Lack of coordination between health policy and medical education: a contributing factor to the resignation of specialist trainees in Fiji?

Oman, Kimberly M., Usher, Kim, and Moulds, Rob (2009) Lack of coordination between health policy and medical education: a contributing factor to the resignation of specialist trainees in Fiji? New Zealand Medical Journal, 122 (1291). pp. 28-38.

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Abstract

Aim: Specialist training was established in Fiji in 1998. This study explored whether health policy, and in particular mismatches between existing policy and the new realities of local specialist training, contributed to decisions by many trainees to ultimately leave the public sectors, often to migrate.

Method: Data was collected on the whereabouts of all specialist trainees. Semi-structured interviews were carried out with 36 of 66 Fiji trainees in order to explore reasons for continuing or not completing training, as well as the reasons behind subsequent career choices.

Results: Overall, 54.5% of doctors remained in the public sectors or were temporarily overseas. Completion of specialist training was particularly associated with improved retention. Policies that contributed to frustration and sometimes resignations included a lack of transparency in the selection of doctors to enter training pathways, and unreliable career progression following completion of training. Doctors who left training before completion mentioned family stresses, which were exacerbated by delayed age at entry into training and a lack of certainty in regards to the timing of improved working conditions through career advancement.

Conclusion: Policy adjustments to expedite entry into training, as well as to establish predictable career progression as a reward for training may increase training completions and overall retention.

Item ID: 5273
Item Type: Article (Refereed Research - C1)
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ISSN: 1175-8716
Date Deposited: 22 Sep 2009 00:49
FoR Codes: 11 MEDICAL AND HEALTH SCIENCES > 1199 Other Medical and Health Sciences > 119999 Medical and Health Sciences not elsewhere classified @ 100%
SEO Codes: 92 HEALTH > 9202 Health and Support Services > 920207 Health Policy Evaluation @ 50%
92 HEALTH > 9205 Specific Population Health (excl. Indigenous Health) > 920599 Specific Population Health (excl. Indigenous Health) not elsewhere classified @ 50%
Citation Count from Scopus Scopus 1
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