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  • Methods The FMSTP accepts Basotho doctors after they

    2019-05-21

    Methods The FMSTP accepts Basotho doctors after they AS1404 manufacturer have completed medical school and at least 1 year of internship. The first 2 years of the 4 year programme are focused most intensely on clinical training, with registrars working very closely with faculty trainers at their district hospital, and close supervision by the FMSTP faculty and clinical supervisors. Monthly, week-long contact sessions are held at the FMSTP academic centre in Motebang Hospital and students use e-learning in the weeks between contact sessions. The final 2 years of the programme focus on specialty and community-based rotations coupled with a research project chosen by the registrar. Throughout the 4 years, clinical training is integrated with management and public health training to ensure the graduates are equipped to be leaders at a district level. Findings The FMSTP commenced in January, 2008, and was the only higher education programme in Lesotho to receive full accreditation from the Council on Higher Education in 2015. By 2016, two locally trained family medicine physicians have graduated from the programme and the first graduate is now the FMSTP Deputy Director. Graduates of the programme are recognised and compensated as specialist physicians by the Lesotho Ministry of Health. The Boston University School of Medicine certifies that graduates successfully complete the programme, as outlined in the detailed curriculum documents approved by the Council on Higher Education. Interpretation Our programme currently has six students enrolled in the programme and an additional three to four students will begin in March, 2016. We are also working with the Ministry of Health to expand our programme to the southern provinces of Lesotho and partnering with medical schools throughout southern Africa to promote Family Medicine training in the region. As the programme continues to expand, success will be measured by the proportion of Basotho medical students returning to Lesotho, retention rates of district physicians, and quality and comprehensiveness of health care provided at district hospitals. Funding Kellogg Foundation, PEPFAR, and the Global Fund. Declaration of interests
    Abstract Background The projection that by 2025, about 75% of cancer cases will be in the developing world is recognised by the WHO and the International Atomic Energy Agency. Radiation treatment machines (Cobalt-60 and linear accelerators) are critical for curative and palliative care. With an estimated global shortage of 5000 treatment machines, even commissioning one per week would require a century to solve the current shortfall. Despite, or possibly because of, these alarming statistics, there has been little concerted effort to solve the cancer care problem which is believed by some to be too expensive and overwhelming. Methods The radiation oncology professional community recognises the need for international education. A key impetus for addressing the capacity shortage is led by trainees and workers at the start of their careers, including in-country rotations. Given the enormity of the need, the not-for-profit International Cancer Expert Corps was established in 2013 to address the need for a sustainable, capable workforce using an innovative multisector, mentorship model that included the creation of a career path in altruistic service. The Global Task Force for Radiation for Cancer Control of the Union for International Cancer Control demonstrated a potential path forward for building radiation therapy capacity that has a positive outcome both economically and medically. The challenge is to engage potential stakeholders to establish cancer control programmes, including treatment. Findings Bringing together ongoing efforts is critical and best done with formal collaborations between existing programmes, allowing for individual recognition and a range of approaches while keeping competition that can dissuade investment to a minimum. Partnerships are developing among: early stage career cancer experts committed to global health; experts in the private practice sector; organisations interested in supplying refurbished equipment; oncologists addressing health disparities among indigenous populations in resource-rich countries; retirees seeking opportunities to use their skills to help the underserved; linear accelerator manufacturers; and government agencies and foundations working to eliminate dangerous nuclear material, especially in unstable countries.