The rise of medical training in Portuguese speaking African countries.

The rise of medical training in Portuguese speaking African countries.
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DOI:
10.1186/1478-4491-12-63
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发表时间:
2014-11-03
影响因子:
4.5
通讯作者:
Ferrinho P
Ferrinho P
中科院分区:
医学2区
文献类型:
--
作者:
Fronteira I;Sidat M;Fresta M;Sambo Mdo R;Belo C;Kahuli C;Rodrigues MA;Ferrinho P

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医疗培训对加强卫生系统具有战略意义,特别是在那些被确定为卫生人力资源严重短缺的国家。在过去的几年里,进行了几项研究,以确定世界各地,特别是在非洲的医学院所面临的主要挑战。然而,以前没有人解决过非洲葡萄牙语国家(PSAC)的医疗培训问题。这项研究的目的是建立PSAC医学院在创建和所有权、提供的课程、申请者和注册学生、增加招生的障碍、教师队伍和可用资源方面的基线知识。对PSAC 2012年活跃的所有医学院进行的一项定量、观察性、多中心、横断面研究。这是由Chen等人开发的问卷的改编版本。(2012)以电子方式发送给所有医学院。使用描述性统计对数据进行分析。共有9所医学院回答了问卷调查(安哥拉3所,几内亚比绍2所,莫桑比克4所)。自2006年以来,一直在努力增加医学实习生的人数。除了所有学校提供的医学学位外,一些学校还提供其他本科生和研究生培训课程。申请医学院的人数在很大程度上超过了所有国家现有的空缺,但基础设施不足和缺乏教学人员是增加空缺的重要制约因素。教学人员主要在国外接受培训,由医学院兼职,没有博士资格。PSAC的政府在培训方面投入了大量资金,以解决医疗短缺问题。然而,医学院仍在努力做出足够和有效的回应。发展当地对医生的研究生培训能力可能是帮助留住本国医生和发展当地教师能力的重要战略。
Medical training has shown to be strategic for strengthening health systems, especially in those countries identified to have critical shortage of human resources for health. In the past few years, several studies have been conducted to characterize and identify major challenges faced by medical schools worldwide, and particularly in Africa. Nevertheless, none has previously addressed medical training issues in Portuguese Speaking African Countries (PSAC). The aim of this study was to establish baseline knowledge of the PSAC’s medical schools in terms of creation and ownership, programmes offered, applicants and registered students, barriers to increased intake of students, teaching workforce and available resources. A quantitative, observational, multicentric, cross-sectional study of all medical schools active in 2012 in the PSAC. An adapted version of the questionnaires developed by Chen et al. (2012) was sent to all medical schools electronically. Data were analyzed using descriptive statistics. A total of nine medical schools answered the questionnaire (three from Angola, two from Guinea Bissau and four from Mozambique). Since 2006 an effort has been made to increase the number of medical trainees. Besides the medical degree offered by all schools, some offered other undergraduate and postgraduate training programmes. The number of applicants to medical schools largely outnumbers the available vacancies in all countries but insufficient infrastructures and lack of teaching personnel are important constraints to increase vacancies. The teaching personnel are mainly trained abroad, employed part-time by the medical school and do not have a PhD qualification. Governments in the PSAC have significantly invested in training to address medical shortages. However, medical schools are still struggling to give an adequate and effective response. Developing a local postgraduate training capacity for doctors might be an important strategy to help retain medical doctors in the home country and develop local faculty capacity.
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