Newsletter, January 31, 2011

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SAMSS Newsletter, January 31, 2011 

Dear Colleague,

Major reforms took place in the early 20th century at North American medical schools. These changes focused on adequate preparation of pre-medcial students, sysematic insgtruction in basic sciences in medical school, and the affiliaion of medical schools with research universities.   The 1910 report by Abraham Flexner, entitled “Medical Education in the United States and Canada,” was the driving force behind these reforms. The report, now known as the Flexner Report, has given rise to modern American medical education by triggering reforms in the standards, organization, and curricula of North American medical schools. In the 21st Century, medical schools around the world face a new set of challenges such as improving the quality of their graduates and the equity of graduates’ distribution; decreasing the mismatch between what is taught at educational institutions and the countries’ societal priorities; and redefining the roles of health professionals.

A commission of 20 academic leaders from around the world called for a major reform in the training of health professionals in a major report published in The Lancet last month.  The report, “Health Professionals for a New Century: Transforming Education to Strengthen Health Systems in an Interdependent World,” makes ten recommendations on how to improve the trainings of health professionals around the world to meet the health care challenges of the 21st century.  The Commission explores the connections between national education and health systems in order to develop new instructional and institutional strategies. Specifically, the Commission describes the century of educational reform that has taken place, examines institutional and instructional design, and explores the challenges of local adaptability in an interdependent, globalizing world. The Commission concludes that institutional and instructional weaknesses are causing shortages, imbalances, and a maldistribution of health professionals around the world. The Commission hopes to create a global vision so that health professionals around the world are sufficiently trained to work in patient- and population-centered health systems while being locally responsive and globally connected. The Commission recommends the following four enabling actions which are conducive for instructional and institutional reforms: (1) mobilize leadership; (2) enhance investments; (3) align accreditation; and (4) strengthen global learning.

A separate initiative led by Canadian Bob Wollard and Belgian Charles Boelen has released a report that explores social accountability in medical education.  The “Global Consensus for Social Accountability of Medical Schools”  highlights the following ten strategic directions for medical schools to become socially accountable: (1) anticipating society’s health needs; (2) partnering with the health system and other stakeholders; (3) adapting to the evolving roles of doctors and other health professionals; (4) fostering outcome-based education; (5) creating responsive and responsible governance of the medical school; (6) refining the scope of standards for education, research, and service delivery; (7) supporting continuous quality improvement in education, research, and service delivery; (8) establishing mandated mechanisms for accreditation; (9) balancing global principles with context specificity; and (10) defining the role of society.

Sincerely,

 

  

Francis Omaswa, MBCHB, MMed, FRCS, FCS

Executive Director, African Centre for Global Health and Social Transformation

Co-Chair, SAMSS Advisory Committee

 

 

Fitzhugh Mullan, MD

The George Washington University

Principal Investigator, SAMSS

 

Seble Frehywot, MD, MHSA

The George Washington University

Co-Principal Investigator, SAMSS

 

On behalf of the SAMSS Advisory Committee

 

     

   


 

 
 

 
The Sub-Saharan African Medical Schools Study
The SAMSS secretariat is located at The George Washington University Department of Health Policy.
SAMSS is supported by the Bill & Melinda Gates Foundation.


 

SAMSS Newsletter, June 28, 2010

 

Dear Colleague,

The Sub-Saharan African Medical Schools Study (SAMSS) tracks innovations in medical education in Sub-Saharan Africa.  This Newsletter and the website http://samss.org are designed to raise awareness about issues related to medical education in Sub-Saharan Africa.  Using this information, policymakers, donors and medical educators can make informed decisions that will strengthen their health systems. 

In this issue the SAMSS newsletter will focus on the capacity of health service delivery in Sub-Saharan Africa.


In “HIV/AIDS Workforce Development in Sub-Saharan Africa: Leveraging Opportunity for Long-Term Human Development”, Jose M. Zuniga discussed the importance of long term commitments in health workforce development in the region.  The article calls for a strong collaboration and innovative financing both at the national and regional level to achieve sustainable health systems in the region.  The author emphasizes the need for a focused effort by all stakeholders to address not only the challenges of HIV/AIDS but also health workforce recruitment, training, and retention in Africa.
 

Sufficient training of health care workers is critical in improving quality of care and in achieving the fourth, fifth and sixth millennium development goals in Sub-Saharan Africa.  A cross-sectional study in West Africa explored if pediatric surgery residency training programs address the needs and realities of post-training practices in the region.  A survey of pediatric surgeons showed that most surgeons trained in this region have sufficient exposure in both the surgical and nonsurgical aspects of training.  About 85% of the respondents suggested the establishment of well-equipped children’s hospitals in the region is critical to improve surgical training and practice in West Africa.  In a similar study, a systematic review by Lonkhuijzen et al assessed the effectiveness of training in emergency obstetric care in low resource environments.  The review included 38 papers from different countries and concluded that training resulted in increased knowledge.  The paper also describes measures of positive training programs.    

“Computers, the internet and medical education in Africa”, explores the use of information and communication technology (ICT) in undergraduate medical education in Africa.  There is a limited number of computers available in Africa, limited access and slow internet download times in the region, with East and West Africa the most affected.  The study calls for a partnership to improve ICT infrastructure in medical schools in Africa.

On March 10, 2010 a meeting was held in Montreux, Switzerland to strengthen the capacity of the health workforce information systems.  The technical meeting was organized by the World Health Organization’s Department of Human Resources for Health, the Global Health Workforce Alliance, and the Health Metrics Network in order to establish a Health Workforce Information Reference Group (HIRG).  The meeting focused on strengthening health workforce information systems activities by enhancing the availability and quality of HRH data through a coordinated and standardized approach. 

In “Inequities in the Global Health Workforce: The Greatest Impediment to Health in Sub-Saharan Africa”, Anyangwe explores the scope of the global health workforce crisis and the consequent effect on the Sub-Saharan Africa.  The authors say that “There is simply insufficient adequately trained human capacity, of all cadres, in the region to absorb, apply and make efficient use of the interventions being offered by many new health initiatives.  Among the key problems contributing to the shortages are the insufficient training opportunities.  Africa is woefully lacking in facilities to train health workers.”  The authors argue that the human resource crisis can be tackled by training increased number of health care workers with appropriate mix of skills.



 

Sincerely,

 

  

Francis Omaswa, MBCHB, MMed, FRCS, FCS

Executive Director, African Centre for Global Health and Social Transformation

Co-Chair, SAMSS Advisory Committee

 

 

Fitzhugh Mullan, MD

The George Washington University

Principal Investigator, SAMSS

 

Seble Frehywot, MD, MHSA

The George Washington University

Co-Principal Investigator, SAMSS

 

On behalf of the SAMSS Advisory Committee

 

   

 

A lecture hall with medical students, University of Ibadan, Nigeria

 
 
 

SAMSS Advisory Committee

Magdalena Awases PhD, MA, HMPP, RN

Charles Boelen MD, MPH, MSc

Mohenou Isidore Jean-Marie Diomande MD

Dela Dovlo MB Ch.B, MPH, MWACP

Diaa Eldin Elgaili Abubakr MD
Josefo João Ferro MD

Abraham Halieamlak MD

Jehu Iputo MBChB, PhD

Marian Jacobs MBChB

Abdel Karim Koumaré MD, MPH

Mwapatsa Mipando MSc, PhD

Gottlieb Monekosso MD, DSc, FRCP, FWACP, DTMEH

Emiola Oluwabunmi Olapade-Olaopa MD,. FRCS, FWACS

Francis Omaswa MBCHB, MMed, FRCS, FCS

Paschalis Rugarabamu DDS, MDent

Nelson K. Sewankambo MBChB, M.Sc, M.Med, FRCP


 
 
 
 
 
 

 

Medical students in Makerere University, Uganda 

 
 
 

 
The Sub-Saharan African Medical Schools Study
The SAMSS secretariat is located at The George Washington University Department of Health Policy.
SAMSS is supported by the Bill & Melinda Gates Foundation.
Home Relevant Literature The SAMSS Project Resources and Links Contact Events
 

SAMSS Newsletter, June 28, 2010

 

Dear Colleague,

The Sub-Saharan African Medical Schools Study (SAMSS) tracks innovations in medical education in Sub-Saharan Africa.  This Newsletter and the website http://samss.org are designed to raise awareness about issues related to medical education in Sub-Saharan Africa.  Using this information, policymakers, donors and medical educators can make informed decisions that will strengthen their health systems. 

In this issue the SAMSS newsletter will focus on the capacity of health service delivery in Sub-Saharan Africa.


In “HIV/AIDS Workforce Development in Sub-Saharan Africa: Leveraging Opportunity for Long-Term Human Development”, Jose M. Zuniga discussed the importance of long term commitments in health workforce development in the region.  The article calls for a strong collaboration and innovative financing both at the national and regional level to achieve sustainable health systems in the region.  The author emphasizes the need for a focused effort by all stakeholders to address not only the challenges of HIV/AIDS but also health workforce recruitment, training, and retention in Africa.
 

Sufficient training of health care workers is critical in improving quality of care and in achieving the fourth, fifth and sixth millennium development goals in Sub-Saharan Africa.  A cross-sectional study in West Africa explored if pediatric surgery residency training programs address the needs and realities of post-training practices in the region.  A survey of pediatric surgeons showed that most surgeons trained in this region have sufficient exposure in both the surgical and nonsurgical aspects of training.  About 85% of the respondents suggested the establishment of well-equipped children’s hospitals in the region is critical to improve surgical training and practice in West Africa.  In a similar study, a systematic review by Lonkhuijzen et al assessed the effectiveness of training in emergency obstetric care in low resource environments.  The review included 38 papers from different countries and concluded that training resulted in increased knowledge.  The paper also describes measures of positive training programs.    

“Computers, the internet and medical education in Africa”, explores the use of information and communication technology (ICT) in undergraduate medical education in Africa.  There is a limited number of computers available in Africa, limited access and slow internet download times in the region, with East and West Africa the most affected.  The study calls for a partnership to improve ICT infrastructure in medical schools in Africa.

On March 10, 2010 a meeting was held in Montreux, Switzerland to strengthen the capacity of the health workforce information systems.  The technical meeting was organized by the World Health Organization’s Department of Human Resources for Health, the Global Health Workforce Alliance, and the Health Metrics Network in order to establish a Health Workforce Information Reference Group (HIRG).  The meeting focused on strengthening health workforce information systems activities by enhancing the availability and quality of HRH data through a coordinated and standardized approach. 

In “Inequities in the Global Health Workforce: The Greatest Impediment to Health in Sub-Saharan Africa”, Anyangwe explores the scope of the global health workforce crisis and the consequent effect on the Sub-Saharan Africa.  The authors say that “There is simply insufficient adequately trained human capacity, of all cadres, in the region to absorb, apply and make efficient use of the interventions being offered by many new health initiatives.  Among the key problems contributing to the shortages are the insufficient training opportunities.  Africa is woefully lacking in facilities to train health workers.”  The authors argue that the human resource crisis can be tackled by training increased number of health care workers with appropriate mix of skills.



 

Sincerely,

 

  

Francis Omaswa, MBCHB, MMed, FRCS, FCS

Executive Director, African Centre for Global Health and Social Transformation

Co-Chair, SAMSS Advisory Committee

 

 

Fitzhugh Mullan, MD

The George Washington University

Principal Investigator, SAMSS

 

Seble Frehywot, MD, MHSA

The George Washington University

Co-Principal Investigator, SAMSS

 

On behalf of the SAMSS Advisory Committee

 

   

 

A lecture hall with medical students, University of Ibadan, Nigeria

 
 
 

SAMSS Advisory Committee

Magdalena Awases PhD, MA, HMPP, RN

Charles Boelen MD, MPH, MSc

Mohenou Isidore Jean-Marie Diomande MD

Dela Dovlo MB Ch.B, MPH, MWACP

Diaa Eldin Elgaili Abubakr MD
Josefo João Ferro MD

Abraham Halieamlak MD

Jehu Iputo MBChB, PhD

Marian Jacobs MBChB

Abdel Karim Koumaré MD, MPH

Mwapatsa Mipando MSc, PhD

Gottlieb Monekosso MD, DSc, FRCP, FWACP, DTMEH

Emiola Oluwabunmi Olapade-Olaopa MD,. FRCS, FWACS

Francis Omaswa MBCHB, MMed, FRCS, FCS

Paschalis Rugarabamu DDS, MDent

Nelson K. Sewankambo MBChB, M.Sc, M.Med, FRCP


 
 
 
 
 
 

 

Medical students in Makerere University, Uganda 

 
 
 
 

 
The Sub-Saharan African Medical Schools Study
The SAMSS secretariat is located at The George Washington University Department of Health Policy.
SAMSS is supported by the Bill & Melinda Gates Foundation.

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