Medical schools in sub-Saharan Africa

Medical schools in sub-Saharan Africa
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DOI:
10.1016/s0140-6736(10)61961-7
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发表时间:
2011-03-01
期刊:
影响因子:
168.9
通讯作者:
Neusy, Andre-Jacques
Neusy, Andre-Jacques
中科院分区:
医学1区
文献类型:
--
作者:
Mullan, Fitzhugh;Frehywot, Seble;Neusy, Andre-Jacques

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少数医学院的毕业生人数较少,以及毕业生移民到其他国家,导致撒哈拉以南非洲地区医生人数较少。撒哈拉以南非洲医学院研究考察了该地区医学教育的挑战、创新和新兴趋势。我们确定了 168 所医学院;在 146 名受访者中,有 105 名 (72%) 做出了回应。研究结果表明,各国正在优先考虑扩大医学教育,作为加强卫生系统的一部分,我们在医学前准备、基于团队的教育和创造性地利用稀缺研究支持方面发现了许多创新。该研究还引起了人们对基础科学和临床科学领域普遍存在的师资短缺、基础设施薄弱以及很少使用外部认证的关注。记录的模式包括私立医学院的发展、社区教育和国际合作伙伴关系,以及研究对教师发展的好处。十项建议为加强撒哈拉以南非洲医学教育的努力提供了指导。
Small numbers of graduates from few medical schools, and emigration of graduates to other countries, contribute to low physician presence in sub-Saharan Africa. The Sub-Saharan African Medical School Study examined the challenges, innovations, and emerging trends in medical education in the region. We identified 168 medical schools; of the 146 surveyed, 105 (72%) responded. Findings from the study showed that countries are prioritising medical education scale-up as part of health-system strengthening, and we identified many innovations in premedical preparation, team-based education, and creative use of scarce research support. The study also drew attention to ubiquitous faculty shortages in basic and clinical sciences, weak physical infrastructure, and little use of external accreditation. Patterns recorded include the growth of private medical schools, community-based education, and international partnerships, and the benefit of research for faculty development. Ten recommendations provide guidance for efforts to strengthen medical education in sub-Saharan Africa.