Cameron Lita, Johnstone Julie C, Sparman Arnelle, Nelin Leif D, Singh Narendra C, Hunter Andrea
Department of Family Medicine, McMaster University, Ontario, Canada.
Department of Paediatrics, Hospital for Sick Children, University of Toronto, Ontario, Canada.
Can Med Educ J. 2017 Apr 20;8(2):e11-e17. eCollection 2017 Apr.
Guyana is a low-middle income country on the northern coast of South America between Venezuela and Suriname. Guyana has relatively high child mortality and a notable gap in health care provision. As of 2011, there were no paediatricians in the public sector where approximately 90% of the population seek care. In response to this unmet need, Guyanese diaspora living in Canada, in partnership with Canadian paediatricians and the main teaching hospital, Georgetown Public Hospital Corporation (GPHC), developed a Master's program in paediatrics. The postgraduate program was designed with adapted training objectives from the Royal College of Physicians and Surgeons of Canada and the American Board of Paediatrics. Innovative strategies to overcome the lack of qualified paediatric faculty in Guyana included web-conferencing and a volunteer North American paediatric faculty presence at GPHC with a goal of 1-2 weeks every month. By November 2016, 10 graduates will have passed through a rigorous program of assessment including a two-day final examination with an objective structured clinical examination (OSCE) component.
圭亚那是南美洲北部海岸的一个中低收入国家，位于委内瑞拉和苏里南之间。圭亚那儿童死亡率相对较高，医疗保健服务存在显著差距。截至2011年，在约90%的人口寻求医疗服务的公共部门中没有儿科医生。为满足这一未得到满足的需求，居住在加拿大的圭亚那侨民与加拿大儿科医生以及主要教学医院乔治敦公立医院集团（GPHC）合作，开设了儿科学硕士项目。该研究生项目的设计采用了加拿大皇家内科医师与外科医师学院以及美国儿科学委员会调整后的培训目标。为克服圭亚那合格儿科教员短缺的问题，采取了创新策略，包括网络会议以及北美儿科教员志愿者每月在GPHC驻留1至2周。到2016年11月，10名毕业生将通过包括为期两天的期末考试（其中有客观结构化临床考试[OSCE]部分）在内的严格评估程序。
