Panel Discussions "Snapshot 1. Discussant: Dr. Don Wasylenki
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1 Panel Discussions "Snapshot 1 Discussant: Dr. Don Wasylenki
2 Toronto Addis Ababa Academic Collaboration in Emergency Medicine: TAAAC-EM Dr. James Maskalyk Dr. Assefu Woldetsadik
3 The Beginning Ethiopia has no trained emergency physicians or EM infrastructure for 91+ million people 2008: delegation from AAU visits U of T to request expanded educational collaboration in EM (based on TAAPP model) EM task force created. Includes representatives from AAU and U of T. First formal teaching trip and TAAAC-EM launch: October 2010
4 Activities 3-year, longitudinal curriculum 3x month-long teaching trips per year + senior resident elective ED Ultrasound Mentorship Evaluations/Examinations Research Telesimulation
5 Accomplishments *Graduation of 1 st cohort of EM physicians October 2013! 14 successful teaching trips, 46 delegates (inc. faculty, residents, research and program staff) 8 collaborative research projects ongoing Ethiopia Society of Emergency Practitioners (ESEP) Financial support continues to grow hospital practice plans, research and institutional grants, individual donations
6 Challenges and Opportunities Graduate retention Exit strategy, transition, or expansion?
7 Questions? Thank you!
8 TAAAC Internal Medicine Dr. Ahmed Reja Dr. Abdulaziz A Sherif Dr. Eugenia Piliotis
9 First Steps June 2008 initial needs assessment Conference in Addis Ababa Higher Education in Ethiopia Plan for collaboration for 1-3 training programs Fall 2008 UofT DOM Approval of project Multiple site visits by UofT leads from all three programs April 2012 start of three specialty training programs Gastroenterology - 4 fellows Hematology 3 fellows Endocrinology 2 fellows
10 Activities Formal Didactic Teaching Weekly General Medicine Lectures Weekly Specialty Fellow Lectures Weekly Journal Clubs Video link to UofT Rounds Bedside teaching Clinics Wards Consults
11 Activities Procedural Teaching Endoscopy / Colonoscopy Ultrasound guided biopsy Bone Marrow Hematopathology Diabetic Retinopathy Mentorship in Research Projects
12 Challenges Small UofT Divisions 2 staff per trip / 4 week commitment Partnerships with other universities Gastroenterology Norwegian Endocrine Birmingham (UK) Temple (USA)
13 Challenges Recruitment of Fellows Prolonged training / Financial strains Return of service contracts / great need in home hospital for urgent return of specialists Concerns of being only subspecialist on return to home university
14 Opportunities Partnership with Pediatrics Peritoneal Dialysis program New subspecialty training programs Nephrology Cardiology
15 Successes 8 Fellows scheduled to graduate Spring 2014 Multiple collaborative research projects blossoming Strong long lasting ties between our two Departments of Medicine
16 Questions?
17 Family Medicine Ethiopia Dawit Wondimagegn 1 Miliard Derbew 1 Jane Philpott 2 Brian Cornelson 2 Katherine Rouleau 2 Eileen Nicolle 2 Praseedha Janakiram 2 1 School of Medicine, College of Health Sciences, Addis Ababa University 2 Department of Family and Community Medicine, University of Toronto
18 Family Medicine Initial discussions 2008 FM CME 2009 Meeting with FMoH 2010 Time-Motion Study for needs assessment 2011 Curriculum approved January Canadian family physicians in Addis Ababa Inauguration February 2013 Eight PGY1 residents (4 men, 4 women)
19 Activities Rotations in major disciplines Academic Half-Day One afternoon weekly Focus on faculty development Arada Health Centre One afternoon weekly Emphasis on principles of family medicine
20 Activities Specialized training ALSO (Advanced Life Support in Obstetrics) Cervical cancer screening and treatment Surgical skills Public health and research Interpersonal Therapy training for mental health
21 Challenges and Opportunities Challenges Need clear understanding of characteristics of family medicine and their potential value Need clear delineation of role of family doctor in Ethiopian health care system Opportunities Expansion to other medical schools Strong FMoH commitment to expansion of primary care Dramatic expansion in number of doctors being graduated Transition to community-based curriculum
22 Questions
23 The Ethiopian Canadian Nursing Collaboration Amy Bender RN PhD Asrat Demissie MSN Amsale
24 A Very Brief History of the Partnership : Answered a request for help in psychiatric nursing education : answered a request for support of the Masters program & inter-organizational nursing collaboration began : 3-year partnership agreement signed
25 Focus on Strengthening Nursing Research Capacity Emphasizing: sustainability & cultivation of intercultural peer/mentor relationships amongst faculty, students, & clinical nurse leaders 3-year objectives: 1. To enhance scholarship in existing MSN curriculum through seminar-based learning and individual mentoring that focuses on research proposal development and final report writing. 2. To increase the quality/rigour of final research reports of two batches of MSN students evidenced in successful defense and graduation. 3. To address professional development needs of faculty members of MSN program through collegial peer support and the sharing of material resources.
26 Activities & Highlights Classroom Teaching & Seminars Individual Mentorship E-mentoring Networking
27
28 Students reported new knowledge and skills: Developing confidence in conducting and documenting systematic literature searches. Deepened understanding of qualitative methodologies, and enhanced appreciation of the complexity of mixed methods studies. Ability to articulate the rationale for using a theoretical framework in research. Preparation to apply to doctoral programs. New learning regarding teaching style and strategies.
29 Moving forward Research focused phase ending and clinical focused phase beginning Evaluation of first phase course evaluations, survey of graduates, documents/trip reports, correspondence Clinical focus in Critical Care 3 teaching trips beginning Feb 2014
30 THANK YOU! With grateful acknowledgements, To funders To educators & collaborators
31 The Toronto Addis Ababa Surgery Collaboration Mark Bernstein, MD, MHSc, FRCSC The Greg Wilkins-Barrick Chair in International Surgery Professor, Department of Surgery, University of Toronto Neurosurgeon, Toronto Western Hospital, University Health Network
32
33 Orthopedic Surgery (A. Howard) Pediatric orthopedic curriculum has been submitted to Addis Ababa University Provision of online training modules via Moodle and Surgery in Africa Provision of access to University of Toronto library via Ptolemy Several group trips and one 2 month individual teaching trip to Black Lion
34 Pediatric Surgery (T. Gerstle) There have been 5 trips to Addis to provide operative teaching including anesthesia, dental care, and nursing A new training program has been started in Addis with two trainees - both have applied to spend six months in Toronto in 2014 via the Prakash Scholarship. There is no funding support - enhancing the in-country training via funding is needed
35 Neurosurgery
36 Goals for Neurosurgery To create collaboration To teach there (e.g. awake craniotomy, simple research, etc) To bring Ethiopian colleagues over here as observers and Fellows To institute an on-line curriculum To take useful equipment there
37 Current Activity 3 trips to BLH: November 2012; March 2013; November 2013 Personnel: neurosurgeons, anesthetist, OR nurses, resident, medical student We have taught: a) awake craniotomy for tumour (surgery, anesthesia, nursing); b) qualitative research - 3 studies; c) on-line neurosurgery course
38 Observers and Fellows 3 Ethiopians (2 residents and the Chief of Neurosurgery) were observers at Toronto Western Hospital August 24 - September 7, 2013 One of the 3 staff neurosurgeons at BLH will be a Clinical Fellow in Neurosurgery at TWH July 1, 2014 June 30, 2015
39
40
41 The Future More visits there with more Toronto neurosurgeons and others going More observers and Fellows coming from Addis to Toronto More collaborative research projects Equipment transfer e.g. surgical navigation system, cortical stimulator
42 Thanks to the Greg Wilkins - Barrick Chair
43
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