No Country for Non-EU docs?

A professor of commerce – Dr Eimear Nolan – writes why being a senior medical doctor is a challenge for many non-EU doctors – something that will not last long.

“Ireland is a good place to start your career but don’t waste more than two years here if you want to move forward.”

This is the worst comment of a non-EU doctor at a working hospital in Ireland. And it is not unusual.

Dr. Eimear Nolan

At a time when the Covid health profession is crying out for qualified doctors, this is true: Doctors from outside the European Union are strongly encouraged to come to Ireland to study the world and advance their careers. However, once they get here, they quickly realize that they have little power to advance their career while working in Ireland. As a result, many of them leave.

This was the culmination of my research into my experience with non-EU, non-EU health professionals (NCHDs) who have been working in Ireland for the past decade. Recent work is Dr. Xiaoning Liang at Trinity Business School and Professor Michael Morley at the University of Limerick, we have looked at the experiences of more than 250 non-EU NCHD members working in the Irish health system.

We found that he was facing two major challenges with the Irish system.

First, they are on short-term contracts which leads to operational insecurity and increased risk within the system. Second, they may not have the opportunity to learn what they need to do to improve their careers.

With these two things in mind, the idea that many choose to leave Ireland is not surprising. Many of these NCHDs have left Ireland to work in neighboring EU countries, such as the UK, where they are provided with education and the opportunity to advance in the jobs they hope for and lack.

When asked to describe his experience working in Ireland, many NCHDs said they were disappointed with the lack of opportunities available in Ireland.

“I would like to summarize my thoughts on the Irish medical profession in one word: frustration,” said the NCHD.

The study shows that the lack of job security and job opportunities are forcing NCHDs to reconsider their decision to return to Ireland, with many considering leaving. In the words of another NCHD: “The only reason I left this country was because I did not want to die like NCHD. I have FRCS ortho and EBOT [Fellowship of the Royal College of Surgeons – Orthopaedics and Examination of the European Board of Orthopaedics and Traumatology], but I still have opportunities to get a job as a counselor. ”

The advice that the NCHDs are sending to new non-EU doctors is unfortunate: If you want to improve your career, Ireland is the answer for a while.

Losing these doctors is a challenge for all of us.

Ireland relies heavily on NCHDs to support the country’s hospitals. The country has already seen home doctors leave to work at a dangerous level.

We are now seeing NCHDs imported into the country to fill the void left by the loss of jobs, employment opportunities and job opportunities.

This should not be the case. What is clear about this study is that most NCHDs have indicated that they want to continue working in Ireland and many would do so if they were given adequate job security (temporary leave) and offered employment opportunities. education.

The question is: Are we ready to give them this?

Over the past decade, the Irish medical system has struggled to attract and retain NCHDs to operate in Irish hospitals. This must continue and it will only get worse if nothing is done to keep the NCHDs operating in the country. Recent research clearly indicates whether such a change took place [extend NCHDs contracts and grant NCHDs access to training], Ireland would not only attract new NCHD members, but also save a large number of Irish hospital staff, taking the necessary pressure on the system.

Our study did not look at why Irish healthcare organizations do not provide these doctors with the support they need to improve their careers. Perhaps the reasons are complex and vary depending on the agencies. But it is clear to us as writers that the barriers that these doctors see are real, and also, that other countries are doing a good job. This study provides an advanced remodeling approach that should be seriously considered.

Dr. Eimear Nolan and Assistant Professor of International Business and Director of the Flexible Executive MBA at Trinity Business School, Trinity College, Dublin, where he teaches Cross-Cultural and Inter-Cultural Management.

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