思考的食粮,未来在SA GI训练的展望

Q4 Medicine
C. Mulder, A. Puri, D. Reddy
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引用次数: 0

摘要

在南非,护士和医生正在大量移民。工作满意度,安全性和确保职业发展是留住医生在RSA职业生涯的重要因素。由于预算限制,许多医院没有升级。海外培训后回家似乎很困难。在RSA,一个年轻的专家至少需要13年的时间才能注册,而专科医生则需要15年的时间。职业发展、在公立和私立医院培养更多的专业培训生以及缩短专业培训周期是解决这一问题的潜在办法。人口超过10亿的印度也面临着类似的问题。在过去10至15年间,私立医院协助专科医生和专科医生的人力发展。目前,他们的私营部门培训了60%的认可(次)专业研究员。应设立一个国家RSA专家培训工作队。它应根据目前的状况和预计的专家和分专家人员需求,讨论培训需要的未来结构和后勤。这在包括胃肠病学在内的所有专科都是必需的,正如印度所做的那样。因此,希望训练有素的医生能像印度一样,转移到农村地区的省级医院,从而提高医疗服务水平,保持南非的医疗力量。南非应该成为撒哈拉以南非洲的榜样,就像印度已经成为东南亚的榜样一样。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Food for thought, A Perspective on Future GI Training in SA
In South-Africa nurses and doctors are emigrating in significant numbers. Job satisfaction, safety and ensuring career progression are important in retaining doctors to make a career in RSA. Due to budgetary constraints many hospitals have not been upgraded. Coming home after overseas training seems difficult. In RSA it takes a minimum of 13 years for a young specialist to get on the register and 15 years for subspecialists. Career progression, creating more specialist trainees in public and private hospitals and shortening the period of professional training are potential solutions  the problem. India with a population of more than 1 billion people is struggling with similar problems. For the past 10-15 years private hospitals have assisted in manpower development for medical specialist and subspecialist careers. Currently their private sector trains 60% of their recognised (sub)specialities fellows. A national task force for specialist training in RSA should be instituted. It should discuss, based on the current status and projected specialist and subspecialist personnel requirements, the future structure and logistics of training needs. This is required in all subspecialities including gasteroenterology, as has been done in India. It is hoped that as a consequence well-trained doctors, like in India,might move to provincial hospitals in rural areas, uplifting the medical services and keeping medical power in South- Africa. South-Africa should become a model for Sub-Saharan Africa, as India already is for South-East Asia.
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来源期刊
South African Gastroenterology Review
South African Gastroenterology Review Medicine-Gastroenterology
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