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International medical students and migration: the missing dimension in Australian workforce planning?

Lesleyanne Hawthorne and Jan Hamilton
Med J Aust 2010; 193 (5): 262-265.

Summary

Objective: To investigate the potential contribution of international medical students at Australian universities to the Australian medical workforce.

Design, setting and participants: A prospective survey in 2006–2007 of 619 international medical students in their final 2 years of undergraduate- and graduate-entry medical courses across eight Australian universities, followed by a 2009 survey of 88 international medical graduates of the University of Melbourne (most of whom were respondents of the earlier survey), assessing the correlation between students’ intended place of internship and their actual place of internship.

Main outcome measures: The survey respondents’ preferred internship location; the proportion of respondents who intended to remain in practice in Australia long term; and correlation between respondents’ intended internship locations and actual placements in their first postgraduate year.

Results: Of the 619 international medical students surveyed in 2006, 358 (58%) responded. Most planned to undertake Australian internships and seek permanent-resident status, although a third were undecided about their long-term plans. Nationality was a highly significant variable. Most preferred city rather than regional or rural training locations and expressed interest in migrating to Australia. The 2009 survey of the University of Melbourne’s 2008 medical graduates showed a high correlation between students’ plans in their last two years of study and outcomes in their first postgraduate year, with 73% accepting Victorian internships for 2009.

Conclusion: International medical students studying at Australian universities represent a substantial and highly acceptable medical workforce resource for Australia. Their requirement for internships needs to be considered in, and should influence, infrastructure planning.

  • Lesleyanne Hawthorne1
  • Jan Hamilton2

  • Faculty of Medicine, Dentistry and Health Sciences, University of Melbourne, Melbourne, VIC.

Correspondence: lhawthorne@unimelb.edu.au

Competing interests:

Lesleyanne Hawthorne received a seeding grant of $25 000 from the University of Melbourne for the research reported in this article, and other health workforce studies.

  • 1. Australian Medical Workforce Advisory Committee. The general practice workforce in Australia: supply and requirements, 1999–2010. Sydney: AMWAC, 2000.
  • 2. Birrell B, Hawthorne L. Medicare Plus and overseas-trained medical doctors. People Place 2004; 12: 83-99.
  • 3. Birrell B, Hawthorne L, Rapson V. The outlook for surgical services in Australasia. Melbourne: Centre for Population and Urban Research, Monash University, 2003.
  • 4. Hawthorne L, Birrell B, Young D. Factors influencing the retention of overseas trained general practitioners in regional Victoria. Melbourne: Rural Workforce Agency Victoria, 2003.
  • 5. Senate Select Committee on Medicare. Medicare: healthcare or welfare? Canberra: Commonwealth of Australia, 2003.
  • 6. Smith SD. The global workforce shortages and the migration of medical professions: the Australian policy response. Aust New Zealand Health Policy 2008; 5: 7.
  • 7. Australian Medical Council. Nationally consistent assessment for international medical graduates. Canberra: AMC, 2006. http://www. wa.medicalboard.com.au/pdfs/Fact%20 Sheet%20template%2025%20June%2007.pdf (accessed Jun 2010).
  • 8. Council of Australian Governments’ Meeting 10 February 2006. Canberra: COAG, 2006. http://www.coag.gov.au/coag_meeting_outcomes/2006-02-10/index.cfm (accessed Jul 2010, link updated Aug 2010).
  • 9. Hawthorne L, Hawthorne G, Crotty B. The registration and training status of overseas trained doctors in Australia. Melbourne: Faculty International Unit, Faculty of Medicine, Dentistry and Health Sciences, University of Melbourne, 2007.
  • 10. McLean R, Bennett J. Nationally consistent assessment of international medical graduates. Med J Aust 2008; 188: 464-468. <MJA full text>
  • 11. Pilotto LS, Duncan GF, Anderson-Wurf J. Issues for clinicians training international medical graduates: a systematic review. Med J Aust 2007; 187: 225-228. <MJA full text>
  • 12. Playford DE, Maley MA. Medical teaching in rural Australia: should we be concerned about the international medical graduate connection? Med J Aust 2008; 189: 125-127. <eMJA full text>
  • 13. Hawthorne L. UNESCO Global comparison study: migration and education: quality assurance and mutual recognition of qualifications; country report, Australia. Paris: UNESCO, 2008.
  • 14. Arkoudis S, Hawthorne L, Baik C, et al. The impact of English language proficiency and workplace readiness on employment outcomes and performance of tertiary international students. Melbourne: Centre for the Study of Higher Education, University of Melbourne, 2009.
  • 15. Joint Standing Committee on Migration. Negotiating the maze: review of arrangements for overseas skills recognition, upgrading and licensing. Canberra: Commonwealth of Australia, 2006. <MJA full text>
  • 16. Hawthorne L. Demography, migration and demand for international students. In: Findlay C, Tierney WM, editors. The Asia Pacific education market. Singapore: World Scientific Press, 2009: 93-119.
  • 17. Maley P. Skilled migrant visas up by 24 per cent. The Australian 2008; 23 July: 3.
  • 18. Department of Immigration and Citizenship. Subclass 457 business (long stay) — state/territory summary report 2008-09. Canberra: Australian Government, 2009. (Report ID: BR0008.)
  • 19. Eley D, Zhang J, Wilkinson D. Self-sufficiency in intern supply: the impact of expanded medical schools and medical places and rural clinical schools in Queensland. Aust Health Rev. In press.
  • 20. Hawthorne L, Minas IH, Singh B. A case study in the globalization of medical education: assisting overseas-born students at the University of Melbourne. Med Teach 2004; 26: 150-159.
  • 21. Hawthorne L, Langley A. Trends in international student demand for Australian medical and health science courses. Melbourne: Faculty International Unit, Faculty of Medicine, Dentistry and Health Sciences, University of Melbourne, 2009.
  • 22. Brooks PM, Robinson L, Ellis N. Options for expanding the health workforce. Aust Health Rev 2008; 32: 156-160.
  • 23. Birrell B, Hawthorne L, Richardson S. Evaluation of the general skilled migration categories. Report. Canberra: Commonwealth of Australia, 2006.
  • 24. Department of Immigration and Citizenship. Immigration update 2007-2008. Canberra: Department of Immigration and Citizenship, 2008. http://www.immi.gov.au/media/publications/statistics/immigration-update/update_june08.pdf (accessed Jul 2010).
  • 25. Department of Immigration and Citizenship. Immigration update July to December 2008. Canberra: Department of Immigration and Citizenship, 2008. http://www.immi.gov.au/media/publications/statistics/immigration-update/update-dec08.pdf (accessed Jul 2010).
  • 26. Healy G. Racist proposal slammed. The Australian Higher Education Supplement (Sydney) 2010; 21 Jun: 24.

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