Evidence map›Paper›PMID 42052327›Full record

ArticleHealth science reports2026

The Medical Internship in Tanzania: Challenges and the Pathway Forward.

Majani Edward

Abstract read
In one paragraph

Article in Health science reports, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

1 author.

Majani EdwardDepartment of Public Health St. Francis University College of Health and Allied Sciences Ifakara-Morogoro Tanzania.ORCID https://orcid.org/0000-0002-1671-9584

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background and Aims: Medical internship is a critical transitional period for newly qualified doctors, bridging undergraduate training and independent clinical practice. In Tanzania, the internship year is central to preparing doctors to operate within a resource-constrained health system marked by workforce shortages and rural-urban disparities. Despite its importance, the internship programme faces persistent challenges that undermine training quality and healthcare delivery. This study aims to examine the structural, institutional, and operational challenges affecting medical interns in Tanzania and identify practical strategies to strengthen the internship programme. Methods: A review was conducted by synthesizing existing literature, policy documents, and reports on medical internship programmes in Tanzania. Key themes explored included supervision practices, workload, mentorship, training standardization, and alignment between internship objectives and service realities. The analysis focused on identifying systemic gaps and potential context-appropriate interventions. Results: Interns in Tanzania face inconsistent clinical supervision, excessive workload, variable training quality across facilities, and limited mentorship opportunities. Many are required to perform tasks beyond their level of competence due to human resource shortages, while structured learning experiences remain inadequate. These challenges negatively impact interns' skill acquisition, wellbeing, and professional development, with downstream effects on healthcare quality and health system performance. Conclusion: Strengthening the medical internship programme in Tanzania requires a multi-faceted approach, including improving clinical supervision, standardizing training across institutions, regulating workload, enhancing financial support, and integrating structured community-based training. Implementing these strategies has the potential to improve intern preparedness, well-being, and overall health system performance, ultimately contributing to equitable and quality healthcare delivery.

Indexed as

clinical supervisioncommunity medicinehealth workforce trainingintern doctorsmedical internshipTanzania

Identifiers

PMID42052327
PMCPMC13111795

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.