Novel Education Clinical Trainees and Researchers (NECTAR) Program

Programmatic: Novel Education Clinical Trainees and Research (NECTAR) Program

Contact Principal Investigator: HAKIM, JAMES GITA, jhakim@mweb.co.zw

Project Title: PROGRAMMATIC: NOVEL EDUCATION CLINICAL TRAINEES AND RESEARCHERS (NECTAR) PROGRAM

Awardee Organization: COLLEGE OF HEALTH SCIS UNIV OF ZIMBABWE

Partner Organizations: University of Colorado, Stanford University, Howard University

This application for a MEPI Programmatic Award will establish the Novel Education Clinical Trainees and Researchers (NECTAR) program at the University of Zimbabwe College of Health Sciences (UZCHS). UZCHS is the centre of medical research and education for Zimbabwe. NECTAR will be a consortium of investigators based on the long history of strong and productive collaborations in education and research between faculty at UZCHS and faculty at Stanford University and the University of Colorado Denver. The NECTAR consortium will consolidate the unique education and research training experience and expertise available in each of the consortium institutions. UZCHS is the applicant institution and the site of most NECTAR activities. The strategy of NECTAR is that improvements in the approach to medical education at the medical student and post graduate levels, coupled with programs to improve faculty training and support and investments in novel educational models and technologies, will lead to improved capacity of UZCHS to meet the healthcare training and research capacity needs of Zimbabwe. The goals of NECTAR are to: (1) Increase the number and improve the proficiency of UZCHS medical graduates in PEPFAR priority areas. (2) Improve the retention of UZCHS graduates in Zimbabwe and increase the proportion of recent graduates who practice in Zimbabwe, serve as faculty at UZCHS, conduct research and are engaged in PEPFAR health priority areas. (3) Improve the recruitment and retention of academic faculty at UZCHS by transforming the UZCHS academic environment, creating new and sustainable educational and clinical partnerships and research opportunities.

PUBLIC HEALTH RELEVANCE: The UZCHS is the sole medical school producing doctors for Zimbabwe. The increase in output and improvement in quality of graduates from this medical school is critical in the manpower development of Zimbabwe. The focus of this programmatic award in strengthening and increasing faculty, improving the quality of medical education and enhancing research capacity will have a direct bearing on the provision of health care to the citizens of Zimbabwe. The creating of a scholarly environment using modern learning technologies and the identification of strategies to ensure that students, graduates and faculty see the opportunities of practice and research in Zimbabwe will hopefully be a powerful tool in encouraging retention of doctors in Zimbabwe.

 Linked: Improving Mental Health Education and Research Capacity in Zimbabwe (IMHERZ)

Contact Principal Investigator: HAKIM, JAMES GITA, jhakim@mweb.co.zw

Project Title: LINKED: NOVEL EDUCATION CLINICAL TRAINEES AND RESEARCHERS (NETAR) PROGRAM

Awardee Organization: UNIVERSITY OF ZIMBABWE

Partner Organizations: University College London; University of Cape Town; King’s College London

This application will establish the 'Improving Mental Health Education and Research Capacity in Zimbabwe (IMHERZ) program at University of Zimbabwe College of Health Sciences (UZ-CHS). In Africa, mental disorders are in the top five causes of disease burden and their relative importance will grow as demographic transition advances. There is growing evidence from within low income countries that improving mental health reduces disability, poverty and social exclusion and improves quality of life and physical health. Currently UZ-CHS Department of Psychiatry is severely compromised with depleted trainers, weak psychiatric instruction, and barely any research activity. Programs to improve mental health expertise, education, healthcare and research capacity among UZ-CHS faculty and students are urgently needed. The IMHERZ consortium is a newly formed partnership of faculty at UZ-CHS with faculty from Harvard University, University of Cape Town, Institute of Psychiatry (London), University of Bristol and University College London, who have a long history of international mental health and community-based research and capacity building expertise. IMHERZ aims are to: 1. Increase mental health expertise and retention of UZ-CHS psychiatry faculty 2. Strengthen the implementation and sustainability of undergraduate mental health education 3. Strengthen mental health research capacity at UZ-CHS across disciplines, and 4. Monitor the impact of IMHERZ on mental health education, research and practice at UZ-CHS. The consortium will make use of innovative approaches including establishing IMHERZ Mentored Training Fellowships for post-graduates; provision of a competency-based curriculum in mental health, including team-based learning, for undergraduates; mentored Research Fellowships, and up to date methods of educational evaluation. Guiding principles of IMHERX include strengthening of south-south collaboration, mentoring and teaching strongly supported by Universities in the US (Harvard) and the UK (Institute of Psychiatry, University of Bristol and University College London), and that the role of IMHERZ team shifts from implementation to advisory over the duration of the grant leaving a sustainable and relevant innovative medical education curriculum with a strong emphasis on community-based research and interventions coupled with effective long-term initiatives to improve retention of graduates and faculty in psychiatry.

 PUBLIC HEALTH RELEVANCE: Mental disorders cause considerable suffering, disability and social exclusion in Africa, and are poorly recognized. Treatment not only improves quality of life and functioning, but can even improve physical health as well. Through delivering a program of teaching, curriculum revision and research capacity- building, the proposed program aims to increase expertise, knowledge and research capacity in mental health at the University of Zimbabwe to address the vital public health goals of improving mental health care in Africa.

Linked: Cerebrovascular, Heart failure, Rheumatic heart disease Interventions (CHRIS) program

Contact Principal Investigator: HAKIM, JAMES GITA, jhakim@mweb.co.zw

Project Title: LINKED: NOVEL EDUCATION CLINCIAL TRAINEES AND RESEARCHERS (NECTAR) PROGRAM

Awardee Organization: UNIVERSITY OF ZIMBABWE

Partner Organizations: University of Colorado—Denver, University of Cape Town, Stanford University

In recent years, diminished governmental support, dwindling faculty numbers and the need to educate greater numbers of students in the face of declining public health funding have made it increasingly difficult for the University of Zimbabwe College of Health Sciences (UZCHS) to meet the healthcare training needs of Zimbabwe in all areas including cardiovascular diseases. We seek to establish the CHRIS Program (Cerebrovascular, Heart failure, Rheumatic heart disease Interventions program). In this application, we propose to address this dilemma directly by proposing a program whose overall objective is to transform the UZCHS academic environment by - compensating for diminished support with improved efficiency by leveraging information technology introduced as part of the programmatic award to which this application is linked. - reversing the decline in faculty numbers by improving the retention of current UZCHS faculty and the recruitment of UZCHS faculty from the ranks of recent graduates through creation of new educational opportunities, clinical partnerships, and research opportunities. - expanding the scope of medical education in Zimbabwe into cardiovascular conditions of critical national importance through its partnership with University of Colorado School of Medicine (UCSOM) cardiology faculty. The proposal focuses on three conditions that are of critical public health importance in Zimbabwe and provide opportunities to enhance students' educational program broadly: heart failure, rheumatic heart disease, and hypertension/stroke. Using these three focus conditions as a foundation, we will enhance the medical school curriculum for all students and create a track for developing future faculty we call the Cardiovascular Clinical Scholars Program. Scholars will work on projects of public health relevance that also will be a substrate for clinical research, mentored by teams of UZCHS and UCSOM faculty. The proposal includes a formal evaluation component that will provide ongoing feedback on progress and will guide redirection of the program if necessary.

PUBLIC HEALTH RELEVANCE: Because of economic and political instability, and necessary attention on communicable disease, the capacity of the healthcare system in Zimbabwe to deal with cardiovascular disease has declined tremendously in the past decade. This proposal seeks to reverse this decline by training Zimbabwe's future generation of medical faculty in cardiovascular care.



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