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December 14, 1970

Migration of Medical Manpower: Summary Report of a Macy Conference

Author Affiliations

From the Josiah Macy Jr. Foundation, New York (Dr. Bower) and the Royal College of Physicians, London (Lord Rosenheim). Lord Rosenheim is president of the Royal College of Physicians, London.

JAMA. 1970;214(11):2039. doi:10.1001/jama.1970.03180110049011

An international conference on the Migration of Medical Manpower, sponsored by the Josiah Macy, Jr. Foundation of New York city, met at the Villa Serbelloni, Bellagio, Italy, on Oct 4 to 9, 1970. There were 19 participants representing 14 countries —Australia, Canada, Chile, Colombia, Great Britain, India, Iran, Jamaica, Pakistan, the Philippines, Spain, Thailand, Turkey, and the United States—and the World Health Organization.

The papers and discussions focused on the migration of recent medical graduates from developing (donor) to developed (recipient) countries, who go on the basis of individual choice; without government sponsorship; and who usually have no assured appointment in their homeland upon the completion of their overseas training. It was evident that sponsored visitors present no major problem.

The conference participants agreed that it is important that there should be no governmental or statutory restrictions on the international movement of doctors. However, the continued and significant loss of