Honorio Silva MD

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Medical
Education Needs and Demands A qualitative
multi-country assessment  

• Honorio Silva MD
• Pablo Pulido, MD
• Thomas Thomson, PhD
• Ronald Gawronski
• AMEE 2008 Conference
• Prague, September 1st, 2008

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Global Standards for Quality Improvement in
Continuous Professional Development (WFME,
2003)

• Enhanced non-clinical roles and competencies
• Communication
• Medical ethics
• Management
• Research Drug development
• Population health
• Teaching
• Enhanced Organizational focus
• Team Building
• Leadership
• Enhanced clinical roles and competencies

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GlobalEduHealth Who are we?

• A new NGO incorporated in the USA
• Sponsored by
• - PAFAMS
• - Project GLOBE Consortium
  for CPD
• A Partnership with Academia, Professional
  Associations
• and the Public Sector aiming to
• Catalyze new thinking and perspectives on complex
  issues in medicine, medical education and medical
  practice and
• Develop educational seminars, workshops and
  continuing professional development (CPD)
  programs in subjects related to professionalism

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GlobalEduHealth Advisory Group

• GEH International Advisory Group Member
  Affiliations
• World Federation of Family Doctors (WONCA)
• World Federation for Medical Education (WFME)
• Association of American Medical Colleges (AAMC)
• Association for Medical Education in Europe
  (AMEE)
• Institute for International Medical Education
  (IIME)
• Medical Education Foundation (MEF)
• American Academy of Family Physicians (AAFP)
• Education Commission for Foreign Medical
  Graduates (ECFMG - USA)
• Panamerican Federation of Associations of Medical
  Schools (PAFAMS)

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Phase I Qualitative Research (2006) Objectives
and Methods

• To assess perceived unmet needs in medical
  education among
• opinion leaders and practitioners
• To assess relative importance of non-clinical
  skills and their impact on patient care/outcomes
• Countries
• Argentina, Brazil, Mexico, Spain, Denmark, South
  Africa, Taiwan
• Sample/Methods
• 2 qualitative focus groups/country 8
  participants/group n112
  
• 2 hours/session 8 GPs/FPs (large
  practices) 8 Leaders from Medical
• Academia and/or Medical Societies
  Unrestricted grant received from
• Pfizer Medical Humanities Initiative
  Conducted by FACTA (San Francisco, USA)

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Phase II Qualitative Research (2007) Objectives
and Methods

• To assess opinions among leadership of medical
  schools and professional societies as to which
  non- clinical skills are most important to
  the develop specific non-clinical skills programs
• To assess what types of educational
  initiatives/methods might
  prove most
  effective in achieving measurable, non-clinical
  skills improvement
• Countries
• Mexico, France, Germany, Turkey, Japan, U.K.,
  U.S.
• Sample/Methods
• Face-to-face in-depth interviews plus scaled
  assessments (1 hour/session)
• 14 selected leaders per country, n98

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Educational Subjects Assessed as Very
Important/Extremely Important
respondents 7 countries -- n95

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Educational Initiatives Assessed as
Very Important/Extremely Important
respondents 7 countries -- n95

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Educational Program Characteristics
What impact would each of the following
educational program characteristics have on your
organizations potential program use or program
recommendation?
Interactive format Accreditation from local
organizations Produced in partnership with renown
medical centers At nominal cost Short multi-media
segments to minimize learning time Online
educational study only Live educational study
only Both Online and Live educational study Free
of cost Accreditation of health
ministry Available in local language Individual
measures skill needs and achievements Program
adaptation to local needs with aid of local
medical institutions and organizations
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GlobalEduHealth 2008-2010

• Phase I and II Research
• Opinion leaders and practitioners confirmed the
  need for practitioner non-clinical
  patient-centered care skills education to improve
  patient care quality and outcomes
• Opinion leaders identified specific non-clinical
  skills subjects and initiatives and affirmed
  their commitment to join GEH in program
  development and accreditation
• Phase I and II Research provided GEH with
  valuable guidance needed to
• Initiate a series of Initiatives and Seminars
  aimed at Strategic Program Development, and
  Professionalism and Non-clinical Skills
  Improvement Programs
• Initiate design and co-development of Skills
  Improvement Programs in Primary and Secondary
  subjects in association with noted medical
  teaching centers

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GlobalEduHealth 2008-2010

• Primary GEH Educational Subjects
• Patient-Physician Relationships/Communication
• Ethics and Legal Aspects of Care
• Leadership, Advocacy, Health Policy
• Secondary GEH Educational Subjects
• Medical Practice Management
• Health and Information Technology
• Clinical Research/Pharmacology/Drug Development
• Primary GEH Educational Initiatives
• Strategic Development Seminars
• Skills Educational Programs
• Patient Outcomes Improvement Programs
• Online/Web-based Initiatives

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Global Partnership to Improve Patient Care and
Outcomes
Thank You http//www.globaleduhealth.org