Lessons from the Design and Implementation of a Pediatric Critical Care and Emergency Medicine Train
Presenter: Michelle Grunauer
October 5, 12 PM ET

For more than 60 years, the world has recognized the need for pediatric critical care (PCC). Today, most low- and middle-income countries (LMICs) still lack access to pediatric intensive care units (PICUs) and specialists, resulting in high rates of morbidity and mortality. These disparities result from several infrastructure and socioeconomic factors, chief among them is the lack of trained PCC and emergency medicine (PCCEM) frontline providers. In this seminar, we describe a continuing medical education model to increase frontline PCC capacity in Ecuador. The Laude in PCCEM is a program created by a team of Ecuadorian physicians at the University San Francisco de Quito School of Medicine. The program is aimed at providers with no formal training in PCC and who, nonetheless, care for critically ill children. The program resulted in stronger, more cohesive PICU teams with improved resuscitation times and coordination during simulation rounds. In hospitals that implemented the program, we saw decrease PICU mortality rates. Our aim is to identify the opportunities and challenges learned and to offer lessons for other countries that use similar models to cope with the lack of local resource availability.

For more information and to register for the Fall 2017 Audio Seminar Series, please click here.

In case you missed yesterday’s Webcast Audio Seminar (WAS) Session, here are the highlights of this session:

The Future of Family Medicine – In China
Presenter: William J. Burke, D.O., FACOFP
September 14, 12 PM EST

Objectives:

• Discuss the background leading to an emphasis on the development of primary care.
• Share the International Primary Care Educational Alliance (IPCEA) journey in China
• Discuss Healthy China 2020/2030

The purpose of IPCEA is to advance the recognition and development of primary care medicine as the foundation required to provide timely and appropriate access to quality, cost-effective, humanitarian health care for all people of the world.

Physician Training Today in China

• Complete K -12 in High School
• Matriculate into Medical School right after High School
• Complete residency of 5, 7 or 8 years
  • Bachelor’s Degree after 5 years
  • Master’s Degree after 7 years
  • D. after 8 years
  • Both 7 and 8-year degree involve research
  • All degrees include a 1 year Clinical year similar to our 3^rd year clerkship year

Dilemma in China

• Access
• Quality
• Cost
• Lack of Insurance Coverage
• Rising Cost of Healthcare
• Lack of Confidence in Community Clinics and Small Hospitals

Solutions

• New Government Focus
  • Make people-centered health care a priority
• Increased Tax Base
• Increased Government Funding for Universal Basic Healthcare
• Decision to turn to Primary Care and the Partnership with IPCEA
• Goal to have 300,000 new and re-trained Family Medicine Doctors by 2020.
• Increase the number of Community Health Centers and Community Health Stations.

For more information on the next session or to register, please click here.

Challenges and Opportunities for (New) Medical Schools in Africa
Presenter: Quentin Eichbaum
September 28, 12 PM ET

Over 100 new medical schools are projected to open in Africa over the next decade. These new schools face daunting challenges but are also presented with unique opportunities. This talk will focus on these challenges and opportunities including: the development of context-specific curricula; development of equitable admissions policies; establishment of postgraduate training programs with contextualized accreditation standards; development of sustainable research programs; development inter-and transprofessional programs; and establishment of viable faculty and health worker recruitment and retention policies. The talk will discuss initiatives of consortia such as the former Medical Education Partnership Initiative (MEPI) and the Consortium of New Sub Sahara African Medical Schools (CONSAMS) as models for promoting health professional education in Africa.

For more information and to register for the Fall 2017 Audio Seminar Series, please click here.

In case you missed yesterday’s Webcast Audio Seminar (WAS) Session, here are the highlights of this session:

The Rising Tide of Competency-Based Medical Education: A Global View
Presenter: Jason Frank
September 7, 12 PM EST

Summary:

• Health Professions Education (HPE)
  • Several Challenges of HPE
  • Time spent does not equal ability achieved
  • Trainees are not fully trained when arriving at clinical sites
  • Assessment issues
• Competency Based Medical Education (CMBE)
• Principles based on
  • Focuses on outcomes; graduate ability – not knowledge
  • Ensures progression of competence
  • Time is a resource not a framework
  • Promotes learner centeredness
  • Greater transparency to utility
• Spectrum of skills acquisition
  • Novice > Advance Beginner > Competence > Proficiency > Expertise
• CBME definition of Competency is an observable ability of a health professional
• Van Melle’s Core Components of CBME (Five elements of a CBME Curriculum)
  • Outcomes competency framework
  • Sequence progression of competency
  • Tailored learning experiences
  • Tailored bedside coaching and observation
  • Programmatic assessment
• Bottom line: Is your program a competency based?
• CBME is about a better way to train health professionals.

For more information on the next session or to register, please click here.

Global Healthcare Overview of European Model
Presenters: Jen Cleland and Meabh Ni Bhuinneain
September 21, 12 PM ET

“Recruitment and retention in junior doctors: global issues, local solutions?”

Medical education and training systems in the most countries allow doctors in training considerable individual choice about which specialty they select and where they wish to train. This flexibility is desirable to the individual, but not necessarily for the country’s health service: many countries cannot recruit doctors into certain specialties and/or to particular geographical areas. Many studies have identified a number of factors which influence medical and other healthcare careers decision making. However, only relatively recently have methodologies been adopted which examine which are the most important “push-pull” factors in healthcare professional career decision making. In this talk I will give an overview of the global issues, then discuss my own work and that of others in relation to the labour-market choices of healthcare professionals. I will conclude by discussing ways in which we can best select and support the healthcare workforce in order to start to address workforce shortages.

“A European Case Study of Rural Health System Strengthening through Rural Medical Academy Development”

Facilitated Exchange on the Role of Medical Educators in Global Health System Strengthening with reference to rural health systems

• Presentation of a Case Study on Rural Medical Academy Development in the West of Ireland
• Dialogue on the human resource challenges in the provision of rural health professional coverage worldwide.
• Discuss the transitioning requirements of the Medical Student moving to the rural health environment.
• Consider the reciprocal benefits to the rural host institution and opportunities for academic advancement

For more information and to register for the Fall 2017 Audio Seminar Series, please click here.

The Future of Family Medicine In China
Presenter: William Burke
September 14, 12 PM ET

This web seminar will focus on the work of the International Primary Care Educational Alliance (IPCEA) over the past 10 years in China. From the development of family medicine residencies to the retraining of former subspecialists who are now providing primary care services in Chinese Community Health Centers, the IPCEA has been working with local and provincial health and family planning commissions, medical universities and others to meet the goals of the triple aim: enhancing patient experience (access, enhanced quality of care), improving population health, and reducing the cost of the care delivered.

For more information and to register for the Fall 2017 Audio Seminar Series, please click here.