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4 Faculty Twinning
Pages 109-124

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From page 109... ... faculty who had University of Rwanda faculty experience in the • Some unsuitable or unqualified USI faculty who did region and/or were not meet experience requirements or technical needs from the region • Insufficient transfer of teaching skills from USI faculty • Increased skills in to Rwandan faculty management of academic curricula • Insufficient resources and unclear expectations and programs among Rwandan actors and USIs affected processes related to issuing contract, recruitment, and onboarding + Capacity building in the Human Resources for Health (HRH) Program occurred through a number of activities, including the creation of the Academic Consortium, discussed in Chapter 3, comprising U.S. Read the entire page →
From page 110... ... . In practice, the HRH Program launched and supported 22 training programs across health cadres and specialties, through 16 to 25 participating USIs that collectively deployed about 100 faculty members each year to twin with University of Rwanda faculty members (see Figure 3-6 for a time line showing participating USIs) Read the entire page →
From page 111... ... Since that time then, up to when I -- even now, we're still communicating (84, HRH Program Trainee, Pediatrics) HRH trainees reported the USI faculty members' biggest contribution was in their direct training and professional support of University of Rwanda students, followed by providing clinical services, and, less consis Read the entire page →
From page 112... ... Notably, USI faculty who were already in Rwanda and had established relationships there before the start of the HRH Program reported easier transitions into their partnerships with University of Rwanda faculty. Program Management Skills University of Rwanda staff most often mentioned transferring program management skills between individually twinned USI faculty and University of Rwanda faculty, resulting in improvements in University of Rwanda faculties' skills related to their departments' and residency programs' organizational structures and processes. Read the entire page →
From page 113... ... Successes from Sustained Twinning Relationships Many University of Rwanda and USI faculty discussed the sustained relationships the twinning process created, such as ongoing mentorship, increased University of Rwanda faculty publications, support in curriculum Read the entire page →
From page 114... ... USI faculty reported that their twinning experiences contributed to University of Rwanda faculty members' professional development in a variety of ways, most evident in the University of Rwanda twins who subsequently led new departments established by the HRH Program. For example, USI faculty in surgery, obstetrics and gynecology, and nursing all reported that their Rwandan twins had taken over the departments. Read the entire page →
From page 115... ... Many HRH trainees and USI faculty reported that University of Rwanda faculty did not have the time to commit to the twinning process, as many were already fully booked in their existing work, including the concurrent rollout of online curricula. The midterm review similarly revealed a "limited availability of Rwandan faculty to participate in twinning, due to competing clinical, administrative, and teaching responsibilities, as well as sheer faculty shortages" (MOH, 2016) Read the entire page →
From page 116... ... (48, Gov ernment of Rwanda HRH Program Administrator) USI and University of Rwanda faculty concurred, noting that the initial issue was that USIs were sending physician specialists who did not meet the experience requirements in terms of geographic experience or career stage (e.g., sending early-career USI faculty members to pair with senior University of Rwanda faculty) Read the entire page →
From page 117... ... USI–University of Rwanda–MOH Relationships and Coordination USI–University of Rwanda Relationships and Recruitment Successes in recruiting University of Rwanda faculty varied by specialty. Some new programs, such as the MHA, struggled to recruit sufficient Rwandan faculty to twin with USI faculty. Read the entire page →
From page 118... ... In the emergency medicine residency program, for example, USI faculty had to primarily train students because there were no existing faculty and the first pool of Rwandan faculty recruits were not ready until year 6 of the HRH Program (MOH, 2016) Read the entire page →
From page 119... ... Anecdotal reports indicated that the Government of Rwanda initially conducted exit interviews with twins, but the lack of consistent monitoring of these relationships challenged the HRH Program's ability to learn what was working and what was not, and adapt in real time to improve management and implementation of the twinning process. CONCLUSIONS Twinning has been suggested as an effective and collaborative approach to empowering health care professionals in low-resource settings, although it is necessary to gain clarity on the concept before conducting a rigorous impact evaluation. Read the entire page →
From page 120... ... . In contrast, the HRH Program twinned USI faculty and University of Rwanda faculty at an individual level, and experienced mixed results in twinning, mostly owing to varied experiences in design, management, and implementation across specialties. Read the entire page →
From page 121... ... It is unclear whether learning generated from an Ethiopian twinning program supported by the President's Emergency Plan for AIDS Relief to bolster emergency medicine training was incorporated into the design and management of the HRH Program. In the first year of the Ethiopia project, courses were delivered by U.S. Read the entire page →
From page 122... ... . Many of the other successes of the HRH Program are attributed to the overall health professional institutional capacity, findings that are detailed in Chapter 5, and the increased production and capacity of HRH trainees, findings that are detailed in Chapters 6 and 7. Read the entire page →
From page 123... ... May 7. (Available by request from the National Academies Public Access Records Office [paro@nas.edu] Read the entire page →
From page 124... ... 2016. Rwanda Human Resources for Health Program midterm review report (2012– 2016) Read the entire page →

From page 109...

... faculty who had University of Rwanda faculty experience in the • Some unsuitable or unqualified USI faculty who did region and/or were not meet experience requirements or technical needs from the region • Insufficient transfer of teaching skills from USI faculty • Increased skills in to Rwandan faculty management of academic curricula • Insufficient resources and unclear expectations and programs among Rwandan actors and USIs affected processes related to issuing contract, recruitment, and onboarding + Capacity building in the Human Resources for Health (HRH) Program occurred through a number of activities, including the creation of the Academic Consortium, discussed in Chapter 3, comprising U.S.

4 Faculty Twinning Pages 109-124

4 Faculty Twinning
Pages 109-124