THE Fiji Medical Association (FMA) is focused on strengthening professional standards and advancing its core strategic objectives, which are clarified as advancing professional standards, advocating member welfare, and promoting public and professional engagement.
Addressing the medical professionals during the FMA Central Mini Conference, FMA president Dr Ronald Kumar set a clear mandate to uphold the profession and support colleagues across Fiji.
Medical internship program reform
FMA has prioritised a comprehensive overhaul of the medical internship program to standardise training and improve supervision across Fiji.
A full review and standardisation of internship training is underway, with support from the Permanent Secretary and stakeholders.
He said the goal is to unify clinical and theoretical competencies across all three main hospitals, including Suva and Labasa.
“The Plans include creating a qualifying examination to ensure consistent standards for all new doctors in Fiji, and the reform aims to prepare interns for clinical responsibilities better and ensure appropriate supervision,’’ Kumar said.
“This initiative addresses variability and gaps in current internship experiences that affect doctor readiness.’’
Concerns about the mass production of medical graduates stress the need for quality over quantity in training.
“Fiji graduates about 120-150 medical students yearly from two medical schools, plus returning overseas-trained doctors,” he said.
“There are significant financial bonds on students ranging from $150,000 to $280,000 tied to education costs, and the current doctor-to-patient ratio has surpassed the WHO recommendation of 1/1000, raising sustainability questions.”
Kumar urged universities and health authorities to focus on responsible training aligned with national needs and resource limits.
Training infrastructure and educator shortages threaten skill development and career progression, with Insufficient hospital exposure and specialist training spots hindering quality clinical experience.
He added the stress from paused overtime payments affects doctors, nurses, and allied health staff, risking workforce morale and retention, and the unique 24/7 demands of healthcare require fair compensation to sustain the workforce.
“Addressing these challenges is critical to maintaining a competent and motivated health workforce.”
Advocacy and acknowledgement
Ongoing advocacy and public presence highlighted with FMA actively defending members’ rights and raising health awareness.
FMA led a major negotiation in 2015-16 to reduce doctor attrition overseas, and the association supports members with benefits including housing, finances, and a well-being program.
Kumar said media engagement has increased to influence health policies and public perceptions, reflecting a proactive advocacy stance.
“This approach strengthens the profession’s voice in health policymaking and public discourse.”
He also expressed gratitude for the trust placed in him and acknowledged the leadership of his predecessor, Dr Alipate Vakamocea, over the past 1.5 years.
Vakamocea remains involved as the President’s representative to the Medical Council, ensuring continuity.
“This transition reflects stability and ongoing commitment to professional standards and member welfare.”
