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International medical graduates' experiences before and after migration: A meta‐ethnography of qualitative studies

Al‐Haddad, Mo ; Jamieson, Susan ; Germeni, Evi

Medical education, 2022-05, Vol.56 (5), p.504-515 [Periódico revisado por pares]

England: Wiley Subscription Services, Inc

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  • Título:
    International medical graduates' experiences before and after migration: A meta‐ethnography of qualitative studies
  • Autor: Al‐Haddad, Mo ; Jamieson, Susan ; Germeni, Evi
  • Assuntos: Anthropology, Cultural ; Ethnography ; Foreign Medical Graduates ; Humans ; Medical education ; Physicians ; Qualitative Research
  • É parte de: Medical education, 2022-05, Vol.56 (5), p.504-515
  • Notas: ObjectType-Article-2
    SourceType-Scholarly Journals-1
    ObjectType-Feature-3
    content type line 23
    ObjectType-Review-1
  • Descrição: Introduction International medical graduates (IMGs) represent a large portion of practising doctors in many countries. Many experience difficulties, including higher rates of complaints against them and lower exam pass rates. The UK's General Medical Council (GMC) recently set targets to ‘eliminate disproportionate complaints’ and ‘eradicate disadvantage and discrimination in medical education’. Our timely meta‐ethnography aimed to synthesise existing qualitative literature on the wider personal and professional experiences of IMGs to identify factors affecting IMGs' professional practice (either directly or indirectly). Methods In September 2019, we systematically searched Medline, Embase, Cochrane, PsycINFO, ERIC and EdResearch for peer‐reviewed qualitative and mixed‐methods articles that described experiences of IMGs. We extracted participant quotes and authors' themes from included articles and used the technique of meta‐ethnography to synthesise the data and develop new overarching concepts. Results Of the 1613 articles identified, 57 met our inclusion criteria. In total, the articles corresponded to 46 studies that described the experiences of 1142 IMGs practising in all six continents in a range of settings, including primary and secondary care. We developed five key concepts: migration dimensions (issues considered by IMGs when migrating), a challenging start (the stressful early period), degree of dissonance (between the IMG and host country in relation to the four main barriers of language, culture, medical education and belonging), levelling the playing field (interventions to reduce the impact of the barriers) and survive then thrive (adjustments IMGs made). A conceptual model that brings these constructs together in a line of argument is presented. Conclusions This meta‐ethnography, based on a large amount of diverse qualitative studies, is the first to provide a comprehensive picture of the experiences and challenges that IMGs face before and after migration. Our results should be used to guide the development of interventions aiming to support IMGs and meet the GMC targets. In this systematic review, the authors present 5 concepts as a framework for understanding the shared and unique experiences of IMGs worldwide that could, thereby, be used to guide needs assessment and policy.
  • Editor: England: Wiley Subscription Services, Inc
  • Idioma: Inglês
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  • Realização: ABCD-USP USP   Logos de Redes Sociais: Freepik

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