Educating and Developing Bioethicists in Tanzania (ENGAGE)

摘要 此应用程序响应PAR-16-454： 国际生物伦理学研究培训计划（D43） 重点是在坦桑尼亚开展生物伦理学研究培训。 需要经过博士培训的生物伦理学学者， 低收入和中等收入国家（LMIC）的生物伦理学奖学金迫在眉睫。随着最近出现的 新型冠状病毒公共卫生大流行以及对有限资源分配的担忧， 在做出影响其公民的道德决定时面临巨大挑战。他们还面临着其他的一天- 临床护理和临床研究中的日常伦理问题，包括弱势患者的知情同意， 艾滋病毒发病率和流行率、关于决策作用的文化观点、向病人讲真话以及 家庭，以及其他许多人。所有这些领域都需要教育和发展坦桑尼亚的生物伦理学家 （订婚）。我们充分利用Muhimbili和Muhimbili之间九年成功的跨学科合作， 卫生和联合服务大学（MUHAS），达特茅斯和宾夕法尼亚大学， 在坦桑尼亚培养一批生物伦理学博士研究生。合作促进了 生物伦理学系的创建、人员配备以及已证明的可持续性和成功， 公共卫生与社会科学学院的健康哲学。该署提供 生物伦理学硕士，并在提供的广泛的学位课程中教授生物伦理学， 穆哈斯。此应用程序的目的是在此成就的基础上， 培养能够整合理论、研究和公共卫生政策的生物伦理学学者， 与国家有关的生物伦理学领域的知识和学术领袖。为了实现这一目标，我们 建议：（1）招聘和培养六名博士级人员;（2）培养下一代 生物伦理学学者谁将在科学探究和公众健康的进步， （3）发展该地区生物伦理学的可持续研究能力。没有任何机构 在坦桑尼亚，提供博士水平的正式生物伦理学培训。因此，该国和该区域将 受益于博士准备的生物伦理学家谁有能力解决该国最紧迫的 生物伦理学和公共卫生相关问题。

ABSTRACT This application responds to PAR-16-454: International Bioethics Research Training Program (D43) with a focus on bioethics research training in Tanzania. The need for doctoral-trained bioethics scholars and bioethics scholarship in low and middle-income countries (LMIC) is urgent. With the recent emergence of the coronavirus public health pandemic and concerns about the allocation of finite resources, LMICs face daunting challenges when making ethical decisions that affect their citizens. They also face other day-to- day ethical issues in clinical care and clinical research, including informed consent from vulnerable patients, HIV incidence and prevalence, cultural views about decision-making roles, truth-telling to patients and families, and many others. All these areas require educating and developing bioethicists in Tanzania (ENGAGE). We capitalize on nine years of successful interdisciplinary collaboration between Muhimbili University of Health and Allied Services (MUHAS), Dartmouth and the University of Pennsylvania to prepare a cadre of doctoral prepared bioethics scholars in Tanzania. The collaboration has facilitated the creation, staffing, and demonstrated sustainability and successes of the Department of Bioethics and Health Professionalism in the School of Public Health and Social Sciences. The Department offers the Masters of Bioethics and teaches bioethics across the broad spectrum of degree programs offered at MUHAS. The purpose of this application is to build on this accomplishment and address the need to develop bioethics scholars who can integrate theory, research, and public-health policy and become intellectual and academic leaders in the field of bioethics relevant to the country. To achieve this aim, we propose to: (1) recruit and train six individuals at the doctoral level; (2) prepare the next generation of bioethics scholars who will be at the forefront of scientific inquiry and advancement of the public's health in Tanzania, and (3) develop a sustainable research capacity for bioethics in the region. There is no institution in Tanzania that offers formal bioethics training at the doctoral level. Thus, the country and the region will benefit from doctoral prepared bioethicists who have the skills to address the country's most pressing bioethics and public health-related problems.