The development of post-graduate education and training in public health medicine in the Maltese health system

Abstract

The groundwork for post-graduate medical training in Malta began prior to Malta’s accession to the European Union (EU) in May 2004. Public Health Medicine was the first medical speciality in Malta to have a structured post-graduate training programme in place. The first Public Health Training Committee was set up in 2003 to formulate, monitor and review the training framework and curriculum and ensure the institution of quality assured specialist training in Public Health Medicine in Malta. The first formal training programme was established in 2004 and in 2007 the first cohort of trainees was recruited. Training in public health medicine in Malta was recognised by the EU in 2008. By end 2018, 21 trainees had enrolled onto the programme; of these, 13 (62%) successfully completed training while 8 doctors (38%) were still in training. The curriculum underwent several evaluations, reviews and revisions and has progressed into a sought-after, well-organised, dynamic, and stillevolving training programme. The road ahead is an exciting one, envisioning an e-portfolio, a focus on trainer development and support, the development of special areas of interest and opportunities for training abroad. Succession planning is crucial for the preservation of a wealth of hard-earned invaluable experience, knowledge and expertise in the speciality.