Development and launch of the first obstetrics and gynaecology master of medicine residency training programme in Botswana
Abstract Background Sub-Saharan Africa (SSA) faces a severe shortage of Obstetrician Gynaecologists (OBGYNs). While the Lancet Commission for Global Surgery recommends 20 OBGYNs per 100,000 population, Botswana has only 40 OBGYNs for a population of 2.3 million. We describe the development of the fi...
| Main Authors: | , , , , , , , , , , , , |
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| Format: | Article |
| Language: | English |
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BMC
2021-01-01
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| Series: | BMC Medical Education |
| Online Access: | https://doi.org/10.1186/s12909-020-02446-1 |
| _version_ | 1818937040111140864 |
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| author | R. Luckett M. Nassali T. Melese B. Moreri-Ntshabele T. Moloi G. J. Hofmeyr K. Chobanga J. Masunge J. Makhema M. Pollard H. A. Ricciotti D. Ramogola-Masire L. Bazzett-Matabele |
| author_facet | R. Luckett M. Nassali T. Melese B. Moreri-Ntshabele T. Moloi G. J. Hofmeyr K. Chobanga J. Masunge J. Makhema M. Pollard H. A. Ricciotti D. Ramogola-Masire L. Bazzett-Matabele |
| author_sort | R. Luckett |
| collection | DOAJ |
| description | Abstract Background Sub-Saharan Africa (SSA) faces a severe shortage of Obstetrician Gynaecologists (OBGYNs). While the Lancet Commission for Global Surgery recommends 20 OBGYNs per 100,000 population, Botswana has only 40 OBGYNs for a population of 2.3 million. We describe the development of the first OBGYN Master of Medicine (MMed) training programme in Botswana to address this human resource shortage. Methods We developed a 4-year OBGYN MMed programme at the University of Botswana (UB) using the Kern’s approach. In-line with UB MMed standards, the programme includes clinical apprenticeship training complemented by didactic and research requirements. We benchmarked curriculum content, learning outcomes, competencies, assessment strategies and research requirements with regional and international programmes. We engaged relevant local stakeholders and developed international collaborations to support in-country subspecialty training. Results The OBGYN MMed curriculum was completed and approved by all relevant UB bodies within ten months during which time additional staff were recruited and programme financing was assured. The programme was advertised immediately; 26 candidates applied for four positions, and all selected candidates accepted. The programme was launched in January 2020 with government salary support of all residents. The clinical rotations and curricular development have been rolled out successfully. The first round of continuous assessment of residents was performed and internal programme evaluation was conducted. The national accreditation process was initiated. Conclusion Training OBGYNs in-country has many benefits to health systems in SSA. Curricula can be adjusted to local resource context yet achieve international standards through thoughtful design and purposeful collaborations. |
| first_indexed | 2024-12-20T05:45:38Z |
| format | Article |
| id | doaj.art-8843c30c941a4ca4b077c2e8356fb180 |
| institution | Directory Open Access Journal |
| issn | 1472-6920 |
| language | English |
| last_indexed | 2024-12-20T05:45:38Z |
| publishDate | 2021-01-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Medical Education |
| spelling | doaj.art-8843c30c941a4ca4b077c2e8356fb1802022-12-21T19:51:18ZengBMCBMC Medical Education1472-69202021-01-012111910.1186/s12909-020-02446-1Development and launch of the first obstetrics and gynaecology master of medicine residency training programme in BotswanaR. Luckett0M. Nassali1T. Melese2B. Moreri-Ntshabele3T. Moloi4G. J. Hofmeyr5K. Chobanga6J. Masunge7J. Makhema8M. Pollard9H. A. Ricciotti10D. Ramogola-Masire11L. Bazzett-Matabele12Department of Obstetrics and Gynaecology, Faculty of Medicine, University of BotswanaDepartment of Obstetrics and Gynaecology, Faculty of Medicine, University of BotswanaDepartment of Obstetrics and Gynaecology, Faculty of Medicine, University of BotswanaDepartment of Obstetrics and Gynaecology, Faculty of Medicine, University of BotswanaDepartment of Obstetrics and Gynaecology, Princess Marina HospitalDepartment of Obstetrics and Gynaecology, Faculty of Medicine, University of BotswanaDepartment of Obstetrics and Gynaecology, Faculty of Medicine, University of BotswanaFaculty of Medicine, University of BotswanaThe Botswana Harvard AIDS Institute PartnershipDepartment of Obstetrics and Gynecology, Beth Israel Deaconess Medical CenterDepartment of Obstetrics and Gynecology, Beth Israel Deaconess Medical CenterDepartment of Obstetrics and Gynaecology, Faculty of Medicine, University of BotswanaDepartment of Obstetrics and Gynaecology, Faculty of Medicine, University of BotswanaAbstract Background Sub-Saharan Africa (SSA) faces a severe shortage of Obstetrician Gynaecologists (OBGYNs). While the Lancet Commission for Global Surgery recommends 20 OBGYNs per 100,000 population, Botswana has only 40 OBGYNs for a population of 2.3 million. We describe the development of the first OBGYN Master of Medicine (MMed) training programme in Botswana to address this human resource shortage. Methods We developed a 4-year OBGYN MMed programme at the University of Botswana (UB) using the Kern’s approach. In-line with UB MMed standards, the programme includes clinical apprenticeship training complemented by didactic and research requirements. We benchmarked curriculum content, learning outcomes, competencies, assessment strategies and research requirements with regional and international programmes. We engaged relevant local stakeholders and developed international collaborations to support in-country subspecialty training. Results The OBGYN MMed curriculum was completed and approved by all relevant UB bodies within ten months during which time additional staff were recruited and programme financing was assured. The programme was advertised immediately; 26 candidates applied for four positions, and all selected candidates accepted. The programme was launched in January 2020 with government salary support of all residents. The clinical rotations and curricular development have been rolled out successfully. The first round of continuous assessment of residents was performed and internal programme evaluation was conducted. The national accreditation process was initiated. Conclusion Training OBGYNs in-country has many benefits to health systems in SSA. Curricula can be adjusted to local resource context yet achieve international standards through thoughtful design and purposeful collaborations.https://doi.org/10.1186/s12909-020-02446-1 |
| spellingShingle | R. Luckett M. Nassali T. Melese B. Moreri-Ntshabele T. Moloi G. J. Hofmeyr K. Chobanga J. Masunge J. Makhema M. Pollard H. A. Ricciotti D. Ramogola-Masire L. Bazzett-Matabele Development and launch of the first obstetrics and gynaecology master of medicine residency training programme in Botswana BMC Medical Education |
| title | Development and launch of the first obstetrics and gynaecology master of medicine residency training programme in Botswana |
| title_full | Development and launch of the first obstetrics and gynaecology master of medicine residency training programme in Botswana |
| title_fullStr | Development and launch of the first obstetrics and gynaecology master of medicine residency training programme in Botswana |
| title_full_unstemmed | Development and launch of the first obstetrics and gynaecology master of medicine residency training programme in Botswana |
| title_short | Development and launch of the first obstetrics and gynaecology master of medicine residency training programme in Botswana |
| title_sort | development and launch of the first obstetrics and gynaecology master of medicine residency training programme in botswana |
| url | https://doi.org/10.1186/s12909-020-02446-1 |
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