Supporting tr

ansform

ational c

hange

of Medica

l Educa

tion in

Malawi

  D. Dewhurst

, H. C

ameron, N. T

urner, M. B

egg,

College of M

edicine, U

niversi

ty of E

dinburgh, UK;

E. Borgste

in

College of M

edicine, Unive

rsity

of Malawi

Healthcare del ivery Population 16m 45% <14y 2.5% >64y

• Needs 16,000 nurses (WHO)Currently has 4000

• Needs 2000 doctors Currently has 250 with very few in some specialties

• Clinical Officers/Medical Assistants – 600

Medical & Healthcare Professional Education

University of Malawi • College of Medicine - UG Medical students 30-60 and then to 100 pa• Kamuzu College of Nursing - Nurses and midwives UG and PG – 100 pa• Malawi College of Health Sciences - Clinical Officers, Nurses

Recruitment targets for education providers increased substantially - no extra resources

Colleges need to more efficient move away from didactic teaching modernise curriculum reduce staff:student contact – 30% introduce ICT

Edinburgh-Malawi collaboration

Three Scottish Government IDF-funded projects 2006 – present - circa £1mMulti-professional – medicine, nursing, clinical officers Multi-level - UG, PG and CPD

5 major work streams:• Capacity Building mainly in digital content creation• Provision of existing Edinburgh electronic resources • Support for curriculum development and staff development• Infrastructure improvement• Online CPD recording system for Medicine initially

Linked Projects: St Andrews (Guild); West of Scotland (McLachlan)

Continuum of activity – long-term vision

Didactic student-centred (supported by digital resources)

Sensitization training implementation sustainability

Capacity-building workshops local training

Edinburgh resources local development

ICT infrastructure Curriculum management system, PCs, server

Medicine Nursing Clinical Officers

Achievements

• Capacity building

• Good evidence of local resource creation and further capacity building

• Significant number of Edinburgh digital resources linked to CMS

• CMS development

• Curriculum development

• Staff professional development

• CPD recording system - built, piloted in CoM and staff training completed.

• Infrastructure improvement

HIGH QUALITY IMAGES

VIDEO

Key decisions

• Focus on ‘Train-the Trainers’ – content creation workshops• Easy-to-use content creation software

• Provide exemplar digital resources • Catalogue of Edinburgh resources • Circa 400 Edinburgh and third-party resources

• support Y1 and Y2 – basic sciences and some clinical subjects• Enable good access for students – structured CMS, robust intranet• Support ‘local ownership’

• Parallel Curriculum and staff development activities

• Appoint local Project Manager and Academic Liaison Officers - ‘key staff’

• Steering Group with senior staff representation – buy-in

SUMMARY

• Capacity Building – 150+ staff trained

• Provision of Edinburgh resources – 470+

• Locally developed resources – 100+

• Access for students• Curriculum modernisation/review• Curriculum Management System – locally built & managed• IT infrastructure improvement• Trained IT staff

• Staff Professional Development

• CPD recording system

THANKYOU FOR YOUR ATTENTION

d.dewhurst@ed.ac.uk