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At the different levels of the healthcare system, we see varying methods of healthcare used. These methods include managed care systems, case management, and primary healthcare.
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Related Experiment Video

Updated: Jul 6, 2026

Model Surgical Training: Skills Acquisition in Fetoscopic Laser Photocoagulation of Monochorionic Diamniotic Twin Placenta Using Realistic Simulators

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A model for improving physician performance in developing countries: a three-year postgraduate training program in

Gregory Gordon¹, Eksavang Vongvichit, Visanou Hansana

¹Harvard Vanguard Medical Associates, 133 Brookline Avenue, Boston, MA 02215, USA. gregory_gordon@vmed.org

Academic Medicine : Journal of the Association of American Medical Colleges

|March 28, 2006

Summary

This summary is machine-generated.

A postgraduate internal medicine program in Laos trains local physicians using local resources, preventing brain drain and improving healthcare standards. This sustainable, volunteer-led initiative shows promising results for Lao healthcare.

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Area of Science:

Medical Education
International Health
Public Health Policy

Background:

The National University of Laos faces challenges in providing advanced medical training to local physicians.
A "brain drain" of medical professionals seeking training abroad negatively impacts Laos' healthcare system.
There is a need for sustainable, locally-based medical education programs adhering to international standards.

Purpose of the Study:

To establish and evaluate a postgraduate internal medicine training program for Lao physicians within Laos.
To enhance the capacity of local physicians to deliver high-quality healthcare services.
To foster a sustainable healthcare system in Laos independent of foreign expertise.

Main Methods:

A collaborative postgraduate internal medicine program established in 2001 involving the National University of Laos, Health Frontiers, Case Western Reserve University, and Khon Kaen University.
Clinical rotations conducted in three hospitals in Vientiane, Laos, and one additional clinical site.
An all-volunteer model with American-trained specialists providing daily mentorship and training in evidence-based medicine within local conditions.

Main Results:

The program successfully trains Lao physicians locally, minimizing "brain drain" and adapting to available resources.
Graduates are better equipped to serve the Lao population's specific healthcare needs.
Preliminary data indicate the program's success and potential for replication in similar settings.

Conclusions:

The collaborative internal medicine training program in Laos is effective in building local medical capacity.
The program's focus on local training and resources promotes healthcare sustainability in Laos.
This model offers a viable solution to enhance medical expertise in developing countries and reduce reliance on foreign aid.