retention in Africa were career options and quality and availability of training opportunities. Several factors were reported significantly more by South African than the other students. The top personal factors for staying in Africa were a desire to improve medicine in Africa, personal safety, social conditions and family issues. The top careerrelated factors favouring relocation outside Africa were remuneration, access to equipment and advanced technology, career and training opportunities, regulated work environment and politics of health care in Africa. Several of these were reported significantly more by students from the other countries as compared with South Africans. The top personal factors favouring relocation outside Africa were personal safety, opportunity for experience in a different environment, social conditions and greater personal freedom. Discussion: The career intentions of African medical students are not aligned with the continent's health workforce needs. A number of interventions that warrant further attention were identified in this study.


[FULL TEXT] [PDF]*
Print this article     Email this article
 Next article
 Previous article
 Table of Contents

 Similar in PUBMED
   Search Pubmed for
   Search in Google Scholar for
 Related articles
 Citation Manager
 Access Statistics
 Reader Comments
 Email Alert *
 Add to My List *
 * Requires registration (Free)
 

 Article Access Statistics
    Viewed2771    
    Printed87    
    Emailed0    
    PDF Downloaded467    
    Comments [Add]    

Recommend this journal