Makwero Martha, Lutala Prosper, McDonald Anna
School of Public Health and Family medicine, Department of Family Medicine.
Malawi Med J. 2017 Dec;29(4):312-316. doi: 10.4314/mmj.v29i4.6.
This article analyses the development and implementation of family medicine training and practice in Malawi, with special attention given to its current status and the projected role the trained family physician will be expected to play in the future. The general aim of the paper is to briefly review the role of family physicians in rural areas, as well as to discuss the history of family medicine training in Malawi. The idea of formal family medicine training and practice in Malawi started as early as 2001 but did not come to fruition until 2011, with the start of the undergraduate clerkship in the fourth year of medical school at the University Of Malawi College Of Medicine. This energy was followed by the launch of a postgraduate training programme in early 2015. The challenges encountered in this endeavour are also reviewed. The paper concludes by discussing the expected role a Malawian family physician will play in the local context, considering the key roles that family physicians play elsewhere in Africa.
本文分析了马拉维家庭医学培训与实践的发展及实施情况，特别关注其现状以及未来对经过培训的家庭医生所期望发挥的作用。本文的总体目标是简要回顾家庭医生在农村地区的作用，并探讨马拉维家庭医学培训的历史。马拉维正式的家庭医学培训与实践理念早在2001年就已提出，但直到2011年马拉维大学医学院医学本科四年级开始本科临床实习时才得以实现。随后在2015年初启动了研究生培训项目。本文还回顾了这一过程中遇到的挑战。考虑到家庭医生在非洲其他地区所发挥的关键作用，本文最后讨论了马拉维家庭医生在当地环境中预期将发挥的作用。
