The Role of Family Medicine Training in Addressing Workforce Challenges in Rural Liberia – Early Implementation Experience

Background: Liberia has a severe shortage in the health workforce, which is amplified in rural areas. Many talented Liberians leave the country for post-graduate education; those physicians who do stay are concentrated in Monrovia. Objective: We initiated a family medicine specialty training program...

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Autores principales:	Ibrahim Sanoe, Kolu Beyan-Davies, Sarah Anyango, Gerald Ekwen, Jacquelin Pierre, Jessica Farley, Methodius George, Regan H. Marsh, Maxo Luma, David Okiror, Richard Sacra, Rebecca Cook
Formato:	article
Lenguaje:	EN
Publicado:	Ubiquity Press 2021
Materias:	Infectious and parasitic diseases RC109-216 Public aspects of medicine RA1-1270
Acceso en línea:	https://doaj.org/article/d6ee80085fd048a59d7cb030eee9a46e
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spelling	oai:doaj.org-article:d6ee80085fd048a59d7cb030eee9a46e2021-11-08T08:04:51ZThe Role of Family Medicine Training in Addressing Workforce Challenges in Rural Liberia – Early Implementation Experience2214-999610.5334/aogh.3249https://doaj.org/article/d6ee80085fd048a59d7cb030eee9a46e2021-10-01T00:00:00Zhttps://annalsofglobalhealth.org/articles/3249https://doaj.org/toc/2214-9996Background: Liberia has a severe shortage in the health workforce, which is amplified in rural areas. Many talented Liberians leave the country for post-graduate education; those physicians who do stay are concentrated in Monrovia. Objective: We initiated a family medicine specialty training program (FMSTP) to increase the number of well-trained physicians who have the knowledge, skills, and commitment to meet the health needs of the Liberian people. Methods: The Liberian College of Physicians and Surgeons (LCPS) family medicine program is a three-year post-graduate course that follows the West African College of Physician (WACP) curriculum. The program has a longitudinal rural training component supported by Partners in Health in Maryland county, where residents gain experience in a remote and under-served region. The program is evaluated through resident evaluations and ultimately bench-marked by accreditation and exam pass rates. Findings: The FMSTP commenced in July 2017, and the first rural rotation was in January 2018. To-date 13 residents have completed a total of 43 rotations in Maryland. Residents surveyed highly rated the faculty and their rural rotations. They identify more hands-on involvement in patient care, exposure to community health, and one-on-one time with faculty as the greatest assets of the rural training experience. Accreditation from the WACP was granted in December 2018. One of the graduating residents from the first class in 2020 is now serving as the first Liberian family medicine specialist in Maryland County. Discussion: Investing in a strong rural training component in our FMSTP has not only strengthened the program but has also built the infrastructure to establish our rural site as an attractive teaching hospital for intern doctors and nursing students. As the program continues to grow, success will be measured by the proportion of Liberian medical students entering the family medicine training program, retention of family medicine physicians in rural areas, and ultimately progress towards universal health coverage (UHC).Ibrahim SanoeKolu Beyan-DaviesSarah AnyangoGerald EkwenJacquelin PierreJessica FarleyMethodius GeorgeRegan H. MarshMaxo LumaDavid OkirorRichard SacraRebecca CookUbiquity PressarticleInfectious and parasitic diseasesRC109-216Public aspects of medicineRA1-1270ENAnnals of Global Health, Vol 87, Iss 1 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Infectious and parasitic diseases RC109-216 Public aspects of medicine RA1-1270
spellingShingle	Infectious and parasitic diseases RC109-216 Public aspects of medicine RA1-1270 Ibrahim Sanoe Kolu Beyan-Davies Sarah Anyango Gerald Ekwen Jacquelin Pierre Jessica Farley Methodius George Regan H. Marsh Maxo Luma David Okiror Richard Sacra Rebecca Cook The Role of Family Medicine Training in Addressing Workforce Challenges in Rural Liberia – Early Implementation Experience
description	Background: Liberia has a severe shortage in the health workforce, which is amplified in rural areas. Many talented Liberians leave the country for post-graduate education; those physicians who do stay are concentrated in Monrovia. Objective: We initiated a family medicine specialty training program (FMSTP) to increase the number of well-trained physicians who have the knowledge, skills, and commitment to meet the health needs of the Liberian people. Methods: The Liberian College of Physicians and Surgeons (LCPS) family medicine program is a three-year post-graduate course that follows the West African College of Physician (WACP) curriculum. The program has a longitudinal rural training component supported by Partners in Health in Maryland county, where residents gain experience in a remote and under-served region. The program is evaluated through resident evaluations and ultimately bench-marked by accreditation and exam pass rates. Findings: The FMSTP commenced in July 2017, and the first rural rotation was in January 2018. To-date 13 residents have completed a total of 43 rotations in Maryland. Residents surveyed highly rated the faculty and their rural rotations. They identify more hands-on involvement in patient care, exposure to community health, and one-on-one time with faculty as the greatest assets of the rural training experience. Accreditation from the WACP was granted in December 2018. One of the graduating residents from the first class in 2020 is now serving as the first Liberian family medicine specialist in Maryland County. Discussion: Investing in a strong rural training component in our FMSTP has not only strengthened the program but has also built the infrastructure to establish our rural site as an attractive teaching hospital for intern doctors and nursing students. As the program continues to grow, success will be measured by the proportion of Liberian medical students entering the family medicine training program, retention of family medicine physicians in rural areas, and ultimately progress towards universal health coverage (UHC).
format	article
author	Ibrahim Sanoe Kolu Beyan-Davies Sarah Anyango Gerald Ekwen Jacquelin Pierre Jessica Farley Methodius George Regan H. Marsh Maxo Luma David Okiror Richard Sacra Rebecca Cook
author_facet	Ibrahim Sanoe Kolu Beyan-Davies Sarah Anyango Gerald Ekwen Jacquelin Pierre Jessica Farley Methodius George Regan H. Marsh Maxo Luma David Okiror Richard Sacra Rebecca Cook
author_sort	Ibrahim Sanoe
title	The Role of Family Medicine Training in Addressing Workforce Challenges in Rural Liberia – Early Implementation Experience
title_short	The Role of Family Medicine Training in Addressing Workforce Challenges in Rural Liberia – Early Implementation Experience
title_full	The Role of Family Medicine Training in Addressing Workforce Challenges in Rural Liberia – Early Implementation Experience
title_fullStr	The Role of Family Medicine Training in Addressing Workforce Challenges in Rural Liberia – Early Implementation Experience
title_full_unstemmed	The Role of Family Medicine Training in Addressing Workforce Challenges in Rural Liberia – Early Implementation Experience
title_sort	role of family medicine training in addressing workforce challenges in rural liberia – early implementation experience
publisher	Ubiquity Press
publishDate	2021
url	https://doaj.org/article/d6ee80085fd048a59d7cb030eee9a46e
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The Role of Family Medicine Training in Addressing Workforce Challenges in Rural Liberia – Early Implementation Experience

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