Education for Health

ORIGINAL RESEARCH ARTICLE
Year
: 2014  |  Volume : 27  |  Issue : 2  |  Page : 163--169

A consortium approach to competency-based undergraduate medical education in Uganda: Process, opportunities and challenges


Sarah Kiguli1, Roy Mubuuke2, Rhona Baingana3, Stephen Kijjambu4, Samuel Maling5, Paul Waako6, Celestino Obua6, Emilio Ovuga7, David Kaawa-Mafigiri8, Jonathan Nshaho9, Elsie Kiguli-Malwadde10, Robert Bollinger11, Nelson Sewankambo12 
1 Department of Paediatrics and Child Health, Makerere University College of Health Sciences, Kampala, Uganda
2 Department of Radiology, Makerere University College of Health Sciences, Kampala, Uganda
3 Department of Biochemistry and Sports Science, Makerere University College of Natural Sciences, Kampala, Uganda
4 Department of Surgery, Makerere University College of Health Sciences, Kampala, Uganda
5 Department of Psychiatry, Mbarara University of Science and Technology, Mbarara, Uganda
6 Department of Pharmacology, Makerere University College of Health Sciences, Kampala, Uganda
7 Department of Psychiatry, Gulu University, Gulu, Uganda
8 Department of Social Work and Social Administration, Makerere University School of Social Sciences, University College of Humanities and Social Sciences, Kampala, Uganda
9 Department of Physiology, Kampala International University, Kampala, Uganda
10 African Centre for Global Health and Social Transformation, Kampala, Uganda
11 Johns Hopkins University, Baltimore, USA
12 Department of Internal Medicine, Makerere University College of Health Sciences, Kampala, Uganda

Correspondence Address:
Sarah Kiguli
Makerere University College of Health Sciences, Kampala
Uganda

Background: Uganda, like the rest of Africa, is faced with serious health challenges including human immunodeficiency virus infection/acquired immunodeficiency syndrome (HIV/AIDS), other infectious diseases and increasing non-communicable diseases, yet it has a significant shortage of health workers. Even the few health workers available may lack desired competencies required to address current and future health challenges. Reducing Uganda«SQ»s disease burden and addressing health challenges requires Ugandan medical schools to produce health workers with the necessary competencies. This study describes the process which a consortium of Ugandan medical schools and the Medical Education Partnership for Equitable Services to all Ugandans (MESAU) undertook to define the required competencies of graduating doctors in Uganda and implement competency-based medical education (CBME). Methods: A retrospective qualitative study was conducted in which document analysis was used to collect data employing pre-defined checklists, in a desktop or secondary review of various documents. These included reports of MESAU meetings and workshops, reports from individual institutions as well as medical undergraduate curricula of the different institutions. Thematic analysis was used to extract patterns from the collected data. Results: MESAU initiated the process of developing competencies for medical graduates in 2011 using a participatory approach of all stakeholders. The process involved consultative deliberations to identify priority health needs of Uganda and develop competencies to address these needs. Nine competence domain areas were collaboratively identified and agreed upon, and competencies developed in these domains. Discussion: Key successes from the process include institutional collaboration, faculty development in CBME and initiating the implementation of CBME. The consortium approach strengthened institutional collaboration that led to the development of common competencies desired of all medical graduates to address priority health challenges in Uganda. It is important that the MESAU consortium continues engaging all stakeholders in medical education to support the implementation and sustainability of CBME in Uganda.


How to cite this article:
Kiguli S, Mubuuke R, Baingana R, Kijjambu S, Maling S, Waako P, Obua C, Ovuga E, Kaawa-Mafigiri D, Nshaho J, Kiguli-Malwadde E, Bollinger R, Sewankambo N. A consortium approach to competency-based undergraduate medical education in Uganda: Process, opportunities and challenges.Educ Health 2014;27:163-169


How to cite this URL:
Kiguli S, Mubuuke R, Baingana R, Kijjambu S, Maling S, Waako P, Obua C, Ovuga E, Kaawa-Mafigiri D, Nshaho J, Kiguli-Malwadde E, Bollinger R, Sewankambo N. A consortium approach to competency-based undergraduate medical education in Uganda: Process, opportunities and challenges. Educ Health [serial online] 2014 [cited 2020 Sep 29 ];27:163-169
Available from: http://www.educationforhealth.net/article.asp?issn=1357-6283;year=2014;volume=27;issue=2;spage=163;epage=169;aulast=Kiguli;type=0