Table 4 Effects of the transition

Input level

Governance authority

Academic authority without proper regulation

Increasing number of unqualified private medical schools

Financing

Lack of external financial support for medical schools

Tuition fee-based revenue of medical schools

Process level

Learning environment

Absence of the core curriculum

Varying quality of the learning environment

Human resources

Poor environment for faculty development

Poor clinical instructional supervision for specialized training

Output level

Professional development

Poor structure of licensing system

Poor quality of continuing education

Professional values

Lack of motivation due to financial pressure

Decreasing public trust in health professionals