扩大埃塞俄比亚的皮肤科服务:来自国家住院医师扩大计划的见解/经验。

IF 3.7 4区 医学 Q1 DERMATOLOGY
Wendemagegn Enbiale, Annika Wilder-Smith, Selamawit Girma, Mengistu Hiletwork, Nigussie Tegegne, Marlous L Grijsen, Karolyn Wanat, Esther Freema, L Claire Fuller, Dagnachew Shibeshi
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引用次数: 0

摘要

背景:研究生医学教育对于解决全球健康差距至关重要,特别是在低收入和中等收入国家。埃塞俄比亚的皮肤科住院医师培训方案于2006年启动,以解决专家严重短缺的问题,并改善对皮肤相关疾病(包括被忽视的热带病)的护理。本研究探讨了埃塞俄比亚皮肤科住院医师项目的进展、成就和挑战。目的:评估埃塞俄比亚皮肤科住院医师培训的发展、结果和经验教训,为中低收入国家扩大专科培训项目提供见解。方法:采用混合方法,将培训产出和皮肤科医生区域分布的定量分析与定性关键信息提供者访谈相结合。数据是通过一项涉及埃塞俄比亚皮肤性病学会成员的在线调查收集的。与参与项目开发启动的资深皮肤科医生进行了半结构化访谈。进行了主题内容分析,以确定项目可持续性的障碍、促进因素和建议。结果:2008年至2023年间,埃塞俄比亚在5个机构培训了194名皮肤科医生。每年培训的专家从6人增加到31人,年产量增加了600%。全国71%的皮肤科医生在公共部门全职工作,45.5%在学术机构工作。然而,60%的皮肤科医生仍然集中在城市地区。主要的促进因素包括亚的斯亚贝巴大学对扩大研究生教育的承诺、与全非洲麻风康复和培训中心医院的伙伴关系以及政府的全面赞助。挑战包括基础设施有限、亚专业培训短缺以及以城市为中心的劳动力分布。受访者强调了彻底的国家协调规划和承诺解决这些障碍的重要性。结论:埃塞俄比亚的皮肤科培训项目大大加强了专家队伍,但服务分配不公平和培训能力差距仍然存在。加强农村服务激励、扩大专科培训和整合远程医疗的战略对于改善医疗公平至关重要。埃塞俄比亚的经验教训强调了卫生部在扩大研究生方案方面的地方领导和自主权的价值。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Expanding Dermatology Services in Ethiopia: insights/experiences from the national residency expansion programme.

Background: Postgraduate medical education is vital for addressing global health disparities, particularly in low- and middle-income countries (LMICs). Dermatology residency training programmes in Ethiopia commenced in 2006 to address a critical shortage of specialists and improve access to care for skin-related conditions, including neglected tropical diseases (NTDs). This study explores the progress, achievements, and challenges of Ethiopia's dermatology residency programs.

Objectives: To evaluate the development, outcomes, and lessons learned from dermatology residency training in Ethiopia, offering insights for scaling specialist training programs in (LMICs.

Methods: A mixed-methods approach was employed, combining quantitative analysis of training outputs and regional distribution of dermatologists with qualitative key informant interviews. Data were collected through an online survey involving members from the Ethiopian Dermatovenerology Society. Semi-structured Interviews were conducted with senior dermatologists involved in program development initiation. Thematic content analysis was performed to identify barriers, facilitators, and recommendations for program sustainability.

Results: Between 2008 and 2023, Ethiopia trained 194 dermatologists across five institutions. The annual output increased 600% from six to 31 specialists trained each year. 71% of dermatologists in the country work full time in public sector and 45.5% are involved in academic institutions. However, 60% of dermatologists remain concentrated in the urban areas. Key facilitators included the Addis Ababa University commitment in expanding postgraduate education, partnerships with All Africa Leprosy Rehabilitation and Training Center (ALERT) Hospital and full government sponsorship. Challenges included limited infrastructure, shortages in subspecialty training, and an urban-centric workforce distribution. Interviewees highlighted the importance of thorough nationally coordinated planning and commitment to address these barriers.

Conclusions: Ethiopia's dermatology training programs have significantly strengthened the specialist workforce, but inequities in service distribution and gaps in training capacity remain. Strategies to enhance rural service incentives, expand subspecialty training, and integrate telemedicine are critical for improving healthcare equity. Lessons from Ethiopia's experience underscore the value of Ministry of Health local leadership and ownership in post graduate program expansion.

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来源期刊
CiteScore
3.20
自引率
2.40%
发文量
389
审稿时长
3-8 weeks
期刊介绍: Clinical and Experimental Dermatology (CED) is a unique provider of relevant and educational material for practising clinicians and dermatological researchers. We support continuing professional development (CPD) of dermatology specialists to advance the understanding, management and treatment of skin disease in order to improve patient outcomes.
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