eastern africa college of ophthalmologists
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EASTERN AFRICA COLLEGE OF OPHTHALMOLOGISTS
Kenneth KagameEACO President
EAC O
Topic
Residency training; a case for EACO
EAC OWhat is EACO ?
EACO is a virtual college which started in 2005 as an association of 5 residency training programmes in East Africa, namely; Uganda -Makerere
-Mbarara Tanzania -Muhimbili, Dar -KCMC, Moshi Kenya -NairobiCurrently draws its membership from eight countries
including: Kenya, Tanzania, Uganda, Rwanda, Burundi, Malawi, Ethiopia and Zambia
Its Mission
‘to increase the numbers of
ophthalmologists and improve the
quality of eye care in EA’ through;
EAC OMain objectives
-Training… residents, CPDs, subspecialisation
-Research, for evidence based policy and practice
-Infrastructure devt; physical and equipment
-Set standards for professional ophthalmic practice
-Contribute to health policy development
EAC OWhy was it formed ?
Professors. Klauss, Abiose, Ogada did an evaluation of Ophthalmology Residency programs in East Africa and found that;
1. Training of Ophthalmologists unsatisfactory in quantity and quality
2. Skeleton or less than skeleton faculty, lecturers
3. lecturers needed further training, subspecialisation
4. Poorly equipped, (teaching aids, clinic and theatre )
5. Inadequate library, print and electronic
WHO/PBL/98.71
EAC ORecommendations
The report recommended:A harmonised curriculum for Eastern AfricaImprove academic capacity of teaching staff,
Subspecialisation Emphasis on quantity and quality of researchEnhanced partnerships of NGOs & others with
National govts to support training; Develop links with other training institutions in more
resourced regions around the globe
EACO is part of the response
EAC OWhat we have achieved
Organizational development – EACO has institutionalized effectively
Subspecialisation and skills enhancement for several faculty members
Scholarships for residentsWe are supporting several big and
quality eye health research projects in EA
Established links with universities and College in the North, especially UK- RCOphth, Bristol, Birmingham, Royal Free, St Thomas. And Munichen
EAC O
Quality of training Residents
We have a curriculum of EACO which all residency programs have used as a template for their local curriculum
Harmonised examination formatExchange of lecturers, and examiners Material support for residents (e.g. books, equip)Exchange of residents, rotations to sister UnivA Fellowship examination;
-once a year , still voluntary
Increasing number of ResidentsFull Residency sponsorship x 3Partial support to Residents x 30Residents graduating annually from the 5
Universities increased from less than 10 to 30 by 2012
We believe we have contributed significantly by
-advocacy – raised profile of ophthalmology
-enhanced attractive programs -scholarships
Training trainers, lecturersLink program with RCOphth , UK: -Curriculum development -Trained examiners for the local Fellowship -CPD standardisation and accreditation -Attended each others Fellowship exams as
observerLink program to UK University Hospitals; -short term visitsLink to India….Aravind and LV Prasad -for skills enhancement for the faculty
We are exploring possibilities of transforming this trilateral arrangement into a full fellowship course
Infrastructure Development Procured equipment for
each of the 5 DeptsReference books for
individuals and librariesConstruction -just completed a
Dept block for Mbarara -plans ready for
Makerere, Nairobi and Muhimbili
ResearchTrained researchers (Residents and Academic
staff) at several workshops in collaboration with AVRI
Currently sponsoring 6 ongoing research projects, Including one on ‘Why are young doctors not choosing Ophthalmology for PG studies’
We are looking for international seasoned researchers for collaboration
To mentor our young researchersTo bring in resources
Our medium to long term wish/objective isFor our citizens to have access to QUALITY EYE
CAREAll our ophthalmology residents to qualify with
our FELLOWSHIPFellowship to obtain international accreditationFEACO to be the exit exam to practice in our
RegionEach of our Depts to establish itself as a Centre of
Excellence in its chosen subspecialty field, eg Retina, etc for service and training
Enhanced collaboration between Govts, and other developmental partners in resource mobilisatiion for training
Functional South to South, and South to North Links
More sharing resources between our Universities
Acknowledgement to those who have seen us thru infancy
-Sight Savers-Light For the World-OEU-CBM-MEACO/PBU, -European Union
-FHF, -RCOphth, UK-AVRI, -LVPEI- Aravind,
-and others.
Thank you for listening!
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