Terry S I, Morgan O S
University of the West Indies, Mona, Kingston, Jamaica.
Med Educ. 1989 Jul;23(4):399-402. doi: 10.1111/j.1365-2923.1989.tb01567.x.
The outcome is described of 48 entrants to a postgraduate degree course (DM) in Internal Medicine established at the University of the West Indies in 1974. Contact by postal questionnaire was established in 96% of 26 graduates and 82% of 22 non-graduates. 22 of 25 DM graduate responders have remained in the Caribbean, working in six Caribbean territories. All graduate responders developed a subspecialty interest. The graduates' primary employers are the University (9) and the Government (12). However, failure to graduate did not necessarily preclude qualification as consultant physician (7 of 18 responders). Major difficulties with the DM programme included: (1) in practice, lack of recognition by contributing territories of individual DM (Internal Medicine) graduates; (2) incomplete regional coverage; (3) lack of adequate funding for the programme; (4) an inadequate research training input; and (5) difficulties with seniority for staff who trained in Jamaica to go to work in another territory. All these problems have solutions. Overall, the international recognition of the new degree programme has been satisfactory and the graduates' own assessment of the training was complimentary. At last a system has been devised that enables postgraduates to train as internal medicine specialists in the Caribbean to practise effectively within the Caribbean health system.
本文描述了1974年在西印度群岛大学设立的内科研究生学位课程（医学博士）48名学员的结业情况。通过邮寄调查问卷与26名毕业生中的96%以及22名非毕业生中的82%取得了联系。25名医学博士毕业生回复者中有22人留在了加勒比地区，在六个加勒比地区工作。所有毕业生回复者都产生了对某一亚专业的兴趣。毕业生的主要雇主是大学（9人）和政府（12人）。然而，未毕业并不一定妨碍获得内科顾问医师资格（18名回复者中有7人）。医学博士课程的主要困难包括：（1）在实际中，各参与地区对医学博士（内科）个别毕业生缺乏认可；（2）区域覆盖不完整；（3）该课程缺乏足够的资金；（4）研究培训投入不足；（5）在牙买加接受培训的工作人员到另一地区工作时在资历方面存在困难。所有这些问题都有解决办法。总体而言，新学位课程的国际认可度令人满意，毕业生对培训的自我评估也给予了肯定。最终设计出了一种制度，使研究生能够在加勒比地区接受内科专科培训，以便在加勒比卫生系统内有效执业。
