
The impact of brain waste on afghan and Arab refugee medical graduates: a scoping review
Ahsan Ali , Kardan University, Kabul, AfghanistanAbstract
The integration of refugee populations into host countries presents challenges, particularly in the context of professional qualifications and employment. One such issue is the phenomenon of "brain waste," where internationally trained professionals, such as medical graduates, are underemployed or employed in jobs that do not align with their qualifications. This scoping review examines the prevalence, causes, and consequences of brain waste among Afghan and Arab refugee medical graduates. By analyzing existing literature, we seek to understand the barriers these individuals face in pursuing their careers in medicine, the impact on their mental health, and the implications for host countries’ healthcare systems. The findings indicate that despite high levels of education and training, refugee medical graduates experience significant obstacles in having their credentials recognized, leading to underemployment, professional stagnation, and a loss of human capital. Further research is needed to explore solutions and policy changes to mitigate brain waste.
Keywords
Afghan refugees, Arab refugees, international medical graduates
References
(AAMC 2021) AAMC. 2021. The Complexities of Physician Supply and Demand: Projections from 2021 to 2036. Washington, DC: AAMC. (Abbara et al. 2019) Abbara, Aula, Diana Rayes, Maryam Omar, Ammar Zakaria, Faisal Shehadeh, Henriette Raddatz, Annabelle Böttcher, and Ahmad Tarakji. 2019. Overcoming obstacles along the pathway to integration for Syrian healthcare professionals in Germany. BMJ Global Health 4: e001534. https://doi.org/10.1136/bmjgh-2019-001534.
(Ahsan Ullah and Chattoraj 2024) Ahsan Ullah, A. K. M., and Diotima Chattoraj. 2024. Narratives shaping the perceptions of the second-generation Afghan diaspora: Is Afghanistan a militant, occupied and politically disordered country? South Asian Diaspora 1–18. https://doi.org/10.1080/19438192.2024.2345428.
(Al-Haddad et al. 2022) Al-Haddad, Mo, Susan Jamieson, and Evi Germeni. 2022. International medical graduates’ experiences before and after migration: A meta-ethnography of qualitative studies. Medical Education 56: 504–15. https://doi.org/10.1111/medu.14708.
(Allen et al. 2013) Allen, Matilda, Jessica Allen, Sue Hogarth, and Michael Marmot. 2013. Working for Health Equity: The Role of Health Professionals. London: Institute of Health Equity. Available online: https://www.instituteofhealthequity.org/resourcesreports/working-for-health-equity-the-role-of-health-professionals (accessed 12 September 2024).
(Al-Samarrai and Jadoo 2018) Al-Samarrai, Mustafa Ali Mustafa, and Saad Ahmed Ali Jadoo. 2018. Iraqi medical students are still planning to leave after graduation. Journal of Ideas in Health 1: 23–28. https://doi.org/10.47108/jidhealth.Vol1.Iss1.5.
(Alsayid et al. 2019) Alsayid, Muhammad, Iman S Jandali, and Fares Alahdab. 2019. Trends in the performance of Syrian physicians in the National Resident Matching Program® between 2017 and 2019. Avicenna Journal of Medicine 9: 154–59. https://doi.org/10.4103/ajm.AJM_140_19.
(Al Waziza et al. 2023) Al Waziza, Raof, Rashad Sheikh, Iman Ahmed, Ghassan Al-Masbhi, and Fekri Dureab. 2023. Analyzing Yemen’s health system at the governorate level amid the ongoing conflict: A case of Al Hodeida governorate. Discover Health Systems 2: 15. https://doi.org/10.1007/s44250-023-00026-w.
(AMA 2021) AMA. 2021. How IMGs Have Changed the Face of American Medicine. Chicago: American Medical Association. Available online: https://www.ama-assn.org/education/international-medical-education/how-imgs-have-changed-face-americanmedicine (accessed 30 August 2024).
(AMA 2022) AMA. 2022. Easing IMGs’ Path to Practice: What Congress Should Do. Chicago: American Medical Association. Available online: https://www.ama-assn.org/education/international-medical-education/easing-imgs-path-practice-what-congressshould-do (accessed 30 August 2024)
(AMA 2023) AMA. 2023. Advocacy in Action: Clearing IMGs’ Route to Practice. Chicago: American Medical Association. Available online: https://www.ama-assn.org/education/international-medical-education/advocacy-action-clearing-imgs-route-practice (accessed 30 August 2024).
(Arabi and Sankri-Tarbichi 2012) Arabi, Mohammad, and Abdul Ghani Sankri-Tarbichi. 2012. The metrics of Syrian physicians′ brain drain to the United States. Avicenna Journal of Medicine 2: 1–2. https://doi.org/10.4103/2231-0770.94802.
(Arksey and O’Malley 2005) Arksey, Hilary, and Lisa O’Malley. 2005. Scoping studies: Towards a methodological framework. International Journal of Social Research Methodology 8: 19–32. https://doi.org/10.1080/1364557032000119616.
Article Statistics
Copyright License
Copyright (c) 2025 Ahsan Ali

This work is licensed under a Creative Commons Attribution 4.0 International License.
Authors retain the copyright of their manuscripts, and all Open Access articles are disseminated under the terms of the Creative Commons Attribution License 4.0 (CC-BY), which licenses unrestricted use, distribution, and reproduction in any medium, provided that the original work is appropriately cited. The use of general descriptive names, trade names, trademarks, and so forth in this publication, even if not specifically identified, does not imply that these names are not protected by the relevant laws and regulations.