PIHOA55 Meetings

Summary – Kiribati Pre-Internship Program Assessment

Palikir, Pohnpei State, FSM – 13 March 2014

Emerging issuesEmerging issuese.g. Growing emphasis on e.g. Growing emphasis on medical workforce medical workforce andand training training outside the regionoutside the region

2

974

25

7

19

31

98Ability to back-

fill large proportion of

vacant MO positions and

short-fall

6

6

10

~50%

Background:

•14 ELAM graduates returned to Kiribati•10 graduates of FNU working in Kiribati who need Internship Training•WHO and FNU working with Kiribati MHMS to develop Internship Program•Need to assess 14 ELAM graduates•Pre-Intern Assessment Process -Seasoned medical educator staff from FNU CMNHS -Exam: 1) Multiple Choice Questions (MCQ) & Modified Essay Questions (MEQs), 2) Objective Structured Clinical Exam (OSCE): practical exam stations, 3) Objective Structured Practical Exams (OSPE): selected patients & wards rounds

Pre-Intern Assessment Results:

-Gaps in the interns’ knowledge base in the basic and clinical sciences-Overall deficiency in knowledge of certain basic concepts-Little hands-on patient experience during their medical school training, instead training residents (registrars) on the wards of the hospitals in Cuba

Recommendations:

-Transform Kiribati Hospital and its branches into a teaching hospital system-Visiting specialty individuals and teams should have Interns assigned to them-Adopt a two tier registration process: Part I a provisional registration which allows them to practice as Interns under close supervision, and Part 2 full registration-Extend the Internship to two years and include a transition “training internship” up to six months with entrance into the full Internship Program to be individualized depending upon knowledge and skills -Regarding posting after Internship Program: develop a set of criteria as to knowledge base and competencies as to clinical and practical skills needed for next posting

PIHOA55 Meetings

Palikir, Pohnpei State, FSM – 13 March 2014

Thank you

Greg Dever, MDRegional HRH Coordinator gregd@pihoa.org