Gonoshasthaya Samaj Vittik Medical College

Training Future Physicians for Universal Health Coverage in Bangladesh

Laila Parveen Banu1, Lyzandra Pereira2

• Geographic disparity in the distribution of health care providers: About one-third of Bangladesh population live in urban areas but more than 80% of physicians are in urban areas (BRAC survey). Geographic disparity in the availability of trained physicians is an important concern.

• Inappropriate mix of personnel: World Health Organization has identified as having the lowest nurse to physician and medical technologist to physician ratios.

• It is important to identify strategies that will help improve geographic disparity in the availability of trained medical personnel.

• For achieving Universal Health Coverage (UHC) in Bangladesh, the country needs to produce human resources for health in right proportions, with right types of skills and located in areas where needed.

• To know the community and their needs. • To train medical students to address the health care needs. • To develop training strategy that will encourage future physicians

to practice in rural communities. • To integrate clinical training with orientation with village life,

identification of socioeconomic groups, understanding of social determinants of health.

• Gonoshasthaya Samaj Vittik (Community-based)Medical College(GSVMC): define what is community-based medical education.

• Combining national curricula for medical education with field based basic medical training.

• Important components of training in Gonoshasthaya Samaj Vittik Medical College work with local paramedics and traditional birth attendants(TBA).

• Spending sometimes in the poor family to understand their survival and culture.

Introduction

Method of Training

Comparison of community placement of medical students as per Bangladesh Medical & Dental Council (BM&DC) and GSVMC curriculum

Objectives

School Health Activities

Spending time with a poor family

Working with local paramedics and traditional birth attendants

Requirement Premed/

Entry

1st Phase/

11/2 year

2nd Phase/

1year

3rd Phase/

1 year

4th Phase/

11/2 year Internship

Govt/

BM&DC nil nil 4 weeks nil nil

11 ½ months in

hospital

& 15 days at UHC

GSVMC 4 weeks 4 weeks 4 weeks 4 weeks 4 weeks

One Year in GK

hospitals & 6 months in

GK rural community

centers

Health screenings and Data collection at the household level

Practical Classes

Taught Course in Community Place

Teachers of Community Medicine, Pathology & Microbiology, Anatomy, Physiology, Dentistry, Physiotherapy, Social Science, Surgery,Eye,ENT, Medicine, Gynae & obstetric are also accompany the students in community.

Sharing Experience of TBA Antenatal Checkup

Gonoshasthaya Samaj Vittik (Community Based) Medical College Nalam, Mirzanagar, Savar, Dhaka, Bangladesh. Web: www.gonosvmc.edu.bd

Development of community based medical education with appropriate community learning can produce physicians willing to serve in rural and remote areas.

Conclusion

2. Lyzandra L. Pereira Masters Student in Applied Health Services Research,

Faculty of Interdisciplinary Studies, University of New

Brunswick, NB, Canada.