Evaluation of effect on skills of GP trainees taking time out of programme (OOP) in developing countries

Kiernan, Patrick; O’Dempsey, Tim; Kwalombota, Kwalombota; Elliott, Lynne; Cowan, Lesley

doi:10.1080/14739879.2014.11494251

Cited by 10 publications

(12 citation statements)

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“…The majority of the doctors welcomed the opportunity to lead teams and to work with more autonomy and responsibility than they were accustomed to in the UK. These findings confirm another evaluation of the OOPE where junior doctors were found to have developed their clinical skills alongside generic skills such as leadership, management and decision-making, as well as better use of resources [ 17 ]. This paper does, however, caution that not all clinical skill improvements were directly transferable to the doctor’s clinical work on return to the UK [ 17 ].…”

Section: Discussionsupporting

confidence: 80%

“…These findings confirm another evaluation of the OOPE where junior doctors were found to have developed their clinical skills alongside generic skills such as leadership, management and decision-making, as well as better use of resources [ 17 ]. This paper does, however, caution that not all clinical skill improvements were directly transferable to the doctor’s clinical work on return to the UK [ 17 ]. In our study, clinical skills and competencies to perform more specialised procedures were advanced in the context of less hierarchical structures and the greater autonomy and independence with which the Deanery candidates worked.…”

Section: Discussionsupporting

confidence: 80%

“…According to the OOPE Director at the London Deanery, the placements enable GP trainees to enhance their competencies around taking initiative, leadership, dealing with human resource constraints and exposure to global health issues. Experiences and skills are gained in areas that would be difficult to achieve within their existing three year specialty training in the UK [ 12 ]. To date, there have been OOPE doctors placed in Uganda, Malawi, SA, Madagascar, Solomon Islands, Northern India, Cook Islands, Nicaragua, Zambia and Costa Rica [ 13 ].…”

Section: Introductionmentioning

confidence: 99%

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The benefits of working abroad for British General Practice trainee doctors: the London deanery out of programme experience in South Africa

2015

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BackgroundThe value of international health experience for doctors from developed nations is well recognised. Provisions have been made for medical staff in the United Kingdom to embark on work experiences abroad during their careers in the National Health Service. The London Deanery and Africa Health Placements provide an Out of Programme Experience for British General Practice trainee doctors wanting to work for a year in rural hospitals in South Africa.MethodsA qualitative study was conducted among fifteen British General Practice trainees who participated in the programme. The research aim was to understand the perceived benefit and value of their experience and their opinions about the structure of the programme. The data was analysed using thematic analysis.ResultsTheir experience provided an accelerated year of learning and development that contributed to their professional and personal development. In addition to their general development, their improved ability to work in resource limited settings, enhancement of soft skills, a greater appreciation for the National Health Service and a better understanding of working within foreign health care systems were important gains. The timing of the experience, the security of re-employment on their return, assistance with administrative requirements of destination countries and the opportunity to gain varied, hands-on experience were highly valued components of the Out of Programme Experience.DiscussionThe value and benefits derived from the doctors' experience in South Africa are discussed in relation to another evaluation of the Out of Programme Experience, as well as issues of transferability of skills and competencies and future impacts on career decisions.ConclusionThis study provides evidence to suggest programmes such as the OOPE have the potential to create substantial benefits for trainee doctors, both in terms of their medical skills and competencies and through the development of softer skills. This programme, through the supply of scarce skills, further benefits the host country and specifically the health facilities and communities served by these trainee doctors.

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Section: Discussionsupporting

confidence: 80%

Section: Discussionsupporting

confidence: 80%

Section: Introductionmentioning

confidence: 99%

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The benefits of working abroad for British General Practice trainee doctors: the London deanery out of programme experience in South Africa

2015

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“…Several studies looked at benefits of partnership working to the developed country partner through competency development or reverse innovation. Smith et al [ 15 ], Kiernan et al [ 16 ] and Longstaff [ 17 ] mapped skills gained through international work onto NHS leadership and competency frameworks. Busse et al [ 18 ] used the Association of Schools and Programs of Public Health global health competency framework.…”

Section: Resultsmentioning

confidence: 99%

A rapid evidence review on the effectiveness of institutional health partnerships

Kelly¹,

Doyle²,

Weakliam

et al. 2015

Global Health

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BackgroundInstitutional Health Partnerships are long-term, institution to institution partnerships between high income and low and middle income countries which seek to build capacity and strengthen health institutions in order to improve health service delivery and outcomes. Funding for Institutional Health Partnerships has increased in recent years. This paper outlines a rapid evidence review on the effectiveness of this modality.MethodsA rapid evidence review of published and grey literature was conducted. Content relating to the effectiveness of working in partnership and methods and frameworks used were extracted and analysed. The results of this analysis were used to structure a discussion regarding the next steps to strengthen the evidence base for the effectiveness of institutional health partnerships.ResultsThe evidence review, including citation mapping, returned 27 published papers and 17 grey literature documents that met all of the inclusion criteria. Most of the literature did not meet the high standards of formal academic rigour and there was no original research amongst this literature that specifically addressed the effectiveness of institutional health partnerships. This was not surprising given institutional health partnerships do not lend themselves easily to case control studies and randomised control trials due to their high level of diversity and operation in complex social systems. There was, however, a body of practice based knowledge and experience.ConclusionsEvidence for the effectiveness of Institutional Health Partnerships is thin both in terms of quantity and academic rigour. There is a need to better define and differentiate Institutional Health Partnerships in order to measure and compare effectiveness across such a diverse group. Effectiveness needs to be measured at the level of individual partnerships, the bodies that facilitate partnership programmes and the level of health service delivery. There is a need to develop indicators and frameworks that specifically address the benefits and values of partnership working and how these relate to effectiveness. These indicators need to be content neutral of specific interventions which are already measured through routine project monitoring and evaluation. This will allow the development of methodological pathways to assess the effectiveness of institutional health partnerships. Until more primary research is conducted or published there is little benefit in further systematic reviews.Electronic supplementary materialThe online version of this article (doi:10.1186/s12992-015-0133-9) contains supplementary material, which is available to authorized users.

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“…41 Kiernan et al in this issue of Education for Primary Care demonstrate the benefits to UK GP trainees of spending time out of programme working overseas. 42 Programmes such as the Academy of Medical Royal Colleges' Medical Training Initiative specifically aim to support overseas doctors to come to train in the UK for a limited period of time and then return home with new skills. 43 However, when migration is long term this has the potential for more negative consequences to 'donor' countries.…”

Section: Challenges Faced By International Medical Graduatesmentioning

confidence: 99%

The NHS and international medical graduates

Pettigrew

2014

Education for Primary Care

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Evaluation of effect on skills of GP trainees taking time out of programme (OOP) in developing countries

Cited by 10 publications

References 0 publications

The benefits of working abroad for British General Practice trainee doctors: the London deanery out of programme experience in South Africa

The benefits of working abroad for British General Practice trainee doctors: the London deanery out of programme experience in South Africa

A rapid evidence review on the effectiveness of institutional health partnerships

The NHS and international medical graduates

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