Peopling mountain environments: Changing Andean livelihoods in north-west Argentina

Structural adjustment and neoliberal policy implementation in Latin America have had dramatic consequences for livelihoods and patterns of natural resource use in mountain regions. Restructuring of the agricultural economy has increased socio-economic hardship and reduced industrial labour requirements, altering traditional patterns of seasonal migration from these areas. This paper examines the implications of recent economic and political transformation for Andean livelihoods in the mountains of northwest Argentina. Case study material illustrates the local impacts of such changes on socio-economic dynamics, patterns of urban–rural interaction, and natural resource use. The research highlights the influence of agro-industrial restructuring, protected areas creation, and the distribution of social funds in the region. It reveals that local development is constrained and controlled not only by distant policies but also by contemporary local networks of political clientalism. The influence of both distant and proximate factors governing livelihoods and environmental impacts reinforces the value of geographical study in mountain areas, given its acute spatial and scalar awareness. The paper reaffirms the conception of mountain livelihoods as diverse and dynamic, shaped by economic, political, social and cultural factors as well as physical eality, and critiques the economic rationality of resource use assumed by policymakers and economic models

UGRC 2021 recommendations on GME transition: pros and cons, opportunities and limitations.

The Coalition for Physician Accountability\u27s Undergraduate Medical Education-Graduate Medical Education (UME-GME) Review Committee (UGRC): Recommendations for Comprehensive Improvement of the UME-GME Transition final report includes a total of 34 recommendations and outlines opportunities to transform the current processes of learner transition from a US-based MD- or DO-granting medical school or international medical education pathway into residency training in the United States. This review provides a reflection on the recommendations from the authors, all members of the UGRC, describing the pros and cons and the opportunities and limitations, in the hopes that they might inspire readers to dig deeper into the report and contribute to meaningful improvements to the current transition. The UGRC Recommendations highlight the many opportunities for improvement in the UME-to-GME transition. They are built on the connection to the system of education and formation of physicians to a more just healthcare system, with attention to diversity, equity, and inclusion to improve health disparities and to the quality of care that patients receive. However, there are justifiable concerns about changes that are not fully understood or that could potentially lead to unintentional consequences. This analysis, reached through author consensus, considers the pros and cons in the potential application of the UGRC Recommendations to improve the UME-to-GME transition. Further debate and discussion are warranted, without undue delay, all with the intention to continue to improve the education of tomorrow\u27s physicians and the care for the patients who we have the privilege to serve