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Tuesday, December 30, 2014

International Doctors' job outlook in 2015

For many countries,2015 means relative shortage of physicians and thus high demands. This too would mean increase mobility of doctors from region of abundance to relative less abundance.It may sadly mean movement from area of less abundance who can't pay to area of less abundance who can pay.

Although the shortage not be too obvious in United State of America but a gap of 63,000 doctors would exist by 2015 according to Association of American Medical Colleges. Some have describe the gap as 'invisible gap'.The reason for the potential gap are varied, from aging of physicians themselves to aging demography of patients and the burgeoning population and flattening of new doctors output at 16,000 per year for a while. Currently US have the lowest physician to population among developed countries.


US,UK and Canada  flags with stetoscope


United Kingdom faces shortage in many specialty in the incoming years; Clinical Neuro-physiology, Emergency Medicine,Neurology,Occupational Medicine and Genitourinary Medicine etc. All these features on the Occupational Shortage list of Visa bureau of United Kingdom.

The shortage of skilled manpower in Canada have brought forth an aggressive policy from the Canadian Government to to fill skilled manpower shortage generally. The new immigration system from 2015 offer "express entry" to qualified immigrants to fill available gaps. In fact intake into the country of International Medical graduates who are doctors trained abroad would fill extreme doctor shortage especially in undeserved areas. This shortage maybe unconnected with Canadian Provincial governments  reduction of medical school enrollments and post-graduate training programs since 1993.

All aforementioned examples are in high income and developed countries, however this is not to say there would not be shortage elsewhere. Many countries in Africa are short of doctors and that would not likely change in 2015. As much as 167 000 shortage have been projected for the whole African Region in 2015 by an article by Richard M Scheffler et al in Bulletin of World Health Organisation. 

Certainly Middle Eastern countries are not left out. Oman have projected shortage which would be filled from abroad. As much as  9000 when combined with nurses would be needed in the country. The scaling up of healthcare and training institutions in Saudi Arabia definitely would drive up demand  in the oil rich kingdom.

The bad news to fill these shortage with indigenous population would require a waiting period of at least 7 years for general practitioners but average of 14 years for specialists. So the gap would be filled from abroad where doctors are probably not enough.


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