Table 4.

Threats to family medicine development in Ethiopia

National

• There is a risk that other specialists, GPs, and health extension workers will perceive family medicine specialists as competitors with their own work and viability.

Institutional

• The increasing number of postgraduate training programs can create strain on human, financial, and material resources.

Program

• The frequent turnover in leadership of the existing family medicine program is concerning for future stability of the program.

• There are limited opportunities for leadership and research training for current family medicine residents.

• Extensive responsibilities could be overwhelming for graduating family medicine residents and could lead to burn out and drop out.

• Potential internal and external brain drain of graduating family medicine specialists could threaten the viability of the specialty.

Abbreviation: GP, general practitioner.