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PubMed2003

Development of geriatrics-oriented faculty in general internal medicine.

The need for adequate geriatrics training for the physician workforce has been recognized for decades. However, there are not enough academic geriatricians to provide for the educational needs of trainees, and this situation is not expected to change in the future. General internists are often responsible for teaching medical students and internal medicine residents to care for elderly patients in inpatient and ambulatory settings. These academic general internists could play a pivotal role in providing geriatrics instruction. To characterize what is being done to develop geriatrics-oriented general internal medicine faculty, we identified current practices, "best practices," goals and targets, and barriers to achieving those goals and targets. We reviewed the literature on faculty-development programs for general internal medicine faculty, and we held focus groups and structured interviews with general internal medicine unit chiefs and directors of Geriatric Centers of Excellence at 46 medical schools throughout the United States. We found a need for programs to develop geriatrics-oriented academic general internists. Although general internal medicine faculties seem receptive to further geriatrics training, important obstacles exist. These include inadequate time and resources as well as motivational and attitudinal challenges. We discuss potential solutions for overcoming these barriers and the implications of these solutions for stakeholders.

Faculty, Medical↗
PubMedDate not supplied

Georgia Hospital Association leads long-term staff recruiting effort. Reaches wide target audience through innovative media use.

The Georgia Hospital Association (GHA), faced with a critical healthcare workforce shortage, created a long-term response to the problem by creating a Workforce Shortage Media Campaign. Its single purpose was to encourage Georgians to pursue careers in healthcare. The four-week campaign took six months to develop and included print, radio and television.

Career Choice↗
PubMed1993

Rural-urban migration, informal sector and development policies: a theoretical analysis.

"A theoretical model of rural-urban migration has been developed with special reference to the informal sector. The wage rate and employment in the informal sector are determined endogenously. The paper shows the simultaneous existence of open unemployment and informal sector in the urban area in migration equilibrium. The effects of alternative subsidy policies on unemployment and welfare of the workers are studied." The model is intended primarily for use in analyzing trends and policies in developing countries.

Asia↗
PubMed1997

Balancing obligations and self-interest: humanitarian program settlers in the Australian labor market.

"Technological and structural changes in the Australian economy have led to a decline in unskilled and semi-skilled employment and this has had a marked effect on labor market opportunities for immigrants.... This paper reviews the labor market experience of humanitarian program arrivals and considers the policy implications of high levels of unemployment among this group. It is suggested that humanitarian obligations do not end with entry to Australia, and it is in the interests of the receiving society and humanitarian program arrivals for greater public investment in skills development to help improve labor market outcomes among this group."

Australia↗
PubMed1991

A theoretical analysis of the beneficial effects of the brain-drain phenomenon.

"The primary objective of this paper is to examine the impact of migration, and ultimately remittances on economic development in an LDC [less-developed country] within the context of a two-sector development model. For this purpose we construct a two-period development model wherein the country loses professional workers in the first period, but receives foreign-exchange remittances in the second period. Then we derive the conditions under which the 'brain drain' phenomenon may promote social welfare gains over the two periods horizon." The results indicate that "emigration of skilled labor causes the real rate of return to capital to fall and the real wage to labor in the home country to rise. Emigration of skilled labor unambiguously causes a real income loss in less developed labor-exporting countries in the first period, but may cause a real income gain to the LDC in the long run. We also find that the per capita income in an LDC may rise as a consequence of emigration in the short-run, but in the long run capita income unambiguously rises." (SUMMARY IN FRE)

Demography↗
PubMed1990

The reorganization of mine labor recruitment in Southern Africa: evidence from Botswana.

"The past decade has been one of unprecedented change in the pattern and organization of mine labor recruitment in Southern Africa. Using detailed data on recruitment patterns in Botswana, this article supports the view that recent changes have initiated a self-sustaining trend whereby certain flows of foreign labor into South Africa will decline unabated into the foreseeable future. This results from a shift in general recruiting policy from one of encouraging external migrant labor flows--by expanding recruitment networks and employing a variable and transient workforce--to one of retrenchment and labor stabilization biased in favor of internalized labor supplies."

Africa↗
PubMed1992

Polish education in the crisis decade--the testimony of population census.

"The purpose of this essay is to offer information on the links that exist between...demographic growth, education and the [labor force] in Poland, as revealed in past population censuses...taken in 1978 and 1988...." The effect of education on occupational status is discussed, and some projections for Poland's educational and employment sectors are made.

Demography↗
PubMed1987

The avoidable costs of population.

The social and economic consequences of current demographic trends in South Africa are analyzed using the concept of avoidable costs. The author presents projections of the population up to the year 2000 organized under four major categories: executive and managerial; professional; semi-skilled; and the unskilled, peasants, underemployed, and very poor. Comparisons are made with projections for the same four categories for Canada to show the problems faced by South Africa, in that relatively small growth in the first two classes is contrasted to massive growth in the other, and particularly the least privileged, classes. Consideration is given to the implications for the provision of schools and for the labor force. The author concludes that "if a problem is to be tackled at its roots it is to the control of human numbers that our attention is to be directed."

Africa↗
PubMed2003

The public health workforce in sub-Saharan Africa: challenges and opportunities.

The health crisis in sub-Saharan Africa (SSA) presents enormous challenges to the public health workforce, which is ill equipped to respond. Since the fate of SSA is central to the health and well-being of all regions, a long-term effort is now required to strengthen the public health workforce in SSA. This will require major support from national governments and a wide variety of international agencies. Several global initiatives present an opportunity for SSA to mount a response to the health crisis. However, unless these resources contribute to the development of infrastructure, human capacity, and management processes, the response is likely to have only a short-term impact on the most pressing health problems.

Africa South of the Sahara↗