GID PLANNING GRANT:DEVELOPMENT OF A PHYSICIAN SCIENTIST RESEARCH TRAINING PROGRAM IN KENYA

 描述(由申请人提供)：RACT发展研究培训网络是促进发展中国家和发达国家机构之间的研究产出和合作的一种成功的方法[1]。2010年，肯尼亚内罗毕大学(UON)和巴尔的摩马里兰大学(UMB)签署了一项谅解备忘录，以支持两所大学在传染病培训和研究领域的合作。这一合作的结果大大改善了肯尼亚的传染病能力、研究和培训机会。目前，全国成人艾滋病毒感染率为5.6%；符合抗逆转录病毒治疗(ART)条件的患者中只有63%正在接受治疗，这些患者中只有78%实现了病毒学抑制[2]。虽然肯尼亚在扩大艾滋病毒预防、护理和治疗服务方面取得了许多成就，但在提供护理方面仍有很大差距。过去30年，地方政府为支持艾滋病毒服务提供和研究而提供的资金和国际捐助者援助大大减少了对艾滋病毒合并感染的重视。由于传染病研究培训方面的缺陷，肯尼亚的医生通常是消费者，而不是新知识的发现者。这种情况不仅在肯尼亚出现，而且在整个非洲的大多数国家都在复制。我们提出了三个博士级别的培训，以支持艾滋病毒合并感染研究的人力资源能力：i.对临床传染病科现有传染病教员进行博士培训， UON。这一培训的第一阶段将侧重于培养指导未来受训者的教师，教师将为注册参加其他博士项目的学生提供未来的指导。ID教员包括传染病内科医生、传染病儿科医生、微生物学家、流行病学家和病理学家。二、传染病奖学金/博士项目。研究员将被提供额外两年的研究，直到获得博士学位。研究员不仅将担任未来的ID教员，还将被部署到卫生部的设施中，在那里他们将在传染病管理和研究III方面提供领导。作为内罗毕大学目前提供的医学硕士学位课程的补充，导致医学硕士/博士结合的插补课程(MMED/博士)。拟议的培训计划结合了内罗毕大学临床培训和马里兰大学博士培训的优势。为了建立适合肯尼亚学生的课程，需要对这两个机构的教学资源、后勤、可行性和师资进行一段时间的评估。规划赠款将有三个对发展博士培训方案至关重要的不同目标；目标1：确定内罗毕大学医学院高级研究培训方案的需求和结构；目标2：在合作机构建立现有的培训环境，以及在内罗毕大学医学院建立高级研究方案所需的额外资源。目标3：制定和实施在内罗毕大学医学院建立高级研究培训方案的框架。

 DESCRIPTION (provided by applicant): RACT Development of research training networks is a successful method of stimulating research output and collaborations between institutions in developing and developed countries [1]. In the year 2010 University of Nairobi (UoN), Kenya and University of Maryland, Baltimore (UMB) signed a memorandum of understanding to support collaborations between the two universities in the area of training and research in infectious disease. The outcome of this collaboration has led to significant improvements in infectious disease capacity, research and training opportunities in Kenya. Currently, the adult national HIV prevalence is 5.6%; only 63% of patients eligible for anti- retroviral therapy (ART) are on treatment, and only 78% of these patients have achieved virological suppression [2]. Although there have been numerous achievements in the scale up of HIV prevention, care and treatment services in Kenya, there are still significant gaps in provision of care. Local government funding and international donor aid provided to support HIV service provision and research over the past three decades, has placed considerably less emphasis on HIV co-infections. As a result of the shortcomings in infectious disease research training, doctors in Kenya are usually consumers rather than discoverers of new knowledge. This is a state not only witnessed in Kenya, but replicated in most countries throughout Africa. We propose 3 tracks of doctoral level training to support human resource capacity for research in HIV con-infections: i. PhD training for the current infectious disease faculty at the Unit of Clinical Infectious Disease, UoN. This first phase of the training will focus on developing faculty to supervise future trainees The faculty will provide future supervision to students enrolled into the other PhD programs. The ID faculty include infectious disease physicians, infectious disease paediatricians, microbiologists, epidemiologists and pathologists. ii. An Infectious disease intercalated Fellowship/PhD program. Fellows will be offered an additional 2 years of research leading up to a PhD. Fellows will not only act as future ID faculty but will also be deployed to Ministry of Health facilities where they will provide leadership in infectious disease management and research iii. As an add on to the current Master of Medicine degree courses offered at the University of Nairobi leading to a combined Master of Medicine/PhD intercalated program (MMed/PhD). The proposed training programs combine the strengths of clinical training at University of Nairobi with PhD training at University of Maryland. In order to build a curriculum appropriate to the Kenyan student, a period of assessment of teaching and learning resources, logistics, feasibility and faculty available at both institutions is required. The planning grant wll have three distinct aims essential to the development of the PhD training programs; AIM 1: To establish the need for and structure of the advanced research training programs at the School of Medicine, University of Nairobi AIM 2: To establish the available training environment at the collaborating institutions and additional resources needed to establish the advanced research program at the School of Medicine, University of Nairobi AIM 3: To develop and implement a framework for the establishment of the advanced research training programs at the School of Medicine, University of Nairobi.