Creation and Expansion Community Medicine in Iran

Hossain-Ali Ronaghy--- Professor of Community and Family Medicine, Department of Community and Family Medicine, School of Medicine, University of California, United States

Abstract


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Abstract
In 1972 a research was performed by the author at John’s Hopkins University, regarding migration of Iranian
medical graduates in the United States. We found up to 90% of Shiraz medical graduate and 40% of Tehran
graduate were permanently migrating to the United States. Further research indicates the cause of migration to
be military housing, income and sociopolitical facts.
Furthermore, we found the curriculum of most medical schools in Iran is a carbon copy of western medical
schools and had no relevance with the need of over 70% of the Iranian population who were residing in rural
communities in 1970s.
In order to alleviate this, we established the department of community medicine in 1972 in Shiraz to modify the
curriculum of the Shiraz medical school with an established and strong academic of clinical discipline was not
an easy job, particularly when the medical staff was determined to make Shiraz a “center of excellence” and we
in the department of community medicine felt we are desperate for a “program of relevance”.
As I was a professor of both medicine and community medicine and the chairman of medicine was extremely
friendly with our program. We could compromise and eventually we decided to embark on a new medical
school with the totally new program. The new medical school, which was established in Fasa was a successful
program for recreating students from a small town and we found recently 90% of graduates of the fist two years
are still residing and practicing in Fars province. Unfortunately, later this medical schools was joined with all
other medical school with the national matching program, which was against our initial purpose for recruiting
from small towns.
The other major achievement of the department of community medicine was establishing a health centers in
rural community which was evaluated and approved by WHO and within eight years more than 1.5 Million
rural populations were covered by that program


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References


Immigration of Iranian Doctors to the United States. Journal of Medical Council of Iran, 1973(3):1-8.

Ronaghy H-A, Kathleen C, Timothy D. Baker. "Physician Migration to the United States: one country's transfusion

is another country's hemorrhage." JAMA 227.5(1974):538-42.

Ronaghy H-A, Kathleen N, Williams D, Timothy D. Baker. "Immigration of Iranian Physicians to the United States,

A Ten-year Follow-up of Graduates of Shiraz Medical School" Pahlavi Med J.4(1973):147-93.

Mehr Farhang. My Concubines (Farhang Mehr Workbook). New Era Communication, 2013.

Journal of Medical Council of Iran, July 23, 1970.

Ronaghy H- A, Khosrow N. "Medical Problems of Developing Nations: An Attempt to Bring Medical Care to Rural

Communities in Iran." British Medical Journal 1.5691(1970):295.

Ronaghy H-A. "Kavar Village Health Worker Project." Journal of Tropical Pediatrics and Environmental Child

Health 24.1(1978):13-60.


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