Clinical Orthopaedics and Related Research

, Volume 466, Issue 10, pp 2399–2402 | Cite as

Musculoskeletal Trauma Services in Mozambique and Sri Lanka

  • Richard C. FisherEmail author
Symposium: ABJS/C.T. Brighton Workshop on Trauma in the Developing World


There is currently an escalating epidemic of trauma-related injuries due to road traffic accidents and armed conflicts. This trauma occurs predominantly in rural areas where most of the population lives. Major ways to combat this epidemic include prevention programs, improved healthcare facilities, and training of competent providers. Mozambique and Sri Lanka have many common features including size, economic system, and healthcare structure but have significant differences in their medical education systems. With six medical schools, Sri Lanka graduates 1000 new physicians per year while Mozambique graduates less than 50 from their singular school. To supplement the low number of physicians, a training course for surgical technicians has been implemented. Examination of district hospital staffing and the medical education in these two countries might provide for improving trauma care competence in other developing countries. Musculoskeletal education is underrepresented in most medical school curricula around the world. District hospitals in developing countries are commonly staffed by recently graduated general medical officers, whose last formal education was in medical school. There is an opportunity to improve the quality of trauma care at the district hospital level by addressing the musculoskeletal curriculum content in medical schools.


Gross Domestic Product District Hospital Trauma Care Road Traffic Accident Curriculum Change 
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Copyright information

© The Association of Bone and Joint Surgeons 2008

Authors and Affiliations

  1. 1.Department of OrthopaedicsUniversity of Colorado Health Sciences CenterDenverUSA
  2. 2.Little ComptonUSA

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