Unenthusiastic to serve in villages. But this is a global phenomenon. There is no doubt that medical students should be unprotected to challenges of rural health care. This could be easily done through proper implementation of the up-to-date undergraduate medical curriculum and not through coercive tactics such as outspreading the 5.5 year-MBBS course to 6.5 years by making one year rural service binding and banning doctors from settling abroad. In ideal state both basic health and education needs of a citizen should be public sector programmes. But this has not been potential even in the most advanced nations such as US where the healthcare is a mix of community and private providers. In urban India, the private sector accounted for only eight per cent of health facilities sixty years ago. The urban health scenario only changed with the development of the private sector, which now accounts for more than 80 per cent of urban health care. Allopathic private sector is almost non-existent in villages. India now has a flourishing rural economy and a large number of villagers would want ...
This year, the applications to enroll in medical schools increased by 6.1 percent to more than 48,000, breaking records set in 1996 (Lopatto). Job openings for doctors and nurses sparked the interest of the younger generation, and this, I believe, is because of the enthralling and captivating experiences that result from these fields. The article “The Central Line” by Atul Gawande covers an example of what these future surgeons and medics learn while in the field. However, the student will not perform perfectly the first time. Of course, the techniques of using the tools and how to perform the procedures take practice and time to perfect, exhibited through Gawande’s writing. Repetition and training is needed to excel at any skill or act. In his article, Gawnde motivates his readers through the use of his credibility and emotional appeals to the learning curb.
Pasley, T., & Poole, P. (2009). Characteristics of university of Auckland medical students intending to work in the regional/rural setting. The New Zealand Medical Journal, 122(1292), 50-60.
As mentioned above the main reason for the migration of healthcare professionals is the salary. The government must ensure that they spend a large chunk of their healthcare budget in the salaries of healthcare professionals. In order to benefit from the amount they have spent in educating these medical graduates, the government should make it mandatory for the medical graduates to work in their native countries for a fixed amount of time. This program has been successfully implemented in South Africa (called Community Service program), moreover it was found in a study by University of KwaZulu-Natal (South Africa) that many professionals with a positive community service experience preferred staying in South Africa to migrating abroad.
During my tenure of working as a rural medical officer, I realized better decision making ability can only be achieved with post graduation ,though to achieve excellence life-long practice and study is also not enough. I want to complete my post graduation from one of the best academic institutions in the world, so I decided to apply in US. My desire to accomplish my post graduation is further reinforced by my loved ones who turn to me for any kind of medical advice .
support medical practice in rural/remote regions: what are the conditions for success? Implement Sci. 2006 Aug 24;1:18.
Living in a remote area has always been thought to have negative influences on the individual. There are 35 % of the total population in Australia living in rural area(Phillips, 2009).Rural areas in Australia and all over the world are not geographically isolated and disadvantaged only but also culturally and economically deprived which has great consequences on the health status of the population. The main two factors that have a major effect on rural health are socioeconomic status and cultural issues(Beard, Tomaska, Earnest, Summerhayes, & Morgan, 2009).
Global health fails to integrate the local viewpoint of the people into their development action plan, and to make development initiative successful, the opinion of the community must be taken into account. Therefore, the local people tend to dispute the western rule that urges development strategies over their community without comprehending the wants of the people. Another major reason for the failure of global health initiative is the absence of health infrastructure in much of the growing world. Due to this fact, the global health encounters a usual obstacle of transferring extensive amounts of resources to people, usually in local and distant geographical locations, with no substantial infrastructure to work through. The community nurses, midwives, or traditional doctors are given inadequate teaching or practice opportunities to allow them to work effectively with local people for a long term success. The global health initiative often tends to spend a little time as required to assure that there is a common vision, not just temporary obligation but a chance to grow and support the skills the community need to perfectly put them in place to
Public health by its very definition emphasizes public classification over the individual body. Its basic goal is to establish effective general health services that meet the minimum health requirements for a majority of people. With this general goal in mind, there are two major assumptions made within the formation of public ...
Underlying mean of the health problems in our country, are poverty and poor education. Differences in socioeconomic status are seen for most conditions, diseases and sick factors in this country. The social distribution of health and social causes, which most effect health, must be understood and addressed. Total public and private health expenditure in Pakistan represents 2-3 %of the gross domestic product. (GDP). In 1990, less then 1% of GDP was allocated to public health care with private expenditure accounting for the rest. This is well below international standards because of the low levels of expending; it becomes critical to evaluate the impact of government policies of people’s health. In addition to direct provision of various governments influence health delivery in indirect ways through their policies towards medical education and regulations.
The majority of the students emerge confused and frustrated. Some succumb to the academic pressure and exhibit sex and behavioral reversal. Some start regretting of opting to be doctors and considers changing the course. The tutors play a great deal at this stage. The students are given quality tips of living being a doctor. The students have to learn safety measures while at the hospital for self and the patient. In addition, the have to learn to outdo any existing phobia regarding patient and build up the courage. Moreover, the students are introduced to the legal aspects of
Education is extremely costly and students are sometimes deterred to complete a doctorate in medicine because of the hefty price tag. Doctors Doroghazi and Bergin suggest the Health Professions Scholarship Program as an option to pursuing the education without the financial burden. The scholarship can be used at civilian medical schools or at the Uniformed Services University of the Health Sciences (USUHS). The scholarship covers full tuition and fees for civilian medical school and additionally grants a $20,000 signing bonus, a monthly stipend, and health insurance in exchange for one year of active duty for each year the scholarship is used. Students that attended the USUHS are active duty, receive a higher stipend, housing allowance, and
There are several methods of getting into medicine, however some methods are ideal whilst some aren’t. Thousands of students apply for medicine every year, making it a very a difficulty and competitive course to get into. Therefore, this makes medicine a significantly controversial topic in modern society, thus encouraging me to investigate this topic.
My interest in internal medicine developed during my training at medical school in Nigeria. Internal medicine offers a wide variety of cases, which makes it as diverse as it is exciting, requiring a problem solving attitude and constant vigilance. Having graduated from a reputed medical school in a developing country, I had the opportunity to get hands-on experience in patient care, right from start. In fact, my medical school had a unique final year program where the focus was essentially on preventive medicine and health education. During this community based health program, we were required to monitor and provide complete health care to people in neighboring villages. While working on our year book during the same year, we were able to raise money from the proceeds of the sale and various other activities (conducting symposium, charity fair, etc.) so as to provide free dug supplies to the underprivileged. All this made me realize the tangible difference one could make in the lives of others.
The article in question is a reflection on the practical solutions applied to the health care needs of the general rural community when the provincial system started in Canada. Phyllis Lyttle provides the basis of the article, delving on the extensive roles aimed at meeting the needs and expectations of the people in Nova Scotia during the pre- and post-world war period. The article begins with a low profile when Lyttle starts her new roles as a public health worker because she was coming to implement a new program, but the local physician Dr. MacMillan had not been notified by the provincial government. The situation appears to be a reflection of the bureaucracies that existed in the public health administration and perceptions that older and experienced players had on new entrants. For the nurse to succeed in Baddeck, she had to seek support from the Dr. MacMillan, although their terms of reference would not be agreeable to the Public Health Department (Mullally, 2009). A critical analysis of the article will focus on how the author achieves the objectives outlined as well as critiques of the structure and inconsistencies in the paper.
As a result, research and public policies are designed to try and solve the problems. Dye (2008, p 7) observed that, in the American context the problems faced by communities include; ingnorance, crime, poverty, racial conflict, inequality, poor housing and ill health. It follows that in attempting to resovle these issues there are limitations that disturb the good process of public policy for the benefit of the society. Dye (2008, p 7) said, “there are many reasons for tempering our enthusiasim for policy analysis, some of which are illustrated in the battle over education policy”. The reasons or limitaions include; limits on government power, disagreement over the problem and complexity of human behavior. Argawal and Somanathan (2005, p 13) has discussed the shortcomings to public policy in resovling economic and political issues as excessive overlap between policy making and implementation in the context of India and some of those are; excessive fragmentation in thinking and action, excessive overlap between policy making and implementation, lack of non-governmental inputs and informed debate, lack of systematic analysis and integration prior to policy-making and reforming the policy-making