Faculty Development for an New Family Medicine Residency

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Faculty Development for an New Family Medicine Residency in Chogoria, Kenya Roger K. Gerstle,

Faculty Development for an New Family Medicine Residency in Chogoria, Kenya Roger K. Gerstle, MD, FAAFP David K. Klee, MD, FAAFP Munson Family Medicine Residency Traverse City, Michigan

Activity Disclaimer ACTIVITY DISCLAIMER It is the policy of the AAFP that all individuals

Activity Disclaimer ACTIVITY DISCLAIMER It is the policy of the AAFP that all individuals in a position to control content disclose any relationships with commercial interests upon nomination/invitation of participation. Disclosure documents are reviewed for potential conflicts of interest (COI), and if identified, conflicts are resolved prior to confirmation of participation. Only those participants who had no conflict of interest or who agreed to an identified resolution process prior to their participation were involved in this CME activity. Drs. Gerstle and Klee have indicated they have no relevant financial relationships to disclose. 2

Objectives • • • 3 Status of family medicine in Kenya Medical Community in

Objectives • • • 3 Status of family medicine in Kenya Medical Community in Chogoria, Kenya Emerging FM residency in Chogoria Traverse City-Chogoria collaboration Faculty development efforts

Family Medicine in Kenya • 1996 INFA-MED formed • 2005 FM Residency at Moi

Family Medicine in Kenya • 1996 INFA-MED formed • 2005 FM Residency at Moi University (Eldoret) • 2014 Kabarak University—new FM Residency in 3 locations • Also: University of Nairobi, Maseno Public University, Aga Khan University 4

Chogoria • Population 30, 000 • PCEA Hospital— 312 beds • Learning community –

Chogoria • Population 30, 000 • PCEA Hospital— 312 beds • Learning community – Internship – Med students – Clinical officer students – Nursing school 12

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Traverse City-Chogoria Collaboration • 2 -3 teams/year since 2012 to Chogoria • On-site clinical

Traverse City-Chogoria Collaboration • 2 -3 teams/year since 2012 to Chogoria • On-site clinical teaching, lectures, workshops • Needs assessments—equipment, education • Equipment donated • Extension to schools, NGO • 1 prior visit by medical officer 14

Family Medicine Residency in Chogoria • • 15 4 year program, 2 residents/year Kabarak

Family Medicine Residency in Chogoria • • 15 4 year program, 2 residents/year Kabarak University Following several years as medical officer Director: Franklin Ikunda, MD

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Roles of the Family Physician • Primary care team consultant – All patient populations,

Roles of the Family Physician • Primary care team consultant – All patient populations, coordinator of care • Leader – In hospital, community • Communicator – With patients, health care team • Scholar – EBM, self-evaluation, research • Health advocate 17

Competencies • • • 18 Professional values and ethical behavior Scientific foundation of medicine

Competencies • • • 18 Professional values and ethical behavior Scientific foundation of medicine Communication skills Clinical skills Population health and health systems Management of information Critical thinking skills and research Leadership and management skills Spiritual integration in practice

Visit to USA • STFM Annual Conference • Minnesota • Traverse City 19

Visit to USA • STFM Annual Conference • Minnesota • Traverse City 19

Faculty Development Topics • • • 20 Evaluation Quality Improvement Problem Resident Risk Management

Faculty Development Topics • • • 20 Evaluation Quality Improvement Problem Resident Risk Management Practice Management Program Evaluation Resident Calendars Inpatient Precepting Curriculum Design Resident Leadership Resident Supervision Outpatient Precepting • • • Giving Feedback Didactics Powerpoint Behavioral Science Use of Technology Life-long Learning Simulation Procedure Precepting Scholarship Specialist rotations Resident-to-Med Student Teaching

So Little Time… • Co-precepting – Hospital, Clinic, ECF • Didactics • Agency visits:

So Little Time… • Co-precepting – Hospital, Clinic, ECF • Didactics • Agency visits: hospice, substance abuse • Tour of ID, private FM, psych and migrant clinics, surgical center • Medical Exec Committee, VPMA • Rotary lunch • Resident leadership retreat 21

Interactions with Residents • Capstone presentation • International potluck/ Journal club • Informal meals

Interactions with Residents • Capstone presentation • International potluck/ Journal club • Informal meals • Promotion of TC-Chogoria program 22

Feedback and Lessons Learned • Helpful: Outpatient and inpatient precepting —”real time” learning •

Feedback and Lessons Learned • Helpful: Outpatient and inpatient precepting —”real time” learning • Not so helpful: Curriculum design • Future: Focus on what can be done in a resource-limited setting 23

 • • • 24 Faculty Development Topics Focus on Resource-Limited Setting Evaluation •

• • • 24 Faculty Development Topics Focus on Resource-Limited Setting Evaluation • Giving Feedback Quality Improvement Problem Resident Risk Management Practice Management Program Evaluation Resident Calendars Inpatient Precepting Curriculum Design Resident Leadership Resident Supervision Outpatient Precepting • • • Didactics Powerpoint Behavioral Science Use of Technology Life-long Learning Simulation Procedure Precepting Scholarship Specialist rotations Resident-to-Med Student Teaching

Final Thoughts • 1 month • Too much crammed in? • Collaborative scheduling, adaptation

Final Thoughts • 1 month • Too much crammed in? • Collaborative scheduling, adaptation 25