The Medical Education Partnership Initiative: Strengthening Human Resources to End AIDS and Improve Health in Africa
The Medical Education Partnership Initiative: Strengthening Human Resources to End AIDS and Improve Health in Africa
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DOI：
10.1097/acm.0000000000002489
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发表时间：
2019-11-01
影响因子：
7.4
通讯作者：
Glass, Roger, I
中科院分区：
文献类型：
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作者：
Kilmarx, Peter H.;Katz, Flora;Glass, Roger, I
面对非洲医生的严重短缺，阻碍了美国总统艾滋病紧急救援计划 (PEPFAR) 的实施，医学教育合作伙伴计划 (MEPI) 于 2010 年成立，旨在增加医学毕业生的数量、他们的教育质量以及他们在非洲的保留率。为了总结该计划的成就、经验教训和仍然存在的挑战，作者从美国政府资助机构和实施机构的角度对 MEPI 进行了叙述性回顾，审查了受资助机构的报告并检索了有关 MEPI 的科学出版物。非洲机构在 2010 年至 2015 年期间获得了 11 项计划性赠款，总计 1 亿美元的 PEPFAR 资金，用于实施 MEPI。美国国立卫生研究院 (NIH) 额外提供了 8 项关联和试点赠款，总计 3,000 万美元，以加强医学研究能力。 13 个资助者（来自 12 个国家）与数十个其他政府和学术机构（其中许多在美国）合作，形成了一个强大的医学教育和研究实践社区。干预措施包括增加医学院入学人数、修改课程、招募新教师、加强教师发展、扩大临床技能实验室以及社区和农村培训场所的使用、加强计算机和电信能力以及增加电子学习。通过培训和支持提高研究能力和生产力。美国国立卫生研究院 (NIH) 对教师发展的额外支持以及总统防治艾滋病紧急救援计划 (PEPFAR) 对卫生专业教育和研究的额外支持，正在维持和扩大 MEPI 对某些非洲地区医学教育的变革性影响。
Faced with a critical shortage of physicians in Africa, which hampered the efforts of the U.S. President's Emergency Plan for AIDS Relief (PEPFAR), the Medical Education Partnership Initiative (MEPI) was established in 2010 to increase the number of medical graduates, the quality of their education, and their retention in Africa. To summarize the accomplishments of the initiative, lessons learned, and remaining challenges, the authors conducted a narrative review of MEPI-from the perspectives of the U.S. government funding agencies and implementing agencies-by reviewing reports from grantee institutions and conducting a search of scientific publications about MEPI. African institutions received 11 programmatic grants, totaling $100 million in PEPFAR funds, to implement MEPI from 2010 to 2015. The National Institutes of Health (NIH) provided an additional 8 linked and pilot grants, totaling $30 million, to strengthen medical research capacity. The 13 grant recipients (in 12 countries) partnered with dozens of additional government and academic institutions, including many in the United States, forming a robust community of practice in medical education and research. Interventions included increasing the number of medical school enrollees, revising curricula, recruiting new faculty, enhancing faculty development, expanding the use of clinical skills laboratories and community and rural training sites, strengthening computer and telecommunications capacity, and increasing e-learning. Research capacity and productivity increased through training and support. Additional support from NIH for faculty development, and from PEPFAR for health professions education and research, is sustaining and extending MEPI's transformative effect on medical education in select African sites.