Failing to retain a new generation of doctors: qualitative insights from a high-income country

BMC Health Services Research
Niamh HumphriesRuairí Brugha

Abstract

The failure of high-income countries, such as Ireland, to achieve a self-sufficient medical workforce has global implications, particularly for low-income, source countries. In the past decade, Ireland has doubled the number of doctors it trains annually, but because of its failure to retain doctors, it remains heavily reliant on internationally trained doctors to staff its health system. To halve its dependence on internationally trained doctors by 2030, in line with World Health Organisation (WHO) recommendations, Ireland must become more adept at retaining doctors. This paper presents findings from in-depth interviews conducted with 50 early career doctors between May and July 2015. The paper explores the generational component of Ireland's failure to retain doctors and makes recommendations for retention policy and practice. Interviews revealed that a new generation of doctors differ from previous generations in several distinct ways. Their early experiences of training and practice have been in an over-stretched, under-staffed health system and this shapes their decision to remain in Ireland, or to leave. Perhaps as a result of the distinct challenges they have faced in an austerity-constrained health system and their awar...Continue Reading

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Citations

Jun 3, 2020·The British Journal of General Practice : the Journal of the Royal College of General Practitioners·Brendan CrosbieWilliam Behan
Sep 8, 2020·European Journal of Public Health·Niamh HumphriesJohn-Paul Byrne
Nov 7, 2019·Human Resources for Health·Frances CroninRuairi Brugha
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Dec 29, 2020·European Journal of Obstetrics, Gynecology, and Reproductive Biology·C M McCarthyK O'Donoghue

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