Med Student Medical News about Sandwich fellowship; health care; training model

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The Sandwich Fellowship: A Subspecialty Training Model for the Developing World
Academic Medicine, 08/07/09

Kassam F et al. – Health care systems in many developing countries are rapidly evolving to respond to urbanization and shifting epidemiological profiles, creating an environment favorable for subspecialty development. The struggle for developing nations to train and retain highly skilled clinicians within academic institutions has highlighted the need for creative approaches to subspecialty education in these regions...The purpose of the Sandwich model is to build institutional capacity in areas in the developing world in which improvements in health care delivery can directly affect the quality of life for many. It also has the potential to serve as a gateway to a long–term partnership that would result in the mutual exchange of knowledge and skills that would benefit both institutions. Through implementation of this model, academic institutions have the opportunity to introduce a creative way for the improvement of subspecialty care in the developing world. The Sandwich fellowship does more than that, however, involving the expansion of human resources while creating an enabling environment at home that allows both personal and professional growth of the fellow, reducing the risk of brain drain.

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