Programatic-Strengthening Medical Education for Improved Health Outcomes in Kenya

描述(由申请者提供)：内罗毕大学(UON)与其两个长期培训伙伴--华盛顿大学(UW)和马里兰大学巴尔的摩大学(UMB)合作，成立了创新医学教育伙伴关系(PRIME)。Prime申请的主要目标是加强和建设联合大学医学院治疗艾滋病毒和艾滋病毒相关疾病的临床和研究能力。由于UON每年培训一半以上进入劳动力大军的肯尼亚医生，因此提高医疗教育质量的计划(Aim 1)、扩大内罗毕以外医疗培训的范围(Aim 2)以及增加UON教员的留住(Aim 3)都有可能对提高肯尼亚长期健康和健康成果的人力资源能力产生重大影响。为了提高UON的医学教育质量，我们提出了一系列策略，包括使用创新的“技能实验室”，允许学生使用专家患者和模拟模型亲身体验临床经验。此外，教师将接受以艾滋病毒为平台的临床教学培训，并将严格评估新的教育方法，以便在大学范围内推广最有效的方法。为了扩大上述临床培训的范围，Prime将开发和实施一个分散的、以社区为基础的计划，以优化有关艾滋病毒/艾滋病的初级保健和预防医学方面的培训。为此，将在内罗毕以外的12个区医院培训和认可当地医生和专家，这些医院将成为医科学生、实习生和研究生的轮换地点。还将在这些分散的地点采用远程学习和移动电话应用程序进行培训和护理，以确保随着时间的推移培训的可持续性。在第三个目标中，Prime将通过为UON研究生和教师提供从事临床或应用研究的机会来促进教师发展。这将通过三种不同的机制来实现：1)一年的执行科学指导奖学金，2)临床研究的职业发展奖，以及3)种子资助计划。总而言之，这些战略将创造一个有利的学术环境，鼓励以本地为导向的研究，并可持续地增加招聘和留住学术人员。 公共卫生相关性：该应用程序建立在三所合作大学(UON、UW和UMB)的优势之上，以解决UON目前面临的医学教育挑战，最终目标是改善肯尼亚的医疗保健服务。由于UON是肯尼亚最大的医学院，也是东非最大的医学院之一，提高机构一级关于艾滋病毒和相关条件的培训的质量，并将其推广到社区，可能会对艾滋病毒特有的和整体的健康结果产生深远的影响。

DESCRIPTION (provided by applicant): The University of Nairobi (UON) has formed the Partnership for Innovative Medical Education (PRIME) in collaboration with two of its longstanding training partners, the University of Washington (UW) and the University of Maryland Baltimore (UMB). The primary goal of the PRIME application is to strengthen and build clinical and research capacity in the UON School of Medicine for HIV and HIV-related conditions. Because the UON trains more than half of all Kenyan doctors entering the workforce each year, a program improving the quality of medical education (Aim 1), extending the reach of medical training outside Nairobi (Aim 2), and increasing retention of UON faculty (Aim 3) has potential to have a major impact on improving human resource capacity for health and health outcomes long-term in Kenya. To improve the quality of medical education at UON, we propose a combination of strategies, including the use of an innovative "skills lab" that will allow students to have hands-on clinical experiences using expert patients and simulation models. In addition, faculty will be trained in clinical teaching using HIV as a platform, and new educational approaches will be rigorously evaluated to allow promotion of the most effective methods university-wide. To extend the reach of the clinical training described above, PRIME will develop and implement a decentralized, community-based program that optimizes training in primary care and preventive medicine around HIV/AIDS. This will be done by training and accrediting local medical doctors and specialists at 12 district hospitals outside Nairobi which will become rotation sites for medical students, interns, and postgraduates. Distance learning and mobile phone applications will also be introduced for training and care at these decentralized sites to ensure sustainability of training over time. In the third aim, PRIME will promote faculty development by providing opportunities for UON postgraduates and faculty to pursue clinical or applied research. This will be accomplished through three different mechanisms: 1) a one-year mentored fellowship in implementation science, 2) a career development award in clinical research, and 3) a seed grant program. Together, these strategies will result in creation of an enabling academic environment which will encourage locally driven research and a sustainable increase in the recruitment and retention of academic faculty. PUBLIC HEALTH RELEVANCE: This application builds on the strengths of three partnering universities (UON, UW and UMB) to address the current medical education challenges faced by UON, with the ultimate goal of improving healthcare delivery across Kenya. As UON is the largest medical school in Kenya and one of the largest in East Africa, improving quality of training around HIV and related conditions at the institutional level and extending this into communities could have a profound effect on HIV-specific and overall health outcomes.