Faculty Development for an New Family Medicine Residency in Chogoria, Kenya Roger K. Gerstle, MD, FAAFP David K. Klee, MD, FAAFP Munson Family Medicine Residency Traverse City, Michigan

2 Activity Disclaimer ACTIVITY DISCLAIMER It is the policy of the AAFP that all individuals in a position to control content disclose any relationships with commercial interests upon nomination/invitation of participation. Disclosure documents are reviewed for potential conflicts of interest (COI), and if identified, conflicts are resolved prior to confirmation of participation. Only those participants who had no conflict of interest or who agreed to an identified resolution process prior to their participation were involved in this CME activity. Drs. Gerstle and Klee have indicated they have no relevant financial relationships to disclose.

Objectives Status of family medicine in Kenya Medical Community in Chogoria, Kenya Emerging FM residency in Chogoria Traverse City-Chogoria collaboration Faculty development efforts 3

Family Medicine in Kenya 1996 INFA-MED formed 2005 FM Residency at Moi University (Eldoret) 2014 Kabarak University—new FM Residency in 3 locations Also: University of Nairobi, Maseno Public University, Aga Khan University 4

Chogoria Population 30,000 PCEA Hospital—312 beds Learning community –Internship –Med students –Clinical officer students –Nursing school 12

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Traverse City-Chogoria Collaboration 2-3 teams/year since 2012 to Chogoria On-site clinical teaching, lectures, workshops Needs assessments—equipment, education Equipment donated Extension to schools, NGO 1 prior visit by medical officer 14

Family Medicine Residency in Chogoria 4 year program, 2 residents/year Kabarak University Following several years as medical officer Director: Franklin Ikunda, MD 15

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Roles of the Family Physician Primary care team consultant –All patient populations, coordinator of care Leader –In hospital, community Communicator –With patients, health care team Scholar –EBM, self-evaluation, research Health advocate 17

Competencies Professional values and ethical behavior Scientific foundation of medicine Communication skills Clinical skills Population health and health systems Management of information Critical thinking skills and research Leadership and management skills Spiritual integration in practice 18

Visit to USA STFM Annual Conference Minnesota Traverse City 19

Faculty Development Topics Evaluation Quality Improvement Problem Resident Risk Management Practice Management Program Evaluation Resident Calendars Inpatient Precepting Curriculum Design Resident Leadership Resident Supervision Outpatient Precepting Giving Feedback Didactics Powerpoint Behavioral Science Use of Technology Life-long Learning Simulation Procedure Precepting Scholarship Specialist rotations Resident-to-Med Student Teaching 20

So Little Time… Co-precepting –Hospital, Clinic, ECF Didactics Agency visits: hospice, substance abuse Tour of ID, private FM, psych and migrant clinics, surgical center Medical Exec Committee, VPMA Rotary lunch Resident leadership retreat 21

Interactions with Residents Capstone presentation International potluck/ Journal club Informal meals Promotion of TC-Chogoria program 22

Feedback and Lessons Learned Helpful: Outpatient and inpatient precepting—”real time” learning Not so helpful: Curriculum design Future: Focus on what can be done in a resource-limited setting 23

Faculty Development Topics Focus on Resource-Limited Setting Evaluation Quality Improvement Problem Resident Risk Management Practice Management Program Evaluation Resident Calendars Inpatient Precepting Curriculum Design Resident Leadership Resident Supervision Outpatient Precepting Giving Feedback Didactics Powerpoint Behavioral Science Use of Technology Life-long Learning Simulation Procedure Precepting Scholarship Specialist rotations Resident-to-Med Student Teaching 24

Final Thoughts 1 month Too much crammed in? Collaborative scheduling, adaptation 25