South Africa and the Surgical Diaspora-A Hub for Surgical Migration and Training

© 2023. The Author(s)..

BACKGROUND: The shortage of trained surgeons, anesthesiologists, and obstetricians is a major contributor to the unmet need for surgical care in low- and middle-income countries, and the shortage is aggravated by migration to higher-income countries.

METHODS: We performed a cross-sectional observational study, combining individual-level data of 43,621 physicians from the Health Professions Council of South Africa with data from the registers of 14 high-income countries, and international statistics on surgical workforce, in order to quantify migration to and from South Africa in both absolute and relative terms.

RESULTS: Of 6670 surgeons, anesthesiologists, and obstetricians in South Africa, a total of 713 (11%) were foreign medical graduates, and 396 (6%) were from a low- or middle-income country. South Africa was an important destination primarily for physicians originating from low-income countries; 2% of all surgeons, anesthesiologists, and obstetricians from low- and middle-income countries were registered in South Africa, and 6% in the other 14 recipient countries. A total of 1295 (16%) South African surgeons, anesthesiologists, and obstetricians worked in any of the 14 studied high-income countries.

CONCLUSION: South Africa is an important regional hub for surgical migration and training. A notable proportion of surgical specialists in South Africa were medical graduates from other low- or middle-income countries, whereas migration out of South Africa to high-income countries was even larger.

Medienart:

E-Artikel

Erscheinungsjahr:

2023

Erschienen:

2023

Enthalten in:

Zur Gesamtaufnahme - volume:47

Enthalten in:

World journal of surgery - 47(2023), 7 vom: 25. Juli, Seite 1684-1691

Sprache:

Englisch

Beteiligte Personen:

Rudolfson, Niclas [VerfasserIn]
Lantz, Adam [VerfasserIn]
Shrime, Mark G [VerfasserIn]
Johnson, Walter [VerfasserIn]
Smith, Martin D [VerfasserIn]
Hagander, Lars [VerfasserIn]

Links:

Volltext

Themen:

Journal Article
Observational Study
Research Support, Non-U.S. Gov't

Anmerkungen:

Date Completed 01.06.2023

Date Revised 22.06.2023

published: Print-Electronic

Citation Status MEDLINE

doi:

10.1007/s00268-023-06990-x

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM355344513