Retention packages so trained oncology staff stay: bonds, top-ups, working equipment
Many cancer specialists trained in poor countries emigrate. Combine service bonds, salary supplements, guaranteed working equipment and academic time so that staying is a career, not a sacrifice.
Training a radiation oncologist or physicist abroad and losing them to emigration is a common outcome. The evidence from other specialties suggests that money alone does not retain staff; working equipment, professional development, academic links, and predictable career paths matter as much. A retention package co-funded by government and donors, tied to training scholarships, with a return-of-service bond and a functioning-equipment guarantee, could be trialled and its five-year retention measured.
- Not enough oncologists, nurses, pathologists, physicists · The number of people with cancer is rising faster than the workforce trained to treat them.
- Most of the world has almost no cancer care · Seven in ten cancer deaths happen in low- and middle-income countries, where radiotherapy, pathology, surgery and drugs are scarce.
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