Xe 5. Medical Doctors - generalists and specialists Until such time as Marshallese personnel can be trained to the medical officer or medical doctor level in sufficient numbers to staff the two hospitals it will be necessary to provide such staffing with expatriate personnel. years as there are This will be required for approximately 10 to 15 few practicing Marshallese medical present and none in training in Fiji. officers at It is understood that there is one doctor in residency training in Guam at present. D. Dental As stated previously in this document the three dental officers and their supporting staff are working population of that Island. that when in Majuro and primarily serving the There is need to expand the dental manpower so appropriate support services can be developed i.e. reliable transportation there will be an opportunity to provide dental] services to the population living outside Majuro. of the atolls. Services need to be provided to al] As in medical practice there are various levels of dental practice with many functions appropriately provided by personnel who have less training than that of a fully qualified dentist or Doctor of Dental Surgery. ‘The Dental Nurses can provide much of the service that is needed in the outer islands, including extractions and education on proper oral hygiene. They would also supervise the flouride mouth worker, and the dental nurse assistants. It is recommended that the dental manpower staffing be increased in order to provide the services needed to outer islands as well as in Majuro and Ebeye. The area of dental manpower requirements needs additional study and evaluation; following however, with only the preliminary data at present the staffing levels are recommended. There should be one fully qualified dentist (Doctor of Dental Surgery), an expatriate, stationed at Majuro. There is need for three dental officers in Majuro and one at Ebeye. Five dental nurses are recommended for Majuro and four for Ebeye with six dental nurse assistants for Majuro and four dental nurse assistants for Ebeye. The dental officers and dentist would require two dental laboratory technicians at Majuro. The recommended site of training for the dental officers and assistants is at the School of Medicine of the University of the South Pacific in Suva, Fiji. It is anticipated that mid level dental practitioner training schools 10