Sousa Fernando, Schwalbach João, Adam Yussuf, Gonçalves Luzia, Ferrinho Paulo
Associação para o Desenvolvimento e Cooperação Garcia de Orta (AGO), Lisbon, Portugal.
Hum Resour Health. 2007 Apr 19;5:11. doi: 10.1186/1478-4491-5-11.
This paper describes the socio-economic profile of medical students in the 1998/99 academic year at the Universidade Eduardo Mondlane (UEM) Medical Faculty in Maputo. It aims to identify their social and geographical origins in addition to their expectations and difficulties regarding their education and professional future.
The data were collected through a questionnaire administered to all medical students at the faculty.
Although most medical students were from outside Maputo City and Maputo Province, expectations of getting into medical school were already associated with a migration from the periphery to the capital city, even before entering medical education. This lays the basis for the concentration of physicians in the capital city once their term of compulsory rural employment as junior doctors is completed. The decision to become a doctor was taken at an early age. Close relatives, or family friends seem to have been an especially important variable in encouraging, reinforcing and promoting the desire to be a doctor. The academic performance of medical students was dismal. This seems to be related to several difficulties such as lack of library facilities, inadequate financial support, as well as poor high school preparation. Only one fifth of the students reported receiving financial support from the Mozambican government to subsidize their medical studies.
Medical students seem to know that they will be needed in the public sector, and that this represents an opportunity to contribute to the public's welfare. Nevertheless, their expectations are, already as medical students, to combine their public sector practice with private medical work in order to improve their earnings.
本文描述了1998/99学年马普托爱德华多·蒙德拉内大学（UEM）医学院医学生的社会经济概况。其目的除了确定他们在教育和职业未来方面的期望和困难外，还旨在查明他们的社会和地理出身。
数据通过对该医学院所有医学生进行问卷调查收集。
尽管大多数医学生来自马普托市和马普托省以外的地区，但甚至在进入医学教育之前，进入医学院的期望就已经与从周边地区向首都的迁移有关。这为一旦他们作为初级医生的农村义务服务期结束后医生集中在首都奠定了基础。成为医生的决定在早年就已做出。近亲或家庭朋友似乎在鼓励、强化和促进成为医生的愿望方面是一个特别重要的变量。医学生的学业成绩不佳。这似乎与几个困难有关，如缺乏图书馆设施、财政支持不足以及高中准备不足。只有五分之一的学生报告获得莫桑比克政府的财政支持来补贴他们的医学学习。
医学生似乎知道公共部门需要他们，并且这代表了为公众福利做出贡献的机会。然而，他们作为医学生的期望是将公共部门的实践与私人医疗工作结合起来，以提高收入。
