pihoa55 meetings summary – kiribati pre-internship program assessment
DESCRIPTION
PIHOA55 Meetings Summary – Kiribati Pre-Internship Program Assessment. Palikir, Pohnpei State, FSM – 13 March 2014. Emerging issues e.g. Growing emphasis on medical workforce and training outside the region. ~50%. 6. 7. 31. 974. 25. 19. 98. - PowerPoint PPT PresentationTRANSCRIPT
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PIHOA55 Meetings
Summary – Kiribati Pre-Internship Program Assessment
Palikir, Pohnpei State, FSM – 13 March 2014
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Emerging issuesEmerging issuese.g. Growing emphasis on e.g. Growing emphasis on medical workforce medical workforce andand training training outside the regionoutside the region
2
974
25
7
19
31
98Ability to back-
fill large proportion of
vacant MO positions and
short-fall
6
6
10
~50%
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Background:
•14 ELAM graduates returned to Kiribati•10 graduates of FNU working in Kiribati who need Internship Training•WHO and FNU working with Kiribati MHMS to develop Internship Program•Need to assess 14 ELAM graduates•Pre-Intern Assessment Process -Seasoned medical educator staff from FNU CMNHS -Exam: 1) Multiple Choice Questions (MCQ) & Modified Essay Questions (MEQs), 2) Objective Structured Clinical Exam (OSCE): practical exam stations, 3) Objective Structured Practical Exams (OSPE): selected patients & wards rounds
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Pre-Intern Assessment Results:
-Gaps in the interns’ knowledge base in the basic and clinical sciences-Overall deficiency in knowledge of certain basic concepts-Little hands-on patient experience during their medical school training, instead training residents (registrars) on the wards of the hospitals in Cuba
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Recommendations:
-Transform Kiribati Hospital and its branches into a teaching hospital system-Visiting specialty individuals and teams should have Interns assigned to them-Adopt a two tier registration process: Part I a provisional registration which allows them to practice as Interns under close supervision, and Part 2 full registration-Extend the Internship to two years and include a transition “training internship” up to six months with entrance into the full Internship Program to be individualized depending upon knowledge and skills -Regarding posting after Internship Program: develop a set of criteria as to knowledge base and competencies as to clinical and practical skills needed for next posting
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PIHOA55 Meetings
Palikir, Pohnpei State, FSM – 13 March 2014
Thank you
Greg Dever, MDRegional HRH Coordinator [email protected]