Online Program

Pre-service medical education from theory to practical skills teaching contributes to health care quality improvement

Tuesday, November 5, 2013

Lia Umikashvili, MD, MPH, USAID SUSTAIN Project, John Snow Inc, Tbilisi, Georgia
Nino Lomia, MD, MPH, USAID SUSTAIN Project, John Snow Inc., Tbilisi, Georgia
Ekaterine Pestvenidze, MD, MS, USAID SUSTAIN Project, John Snow Inc., Tbilisi, Georgia
Philippe LeMay, MBA, USAID SUSTAIN Project, John Snow Inc., Tbilisi, Georgia
For decades the medical education in Georgia was focused heavily on knowledge, while the clinical skills were mostly ignored. The lack of clinical practice for students needs to be supplemented by teaching clinical skills using modern simulation methods and equipment. Since 2009, JSI SUSTAIN project, funded by USAID, has been providing technical assistance to medical education institutions countrywide through trainings of medical faculty on curriculum development, student evaluation techniques, and advanced methods of teaching. In 2011, project supported Tbilisi State Medical University in setting-up and operating a clinical skills teaching center (CSTC) and introducing the objective structured clinical examination (OSCE) methodology. Leading medical faculty members were trained by international experts on case-based teaching and OSCE methods. International observation tours were organized to study the operation of the clinical skills center and the OSCE process, and to share experience with foreign colleagues. The TSMU CSTC was reequipped and restructured to make it more student-friendly and functional. According to the new curriculum, clinical skills practice has become mandatory requiring every student to spend a specific amount of time each semester in the CSTC to acquire and practice clinical skills. In 2012, TSMU CSTC hosted its first OSCE for nurses. The TSMU prepared seven testing stations (standardized simulated clinical situations). Of 1043 nurses 72% passed the threshold score of 54%. Over the next five years, TSMU is planning to fully integrate the OSCE into the medical curriculum, meaning that students will be evaluated by this method during every year of their medical education.

Learning Areas:

Provision of health care to the public

Learning Objectives:
Discuss how to introduce and implement new teaching methods in the process of health education reform; Discuss how to support medical education institutions to build local capacity for sustainable changes; Discuss how medical teaching institution can contribute to quality improvement in medical service provision.

Keyword(s): Education, Methodology

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: As a technical expert and activity manager, I have been involved from the beginning in the JSI project activities supporting the pre-service education reforms including technical assistance to the Georgian medical schools to build local capacity in curriculum development, student evaluation techniques and advanced methods of teaching.
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.