Recruitment and retention of International Medical Graduates: The experience of living and working in rural Tasmania

Introduction: Australia has experienced health workforce shortages that led to an increased reliance on International Medical Graduate (IMG) recruitment to fi ll this gap; particularly in rural and remote areas where shortages of doctors o en exists. Some IMGs settle well in a new environment whilst others may fi nd working in rural or remote Australia culturally and professionally challenging. Objective: This study explores, from the perspective of IMGs and those who assist IMGs, the experiences and challenges of living and working in rural and remote Tasmania and how this informs the acculturation process. Methods: An exploratory, descriptive design was used with data collected through surveys, and face-to-face interviews with Tasmanian IMGs. The study gathered 105 returned questionnaires (response rate 30%), while interviews were conducted with 45 participants recruited through purposive snowball sampling. Results: The findings indicate three quarters of IMGs are satisfied with their current employment; however, encounter both professional and social challenges which impact on retention. This retention was related to: professional support systems, current employment and the friendliness of patients and local community. IMGs that had access to their cultural community; and were involved in local activities such as sports or other community events was also vital. Conclusion: The study highlights key aspects which may improve the recruitment and retention of IMGs in rural and remote areas. It adds to existing knowledge and identifies that retention requires a greater focus on creating, promoting and improving the attractiveness of career pathways and the opportunity for improved lifestyles in rural contexts.