I. SCH Internship Programme

The Sagam Community Hospital internship programme is a minimum of twelve (12) months training comprising intensive and integrated exposure in internal medicine and community health, child health, surgery/emergency care, and sexual/reproductive health.

Internship Goal

The goal is to provide high quality hands on training to newly graduating medical officers in both clinical and non-clinical areas, in line with the Kenya Medical Practitioners and Dentists Board (KMPDB) requirements. The trainees consolidate knowledge and skills acquired in medical school and acquire new clinical and non-clinical skills that enable them to function as independent medical officers ready to serve in Africa’s rural environment. They are supervised by a mixed and dedicated team of highly skilled health professionals with in-depth local and international expertise in an intimate environment that fosters learning and mentorship.

Internship Objectives

By the end of the internship period, the young trainees should be able to:

  • Function as competent and compassionate medical officers
  • Assess and manage the common medical and surgical conditions
  • Manage emergencies and lead and participate in emergency response
  • Initiate and continue safe management of patients and refer appropriately
  • Perform common procedures independently and efficiently
  • Communicate with patients and their relatives effectively and empathetically in all circumstances
  • Work with their peers to foster teamwork and efficiency
  • Acquire knowledge of commonly used drugs, their cost and their rational use
  • Have passed the emergency training courses in medicine, surgery, pediatrics and obstetrics and gynecology
  • Understand basic concepts of health systems including financing, human resources, and data management.

Eligibility to Enter the Internship Training

  • Evidence of successful completion of undergraduate course in a recognized medical school in Kenya or from medical schools within the East African Community (EAC) region and who qualify for reciprocal recognition and taking of the Hippocratic Oath.
  • Doctors who, having attained the minimum requirement for admission to universities in Kenya, qualify from outside the country and pass the internship qualifying exams set by the KMPDB.
  • Passing the Internship Assessment Exam and interviews set by Sagam Community Hospital (SCH).

Accreditation of the Training

Sagam Community Hospital is accredited for Internship Training by KMPDP as required by law in Kenya and reciprocating countries in the EAC.

In addition, SCH (in collaboration with Maseno University and Massachusetts General Hospital (MGH)) have been accredited by KMPDB to train post-graduate students in Family and Emergency Medicine.

Assessment and Sign Off

Head specialists supported by visiting consultants and Senior residents assess all interns at the end of every month to ensure smooth progress and knowledge integration. The interns are also given learning diaries and procedures logbooks for signing off in each rotation, before moving to the next rotation. At the end of the training period, an internship completion form is sent to the KMPDB subject to satisfactory completion. Trainees may be detained for longer periods but not beyond eighteen (18) months to ensure satisfactory completion.

Application and Selection

Applications and interviews for interns take place twice a year or when positions become available. An intern’s appointment contract is for twelve (12) months from the starting date.

Administration of the Internship Training

The overall responsibility of all interns and intern-related activities rests with the Clinical Director and assigned Internship Mentors who are also responsible for the day-to-day administration of the training in coordination with the General Manager. Head specialists are responsible for training matters, patient care services as well as welfare of interns during rotations in their respective areas.

For more information, feel free to download Guidelines for Medical Interns from the Kenya Medical Practitioners and Dentists Board.

II. SCH Pre-internship Training

To assist in preparing medical school graduates from medical schools that do not qualify for reciprocal recognition under the EAC, Sagam Community Hospital has established a 3-month pre-internship programme. This programme will prepare these medical school graduates to sit for the internship qualifying exam set by the KMPDB.

The curriculum for the 3 months is as follows:

Week 1: Orientation

  • Introduction to SCH
  • Becoming a doctor and professional etiquette
  • Fellows Health services in Kenya
  • Pre-internship and Internship in Kenya
  • Nursing in Kenya
  • Lab services in Kenya
  • Common medicine used in Kenya
  • Ward rounds
  • First assessment

Week 2: Clerkship

  • Examination of systems
  • CNS, CVS, RS, GIT, GUS, MS, ENT
  • Ophthalmic
  • Common investigation
  • Ward rounds
  • Second Assessment

Week 3: Clinicals

  • Common infectious diseases
  • Common NCDs
  • OPD and ER Rotations
  • Third assessment

Week 4: Reproductive health

  • Basic Obstetrics
  • Basic gynaecology
  • Family planning
  • Adolescent health
  • ANC and Maternity rotations
  • Fourth Assessment

Week 5: Paediatrics

  • Newborn assessment and care
  • Nutrition and growth monitoring
  • Immunization
  • Common childhood illnesses
  • MCH and Paediatric ward rotations
  • Fifth assessment

Week 6: Emergency Care and Surgery

  • Principles of EM
  • Common surgical conditions
  • OR orientation
  • Rotations in OR and ER
  • Sixth assessment

Week 7: Internal Medicine

  • Principles and common conditions
  • OPD and Ward rotations
  • Seventh assessment

Weeks 8, 9 and 10

  • Structured rotations in all areas
  • Weekly mock pre-internship exams

Week 11 and 12: Final preparations

  • Revision of areas of weakness
  • Clinical work and library Pre-internship exams

Pre-Interns

David 2

Dr. David Akonyu – Studied medicine at the University of Juba and graduated in 2015

Emmanuel 2

Dr. Emmanuel Mule – Studied medicine at the University of Juba and graduated in 2015

Students have been supported by the Ujenzi Charitable Trust