This years Annual Medical Symposium, to be held at the Caritas Hall, East Boroko in Pt Moresby promises to see the debate on rural doctors pressed further.

At Tuesday lunch, a formal debate will be held on the resolution “Training doctors to work in rural areas is likely to make NO significant difference to the health of rural Papua New Guineans.” 

So far as we know, its the first time a debate has ever been conducted at the Symposium and comes at a time when the discussion has been hot in the media. Headlines such as “Rich Doctors” (refusing to go and work rural) has seen plenty of passionate comments exchanged on social media platforms.

There will be 8 debaters; For the Affirmative Team – Dr Trevor Kelebi (Rural Specialist, Sandaun PHA), Dr James Naipao (National Doctors Association), Dr Athanasius Kari (MMED Rural 2nd year and Med Super at Raihu Hospital), and media personality Scott Waide from EMTV news.

For the Opposing team we have Dr Magdelene Taune (MMED Rural year 6 from Mingende Hospital), Dr Nora Dai (Womens Doctors Association), Prof Glen Mola (needs little introduction to all doctors in PNG), and Dr Kapua Kapua (final year resident – representing the undergraduate trainees.)

It promises to be a very lively event and hopefully will continue to stoke the discussion about the inequities in health care in PNG.

The last 2 years as seen the School of Medicine and Health Sciences at UPNG revive its rural exposure for final year students.

During the 1970’s PNG had a rural health program for medical undergrads that was world leading, but unfortunately this was allowed to slide. However with assistance from the Australian Govt through its HECS program, the School has now invested in this important 8 week rotation. Students are being flown all over the country to rural hospitals, often partnering with MMED (Rural) grads or registrars.

The result has been a tangible excitement amongst the 5th years for their upcoming “rural block”. Currently students are being sent to Mingende (Simbu), Kompiam (Enga), Raihu (Aitape, Sandaun), Veifa (Central), and more recently to Vunapope in ENB. We are looking to expand the number of hospitals being used, so contact the Society if your hospital may be interested in hosting 5th years.

The 9th of April 2014 was a major landmark in the journey of rural health services for PNG, when Drs Trevor Kelebi, Gabriel Yohang and Felix Diaku, became the country’s first graduates of the MMED (Rural) program.

After 7 years of arduous post graduate training (all done while holding down full time Medical Superintendent jobs at their respective rural hospitals), they successfully completed their Part 2 exams in October. With completion of their last assignments and research project, and it was all finally done.

For those of us cheering them along the way, the graduation of these three young men represents a new beginning – with more coming through the program and with interest steadily growing, we are very hopeful that we will see a renaissance in interest in Rural Medicine amongst the medical fraternity, as these graduates increasingly become the advocates for change.

Two new files have been added under the Continuing Medical Education section on the site.

1. Neonatal Care Minimum Standards

PNG Med J 2000 Mar-Jun;43(1-2):127-136
The effect of introduction of minimal standards of neonatal care on in-hospital mortality
TREVOR DUKE1, LENA WILLIE1 AND JOYCE M. MGONE1
Department of Paediatrics, Goroka Base Hospital, Papua New Guinea

2. The Clinical Use of Oxygen March 2012

The clinical use of oxygen in hospitals with limited resources
Guidelines for health-care workers, hospital engineers and managers

The World Health Organization
Editor: Trevor Duke
March 2012

 

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