Initiatives to enhance medical subspecialist training in Zambia: A cross-sectional analysis.
Initiatives to enhance medical subspecialist training in Zambia: A cross-sectional analysis.
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DOI：
10.55320/mjz.49.1.36
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发表时间：
2022-08-22
期刊：
影响因子：
--
通讯作者：
Goma F
中科院分区：
文献类型：
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作者：
Kayamba V;Nzala S;Simuyemba MC;Zyambo C;Musenge E;Wahila R;Kalusopa VM;Mwiinga C;Kampata-Olowski L;Makukula MK;Katowa-Mukwato P;Kafumukache E;Goma F
赞比亚严重缺乏医疗专科医生。赞比亚政府通过卫生部的方案，花费大量资源将病人送到国外接受专科治疗。这项分析的目的是评价赞比亚大学医学院（联赞医疗学院）医疗专科培训的现状，并说明将要采用的新方案。我们收集的数据来自于对赞比亚医疗专业化状况的正式案头审查、联合国扎索特派团的毕业档案和卫生部的患者转诊记录。此外，还介绍了计划中的次级专家方案。从1986年的第一批毕业生到2019年，UNZASOM培养了351名医学专家，其中内科63名（18%），妇产科77名（22%），儿科和儿童健康82名（23%），普通外科68名（19%），麻醉和重症监护17名（5%），骨科和创伤20例（6%），泌尿科8例（2%）。其余的毕业生分别来自眼科、精神科、传染病科、儿科外科和病理科，各占1%。为了加强联索援助团的医疗专科培训，编制了乳腺外科、泌尿科、青光眼、玻璃体视网膜手术、成人胃肠病学、法医病理学、皮肤病和性病学、眼科、妇科肿瘤学和儿科麻醉学、传染病和胃肠病学的新课程。自2013年以来，赞比亚只有44%的需要亚专科治疗的患者得到了帮助，其余患者仍在等待名单上或结果不佳。这些方案将为赞比亚及其邻国提供一个机会，使人们能够获得负担得起的医疗次级专业培训。通过加强基础设施支持，专科医生将有助于加强医疗保健服务和改善患者预后。他们还将组成一个培训员队伍，以扩大该地区及其他地区专家和次级专家的质量培训和技能建设空间。
There is a significant shortage of medical subspecialists in Zambia. The government of Zambia, through programmes at the Ministry of Health, spends considerable resources to send patients outside the country for subspecialist medical treatment. The objective of this analysis was to evaluate the current situation pertaining to medical subspecialty training at the University of Zambia School of Medicine (UNZASOM) and to illustrate the new programmes that are to be introduced. We collected data from formal desk reviews on the state of medical specialisation in Zambia, the UNZASOM graduation archives and patient referral records at the Ministry of Health (MoH). In addition, information on planned subspecialist programmes is presented. From the first graduates in 1986up to 2019,UNZASOM produced 351medical specialists, 63 (18%) in Internal Medicine, 77 (22%) in Obstetrics &Gynaecology, 82 (23%) in Paediatrics&Child Health, 68 (19%) in General Surgery, 17 (5%) in Anaesthesia & Critical Care, 20 (6%) in Orthopaedics &Trauma and 8 (2%) in Urology. The remaining graduates were in Ophthalmology, Psychiatry, Infectious Diseases, Paediatric Surgery and Pathology contributing 1% each. To enhance medical subspecialist training at UNZASOM, new curricula for Breast Surgery, Urology, Glaucoma, Vitreo-retinalSurgery, Adult Gastroenterology, Forensic Pathology, Dermatology & Venereology, Ophthalmology, Gynaecological Oncology and Paediatric anaesthesia, Infectious Diseases, and Gastroenterology were developed. Since 2013, only 44% of patients requiring subspecialist treatment out of Zambia got assisted with the remainder still on the waiting list or having had bad outcomes. These programmes will provide an opportunity for accessible and affordable medical subspecialization training for Zambia and its neighbouring countries. With enhanced infrastructural support, the subspecialists will contribute toward enhanced healthcare provision and improvement in patient outcomes. They will also form a cohort of trainers to expand the space for quality training and skills building of specialists and subspecialists in the region and beyond.