Fiji’s medical internship program is undergoing a critical review, prompted by rising concerns regarding inadequate clinical training for newly graduated doctors. At a recent Mini Conference held in Suva, Dr. Alipate Vakamocea, President of the Fiji Medical Association (FMA), highlighted significant issues where interns are being placed in clinical environments with insufficient supervision and support. This alarming trend raises grave concerns over both patient safety and the professional development of these upcoming medical practitioners.

Internships in Fiji are a compulsory component for obtaining a medical license; however, the existing framework has faced substantial criticism. Dr. Vakamocea pointed out that many interns are navigating complex medical situations with minimal guidance, which can lead to increased risks of clinical errors and burnout.

The FMA’s commitment to improving the internship experience involves wide-ranging consultations with hospital supervisors, recently graduated interns, and other health sector stakeholders to reform the current system. The aim is to ensure robust mentorship and structured training for future healthcare professionals.

Furthermore, the FMA believes that enhancing the quality of internships is vital not only for cultivating competent doctors but also for maintaining public confidence in Fiji’s healthcare system. Such reforms align with ongoing discussions within the medical community addressing both the quality of healthcare and the pressing need for a capable workforce.

Previous discussions during the FMA’s annual conference have underscored similar concerns, highlighting the challenges faced by a saturated internship program and the pressures on supervisors due to high intern numbers. Stakeholders have called for strategic changes involving focus groups and consultations to tackle the systemic issues that hinder effective medical training in the country.

In addition to the efforts of the FMA, Health Minister Dr. Ratu Atonio Lalabalavu has acknowledged the challenges presented by the surplus of medical interns. He expressed the ministry’s commitment to creating opportunities stemming from this overabundance while also collaborating with the World Health Organization to assess workforce needs.

The ongoing review and consultations suggest a positive step toward bolstering the medical internship experience in Fiji, fostering the development of skilled healthcare professionals capable of ensuring safe and effective care for all patients. With a concerted effort from both the FMA and the health ministry, there exists hope for a more structured and supportive framework for medical training in Fiji.


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