225010 Reforming pre-service curriculum as a sustainable low-cost intervention to address antimicrobial resistance

Monday, November 8, 2010

Mohan P. Joshi, MBBS, MSc, MD , Strengthening Pharmaceutical Systems Program, Management Sciences for Health, Arlington, VA
Antimicrobial resistance (AMR) is an extremely serious public health problem, and requires urgent and concerted actions. Management Sciences for Health's USAID-supported Strengthening Pharmaceutical Systems Program (SPS) and its predecessoróRPM Plusócollaborated with in-country stakeholders in Zambia to jump-start a country-level AMR advocacy and containment initiative. The effort led to the formation of a local AMR advocacy working group that built strategic coalitions with other local players to generate public awareness about AMR, revise national standard treatment guidelines, improve the regulatory authority's antimicrobial quality control activities, and reform pre-service curriculum used to train health professionals. To address curriculum reform, RPM Plus and SPS collaborated with the advocacy working group to provide technical assistance to University of Zambia stakeholders to conduct curricular gap analysis, disseminate findings, and identify relevant AMR and rational medicine use (RMU) topics to fill gaps. University stakeholders embraced all the AMR and RMU-related topic recommendations as relevant competencies for today's undergraduate level medical graduates in Zambia and included them in the finalized new version of the curriculum. The 2001 WHO Global Strategy for Containment of Antimicrobial Resistance and the 2004 International Conference on Improving Use of Medicines identify pre-service curricular reform as a key intervention. In this context, Zambia's successful example serves as a model that other resource-constrained countries can utilize to implement pre-service curricular reform as a sustainable, low-cost intervention to address the growing and serious public health threat posed by AMR.

Learning Areas:
Advocacy for health and health education
Basic medical science applied in public health
Protection of the public in relation to communicable diseases including prevention or control
Public health or related education

Learning Objectives:
Explain the serious public health threat posed by the rapidly growing global problem of antimicrobial resistance (AMR). Describe pre-service curricular reform as a sustainable low-cost intervention to address AMR, using the Zambian accomplishment as a successful model for similar initiatives by other resource-constrained countries.

Keywords: Antibiotic Resistance, Curricula

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I (1) currently serve as the Senior Technical Manager for Antimicrobial Resistance (AMR) for the Strengthening Pharmaceutical Systems (SPS) Program of Management Sciences for Health, which is a non-profit organization; (2) was the lead SPS staff to provide technical assistance to national counterparts in Zambia to implement AMR advocacy and containment activities, including pre-service curricular reform; and (3) also previously served as the Academic Assistant Dean, Professor and Head of the Department of Clinical Pharmacology, and Associate Faculty Member of the Department of Medical Education at Tribhuvan University Institute of Medicine in Nepal.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.