‘To Stay or Not to Stay’: Migration Decisions and Professional Mobility of South African Educated Physicians in Rural Alberta
Notice bibliographique
Résumé
Introduction: Rural communities in Alberta, Canada have faced physician shortages for decades. Attracting internationally educated physicians, including many South African physicians, is one way to address this problem. While much of the research on internationally educated physicians focuses on attraction and retention, I bring a fresh approach, framing the decision to stay in light of migration decisions and professional mobility, all within a life course perspective. Methods: Data was collected via semi-structured virtual interviews with 29 South African educated physicians who have practiced family/general medicine across Alberta. Many participants were white men, while physicians of colour and women were notable minorities. This qualitative research was guided by abductive grounded theory, a methodology that encourages theory building and contributions to ongoing debatesw. Data was transcribed verbatim and analysed using open thematic coding. Findings: South African educated physicians made the decision to leave South Africa and to come to Canada to pursue the prestige and opportunity that was inaccessible in South Africa. Instead of freely making decisions about where to live and the sort of medicine they wanted to practice, physicians were limited to work as rural generalists. This perceived lower prestige professional work meant South African physicians occupied low status positions while more prestigious work was reserved for Canadian educated physicians. The outcome of this stratification played an important role in South African physicians’ ability to achieve what they were looking for and the professional opportunities that were available if they stayed in a rural community or migrated elsewhere. Conclusion: Findings suggest that migration, or in this case physician attraction and retention, is an outcome of aspiration and capability, contingent on prestige and professional status. South African educated physicians have successfully and creatively managed their perceived lower status work, finding ways to bring their aspirations to life in rural communities and stay. Alternatively, when unable to stay in rural practice, South African educated physicians’ decisions to relocate to an urban centre was a matter of lifestyle over professional prestige.
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Comment cette classification a été obtenuedéplier
Prédiction distillée sur la base complète
Imitation des enseignantsNi prévalence calibrée, ni vérité terrain. Validation humaine à venir. Apprise à partir de 10 348 étiquettes directes de Codex et de 10 348 étiquettes directes de Gemma. Le mode candidate est l'union des têtes enseignantes seuillées; le consensus est leur intersection. Ces sorties portent le statut machine_predicted_unvalidated et ne sont ni des étiquettes humaines ni des étiquettes directes de modèles de pointe.
Scores Codex et Gemma par catégorie
| Catégorie | Codex | Gemma |
|---|---|---|
| Métarecherche | 0,000 | 0,000 |
| Méta-épidémiologie (sens strict) | 0,000 | 0,000 |
| Méta-épidémiologie (sens large) | 0,000 | 0,000 |
| Bibliométrie | 0,000 | 0,001 |
| Études des sciences et des technologies | 0,000 | 0,000 |
| Communication savante | 0,000 | 0,000 |
| Science ouverte | 0,000 | 0,000 |
| Intégrité de la recherche | 0,000 | 0,000 |
| Charge utile insuffisante (le modèle a refusé de juger) | 0,002 | 0,000 |
Scores machine (provisoires)
Les deux têtes enseignantes du modèle étudiant, lues sur ce travail. Un score ordonne la base pour la relecture; il n'affirme jamais une catégorie, et le statut de validation accompagne chaque rangée tel quel.
Scores de référence d'un modèle non mature (critères de maturité non atteints, 7 itérations). Un score ordonne; il n'affirme jamais une catégorie.
score_only:v0-immature-baseline · tel quel depuis la passe de notation : score_only signifie que le nombre peut ordonner les travaux, et qu'aucune étiquette de catégorie n'en découleClassification
machine, non validéePrédiction automatique; un appel candidat d’une seule tête enseignante, pas un consensus.
Le détail, modèle par modèle et score par score, se trouve en fin de page sous « Comment cette classification a été obtenue ».