Objective: The purpose of the study was to evaluate the determinants of Clinical Medicine training outcomes in the Medical Training Institutions and the training health facilities across western Kenya.

Study Design: Quantitive and qualitative cross sectional study

Study Setting: The study was carried out in Kisumu county and the surrounding counties of Vihiga and Nandi.

Subjects/participants: Three MTIs which include Great Lakes University of Kisumu, Uzima University and Kisumu KMTC and also clinical placement sites in Mbale RHTC, Mosoriot RHTC, Chulaimbo RHTC.

Results: The study found out that all clinical placement sites had almost all cadres of health workers though they were few and created a shortage in staffing thereby affecting both health service delivery and clinical training.