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ENHANCING EDUCATION AND PRACTICE
Year : 2002  |  Volume : 15  |  Issue : 2  |  Page : 202-214

Development of Family Medicine Education in Moldova with Carelift International


1 Moldova State Medical and Pharmaceutical University, Chisinau, Moldova
2 Carelift International , Philadelphia, PA, USA
3 MCP- Hahnemann University, Philadelphia, PA, USA
4 University of Helsinki, Finland
5 Johns Hopkins University, Baltimore, MD, USA
6 University of New Mexico, Albuquerque, NM, USA
7 University of California San Francisco, USA
8 World Health Organization, Geneva, Switzerland

Correspondence Address:
Alton I Sutnick
Carelift International, GSB Building, Suite 425, One Belmont Avenue, Bala Cynwyd, PA 19004
USA
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Source of Support: None, Conflict of Interest: None


Background: As in other former Soviet republics, Moldova's health system has been dependent upon multispecialty and hospital care. The government has undertaken a planning process to develop a primary care-based system utilizing family physicians. Carelift International and Moldova State Medical and Pharmaceutical University joined together to design an educational program to help create a family medicine specialty in the country. Methods: Introductory concepts were incorporated into a workshop co-sponsored by the World Health Organization, Carelift International, UNICEF and the Moldova Ministry of Health. Faculty teams participated in Carelift's 8-week US program, comprising a range of topics in family medicine: educational development at all levels, public health applications, health care organization, insurance, .nancing, and technology. Training also included 1 week in Finland, a fellowship in Lithuania, an in-country workshop on rural health, and a supplemental 5-week US immersion program. Outcomes: A Department of Family Medicine was established, and a residency program instituted. It has already been strengthened with a 2-week introduction to the specialty, and rotations in family practice centers. Continued improvements and updates are planned. Urban and rural model family practice centers serve concurrent purposes of teaching, demonstration and health care. Carelift shipped equipment for the principal center and a departmental library, and is equipping a teaching family practice center near the university. The Society of Family Physicians of Moldova was founded. The introduction of family medicine as a discipline into the health system of Moldova could be a valuable model for other former Soviet republics.


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