1. Universidad Técnica Particular de Loja - UTPL LINQED admission request

2. Location in Ecuador - Loja 14 146 579 inhabitants 256.370 km 2 14 nationalities & 18 ethnics groups 3 Regions: Insular, Costa, Sierra y Amazonía 24 Provinces & 226 districts

3. Who we are Young university (40 years old), with an innovative and creative environment. Category “A” accredited University. Distance learning with national (and international) coverage. Equitable access for peripheric zones in the country. Integration of teaching, research and service delivery (CITTES).

4. Where we are Traditional curriculum, focused on basic sciences Individualistic teaching (lack of team work), with lack of integration between theory and practice Teaching based on personal experience EBM Difficulties with thesis supervision

5. STRUCTUREPROCESSOUTCOMEIMPACT EfficiencyEfficacyEffectiveness Improve quality of care through better teaching and learning - Trainers - Trainees - Infrastructure - Other resources - Learning opportunities and scenarios - Clinical Competences: -communication -procedures -decision making -Better quality of care Capacity building “Teach the teachers” Innovative Learning environments “skills lab” Outcome-oriented assessment

7. Strenghts & Gaps Capacity building ImplementationEvaluationSocialization PHC/FM Educatio n Research ITHCQuality

8. Intervention domains Overall clinical performance Decision- making competences Procedural competences Communication competences Patient centeredness Community oriented Comprehensive & Holistic Evidence-based Quality oriented

9. Curriculum change HZ Theory Practice Theory Practice

10. Timeframe Med. students Interns Rural doctors Med. students Interns Rural doctors Med. students Interns Rural doctors Year 1 Year 2 Year 3 ∆

11. Why LINQED?

12. What can we offer? Willingness to learn and share experiences Infrastructure with national & international coverage Technological support (e.g. Telemedicine platform) Network

13. Contacts Jana Bobokova - Dean jbobokova@utpl.edu.ec Rodrigo Henriquez - Facilitator arhenriquez@utpl.edu.ec