Similar results were obtained by sex, age, generalist versus specialist, years since training, and perceived benefit of training (Table 2).
The outcome measures were cost per doctor-year and cost per specialist-year spent working in the Malawian public sector.
However, the government would need to be willing to pay at least 3.5 times more per doctor-year for a 5% increase and a third more per specialist-year for a four-fold increase.
During the four data collection periods a total of 71 patient admissions were observed, involving 35 doctors (four consultant/specialist registrar, four specialist trainee year 4/5, nine specialist trainee year 1/2 and 18 foundation) and one advanced nurse practitioner.
All 24 healthcare staff observed during periods 1, 2 and 3 were interviewed; (three consultant/specialist registrar, two specialist trainee year 4/5, six specialist trainee year 1/2, 12 foundation and one advanced nurse practitioner), of whom 13 (58%) had undergone VTE training.
"It was crazy," recalled Irinie Guirguis, who married Albert Alfy Elmarry, a computer specialist, one year later.
There are barely enough university teachers who are qualified to teach specialist third year or postgraduate courses.
It was discovered at a routine school medical and I've had to see a specialist every year since.
I finally saw a specialist one year after I decided to start hormone replacement therapy.
31 For the grass AIT group, one standard visit to a specialist per year was assumed.
This translates into approximately 13 additional appointments per GP and 66 appointments per specialist per year.
