International Handbook of Medical Education

By Abdul W. Sajid; Christine H. McGuire et al. | Go to book overview

7
The Commonwealth (English-Speaking) Caribbean

HAROLD A. DRAYTON

Our concern in this chapter is the education and training of physicians for eighteen Caribbean countries, all of which, before the early 1960s, were colonies of the former British Empire. They are conveniently grouped together as the Commonwealth Caribbean. Today, this subregion, with a total land area of about one hundred five thousand square miles and a total population of about six million, includes 12 independent nations and six dependent territories.

Mention will be made of United States offshore medical schools in some Commonwealth Caribbean countries since the 1970s, but this chapter will deal almost exclusively with medical education programs of The University of the West Indies (UWI) in Jamaica, Barbados and Trinidad-Tobago. It will also examine the Medical Practitioner training program of the Faculty of Health Sciences of The University of Guyana (UG).


OVERVIEW OF THE HEALTH CARE DELIVERY SYSTEM

The Commonwealth Caribbean inherited at independence a government financed public assistance system, with major responsibility for both inpatient and outpatient services in public hospitals; some health centers/clinics offering first- level medical care and programs for health promotion and disease prevention, especially in rural communities; and sanitation services for refuse disposal and vector control. Although a private health sector with private physicians offering services for a fee always coexisted with the state system, medical care was generally available either free or at nominal cost. This is the foundation on which health care systems in the Commonwealth Caribbean have been developed.

Post-independence: who is really "in charge" ? Independence, with a politically appointed Minister responsible for health, split the persona of the old-style Director of Medical Services. A senior administrative civil servant, the Permanent Secretary (PS), was delegated authority for day-to-day management and financial control of the Ministry and all its departments. A Chief Medical

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International Handbook of Medical Education
Table of contents

Table of contents

  • Title Page iii
  • Contents v
  • Illustrations ix
  • Foreword xi
  • Preface xv
  • 1: An Overview of Medical Education in the Late Twentieth Century 1
  • References 12
  • 2: Evaluation and Change in Medical Education 13
  • References 18
  • 3: Australia 21
  • References 35
  • 4: Belgium 37
  • References 48
  • 5: Brazil 53
  • 6: Canada 65
  • References 75
  • 7: The Commonwealth (English-Speaking) Caribbean 81
  • References 96
  • 8: Chile 101
  • References 107
  • 9: The People's Republic of China 109
  • References 123
  • 10: Czech and Slovak Federative Republic 131
  • References 139
  • 11: Egypt 141
  • References 154
  • 12: France 155
  • References 169
  • 13: Germany 175
  • References 186
  • 14: Hungary 191
  • References 203
  • 15: India 207
  • References 219
  • 16: Israel 231
  • References 246
  • 17: Italy 249
  • References 254
  • 18: Japan 259
  • References 267
  • 19: Malaysia 275
  • References 288
  • 20: Mexico 291
  • References 300
  • 21: The Netherlands 305
  • References 317
  • 22: Nigeria 321
  • References 327
  • 23: Pakistan 331
  • References 342
  • 24: Poland 347
  • References 358
  • 25: Russia (Former USSR) 359
  • References 368
  • 26: South Africa 369
  • 27: Thailand 377
  • References 390
  • 28: United Kingdom 393
  • References 403
  • 29: United States of America 405
  • References 415
  • 30: Venezuela 417
  • References 428
  • Appendix A: General Country Demographics, 1989 437
  • Appendix B: Medical School Demographics, by Country 441
  • Appendix C: Admission Policies and Requirements, by Country 447
  • Appendix D: Policy Making Bodies with a Role in Medical Education 459
  • Appendix E: Professional Organizations with a Role in Medical Education, by Country 465
  • Appendix F: Governmental Agencies with a Role in Medical Education, by Country 469
  • Appendix G: Selected Bibliography 473
  • Appendix H: Acronyms and Abbreviations Used in This Handbook 485
  • Index 495
  • About the Contributors 511
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