OnCo
ideasIdea

Regional training hubs that produce oncologists, physicists and radiographers in-region

Rather than sending a handful of trainees to Europe or America, build a few large training centres in Africa and South Asia that train the whole team together, with local case mix and local costs.

Specialist oncology training capacity in sub-Saharan Africa is tiny relative to need, and overseas training is expensive and leaky. Regional hubs (building on centres such as Kampala, Nairobi, Lagos, Dar es Salaam, and networks in India) would run accredited programmes across all oncology professions, with rotations, shared curricula, and remote faculty from partner institutions. Training in-region matches trainees to the diseases and constraints they will actually face.

Hypothesis
Regional hubs will graduate at least five times as many oncology professionals per dollar as overseas training, with in-country retention above 85% at five years.
Rationale
Regional medical training networks in anaesthesia and surgery (COSECSA) have shown high retention and scale; oncology can use the same governance.
What would test it
Establish two hubs with a ten-year funding commitment; report graduates, cost per graduate, retention, and deployment sites annually.
Maturity
being tested at scale
Who has to act
philanthropy
Cost to try
Large (over $50M)
Years to first evidence
6
Bottlenecks it attacks

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