赞比亚的医学专科医生严重短缺。通过卫生部举办的项目，赞比亚政府花费大量资源将患者送往国外接受专科医疗治疗。本分析的目的是评估赞比亚大学医学院（UNZASOM）医学专科培训的现状，以及介绍将要推出的新项目。我们收集了关于赞比亚医学专科状况、UNZASOM毕业档案以及卫生部病人转诊记录的官方桌面研究数据。此外，我们还提供了有关计划的专科医生项目的信息。 从1986年的首届毕业生到2019年，UNZASOM共培养了351名医学专家，其中内科 63名（18%），妇产科 77名（22%），儿科 82名（23%），普通外科 68名（19%），麻醉与危重护理 17名（5%），骨科与外伤 20名（6%），泌尿外科 8名（2%）。其余的毕业生分别毕业于眼科、精神病学、传染病学、儿科手术和病理学，各自贡献了1%。为了增强UNZASOM的医学专科培训，我们制定了关于乳腺外科、泌尿外科、青光眼、玻璃体视网膜手术、成人胃肠病学、法医病理学、皮肤病与性病学、眼科、妇科肿瘤学、儿科麻醉学、传染病学和胃肠病学的新课程。 自2013年以来，只有44%的需要专科治疗的赞比亚患者得到了援助，其余患者仍在等待名单上或者出现了糟糕的结果。这些项目将为赞比亚及其邻国提供机会，接受负担得起且易于接触的医学专科培训。在增强基础设施支持的情况下，专科医生将为提供更好的医疗服务和改善患者结局做出贡献。他们还将成为培训人员的一部分，扩大该地区及其他地区的专家和专科医生的优质培训和技能培养范围。

There is a significant shortage of medical subspecialists in Zambia. The government of Zambia, through programmes at the Ministry of Health, spends considerable resources to send patients outside the country for subspecialist medical treatment. The objective of this analysis was to evaluate the current situation pertaining to medical subspecialty training at the University of Zambia School of Medicine (UNZASOM) and to illustrate the new programmes that are to be introduced.We collected data from formal desk reviews on the state of medical specialisation in Zambia, the UNZASOM graduation archives and patient referral records at the Ministry of Health (MoH). In addition, information on planned subspecialist programmes is presented.From the first graduates in 1986up to 2019,UNZASOM produced 351medical specialists, 63 (18%) in Internal Medicine, 77 (22%) in Obstetrics &Gynaecology, 82 (23%) in Paediatrics&Child Health, 68 (19%) in General Surgery, 17 (5%) in Anaesthesia & Critical Care, 20 (6%) in Orthopaedics &Trauma and 8 (2%) in Urology. The remaining graduates were in Ophthalmology, Psychiatry, Infectious Diseases, Paediatric Surgery and Pathology contributing 1% each. To enhance medical subspecialist training at UNZASOM, new curricula for Breast Surgery, Urology, Glaucoma, Vitreo-retinalSurgery, Adult Gastroenterology, Forensic Pathology, Dermatology & Venereology, Ophthalmology, Gynaecological Oncology and Paediatric anaesthesia, Infectious Diseases, and Gastroenterology were developed. Since 2013, only 44% of patients requiring subspecialist treatment out of Zambia got assisted with the remainder still on the waiting list or having had bad outcomes.These programmes will provide an opportunity for accessible and affordable medical subspecialization training for Zambia and its neighbouring countries. With enhanced infrastructural support, the subspecialists will contribute toward enhanced healthcare provision and improvement in patient outcomes. They will also form a cohort of trainers to expand the space for quality training and skills building of specialists and subspecialists in the region and beyond.