Sagam Community Hospital (SCH) is proud to announce its partnership with Maseno University and Massachusetts General Hospital (MGH) to train post-graduate students in Family and Emergency Medicine that launched in September 2014. The foundation for the establishment of the post-graduate training programme has been in the planning stages over the last few years butwas cemented with the signing of a Memorandum of Understanding (MOU) with Maseno University towards its official formation.

The programme is the first of its kind on the African continent that combines Family and Emergency Medicine and an important step towards fulfilling SCH’s mission to provide affordable and quality healthcare. In addition, the programme will work towards building leaders in the practice of medicine, promote innovations, cementing professionalism and encouraging research in creating the leading trauma care centre in the East African region.

PROGRAMME GOAL
This programme in Family and Emergency Medicine (F&EM) aims to produce a unique medical practitioner with advanced knowledge and skills in both disciplines who can triage patients according to their medical needs and make early referrals, with a special additional emphasis on emergency preparedness and care. These doctors will be well-suited to provide effective, patient and community-centred, and cost-effective care to people of all socioeconomic backgrounds.

EXPECTED LEARNING OUTCOMES
By the end of the programme the graduate in F&EM should be able to:

i) Provide and coordinate continuous, comprehensive, cost-effective health care for individuals, families and communities;
ii) Engage in life-long learning using various modalities and to evaluate their own performance;
iii) Effectively disseminate knowledge on health to the healthcare team, patients and the community;
iv) Manage health care services, including human, physical, and financial resources;
v) Carry out health-related research and use the information generated to improve population health;
vi) Conduct medical practice in an ethical manner, and effectively handle ethical challenges; and
vii) Manage and refer as appropriate emergency cases at the hospital level.

The programme will rely on experienced faculty that will be supported by a robust programme of mentors and advisors to provide both a theoretical and practical training experience that will serve the immediate rural community and beyond.

COURSE DISTRIBUTION
Courses for each of Year 1 through Year 4 are listed below by course codes. The unit system for coursework shall apply. A Unit of coursework is equivalent to 42 contact hours per term. For clinical courses, one unit shall be equivalent to one week of clinical rotation.
[table]Code, Title, Units
YEAR 1, “”, “”
MFM 810, Principles and Practice of Family Medicine, 3
MFM 811, Principles and Practice of Emergency Medicine, 3
MFM 812, Biostatistics and Epidemiology, 2
MFM 813, Research Methodology (Literature Appraisal), 2
MFM 814, Computer Use in Medicine, 1
MFM 815, Internal Medicine, 12
MFM 816, Surgery, 12
MFM 817, Medical Education, 1
MFM 899, Thesis/Proposal Development, 1
TOTAL, “”, 37
“”,””,””
YEAR 2, “”, “”
MFM 820, Paediatrics, 12
MFM 821, Obstetrics and Gynaecology, 12
MFM 822, Medical Imaging, 2
MFM 823, Psychiatry, 4
MFM 824, Medical Ethics & Medico-legal Issues, 2
MFM 825, Biopsychosocial Medicine, 2
MFM 899, Thesis/Proposal Development, 1
TOTAL, “”, 35
“”,””,””
YEAR 3, “”, “”
MFM 830, Clinical Electives, 6
MFM 831, Emergency Medicine, 12
MFM 832, Orthopaedics and Trauma, 12
MFM 833, Primary Care of Women and Children, 4
MFM 899, Thesis/Writing & Submission, 3
TOTAL, “”, 37
“”,””,””
YEAR 4, “”, “”
MFM 840, Community-Oriented Primary Care (COPC), 5
MFM 841, Infectious Diseases, 5
MFM 842, Health Services Management, 5
MFM 843, Health Policy and Health Advocacy, 2
MFM 844, Chronic Disease Management, 6
MFM 845, Forensic Medicine, 4
MFM 899, Thesis Defense, 2
TOTAL, “”, 29
“”,””,””
PROGRAMME TOTAL,””,138[/table]

First Year Residents 

First year residents spend the year rotating between inpatient medicine, outpatient care, emergency medicine, and night duty.  Formal and informal learning opportunities are created throughout the week, including journal club, case presentations, didactics, and ER simulations.

Example of first and second year residents'  weekly schedule and rotations.

Example of first and second year residents’ weekly schedule and rotations.

THE STUDENTS

The 2014 intake for the Post-Graduate Training in Family and Emergency Medicine

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– “I am the first doctor in my community…and people now come to me for all their problems”

Dr. David Wanikina Muke is from Bungoma County where he also worked at Kimilili District Hospital. He studied medicine at Moi University and graduated in 2009.

 

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– “I cannot imagine doing anything else…”

Dr. Charles Ocholo Olelo is from Homa Bay County and worked at Rachuony’o South Sub-County Hospital. He received his medical degree from the University of Nairobi and graduated in 2010.

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– “I become a doctor to serve…”

Dr. David Shivachi Ikura is from Kakamega and worked at Sirisia Sub-County Hospital in Bungoma County. He received his medical degree from Kampala International University in Uganda in 2011.

The 2015 intake for the Post-Graduate in Family and Emergency Medicine

Dr. Duom Simon graduated from Juba University in 2013 in South Sudan. Following medical school, Dr. Ouma finished her internship in Juba, South Sudan and continued working in the medical department in Juba Teaching Hospital.

Dr. Duom Simon graduated from Juba University in 2013 in South Sudan. Following medical school, Dr. Ouma finished her internship and continued working in the medical department at Juba Teaching Hospital.

Graduating in 2013 from Juba University, Dr. Mawien Tong stayed in Juba, South Sudan. He working as a medical officer (MO) at Juba Teaching Hospital and Toirt Hospital.

Graduating in 2013 from Juba University, Dr. Mawien Tong stayed in Juba, South Sudan. He working as a medical officer (MO) at Juba Teaching Hospital and Toirt Hospital.

Dr. Richard Luate attending medical school at Mbarara University of Science and Technology in Mbarara, Uganda. After graduating in 2013, Luate returned to Juba, South Sudan, where he worked for Juba Evidence Based Medical Services.

Dr. Richard Luate attending medical school at Mbarara University of Science and Technology in Uganda. After graduating in 2013, Luate returned to Juba, South Sudan, where he worked for Juba Evidence Based Medical Services.