Radical changes in medical education needed globally.

www.thelancet.com/lancetgh Vol 3 March 2015 e128 content could be adapted to primary care and ensure sufficient numbers of motivated doctors are available more quickly than would currently be possible. Further specialty postgraduate training would also be required and could be through a competitive selection process and related directly to health-care needs. However, it is not just the lowincome and middle-income countries that are facing these problems and seeking reform. In the UK it is believed that 8000 more general practitioners are needed; in the USA achieving universal health coverage is still not a reality. Much of the medical education in high-income countries is stale, outdated, and is not delivering what patients or the population need. The Cuban education model merits more detailed consideration, not just for Africa but also for the rest of the world.