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在 COVID-19 大流行期间在低收入国家教授精神病学:混合协作精神病学课程。

Teaching psychiatry in a low-income country during the COVID-19 pandemic: A hybrid collaborative psychiatry course.

机构信息

Department of Psychiatry and Human Behavior, Alpert Medical School of Brown University, Providence, Rhode Island, USA.

Department of Psychiatry, Saint Paul Millennium Medical College, Addis Ababa, Ethiopia.

出版信息

Asia Pac Psychiatry. 2021 Dec;13(4):e12503. doi: 10.1111/appy.12503.

DOI:10.1111/appy.12503
PMID:34967115
Abstract

Amoud University in Borama is located in the self-declared state of Somaliland, in the Horn of Africa. Past conflicts and resulting economic hardship have led to a lack of local academic psychiatry faculty and resources. Amoud has been for some years partnering with voluntary faculty in the United Kingdom to teach psychiatry to its medical students through in-person "teaching missions." This was recently led by a Borama-native psychiatry resident in Ethiopia. COVID-19 added further hardships due to restrictions to travel and in-person gatherings. These challenges also created the opportunity for the development of an innovative, international, hybrid (online onsite), self-sustaining partnership model which has been successful in improving psychiatry teaching for undergraduate students in 2020-2021 and will continue in 2021-2022. An international, 'online-connected' department of psychiatry comprising a primary care physician in Somaliland, three postgraduate trainees in Ethiopia and the United States, and three senior psychiatrists in the United Kingdom developed a local faculty-led, hybrid-delivered, dynamic curriculum (bedside teaching, in person and online lecturing) that adapted to the needs, resources, faith and culture of Somaliland. While 2020-2021 has been the pilot year for the program, the overall experience has been enriching for students and faculty, leading to valuable cross-cultural conversations with impact on teaching and research. While learning about Somalilanders' and trauma, the program leads, also the authors of this article, have identified ways to harness the resilience and faith of students to bring about improvements in global mental health.

摘要

博马大学位于非洲之角的索马里兰自宣称的国家。过去的冲突和由此产生的经济困难导致当地缺乏学术精神病学教师和资源。多年来,博马一直与英国的志愿教师合作,通过现场“教学任务”向医学生教授精神病学。最近,这一任务由一名在埃塞俄比亚的博马籍精神病学住院医生领导。由于旅行和现场集会的限制,COVID-19 又带来了更多的困难。这些挑战也为发展一种创新的、国际的、混合(线上线下)、自我维持的伙伴关系模式创造了机会,这种模式在 2020-2021 年成功地提高了本科生的精神病学教学水平,并将在 2021-2022 年继续。一个由索马里兰的一名初级保健医生、埃塞俄比亚和美国的三名研究生学员以及英国的三名高级精神科医生组成的国际“线上联系”精神病学部,开发了一个由当地教师领导、混合式授课、动态课程(床边教学、现场和在线讲座),适应索马里兰的需求、资源、信仰和文化。虽然 2020-2021 年是该项目的试点年,但总体经验对学生和教师来说都是丰富的,导致了有价值的跨文化对话,对教学和研究产生了影响。在了解索马里兰人和创伤的过程中,该项目的负责人,也就是本文的作者,已经找到了利用学生的韧性和信仰来改善全球心理健康的方法。

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