KCMC-MEPI Using Technology in Delivering Medication Education: Updates from KCMC Moshi K. Ntabaye, KCMC MEPI Principal Investigator

Overall KCMC-MEPI Goals Increase the number and quality of physicians Increase retention in underserved areas Improve capacity for regionally relevant research

KCMC Specific Aims Through a robust and integrated partnership, enhance medical education at KCMU College and KCMC by implementing creative learning approaches. To teach research skills, and to engage the interest of students in research careers. To transform the culture of teaching and learning at KCMU College and KCMC. To sustain the transformed environment beyond the period of the MEPI award.

KCMU College Medical Students

MEPI IT Infrastructure Seacom cable to KCMC campus

MEPI IT Infrastructure MEPI Computer Laboratories

Learning Content Management System (LCMS+) Based upon Blue Docs from Duke University MD1 and MD2 curricula fully loaded into system – MMed and MSc curricula; demand outstripping capacity! Expanding into MD3 On-line exams given Tremendous M&E tool Notice board, on-line resources, surveys 90% of MD1 students are accessing LCMS+ at least 4 days/week

LCMS+ Calendar Function

LCMS+ Class Resources

LCMS+ On-line Exam Scoring

LCMS+ Analysis of Answer Patterns

Student Perceptions of LCMS+ 1 Quality of software3.978% Quality of content4.284% Learning enhancement4.284% Domain 1. N=152 MD1 students 2. Mean scores are measured on a Likert scale with a score of 5 being most positive. 3. Strength of consensus measure; a percentage of >80% is considered significant. Mean Scores 2 sCns 3

MEPI IT Infrastructure All 157 MD2 and 152 MD1 students given tablets

Documenting Performance NBME given for the third time in Africa

Team-based Learning

MEPI Wet Laboratory Utilized by 633 KCMU College students from 5 different academic programs Emphasis on practical laboratory skills and proper use of rapid diagnostic tests Used for LSHTM DTMH course teaching Clinton Health Access Initiative very interested in using it as a training facility

MEPI Mentored Research Projects First cycle 12 proposals selected for funding Diversity of topics (Community Health 2, Infectious Diseases 4, Cancer 2, Diabetes 1, HBP 1, Head Trauma 1, Health Systems Strengthening 1) Second cycle of applications in progress

MEPI Education Innovation Projects First cycle 3 projects funded (vehicle to support Community Health, creation of MEPI Media Centre, Information Specialist for library) Second cycle in progress

Additional Accomplishments Written English teaching with Virginia Tech University Alumni Office created and tracer study started First MEPI Teaching Awards given Performance-based Compensation Plan completed Faculty Satisfaction Survey completed Presentations at CUGH Conference, GETHealth Summit, e-Learning in Africa Conference First 2 manuscripts describing KCMC MEPI submitted

Sustainability Careful documentation of impact by M&E Team Contributions of Provost in MEPI Wet and Computer Laboratories Hosting of the Tanzanian Forum of Universities and Colleges in Health Sciences Inclusion of Ministries of Health and Education on External Advisory Committee Engagement of international partners such CHAI (US), LSHTM (UK) and BSU (Denmark)

Conclusions Substantial challenges in addressing HRH needs in sub-Saharan Africa KCMC-Duke MEPI is off to a good start! Strong support from multiple entities at Duke Highly competent MEPI team at KCMC Technology can be harnessed as a great asset!

Acknowledgement DHHS office of Global Health Affairs PEPFAR Program Officer Christine Lim & Margret Brewinski – HRSA Duke University Medical Centre (DUSOM)