Fufa Diriba, Attia Asmaa, Salifu Nihad, Reddy Kershinee, Rashad Hanna, Abdelaziz Riham, Adam Haileyesus, Amoda Faizana, Bhattachyya Arpita, Chirande Lulu, Du Plessis Jan, Geel Jennifer, Kaspers Gertjan, Maciel Kaline, Dinkiye Ali Mamude, Moulik Roy, Naidu Gita, Namazi Ruth, Neethling Beverley G, Njuguna Festus, Renner Lorna, Reynders David, Scanlan Trish, Thomas Karla, Van Zyl Anel, Vik Terry, Yimer Mulugeta Ayalew, Hessissen Laila, Omotola Ayo, Fox Irwin Leeanna, Mikkelsen Margit, Naradasu Srikanth, Devidas Meenakshi, Balagadde-Kambugu Joyce, Davidson Alan, Bhakta Nickhill, van Heerden Jaques, Moreira Daniel C
Department of Pediatric Hematology and Oncology, Jimma University, Jimma, Ethiopia.
Department of Pediatric Hematology and Oncology, National Cancer Institute, Cairo University, Cairo, Egypt.
BMJ Glob Health. 2025 Jul 25;10(7):e017502. doi: 10.1136/bmjgh-2024-017502.
Graduate medical education programmes in paediatric haematology/oncology (PHO) are necessary to train specialists to provide high-quality care for children and adolescents with cancer and haematologic diseases. In this study, we used the Education Program Assessment Tool (EPAT). The study consisted of three components: (1) mapping the PHO workforce and training programmes in Africa; (2) using the EPAT to evaluate the current PHO programmes in Africa and (3) using a design-thinking approach to develop priority interventions to expand PHO training capacity in Africa through a collaborative co-design process. There were 236 fellowship-trained paediatric haematologists/oncologists in 37 countries in Africa. 17 countries (32%), with a total population of 42 million under 14 years of age, had no paediatric haematologists/oncologists. The continent has an average of 205 new paediatric cancer cases per specialist. 22 PHO training programmes completed the EPAT. The average score was 72% (SD 9%). Programmes showed varying strengths in the elements of comprehensive training, with the highest EPAT scores in experiential learning domains. A priority-setting exercise established interventions to strengthen PHO training in Africa, including a PHO curriculum, a leadership skill development process and a path for the creation of exchange opportunities. The PHO workforce and training capacity are highly variable in Africa. Through international collaboration and a systematic evaluation of workforce density and training programme strengths, alignment on key regional priorities and the creation of a shared model of cooperation to enhance training programmes for Africa can be achieved.
儿科血液学/肿瘤学（PHO）的研究生医学教育项目对于培养专家以向患有癌症和血液疾病的儿童及青少年提供高质量护理而言是必要的。在本研究中，我们使用了教育项目评估工具（EPAT）。该研究包括三个部分：（1）梳理非洲的PHO专业人员队伍和培训项目；（2）使用EPAT评估非洲当前的PHO项目；（3）采用设计思维方法，通过合作共同设计过程制定优先干预措施，以扩大非洲的PHO培训能力。非洲37个国家共有236名接受过专科培训的儿科血液学家/肿瘤学家。17个国家（占32%），14岁以下总人口为4200万，没有儿科血液学家/肿瘤学家。该大陆平均每位专科医生面对205例新增儿科癌症病例。22个PHO培训项目完成了EPAT评估。平均得分是72%（标准差9%）。各项目在综合培训要素方面表现出不同优势，在体验式学习领域的EPAT得分最高。一次确定优先事项的活动确定了加强非洲PHO培训的干预措施，包括一个PHO课程、一个领导力技能发展过程以及一个创造交流机会的途径。非洲的PHO专业人员队伍和培训能力差异很大。通过国际合作以及对劳动力密度和培训项目优势进行系统评估，可以在关键的区域优先事项上达成一致，并创建一个共享的合作模式，以加强非洲的培训项目。
