EVALUATION OF THE DETERMINANTS OF CLINICAL MEDICINE TRAINING OUTCOMES IN WESTERN KENYA
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Study Objective: To analyze the learner – lecturer / instructor interaction process within the context of theory learned during training put into clinical / medical practice. This was in order to generate limitation in both the teaching institutions that address Clinical Medicine training outcomes.
Study Design: Across- sectional study
Study Setting: This study was carried out in Lake Basin Region of Kenya. The area includes Kisumu and its surrounding counties of Vihiga and Nandi.
Study Subjects / Participants: Sixty six (66) Clinical Medicine students from various MTIs in Lake Basin Region of Kenya, 58 health workers, 3 heads of departments from KMTCs, 5 heads of departments in the clinical placement sites that was visited for this study and 4 lecturers of MTIs.
Study Results: Analysis from observations of student / lecturer / infrastructure / leadership / linkage engagements were obvious and more so the absence of libraries in all RHTCs. In both the county Hospital and the referral Hospital (JOOTRH) there were libraries which were inaccessible to Clinical Medicine students. There were linkages and networking processes in all the training health facilities that were used as clinical placement sites. This was evident in the many students who were present from different MTIs in Kenya. Students for clinical placements came from all MTIs in Kenya among who were all KMTCs, GLUK, Uzima University College, Mt Kenya University, Moi University and others. There were evident interactions in many ways both academically and socially, and with the presence of ICT services, these students were linked together nationally regionally and internationally
Study Conclusion: This study therefore provides a tool to guide MTIs and clinical placement sites in Kenya on the best practice in linking theory based learning with clinical practice in achieving quality, competent, effective, and efficient Clinical Medicine training outcomes.
- AHRQ (2012). Clinical guidelines and recommendations (Agency for Health Research and Quality) www.ahrq.gov/proffessionals/clinical providers /guidelines -recommendations index.html
- ACM (2010).Women and birth.Journal of the Australian College of Midwives.
- Armstrong R, Waters E, Doyle J (2008). Reviews in public health and health promotion.Cochraine hand book for systematic reviews of interventions (ISBN 978-0470057964) chap 21. www.ph.cochraine.org
- Anderson, Shannon (1995). Contemporary Education (SCARCE), comprehensive mentoring model and discussing its relevance 10, 2012.
- Andrews GJ, Brodie DA, Andrews JP, Hillan E, Thomas BG, Wong J, Rixon L (2006). Professional roles and Communications in clinical placements: A qualitative study of nursing students’ perceptions and some models for practice. http.//dx.doi.org/10.1016/j.ijnustu.2005.11.008
- Bachelor of Science in Nursing (2011). Students training of general programme objectives Profile chap 1 pg 4
- Baille, E., Bjarnholt, C.,Gruber, M &Hughes,R.(2009). A capacity building conceptual framework for public health nutrition practice. Public Health Nutrition, 12(8), 1031-1038.
- Barry, M. (2008).Capacity Building for the future lof Health promotion. Promotion & Education, 15(4),56-58.
- Bates, I., Yaw OseiAkoto, A.,Ansong,D.,Karikari,P.,Bedu-Addp,G., Critchley,3, Agbenyega,T. et al. (2006). Evaluating Health Research Capacity Building: An Evidence Based Tool.PLoS Medicine, 3(8),1224-29.
- Bates et al (2011). Indicators of sustainable capacity building for health research. Analysis of four African case study. Health Research Policy Systems 2011,9:14. Doi10.1186/1478-4505-9-14
- BMC (2008). BMC musculoskeletal disorders 9:54, www.bromedcentral.com/1471-2474/9/54-classroom teaching. And family practice 6.44
- Bryar R. (2009). Getting there on research capacity building? journal of Research in Nursing,14 (1): 5-7.
- Caraccio (2002). Components of knowledge, skills, attitudes and competence in behavior
- COC (2012). BCM logbooks for clerkships
- COC (2011). Core curriculum for Diploma in Clinical Medicine
- COC (2010).National standards for institutional compliance to offer training in Clinical Medicineprogramme in Kenya. Pg17 www.clinicalofficerscouncil.com
- CDC (2010). Public health infrastructure-A status report pg 4 and 12
- Chan, R., Gardner G,Geary,A. (2010). Building research capacity in the nursing workforce: the design and evaluation of the nurse research. Australian Advanced Journal of Advanced Nursing, 27, (4): 62-69.
- COK (2012).Constitution of Kenya. Article 10(2)
- Cooke,J. (2005). A framework to evaluate research capacity building in health care.
- Critical learning experiences & resources.
- CUE (2008). Commission for University Education Handbook pg 26
- Deeks JJ, Higgins JPT, Altman DG (2008). Analysing data and undertaking a meta-analysis. www.wiley.com
- Dolman (1994). Problem based learning
- DVV International (2009). Adult education and development
- Dolea C, Stormont L, Braichet JM (2010). Evaluated strategies to increase attraction and retention of health workers in remote and rural areas.Scielosp.org (HTML).Bulletin of WHO vol. 88 n.5, http.//dx.doi.org/10.1590/s0042-96862010000500016.
- Ebbesen L.S., Health S.,Naylor P.J. and Anderson D. (2004). Issues inMeasuring Health Promotion Capacity in Canada: A Multi- Province Perspective. Health
- Economic survey (2009). Break down of key Registered Health Personnel, Kenya
- Edwards N., Kahwa, E. & Mill J, Roelofs,S., (2009). Building capacity for nurse-led research: International Nursing Review 56,88-94.
- Frank et al (2010). Development of milestones, instructional methods and assessment tools to facilitate learning
- Funzo Kenya, USAID, Intrahealth (2015). Principles of developing competence based curriculum
- Gaba, D. (2007). The future vision of simulation in healthcare.Journal of the Society for Simulation in healthcare, 2(2), p.126.
- GLUK (2012) Bachelor in Clinical Medicine, Surgery and community Health curriculum chap 2 pg15, pg 22
- GLUKa(2011). Regulations and curriculum for the degree of Bachelor of science in Clinical Medicine, Surgery and Community Health chap 2.pg 9
- GLUKb(2011). Curriculum for Bachelor of science in Nursing
- Hamid, M., Lavis, J.N.,Lomas, J. &Sewankambo, N.S. (2006). Assessing country level efforts to link research to action. Bulletin of World Health Oorganization, 8:620-628.
- HMIS (2009). Distribution of health facilities by type and controlling agent. Equip with desks /tables /claims
- Hornec Westcott E (2003). Thinking through philosophy pg 136
- IJAHSP (2007). International Journal of Allied Health Sciences and Practice: To nurse education Vol 5 No 3, Vol 6 issue 3, Vol 23 issue 4 pg 128
- HWA (2013).A framework for effective clinical placements in rural and remote primary care settings.Pg 6
- IND (2011).International Nurses Day. Closing the gap: increasing Access and Equity.pg 12
- Izumi (2012).Health care infrastructure. uzumi.org
- Joffres C., Barkhouse K., Farquharson j., Heath S., Latter C & MacLean DR., (2004). Facillitators and Challenges to Organizational Capacity Building In Heart Health Promotion. Quality Health Research, 14(1):39-60.
- KHTS (2011).PNA technical working group retreat. October 17-19, pg 27
- Kimotho J H, Kibwage I O (2012). East Africa Pharmaceuticals loco: A regional drug index for health care practitioners 11th Edition 2011-2012
- KNBS (2009). Kenya population and housing census, vol. 1 A.
- Lansang, M. & Dennis, R., (2004).Building capacity in health research in the developing world.Building of the world Health Organization, 82, 764-770.
- Leitch R(2009). Capacity building evaluation, initiatives and obstacles across the UK: Reflections from England, Scotland, Wales and North Ireland. Research capacity buiding from a Northern Ireland perspective. Discussant paper 1 of the AERA invited symposium: Wednesday 15th April, 2009
- Loughran L. (2004). Capacity building for HIV/AIDS prevention. Captions-Family Health International Vol. 11, No.2: capacities/skills for HIV/AIDS Management.
- McDonalds, S. et al (2010). Building capacity for evidence generation, synthesis and implementation to improve the cares of mothers and babies in South East Asia: methods and design of the SEA –ORCHID Project using a logical framework approach.
- Mentoring & tutoring (1999). Developing a supportive /challenging and reflective to nurse education.vol6, issue 3. And Vol.23 issue 4 pg 128.
- Mildmay-Kenya (2013).BSc(Hons): Health Systems Development Approach to care and management. www.mildmay.org/kenya
- Miller J., MacLean L.B., Coward P. and Broemelling A-M. (2009). Developing strategies to enhance health services research capacity in a predominatly rural Canadian health authority. Rural and Remote
- Health 9:1266. (Online). Available from: http:www.rrh.org.au
- Mittelmark M. et al. (2007). Mapping national capacity to engage in Health promotion: Overview of issues and approaches. Health Promotion International, 21(S1),91-98.
- MMMS/COC (2010). National standards for institutional compliance to offer training in Clinical Medicine program in Kenya chap 6(b), pg 20
- MOMS/MOPHS (2012). Facts and figures 2010 chap 3 pg 15.
- MOMS/MOPHS (2012). National Human resources for health strategic plan 2009-
- MOMSa (2010).Conceptional learning Aid for health system managers.chap 1, page 13
- MOMSb(2010).Health systems strengthening :Technical learning Aids for Health Managers unit 188.8.131.52.pg 47
- MOMSc(2010).Facts and figures –Health and health related indicators 2010 pg viii
- Mullan F, Frehywots, Omaswa F, Buch E (2011).Medical schools in sub-Saharan Africa. The lancet Vol. 377 No.9771, pg 1113-1121
- NCK (2012).Standards of nursing education and practice for nurses in Kenya, 2nd edition.June 2012, pg 18.
- Neilson S. and Lusthaus C. (2007). IDRC- Supported Capacity Building: Developing a Framework for Capturing Capacity Changes. Universalia.
- NHMRC (1999).A guide to the development, implementation, implementation and evaluation of clinical practice guidelines, Canberra. http.//www.joannabriggs.edu.au
- NHS (2013). Medical careers.www.medicalcareers.nhs.uk.
- NHSCRD (2013).National Health Science Center for Review and Dissemination. http.//york.ac.uk/inst/crd/srinfo.htm
- NHSSP (2012).Reversing the trends. The second National Health Sector Strategic Plan of Kenya. AOP 6, July 2010-June 2011 chap 4.2.12 pg 27 and chap 5.4.1 pg110
- Ni ni S, Tumbo JM (2012). Determinants of effective medical intern training at training hospital in North West South Africa Vol 4, No 1
- Noyes J, Popay J, Pearson A, Hannes K, Booth A (2008). Qualitative research and cochraine reviews. chap 20. www.wiley.com
- Nuyens Y.(2005). No Development without Research: A challenge for capacity strengthening. Global Forum for Health Research.
- Nuyens, Y. (2007).10 best resources for health research capacity strengthening. Health Policy and Planning , 22,274-276.
- Nordberg E (2007). Communicable diseases.4th edition, page 5
- Offredy M. (2007). Supporting research in Primary care: Building capacity from within. Quality in Primary Care chap15, pg 73-75.
- Pamantasan NC, Lungsod NG, Maynilla(2008). Linkages and Networking: Uplifting institutions’ performances
- Perry L, Grang E.A, Heyma B. & Noble P (2008). Stakeholders, perceptions of a research capacity development project for nurse, midwives and allied health professionals. Journal of Nursing management 16,315-326.
- Playford D, Larson A, Wheatland B (2006). Going country: Rural student placement factors associated with future rural employment in nursing and allied health. AJRH Vol.14, issue 1. Doi:101111/j.1440-1584.2006. 00745.x pg14-19
- Robinson K, Elliots SJ, Driedger SM, O’Loughlin J, Riley B, Shall comeron R, Eyles j, Harvey D(2005). Using linking systems to build capacity and enhance dissemination in Heart Health promotion: A Canadian multiple case study. Health education research pg 499-513.
- Roger S, Webb G, Devitt L, Gilbert J (2008). Clinical placements and practice placements in the allied health professions: An international perspective. Journal of allied health vol.37, No.1. www://ingentaconnect.com
- ROK (2011). Core curriculum for Bachelor’s degree in Clinical Medicine, pg 1-20
- ROK (2012a). Kenya vision 2030: First medium plan. A globally competitive and prosperous Kenya, 5.2.1 pg98
- ROK (2012b). The code of professional conduct for clinical officers chap 2 pg 9- supervised clinical placement in the institution
- ROK (2012). Kenya Vision 2030: First medium term plan for 2008-2012. A globally competitive and prosperous Kenya 5.2.1 pg98
- SAMHSA (2013). Treatment improved protocols. Linkages: A coordinated community response. Chap 6. www.ncbi.nlm,nim.gov
- Sare G, Cooke J (2009). Developing indicators for measuring research capacity development in primary care organizations: A consensus approach using nominal group technique. Health and social care in the community 17(3):244-253
- Sergot J, Mclvor M, Green B (2006). Challenges and strategies in developing nursing research capacity. A review of literature in International Journal of Nursing Studies 43(5): 637-651
- Trevis p, Bennette S, Haines A, Pang T, Bhutta Z, HyderAA,et al (2004). Overcoming health systems constraints to achieve the MDGs. Lancet 2004; 364: 900-906
- WHO (2005). Interim WHO clinical staging of HIV/AIDS case definitionsfor surveillance. WHO/HIV/2005.02 page 4/
- WHO (2008). World Health Report: Primary Health Care now more than ever. Geneva: WHO; 2006