title: Push, pull, and plant: the personal side of physician immigration to alberta, Canada.
abstract: OBJECTIVE
  The global migration of physicians has led many international physicians to enter practice in Alberta, Canada. The study was designed to explore the personal side of migration and transition experiences of these international medical graduates (IMGs).
  
  
  METHODS
  A qualitative study using telephone interviews and a semi-structured interview guide was used to interview 19 IMGs who are currently practicing and have held Part V, restricted or temporary practice licenses for less than 7 years.
  
  
  RESULTS
  Three major themes were identified. The first was the "push" from their own country of origin and their perception that moving to Alberta would be better for them. Professional opportunities in their home country had been affected by changing policies, lack of infrastructure, and personal/family safety issues culminating in highly stressful work environments. The second was "pull." An improvement in the quality of personal life was associated with geographical, educational, recreational, and spiritual aspects of daily living for participants and their families in their new environment. The third theme was "plant"ie, factors that encouraged them to stay in Alberta.
  
  
  CONCLUSIONS
  This study demonstrates the continued relevance of push and pull theory in understanding IMG physician migration. Our findings in this study indicate that remaining in place, or "being planted" is conditional on political, social, and economic aspects.
authors.affiliation: Department of Family Medicine, University of Alberta, Edmonton, Canada. doug.klein@ualberta.ca
authors.forename: Douglas
authors.initials: D
authors.lastname: Klein
authors.forename: Marianna
authors.initials: M
authors.lastname: Hofmeister
authors.forename: Jocelyn
authors.initials: J
authors.lastname: Lockyear
authors.forename: Rodney
authors.initials: R
authors.lastname: Crutcher
authors.forename: Herta
authors.initials: H
authors.lastname: Fidler
mesh_terms: D000416:Alberta; D002321:Career Choice; D054242:Emigrants and Immigrants / Q000523:psychology / Q000706:statistics & numerical data; D005550:Foreign Medical Graduates / Q000523:psychology* / Q000706:statistics & numerical data; D006801:Humans; D008019:Life Style; D036301:Qualitative Research; D012944:Social Support