Engine or Boat Anchor? The Health Professional Training Establishment in HHR Innovation

Engine or Boat Anchor? The Health Professional Training Establishment in HHR Innovation.

Educational institutions have largely failed to provide innovative responses to emerging health human resources (HHR) needs. Reasons include the prevailing ratio policy, which simply increases the supply of professionals; university funding protocols; a guild structure that isolates health professions rather than integrating them; and current credentialing for entry to practice, which both cont...

General professional training in community child health.

A scheme providing general professional training for doctors in community child health is described. The scheme covers three years and gives broad clinical experience in general hospital paediatrics, community paediatrics, psychiatry, and general practice. The aims of the scheme and service needs and future structure for our trainees are discussed.

Foreign body in scrotum following a boat engine blast accident.

Male genital injuries, demand prompt management to prevent long-term sexual and psychological damage. Injuries to the scrotum and contents may produce impaired fertility.We report our experience in diagnosing and managing a case of a foreign body in the scrotum following a boat engine blast accident. This case report highlights the need for a good history and thorough general examination to est...

The engine or the caboose: health policy in developing countries.

A discussion of health policy in developing countries is presented. It argues that developing countries must adopt a progressive approach to health policy which rejects the two-tiered system of public and private health care. However, it also points out that ideology is not sufficient to maintain support. A progressive health system must utilize administrative and social and behavioral sciences...

Training the left ventricle with preserved ejection fraction or cardiorespiratory fitness? Rocking the boat.