Community Oriented Medical Education (COME) and Its Application.

Abstract

For the last 100 years, the role of doctors and healthcare systems are widening and changing due to two factors. First due to new knowledge reaching us as a result of new technology and research, which in turn leading to better understanding of Medicine, individual and community. Second factor changing the role Is societal reorganization of resources and their delivery.
Considering these factors, 166 members assembled in 30th world Assembly in 1977, adopting the concept of "Health for All", and issuing following statement: "Attainment of all citizens in the world by the year 2000 of a level of health that would enable them t lead a socially and economically productive life1.
This was followed by Alma Ata conference in 1978 where WHO and UNICEF accepted that Health for All can be achieved by Primary Health Care. This was a revolutionary turnaround where it was argued that secondary and tertiary rare should support the primary care with redistribution of resources involving community participation and more stress on prevention than ever before. The global strategy was suggested in detail in
34th World Health Assembly in 1981.
The cost effectiveness was accepted as an important factor that must be given due importance in every model. As the health workforce in most health systems costs 70% of budget, it is necessary that their training should be appropriate and cost effective2.