xr? 5. Medical Doctors - generalists and specialists Until such time as Marshallese personne] can be ained to the medical officer or medical doctor level in sufficient nuhbers to staff the two hospitals it wil] be necessary to provide suchIstaffing with expatriate personnel. years as there This will be required for approxi are few practicing Marshallese medica present and none jin training in Fiji. tely 10 to 15 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 denta| officers and their supporting staff are working in Majuro and primari] population of that Island. serving the There is need to expand the dent 1 manpower so that when appropriate support services can be developed i.e. reliable transportation there will be an opportunity to provide dent; 1 services to the population living outside Majuro. of the atolls. Services need to be p rovided to all As in medical practice there are various le els of dental practice with many functions appropriately provided by persdnnel who have less training than that of a fully qualified dentist or Do@tor of Dental The Dental Nurses can provide much of the service Surgery. in the outer islands, including extractions and education hygiene. Ehat is needed nm proper oral They would also supervise the flouride mouth worker, and the dental nurse assistants. It is recommended that the dental manpower staffing b increased in order to provide the services needed to outer islands as wel as in Majuro and Ebeye. The area of dental manpower requirements needs adHitional study and evaluation; however, with only the preliminary data following staffing levels are recommended. There should be one fully qualified dentist (Doctor of Dental Surgery), an expatriate Majuro. present the stationed at There is need for three dental officers in Majuro anc one at Ebeye. Five dental nurses are recommended for Majuro and four for beye with six dental nurse assistants for Majuro and four dental nurse issistants for Ebeye. The dental officers and dentist would require two den al laboratory technicians at Majuro. The recommended site of training for the dental officers fand assistants is at the School of Medicine of the University of the South P ific in Suva, Fiji. ining schools It is anticipated that mid level dental practitioner t