Global health training and postgraduate medical education in Australia: the case for greater integration

To the Editor: Mitchell and colleagues have done medical education a service by outlining all the potential benefits and harms associated with global health training.1 They are right to state that sustainability is key — however, all too often in the past, it has been sustainability that has been lacking. According to Yikona, writing in 2003: “Case by case analysis of medical schools in sub-Saharan Africa would show an excellent first 10 years followed by a general downward spiral”.2 How are we to stop global health training going into a similar downward spiral?