PRINCE MAHIDOL CONFERENCE

Bangkok, January 28, 2011

The Movement

2000

2004

2006

2008

2010

2011

MDGsHIV/AIDS

JLI

WHR

Kampala

COMMISSIONMEPI NEPIWHO-PEPFARDIRECTION?

Benchmarks

Priorities

• Shortages CHWs• Mal-distribution Retention• Work envirnmt Incentives

Why Professional Education?

LeadershipHealth systemTeam work

Education of Health Professionals for the 21st Century

Global

Multi-professional

Evidence-based

Systems Educ-Health

THE COMMISSION

Commissioners

Advisory Inputs

•Advisors•Youth•Papers•Consultations •Research

100th AnniversaryFlexner, Goldmark, Welch-Rose

1910 19151923

Professions: Two Sides

Brighter

• Knowledge broker• Care-giver• Technology• Quality• Team leader

Advancing Health

Darker

• Monopoly knowledge• Financial self-interests• Professional chauvinism• Over-specialization• Urban preference

Inequities in health

Structure

Institutional Design

• Financing• Stewardship• Accreditation• Collaborations• Metrics

Instructional Design

• Criteria admission• Competencies• Channels• Career pathways

ContextGlobal-Local

Process

Transformative Learning

Interdependence in Education

Outcomes

Components Education System

Maps by Disease Burden & Medical Schools

Professional Education Expenditure %

India

Brazil

Num

ber o

f med

ical

sch

ools

New Medical Schools India and Brazil

Traditional Model

EducationalObjectives

Competency-Based Model

Curriculum

Assessment

Health Needs of System-Society

CompetencyOutcomes Curriculum

Assessment

Inter- and Trans-Professional Education

Higher income countries Lower income countries

Inter-ProfessionalEducation

Inter- & Trans-ProfessionalEducation

Science based Problem based Systems based

Scientific curriculum

University based

Problem based learning

Academic centers

Competency driven:

local-global

Health education systems

Inst

ructi

onal

Insti

tutio

nal

1900 2000+

Three generations of reforms

Instructional• Competency-driven• Local-Global• Inter + trans-professional• IT empowered• Educational resources• New professionalism

Institutional• Joint planning• Academic systems• Networking• Culture critical inquiry

RecommendationsEnablingActions

10 Reforms

• Align accreditation

• Strengthen global learning

• Enhance investments

• Mobilize leadership

Goal

Professional education for

equity in health

Directions?

RISKS OPPORTUNITY

1) Arrogance-silos Pt-centered team work2) One model Adapt local (arch-type)3) Skewed funding Balanced HRH investment4) Proprietary sch Quality assurance5) Global flow Sharing & learning

Nigel Crisp: Biased Flows

North South

Ideas/TechnicalMoney/Finances

People

Migration

Nigel Crisp

Mutual Exchange

North South

InnovationCapacity Bldg

IdeasFaculty-Training

Sharing/Learning

Check-List

1) Competencies “new professionalism” 2) Locally adapted - global knowledge 3) Balanced HRH investments 4) Accreditation for quality-equity 5) Global sharing & learning