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Dodani and LaPorte (2005) suggest that over three quarters of all migrant doctors are in<br />
<strong>the</strong> United States, <strong>the</strong> United Kingdom and Canada. The English language spoken by<br />
<strong>the</strong>se countries facilitates <strong>the</strong> mobility of high skilled workers.<br />
There is a variation in foreign medical doctors across Europe. Switzerland, Ireland and<br />
United Kingdom are <strong>the</strong> European countries with high reliance of foreign doctors. In a<br />
global context, <strong>the</strong> mobility in <strong>the</strong> top three European countries is also comparable to<br />
those in Australia, Canada, New Zealand and <strong>the</strong> United States (<strong>the</strong> major destinations<br />
worldwide). According to recent data, <strong>the</strong> United Kingdom is <strong>the</strong> country with <strong>the</strong> largest<br />
proportion of foreign trained doctors in <strong>the</strong> European Union, followed by Ireland (OECD,<br />
2008). In 2008, about 38% of doctors in <strong>the</strong> UK have been trained abroad. This is more<br />
than one in three medical doctors trained abroad. Indeed in some regions overseas doctors<br />
comprise up to 50% of all junior doctors (George et al., 2007). In Ireland, <strong>the</strong> percentage<br />
is quite similar. The corresponding percentage was 30.1% in 2007. The Nordic countries<br />
(Norway, Finland, and Denmark) have also a significant number of foreign trained<br />
doctors. For instance, <strong>the</strong> corresponding percentages were 10.9 % for Denmark and 7.2 %<br />
for Finland in 2005. In Norway, <strong>the</strong> proportion of foreign doctors is estimated about<br />
15.6%. Compared to countries with similar size, such as France (5.8%), and Italy, <strong>the</strong> UK<br />
has almost eight times as many practicing doctors who were trained abroad (Dussault et<br />
al., 2009). Switzerland has also a high proportion of foreign trained doctors and is<br />
estimated about 18.8% in 2005. Belgium, Portugal, Austria, and Spain have high levels of<br />
foreign trained doctors raging from 11 % to 18%. Turkey, Estonia and Slovakia have a<br />
very low proportion of foreign medical doctors ranging from 0.02 to 0.7 %.<br />
UK recruits health workers from <strong>the</strong> Philippines, African countries (especially South<br />
Africa), India, Pakistan, Australia, New Zealand, and it exports mainly to Australia,<br />
Canada, and o<strong>the</strong>r high income English speaking countries (Watkins, 2005). According to<br />
<strong>the</strong> General Medical Council (GMC) 67 and using data from registered doctors, <strong>the</strong><br />
countries of origin with <strong>the</strong> largest proportion of registered doctors are India (10.8%),<br />
Pakistan (3.4%), and South Africa (2.5%) (see, GMC website) 68 . In Germany, almost<br />
about 30% foreign medical doctors come from third countries in Asia, Africa, America,<br />
67 All doctors working in <strong>the</strong> United Kingdom have to be registered with <strong>the</strong> General Medical council<br />
(GMC) The GMC records <strong>the</strong> place where initial qualification was obtained and provides some information<br />
68 Available at http://www.gmc-uk.org/doctors/register/search_stats.asp<br />
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