St Thomas' Hospital, London.
Clin Med (Lond). 2011 Oct;11(5):456-60. doi: 10.7861/clinmedicine.11-5-456.
The UK has recognised the important role its health professionals play in achieving the Millennium Development Goals. For doctors to contribute to these efforts without detracting from domestic service and training commitments presents a challenge. Moreover, doctors need suitable education in order to make appropriate and effective contributions in resource-poor settings. In this article it is argued that, while mechanisms exist within current UK postgraduate training that permit a degree of flexibility to training pathways, they are not structured in a way that facilitates work in low and middle income countries. Furthermore, the knowledge and skills required to make contributions to global health are not sufficiently served by existing training. A model for a national curriculum and tiered qualifications in global health is proposed, based on rigorous appraisal and mentoring to complement the training pathways for UK specialisation, allowing doctors to add global health skills at a level appropriate for their career plans.
英国已经认识到其医疗专业人员在实现千年发展目标方面发挥的重要作用。医生在不影响国内服务和培训承诺的情况下为这些努力做出贡献是一项挑战。此外，医生需要接受适当的教育，以便在资源匮乏的环境中做出适当和有效的贡献。本文认为，虽然目前英国研究生培训中存在一些机制，可以在一定程度上灵活安排培训途径，但这些机制的结构并不利于在低收入和中等收入国家开展工作。此外，现有的培训并不能充分满足为全球卫生做出贡献所需的知识和技能。根据对培训途径的严格评估和指导，提出了一个全球卫生国家课程和分级资格的模式，使医生能够根据自己的职业规划，在适当的水平上增加全球卫生技能。
