International medical students and migration: the missing dimension in Australian workforce planning?
OBJECTIVE
To investigate the potential contribution of international medical students at Australian universities to the Australian medical workforce.


METHODS
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.


METHODS
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.


CONCLUSIONS
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.
Hawthorne
Lesleyanne
L
Faculty of Medicine, Dentistry and Health Sciences, University of Melbourne, Melbourne, VIC, Australia. lhawthorne@unimelb.edu.au
Hamilton
Jan
J
D001315:Australia; D002321:Career Choice; D004641:Emigration and Immigration / Q000706:statistics & numerical data*; D005550:Foreign Medical Graduates / Q000600:supply & distribution*; D006801:Humans; D007396:Internship and Residency / Q000706:statistics & numerical data*; D010820:Physicians / Q000600:supply & distribution*; D011365:Professional Practice Location / Q000706:statistics & numerical data; D011446:Prospective Studies