Comparison of public health and preventive medicine physician specialty training in six countries: Identifying challenges and opportunities

Peik, Samuel; Mohan, Keerthi; Baba, Toshiaki; Donadel, Morgane; Labruto, Andrea; Loh, Lawrence C.

doi:10.3109/0142159x.2016.1170784

Cited by 21 publications

(25 citation statements)

References 7 publications

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“…Poor congruence between what is needed in PH practice and what is taught is an international phenomenon [11,24]. Important skills-gaps were identified, including monitoring and evaluation, and generating evidence for decision-making.…”

Section: Discussionmentioning

confidence: 99%

“…Important skills-gaps were identified, including monitoring and evaluation, and generating evidence for decision-making. This is core to PH training elsewhere [11], and is valued by PH employers globally [25]. The inadequate attention to management and leadership competencies reported requires attention as these are central to PH physician responsibilities in both high- and middle-income countries such as the USA, Canada, the UK, France, Italy and Japan [11], and Ghana [26].…”

Section: Discussionmentioning

confidence: 99%

“…Similar to North America, the UK, France and Italy [11], training in SA is based on an apprenticeship model, where registrars work full-time in service settings. As found elsewhere [11], attachments and theoretical learning for SA trainees are heterogeneous, but college exams have standardised outcome competencies and curriculum descriptions.…”

Section: Introductionmentioning

confidence: 99%

“…As found elsewhere [11], attachments and theoretical learning for SA trainees are heterogeneous, but college exams have standardised outcome competencies and curriculum descriptions.…”

Section: Introductionmentioning

confidence: 99%

“…It contributes to current discussions about the recognition and definition of a PH medical speciality internationally [11]. The study explored the motivations of registrars who chose four-year PHM training rather than the MPH degree; the impact of prior work experience and medical training on their choice; their anticipated career paths; and reflections about potential roles of PHM specialists in SA.…”

Section: Introductionmentioning

confidence: 99%

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Motivations of South African physicians specialising in public health

Zweigenthal

Pick

London

2018

Global Health Action

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Background: South African physicians can specialise in public health through a four-year ‘registrar’ programme. Despite national health policies that seemingly value public health (PH) approaches, the Public Health Medicine (PHM) speciality is largely invisible in the health services. Nevertheless, many physicians enrol for specialist training. Objectives: This study investigated physicians’ motivations for specialising in PHM, their intended career paths, perceptions of training, and perspectives about the future of the speciality. Methods: Focus groups and in-depth interviews were conducted with specialists-in-training and newly qualified specialists, and thematic analysis of transcripts was performed. Results: Motivations, often driven by difficult experiences as young physicians in poorly resourced clinical settings, stemmed from a commitment to improving communities’ health and desire to impact on perceived failing health systems. Rather than ‘exiting’ the South African health service, selecting PHM specialist training enacted participants’ ‘loyalty’ to population health. Participants anticipated carving out their own careers due to an absence of public sector career paths. They believed specialists’ contribution centred on providing ‘public health intelligence’ – finding and interpreting information; supporting services through management and leadership; and inputting into policymaking and planning. Conclusions: Competencies of PHM specialists should be refined to inform and improve management of this scarce human resource for health. This is particularly important given the proposed major health reforms towards universal health coverage in South Africa presently. In addition, findings highlight the importance of physicians’ early work experiences where avenues for expressing ‘voice’, mediated by ‘loyalty’, could be utilised to improve public sector health systems.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

“…As found elsewhere [11], attachments and theoretical learning for SA trainees are heterogeneous, but college exams have standardised outcome competencies and curriculum descriptions.…”

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Motivations of South African physicians specialising in public health

Zweigenthal

Pick

London

2018

Global Health Action

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The Emerging Identity of the Preventive Medicine Specialty: A Model for the Population Health Transition

Jadotte

Leisy

Noel

et al. 2019

American Journal of Preventive Medicine

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6th year medical students’ future specialty preferences: A cross-sectional study

Albeitawi

Al‐Shatanawi

Qudsieh

et al. 2021

Annals of Medicine &Amp; Surgery

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Background Studying career preferences can help in designing and improving health service systems. Determining the preferred specialty and understanding the compulsion affecting specialty choice will provide clues to influence such choice in the future to shift the balance of specialties among practitioners. The current study aimed to determine medical students' preferable specialty choices and the factors influencing their choices and their attitude towards postgraduate medical education in Jordan and abroad. Materials and methods The descriptive cross-sectional study design included 6th-year medical students in medical faculties in Jordan. An online questionnaire was created on Google Forms and posted on platforms accessible by medical students at level six. Numbers and percentages were presented for all variables. Frequency distributions were also presented. Chi-square distribution was used to measure the association between categorical data. Alpha level of 0.05 was used. Results Most students 188 (74.3%) preferred to continue their post-graduate training abroad, while only 65 (25.7%) favored Jordan. 150 (59.3%) of the respondents are interested in the medical – non-surgical - specialties. The most important factor that encouraged the students to choose a specialty was Job opportunity (32.5%) followed by the number of years required to complete the training and the expected income (27.7%) each. Conclusion Supportive steps should be undertaken to motivate medical graduates toward the needed specialties. Moreover, local Specialty training programs need to be –reevaluated to ensure proper post graduate medical learning.

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Comparison of public health and preventive medicine physician specialty training in six countries: Identifying challenges and opportunities

Cited by 21 publications

References 7 publications

Motivations of South African physicians specialising in public health

Motivations of South African physicians specialising in public health

The Emerging Identity of the Preventive Medicine Specialty: A Model for the Population Health Transition

6th year medical students’ future specialty preferences: A cross-sectional study

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