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Abstract
The migration of health professionals from low- and middle-income to high-income countries has received much attention amongst the global health community as an important factor influencing health care systems. There is however, much less dialogue about internationally trained health professionals who are not able to practice their professions in their countries of destination, a phenomenon labelled as brain waste. It has been shown that the integration of internationally trained health professionals in their country of destination is hindered due to inadequate lan- guage skills, a lack of local work experience, cultural incompetency, and barriers to the recogni- tion of credentials from foreign academics and professionals. To maximize gains from migration of health professionals and to minimize the negative impacts, we need policies with proper guide- lines for practical strategies to better integrate health professional immigrants into the workforce of destination countries. These policies and action plans should also foster healthcare system ca- pacity building and appropriate compensation in low- and middle-income countries
Highlights
Health professionals, those from low- and middle-income countries (LMICs), have historically been targeted for immigration by many high income countries
Doctors and biomedical researchers constitute the majority of health professional migration worldwide
Less focus has been given to the numerous accounts of internationally trained health professionals who are not able to practice their professions in their countries of destination, a phenomenon labelled as “brain waste”
Summary
Those from low- and middle-income countries (LMICs), have historically been targeted for immigration by many high income countries. We argue that the repercussions of “brain waste” cause a situation of double-jeopardy that needs further attention among global health advocates. On one side, it leads to greater difficulty for these individuals and their families to succeed and to contribute to their destination countries. Despite the active recruitment of these professionals a significant proportion fail to integrate into their own professions and fields once they arrive in the new country This short communication aims to generate further attention of the stakeholders for better polices and pragmatic action plans to better handle the situation of international health professional migration and brain waste
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