The role of calling in medical students' migration intention


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Limnili G., Çöme O., Özçakar N.

HUMAN RESOURCES FOR HEALTH, cilt.24, sa.1, 2026 (SSCI, Scopus) identifier identifier identifier

  • Yayın Türü: Makale / Tam Makale
  • Cilt numarası: 24 Sayı: 1
  • Basım Tarihi: 2026
  • Doi Numarası: 10.1186/s12960-026-01046-2
  • Dergi Adı: HUMAN RESOURCES FOR HEALTH
  • Derginin Tarandığı İndeksler: Social Sciences Citation Index (SSCI), Scopus, CINAHL, MEDLINE, Directory of Open Access Journals
  • Anahtar Kelimeler: Vocational calling, Medical students, Work abroad intention, Physician migration
  • Açık Arşiv Koleksiyonu: AVESİS Açık Erişim Koleksiyonu
  • Dokuz Eylül Üniversitesi Adresli: Evet

Özet

Background A sense of calling-defined as viewing work as a meaningful contribution to society-has been linked to job satisfaction and overall well-being. In medicine, this intrinsic motivation may interact with systemic challenges and influence physicians' career trajectories, including their desire to work abroad.
Aim To examine the relationship between medical students' sense of calling and their willingness to work abroad, comparing first- and final-year students.
Methods This cross-sectional study was conducted at a Turkish medical school in 2024. A total of 278 students (140 first-year, 138 final-year) completed a structured online questionnaire. The survey included socio-demographic characteristics, perceptions of the medical profession, intention to work abroad, and the Turkish version of the Calling and Vocation Questionnaire (CVQ). Descriptive and comparative statistical analyses were conducted, with statistical significance set at p < 0.05.ResultsMore than half (56.8%) of students expressed a desire to work abroad, primarily citing a higher quality of life and income. First-year students reported significantly higher interest in working abroad and marginally higher "presence of calling" scores than final-year students. Dissatisfaction with the healthcare system and anticipated income were significantly associated with the intention to migrate. The presence of calling was slightly, though not significantly, higher among students intending to relocate.
Conclusion Medical students' vocational ideals decline over time, influenced by systemic dissatisfaction and perceived limitations within the national healthcare system. Addressing structural barriers in medical education and professional practice is essential to preserving professional motivation and mitigating physician migration.