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The problematic globalisation of medical education

14 Feb 2025
2 min

Global Medical Education Landscape

The medical education sector is experiencing significant changes globally, with a notable shortage of medical doctors juxtaposed against resistance to expanding access to medical studies. This paradox has led to increased international mobility among medical students.

International Student Mobility

  • There is a substantial number of students studying medicine outside their home countries, estimated to exceed 200,000.
  • Countries like Ukraine, before the Russian invasion, hosted 24,000 international medical students, primarily from India.

Case Study: India

India presents a unique scenario with its severe shortage of doctors and immense demand for medical education.

  • About 2.3 million students sit for the national medical entrance, yet only one in 22 successful candidates secures a spot in over 700 medical colleges.
  • More than 20,000 Indian students pursue medical education abroad annually due to limited seats and high domestic tuition fees.
  • Popular destinations include Russia, Ukraine (pre-war), Kazakhstan, and others, with some institutions controlled by Indian groups like Manipal Education and Medical Group.

Challenges of Studying Abroad

  • Indian students must pass a national licensing exam to practice in India post-graduation.
  • Licensing requirements vary across countries, requiring adaptation for students who wish to practice internationally.

Government Initiatives

  • In February 2025, the Indian government announced a 130% increase in medical education seats over a decade, with plans to add an additional 10,000 seats by 2026.

Global Trends

The trend of students seeking medical education abroad is not limited to India.

  • Students from Western countries also study in neighboring nations due to limited access at home.
  • Countries like Romania, Hungary, and Poland attract students from France, Germany, and the Netherlands.
  • The U.S. students often study in Hungary, Poland, and the Caribbean.

Challenges in Quality Control

The proliferation of foreign medical education programs, often in English-medium in non-English speaking countries, raises concerns about quality control and regulation.

  • Many institutions primarily target international students with high fees, often operating as for-profit entities.

Overall, the global medical education sector is characterized by a lack of quality control, and while governments recognize the issue, solutions remain complex and costly.

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