Centre for Health Professions Education
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- ItemThe first African regional collaboration for emergency medicine resident education : the influence of a clinical rotation in Tanzania on Ethiopian emergency medicine residents(Stellenbosch : Stellenbosch University, 2017-12) Murray, Britrany; Archer, Elize; Smit, Liezl; Stellenbosch University. Faculty of Medicine and Health Sciences. Centre for Health Professions Education.ENGLISH SUMMARY : The African Federation for Emergency Medicine (AFEM) has regional groups dedicated to furthering African Emergency Medicine. In AFEM East, Tanzania and Ethiopia have emergency medicine residency programs at Muhimbili University of Health and Allied Sciences (MUHAS) and Addis Ababa University (AAU), respectively. In 2016, residents from AAU began to rotate for one month at MUHAS. To our knowledge this represents the first formal rotation of its kind, with residents from one African emergency medicine program rotating in another similarly resourced country as part of their clinical training. Prior to this study, there had been no formal evaluation of this program. The aim of this study was to evaluate the influence of a clinical rotation in Tanzania on Ethiopian emergency medicine residents. This was an evaluative study utilizing narrative information from semi-structured interviews with residents that participated in the first AAU-MUHAS rotation. Interview questions focused on residents’ experiences during their rotation in Tanzania, their perceptions of the rotation, and the impact of the rotation. Interviews were recorded and transcribed. Anonymous transcriptions were then coded and themed using an inductive, iterative approach. All 13 Ethiopian residents who participated in the first year of the AAU-MUHAS rotation were interviewed individually. Four strong themes emerged from the interviews: 1) exposure to a different system, 2) the teaching environment, 3) rotation objectives, and 4) effects of the rotation upon returning to AAU. In conclusion, a rotation in Tanzania was found to positively influence Ethiopian emergency medicine residents. Key findings included: exposure to a new system of emergency care highlighted areas for improvement in their home setting, an environment conducive to teaching was greatly valued by residents, and the rotation resulted in implementable initiatives to improve patient care and education at AAU.