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    <IdentifierDoi>10.3205/25gma229</IdentifierDoi>
    <IdentifierUrn>urn:nbn:de:0183-25gma2295</IdentifierUrn>
    <ArticleType>Meeting Abstract</ArticleType>
    <TitleGroup>
      <Title language="en">Labor migration intentions of colombian medical students: influencing factors, barriers, and pathways &#8211; a qualitative study on personal and structural determinants of migration decision-making</Title>
    </TitleGroup>
    <CreatorList>
      <Creator>
        <PersonNames>
          <Lastname>Augustin</Lastname>
          <LastnameHeading>Augustin</LastnameHeading>
          <Firstname>Kai</Firstname>
          <Initials>K</Initials>
        </PersonNames>
        <Address>
          <Affiliation>Universit&#228;t Bielefeld, Fakult&#228;t f&#252;r Gesundheitswissenschaften, Bielefeld, Germany</Affiliation>
          <Affiliation>Universit&#228;t Bielefeld, Medizinische Fakult&#228;t OWL, Bielefeld, Germany</Affiliation>
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        <Creatorrole corresponding="no" presenting="no">author</Creatorrole>
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      <Creator>
        <PersonNames>
          <Lastname>Gottlieb</Lastname>
          <LastnameHeading>Gottlieb</LastnameHeading>
          <Firstname>Nora Dalia</Firstname>
          <Initials>ND</Initials>
        </PersonNames>
        <Address>
          <Affiliation>Universit&#228;t Bielefeld, Fakult&#228;t f&#252;r Gesundheitswissenschaften, Bielefeld, Germany</Affiliation>
        </Address>
        <Creatorrole corresponding="no" presenting="no">author</Creatorrole>
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      <Creator>
        <PersonNames>
          <Lastname>Gadewoltz</Lastname>
          <LastnameHeading>Gadewoltz</LastnameHeading>
          <Firstname>Pia Natalie</Firstname>
          <Initials>PN</Initials>
        </PersonNames>
        <Address>
          <Affiliation>Universit&#228;t Bielefeld, Medizinische Fakult&#228;t OWL, Bielefeld, Germany</Affiliation>
        </Address>
        <Creatorrole corresponding="no" presenting="yes">author</Creatorrole>
      </Creator>
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      <Publisher>
        <Corporation>
          <Corporatename>German Medical Science GMS Publishing House</Corporatename>
        </Corporation>
        <Address>D&#252;sseldorf</Address>
      </Publisher>
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    <SubjectGroup>
      <SubjectheadingDDB>610</SubjectheadingDDB>
    </SubjectGroup>
    <DatePublishedList>
      <DatePublished>20250908</DatePublished>
    </DatePublishedList>
    <Language>engl</Language>
    <License license-type="open-access" xlink:href="http://creativecommons.org/licenses/by/4.0/">
      <AltText language="en">This is an Open Access article distributed under the terms of the Creative Commons Attribution 4.0 License.</AltText>
      <AltText language="de">Dieser Artikel ist ein Open-Access-Artikel und steht unter den Lizenzbedingungen der Creative Commons Attribution 4.0 License (Namensnennung).</AltText>
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    <SourceGroup>
      <Meeting>
        <MeetingId>M0626</MeetingId>
        <MeetingSequence>229</MeetingSequence>
        <MeetingName>Jahrestagung der Gesellschaft f&#252;r Medizinische Ausbildung (GMA)</MeetingName>
        <MeetingTitle></MeetingTitle>
        <MeetingSession>P-05 Kulturelle und kommunikative Kompetenz</MeetingSession>
        <MeetingCity>D&#252;sseldorf</MeetingCity>
        <MeetingDate>
          <DateFrom>20250908</DateFrom>
          <DateTo>20250910</DateTo>
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    <ArticleNo>P-05-12</ArticleNo>
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      <MainHeadline>Text</MainHeadline><Pgraph><Mark1>Background and objectives: </Mark1>Healthcare workforce migration affects both source and destination countries <TextLink reference="1"></TextLink>. While research has focused on practicing professionals <TextLink reference="2"></TextLink>, little is known about how medical students develop migration intentions. This study explores the motivations, barriers, and pathways of Colombian medical students, providing insights into workforce sustainability and ethical recruitment.</Pgraph><Pgraph>These findings are also relevant for medical education in Germany. Many students migrate due to better and more affordable training opportunities, highlighting the need for curricula that address migration and cultural competence&#8212;both to support incoming professionals and to prepare German-trained physicians for diverse healthcare settings.</Pgraph><Pgraph><Mark1>Methods: </Mark1>A qualitative study was initiated in February 2025. Semi-structured interviews were conducted with Colombian medical students, recruited through gatekeepers, snowball sampling, and academic networks. Thematic analysis was applied. As the study is ongoing, preliminary results are presented.</Pgraph><Pgraph><Mark1>Results: </Mark1>Participants cited career opportunities, financial stability, and access to high-quality, lower-cost medical education as key motivations. Many saw foreign healthcare systems and training options as superior to local alternatives. Family ties also played a role. However, major barriers included language proficiency, degree recognition, licensing procedures, and cultural adaptation.</Pgraph><Pgraph>Limited awareness of structured recruitment programs led many students to pursue independent migration, requiring significant personal effort. Government-sponsored programs were perceived as more reliable, while private pathways were often seen as costly and uncertain.</Pgraph><Pgraph><Mark1>Discussion: </Mark1>Findings highlight the complexity of migration decision-making and its impact on healthcare workforce sustainability. While migration provides career advantages, it also raises concerns about healthcare stability in source countries. Ethical recruitment and structured support are key.</Pgraph><Pgraph>These insights also apply to Germany&#8217;s medical education system, as it is seen as an attractive destination due to structured training, affordability, and clear licensing pathways. However, migration is not only about professionals leaving their home countries &#8211; German medical curricula should better integrate migration topics and cultural competence to prepare students for working in increasingly diverse healthcare environments.</Pgraph></TextBlock>
    <References linked="yes">
      <Reference refNo="1">
        <RefAuthor>Sax dos Santos Gomes L</RefAuthor>
        <RefAuthor>Efendi F</RefAuthor>
        <RefAuthor>Putri NK</RefAuthor>
        <RefAuthor>Bolivar&#8208;Vargas M</RefAuthor>
        <RefAuthor>Saadeh R</RefAuthor>
        <RefAuthor>Villarreal PA</RefAuthor>
        <RefAuthor>Aye TT</RefAuthor>
        <RefAuthor>De Allegri M</RefAuthor>
        <RefAuthor>Lohmann J</RefAuthor>
        <RefTitle>The impact of international health worker migration and recruitment on health systems in source countries: Stakeholder perspectives from Colombia, Indonesia, and Jordan</RefTitle>
        <RefYear>2024</RefYear>
        <RefJournal>Int J Health Plann Manage</RefJournal>
        <RefPage>653-670</RefPage>
        <RefTotal>Sax dos Santos Gomes L, Efendi F, Putri NK, Bolivar&#8208;Vargas M, Saadeh R, Villarreal PA, Aye TT, De Allegri M, Lohmann J. The impact of international health worker migration and recruitment on health systems in source countries: Stakeholder perspectives from Colombia, Indonesia, and Jordan. Int J Health Plann Manage. 2024;39(3):653-670. DOI: 10.1002&#47;hpm.3776</RefTotal>
        <RefLink>http:&#47;&#47;dx.doi.org&#47;10.1002&#47;hpm.3776</RefLink>
      </Reference>
      <Reference refNo="2">
        <RefAuthor>Astor A</RefAuthor>
        <RefAuthor>Akhtar T</RefAuthor>
        <RefAuthor>Matallana MA</RefAuthor>
        <RefAuthor>Muthuswamy V</RefAuthor>
        <RefAuthor>Olowu FA</RefAuthor>
        <RefAuthor>Tallo V</RefAuthor>
        <RefAuthor>Lie RK</RefAuthor>
        <RefTitle>Physician migration: Views from professionals in Colombia, Nigeria, India, Pakistan and the Philippines</RefTitle>
        <RefYear>2005</RefYear>
        <RefJournal>Soc Sci Med</RefJournal>
        <RefPage>2492-2500</RefPage>
        <RefTotal>Astor A, Akhtar T, Matallana MA, Muthuswamy V, Olowu FA, Tallo V, Lie RK. Physician migration: Views from professionals in Colombia, Nigeria, India, Pakistan and the Philippines. Soc Sci Med. 2005;61(12):2492-2500. DOI: 10.1016&#47;j.socscimed.2005.05.003</RefTotal>
        <RefLink>http:&#47;&#47;dx.doi.org&#47;10.1016&#47;j.socscimed.2005.05.003</RefLink>
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