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Research article
Rebecca Luckett
Beth Israel Deaconess Medical Center
Corresponding Author
ORCiD: https://orcid.org/0000-0002-1975-8837
License:
This work is licensed under a CC BY 4.0 License. Read Full License
Background: Sub-Saharan Africa (SSA) faces a severe shortage of Obstetrician Gynaecologists (OBGYNs). While the Lancet Commission for Global Surgery recommends 20 OBGYNs per 100,000 population, Botswana has only 40 OBGYNs for a population of 2.3 million. We describe the development of the first OBGYN Master of Medicine (MMed) training programme in Botswana to address this human resource shortage.
Methods: We developed a 4-year OBGYN MMed programme at the University of Botswana (UB) using the Kern's approach. In-line with UB MMed standards, the programme includes clinical apprenticeship training complemented by didactic and research requirements. We benchmarked curriculum content, learning outcomes, competencies, assessment strategies and research requirements with regional and international programmes. We engaged relevant local stakeholders and developed international collaborations to support in-country subspecialty training.
Results: The OBGYN MMed curriculum was completed and approved by all relevant UB bodies within ten months during which time additional staff were recruited and programme financing was assured. The programme was advertised immediately; 26 candidates applied for four positions, and all selected candidates accepted. The programme was launched in January 2020 with government salary support of all residents. The clinical rotations and curricular development have been rolled out successfully. The first round of continuous assessment of residents was performed and internal programme evaluation was conducted. The national accreditation process was initiated.
Conclusion: Training OBGYNs in-country has many benefits to health systems in SSA. Curricula can be adjusted to local resource context yet achieve international standards through thoughtful design and purposeful collaborations.
Keywords
Sub-Saharan Africa (SSA), Obstetrician Gynaecologists (OBGYNs), University of Botswana
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CURRENT STATUS: Published
View the published article at BMC Medical Education.
Version 3
Posted 26 Oct, 2020
No community comments so far
Editorial decision: Accept
On 08 Dec, 2020
Reviewer #2 agreed
On 01 Dec, 2020
Review #2 received
Received 01 Dec, 2020
Review #1 received
Received 27 Nov, 2020
Reviewer #1 agreed
On 10 Nov, 2020
Reviewers invited
Invitations sent on 05 Nov, 2020
Editor assigned
On 19 Oct, 2020
Submission checks complete
On 18 Oct, 2020
Editor invited
On 18 Oct, 2020
No comments provided
Editorial decision: Minor revision
On 11 Oct, 2020
Review #2 received
Received 10 Oct, 2020
Review #1 received
Received 06 Oct, 2020
Reviewer #2 agreed
On 18 Sep, 2020
Reviewer #1 agreed
On 16 Sep, 2020
Reviewers invited
Invitations sent on 13 Sep, 2020
Editor assigned
On 25 Aug, 2020
Submission checks complete
On 24 Aug, 2020
Editor invited
On 24 Aug, 2020
No comments provided
Editorial decision: Revise before sending to peer reviewers
On 12 Aug, 2020
Editor assigned
On 30 Jul, 2020
Submission checks complete
On 29 Jul, 2020
Editor invited
On 29 Jul, 2020
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A new preprint design is coming!
We have improved readability, clarity, accessibility, and opportunities for engagement.
See the published version of this preprint at BMC Medical Education.
This is a preprint, a preliminary version of a manuscript that has not completed peer review at a journal. Research Square does not conduct peer review prior to posting preprints. The posting of a preprint on this server should not be interpreted as an endorsement of its validity or suitability for dissemination as established information or for guiding clinical practice.
Learn more about In Review
Research article
Rebecca Luckett
Beth Israel Deaconess Medical Center
Corresponding Author
ORCiD: https://orcid.org/0000-0002-1975-8837
Badges
Prescreen
This manuscript passed our Prescreen assessment
Complete author information
Appropriate declaration statements
Potential risks to human health
Prescreen
Peer Review Timeline
CURRENT STATUS: Published
View the published article at BMC Medical Education.
Version 3
Posted 26 Oct, 2020
No community comments so far
Editorial decision: Accept
On 08 Dec, 2020
Reviewer #2 agreed
On 01 Dec, 2020
Review #2 received
Received 01 Dec, 2020
Review #1 received
Received 27 Nov, 2020
Reviewer #1 agreed
On 10 Nov, 2020
Reviewers invited
Invitations sent on 05 Nov, 2020
Editor assigned
On 19 Oct, 2020
Submission checks complete
On 18 Oct, 2020
Editor invited
On 18 Oct, 2020
No comments provided
Editorial decision: Minor revision
On 11 Oct, 2020
Review #2 received
Received 10 Oct, 2020
Review #1 received
Received 06 Oct, 2020
Reviewer #2 agreed
On 18 Sep, 2020
Reviewer #1 agreed
On 16 Sep, 2020
Reviewers invited
Invitations sent on 13 Sep, 2020
Editor assigned
On 25 Aug, 2020
Submission checks complete
On 24 Aug, 2020
Editor invited
On 24 Aug, 2020
No comments provided
Editorial decision: Revise before sending to peer reviewers
On 12 Aug, 2020
Editor assigned
On 30 Jul, 2020
Submission checks complete
On 29 Jul, 2020
Editor invited
On 29 Jul, 2020
Metrics
Comments: 0
PDF Downloads: ...
HTML Views: ...
License:
This work is licensed under a CC BY 4.0 License. Read Full License
View the published article at BMC Medical Education.
Background: Sub-Saharan Africa (SSA) faces a severe shortage of Obstetrician Gynaecologists (OBGYNs). While the Lancet Commission for Global Surgery recommends 20 OBGYNs per 100,000 population, Botswana has only 40 OBGYNs for a population of 2.3 million. We describe the development of the first OBGYN Master of Medicine (MMed) training programme in Botswana to address this human resource shortage.
Methods: We developed a 4-year OBGYN MMed programme at the University of Botswana (UB) using the Kern's approach. In-line with UB MMed standards, the programme includes clinical apprenticeship training complemented by didactic and research requirements. We benchmarked curriculum content, learning outcomes, competencies, assessment strategies and research requirements with regional and international programmes. We engaged relevant local stakeholders and developed international collaborations to support in-country subspecialty training.
Results: The OBGYN MMed curriculum was completed and approved by all relevant UB bodies within ten months during which time additional staff were recruited and programme financing was assured. The programme was advertised immediately; 26 candidates applied for four positions, and all selected candidates accepted. The programme was launched in January 2020 with government salary support of all residents. The clinical rotations and curricular development have been rolled out successfully. The first round of continuous assessment of residents was performed and internal programme evaluation was conducted. The national accreditation process was initiated.
Conclusion: Training OBGYNs in-country has many benefits to health systems in SSA. Curricula can be adjusted to local resource context yet achieve international standards through thoughtful design and purposeful collaborations.
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