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Kenya Medical Graduates preparation levels for work upon Graduation.

Most students don't feel prepared enough, and changes to address these deficiencies.

The shortage of qualified doctors in the third world is well known. In Kenya, it is estimated that there are 14 doctors per 100,000 people which is ten times fewer than the World Health Organization recommendation of one doctor per 1000 people.

In the last few years, many Medical colleges and Internship Centers have emerged to address this shortage. There are now over 50 recognized internship training centers at District, Provincial, National, Private and Missionary hospitals in Kenya.

In most cases, a medical intern will do his/her internship in a District hospital where conditions are very different from the National hospital where they do their Clerkship. This is because there are a lot fewer facilities in the National hospitals as opposed to the District hospitals. So it has been proposed that many students start doing their Clerkships in district hospitals where they will most likely be working in future.

The Aga Khan University hospital is developing a Medical Curricula for East Africa and they did a survey of Kenyan medical student to see if they feel adequately prepared to serve in low resource district hospitals when they graduate.

Many medical interns said that they were ill prepared and did not have the clinical skills for the tasks and procedures expected of a medical intern. In many cases, professional training is outdated and relying on outdated curricula leaving graduates ill prepared for the challenges they are expected to face in hospitals. Studies show there is a big gap between skills obtained in Medical school and those required to fulfill the role of an intern.

Many medical interns were poorly trained in ward procedures like lumbar punctures and surgical procedures like caesarean section.

The new curriculum has therefore defined the competencies that a medical interns should have for the essential procedures. This includes that the students:

   Has read about the procedure,
   Has observed the procedure,
   Has assisted with the procedure,
   Has done the procedure under supervision, and
   Can do the procedure independently.

It was recommended that the lack of adequate training in resuscitation and emergency skills should be addressed in the addressed by the undergraduate medical school curriculum and ensure that these skills are taught and mastered by students before they graduate.


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