Establishing Medical Schools in Limited Resource Settings

Main Article Content

Tsinuel Girma
Tsedeke Asaminew
Matthias Siebeck
Martin R. Fischer
Fabian Jacobs
Sebsibe Desalegn
Yoseph Mamo
Abraham Haileamlak


INTRODUCTION: One urgent goal of countries in sub-Saharan Africa is to dynamically scale up theeducation and work force of medical doctors in the training institutions and health facilities, respectively.These countries face challenges related to the rapid scale up which is mostly done without properstrategic planning, without the basic elements of infrastructure development, educational as well asacademic and administrative human resources. Medical education done in the context of limitedresources is thus compromising the quality of graduates. In the future, a collaborative and need-basedapproach involving major stakeholders such as medical educators concerned, ministries, planners andpolicy makers is needed.GOAL: This article identifies the challenges of establishing medical schools and sustaining the quality ofeducation through rapid scale-up in Sub-Saharan Africa in the settings of limited resources. It alsooutlines the minimum requirements for establishing medical schools.METHODS: A consensus building workshop was conducted in Bishoftu, Ethiopia, from Nov 8-12,2013.Participants were professionals from 13 Ethiopian medical schools, and representatives of medicalschools from South Sudan, Somaliland, Somalia, and Mozambique. Participants are listed in Appendix 1.RECOMMENDATIONS: The governments and stakeholders should jointly develop strategic plans and aroadmaps for opening or expanding medical schools to scale up educational resources. It is advisablethat medical schools have autonomy regarding the number of student-intake, student selection,curriculum ownership, resource allocation including for infrastructure and staff development. Healthscience and medical curricula should be integrated within and harmonized nationally. An educationalevaluation framework needs to be embedded in the curricula, and all medical schools should have HealthScience Education Development Centers

Article Details

Author Biographies

Tsinuel Girma, Jimma University, Jimma, Ethiopia

School of Pharmacy

Tsedeke Asaminew, Jimma University; Jimma, Ethiopia

Department of Ophthalmology,

Coordinator of Health Sciences and Medical Education Development Center,

College HealthScience

Matthias Siebeck, Ludwig-Maximilians-University, Munich, Germany

Center for International Health

Martin R. Fischer, Ludwig-Maximilians-University, Germany

Institute for Medical Education,

University Hospital and Medical Faculty

Fabian Jacobs, Ludwig-Maximilians-University, Munich, Germany

Center for International Health

Sebsibe Desalegn, Ethiopia

Yirgalem Hospital Medical College

Yoseph Mamo, Jimma University, Ethiopia

Jimma University Chronic Disease Project, Ethiopia

Abraham Haileamlak, Jimma University, Ethiopia

College of Health Science, Jimma University; Jimma, Ethiopia