{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,4]],"date-time":"2026-11-04T02:23:59Z","timestamp":1793759039968,"version":"4.6.1"},"reference-count":30,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2025,7,24]],"date-time":"2025-07-24T00:00:00Z","timestamp":1753315200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2025,7,24]],"date-time":"2025-07-24T00:00:00Z","timestamp":1753315200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["BMC Med Educ"],"abstract":"<jats:title>Abstract<\/jats:title>\n          <jats:sec>\n            <jats:title>Background<\/jats:title>\n            <jats:p>The increasing emigration of human resources, particularly healthcare workers, poses a significant challenge to achieving the sustainable development goal of equitable healthcare access. This study aimed to assess the migration intentions among medical students at Shiraz University of Medical Sciences and to identify the factors that drive or hinder their propensity to emigrate.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Methods<\/jats:title>\n            <jats:p>This cross-sectional study employed stratified random sampling. Data were collected anonymously through a researcher-designed questionnaire completed by 403 medical students. The questionnaire\u2019s validity and reliability were established within this study. It comprised three sections: demographics, quantitative and qualitative questions regarding migration intentions, and factors influencing these intentions. Data analysis included bivariate and multivariate methods, with linear regression applied to identify significant predictors.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Results<\/jats:title>\n            <jats:p>Among the participants, 70.7% expressed an intention to emigrate, with an average migration propensity score of 5.70\u2009\u00b1\u20092.32 (out of 10). Significant positive associations were found between migration intentions and variables such as pre-university education region, father\u2019s education level, prior international travel experience, presence of relatives abroad (including degree of kinship), English language proficiency, possession of foreign language certificates, knowledge of additional languages, number of published papers, online communication with individuals living abroad, and access to migration information sources. Multivariate linear regression highlighted privileged pre-university education regions, having close relatives abroad, English language skills, and access to migration information as significant predictors. Among the five categories of migration drivers (personal, economic, social, political, and structural), personal factors\u2014including aspirations for a better life, gaining experience, family welfare, work-life balance, and family satisfaction\u2014were the predominant motivators (29.8%). Conversely, personal barriers such as family dependence, feelings of alienation, language difficulties, and family dissatisfaction were the main obstacles (42.7%).<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Conclusion<\/jats:title>\n            <jats:p>Enhancing overall welfare, improving work-life balance, increasing salaries, promoting physicians\u2019 social dignity, and strengthening job security are essential strategies to reduce the intention to emigrate and retain skilled healthcare professionals.<\/jats:p>\n          <\/jats:sec>","DOI":"10.1186\/s12909-025-07700-y","type":"journal-article","created":{"date-parts":[[2025,7,24]],"date-time":"2025-07-24T08:30:12Z","timestamp":1753345812000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":7,"title":["Factors affecting the migration intention in medical students in Shiraz; south of Iran: a cross sectional study"],"prefix":"10.1186","volume":"25","author":[{"given":"Fatemeh","family":"Parvizi","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alireza","family":"Salehi","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Atefeh","family":"Seghatoleslam","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mohammad","family":"Kia","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mohammadmehdi","family":"Pope","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2025,7,24]]},"reference":[{"key":"7700_CR1","unstructured":"Society. 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This study was conducted in accordance with the Declaration of Helsinki. Participants completed the survey anonymously and voluntarily, and only the researchers had access to the data. There was no intervention. Informed verbal consent was obtained from all participants prior to questionnaire distribution. The use of verbal consent was approved by the Ethics Committee. Participation was entirely voluntary.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethics approval and consent to participate"}},{"value":"Not applicable.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent for publication"}},{"value":"The authors declare no competing interests.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}},{"value":"Not applicable.","order":5,"name":"Ethics","group":{"name":"EthicsHeading","label":"Clinical trial number"}},{"value":"AS is an epidemiologic professor at Shiraz University of Medical Sciences.FP is a medical student at Shiraz University of Medical Science.MK is a medical student at Shiraz University of Medical Science.AS is a biochemistry professor at Shiraz University of Medical Sciences.MMD is a medical student at Shiraz University of Medical Science.","order":6,"name":"Ethics","group":{"name":"EthicsHeading","label":"Authors\u2019 information"}}],"article-number":"1108"}}