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Building Clinical Clerkships Capacity in a Resource-limited Setting: The Case of the Kilimanjaro Christian Medical University College in Tanzania.

Publication ,  Journal Article
Tarimo, CN; Kapanda, GE; Muiruri, C; Kulanga, AT; Lisasi, E; Mteta, KA; Kessi, E; Mogella, D; Venance, M; Rogers, T; Mimano, L; Bartlett, J
Published in: Ann Glob Health
April 30, 2018

BACKGROUND: The shortage of medical doctors in sub-Saharan Africa (SSA) has resulted in increased enrolment in medical schools, which has not been matched with increased faculty size or physical infrastructure. This process has led to overcrowding and possibly reduced quality of training. To reduce overcrowding at its teaching hospital, the Kilimanjaro Christian Medical University College introduced eight-week peripheral clerkship rotations in 2012. We explore students' perceptions and attitudes towards peripheral hospital placements. METHOD: The clerkship rotations were conducted in eight hospitals operating in the northern Tanzania, after evaluating each hospitals' capabilities and establishing the optimum number of students per hospital. Paper-based surveys were conducted after student rotations from 2014 to 2016. RESULTS: Overall student satisfaction was moderate (strength of consensus measure (sCns), 77%). The three cohorts exhibited improving trends over three years with respect to satisfaction with clinical skills and attitude towards placements. student-preceptor interaction was rated highly (sCns 81-84%). The first cohort students expressed concerns about limited laboratory support, and poor access to Internet and learning resources. Specific interventions were undertaken to address these concerns. CONCLUSIONS: Student experiences in peripheral rotations were positive with adequate satisfaction levels. Opportunities exist for medical schools in SSA to enhance clinical training and relieve overcrowding through peripheral clerkship rotations.

Duke Scholars

Published In

Ann Glob Health

DOI

EISSN

2214-9996

Publication Date

April 30, 2018

Volume

84

Issue

1

Start / End Page

129 / 138

Location

United States

Related Subject Headings

  • Teaching
  • Tanzania
  • Surveys and Questionnaires
  • Students, Medical
  • Socioeconomic Factors
  • Schools, Medical
  • Quality Improvement
  • Program Evaluation
  • Medically Underserved Area
  • Male
 

Citation

APA
Chicago
ICMJE
MLA
NLM
Tarimo, C. N., Kapanda, G. E., Muiruri, C., Kulanga, A. T., Lisasi, E., Mteta, K. A., … Bartlett, J. (2018). Building Clinical Clerkships Capacity in a Resource-limited Setting: The Case of the Kilimanjaro Christian Medical University College in Tanzania. Ann Glob Health, 84(1), 129–138. https://doi.org/10.29024/aogh.15
Tarimo, Chrispina N., Gibson E. Kapanda, Charles Muiruri, Ahaz T. Kulanga, Esther Lisasi, Kien A. Mteta, Egbert Kessi, et al. “Building Clinical Clerkships Capacity in a Resource-limited Setting: The Case of the Kilimanjaro Christian Medical University College in Tanzania.Ann Glob Health 84, no. 1 (April 30, 2018): 129–38. https://doi.org/10.29024/aogh.15.
Tarimo CN, Kapanda GE, Muiruri C, Kulanga AT, Lisasi E, Mteta KA, et al. Building Clinical Clerkships Capacity in a Resource-limited Setting: The Case of the Kilimanjaro Christian Medical University College in Tanzania. Ann Glob Health. 2018 Apr 30;84(1):129–38.
Tarimo, Chrispina N., et al. “Building Clinical Clerkships Capacity in a Resource-limited Setting: The Case of the Kilimanjaro Christian Medical University College in Tanzania.Ann Glob Health, vol. 84, no. 1, Apr. 2018, pp. 129–38. Pubmed, doi:10.29024/aogh.15.
Tarimo CN, Kapanda GE, Muiruri C, Kulanga AT, Lisasi E, Mteta KA, Kessi E, Mogella D, Venance M, Rogers T, Mimano L, Bartlett J. Building Clinical Clerkships Capacity in a Resource-limited Setting: The Case of the Kilimanjaro Christian Medical University College in Tanzania. Ann Glob Health. 2018 Apr 30;84(1):129–138.
Journal cover image

Published In

Ann Glob Health

DOI

EISSN

2214-9996

Publication Date

April 30, 2018

Volume

84

Issue

1

Start / End Page

129 / 138

Location

United States

Related Subject Headings

  • Teaching
  • Tanzania
  • Surveys and Questionnaires
  • Students, Medical
  • Socioeconomic Factors
  • Schools, Medical
  • Quality Improvement
  • Program Evaluation
  • Medically Underserved Area
  • Male