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Record W4403616009 · doi:10.47391/jpma.20544

Breaking down barriers; unravelling the root causes and effects of brain drain in Pakistan

2024· article· en· W4403616009 on OpenAlexaboutno aff
M. Yousuf Sarwar, Syeda Laiba Fahim, Naveen Murad Khatoon

Bibliographic record

VenueJournal of the Pakistan Medical Association · 2024
Typearticle
Languageen
FieldHealth Professions
TopicGlobal Health Workforce Issues
Canadian institutionsnot available
Fundersnot available
KeywordsSalaryBrain drainPoliticsEmigrationInjusticePolitical scienceHealth careBusinessDevelopment economicsLawEconomics

Abstract

fetched live from OpenAlex

Respected Editor, The term ‘brain drain’ refers to the migration of highly skilled and educated professionals from one country to another in search of better employment and living conditions. Brain drain has a detrimental impact on developing nations, leaving a counterproductive outcome due to the depletion of skilled human resources. According to the Pakistan Overseas Employment Corporation, around 21,000 professionals have migrated to other countries in the last 15 years.1 Brain drain has a pervasive effect across various domains, with healthcare being primarily one of the greatly affected. The most prevalent reason is the insufficient stipends and substandard workplace settings for professionals. Doctors work tirelessly yet are forced to face the injustice of the system, incidents of violence, and exploitation at the hands of their superiors. Most doctors (83%) agreed that meager salary packages and inequitable overtime duties motivated them to move abroad.2 Political instability in Pakistan has also affected the resettlement of healthcare individuals nationwide. Up to 81% of doctors are compelled to leave the country due to constant political turmoil.3 Blatant misogyny and cultural bounds have deterred women from working, contradicting the high female enrollment in medical colleges of Pakistan. Moreover, because of the brain drain, Pakistan is losing an insurmountable intellectual capital and educational investment, resulting in enormous pressure on the healthcare professionals who stay behind, contributing to the collapse of the already vulnerable system. Usually, the emigrants are of the privileged class which creates disparity because the ones left behind end up facing impecunious conditions and unfair working hours. The migration rate of healthcare professionals in Pakistan is increasing progressively. The United States, the United Kingdom, Canada, and Australia are four high-income countries where 56% of international medical graduates (IMGs) emigrate from low-income countries to have a better quality of life, monetary incentives, job opportunities, better education, and training. Furthermore, just three nations India, Pakistan, and the Philippines are home to 45% of IMGs.4,5 Therefore, we suggest that the government adopt strategies that will accommodate doctors, introducing remunerative packages and more employment opportunities to persuade them to serve their nation. The government should ameliorate the workplace environment to international standards, ensuring the safety and security of the professionals. Additionally, educational and training grounds should be provided to individuals to develop their skills. These immediate measures must be taken to minimize the escalating brain drain and aid in revamping the healthcare system of Pakistan.

Fetched live from OpenAlex and de-inverted. Abstracts are not stored in this database: the inverted indexes are 8.6 GB of the frame’s 9.3 GB of text, and the host has 13 GB free.

How this classification was reachedexpand

Full frame distilled prediction

Teacher imitation

Not calibrated prevalence, not ground truth. Human validation pending. Learned from the 10,348 direct Codex labels and 10,348 direct Gemma labels. Candidate is the union of thresholded teacher heads; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels or direct frontier model labels.

metaresearch head score (Codex)0.010
metaresearch head score (Gemma)0.007
Version: codex-gemma-dda1882f352aValidation status: machine_predicted_unvalidated
Candidate categoriesnone
Consensus categoriesnone
DomainCandidate signal: none · Consensus signal: none
Study designCandidate signal: Observational · Consensus signal: Observational
GenreCandidate signal: Empirical · Consensus signal: Empirical
Teacher disagreement score0.291
Threshold uncertainty score0.816

Codex and Gemma teacher scores by category

CategoryCodexGemma
Metaresearch0.0100.007
Meta-epidemiology (narrow)0.0000.000
Meta-epidemiology (broad)0.0000.000
Bibliometrics0.0000.001
Science and technology studies0.0000.000
Scholarly communication0.0000.000
Open science0.0000.000
Research integrity0.0000.002
Insufficient payload (model declined to judge)0.0000.000

Machine scores (provisional)

The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.

Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.

Opus teacher head0.010
GPT teacher head0.400
Teacher spread0.390 · how far apart the two teachers sit on this one work
Validation statusscore_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from it

Classification

machine, unvalidated

Machine predicted; a candidate call from one teacher head, not a consensus.

The models applied no category: nothing in the taxonomy fit this work.
Study designObservational
Domainnot available
GenreEmpirical

How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".

Quick stats

Citations2
Published2024
Admission routes1
Has abstractyes

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