Rey Vivo, MD Assistant Professor of Medicine Texas Tech University Health Sciences Center The Philippines.

Slides:



Advertisements
Similar presentations
Module Six: Health Career Exploration. Objectives: Students will: Discuss the broad range of careers in health care and related fields Describe the difference.
Advertisements

3.4 Understanding work in the national and global economy.
Chapter 22 Immigration McGraw-Hill/Irwin Copyright © 2009 by The McGraw-Hill Companies, Inc. All rights reserved.
18-1 Levels of Development
About Wired65 $5 million grant awarded by the U.S. Department of Labor’s Workforce Innovations in Regional Economic Development (WIRED) initiative. Includes.
OverviewOverview – Preparation – Day in the Life – Earnings – Employment – Career Path Forecast – ResourcesPreparationDay in the LifeEarningsEmploymentCareer.
The Impact of Workforce Shortages on Cost, Quality and Access: How Should We Respond Edward Salsberg Executive Director Center for Health Workforce Studies.
REPUBLIC OF MACEDONIA HEALTH SYSTEM -OVERVIEW AND CHALLENGES- Minister of Health Bujar Osmani, MD SEECP Health Ministerial Meeting “Achievements and challenges.
3 FUNDAMENTAL ROLES Protection Programs Paid Time-off
The Philippines General Information Language Session Travel Pictures
INTEGRATED APPROACHES TO SUSTAINABLE DEVELOPMENT PRACTICE Policy Coherence: Migration, Trade, Aid, and Development Milena Novy-Marx, Ph.D. John D. and.
To migrate means to leave one’s own country To immigrate means to move to a new country – In other words: I would migrate away from the United States,
INDUSTRY OVERVIEW HEALTH CARE IS $1.37 trillion spent in 2002!!! (approx. 14% of GDP) Services Provided: diagnostic healing rehabilitation prevention.
EastMetro Health Careers Institute St. Paul, MN..
The Health Care Workforce Shortage: An Analysis of the Scope and Impact on Northern Virginia Northern Virginia Health Care Workforce Alliance Draft.
Careers in Pharmaceutical Sales Jim O’Bryan Great Lakes Regional Recruiter Field Sales Division Jim O’Bryan Great Lakes Regional Recruiter Field Sales.
Largest groups by source country amongst Canadian permanent residents: Philippine, Chinese, Indian.
NILS Science and Sustainability Marta Arregi Universidad Complutense de Madrid, Spain April 26, 2012, Bergen Tel
Quiz Whiz The Philippines Created by Amber Oestreicher.
Name___________________ Philippines - Geography ,History, Government & Culture
Lecturer: Monika M. Wahi, MPH, CPH. Explain why health care professionals make up such a large proportion of the U.S. work force Name three types of allied.
November 2007 Central Minnesota Health Professional Workforce and Community Health Analysis Central Minnesota Area Health Education Center November 2007.
Addressing the Rural HHR Challenge: A Decade of Canadian Experimentation Joshua Tepper MD, CFPC, MPH, MBA.
Rosalinda E. B. Milla, MD Professor and Dean College of Arts and Sciences United States University.
“Education is the most powerful weapon which you can use to change the world.” – Nelson Mandela.
Understanding Health Disparities in Texas Maureen Rubin, Ph.D., MSW Assistant Professor Department of Social Work University of Texas at San Antonio Nazrul.
HCA 701: Survey of the U.S. Healthcare System Physicians and Ambulatory Care.
Professional Roles Lesson 4 HQSI-Proprietary. Lesson Overview HQSI-Proprietary.
Labor Market Challenges in The Philippines Alejandra Cox Edwards September
RP MANPOWER & DEPLOYMENT PRACTICES Czech Asian Business Forum 03 March 2008 Philippine Embassy, Prague Ryan Z. Maclang.
Evolving Schools, Evolving Workplaces in the Bluegrass August 5, 2014.
HSCI 678 Intro to US Healthcare System Health Services Workforce Chapter 8 Tracey Lynn Koehlmoos, PhD, MHA.
Key Issue #2: Where Are Migrants Distributed? 3% of world are international migrants (mostly in U.S) Global Migration Patterns o Net-out migration – Asia,
Economy of the Philippines
Exploration and Expansion World History I. Map of the known world
Human Resource Planning: Lithuanian Physicians in the Process of Accession Zilvinas Padaiga Vice-Rector Kaunas University of Medicine Lithuania 6 th European.
Chapter 23 Immigration Copyright © 2015 McGraw-Hill Education. All rights reserved. No reproduction or distribution without the prior written consent of.
Firman Lubis MD, MPH Professor in Community Medicine FKUI.
Globalization and the Health Care Workforce
Copyright © 2008 Delmar. All rights reserved. Chapter 24 Rural and Migrant Populations.
Why should we care? What can we achieve together? Work-based Literacy Summit Anson Green Coordinator, Workbased English Solutions Economic and Workforce.
BRAIN DRAIN IssuesResearch Policies + Interventions Caglar Ozden DECRG January 2007.
Allied health professionals make up 60 percent of the total health workforce. They work in health care teams to make the healthcare system function by.
SOCIAL POLICIES OF CASTRO’S CUBA Education, Health Care and Cuban Culture.
The Philippines By: Nick Lukaszek 2 nd Hour Country Research Project.
MIGRATION AND EMPLOYMENT OF FILIPINO NURSES Commission on Graduates of Foreign Nursing Schools A Presentation By Barbara L. Nichols, DHL, MS, RN, FAAN.
Global Migration Patterns: Asia, Latin America, and Africa have net out-migration Europe, North America, and Oceania have net in-migration.
To migrate means to move to another country To immigrate means to leave one’s own country – In other words: I would migrate away from the United States,
Careers in Quality January 21, 2011 Purdue University Calumet Robyn Minton Vice President of Operations Center of Workforce Innovations.
El Sistema de Salud LECCIÓN 10. México  In México the IMSS (Instituto Mexicano del Seguro Social) operates the social security system, providing everyone.
Special thanks to... Member Series: Idesli & Intern Abroad
Flood International Consulting Agency Analysis of the International Route to U.S. Medicine.
Family Medicine in Lebanon Jinan Usta MD University (Founded) Faculty of Medicine Established Student Number MDs/year American University of Beirut (AUB)
Kyrgyzstan: Health Profile, 2012 By: Moulika Baireddy and Supercourse developers.
Ch. 7- Section 2- The West Indies Land- archipelago- group of islands Tops of mts.- active volcanoes Cuba- largest island- size of Ohio.
S1 Citizenship Day 2011 Haiti. HAITI is a beautiful Caribbean island… …that attracts a large number of tourists every year.
1 Healthcare Workforce, HSS Hearing 1/29/09 Physician Workforce Alaska’s Healthcare Workforce Jay C. Butler, MD, FAAP, FACP Chief Medical Officer.
All You Need To Know About The Philippines. Philippine facts….  Population – 84.6 million  Area – 300 square kilometres  Capital – Manila  Language.
Topic : Philippine Group 3 Name : Sambo Utdom, Chheng Raden, Sokha Piseth.
Migration to the United States: The Impact on People and Places
25 Immigration McGraw-Hill/Irwin
Health Insurance.
To move from a country means to what?
To move from a country means to what?
Policies + Interventions
Indonesia Unit 3.
Philippines Unit 3.
Imperialism in Asia & The Pacific
Imperialism in Asia & The Pacific
Presentation transcript:

Rey Vivo, MD Assistant Professor of Medicine Texas Tech University Health Sciences Center The Philippines

The Islands 7,107 islands making up an archipelago Climate: Tropical Area: 115,831 sq mi #72 in the world Population: 91 million #12 in the world Capital: Manila Currency: Peso (PhP47 = US$1)

The History Negritos – Malay aboriginals 13 th century – Islam 1521 – Ferdinand Magellan “discovers” the islands Manila is established as capital of the new Spanish colony Christianity 1880s – Propaganda Movement, Katipunan 1898 – US defeats Spain; “First Philippine Republic” 1935 – Philippine Commonwealth; then WWII 1946 – Independence from US The Marcos dictatorship, People Power revolution(s)

“300 years in the convent and 100 years in Hollywood”

The People Manila is 11 th most populous metro in the world Literacy rate: 93% Language: Filipino and English; >180 dialects Labor force: 34.2 million 11 million (11%) overseas; largest diaspora

The Culture Spanish: names, language, religion/customs, food, architecture “…a Latin American country transported to the Orient…” American: fast food, music, movies, pop culture “Brown Americans”

The Culture Harmonious social interaction Debt of gratitude Colonial mentality Hospitality

Healthcare Issues

Health and healthcare Top causes of mortality: cardiovascular, cancer, accidents, pneumonia, tuberculosis 1940s-1980s: infectious diseases led all causes PhilHealth – national health insurance program Out-of-pocket share emphasizes inequality 75% pharmaceuticals imported

Diaspora 2001 – 2004: >5,000 physicians left 30 medical schools 2000 – 2003: 51,850 nurses migrated 350 medical schools Approx. 1,000 hospitals have closed in the last 5 years Crisis

Physicians Top countries of medical education for IMG physicians CountryTotalPercentage India47, % Philippines20,8618.7% Mexico13,9295.8% Pakistan11,3304.8% Dominican Republic7,8923.3% American Medical Assn., 2007

Why leave? Harsh realities: Compensation/month for resident MDs $300 $1,000 $4,000 PhilippinesSouth AfricaUSA

Why leave? Other limitations Poor working/training conditions, quality of life Gov’t budget for health MD to person ratio: US……… 1:150 Cuba…. 1:225 Phil…... 1:>10,000 Poor job prospects, difficulties in establishing practice Specialties Research Local political/economic forecast

Challenges USMLE Cost Visas/Immigration laws Post-training employment opportunities Healthcare differences Disrupted families/relationships

Diaspora 2001 – 2004: >5,000 physicians left 2000 – 2003: 51,850 nurses migrated Nursing schools are mushrooming everywhere 40 – 50% of nursing students are “second-coursers” At present 6,000 doctors are enrolled in nursing schools, all wanting to leave for “greener pastures” abroad >50,000 caregivers have trained; about half have left for jobs overseas

Percent of Hospitals Hiring Foreign-educated Nurses by Country from which They Recruited, 2006 Nurses American Hospital Assn., 2007

Nurses’ compensation $200 USACanadaPhilippines Daily Daily Monthly

From MD to RN 2000 – 2004: 5,000 MDs left to work abroad as RNs 2004 – 2005: >2,400 MDs took the nursing boards Currently, >4,000 MDs enrolled in nursing schools Generalists and specialists; aged years “Retrogression” Alliance of Health Workers

Pros and Cons Remittances from overseas workers Reduced unemployment Technology transfer Healthcare cultural diversity Expedited but suboptimal training Demoralization of MDs “Brain drain”

Brain drain Filipino-born nurses and Indian-born doctors each represent about 15 percent of all nurses and doctors in the Organization for Economic Cooperation and Development (OECD). “The migration of doctors and nurses from the developing to the developed world has only a limited impact on the crisis in health care in poor countries.” AFP

Gov’t solutions Manage migration Mandatory government service Career advancement programs Knowledge exchange

JAMA. 2008;299:

Thank you