IF the Ministry of Health is serious about improving patient care, it must formally introduce “motivational interviewing” across all levels of medical training and practice in Fiji.
Health Standard Adviser for the Australia Fiji Health Program Dr Alipate Vakamocea said motivational interviewing is critical for transforming Fiji’s healthcare system.
Motivational interviewing is a hospital-based approach where doctors guide patients to set their own health goals and make lasting lifestyle changes, rather than simply giving instructions.
“The first step is incorporating motivational interviewing into undergraduate medical training at the Fiji National University,” Dr Vakamocea said.
“If integrating the approach into existing programs proves difficult, the ministry could work through the Fiji Medical Council, which has the legal authority to mandate specific training requirements for medical students.”
He added the second level of implementation should be during medical internships, as students transition into practicing doctors.
The ministry, in partnership with donor agencies, is planning a new internship training program, which will provide a structured opportunity to teach motivational interviewing.
For practicing doctors, Dr Vakamocea said, the approach should be included in continuing professional development programs offered by the Fiji Medical Association and the Fiji College of General Practitioners.
“These conferences and professional courses can provide ongoing training in motivational interviewing, helping doctors to work collaboratively with patients and encourage sustainable lifestyle changes.
“So the Fiji Medical Association, the Fiji College of General Practitioners, we have our own conferences, we have our own areas where we do CPDs.
“That’s probably another area where we can share this important tool.”
He said implementing motivational interviewing at all three levels will ensure that Fiji’s health professionals are equipped to guide patients effectively, helping them take ownership of their health and adopt long-term changes that can reduce the burden of non-communicable diseases.
