the initial context for clinical education.
Expansion of the capacity of the Faculty followed several steps. In addition to population growth, the exodus of medical graduates to North America, never to return, exacerbated the need to increase the output of doctors. In the 1960s, it was possible to complete the clinical clerkship element of training in Trinidad and Tobago (at the Port of Spain General Hospital), Barbados (at the Queen Elizabeth Hospital, Bridgetown), as well as in Jamaica. In 1989, the medical school at the St. Augustine campus opened. However, it adopted a problem-based approach rather than the 'traditional' existing curriculum at the Mona school. Mona, which had previously implemented curricular reforms based on World Health Organization recommendations to emphasize community health promotion and protection, and St. Augustine had different medical school curricula, although the graduates took the same qualifying exams. Moreover, St. Augustine's Faculty of Medical Sciences included not just a …
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