Strengthening medical training programmes by focusing on professional transitions: a national bridging programme to prepare medical school graduates for their role as medical interns in Botswana

Autor: Michael J. Peluso, Rebecca Luckett, Savara Mantzor, Alemayhu G. Bedada, Paul Saleeb, Miriam Haverkamp, Mosepele Mosepele, Cecil Haverkamp, Rosa Maoto, Detlef Prozesky, Neo Tapela, Oathokwa Nkomazana, Tomer Barak
Jazyk: angličtina
Rok vydání: 2017
Předmět:
Zdroj: BMC Medical Education, Vol 17, Iss 1, Pp 1-11 (2017)
Druh dokumentu: article
ISSN: 1472-6920
DOI: 10.1186/s12909-017-1102-1
Popis: Abstract Background The improvement of existing medical training programmes in resource-constrained settings is seen as key to addressing the challenge of retaining medical graduates trained at considerable cost both in-country and abroad. In Botswana, the establishment of the national Medical Internship Training Programme (MIT) in 2014 was a first step in efforts to promote retention through the expansion and standardization of internship training, but MIT faces a major challenge related to variability between incoming trainees due to factors such as their completion of undergraduate medical training in different settings. To address this challenge, in August 2016 we piloted a bridging programme for foreign and locally trained medical graduates that aimed to facilitate their transition into internship training. This study aimed to describe the programme and evaluate its impact on the participants’ self-rated perceptions of their knowledge, experience, clinical skills, and familiarity with Botswana’s healthcare system. Methods We conducted a national, intensive, two-week programme designed to facilitate the transition from medical student to intern and to prepare all incoming interns for their work in Botswana’s health system. Participants included all interns entering in August 2016. Formats included lectures, workshops, simulations, discussions, and reflection-oriented activities. The Kellogg Foundation Outcomes Logic Model was used to evaluate the programme, and participants self-rated their knowledge, skills, and attitudes across each of the programme objectives on paired questionnaires before and after participation. Results 48/54 participants (89%) provided paired data. Participants reported a high degree of satisfaction with the programme (mean 4.2/5). Self-rated preparedness improved after participation (mean 3.2 versus 3.7, p
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