TITLE

Specialization training in Malawi: a qualitative study on the perspectives of medical students graduating from the University of Malawi College of medicine

AUTHOR(S)
Sawatsky, Adam P.; Parekh, Natasha; Muula, Adamson S.; Thuy Bui
PUB. DATE
January 2014
SOURCE
BMC Medical Education;2014, Vol. 14 Issue 1, p1
SOURCE TYPE
Academic Journal
DOC. TYPE
Article
ABSTRACT
Background There is a critical shortage of healthcare workers in sub-Saharan Africa, and Malawi has one of the lowest physician densities in the region. One of the reasons for this shortage is inadequate retention of medical school graduates, partly due to the desire for specialization training. The University of Malawi College of Medicine has developed specialty training programs, but medical school graduates continue to report a desire to leave the country for specialization training. To understand this desire, we studied medical students' perspectives on specialization training in Malawi. Methods We conducted semi-structured interviews of medical students in the final year of their degree program. We developed an interview guide through an iterative process, and recorded and transcribed all interviews for analysis. Two independent coders coded the manuscripts and assessed inter-coder reliability, and the authors used an "editing approach" to qualitative analysis to identify and categorize themes relating to the research aim. The University of Pittsburgh Institutional Review Board and the University of Malawi College of Medicine Research and Ethics Committee approved this study and authors obtained written informed consent from all participants. Results We interviewed 21 medical students. All students reported a desire for specialization training, with 12 (57%) students interested in specialties not currently offered in Malawi. Students discussed reasons for pursuing specialization training, impressions of specialization training in Malawi, reasons for staying or leaving Malawi to pursue specialization training and recommendations to improve training. Conclusions Graduating medical students in Malawi have mixed views of specialization training in their own country and still desire to leave Malawi to pursue further training. Training institutions in sub-Saharan Africa need to understand the needs of the country's healthcare workforce and the needs of their graduating medical students to be able to match opportunities and retain graduating students.
ACCESSION #
93476323

 

Related Articles

  • Decipher the labyrinth.  // India Today;3/12/2012, p85 

    The article offers tips on how to prepare for post graduate (PG) medical examination in India. The exam is composed of 150 to 300 multiple choice questions with and without negative marking. Each state in the country was given a fixed number of seats for several medical specialties. Graduates of...

  • Medicare financing of graduate medical education. Rich, Eugene C.; Liebow, Mark; Srinivasan, Malathi; Parish, David; Wolliscroft, James O.; Fein, Oliver; Blaser, Robert // JGIM: Journal of General Internal Medicine;Apr2002, Vol. 17 Issue 4, p283 

    The past decade has seen ongoing debate regarding federal support of graduate medical education, with numerous proposals for reform. Several critical problems with the current mechanism are evident on reviewing graduate medical education (GME) funding issues from the perspectives of key...

  • Maternity and paternity leave in otolaryngology residency training in the United States. Tang, Alice L.; Miller, Adam; Hauff, Samantha; Myer, Charles M.; Takiar, Vinita; Howell, Rebecca J.; Mark, Jonathan R.; Myer, Charles M 3rd // Laryngoscope;May2019, Vol. 129 Issue 5, p1093 

    Objectives/hypothesis: This study evaluates the existence and nature of maternity and paternity leave policies for residents during otolaryngology training. The study sought to survey program directors (PDs) on the impact of parental leave.Study Design: Cross-sectional...

  • Creating community agency placements for undergraduate medical education: A program description.. Wasylenki, Donald A.; Cohen, Carole A. // CMAJ: Canadian Medical Association Journal;02/01/97, Vol. 156 Issue 3, p379 

    Describes the method for recruiting community agencies in a socially responsive approach to undergraduate medical education at the University of Toronto. Development of the Health, Illness and the Community (HIC) course; Participating agencies; Program evaluation through student surveys, focus...

  • The flight of the butterfly. Deady, Brian // CMAJ: Canadian Medical Association Journal;5/01/2001, Vol. 164 Issue 9, p1328 

    Relates the author's experience training a medical student. How he initially judged her as unmotivated and uninterested; His realization that she was struggling and that he had a duty to teach her; Improvement in her performance over the time he spent with her; Thoughts on the joy of teaching.

  • PERSPECTIVES: Principles to Consider in Defining New Directions in Internal Medicine Training and Certification. Turner, Barbara J.; Centor, Robert M.; Rosenthal, Gary E. // JGIM: Journal of General Internal Medicine;Mar2006, Vol. 21 Issue 3, p276 

    SGIM endoreses seven principles related to current thinking about internal medicine training: 1) internal medicine requires a full three years of residency training before subspecialization; 2) internal medicine residency programs must dramatically increase support for training in the ambulatory...

  • Specialist medical training will require changes to the law. Beecham, Linda // BMJ: British Medical Journal (International Edition);5/6/95, Vol. 310 Issue 6988, p1156 

    Reports that a specialist medical training will be required by law for doctors who want to enter a special field of medical study in Great Britain. Reception of a certificate of completion of specialist training; Limit on doctors who can take up consultant appointments; Administration of the...

  • A brief history of the specialties from Federation to the present. Storey, Catherine E // Medical Journal of Australia;Jul2014 Supplement S1, Vol. 201, pS26 

    The article provides an overview of the history of the rise of specialism in Europe in the 19th century, specialisation in Australia at the time of Federation, and the foundation of medical colleges from 1920 to 1950 as well as the growth of teaching hospitals and subspecialties from 1950 to 1975.

  • In expert hand. Madhok, Diksha // India Today;10/12/2009, p39 

    The article reports on pursuing a professional career in oncology in India. This field of medicine is focused on cancer. In order to become a full pledged oncologist, one has to study for almost 12 years, starting with a Bachelor of Medicine, Bachelor of Surgery (MBBS) degree. There are also...

  • COGME issues report on the physician workforce and managed care.  // American Family Physician;3/1/1996, Vol. 53 Issue 4, p1025 

    Reports that the Council on Graduate Medical Education (COGME) has issued a report entitled `Managed Health Care: Implications for the Physician Workforce and Medical Education.' Contents of the report; Recommendations of the report; Contact information.

Share

Read the Article

Courtesy of THE LIBRARY OF VIRGINIA

Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics