The Medical Education Partnership Initiative: PEPFAR’s Effort To Boost Health Worker Education To Strengthen Health Systems

2012 ◽  
Vol 31 (7) ◽  
pp. 1561-1572 ◽  
Author(s):  
Fitzhugh Mullan ◽  
Seble Frehywot ◽  
Francis Omaswa ◽  
Nelson Sewankambo ◽  
Zohray Talib ◽  
...  
2021 ◽  
Vol 19 (1) ◽  
Author(s):  
Wafa Aftab ◽  
Mishal Khan ◽  
Sonia Rego ◽  
Nishant Chavan ◽  
Afifah Rahman-Shepherd ◽  
...  

Abstract Background To strengthen health systems, the shortage of physicians globally needs to be addressed. However, efforts to increase the numbers of physicians must be balanced with controls on medical education imparted and the professionalism of doctors licensed to practise medicine. Methods We conducted a multi-country comparison of mandatory regulations and voluntary guidelines to control standards for medical education, clinical training, licensing and re-licensing of doctors. We purposively selected seven case-study countries with differing health systems and income levels: Canada, China, India, Iran, Pakistan, UK and USA. Using an analytical framework to assess regulations at four sequential stages of the medical education to relicensing pathway, we extracted information from: systematically collected scientific and grey literature and online news articles, websites of regulatory bodies in study countries, and standardised input from researchers and medical professionals familiar with rules in the study countries. Results The strictest controls we identified to reduce variations in medical training, licensing and re-licensing of doctors between different medical colleges, and across different regions within a country, include: medical education delivery restricted to public sector institutions; uniform, national examinations for medical college admission and licensing; and standardised national requirements for relicensing linked to demonstration of competence. However, countries analysed used different combinations of controls, balancing the strictness of controls across the four stages. Conclusions While there is no gold standard model for medical education and practise regulation, examining the combinations of controls used in different countries enables identification of innovations and regulatory approaches to address specific contextual challenges, such as decentralisation of regulations to sub-national bodies or privatisation of medical education. Looking at the full continuum from medical education to licensing is valuable to understand how countries balance the strictness of controls at different stages. Further research is needed to understand how regulating authorities, policy-makers and medical associations can find the right balance of standardisation and context-based flexibility to produce well-rounded physicians.


2017 ◽  
Vol 5 (10) ◽  
pp. e965-e966 ◽  
Author(s):  
Francis Omaswa ◽  
Elsie Kiguli-Malwadde ◽  
Peter Donkor ◽  
James Hakim ◽  
Milliard Derbew ◽  
...  

2011 ◽  
Vol 87 (Suppl 1) ◽  
pp. A4-A5
Author(s):  
S. Strasser ◽  
N. Chintu ◽  
T. Sripipatana ◽  
K. Shelley ◽  
O. Musana ◽  
...  

2020 ◽  
Vol 99 (3) ◽  
pp. i-iv ◽  
Author(s):  
Izabel Cristina Rios ◽  
Marina Alves Martins Siqueira ◽  
Matheus Belloni Torsani ◽  
Rosemeire K. Hangai ◽  
Solange R. G. Fusco ◽  
...  

The fast spread of the COVID-19 epidemic has imposed unprecedented challenges to contemporary society, impacting several aspects of human life globally. Strict social distancing protocols had to be implemented in affected countries to contribute to reduce viral dissemination, and consequently, limit acquisition of new infections. Health systems were compelled to put emergency plans in place to cope with the overburden of potentially severe cases needing hospitalization, with the ultimate aim to preserve as many lives as possible. Academic health systems worldwide were required to propose novel strategies to maximize healthcare outcomes while mitigating negative impact on medical education.[...]


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