Evidence map›Paper›PMID 28086953›Full record

ArticleBMC medical education2017

Student and faculty perceptions on the rapid scale-up of medical students in Ethiopia.

Brittney S Mengistu, Holly Vins, Caitrin M Kelly, Daphne R McGee, Jennifer O Spicer, Miliard Derbew, Abebe Bekele, Damen Haile Mariam, Carlos Del Rio, Henry M Blumberg and 1 more

Abstract read
In one paragraph

Article in BMC medical education, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

14 citing papers in PubMed.

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  10. The Medical Education Partnership Initiative: Strengthening Human Resources to End AIDS and Improve Health in Africa.Academic medicine : journal of the Association of American Medical Colleges · 2019
    Review
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors.

Brittney S MengistuDepartment of Behavioral Sciences and Health Education, Rollins School of Public Health, Emory University, 1518 Clifton Rd, Rm 510, Atlanta, GA, 30322, USA.
Holly VinsRollins School of Public Health, Emory University, 1518 Clifton Rd, Atlanta, GA, 30322, USA.
Caitrin M KellyEmory University School of Medicine, 1599 Clifton Rd, 6th fl, Atlanta, GA, 30322, USA.
Daphne R McGeeEmory University School of Law and Rollins School of Public Health, Emory University, 1518 Clifton Rd, Atlanta, GA, 30322, USA.
Jennifer O SpicerDepartment of Medicine, Emory University School of Medicine, 1599 Clifton Rd, 6th fl, Atlanta, GA, 30322, USA.
Miliard DerbewCollege of Health Sciences, Addis Ababa University, Black Lion Hospital Campus, Second Floor, Office No 35, PO Box 5729, Addis Ababa, Ethiopia.
Abebe BekeleSchool of Medicine, Addis Ababa University, PO Box 9086, Addis Ababa, Ethiopia.
Damen Haile MariamSchool of Public Health, Addis Ababa University, PO Box 9086, Addis Ababa, Ethiopia.
Carlos Del RioHubert Department of Global Health, Rollins School of Public Health and, Department of Medicine, Emory University School of Medicine, 1518 Clifton Rd #7011, Claudia Nance Rollins Bldg, Atlanta, GA, 30322, USA.
Henry M BlumbergDivision of Infectious Diseases, Department of Medicine, Emory University School of Medicine and Departments of Epidemiology and Global Health Rollins School of Public Health, Emory University, 1599 Clifton Rd, 6th fl, Atlanta, GA, 30322, USA.
Dawn L ComeauDepartment of Behavioral Sciences and Health Education, Rollins School of Public Health, Emory University, 1518 Clifton Rd, Rm 510, Atlanta, GA, 30322, USA. dcomeau@emory.edu.ORCID http://orcid.org/0000-0003-2877-9151

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundEthiopia is a country of over 94 million people that has a severe physician shortage with approximately only 2.5 physicians per 100,000 persons. Recently, the Ethiopian government implemented a "flood and retain" initiative to rapidly increase the quantity of physicians in Ethiopia. Consequently, medical student enrollment at Addis Ababa University (AAU) School of Medicine increased from 100 to approximately 300-400 students per class. This study evaluated the impact of the rapid scale-up in the number of medical students on the quality of medical education at AAU and the impact of the U.S. government-funded Medical Education Partnership Initiative (MEPI) grant awarded to AAU to provide resources to strengthen the quality of medical education at AAU.

methodsQualitative, semi-structured, in-depth interviews were conducted with 22 key informants including faculty members, administrators and medical students at AAU. The audio recordings were transcribed verbatim and interview data were analyzed with thematic analysis.

resultsFour key themes emerged from the data. Overall, participants perceived a decrease in the quality of medical education at AAU due to challenges created by the rapid scale-up in the number of medical students. Positive learning environments were described as difficult to achieve due to overcrowding in classrooms and the limited numbers of textbooks. Overall, participants stated that infrastructure improvement is needed to provide adequate medical student training. The medical education initiatives implemented and funded by MEPI have provided significant resources to support the medical student curriculum but additional resources are required to accommodate a large student body.

conclusionsThe unprecedented rapid scale-up of medical students has impacted multiple facets of medical education at AAU. It is important to consider the perspectives of students and faculty in order to focus future medical education policies, MEPI programming and the allocation of resources.

Indexed as

Schools, MedicalAdultCurriculumEthiopiaFaculty, MedicalFemaleHumansMalePhysiciansQualitative ResearchStudents, MedicalAfricaEvaluationMedical education

Identifiers

PMID28086953
PMCPMC5237354

What OpenQuestion holds

Textmetadata
LicenceCC BY
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.