Medical education reform in Tajikistan: comparison of the conventional one-year family medicine residency program and the new two-year residency program for postgraduate medical education

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dc.contributor.authorBohle, Leah F.
dc.contributor.authorValencia Acuña, Edgar Andrés
dc.contributor.authorRoss, Greta
dc.contributor.authorDzhabarovna, Davlyatova D.
dc.contributor.authorYarbaeva, Shakhlo N.
dc.contributor.authorKasymova, Zukhra A.
dc.contributor.authorPrytherch, Helen
dc.date.accessioned2021-06-01T15:10:49Z
dc.date.available2021-06-01T15:10:49Z
dc.date.issued2021
dc.date.updated2021-05-30T00:02:22Z
dc.description.abstractAbstract Introduction The last two decades have seen a shift in former Soviet countries from highly specialized to more family medicine-focused systems. Medical education has slowly adjusted to these reforms, although the region is still at risk to have a chronic shortage of family doctors. This paper presents the evaluation of a new post-graduate family medicine program in Tajikistan, focused on competency-based training. The findings are relevant for policy makers, international organizations and practitioners participating in similar medical education reform programs. Methods We employed a quasi-experimental control group design and compared intervention residents, control group residents with traditional training, and 1st year residents with no training in two outcomes, clinical knowledge and competencies. We employed two objective measures, a written multiple-choice question test (MCQT) and an Objective Structured Clinical Examination (OSCE), respectively. We report reliability and validity of the measures along with ANOVA, planned contrasts and effect size estimates to examine differences across groups. Results We found statistically significant differences in both clinical knowledge and competencies between intervention and control groups. We also detected a large intervention effect size. Participants in the intervention outperformed control group participants in the two measures. Our analysis suggests that intervention and control group participants are comparable in terms of initial knowledge and competencies, strengthening the argument that the intervention caused the improvement in the program outcomes. Discussion Receiving tailored training and structured opportunities to practice knowledge and competencies in clinical settings have a positive effect on the education of family medicine doctors in Tajikistan. Our results support curriculum reform and investment in medical education in the form of longer and supervised on-the-job preparation designed to be more in line with international standards. We discuss suggestions for future studies and potential requirements to inform replicability in other countries. Conclusion Family medicine is well recognized as central to health systems throughout the world, but high quality residency training lags behind in some countries. Our study showed that investing in family medicine residency programs and structured training is effective in increasing critical clinical competencies. We encourage promoting comprehensive post graduate family medicine doctor training so that the goals of a family medicine centered health system are attainable.
dc.format.extent12 páginas
dc.fuente.origenAutoarchivo
dc.identifier.citationBMC Medical Education. 2021 May 28;21(1):306
dc.identifier.doi10.1186/s12909-021-02749-x
dc.identifier.urihttps://doi.org/10.1186/s12909-021-02749-x
dc.identifier.urihttps://repositorio.uc.cl/handle/11534/60461
dc.issue.numeroNo. 306
dc.language.isoen
dc.nota.accesoContenido completo
dc.pagina.final12
dc.pagina.inicio1
dc.revistaBMC Medical Educationes_ES
dc.rightsacceso abierto
dc.rights.holderThe Author(s)
dc.subjectMedical education reformes_ES
dc.subjectFamily medicinees_ES
dc.subjectTajikistanes_ES
dc.subjectSpecialty programes_ES
dc.subjectResidencyes_ES
dc.subjectEvaluationes_ES
dc.subjectValidationes_ES
dc.subject.ddc610.711
dc.subject.deweyMedicina y saludes_ES
dc.titleMedical education reform in Tajikistan: comparison of the conventional one-year family medicine residency program and the new two-year residency program for postgraduate medical educationes_ES
dc.typeartículo
dc.volumenVol. 21
sipa.codpersvinculados131988
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