Teklu Sisay, Azazh Aklilu, Seyoum Nebyou, Woldetsadik Assefu, Tupesis Janis P, Wubben Ryan, Hunchak Cheryl, Meshkat Nazanin, Tefera Girma, Maskalyk James
Ethiop Med J. 2014 Jul;Suppl 2:13-9.
Ethiopians experience high rates of acute illness and injury that have been sub-optimally addressed by the existing health care system. High rates of patient morbidity and mortality prompted the Federal Ministry of Health (FMOH) and the Addis Ababa University School of Medicine (AAU-SM) to prioritize the establishment of emergency medicine (EM) as a medical specialty in Ethiopia to meet this acute health system need.
To review the EM residency training program developed and implemented at AAU-SM in partnership with the University of Wisconsin (UW), the University of Toronto (UT) and University of Cape Town (UCT) and to evaluate the progress and challenges to date.
An EM Task Force (EMTF) at AAU-SM developed a context-specific three-year graduate EM curriculum with UW input. This curriculum has been co-implemented by faculty teachers from AAU-SM, UT and UW. The curriculum together with all documents (written, audio, video) are reviewed and used as a resource for this article.
Seventeen residents are currently in full-time training. Five residents research projects are finalized and 100% of residents passed their year-end exams.
A novel graduate EM training program has been successfully developed and implemented at AAU-SM. Interim results suggest that this curriculum and tri-institutional collaboration has been successful in addressing the emergency health needs of Ethiopians and bolstering the expertise of Ethiopian physicians. This program, at the forefront of EM education in Africa, may serve as an effective model for future EM training development throughout Africa.
埃塞俄比亚人急性疾病和受伤的发生率很高,而现有医疗保健系统对此的应对效果欠佳。患者的高发病率和死亡率促使埃塞俄比亚联邦卫生部(FMOH)和亚的斯亚贝巴大学医学院(AAU-SM)将建立急诊医学(EM)作为埃塞俄比亚的一个医学专业列为优先事项,以满足这一急性卫生系统需求。
回顾与威斯康星大学(UW)、多伦多大学(UT)和开普敦大学(UCT)合作在AAU-SM制定和实施的急诊医学住院医师培训计划,并评估迄今为止取得的进展和面临的挑战。
AAU-SM的一个急诊医学特别工作组(EMTF)在UW的参与下制定了一个针对具体情况的三年制急诊医学研究生课程。该课程由AAU-SM、UT和UW的教师共同实施。对该课程以及所有文件(书面、音频、视频)进行了审查,并将其用作本文的资料来源。
目前有17名住院医师正在接受全日制培训。5名住院医师的研究项目已完成,100%的住院医师通过了年终考试。
AAU-SM已成功制定并实施了一个新颖的急诊医学研究生培训计划。中期结果表明,该课程和三方机构合作已成功满足了埃塞俄比亚人的紧急医疗需求,并提升了埃塞俄比亚医生的专业技能。这个处于非洲急诊医学教育前沿的计划,可能成为未来整个非洲急诊医学培训发展的有效模式。