By Cynthia M Piccolo
So the time has come for you to move on. But where? The company down the street, the company in the next city, or something farther afield? Consider working abroad, but remember it’s not for everyone. So as the excitement of a foreign adventure brews and your feet start getting itchy, consider a few things:
Before You Decide to Apply
Do you really want to work abroad? Or is it just a part of a fantasy lifestyle you’ve created for yourself: The Adventures of Me, Jet-setting Healthcare Professional! Working abroad is not the same as being on a permanent vacation.
How long do you want to work abroad? Locums (short-term contracts) for most healthcare professionals are rare items, though these can sometimes be found for doctors. Generally contracts are for one or more years. If you want something very short, maybe you should look into options for volunteer medical missions.
What language(s) do you speak? An English-speaking healthcare professional cannot reasonably expect to show up at a hospital in downtown Country X, where all the staff and patients speak Xish, and get a job. But language is not always a barrier in foreign-speaking lands. For example, countries like Saudi Arabia and the United Arab Emirates have been employing Western (and other) healthcare staff for decades, so the working language at the major hospitals is English, and they have translators available when working with patients who do not speak English.
Are you free to take off or do you have a family to think about? If you have a family, there are numerous issues to consider:
Do you have elderly or ill parents or relatives who you may have to return home to care for, thus resulting in you breaking a contract?
Are you interested in working abroad only for money? Working abroad is not necessarily a financial bonanza. For healthcare professionals from the US and Canada, salaries are usually less than or similar to what they make at home (and keep in mind other potential expenses like those mentioned above regarding children). And a caveat: beware of companies claiming that you can make enormous sums of money – one of the recent claims is that you can earn more than US$100,000 for a few months work in Iraq or Kuwait – if the claim sounds too good to be true, it probably is.
Nonetheless, remember that even if the salary is not a windfall, there can be other positive financial considerations. Some countries, like Saudi Arabia and the United Arab Emirates, do not have tax, and if you qualify for non-resident tax status in your own country (Americans, see the Internal Revenue Service; Canadians, see Canada Customs and Revenue Agency and our article Expatriate Tax Status for Canadians) your foreign income will also be tax-free at home. In other countries, you will have to pay tax on earnings and purchases. Working in the UK is popular, but the cost of living in some areas, like London, is astronomical. Along with salary, consider the tax rate and cost of living in the location.
Is your license transferable to the foreign country, or would you have to write their local licensure exam. If you would have to write the exam, do you want to?
How is your health? Whether you have acute or chronic concerns, you may want to stay close to your own healthcare providers. And some countries may not grant you a work visa if you have health problems.
Similarly, age can be an issue for some countries, in that permissible ages for employment visas may be capped, both regarding youngest permissible and oldest permissible. And if you wanted to travel on the popular “working holiday” visa in countries like the UK, beware: You’re over the hill at age 30. Having dual citizenship (e.g. US or Canada and a country of the European Union) makes working abroad easier.
Are you high maintenance? Face it. Some of us are. Can you handle the differences that you will experience professionally and personally, such as not having everything up to your familiar hospital standards; not having all of your favorite modern conveniences; not having access to your favorite TV program; and/or not having your favorite junk food?
When Abroad
So you are abroad – what should you do? Aside from general moving issues and what to pack, remember:
Make sure you complete any required CE credits to keep your license – and make sure you keep your license active.
Onto New Adventures
Plan ahead for when it’s time to go home or move on. Unless you want time off, investigate options and apply for positions while you are still overseas. And unless you’re planning a permanent retirement when you get home, don’t forget to obtain copies of references from your positions overseas.
In Summary
As you consider whether you truly want to work abroad, remember the words of G.K. Chesterton: “An adventure is only an inconvenience rightly considered. An inconvenience is only an adventure wrongly considered.”
