The Latin American School of Medicine (Elam): Admissions, Academics and Attitudes

DOIhttps://doi.org/10.13169/intejcubastud.9.1.0142
Pages142-154
Published date01 April 2017
Date01 April 2017
AuthorAfra Jiwa
Subject MatterCuba,ELAM,brain-gain,traditional and natural medicines,student brigades
INTERNATIONAL JOURNAL OF CUBAN STUDIES 9.1 SPRING 2017
ARTICLE
THE LATIN AMERICAN SCHOOL OF
MEDICINE (ELAM): ADMISSIONS,
ACADEMICS AND ATTITUDES
Afra Jiwa
King’s College London
Abstract
With the Cuban health system hailed as one of the best in the world, its doctors have
a high reputation in the field of primary care in less-developed countries. This article
provides an insight into the Latin American School of Medicine (Escuela Latinoamericana
de Medicina (ELAM)) as a means of helping our understanding of the process involved
in creating a medical workforce that is suited to the developing world. The article
reviews the available peer-reviewed literature and evaluates additional media to make
an assessment of the curriculum and teaching and learning experience at ELAM. The
findings reveal an insightful way of selecting students from low-income backgrounds
and teaching that mimics curricula seen at medical schools in the UK, with the addition
of modules in homeopathic medicine and a focus on placements in primary care. The
article reveals some problems for students who have struggled to adapt their skills
to fit the healthcare systems in their home countries. Attitudes towards students are
generally positive, though there are a number of reports on student welfare issues.
The article concludes that the overwhelming impression is that students are happy to
compromise on small comforts in exchange for a subsidised medical education.
Keywords: Cuba, ELAM, brain-gain, traditional and natural medicines, student brigades
Introduction
Cuba’s health status has grown in the last few decades following the expansion
of their acclaimed medical schools, to welcome a growing number of

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