Development of emergency medicine in Rwanda

Kabeza, Antoine Bahati; George, Naomi; Nyundo, Martin; Levine, Adam C.

doi:10.1016/j.afjem.2012.11.004

Cited by 13 publications

(15 citation statements)

References 2 publications

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“…11,48,64,66,[101][102][103][104][105][106][107] Programs discussed the need for international partners to help train an initial critical mass of specialists, including faculty, and ensure that curricula prepared graduates to serve as leaders, teachers, and supervisors in these disciplines. 11,48,[64][65][66]108,109 Resources and Financing of PGME Programs reported on suboptimal resources for training, including accommodations, transportation, electricity, safe drinking water, and access to good quality food. 35,61 Programs also reported on suboptimal conditions in health facilities, including inadequately maintained equipment, unreliable drug supplies, and inconsistent availability of laboratory and radiology services.…”

Section: Thematic Analysis Of Lessons Learned From Specific Pgme Progmentioning

confidence: 99%

Postgraduate Medical Education in Sub-Saharan Africa: A Scoping Review Spanning 26 Years and Lessons Learned

Talib

Narayan

Harrod

2019

Journal of Graduate Medical Education

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Background Investments in training physician specialists through postgraduate medical education (PGME) are critical for Sub-Saharan Africa, given the increasing burden of non-communicable diseases.Objectives The objectives of this scoping review were to (1) understand the breadth of publications on PGME from Sub-Saharan Africa, and (2) conduct a thematic analysis of lessons learned by specific training programs.Methods We conducted a literature search of 7 databases for PGME literature published between January 1991 and December 2016. Two reviewers independently reviewed titles and abstracts for inclusion. Full-text articles were then reviewed, and bibliometric data were extracted to create a profile of PGME-related publications. Two authors coded the manuscripts to identify articles written about specific PGME programs. These were analyzed for lessons learned. ResultsWe identified 813 publications that reported on postgraduate medical education in Sub-Saharan Africa. Most articles were published between 2005 and 2016. Nations leading in publication were South Africa and Nigeria, followed by Ethiopia, Uganda, Kenya, Ghana, and Malawi. The largest number of articles related to general surgery training, followed by family medicine, emergency medicine, and anesthesiology. Thematic analysis revealed advantages of training programs for health facilities, challenges related to teaching, resourcing, and standardizing of training, and lessons learned related to international partnerships, faculty engagement, and research support for trainees.Conclusions PGME in Sub-Saharan Africa has evolved over the past 26 years. Future growth will require strategic support to scale programs, support new specialties, trainees, and teachers, and leverage best practice models to sustain PGME programs.

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Section: Thematic Analysis Of Lessons Learned From Specific Pgme Progmentioning

confidence: 99%

Postgraduate Medical Education in Sub-Saharan Africa: A Scoping Review Spanning 26 Years and Lessons Learned

Talib

Narayan

Harrod

2019

Journal of Graduate Medical Education

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“…We identified 10 African countries that have EMRPs through our literature search and 2 through discussions with African EM associations and leaders 9–21. There are 15 EMRPs (1 of which is a combined EM and FM programme) across the 12 countries (figure 1).…”

Section: Resultsmentioning

confidence: 99%

Emergency medicine registrar training in Africa: overview of programmes, faculty and sustainability

et al. 2020

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BackgroundThe specialty of emergency medicine (EM) is new in most African countries, where emergency medicine registrar (residency) programmes (EMRPs) are at different stages of evolution and little is known about the programmes. Identifying and describing these EMRPs will facilitate planning for sustainability, collaborative efforts and curriculum development for existing and future programmes. Our objective was to identify and provide an overview of existing EMRPs in Africa and their applicant requirements, faculty characteristics and plans for sustainability.MethodsWe conducted a descriptive cross-sectional survey of Africa’s EMRPs between January and December 2017, identifying programmes through an online search supplemented by discussions with African EM leaders. Leaders of all identified African EMRPs were invited to participate. Data were collected prospectively using a structured survey and are summarised with descriptive statistics.ResultsWe identified 15 programmes in 12 countries and received survey responses from 11 programmes in 10 countries. Eight of the responding EMRPs began in 2010 or later. Only 36% of the EMRPs offer a 3-year programme. Women make up an average of 33% of faculty. Only 40% of EMRPs require faculty to be EM specialists. In smaller samples that reported the relevant data, 67% (4/6) of EMRPs have EM specialists who trained in that EMRP programme making up more than half of their faculty; 57% of Africa’s 288 EMRP graduates to date are men; and an average of 39% of EMRP graduates stay on as faculty for 78% (7/9) of EMRPs.ConclusionEMRPs currently produce most of their own EM faculty. Almost equal proportions of men and women have graduated from a predominantly >3-year training programme. Graduates have a variety of opportunities in academia and private practice. Future assessments may wish to focus on the evolution of these programme’ curricula, faculty composition and graduates’ career options.

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“…General practitioners, typically recent medical school graduates with no formal postgraduate level training, usually staff these wards [8]. Cases requiring complex care are transferred to a referral hospital.…”

Section: Accessing Emergency Care In Rwandamentioning

confidence: 99%

State of emergency medicine in Rwanda 2015: an innovative trainee and trainer model

Mbanjumucyo¹,

DeVos

Pulfrey

et al. 2015

Int J Emerg Med

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The 1994 Rwandan war and genocide left more than 1 million people dead; millions displaced; and the country’s economic, social, and health infrastructure destroyed. Despite remaining one of the poorest countries in the world, Rwanda has made remarkable gains in health, social, and economic development over the last 20 years, but modern emergency care has been slow to progress. Rwanda has recently established the Human Resources for Health program to rapidly build capacity in multiple sectors of its healthcare delivery system, including emergency medicine. This project involves multiple medical and surgical residencies, nursing programs, allied health professional trainings, and hospital administrative support. A real strength of the program is that trainers work with international faculty at Rwanda’s referral hospital, but also as emergency medicine specialty trainers when returning to their respective district hospitals. Rwanda’s first emergency medicine trainees are playing a unique and important role in the implementation of emergency care systems and education in the country’s district hospitals. While there has been early vital progress in building emergency medicine’s foundations in Rwanda, there remains much work to be done. This will be accomplished with careful planning and strong commitment from the country’s healthcare and emergency medicine leaders.

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Development of emergency medicine in Rwanda

Cited by 13 publications

References 2 publications

Postgraduate Medical Education in Sub-Saharan Africa: A Scoping Review Spanning 26 Years and Lessons Learned

Postgraduate Medical Education in Sub-Saharan Africa: A Scoping Review Spanning 26 Years and Lessons Learned

Emergency medicine registrar training in Africa: overview of programmes, faculty and sustainability

State of emergency medicine in Rwanda 2015: an innovative trainee and trainer model

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