Print this page Email this page Users Online: 968 | Click here to view old website
Home About us Editorial Board Search Current Issue Archives Submit Article Author Instructions Contact Us Login 
Year : 2014  |  Volume : 27  |  Issue : 3  |  Page : 277-282

Overcoming challenges to develop pediatric postgraduate training programs in low- and middle-income countries

1 Division of Infectious Diseases, Boston Children's Hospital, Boston, MA, USA
2 Division of General Pediatrics, Boston Children's Hospital, Boston, MA, USA
3 Division of Computer Science, University of Potsdam, Potsdam, Germany
4 ivision of General Pediatrics; Division of Medicine Critical Care Program, Boston Children's Hospital, Boston, MA, USA

Correspondence Address:
Lakshmi Ganapathi
Division of Infectious Diseases, Boston Children's Hospital, 300 Longwood Avenue, Boston, Massachusetts - 02115
Login to access the Email id

Source of Support: None, Conflict of Interest: None

DOI: 10.4103/1357-6283.152189

Rights and Permissions

Background: Interest is growing in strengthening postgraduate medical education in low-income countries. The purpose of this study was to understand how postgraduate pediatric training programs are developed in countries with no or few pediatric training opportunities. The authors sought to describe and compare a purposive sample of such new programs, and identify challenges and solutions for successful program establishment and sustainability. Methods: The authors queried national pediatric email lists and the Accreditation Council for Graduate Medical Education (ACGME) accredited pediatric residency programs in the United States to identify four pediatric training programs that met study criteria. All four programs responded to a questionnaire with quantitative and qualitative components. Qualitative responses were analyzed for themes. Results: Four centers - in Kenya, Laos, Eritrea and Cambodia - met study criteria. Reported challenges to program development and sustainability centered on faculty development and retention, training in pediatric subspecialties, creating pipelines for applicants and graduates, and funding. These themes were used to develop a logic model, which provides a framework for planning, implementing and evaluating new postgraduate general pediatric training program in low-income countries. Discussion: This study compares four postgraduate general pediatric training programs that were recently established and now continue to graduate pediatric residents in low-income countries. Lessons derived from these programs may help guide practice and research for other centers seeking to establish similar programs.

Print this article     Email this article
 Next article
 Previous article
 Table of Contents

 Similar in PUBMED
   Search Pubmed for
   Search in Google Scholar for
 Related articles
 Citation Manager
 Access Statistics
 Reader Comments
 Email Alert *
 Add to My List *
 * Requires registration (Free)

 Article Access Statistics
    PDF Downloaded563    
    Comments [Add]    
    Cited by others 5    

Recommend this journal