tailieunhanh - báo cáo sinh học:" The College of Medicine in the Republic of Malawi: towards sustainable staff development"

Tuyển tập các báo cáo nghiên cứu về sinh học được đăng trên tạp chí sinh học quốc tế đề tài : The College of Medicine in the Republic of Malawi: towards sustainable staff development | Human Resources for Health BioMed Central Research Open Access The College of Medicine in the Republic of Malawi towards sustainable staff development Ed E Zijlstra and Robert L Broadhead Address College of Medicine PO Box 360 Blantyre Republic of Malawi Email Ed E Zijlstra - eezijlstra@ Robert L Broadhead - rlbroadhead@ Corresponding author Published 13 April 2007 Received 15 February 2007 Human Resources for Health 2007 5 10 doi 1478-4491-5-10 Accepted 13 April 2007 This article is available from http content 5 1 10 2007 Zijlstra and Broadhead licensee BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License http licenses by which permits unrestricted use distribution and reproduction in any medium provided the original work is properly cited. Abstract Background Malawi has a critical human resources problem particularly in the health sector. There is a severe shortage of doctors there are only few medical specialists. The College of Medicine COM is the only medical school and was founded in 1991. For senior staff it heavily depends on expatriates. In 2004 the COM started its own postgraduate training programme Master of Medicine in the clinical specialties. Methods We explore to what extent a brain drain took place among the COM graduates by investigating their professional development and geographical distribution. Using current experience with the postgraduate programme we estimate at what point all senior academic positions in the clinical departments could be filled by Malawians. We demonstrate the need for expatriate staff for its most senior academic positions in the interim period and how this can be phased out. Lastly we reflect on measures that may influence the retention of Malawian doctors. Results Since the start of the COM 254 students have graduated with an average of 17 students per year. Most 60 are