Human Resources for Health | |
The experience of medical training and expectations regarding future medical practice of medical students in the Cuban-supported Medical School in Timor-Leste | |
Jorge Cabral2 Ana C Valdes1 Paulo Ferrinho2 | |
[1] School of General Medicine, Faculty of Medicine and Health Sciences, National University of Timor-Leste, Dili, Timor-Leste;WHO Collaborating Centre on Health Workforce Policy and Planning, Centro de Malária e Outras Doenças Tropicais, Instituto de Higiene e Medicina Tropical, Universidade Nova de Lisboa, Lisbon, Portugal | |
关键词: Medical training; Timor-Leste; | |
Others : 1161171 DOI : 10.1186/s12960-015-0004-8 |
|
received in 2014-09-24, accepted in 2015-03-04, 发布年份 2015 | |
![]() |
【 摘 要 】
Background
The purpose of this paper is to describe and analyse the professional expectations and profile of medical students at the Cuban-supported School of General Medicine, in the Faculty of Medicine and Health Sciences of the National University of Timor-Leste.
Methods
A piloted, standardized questionnaire, with closed- and open-ended questions, was distributed to registered medical students attending classes on the day of the survey. All data were analysed using SPSS. The statistical analysis is mostly descriptive.
Results
Students decide to study medicine at an early age. Relatives and friends seem to have an especially important influence in encouraging, reinforcing and promoting the desire to be a doctor.
The degree of feminization of the student population is high.
Medical students are in general satisfied with the training received, though demanding improvements in terms of systems to support their studies and training (e.g. libraries, laboratories, access to computers and the Internet).
Medical students know that they will be needed in the public sector and that it would represent their opportunity to contribute to the public’s welfare. Nonetheless, they report that they expect to combine public sector practice with private work, probably, in order to improve their earnings. This may be explained by their expectations for salaries, which are much higher than the current level of public sector salaries.
A significant proportion of students are unsure about their future area of specialization. Of those that have determined their desired specialization, most intend to train as hospital specialists and to follow a hospital-based career. For many, specialization is equated with migration to study abroad. There are important differences between students at the start of their training compared with more advanced students.
Contribution to the field
This paper gives an overview of student expectations for alignment with stated national human resources for health priorities for Timor-Leste.
【 授权许可】
2015 Ferrinho et al.; licensee BioMed Central.
【 预 览 】
Files | Size | Format | View |
---|---|---|---|
20150412091410754.pdf | 348KB | ![]() |
【 参考文献 】
- [1]Anderson T. Solidarity aid: the Cuba-Timor-Leste health program. Paper presented at the 17th Biennial Conference of the Asian Studies Association of Australia. Melbourne, 1–3 July 2008.
- [2]Anderson T. Cuban health cooperation in Timor Leste and the South West Pacific. South-South Development Cooperation: a challenge to the aid system? Philippines: The Reality of Aid; 2010. p. 77–86.
- [3]Asante AD, Negin J, Hall J, Dewdney J, Zwi AB: Analysis of policy implications and challenges of the Cuban health assistance program related to human resources for health in the Pacific. Hum Resour Health 2012, 10:10. BioMed Central Full Text
- [4]Bertani MTL: Two distant islands united by a common goal: improvement of the public health system. PAHO and WHO, South East Asia; 2014.
- [5]De Vos P, De Ceukelaire W, Bonet M, Van der Stuyft P: Cuba’s international cooperation in health: an overview. Int J Health Serv 2007, 37(4):761e776.
- [6]Werlau MC. Cuba’s health-care diplomacy: the business of humanitarianism. World Affairs Journal 2013, March/April: 1–8. http://www.worldaffairsjournal.org/print/63554. Accessed 28 Aug 2014.
- [7]Feinsilver JM: Healing the masses: Cuban health politics at home and abroad. University of California Press, Berkeley; 1993.
- [8]Silva M, Johnson GA, Arce AM: Cooperação e soft power na política externa cubana: a emergência da diplomacia social. Conjuntura Austral 2014, 5(23):101-21.
- [9]Cabral J, Dussault G, Buchan J, Ferrinho P. Scaling-up the medical workforce in Timor-Leste: challenges of a great leap forward. Soc Sci Med. 2013. doi:10.1016/j.socscimed.2013.07.008.
- [10]Kanfer R: Measuring health worker motivation in developing countries. Major Applied Research 5, Working Paper 1. Partnerships for Health Reform Project, Abt Associates Inc, Bethesda, MD; 1999.
- [11]WHO: Increasing access to health workers in remote and rural areas through improved retention: global policy recommendations. World Health Organization, Geneva; 2010.
- [12]Asante AD, Martins N, Otim ME, Dewdney J. Retaining doctors in rural Timor-Leste: a critical appraisal of the opportunities and challenges. Bull World Health Organ. 2014;92:277–82. http://dx.doi.org/10.2471/BLT.13.123141.
- [13]Sousa F Jr, Schwalbach J, Adam Y, Gonçalves L, Ferrinho P: The training and expectations of medical students in Mozambique. Hum Resour Health 2007, 5:11. BioMed Central Full Text
- [14]Ferrinho P, Fronteira I, Sidat M, Hipólito F, Mercer H, Dussault G. Formação médica em Moçambique: realidade e expectativas. Revista Médica de Moçambique. 2010;10:52–58, suplemento.
- [15]Ferrinho P, Fronteira I, Sidat M, de Sousa JF, Dussault G: Profile and professional expectations of medical students in Mozambique: a longitudinal study. Hum Resour Health 2010, 8:21. doi:10.1186/1478-4491-8-21 BioMed Central Full Text
- [16]Ferrinho P, Sidat M, Fresta MJ, Rodrigues A, Fronteira I, da Silva F, et al.: The training and expectations of medical students in Angola, Guinea-Bissau and Mozambique. Hum Resour Health 2011, 9:9. BioMed Central Full Text
- [17]Fronteira I, Rodrigues A, Pereira C, Silva AP, Mercer H, Dussault G, et al.: Realities and professional expectations of medical students attending Guinea Bissau’s medical school in 2007 school year. Acta Med Port 2011, 24:265-70.
- [18]Habbick BF, Leeder SR: Orienting medical education to community need: a review. Med Educ 1996, 30(3):163e171.
- [19]Mullan F, Epstein L. Community-oriented primary care: new relevance in a changing world. Am J Public Health. 2002;92(11):1748e–55. http://dx.doi.org/10.2105/AJPH.92.11.1748.
- [20]Huntington I, Shrestha S, Reich NG, Hagopian A. Career intentions of medical students in the setting of Nepal’s rapidly expanding private medical education system. Health Policy Plan. 2011:1–12. doi:10.1093/heapol/czr032.
- [21]Dambisya YM: Career intentions of UNITRA medical students and their perceptions about the future. Educ Health (Abingdon) 2003, 16(3):286-97.
- [22]Phillips SP, Austin EB: The feminization of medicine and population health. JAMA 2009, 301(8):863-4.
- [23]Gjerberg E: Gender similarities in doctors’ preferences–and gender differences in final specialisation. Soc Sci Med 2002, 54(4):591-605.
- [24]Fukuda Y, Harada T: Gender differences in specialty preference and mismatch with real needs in Japanese medical students. BMC Med Educ 2010, 10:15. BioMed Central Full Text
- [25]Lambert EM, Holmboe ES: The relationship between specialty choice and gender of U.S. medical students, 1990-2003. Acad Med 2005, 80(9):797-802.
- [26]Dorsey ER, Jarjoura D, Rutecki GW: The influence of controllable lifestyle and sex on the specialty choices of graduating U.S. medical students 1996-2003. Acad Med 2005, 80(9):791-6.
- [27]Buddeberg-Fischer B, Klaghofer R, Abel T, Buddeberg C: The influence of gender and personality traits on the career planning of Swiss medical students. Swiss Med Wkly 2003, 133(39–40):535-40.
- [28]Schwartz RW, Jarecky RK, Strodel WE, Haley JV, Young B, Griffen WO Jr: Controllable lifestyle: a new factor in career choice by medical students. Acad Med 1989, 64(10):606-9.
- [29]Adegoke OA, Noronha C: University Pre-medical academic performance as predictor of performance in the medical school: a case study at the College of Medicine of the University of Lagos. Niger J Health Biomed Sci 2002, 1(1):49-53.
- [30]Ayeni O: A Comparative study of the performance of direct and confessionals entrants into the University of Ibadan Medical School 1959-69. Br J Med Edu 1972, 6:277-85.
- [31]Bamgboye EA, Ogunowo BE, Badru OB, Adewoye EO: Students’ admission grades and their performance at Ibadan University pre-clinical MBBS examinations. Afr J Med Sci 2001, 30:207-11.
- [32]Nwoha PI: Students’ attitude and predictor of performance in anatomy. Afr J Med Sci 1992, 21:41-5.
- [33]Olaleye SB, Salami HA: Predictor of academic performance in the pre-clinical sciences: effects of age, sex and mode of admission at the Maiduguri Medical School. Afr J Med Sci 1997, 26:189-90.
- [34]Oyebola DD, Adewoye OE: Preference of preclinical medical students for medical specialties and the basic medical sciences. Afr J Med Sci 1998, 27:209-12.
- [35]Salahdeen HM, Murtala BA: Relationship between admission grades and performances of students in the first professional examination in a new medical school. Afr J Biomed Res 2005, 8:51-7.
- [36]Buchan J, McPake B, Mensah K, Rae G. Does a code make a difference - assessing the English code of practice on international recruitment. Hum Resour Health. 2009;7:33. http://www.human-resources-health.com/content/7/1/33.
- [37]Akl EA, Maroun SM, Afif C, Abdo A, Choucair J, Sakr C, et al. Post-graduation migration intentions of students of Lebanese medical schools: a survey study. BMC Public Health. 2008;8:191. http://www.biomedcentral.com/1471-2458/8/191.
- [38]Rao NR, Rao UK, Cooper RA: Indian medical students’ views on immigration for training and practice. Acad Med 2006, 81(2):1278-84.