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01.12.2012 | Research article | Ausgabe 1/2012 Open Access

BMC Health Services Research 1/2012

An emigration versus a globalization perspective of the Lebanese physician workforce: a qualitative study

BMC Health Services Research > Ausgabe 1/2012
Elie A Akl, Nancy Maroun, Aline Rahbany, Amy Hagopian
Wichtige Hinweise

Electronic supplementary material

The online version of this article (doi:10.​1186/​1472-6963-12-135) contains supplementary material, which is available to authorized users.

Competing interests

None of the authors has any conflict of interest to declare.

Authors’ contributions

EAA contributed to study concept and design, data collection, data analysis, and drafting of the manuscript. NM contributed to study concept and design, and data collection. AR contributed to data analysis. AH contributed to study design. All authors read and approved the final manuscript.



Lebanon is witnessing an increased emigration of physicians. The objective of this study was to understand the perceptions of Lebanese policymakers of this emigration, and elicit their proposals for future policies and strategies to deal with this emigration.


We conducted semi-structured individual interviews with the deans of Lebanon’s seven medical schools, the presidents of the two physicians professional associations, and governmental officials. We analyzed the results qualitatively.


Participants differed in the assessment of the extent and gravity of emigration. Lebanon has a surplus of physicians, driven largely by the over-production of graduates by a growing number of medical schools. Participants cited advantages and disadvantages of the emigration on the personal, financial, medical education system, healthcare system, and national levels. Proposed strategies included limiting the number of students entering medical schools, creating job opportunities for graduating students, and implementing quality standards. Most participants acknowledged the globalization of the Lebanese physician workforce, including exchanges with the Gulf region, exchanges with developed countries, and the involvement of North American medical education institutions in the region.


Many Lebanese policy makers, particularly deans of medical schools, perceive the emigration of the physician workforce as an opportunity in the context of the globalization of the profession.
Additional file 1: Description of Lebanese medical schools. (DOC 40 KB)
Authors’ original file for figure 1
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