ArticlePloS one2019
The rapid scale up of medical education in Ethiopia: Medical student experiences and the role of e-learning at Addis Ababa University.
Article in PloS one, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.
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Who cites it
12 citing papers in PubMed.
- Introducing virtual microscopy at the University of Ghana during the COVID-19 pandemic-Identifying and overcoming obstacles in a low-resource learning environment.Anatomical sciences education · 2026Article
- Understanding cost variation in medical and health sciences education: An institutional perspective.Health policy OPEN · 2026Article
- Building primary health care from the ground up: family medicine, academic partnership, and health system reform in Ethiopia.Frontiers in medicine · 2026Article
- Article
- Clinical placements of medical students during a rapid scale-up of health professional education: a qualitative study.BMJ open · 2025Article
- Brazil's experiment to expand its medical workforce through private and public schools: Impacts and consequences of the balance of regulatory and market forces in resource-scarce settings.Globalization and health · 2025Article
- Pioneering family medicine: A collaborative global health education partnership in Ethiopia.African journal of primary health care & family medicine · 2024Article
- Assessment of clinical competence of graduating medical students and associated factors in Ethiopia.BMC medical education · 2024Article
- Medical students' knowledge and attitude towards tele-education and associated factors at University of Gondar, Ethiopia, 2022: mixed method.BMC medical education · 2023Article
- Are Ethiopian schools of medicine producing competent medical graduates for providing quality health care in the era of COVID-19 pandemic?BMC medical education · 2023Article
- Challenges and opportunities for educating health professionals after the COVID-19 pandemic.Lancet (London, England) · 2022Review
- Assessment of core teaching competency of health professional educators in Ethiopia: an institution-based cross-sectional study.BMJ open · 2022Article
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Authors and funding
12 authors.
Funding
Abstract
backgroundIn response to a physician shortage in Ethiopia, the number of medical students admitted to public universities was rapidly increased through a "flooding" policy.
objectivesTo assess medical student perceptions on the impact of the "flooding" policy on medical education and e-learning initiatives, as well as plans for future emigration.
designA cross-sectional survey of medical students at AAU was implemented in 2014. Attitude and practice items were assessed using a Likert scale. Logistic regression analysis was performed to identify characteristics associated with an interest in future emigration.
results673 (99.6%) of 676 students approached completed the survey, representing 39.5% of all 1705 medical students enrolled at AAU in 2014. Most students felt the "flooding" policy had a negative impact on their medical education and >90% felt there was not adequate infrastructure to support the increased student body. E-learning activities to accommodate increased class size included distribution of electronic tablets, but at the time of the survey only 34.8% of students still had a working tablet and 82.3% reported problems with internet connectivity. Most preclinical students (85.1%) who had attended live-streamed lectures preferred traditional classroom lectures. Half of the students (49.5%) intended to practice medicine in Ethiopia. Independent risk factors for planning to emigrate included age <21 years (aOR = 1.30, 95% CI 1.04, 1.97); having applied to medical school for reasons other than "wanting to be a physician" (aOR = 1.55, 95% CI 1.14, 2.20), and not believing that "flooding" policy would increase the number of physicians working in Ethiopia (aOR = 1.87, 95% CI 1.33, 2.58).
conclusionsThe "flooding" policy lead to significant educational challenges that were not fully alleviated by e-learning initiatives. Concomitant increases in resources for infrastructure development and faculty expansion are needed to maintain quality medical education. Additional research is needed on factors that influence medical graduates decision to emigrate.
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