The 130th Annual Meeting of APHA

4273.0: Tuesday, November 12, 2002 - Board 8

Abstract #45546

Not Your Usual Approach to Retraining in Family Medicine: Lessons from Turkmenistan and Tajikistan

Lonna T. Milburn, PhD1, Alana Knudson-Buresh, PhD2, John R. Baird, MD3, Mehri Nedirova, MD4, John Joyce, MD5, Eleanor Dossenko, RN6, Elizabeth Nichols, PhD2, David Wilson, MD3, and Terry Dwelle, MD7. (1) School of Nursing, University of North Dakota, Box 9025, Grand Forks, ND 58202, 701-227-0625, milburnLM@aol.com, (2) College of Nursing, University of North Dakota, P.O. Box 9025, Grand Forks, ND 58202, (3) School of Medicine & Health Sciences, University of North Dakota, 306 4th St. N, Fargo, ND 58102, (4) Family Medicine Training Program, Ministry of Health, House of Health #1, Ashgabat, Turkmenistan, (5) West River Regional Medical Center, 1000 Highway 12, Hettinger, ND 58639, (6) St. Aloisius Medical Center, 325 E. Brewster St., Harvey, ND 58341, (7) Director's Office, North Dakota Department of Health, 600 E. Blvd., Bismarck, ND 58505

Many FSU countries advocate a movement towards family medicine as part of a larger health reform agenda. Yet, a majority of these countries approach family medicine retraining in the traditional, long-term, academic approach while their health reform initiatives demand a creative, short-term, loosely structured academic approach. To meet the need for a core group of retrained family medicine practitioners, the State of North Dakota in Partnership with the Ministry of Health of Turkmenistan (through the USAID Partnership Program with the American International Health Alliance) developed an intensive retraining model for family practice physicians and nurses in Turkmenistan. Now, this program has also been rolled out to Tajikistan as a means to extend their reforms in family medicine. The retraining program has a heavy emphasis on resocialization into a family medicine framework, team work between physicians and nurses, health promotion as part of the on-going family-centered effort, and early diagnosis and treatment. This presentation depicts (1) the impetus for developing and implementing the intensive, case-based training program for physicians and nurses, (2) the essential elements of the low-tech, hands-on, skills-focused retraining program, and (3)the short-term results occuring in the pilot sities.

Learning Objectives:

Keywords: Primary Care, Health Care Reform

Presenting author's disclosure statement:
I do not have any significant financial interest/arrangement or affiliation with any organization/institution whose products or services are being discussed in this session.

IH Posters IV

The 130th Annual Meeting of APHA