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dc.contributor.authorSui, Xincheng
dc.contributor.authorReddy, Priscilla
dc.contributor.authorNyembezi, Anam
dc.contributor.authorNaidoo, Pamela
dc.contributor.authorChalkidou, Kalipso
dc.contributor.authorSquires, Neil
dc.contributor.authorEbrahim, Shah
dc.date.accessioned2020-01-31T00:43:55Z
dc.date.available2020-01-31T00:43:55Z
dc.date.issued2019
dc.identifier.issn1472-6920
dc.identifier.doi10.1186/s12909-019-1661-4
dc.identifier.urihttp://hdl.handle.net/10072/391012
dc.description.abstractBackground: Achieving universal health care coverage will require greater investment in primary health care, particularly in rural and underserved populations in low and middle-income countries. South Africa has invested in training black students from disadvantaged backgrounds in Cuba and large numbers of these Cuban-trained students are now returning for final year and internship training in South Africa. There is controversy about the scheme, the quality and relevance of training received and the place of Cuban-trained doctors in the health care system. Exploring the experiences of Cuban- and South African-trained students, recent graduates and medical school faculty may help understand and resolve the current controversy. Methods: Using a mixed methods approach, in-depth interviews and a focus group discussion were held with deans of medical schools, senior faculty, and Cuban-trained and South African-trained students and recent graduates. An online structured questionnaire, adapted from the USA medical student survey, was developed and administered to Cuban- and South African-trained students and recent graduates. Results: South African students trained in Cuba have had beneficial experiences which orientate them towards primary health care and prevention. Their subsequent training in South Africa is intended to fill skill gaps related to TB, HIV and major trauma. However this training is ad hoc and variable in duration and demoralizing for some students. Cuban-trained students have stronger aspirations than those trained in South Africa to work in rural and underserved communities from which many of them are drawn. Conclusion: Attempts to assimilate returning Cuban-trained students will require a reframing of the current negative narrative by focusing on positive aspects of their training, orientation towards primary care and public health, and their aspirations to work in rural and under-served urban areas. Cuban-trained doctors could be part of the solution to South Africa's health workforce problems.
dc.description.peerreviewedYes
dc.languageEnglish
dc.language.isoeng
dc.publisherBMC
dc.relation.ispartofissue1
dc.relation.ispartofjournalBMC Medical Education
dc.relation.ispartofvolume19
dc.subject.fieldofresearchPublic Health and Health Services
dc.subject.fieldofresearchCurriculum and Pedagogy
dc.subject.fieldofresearchcode1117
dc.subject.fieldofresearchcode1302
dc.subject.keywordsSocial Sciences
dc.subject.keywordsEducation & Educational Research
dc.subject.keywordsEducation, Scientific Disciplines
dc.subject.keywordsCuba
dc.subject.keywordsSouth Africa
dc.titleCuban medical training for South African students: a mixed methods study
dc.typeJournal article
dc.type.descriptionC1 - Articles
dcterms.bibliographicCitationSui, X; Reddy, P; Nyembezi, A; Naidoo, P; Chalkidou, K; Squires, N; Ebrahim, S, Cuban medical training for South African students: a mixed methods study, BMC Medical Education, 2019, 19 (1)
dcterms.dateAccepted2019-06-06
dcterms.licensehttp://creativecommons.org/licenses/by/4.0/
dc.date.updated2020-01-31T00:41:14Z
dc.description.versionVersion of Record (VoR)
gro.rights.copyright© Author(s) 2019. This article is distributed under the terms of the Creative Commons Attribution 4.0 International License, which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made.
gro.hasfulltextFull Text
gro.griffith.authorChalkidou, Kalipso


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