In a surprising twist of medical workforce dynamics, Trinidad and Tobago faces the paradoxical situation of simultaneously experiencing a physician shortage and surplus. While healthcare facilities remain overwhelmed with patient demand, approximately 300 new medical graduates enter the system annually, with 7,345 doctors currently registered with the Medical Board.
Prime Minister Kamla Persad-Bissessar’s administration has proposed an innovative solution: establishing a partnership with Guyana that would enable 50 local doctors to practice there. This initiative, announced on December 7, represents a strategic approach to addressing structural issues within the healthcare sector.
The core problem lies in the experience gap faced by recent graduates. Despite completing internships, these new physicians are often perceived as insufficiently experienced for full positions, creating a professional catch-22 where they cannot gain experience without employment opportunities.
Beyond the graduate experience dilemma, systemic challenges persist. Health authorities have consistently failed to hire adequate medical personnel, despite the World Health Organization reporting that physician density per 1,000 people doubled between 2010 and 2020. This understaffing affects both doctors and nurses, with health facilities remaining insufficiently expanded to meet population demands.
Additional complicating factors include the declining tradition of visiting local general practitioners, which has reduced opportunities for new graduates, and allegations of medical equipment worth $100 million being left to deteriorate at the Couva facility opened in 2015.
The proposed Guyana partnership offers multiple benefits: providing employment for emerging practitioners, breaking the experience-employment cycle, advancing regional integration, and potentially reducing pressure on domestic healthcare systems. While 50 doctors may not solve the entire problem, it represents a meaningful step toward addressing complex healthcare workforce challenges.