Reflections on SSCSiP PIHOA, Guam,

DaCT team Project Manager, Health Planner, Project Coordinator, Biomedical Coordinator, M & E officer, Administration officer Senior Clinical Advisors pro bono (2 Surgeons, Ob & Gyn, Anesthesia) Dean’s Office

DaCT team Who determines SSCSiPs role and activities? SRG Poor Communication Strategy More engagement with countries SSCSiP regional vs national role

SSCSiP Activities The majority of requests capacity building vs health systems strengthening (screening data, patient outcome data, coordination) What is a specialized clinical activity? Specialization vs sub-specialization vs multi skilled (FSM ophthalmology) Co-funding: What effort has been shown by those making the request? Influencing the agenda and participation

SSCSiP Activities Emergency or fill in the gaps: Evidence of a longer term solution (locums, scholarships) Conference / workshop shopping highlights the absence of an individual career path or a HRH plan. (Regional Technical Clinical Meeting, Nadi, April 2012)

EMST EMSB CRISP PISA ASC (RACS) Competent Pacific Surgeon Professional Membership

SSCSiP Activities Regional Organizations role and sustainability (networking, CPD/CME support, standards of practice, fellowship) PIHOA, PBMA Biomedical activities (situational analysis, biomedical training course) Annual Clinical Services Planning

SSCSiP Activities Advocacy Role (Ministers of Health, PIFs) and Facilitation role (Cuban Issue) Re-engaging Pacific Specialist who live outside the region (Tonga, Samoa) Outreach within PIC

SSCSiP Activities Adjusted Design provides increased clarity on the way forward ( ) More with Less: cost effective solutions (Fiji Cardiac Cases Study, CHIPS 2012) SSCSiP by 2020 (evolution and existence)

Plandemic (RACS PIP visits) Choose Health The Way Forward

Acknowledgements PIHOA