PRINCE MAHIDOL CONFERENCE Bangkok, January 28, 2011
Mar 31, 2015
PRINCE MAHIDOL CONFERENCE
Bangkok, January 28, 2011
The Movement
2000
2004
2006
2008
2010
2011
MDGsHIV/AIDS
JLI
WHR
Kampala
COMMISSIONMEPI NEPIWHO-PEPFARDIRECTION?
Benchmarks
Priorities
• Shortages CHWs• Mal-distribution Retention• Work envirnmt Incentives
Why Professional Education?
LeadershipHealth systemTeam work
Education of Health Professionals for the 21st Century
Global
Multi-professional
Evidence-based
Systems Educ-Health
THE COMMISSION
Commissioners
Advisory Inputs
•Advisors•Youth•Papers•Consultations •Research
100th AnniversaryFlexner, Goldmark, Welch-Rose
1910 19151923
Professions: Two Sides
Brighter
• Knowledge broker• Care-giver• Technology• Quality• Team leader
Advancing Health
Darker
• Monopoly knowledge• Financial self-interests• Professional chauvinism• Over-specialization• Urban preference
Inequities in health
Structure
Institutional Design
• Financing• Stewardship• Accreditation• Collaborations• Metrics
Instructional Design
• Criteria admission• Competencies• Channels• Career pathways
ContextGlobal-Local
Process
Transformative Learning
Interdependence in Education
Outcomes
Components Education System
Maps by Disease Burden & Medical Schools
Professional Education Expenditure %
India
Brazil
Num
ber o
f med
ical
sch
ools
New Medical Schools India and Brazil
Traditional Model
EducationalObjectives
Competency-Based Model
Curriculum
Assessment
Health Needs of System-Society
CompetencyOutcomes Curriculum
Assessment
Inter- and Trans-Professional Education
Higher income countries Lower income countries
Inter-ProfessionalEducation
Inter- & Trans-ProfessionalEducation
Science based Problem based Systems based
Scientific curriculum
University based
Problem based learning
Academic centers
Competency driven:
local-global
Health education systems
Inst
ructi
onal
Insti
tutio
nal
1900 2000+
Three generations of reforms
Instructional• Competency-driven• Local-Global• Inter + trans-professional• IT empowered• Educational resources• New professionalism
Institutional• Joint planning• Academic systems• Networking• Culture critical inquiry
RecommendationsEnablingActions
10 Reforms
• Align accreditation
• Strengthen global learning
• Enhance investments
• Mobilize leadership
Goal
Professional education for
equity in health
Directions?
RISKS OPPORTUNITY
1) Arrogance-silos Pt-centered team work2) One model Adapt local (arch-type)3) Skewed funding Balanced HRH investment4) Proprietary sch Quality assurance5) Global flow Sharing & learning
Nigel Crisp: Biased Flows
North South
Ideas/TechnicalMoney/Finances
People
Migration
Nigel Crisp
Mutual Exchange
North South
InnovationCapacity Bldg
IdeasFaculty-Training
Sharing/Learning
Check-List
1) Competencies “new professionalism” 2) Locally adapted - global knowledge 3) Balanced HRH investments 4) Accreditation for quality-equity 5) Global sharing & learning