The strengthening of global labour markets means that a considerable number of people who migrate are highly skilled professionals. Whilst doctors, nurses, physiotherapists, and other health care professionals represent a small proportion of this group, the migration of health care professionals has had a significant effect on the health care systems of ‘destination’29 as well as ‘source’30 countries, the countries in which professionals like myself were born, trained and decided or felt forced to leave (McElmurry et al., 2006; Ormond, 2013; Shah, 2013). Many health professionals who migrate go on to develop successful careers and establish a comfortable life for themselves and their families. Indeed, a high proportion of people who reach the top of their field were born and trained outside of the UK. However, regardless of whether the move is permanent or temporary, it can be extremely difficult dealing with the ‘double culture shock’, with the excitement, anxiety, confusion and insecurity of having to adapt professionally as well as personally (Austin, 2005; Guru et al., 2012).
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