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Newsletter Mesaunewsletter Mesau Director’S Message PRODUCED QUARTERLY BY THE MESAU CONSORTIUM; A MEPI INITIATIVE Vol 5. No.1 January-March 2015 MESAU Newsletter MESAUNewsletter Mesau Director’s Message Dear Reader, Interventional Cardiology Training at Case “The future we want needs to be invented; otherwise we will get Western Reserve University (CWRU) one we don’t want” Joseph Beuys. By Dr Emmy Okello (Interventional Cardiology Fellow, Case Western Welcome to MESAU Reserve University) News, a production of the MESAU consortium with Secretariat at Makerere University College of Health Sciences. I arrived at CWRU on 1st July The MESAU consortium cherishes got to meet the Case Western collaborations and networking between Reserve University (CWRU) team 2014 and attended the Fellows its member institutions augmented when they came to Uganda orientation together with the by “smart partnerships” with in country and external stakeholders under the MEPI-CVD program other Fellows including General, that promote mutual benefits and Ias they provided technical support. Heart failure, Electrophysiology multi directional learning. It is only a and Interventional Cardiology and couple of months away from the end We collaborated to strengthen the of MEPI grant funding to MESAU and Rheumatic heart disease registry at started work immediately. here we stand face to face with the Uganda Heart Institute (UHI), which challenges of ensuring sustainability of The back ground above is important our educational innovations and other started as an outcome of my PhD achievements. study. because unlike many collaborations The complexities surrounding to pg 2 sustainability should not induce The team visited regularly to perform paralysis but rather stimulate our interventional cardiology procedures appetite for accelerating additional innovations based on the power we including percutaneous coronary Contents have as academic institutions. MESAU interventions and mitral balloon should examine the “Benn Principles” Pg. 3 and determine how they apply to valvuloplasty. As we worked with Busitema University Trains the consortium and its individual them, they quickly realized that there Faculty in Tutorial Process institutional partners. Tony Benn asked was need to train interventional five questions of any institution: and Students’ Assessment cardiologists to perform these What power have you got? procedures in the country without Where did you get it from? In whose interests do you having to wait for help from abroad. I Experience in supporting the Pg. 5 exercise it? was in the second year of my general writing of the NIH MEPI grant To whom are you cardiology fellowship then. Following accountable? application, Gulu University’s How can we get rid of you? consultations between the Uganda first NIH Grant Application Heart Institute, Makerere University These questions can be more appropriately examined when the and Case Western Reserve University, Meeting our health needs: A Pg. 6 concept of social accountability I was chosen as one of those to do mandate of medical schools is kept CVD awareness campaign central to defining the future of MESAU. interventional cardiology training Applying a social accountability lens to after Dr. Kayima’s one year training development of health professionals (He is currently at UHI). In 2013, I was Pg. 7 may act as a change agent for the Clinical Observer ship at Yale future with potential to deliver high interviewed for the Fellowship by Department of Neurology quality education and graduates who Professors Daniel Simon (Chief Division respond to societal needs (Gibbs of Cardiovascular Medicine at CWRU) 2011). Engagement with MoH and Pg. 9 and Prof Marco Costa, then Director MoE in the development of MESAU institutions are expressing of the Interventional Cardiovascular social accountability through a variety Centre for Evidence Based of approaches including emphasis Institute at CWRU. My Fellowship on working with communities started in July 2014 after completing Medicine at MakCHS through distributed community based education, research and services all relevant paper work including Mbarara University MESAU Pg. 17 that takes place at community sites application for the Ohio State Medical Masters Fellows Graduate across the country. In addition, there License and University Hospitals is increasing emphasis on conducting regionally relevant research. Privileges. MAKERERE UNIVERSITY 1 MESAU Newsletter MESAU Newsletter From 1 Interventional Cardiology Training at (CWRU) Busitema University Faculty of Health Sciences Trains Faculty in Tutorial Process and Students’ Assessment Willy Kisaka, Assistant Registrar, Busitema University Faculty of Health Sciences In an effort to contribute In a quest to strengthen the discussion sessions on various towards training of high delivery of PBL, BUFHS organized assessment methods were held. quality health professionals in a two-day workshop to train the Using adult training methods, the Uganda,Busitema University faculty on the tutorial process non-residential training was highly Faculty of Health Sciences and students’ assessment with engaging with a 8.30am- 5.30 pm (BUFHS) has fully embraced funding from MESAU- MEPI. This daily program. Some of the topics the Competency Based training took place between included; How people learn and Education (CBE) Curriculum. 26th and 27th March 2015 at the PBL, The tutorial process for Pre- These competences (graduate Health Manpower Development Clinical years, The tutorial process outcome abilities) are best Centre (HMDC). HMDC is a sister for Clinical years, Competence- achieved through a learner- institution with training facilities Based Education, Skills training centered learning context. The that BUFHS can use on request. & the Skills Lab, Problem Writing, CBE is highly characterized The training was facilitated by Principles of assessment, Different Left; Dr Emmy Okello and Prof. Daniel Simon performing Coronary angiography in Cleveland-Ohio. Right; Dr Emmy Okello by use of a mixture of Prof. Sarah Kiguli Walube and methods of assessment and controlling the equipment curricular delivery including Mr. Roy Gonzaga Mubuuke; both Standard setting. tutorial teaching-learning from Makerere University College At the end of the training, that have offered to train Ugandan week and weekend or you may end should help us get our cath lab method as one of the modes, of Health Sciences. The workshop certificates of attendance were doctors, this is a hands-on training up going for a procedure every 3 better organized when I return. otherwise referred to as the was attended by 25 participants awarded to the participants. where you are treated like any hours for the 4 day call! Problem Based Learning at teaching ranks at BUFHS. The other Fellow and have to process My exposure at CWRU has enabled (PBL).This centrality of PBL purpose of the training was to Additionally, trainees expressed the right paper work, and it’s not All Fellows attend weekly teaching me learn a lot of interventional in the teaching-learning increase the competences of satisfaction with the training an observer ship where you are not conferences including cath cardiology technique and skills process makes it inevitable the faculty in the delivery and exposure and the materials allowed to touch a patient. conference on Tuesday 7-8am and in this short time that I plan to to continuously train tutors assessment of students in the provided. Worth noting though, a clinical case conference every helps patients but also bring our to impart necessary skills for CBE curriculum with particular was the recognition that success My typical day starts at 5am when Wednesday. Fellowship training in Uganda to a those who might be new in emphasis on PBL. At the end of of PBL largely depended on I wake up, pray and do some higher level. the teaching field as well as the workshop, participants were the nature of tutorial learning exercise. I then drive to hospital We also present at journal clubs improve the capacities of those expected to; explain how people problems, which should be which is about 15 minutes from and attend grand rounds where an I purpose to continue supporting already in the practice. This learn with a relationships PBL, appropriate, relevant and well my apartment. Work in the cath expert in cardiovascular diseases the department of medicine, article highlights one of the describe the tutorial process designed. Tutors pledged to lab starts at 7am and we typically usually presents on something new Makerere University, through sessions undertaken to build and explain key principles of commit more time and efforts perform 15-20 procedures every in the field teaching of cardiovascular medicine capacity in PBL at BUFHS. student assessment. In addition, in constructing good tutorial day. Each day of the week has skills to undergraduate and problems. an attending Interventional Opportunities: I have learnt a graduate medical students. cardiologist who works with the lot; by April 2015, I had done over two interventional Fellows and 526 left heart catheterizations, Appreciation: All this wouldn’t usually one general cardiology 318 right heart catheterizations, be possible without the support fellow on a diagnostic rotation. 211 percutaneous coronary from the MEPI-CVD linked award interventions, 24 fractional flow under the leadership of Prof. Nelson Monday is an interesting reserve tests, 30 optical coherence Sewankambo and Prof. Moses day because the two senior imaging tests, 25 intra aortic Kamya and the strong collaboration cardiologists
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