OBJECTIVE: We describe a residency program in Ghana that was developed to train obstetrics/gynecologist specialists for Ghana and the subregion to promote and manage the reproductive health of women and to reduce a high maternal mortality rate. STUDY DESIGN: The Carnegie-supported program, begun in 1989, is a 5-year residency in the two medical schools in Ghana, but with one central coordinating office. It has features that equip the graduate resident to practice in his/her environment. The fourth year of the program is unique: the resident attends a hospital management course for 3 months, goes for a clinical rotation in the United States or United Kingdom for 3 months, and moves to live and work in a rural district hospital for 6 months. RESULTS: The success rate of the Ghanaian residents in the examination of the West African College of Surgeons has been three to four times higher than the overall pass rate. As of October 2002, the program had produced 26 specialists, all of whom are practicing in Ghana. In contrast, of 30 specialists who were trained abroad between 1960 and 1980, only 3 specialist had returned home by the end of the 1980s. The current chairpersons of the two medical schools are graduates of the program. Carnegie financial support for the program came to an end in January 2000, but the Ghana Ministry of Health has increased its support enthusiastically. The program is being sustained. Maternal mortality and morbidity rates are falling slowly in the two teaching hospitals; case fatality rates have been reduced markedly. New residents are entering the program and are progressing to completion. CONCLUSION: The program has been an unqualified success and merits replication.
OBJECTIVE: We describe a residency program in Ghana that was developed to train obstetrics/gynecologist specialists for Ghana and the subregion to promote and manage the reproductive health of women and to reduce a high maternal mortality rate. STUDY DESIGN: The Carnegie-supported program, begun in 1989, is a 5-year residency in the two medical schools in Ghana, but with one central coordinating office. It has features that equip the graduate resident to practice in his/her environment. The fourth year of the program is unique: the resident attends a hospital management course for 3 months, goes for a clinical rotation in the United States or United Kingdom for 3 months, and moves to live and work in a rural district hospital for 6 months. RESULTS: The success rate of the Ghanaian residents in the examination of the West African College of Surgeons has been three to four times higher than the overall pass rate. As of October 2002, the program had produced 26 specialists, all of whom are practicing in Ghana. In contrast, of 30 specialists who were trained abroad between 1960 and 1980, only 3 specialist had returned home by the end of the 1980s. The current chairpersons of the two medical schools are graduates of the program. Carnegie financial support for the program came to an end in January 2000, but the Ghana Ministry of Health has increased its support enthusiastically. The program is being sustained. Maternal mortality and morbidity rates are falling slowly in the two teaching hospitals; case fatality rates have been reduced markedly. New residents are entering the program and are progressing to completion. CONCLUSION: The program has been an unqualified success and merits replication.
Authors: John Martel; Rockefeller Oteng; Nee-Kofi Mould-Millman; Sue Anne Bell; Ahmed Zakariah; George Oduro; Terry Kowalenko; Peter Donkor Journal: J Emerg Med Date: 2014-07-25 Impact factor: 1.484
Authors: Michael Lipnick; Cephas Mijumbi; Gerald Dubowitz; Samuel Kaggwa; Laura Goetz; Jacqueline Mabweijano; Sudha Jayaraman; Arthur Kwizera; Joseph Tindimwebwa; Doruk Ozgediz Journal: World J Surg Date: 2013-03 Impact factor: 3.352
Authors: Cheryl A Moyer; Geraldine Ekpo; Cecilia L Calhoun; Jonathan Greene; Sujata Naik; Emily Sippola; David T Stern; Richard M Adanu; Isaac O Koranteng; Enyonam Yao Kwawukume; Frank J Anderson Journal: Womens Health Issues Date: 2008-05-15
Authors: Sarah Rae Easter; Greta B Raglan; Sarah E Little; Jay Schulkin; Julian N Robinson Journal: J Int Med Res Date: 2016-08-25 Impact factor: 1.671