Medical Education Partnership Initiative Coordinating Center.
Health Aff (Millwood). 2012 Jul;31(7):1561-72. doi: 10.1377/hlthaff.2012.0219.
The early success of the President's Emergency Plan for AIDS Relief (PEPFAR) in delivering antiretroviral medications in poor countries unmasked the reality that many lacked sufficient health workers to dispense the drugs effectively. The 2008 reauthorization of PEPFAR embraced this challenge and committed to supporting the education and training of thousands of new health workers. In 2010 the program, with financial support from the US National Institutes of Health and administrative support from the Health Resources and Services Administration, launched the Medical Education Partnership Initiative to fund thirteen African medical schools and a US university. The US university would serve as a coordinating center to improve the quantity, quality, and retention of the schools' graduates. The program was not limited to training in the delivery of services for patients with HIV/AIDS. Rather, it was based on the principle that investment in medical education and retention would lead to health system strengthening overall. Although results are limited at this stage, this article reviews the opportunities and challenges of the first year of this major transnational medical education initiative and considers directions for future efforts and reforms, national governmental roles, and the sustainability of the program over time.
总统艾滋病紧急救援计划（PEPFAR）在贫困国家成功地提供抗逆转录病毒药物，这一早期成果揭示了一个现实，即许多国家缺乏足够的卫生工作者来有效地分发这些药物。PEPFAR 于 2008 年的重新授权接受了这一挑战，并承诺支持数千名新卫生工作者的教育和培训。2010 年，该计划在美国国立卫生研究院的财政支持和卫生资源与服务管理局的行政支持下，启动了医学教育伙伴关系倡议，为 13 所非洲医学院校和一所美国大学提供资金。美国大学将作为协调中心，以提高学校毕业生的数量、质量和留任率。该计划不仅限于培训为艾滋病毒/艾滋病患者提供服务的技能，而是基于这样一个原则，即对医学教育和留任的投资将导致整个卫生系统的加强。尽管在现阶段成果有限，但本文回顾了这一重大跨国医学教育倡议的第一年所面临的机遇和挑战，并考虑了未来努力和改革的方向、国家政府的作用以及该计划随着时间的推移的可持续性。
