Adetuyibi A
Med Educ. 1977 Sep;11(5):355-357. doi: 10.1111/j.1365-2923.1977.tb00628.x.
Developing countries like developed ones need highly skilled medical personnel, referred to as 'specialists'. In the case of developing countries, the training of these specialists abroad is expensive to the sponsoring governments, imposes a lot of hardship on the doctors and, above all, the course-content of such training takes little or no cognizance of the environment in which these doctors would later practise. The developing countries also cannot afford the loss of years in valuable services which the training abroad entails. Attempts are now being made to train specialists wholly or partly at home, in some developing countries. The approach is still not much divorced from what obtains in Britain and North America, that is, one of being trained on the job, with the onus for self-education being placed on the prospective students. Such students in most developing countries of tropical Africa have little or no facilities for further education outside their places of work. It is proposed that purpose-designed postgraduate medical schools may provide a temporary solution to specialist training in developing countries of tropical Africa. Such schools would in addition provide highly skilled medical service as well as obviate the need and the expense for the setting up of government sponsored medical research and training institutes.
像发达国家一样，发展中国家也需要高技能的医务人员，即“专科医生”。就发展中国家而言，在国外培训这些专科医生，对主办国政府来说成本高昂，给医生们带来诸多艰辛，而且最重要的是，这种培训的课程内容很少或根本没有考虑到这些医生日后执业的环境。发展中国家也承受不起国外培训所带来的多年宝贵服务的损失。目前，一些发展中国家正在尝试完全或部分在国内培训专科医生。这种方法与英国和北美的情况仍没有太大区别，即在职培训，将自我教育的责任放在未来的学生身上。在热带非洲的大多数发展中国家，这类学生在工作地点之外几乎没有或根本没有接受进一步教育的设施。有人提议，专门设计的研究生医学院可能为热带非洲发展中国家的专科医生培训提供一个临时解决方案。这类学校还将提供高技能的医疗服务，同时无需设立政府资助的医学研究和培训机构，也节省了相关费用。
