CHALLENGES IN INTERNATIONAL RECRUITMENT :

MIGRATION FLOWS OF FOREIGN TRAINED PHYSICIANS

EXPLAINED

JOINT ACTION HWPF

FRIDAY 5 DECEMBER, 2014

DR PATRICK ROMESTAING

CNOM VICE-PRESIDENT

CNOM REPRESENTATIVE TO THE ONDPS (FRENCH OBSERVATORY OF HEALTH PROFESSIONS)

COORDINATOR OF THE EUROPEAN OBSERVATORY OF MEDICAL DEMOGRAPHY (CEOM)

EUROPEAN

OBSERVATORY

3 DECEMBER 2010 : CNOM SET UP A EUROPEAN OBSERVATORY JOINTLY WITH CEOM

FRENCH INVOLVEMENT IN EUROPE

- JOINT ACTION

- OECD

FEMINISATION OF THE PROFESSION

Most feminised countries :

- Romania : 77,4%

- Slovenia : 72,7%

- Lithuania : 70%

Least feminised countries :

- Ireland : 30%

- Switzerland : 31,5%

- Belgium : 36,3%

Position of France :

- 42,1% of women

DEMOGRAPHIC PROFILE : A MORE OR LESS

MARKED AGEING

Accelerated ageing :

- Belgium : men : 58 years

women : 47 years

- Portugal : men : 53 years

women : 57 years

- Slovakia : men : 56 years

women : 55 years

- Romania : men : 52 years

women : 51 years

- France : men : 54 years

women : 49 years

COUNTRY OF BIRTH

COUNTRY OF BIRTH AND EU MIGRATION

FLOWS

1st provider : Germany 2nd provider : Italy 3rd provider : Romania

GRADUATED FROM OTHER EU COUNTRIES

10

1 - Is there a shortage of general practitioners in your country? 2 - In your country, does the patient have to consult his general practitioner before consulting a medical specialist?

10

MIGRATION

FLOWS &

TRAJECTORIES

CNOM-2014 Publication

COUNTRY OF

BIRTH

GEOGRAPHICAL ORIGIN & WORKFORCE

10046 30308

DEMOGRAPHIC PROFILE

European Union & outside France Outside European Union & outside France Men : 51 years Men : 53 years Women : 47 years Women : 46 years

SPECIALITIES & MODES OF PRACTICE

43,5% specialists in general practice

GENERAL PRACTICE – BORN IN MAGHREB Born in Algeria

27,7% graduated in Algeria

71,7% graduated in France

0,6% graduated outside Algeria or France

Born in Marocco

11,3% graduated in Marocco

85,9% graduated in France

2,8% graduated outside Maroc or France

Born in Tunisia

5% graduated in Tunisia

93,5% graduated in France

1,5% graduated outside Tunisia or France

GENERAL PRACTICE – BORN IN ROMANIA

Born in Romania

87,7% graduated in Romania

11,5% graduated in France

0,8% graduated outside Romania or France

COUNTRY OF

GRADUATION

FROM THE OBSERVATION TO THE EXPECTATION

1494415850

1681217831

2006021277

2393725389

26929

28563

30295

32133

22568

14089

2007 2008 2009 2010 2011 2012 2013 2014 2015 2016 2017 2018 2019 2020

GEOGRAPHICAL ORIGIN – EU

Lettonie0,3%

Italie11,5%

Bulgarie4,1%

Roumanie40,9%

Croatie0,2%

Hongrie0,9%

Autriche0,3%

Slovaquie0,5%

République Tchèque1%

Pologne3,2%

Lituanie0,5%

Allemagne8,1%

Danemark0,1%

Pays-Bas1%

Belgique19,1%

Royaume-Uni0,8%

Irlande0,2%

Luxembourg

Diplômés dans un pays de l'UE

Portugal0,5%

Grèce1,8%

Espagne4,9%

Estonie0,1%Suède

0,2%

Albanie

Bosnie-Herzégovine

Biélorussie

Liechtenstein

Moldavie

Monténégro

Norvège

Serbie

Slovénie

Ukraine

Macédoine

L'origine géographique des médecinsdiplômés de l'Union Européenne

Source : CNOM 2014Auteur : CNOM, G. Le Breton-Lerouvillois, 2014

GEOGRAPHICAL ORIGIN – OUTSIDE EU

Roumanie28%

Syrie5%Syrie

5%

Algérie17%

Liban3,3%

Syrie10,6%

Maroc10,1%

Tunisie5,1%

Algérie39,7%

Senegal1,6%

Egypte1,8%

Russie2,4%

Madagascar4,1%

Les dix principaux paysOrigine géographique des diplômes

Source : CNOM 2014Auteur : CNOM, G. Le Breton-Lerouvillois, 2014

DEMOGRAPHIC PROFILE

France <40 years : 16,3% >=60 years : 25,6%

MODES OF PRACTICE

THANK YOU FOR YOUR ATTENTION