Dear Amali,
Thank you for sharing this. I think the idea of more flexible and staged medical education pathways is worth exploring, particularly where cost, duration, and workforce shortages are major barriers.
My initial view is that a modular structure could help widen access and create meaningful exit points, but it would need to be designed very carefully to avoid compromising clinical quality, professional identity, and patient safety. In particular, nursing, medical science, and medical training should not simply be treated as interchangeable stages, as they are distinct professional tracks with different competencies and regulatory implications.
I do agree that AI and virtual learning can meaningfully support scale, especially in earlier preclinical phases, but they should complement rather than replace supervised clinical training, bedside exposure, and practical mentorship. I would also suggest that the discussion should not focus only on training more doctors, but also on retaining them, distributing them better, and enabling task-sharing across the health workforce. It is also important to consider the role of government priorities, regulation, and professional lobbying in shaping what is realistically feasible.
Happy to contribute further as this develops and to join a group discussion in the fall.
Best regards,
João
Dear All,My intervention is personal as my daughter spent about 10 years of her life studying medicine getting a masters in family medicine as well as a year doing oncology.It was not only affecting her life but our luves, her parents and family. Even though education was mostly free here in the Caribbean. We had to suppory her during these years.Apart from support it affects family life.Apart from studies She still spends a lot of het life putting her patients first and working strange hours. Vacation is spent doing patient reports and checking urgent messages to pasd on care to another collegue.I was just in her pressrnce got 3 weeks and she worked most of that time.I also have many close friends who are in the profession.A lot of the work they do is unpaid.Would any of you want that job.Unthanked and unpaid and stressed.RegardsJune Parris
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