1. Post-Graduate Training & Collaboration Mocumbi AO, Fumane J, Diogo D, Tilghman M, Patel S Maputo, March 15 2011 Integrating Post-Graduate Training with the Medical Needs in Mozambique

2. UNILURIO Faculdade de Ciências de Saúde UEM Eduardo Mondlane University Faculdade de Medicina UNIZAMBEZE Faculdade de Ciências de Saúde Medical Schools Involved 1962 2009 2007

3. Major Constrains Lack of specialists & training infrastructure outside Maputo Distance between the Medical Schools High mobility of Health Personal Lack of incentives and bad salaries for the Health Staff

4. Identified Needs Establish connectivity between the Medical Schools and Training Hospitals through Internet gateway at CIUEM Increase access to electronic information for Tutors, Firm-Chiefs and Post-Graduates Maximize effectiveness of the existing training staff by promoting their continuous medical education (short courses, grand medical rounds, seminars, etc) Reach an agreement between Ministry of Health & Medical Council on the need for speeding the training of Post-Graduates (Colleges of Specialties, Heads of Departments, National Commission Post-Graduation

5. Appointment of 5 Firm-Chiefs training starts April /August + agreement with Medical Council & Ministry to increase entries for specilaties in 2011 (MoH accepted to include 60 extra candidates for 6 main specialties) Agreement with the Colleges of Specialties, National Commission for Post-Graduation & Departments at HCM on the training programmes Approval of the “Regulamento de Pos-Graduacao” (Ministry of Health & Medical Council) which allows monitoring & evaluation of the process Appointment of focal points for the project by the Universities Unilurio & UniZambeze Major achievements

6. MEPI - New Approach INTERNAL MEDICINE (PILOT EXPERIENCE) Coordination Team Mentors/Tutors/Supervisors Firm-Chiefs Pos-Graduates

7. During the first year (in coordination with MEPI Research Branch): Transferable skill courses –eg: Basics of Research (Methods, Bioethics & Statistics) How to write a research protocol How to present scientific work English Course IT courses (basic software) * Some hospital activities will be online with Universities for the benefit of staff and medical graduates!!! MEPI - New Approach PG

8. Participate in Daily Clinical Meetings (Journal Club & Case Reports) Training of Post-Graduates on the bedside (Daily Medical Rounds) Orientate Post-Graduates in preparing Clinical Presentations (1x week) Prepare Presentations, Teach abilities & Organize Tutorials (afternoons) Discussion of Deaths & Department Statistics Prepare Monthly Department Grand Round twice during the year Design a research protocol (under supervision) to implement during the 2 nd year Participate in relevant scientific meetings as suggested by Tutors/Coordinators MEPI - New Approach FC

9. MEPI - New Approach PGCT Coordination Team to organize activities for Mentors, Tutors & Supervisors in collaboration with counterparts from UCSD Scientific activity 1x/y including Continuing Medical Education, development of teaching skills and presentation of research Universities Staff, Firm-Chiefs, Post-Graduates & Medical Students to be involved

10. Thank you!