1. Teaching Family Medicine in Africa
Family Medicine Global Health Workshop
2012

2. Disclosures Barry J. Bacon, MD
Associate professor, U of Washington Family Medicine Residency, Rural Training Track, Colville, Washington
Nothing to disclose

4. Reports and Requests Pokot request Lee Trueblood
Rogers and the typhoid outbreak
Church in need
South Sudan medical school
Rwanda Family Medicine Residency
How do you decide where to help?

5. Teaching Family Medicine in Africa
Objectives:
To demonstrate the significance of family medicine teaching in Africa
To understand some challenges to teaching family medicine in Africa
To dismantle some common myths
To realize the power we have to change the world

6. Necessary Tools for Teaching
1. Adaptability
2. Adaptability
3. See # 1 & 2

7. Significance of Family Medicine
Integrated care vs. fragmented care
Whole person vs specialized care
Family perspective
Wellness/prevention vs disease/intervention
Community perspective vs clinic

8. Teaching Family Medicine in Africa
Teaching family medicine is one of the most powerful ways to effect change, to improve the entire healthcare system.
Local physicians
Local tools
Local diseases
Local culture and context

9. Components of Family Medicine
Excellent clinical medicine in the context of African diseases, local tools and local physicians
Emphasis on maternal and pediatric care, hospital and outpatient medicine
Emphasis on oversight and team building
Emphasis on community health
Very much hands on

10. Challenges to Teaching Family Medicine in Africa
Overwhelming poverty- systems not designed to serve the poor
Fractured infrastructure- disarray
Tribalism
Falling behind
Lack of well trained personnel

23. The myths “We should help our own first…”
“They should get a job like the rest of us…”
“It’s just the world flushing the toilet on itself…”
For this and other myths, remember the picture of the baby beside the field.

25. Community Health Village perspective
“What are the causes of the diseases I am seeing?”
“What are the basic human needs that all of us share?”
“What resources can we bring to this need to effect a change in the health status of this community?”

38. Family Medicine in Africa
What do I do with my spouse?

47. Teaching Family Medicine
Effectively recruiting others
Effectively telling their stories

51. Teaching Family Medicine
Remembering the child beside the field

53. The children with chronic osteomyelitis

55. The maternal deaths
Embracing the discomforts and inconveniences

56. Teaching Family Medicine in Africa
Change the world
Discussion…

57. Family Medicine Residencies
South Africa
Botswana
Rwanda
Tanzania
Kenya
Uganda
Somaliland?
Malawi?

58. Contacts Rwanda: W. Kenya: Botswana:
Cal Wilson
Louise King
Michael Miller
W. Kenya:
Jeff Pierce
Michele Montandon
Neil Njayaman
Botswana:
Kym Heiftke
Luise Parsons
Me: Barry Bacon