The document discusses efforts to increase the number of doctors trained in Malawi through collaboration between the University of St Andrews and the Bute Medical School. It notes that Malawi has very few doctors, with only one doctor per 200,000 people, and the collaboration aims to help address this through curriculum redesign, IT and library improvements, and increasing the number of students trained from 17 to more per year. It outlines some issues identified like lack of journal access, IT infrastructure challenges, and an unorganized collection, and discusses solutions developed through the collaboration.