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Biomedical subjects

I J Loefler

Publications and source records attributed to I J Loefler.

At least 19 recordsLinked to original sources
PubMed2001

Medical migration.

The issue of professional migration, however emotional it may have become, ought not to be regarded in moralizing terms. The history of western medicine is the history of migrating physicians. A doctor who moves from a locality to another to take up a new assignment there cannot be said to have "abandoned his patients". This emotional bond has become the victim of specialization and of depersonalization of medical services and not of medical migration, brain drain or otherwise. The primary reason for medical migration is not financial; the desire to migrate usually begins with the desire to learn. Professionals crave in the first line for professional satisfaction. The migration of medical manpower cannot be stopped with administrative measures and will not be stopped by exhortations and appeals, moralization and condemnations. Brain drain is a global phenomenon and has always been so. A country which loses its professionals, its doctors, should examine the social relationships within the profession and should investigate whether the opportunities for deriving professional satisfaction from everyday work exist or whether these have been thwarted by the hierarchy, conservatism, cronyism and the general lack of comprehension of what good medical care is about.

Emigration and Immigration↗
PubMed2000

Medical migration.

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Attitude of Health Personnel↗
PubMed2000

Female beauty.

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Beauty↗
PubMed1999

The drawbacks of overspecialisation.

In the March 1997 issue of Surgery, Professor Irving Taylor of University College London Medical School observed that overspecialisation in surgery may have gone too far. I have, in the February 1998 issue of Surgery, pointed to the damage that specialisation has done to surgery in the third world. The President of the College and the Editor of the Journal have decided, rather than reprinting my essay, to ask me to enlarge on the topic. In this article, by necessity, I will be covering issues that I first raised in the Surgery article. To be invited to partake in a debate of such importance is a great honour. That this honour was bestowed upon a Fellow of the Association of Surgeons of East Africa, which organised the first symposium on "Surgery in the District Hospital", is of great significance to east African surgery.

Education, Medical↗
PubMed1997

Population growth.

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Emigration and Immigration↗