Evidence map›Paper›PMID 33407415›Full record

ArticleBMC medical education2021

Development and launch of the first obstetrics and gynaecology master of medicine residency training programme in Botswana.

R Luckett, M Nassali, T Melese, B Moreri-Ntshabele, T Moloi, G J Hofmeyr, K Chobanga, J Masunge, J Makhema, M Pollard and 3 more

Abstract read
In one paragraph

Article in BMC medical education, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

3 citing papers in PubMed.

  1. Article
  2. Vulvar cancer in Botswana in women with and without HIV infection: patterns of treatment and survival outcomes.International journal of gynecological cancer : official journal of the International Gynecological Cancer Society · 2021
    Observational
  3. Core competencies for global surgery training: a scoping review.Canadian journal of surgery. Journal canadien de chirurgie
    Article
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

13 authors.

R LuckettDepartment of Obstetrics and Gynaecology, Faculty of Medicine, University of Botswana, Gaborone, Botswana. rebeccaluckett@gmail.com.ORCID http://orcid.org/0000-0002-1975-8837
M NassaliDepartment of Obstetrics and Gynaecology, Faculty of Medicine, University of Botswana, Gaborone, Botswana.
T MeleseDepartment of Obstetrics and Gynaecology, Faculty of Medicine, University of Botswana, Gaborone, Botswana.
B Moreri-NtshabeleDepartment of Obstetrics and Gynaecology, Faculty of Medicine, University of Botswana, Gaborone, Botswana.
T MoloiDepartment of Obstetrics and Gynaecology, Princess Marina Hospital, Gaborone, Botswana.
G J HofmeyrDepartment of Obstetrics and Gynaecology, Faculty of Medicine, University of Botswana, Gaborone, Botswana.
K ChobangaDepartment of Obstetrics and Gynaecology, Faculty of Medicine, University of Botswana, Gaborone, Botswana.
J MasungeFaculty of Medicine, University of Botswana, Gaborone, Botswana.
J MakhemaThe Botswana Harvard AIDS Institute Partnership, Gaborone, Botswana.
M PollardDepartment of Obstetrics and Gynecology, Beth Israel Deaconess Medical Center, Boston, USA.
H A RicciottiDepartment of Obstetrics and Gynecology, Beth Israel Deaconess Medical Center, Boston, USA.
D Ramogola-MasireDepartment of Obstetrics and Gynaecology, Faculty of Medicine, University of Botswana, Gaborone, Botswana.
L Bazzett-MatabeleDepartment of Obstetrics and Gynaecology, Faculty of Medicine, University of Botswana, Gaborone, Botswana.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundSub-Saharan Africa (SSA) faces a severe shortage of Obstetrician Gynaecologists (OBGYNs). While the Lancet Commission for Global Surgery recommends 20 OBGYNs per 100,000 population, Botswana has only 40 OBGYNs for a population of 2.3 million. We describe the development of the first OBGYN Master of Medicine (MMed) training programme in Botswana to address this human resource shortage.

methodsWe developed a 4-year OBGYN MMed programme at the University of Botswana (UB) using the Kern's approach. In-line with UB MMed standards, the programme includes clinical apprenticeship training complemented by didactic and research requirements. We benchmarked curriculum content, learning outcomes, competencies, assessment strategies and research requirements with regional and international programmes. We engaged relevant local stakeholders and developed international collaborations to support in-country subspecialty training.

resultsThe OBGYN MMed curriculum was completed and approved by all relevant UB bodies within ten months during which time additional staff were recruited and programme financing was assured. The programme was advertised immediately; 26 candidates applied for four positions, and all selected candidates accepted. The programme was launched in January 2020 with government salary support of all residents. The clinical rotations and curricular development have been rolled out successfully. The first round of continuous assessment of residents was performed and internal programme evaluation was conducted. The national accreditation process was initiated.

conclusionTraining OBGYNs in-country has many benefits to health systems in SSA. Curricula can be adjusted to local resource context yet achieve international standards through thoughtful design and purposeful collaborations.

Indexed as

GynecologyInternship and ResidencyObstetricsBotswanaCurriculumFemaleHumansPregnancy

Identifiers

PMID33407415
PMCPMC7789389

What OpenQuestion holds

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Registered trials

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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.