The George Washington University, Washington, DC 20037, USA.
Lancet. 2011 Mar 26;377(9771):1113-21. doi: 10.1016/S0140-6736(10)61961-7. Epub 2010 Nov 10.
Small numbers of graduates from few medical schools, and emigration of graduates to other countries, contribute to low physician presence in sub-Saharan Africa. The Sub-Saharan African Medical School Study examined the challenges, innovations, and emerging trends in medical education in the region. We identified 168 medical schools; of the 146 surveyed, 105 (72%) responded. Findings from the study showed that countries are prioritising medical education scale-up as part of health-system strengthening, and we identified many innovations in premedical preparation, team-based education, and creative use of scarce research support. The study also drew attention to ubiquitous faculty shortages in basic and clinical sciences, weak physical infrastructure, and little use of external accreditation. Patterns recorded include the growth of private medical schools, community-based education, and international partnerships, and the benefit of research for faculty development. Ten recommendations provide guidance for efforts to strengthen medical education in sub-Saharan Africa.
少数医学院校的毕业生数量较少，且毕业生向其他国家移民，这导致撒哈拉以南非洲的医生人数较少。《撒哈拉以南非洲医学院校研究》探讨了该地区医学教育所面临的挑战、创新和新兴趋势。我们确定了 168 所医学院校；在接受调查的 146 所院校中，有 105 所（72%）做出了回应。研究结果表明，各国正在将医学教育的扩大作为加强卫生系统的一部分，我们在医学预科准备、团队教育和创造性利用稀缺的研究支持方面发现了许多创新。该研究还提请注意基础和临床科学领域普遍存在的师资短缺、薄弱的物质基础设施以及很少利用外部认证等问题。记录的模式包括私立医学院校的增长、以社区为基础的教育和国际伙伴关系，以及研究对教师发展的益处。有 10 项建议为加强撒哈拉以南非洲医学教育的努力提供了指导。
