NETWORK OF COMMUNITY ORIENTED EDUCATIONAL INSTITUTIONS FOR HEALTH SCIENCES
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Network of Community-Oriented Educational Institutions for Health Sciences
I
Summary Report
Fifth General Meeting of the
Network of Community-Oriented Educational Institutions for Health Sciences
September 28-30,1987
Pattaya, Thailand
Organized in collalMiraiion with the Chulalongkorn University, Bangkok, Thailand
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CONTENTS
Page
Venue
3
Objectives of the meeting
Participants
3
Format of the meeting
3
Proceedings
3
1. Opening
3
2. Minutes of the fourth general meeting,
September 7-8, 1985, Ismailia, Egypt
4
3. Awarding Honorary Membership
4
4. Reports on Network activities 1985 -1987
4.1 Report of the Secretary General
4.2 Report of the Chairman on activities of the Secretariat and
the Executive Committee
4.3 Finances
............
4.4 Task Forces
...............................................
8
8
5. Proposal for changes in the Network by-laws
24
6. Report of the Nominating Committee
24
7. .The formation of a functional African Chapter of the Network
25
8. Student workshop in Thailand
25
9. Venue of the 1989 Network General Meeting
27
10 .The Network in 1987... and beyond: recommendations
27
8
10
12
Annexes
A: Agenda
29
B: List of participants at the 5th general meeting
32
C: Current list of members
40
1
Venue
The 5th General Meeting was held in Pattaya, Thailand, September 28-30, 1987, in the Royal Cliff Beach
Hotel. Il preceded the International Conference on "Progress and Challenges in Health Sciences
Education - an International Perspective". The meeting was organized by the Network Secretariat.
Objectives of the meeting
Participants had received a discussion paper, written on behalf of the Network Executive Committee, by
its Chairman, Dr. Vic Neufeld, 'The Network in 1987 ... and beyond". This papci contained a host of
ideas, proposals and plans, and suggested new avenues for the Network to pursue. The main objective ol
the 5th General Meeting, using this discussion document, was to review the priori lies-for the Network’s
future activities. The agenda is attached as appendix A.
Participants
Attendance was very high. The meeting was attended by 150 participants. Representatives from most
member institutions were present. The only full member, unable to send a representative, was the School
of Medical Sciences, University of Science and Technology, Kumasi, (ihana, West Africa. The World
Health Organization was represented by Drs. l amas Fiilbp, Jean-Jacques Guilbert and Harmcn
Tiddcns. The World Federation of Medical Education by its President Dr. Henry Walton.
The Canadian International Development Agency (Cl DA), which sponsored a number of participants,
was represented by Dr. Kerry Kennedy.
No less than 60 observers: students, additional representatives of Network schools, representatives of
Thai schools and others attended the meeting. A list of participants is included as Appendix B.
Format of the meeting
In addition to plenary business meetings, discussions on the Neufeld paper were held. To that end,
members and observers were subdivided into small groups, each with a rapporteur. The groups were to
answer a series of questions and to respond to a number of suggestions provided by the discussion
paper. Three "synthesizers’’, Drs. Ole Alausa, Elizabeth Alger, and Mohamed Roslani summarized
group opinions and reported to the General Meeting. Their reports will be found in these Proceedings.
Dr. John Hamilton then presented his views on the current status and future possibilities of the Network.
A new feature, introduced into the meeting, was a poster session during which member institutions
displayed information about their curricula. This poster session, organized in conjunction with the
Network dinner, turned out to be quite successful.
Proceedings
1. Opening
The chairman welcomed all participants. He briefly reviewed the accomplishments of the Organization
in the past, but stressed that answers given to old problems may not apply to new problems.
For him, the real strength of the Network lies in its adaptability to a changing environment. The goal of
this meeting was to have a closer look at that environment, to formulate some tentative answers to new
problems and to set out priorities. The meeting would be a success if the outlines of a plan of action for
the next four years would become clearer.
The Secretary General, Dr. Jacobus Grccp, summarized progress made since 1985. The Task Forces,
through which the Network channels much of its activity, and in the past sometimes a source of worry,
have become what they were intended to, namely groups of experts that feel a responsibility to stimulate
actions in their domain. He was certain that the Task Force leaders’ reports would bear wittness of this
statement.
Dr. Fiilop, on behalf of the Work! Health Organization, extended wishes to the meeting from the
Director General, Dr. Halfdan Mahler, who followed the Network activities with much interest. Specific
interest exists as to how the Network is promoting and supporting changes in established schools with
traditional programs to help them make their programs more relevant to national Health for All
strategies. In this context the World Health Organization is strongly supporting the Task Force on
3
"Change in Established Schools for Health Sciences".
He stressed that the concept of relevance of health sciences education to the real needs of the
populations served by educational institutions is the cornerstone of the Network and should be the
criterion against which the utility of all endeavours of the Network should be measured. In addition, he
commemorated the contributions of the late Fred Katz, who did so much for the early survival of the
Network.
Dr. Fiilbp had a surprise for 3 participants. Dr. Vic Neufeld from McMaster University, Hamikon,
Canada; Dr. Jacobus Grccp from the University of Limburg, the Netherlands; and Dr. Harmcn Tiddens,
special consultant of World Health Organization to the Network, were awarded the Health for All
Medal of the WHO, as a recognition for their many contributions to the world wide movement for the
achievement of the goal of Health for All in the Year 20CX).
Dr. Henry Walton brought warm greetings from the World Federation for Medical Education for the
success of the milestone which the Pattaya Conference so conspicuously represents in the history of the
Network. He informed the meeting about progress in the Program of the World Federation, which sets
out to reorient medical education worldwide. Six Regional Conferences will precede the World
Conference on Medical Education. The World Conference will take place in Edinburgh on the dates
originally proposed, 8-12 August, 1988. The World Federation expects the Network to nominate medical
teachers who have made major contributions to medical education and who particularly request
participation in the World Conference. Such applications will be most favourably considered by the
World Federation and its Planning Commission.
2. Minutes of the 4th General Meeting, September 7-8, 1985,
Ismailia, Egypt
The summary report of this meeting was distributed among all members in December 1985.
The minutes were adopted without amendments.
3. Awarding Honorary Membership
It was decided to award honorary membership to a number of colleagues who have made outstanding
contributions to the Network and its objectives.
The candidates were:
Dr. Tamas Fuldp
Director, Division of Health Manpower Development
World Health Organization
Switzerland
Dr. Jean-Jacques Guiibert
Chief Medical Officer for Education Planning, Methodology and Evaluation
Division of Health Manpower Development
World Health Organization
Switzerland
Dr. Cosme Ordonez
Representative Ministry of Public Health
Higher Institute of Medical Sciences
Cuba
Dr. Moshe Prywes
Chairman Center for Medical Education
Ben-Gurion University of the Negev
Israel
Dr. Barmen Tiddens
Professor of Health Care Organization
Chairman National Board for Continuing Medical Education
The Netherlands
4
>
J
Dr. Ramon Villarreal f
Former dean Faculty of Health Sciences
Univcrsidad Autonoma Mclropolitana
Xochimilco, Mexico.
Their nominations were approved unanimously. Each candidate was presented to (he meeting by
another colleague. Presentations are summarized below.
Dr. Moshe Prywes (presented by Dr. 2Sohair Nooman):
"I am honoured to present Dr. Prywes to the General Meeting of the Network on the occasion of
awarding him the Honorary Membership of the Network. For me he is not only an eminent medical
educator, a founder of an internationally reputable medical school, but more important, he represents
what we can call the spirit of the Network and what it stands for. In the spring of 1981, shortly after we
had admitted the first calls to our school, we recognized that we were facing a problem in community
medicine in the sense of not integrating community health sciences appropriately with the rest of the
curriculum. We felt we were in need of help from experts who preceded us in the path of communityoriented education. I was deeply convinced that among the best who could advise us was Dr. Prywes.
although both were aware of the challenging situation he and I would face. The difficulties between our
countries are well known! So, some of our students and faculty had their own reservations and declared
opposition to inviting one from across the eastern border. But 1 had no hesitancy because I knew the
man, I knew of his international humanitarian spirit when it comes to science, medicine, students and
education. He knew what he was up to face by accepting this invitation. He did come, he did make a
superb job, he did receive the opposing group and graciously accepted their written protest. People
embraced and the eyes went wet. Dear colleagues, this is the Man of the Network whom we are
honouring today."
Dr. Tamas Fiilop (presented by Dr. Harmen Tiddens):
"It is with great pleasure that I propose to this meeting to award a Honorary Membership to Dr. Tamas
Fiilop.
Looking at the usual characteristics of a career it is already clear that Tamas Fiilop is a remarkable man.
After finishing his studies in medicine he acquired the certificate of specialist in hygiene and
epidemiology at the Institute for Postgraduate Education in Budapest, Hungary. To this he quickly
added a Ph.D. and a Certificate of specialist in public health administration and organisation of health
care. The Hungarian Academy of Sciences underlined the scientific aspects of his career by awarding
Tamas the Degree of Doctor of Medical Sciences.
It was already in 1956 that his potential was realised by the Department of Hygiene and Epidemiology of
the University Medical School of Debrecen where he was appointed as Assistant, later Associate
Professor. In 1963 followed his appointment as Full Professor and Head of the Department of Social
Medicine of the same school. In 1968 he joined the World Health Organization, first as chief of the Post
Graduate Education Unit, and later as the Director, Division of Health Manpower Development of
World Health Organization’s Headquarters in Geneva. His career is adorned by the publication of many
books, manuals and scientific papers, in total more than 200.
All this is impressive but would in itself not warrant the proposal I am making. There are other aspects
to his personality that play an important part in that proposal. Most of us know how devoted Tamas is to
the "Health for All" movement. Some have experienced his interesting and sometimes conflicting
contributions to his own health and happiness. I am alluding for example to the loud thum- ping noises
produced in his hotelroom, in the very early morning, as the result of vigorous exercise. I am alluding
also to an erratic but sometimes extremely high chocolate consumption although the health promotional
aspects of this habit are less easily understood. His contributions to health care on a global scale are the
result of strong devotion to the mission at hand, of intelligence and of a talent for delecting at a very
early stage the trends and developments of crucial importance to health- and health-care development.
For Tamas "relevance" became a key word and the development of educa- tion of health professionals
the key issue in the promotion of relevance.
Long before others he saw the potential of the application of educational science to the field of health
manpower development.
The global teacher training program was a result of that vision. He recognised the importance of the
application of new concepts in education in new medical schools and was very much aware of all the
factors that threatened such developments. That made him search diligently for ways and means in
which he could support in particular those experiments that showed promise of relating in an effective
way new approaches to health care and to education. I vividly remember how, in the sometimes difficult
task of getting the Maastricht medical school started without compromising its basic filosofy, Tamas
Fiilop provided strong and consistent support.
5
It was on the basis of his personal experience with a number of experiments that he used a romantic
boatridc on the Donauto sow the seed of the Network. In later stages he strongly supported its
development. I do not hesitate to say that the Network would not be where it is today when it had not
received this support.
I do not know a better candidate for Honorary Membership of the Network than Tamas Fulop."
Dr. Jean-Jacques Guilbert (presented by Tonny Bouts*):
"I am very pleased and honoured that I am allowed to recommend you lor Honorary Membership
of the Network.
Dear Jean-Jacques,
The first time I saw you was three years ago during the General Assembly oi the International
Federation of Medical Students Association. Ignorant 1 attended this meeting and started with a
workshop on "How to organize a workshop' with you as headmaster. I felt myself like going back to the
elementary school. But I was amazed by your way of talking and joking. From that lime I knew that 1
would never forget you, especially when you look over your pair of half-glasses. I don’t know if 1 can
organize a workshop now, but one thing is certain, you stimulated me in delving more into medical
education.
Dr. Fiilop informed us that you were born in 1928, finished your medical training studies in Paris.
Afterwards you did your residency training in the U.S.A., but went back to France to work in the field of
medical education. You were the first to introduce the objective examination in France.
In the mid-sixties you joined the World Health Organization, first the African Regional Office with a
special assignment for Education and Training of Health Personnel. In 1970 you got your Ph.D in
education in Los Angeles. Subsequently you returned to the Headquarters of the World Health
Organization in Geneva, where you have been responsible for educational planning, methodology and
evaluation. You were the heart and brain of major study groups, among them the Sludygroups on
Community-Based Education and the Studygroup on Multiprofessional Education for the Future.
You are a major promoter of a systematic approach to education of health personnel. You carried out
hundreds of workshops to educate teachers to do their job in a way that would enable their students to
grow not only as professionals, but also as human beings. You always felt very close to students and
medical education. Which one you prefer most, the students or medical education, we don’t know.
Fact is that both fill your life, and both flourish under your attention. You are always good in explaining
things in a systematical, practical and clear way, like the Handbook of Medical Education, the famous
red book you wrote and all the meetings which were under your guidance. You will retire after this year,
but you told me that you have already many commitments thus I think before you are really retired, it
will take a long, long time. Dr. Guilbert, or better J.J., it was really a pleasure working with you all these
years. Thanks a lot, merci beaucoup, for all you did and will do in the future.
Nous ne t’oublierons jamais. Au-rcvoir."
* Tonny Bouts is a 6th year medical student at the Rijksuniversiteit Limburg.
Dr. Cosme Ordonez (presented by Dr. Vic Neufeld):
"It is a great personal honour to recommend Professor Cosme Ordonez for Honorary Membership in
the Network.
Professor Ordonez was a "founding father" of the Network at its inaugural 1979 meeting in Jamaica,
where he represented the University of Havana. Since then he has been a devoted, visionary and hard
working participant in the Network. He is just completing a most productive term as a member of the
Executive Committee.
So much could be said about Cosme’s work in the Network. 1 will restrict myself to three brief stories
that stand out in my memory. Each image reflects a particular aspect of Cosme’s contribution.
He is first and foremost a respected and active leader in Latin American medical education. I have a
vivid memory of a congress on medical education in Havana in June 1986. Here were well over 1,000
delegates from many Latin American countries working together on important questions about primary
health care and the role of future physicians. The meeting was successful in large part because of
Cosme’s "behind the scenes" preparation, vision, and attention to detail
Secondly, Cosme has a deep personal commitment to the improvement of the health of the people of the
world, in the context of social development. My memory here takes me to Canada where a group of
McMaster medical students were engaged in intense debate with this Cuban visiting professor about the
future of health and health care, and the role which these students might play.
Cosme has also become a personal counsellor, friend and respected colleague. This is perhaps best
captured by the memory of an evening in Geneva, where after an intense and exhausting two days’
meeting, three of us found ourselves in a small Swiss restaurant. Here, over a bottle of fine French wine,
this trio of unlikely colleagues, a Cuban, an Egyptian (Zohair Nooman) and a Canadian, reviewed the
()
I
events of the week. Cosme’s role in that discussion (and in many others like it) was that of a shrewd
tactician, philosopher, Network historian, and scientific analyst. Pervading the discussion was a deep
sense of collegiality, commitment to a common cause, and mutual respect.
I am also delighted to say that Cosme will continue to contribute to ihc Network as an active participant
in a Latin American team of medical education."
Dr. Harnien Tiddens (presented by Dr. Co Creep):
"I am honoured to present Harmcn Tiddens for Honorary Membership in the Network.
Harmcn A. Tiddens MD, PhD, began his medical career as a paediatrician, became head of a district
hospital and then professor of paediatrics and associate director of the University children’s hospital in
Utrecht. There he led the reorganization of the hospital and founded and developed its department of
nephrology. In the late sixties he became the Dean of Education of the Utrecht Medical School and
headed a profound reorganization of its curriculum. Later he became the Founding Dean of the
Medical Faculty at the University of Limburg and later Rector of that University. The University of
Limburg in Maastricht is known internationally for its innovative approach to education including the
linkage of education and research to the health care in the region where it is situated.
Since 1979 he serves as Professor of Health Care Organization at Tilburg University. He leads a national
program for continuing education in health care management. In 1982 and 1983 he served temporarily
as Chief Scientist Health Manpower Development, at WHO Headquarters in Geneva and also in this
function he committed himself very intensively to the Network and its activities.
He was one of the "founding fathers" of the Network and has been attached to it ever since its start in
1979. In 1984 he was appointed as the Chairman of the National Board for Continuing Medical
Education of the Netherlands.
Harmen Tiddens authored numerous texts in the fields of paediatrics, nephrology, medical education,
health care management and health care research. He was the co-founder of the European Association
of Paediatric Nephrology, served as the Director for Europe of the International Study of Kidney
Disease in Children and chaired the European Association of Programs in Health Services Studies.
It is my hope that he will continue to support us in achieving our goals."
Dr. Ramon Villarreal (presented by Dr. Fernando Mora):
"Ramon Villarreal passed away on September 12, 1987. If the disappearance of any distinguished public
person usually causes a sence of loss among those who worked with or were influenced by him, the death
of Ramon Villarreal has generated a deeper sadness. Perhaps it was because his main attributes were
related to a capacity for openness and fairness making him the sometimes unnoticed center of teams of
intellectual workers who frequently held strongly conflicting views.
His perception of what was relevant at a given time made him an important figure in health education in
Latin America. First at his post at the Pan American Health Organization as head of human resources
development (1972 -1974), then as the first Rector of the Metropolitan Autonomous University at
Xochimilco (1974-1978).
But it would be wrong to assume that his leadership qualities were based only on personality
characteristics. Underneath was a scientist and a physician, an author of more than 30 scientific articles.
As a physician he graduated from the National University of Mexico in 1944, and did postgraduate work
in physiology and clinical research at Illinois and Harvard. Later he developed an interest in social
issues, obtaining an M.Ph. at John Hopkins University. As a promotor of the development of new ideas
he served as Dean of the Medical Faculty at San Luis Potosi University (Mexico), then at the Regional
Office of World Health Organization at Washington, USA (1959 - 1972), first Rector and Founder of
the Metropolitan Autonomous University at Xochimilco (1974 - 1978), and then Executive Secretary of
the Mexican Foundation for Health, until his untimely death.
Especially relevant to us, Ramon Villarreal was among the "founding fathers" of the Network,
participated in its Executive Committee in the early years, and retained his interest in the Network to the
end. Already ill, he attended the Havana June 1986 meeting, where many of us saw him for the last
time."
On behalf of all the new honorary members. Dr. Ordonez thanked the Executive Committee and the
member institutions for the honour given to them. He stressed that the efforts of all nominees have
always been directed towards the fulfillment of the important objectives of this Organization.
7
4. Reports on Network Activities 1985 - 1987
4.1 Report of the Secretary General
Who would have envisioned eight years ago in Kingston, Jamaica, when the Network was given birth,
that it would grow at such a rale. In 1979, 20 schools for health professions education established the
Network, fathered by Dr. Tamas Fiilbp and Dr. Fred Katz of the World Health Organization. Here, in
Pattaya, almost 100 members have gathered to discuss issues of common interest and make plans for the
future. In the two years since our meeting in Ismailia, Egypt, 9 full and about 30 associate members were
welcomed in our "family". You will understand that this increase of interest in the Network has put a
heavy burden upon the Secretariat and its Secretary General, a burden we were glad to carry, because it
contributed to the aims of the Network. 1 would like to provide you with an impression of the amount of
interest that the Network seems to evoke and of the activities of the Secretariat in response to this
interest. Since 1985, 573 letters asking for information or providing interesting news were received.
In that same periode, 781 letters were mailed in response, or as a result of EC decisions. Three
Newsletters were compiled and sent to 2000 addresses all over the world. Five EC-meetings were
organized and supported. A brochure was written useful! as a first and informal introduction to the
Network’s aims and activities and the Network Secretarial assisted in the editing of the book arizing
from the Ismailia conference "Innovation in Medical Education" that will be published soon.
The Secretary General made site visits to 27 schools "spreading the gospel" and assisting in the
development of three new schools. And finally, I am proud to tel that the Network succeeded in
becoming an NGO related to the World Health Organization (NGO - Non Governmental
Organization). This means that the World Health Organization recognizes our contribution to the
achievement of Health for All in the Year 2000. As your Secretary General, I served this organization
for almost 8 years, and this fifth General Meeting is an excellent moment to announce that I have
decided not to serve another four-year term.
The Network has grown up. It has become a strong organization, full of life and with a shining future. Its
existence contributed to a continuous awareness around the world that community-oriented education
can and should contribute to the well-being of people both in developing and so-called developed
regions of the world. I believe that the Network in a new stage of its development needs new leadership.
Therefore, I will step down but will of course serve this organization in other roles. The EC has asked
me to continue playing my part as a special consultant.
I like to thank all of those who assisted me in the past years: Ine Kuppen, Henk Schmidt, the members of
the EC and many others. In particular I would like to thank Tamas Fulbp and Jean-Jacques Guilbert for
their trust and support.
4.2 Report of the Chairman on activities of the Secretariat and the Executive
Committee
"The purpose of this report is to highlight some of the key achievements and events of the last two years,
since the Network Fourth General Meeting took place in Ismailia, Egypt in 1985. As the Chairman of
the Executive Committee, I will give you my perspective on these events.
At our meeting two years ago, we focussed on three areas: the Secretariat and Executive Committee; the
Task Forces; and the strengthening of member institutions. I will comment on each of these areas, then
conclude with some general comments about other activities, including some surprises."
Secretariat and Executive Committee
This has been a time of stock-taking and review. At the Secretariat itself, Ine Kuppen and her helpers
have continued to work extremely hard, and have acted as the "friendly face" of the Network to many
friends, colleagues and visitors. I’m particularly pleased that Henk Schmidt has come back to join the
Secretariat team. We still have more to do with respect to streamlining the various functions of the
Secretariat, in particular strengthening the system of financial accounting, and expanding the "clearing
house" and communications function of the Secretarial. A key activity of the Executive Committee was
the decision to launch a strategic planning exercise, with a special meeting in Geneva in May, 1987. This
resulted in the discussion document: "The Network in 1987 .... and beyond", which will provide a basis
for the group discussions at this meeting. One of the strategic recommendations will be to enlarge the
Executive Committee with some regional representation and activity. 1 wish to personally thank those
colleagues who have contributed to the Executive Committee and who arc now completing their terms:
in particular Cosme Ordonez of Cuba and Gopal Acharya of Nepal.
8
Task Forces
During the last two years, we established two new Taste Forces: Task Force III: Clinical Training in
Health Care Settings (led by Zohair Nooman of Suez Canal University)!; and Task Force VII: Program
Evaluation (led by Arthur Kaufman and Stuart Monnin, of the University of New Mexico). All the Task
Forces have been asked to focus on specific activities which will result in a "product" at the end of two or
four years; this product should be of benefit to all Network institutions
Strengthening Member Institutions
The individual institutions continue to be the "heart" of the Network - this is after all a Network of
like-minded institutions, ft was very helpful, late in 1985 and early in 1986, to receive prepared
statements from many member institutions, summarizing the plans for the institution (related to
Network goals) and listing the individuals from those institutions who have been asked to be
correspondents for Task Forces and other functions. Many of the institutions were visited by members
of the Executive Committee, over these two years. Some institutions organ- ized special national and
international meetings (for example, the Universiti Sains Malaysia in July, 1986). It’s clear that there are
many important projects and activities going on in the member institutions. I know you will be interested
to learn about them in the discussions and in the poster sessions.
Other comments
Interest in the Network continues to grow, as evidenced by the number of applications for full and
associate memberships. This is, of course, gratifying to see. Nevertheless, our primary aim should
continue to be active participation by all member institutions towards Network goals; and not
necessarily expanding the list of members.
There have been several important publications, facilitated by our colleagues in the WHO. In particular
the "10 School Study" by Fiilop, Richards and others; and the "Innovative Track" conference
proceedings. I would like to sec our publications activity expanded still further.
An important achievement was the recognition by the World Health Organization, early in 1987, of the
Network as an official affiliated "non-government organization" (NGO). This relationship will strengthen
our links with the WHO, to our mutual benefit.
Through the work of the Finance sub-committee, chaired by Len Mciselas, we have been made aware of
the realities and challenges of financing the Network. Some important initiatives have been proposed.
Your Executive Committee will be studying these and acting on them as appropriate.
Surprises
I would like to mention three things which have particularly pleased me, and to some extent surprised
me:
1.
I believe the Network can make some distinctive contributions to the field of health professions
education by developing, testing, and disseminating information about particular models of innovative
education. An example here is the use of an "innovative track", as discussed in the October, 1986
Albuquerque meeting and published in the recently released book. We have the opportunity to develop
other models and make important contributions.
2.
I have been pleased by the degree of international interest and representation at various Network
events. Examples include the Task Force V meeting in Maastricht in March, 1987, and the Task Force
IV conference on Student Evaluation in Beersheva in May, 1987. This combination of international
experience focussed on specific problems and issues, in a formal which facilitates discussion and
exchange — represents a powerful force for change.
3.
Finally, 1 have been pleased to sec the natural emergence of functional groupings within the Network.
Some
0 - z of
_f these
/—j are regional (for example, the groups of institutions in Africa and Latin America); some
are focussed on models (such as the "innovative track" schools). I would like to encourage these
functional groupings, not as formal organizations, but as opportunities for colleagues from like- minded
institutions to work together, and learn from each other around some common interest and concerns.
Two years ago, my predecessor and past-chairman, Zohair Nooman, finished his Chairman’s report with
these words - and I will use them again: "This ends my report, now let’s go to work’"
9
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8
43 Finances
Report of the finance Sub-Commitlee of the Executive Committee of the Network.
At the last biennial meeting of the Network in Ismailia, Egypt, a Finance Committee was appointed,
chaired by Dr. Leonard Meiselas. Members were Dr. Co Grcep and Dr. Tamas Fuldp.
Ils task was:
To develop a financial plan that would guarantee the activities ot the Secretarial and the Network for
lhe future.
The Committee has met in the past two years on several occasions and has reported to the various
Executive Commiltec meetings on its efforts.
Activities:
The Committee analyzed the expenses of the Network and particularly those of the secretariat by review
of the expenditures of the last several years. Secretary General Dr. Greep, Dr. Schmidt and Mrs.
Kuppcn provided great assistance to the Committee by reviewing with the Committee the tasks and
activities of the Secretariat.
The Committee also began discussions with external agencies to explore their interest in the Network
e.g., foundations, various governmental agencies and Limburg State University.
Findings:
1.
The contribution of Limburg the University of Limburg at Maastricht has been of utmost importance to
the continued financial viability of the Network. For years Limburg University has contri- buted to the
travel budget for the Secretary General, supported the office cost and personnel cost of the secretariat
including assignment of space, telephone service, postage, heat and light, etc.... The University assigned
Mrs. Ine Kuppen to the secretariat as a part lime employee and also has supported an additional part
time employee as an assistant to Ine Kuppen.
2.
The contributions made by the World Health Organization have been equally consistent and significant.
In particular certain Task Force activities such as Task Force V could not have been accomplished
without the WHO grant.
3.
The fees paid by member institutions for membership at best would only offset a small amount of the
ongoing budget of the secretariat.
The fee schedule for full institutional membership is $ 500; for those institutions from developing
countries the fee may be as low as $ 100. At the Ismailia meeting, here were 18 full institutional
members. Associate membership is $ 50, at Ismailia, 32 memberships were recorded. At the Executive
Committee meeting in Geneva, May, 1987 - the Secretary General submitted a proposed budget of
$ 270,000 for years 1987 and 1988. Based on 1985 membership, full payment of dues would only realize
$ 21,200 of this budget.
4.
In lhe absence of the World Health Organization or Limburg University support it will be impossible to
maintain the secretariat unless funds are successfully sought from other sources.
5.
The cost of travel for Executive Committee meetings, for Secretary General visits, or tor support faculty
attendance at the biennial meetings are of such a magnitude that either new policies would have to be
developed to reduce lhe expense or additional sources of revenue must be lapped. Yet the biennial
meetings arc essential to the success of lhe Network.
Following this analysis significant attempts where made to solicit foundation support for Network
activities. Those efforts are summed up in the following:
Dr. Mciselas sollicitcd the Ford Foundation on several occasions in order io determine the degree of
10
support that Ford would give to this organization. Al best, since Ford supports some medical schools in
Africa, it appeared that there might be an interest on part of Ford Foundation to pay for dues or for the
exchange of faculty to the biennial meeting for those schools. However, this has not been successfully
accomplished
Dr. Meiselas, Dr. Neufeld and Dr.Kaufman separately and to some extent together have sought support
of the Kellogg Foundation for an effort in Primary Care. At this writing there is a proposal by the
University of New Mexico in Concert with PAHO to have Kellogg fund a Primary Care Educational
Effort. Kellogg has supported Dr. Zohair Nooman through its International Fellowship Program.
Dr. Neufeld and Dr. Meiselas discussed with the Carnegie Foundation efforts in either Africa or Asia
for support of Network activities but it is evident that because of other priorities financial resources of
the Foundation cannot be assigned to the goals of the Network
Dr. Neufeld has been successful in having the Rockefeller Foundation contribute to support Task Force
II. This foundationalso contributed to the costs of the Network Strategy meeting in Geneva. May 1987.
Dr. Grecp has been in close communication with the Philips Foundation and is optimistic that they will
contribute.
Governmental agencies have been contacted also to help support (he Network and its focus on
population medicine. The Dutch government is considering a proposal to fund an effort by the
University of Limburg, to support the medical school at Montevideo, Uruguay. This initiative has been
deve- loped by the faculty al Maastricht and is congruent with Network aims. This model may be
transferrable to other institutions that may be able to pursuade government agencies in their country to
help focus the institution’s international interest on the aims of the Network.
Another example is the Canadian government’s support of Task Force II, as well as some general
Network costs.
As of January 1987, the following firm commitments arc in place for the future funding of the secretariat:
The University of Limburg will fund the secretarial with .$ 40,000.00 anually through 1991. This money
will be applied to the travelling expenses of the Secretary General and the Dean of the Faculty of
Medicine, the employment of Mrs. Kuppcn and her part lime assistant and also makes available on a
part time basis to the Secretariat Prof. Dr. Henk Schmidt. However, it is uncertain that there will be any
continuation of these funds past 1991.
The World Health Organization has pledged $ 25,000.00 for two years (1987 and 1988) with no specific
commitment to continued grants beyond those years.
The recognition that many institutions were in arrears on their membership fees has led to a concerted
effort to require the institutions to bring their accounts into balance and additional moneys have been
collected as a result of that effort. As of August 1987, $ 5,000 representing membership fees for 1985 and
1986 have been received.
As of May 11, 1987, the audited financial statement revealed the following:
Balance in Task Force V account
$
6,000.04
In the Dutch Guilder account for Task Force V
F
56,582.90
In the dollar secretariat account
$
12,032.93
In the Dutch Guilder secretarial account
F 18,708.16
Recommendations:
It is evident that a continued concerted effort must be made to articulate operating procedures with
financial resources.
The decisions to create Task Forces must include funding plans for those activities. Wherever possible
Task Forces should seek partnership with other agencies and foundations interested in similar activities,
thereby soliciting financial support. Whenever grants are awarded for field activities, the secretariat
should receive a portion as administrative overhead.
The secretariat must be located in a host institution which is prepared Io pick up its office expense.
An ongoing effort must be mounted to seek global foundation support.
An attempt must be made to minimize the expenses of the Secretary General as well as the Executive
Committee, perhaps through use of telecommunications.
No special functions including the biennial can be expected to be mounted by internally generated funds
but must be supported by either the participants or by an external agency.
Member institutions should lake more responsibilities to obtain national or stale assistance for Network
O I S S' /
3?64 VU326,
M1TYV?Mein
EALTH CEU
Korarriang:!.
1 ^angalore-bbuOSA
related activities
Member institutions should try to support Network activities through their own budget planning
process.
The Chairman of the Fundraising Committee, Dr. L. Meiselas, added that in his opinion lhe Network
appears to survive mainly on the generous support of the University of Limburg and the World Health
Organization. In principle, this is not a healthy slate of affairs. The Network should broaden its pool ol
possible resources.
Dr. F. Sturmans, Prof. M. Roslani and Dr. F. Mora Carrasco were appointed in lhe Financial Audit
Committee.
The Internal Audit Committee checked the financial report and approved the administrative processing.
The Committee, chaired by Dr F. Sturmans, advised lhe meeting to accept the figures. However, the
Committee agreed with the conclusions of the Accountancy Department attached to the financial report
that:
an annual report of subsidies granted per activity should be formulated by the Executive Committee;
the quality of vouchers, payment statements and other proofs of expenditures should be improved. It is
suggested that the Executive Committee formulates a set of rules regulation expenditures
4.4
Task Forces
^-Task Force 1: Community-Oriented Education
(leader Dr. Cosme Ordonez)
Introduction
As was stated clearly since lhe beginning of the network (HMD/79.4 WHO), community orientation
means:
(1) lhe provision of clinical experience away from the university hospital; (2) the selection of curriculum
contents on the basis of perceived community health needs; (3) the community as an ecological human
laboratory for the study of population health problems; (4) programs oriented to solve community
health problems; (5) integration or coordination of health services, teaching and research; (6) active
participation of the community in the solution of its health problems (self-responsibility).
The main target of Task Force I has been the achievement to train and to educate health personnel al
the community setting contributing to the commitment of HFA through PHC.
Its objectives were
(1) to re-orient education of health personnel to the HFA strategy; (2) to develop community-oriented
education; (3) to analyze PHC models and its application in health personnel education; (4) to identify
ways to interchange experienced and information on PHC and HMDP; (5) to develop bilateral
cooperation between countries in the field of PHC and health personnel education.
Il was stated at the Fourth General Meeting (September 1985, Ismailia, Egypt) that the "end product" of
Task Force I could be the consolidation and leadership of innovative institutions, and the
implementation of changes in the traditional ones.
Activities
Site-visits to institutions.
During the analyzed period we visited the following institutions:
Metropolitan Autonomous University, Xochimilco, Mexico (Dr. Mora, Director) November 1985.
University of Carabobo, Faculty of Health Sciences, Maracay, Venezuela (Dr. O. Feo, Dean)
November 1985.
School of Medicine, Panama, Paediatric Teaching Unit (Dr. R. Esquivel, Hospital Director)
November 1985.
Antioquia University, Faculty of Medicine and Faculty of Public Health (Dr. J. Cardona. Professor)
November 1985.
National University, Bogota, Colombia. November 1985.
San Marcos National University, Lima, Peru (Dr. A. Moxa Cuadra, Professor) November 1985,
March 1986.
Georgetown School of Medicine, Guyana (Dr. R. van West, Minister of Health) October 1985.
Faculty of Medicine, University of Montevideo, Uruguay (Prof. P. Carlevaro, Dean). November
12
■
1985, March 1986, November 1986, August 1987.
National University, Faculty of Medicine, Buenos Aires, Argentina (Dr. Etchaverry, Dean)
November 1985.
Faculty of Health Sciences, University of Quito, Ecuador (Prof. R. Ycpcz, Dean) March 1986.
School of Medicine, University of Sao Paulo, Brasil (Dean) March 1986.
Public Health School, Rio de Janeiro. Brasil (Dircctor( August 1987.
Faculty of Health Sciences, McMaster University (Dr. V. Neufeld, Associate Dean) January 1987
?
I
Funding
All visits were funded by the Cuban Ministry of Public Health, except from Uruguay (July 1986, August
1987) which was funded by PAHO, and McMaster (January 1987) by McMaster Faculty of Health
Sciences.
The Task Force members in Latin America and the Carribean region arc:
- Dr. F. Mora: U.A.M., Xochimilco, Mexico
- Dr. O. Feo: University of Carabobo, Maracay, Venezuela
- Dr. J. Fuenmayor: National University, Caracas, Venezuela
- Dr. R. Esquivel: Children’s Hospital, Panama
- Dr. J. Cardona: Antioquia University, Medellin, Colombia
- Dr. R. Ycpcz: National University, Quito, Ecuador
- Dr. A. Meza Cuadra: San Marcos University, Lima, Peru
- Dr. P. Carlevaro: National University, Uruguay
- Dr. M. Harris: Georgetown School of Medicine, Guyana
- Dr. A. Guedes: Sao Paulo, Brasil
- Dr. C. Moore: McMaster University, Canada (North American Region)
- Dr. S. Obenshain: New Mexico University, USA
Workshops, seminars
A.
Workshop on "Education on PHC". Montevideo, Uruguay.
November 17 - 22,1986. Faculty of Medicine.
Participants: 200, representing the Ministry of Health, the Municipality, the Faculty of Medicine, the
School of Nurses, the Faculty of Dentists, the School of Nutrition, the Faculty of Veterinary, and the
University Council.
Funding: PAHQ and Uruguay University.
Results:
The political decision of the Ministry of Health and the University to coordinate health services,
teaching and research; the planning of a community-oriented curriculum; the implementation in July
1987 of the first cycle in the community.
B.
International Seminar on PHC: services, teaching and research. Havana, Cuba. June 9 - 12,1987.
Ministry of Health, Cuba. PAHO, Network.
Participants: 537, from Latin America and the Carribean; 463 Cubans.
Funding: Ministry of Health, Cuba; and Network: 5000 US $.
The seminar was inaugurated by Dr. Carlyle de Macedo, General Director of PAHO, and the
conclusions were made by Dr. Fidel Castro, President of the Republic of Cuba, who participated
actively during the whole meeting;
Dr. V. Neufeld and Dr. J. Creep were "guest speakers" and members of the Presidium of the seminar.
President Castro had a private talk with both;
During the meeting we had an important work-lunch session with the principal deans of the different
faculties of medicine in Latin America about the Network objectives and perspectives.
Evaluation
We could not implement the majority oi the activities of the plan of action 1986-1987 because of
shortage of funds.
Nevertheless we consider that a great effort has been done in spile of the financial constraints.
The "end product" of Task Force I activities could be measured by the following results: (1) The
implementation of the new community-oriented curriculum in the Cuban 28 faculties of medicine;
(2) The implementation of the new community-oriented curriculum in the Faculty of Medicine of
Montevideo, Uruguay; (3) The implementation of the new curriculum in the Georgetown School of
13
u
I
FINLAND - Tampere University
Fellow: Dr.Mauri Isokoski
Dean: Prof. Amos Pasternak
Beginning of systematic examination and revision of curriculum beginning in September 1987.
Rewriting of portions of the curriculum syllabus.
- Introduction of an elective module in critical appraisal in September 1987.
- >Plans to introduce problem based, tutorial learning methods, reduce number of lectures and
examinations.
- Proposal for new integrated modules of priority problems in primary health care based on burden of
illness.
I
INDONESIA - Gadjah Mada University
Fellow: Dr. Rossi Sanusi
Dean: Dr. Radjiman
I&
1
-
-
The Community Oriented Medical Education Program (7% of curriculum) continues throughout
medical school providing students with problem solving experiences on paper and in the field which
orient them to determining priority health problems, identifying risk factors, selecting efficious
interventions and planning health services.
Task Force II activities contributed to:
Development of module handbooks for problem based learning.
Organization of tutor workshop to be held as a faculty development project in September 1987.
Invited colleagues from Network countries will participate in workshop.
NIGERIA - Ilorin University
Fellow: Dr. Mike Adedoyin
Dean: Dr. O. Ogunbode
-
-
-
Community Based Experience and Service program for Medical Students occurs in 4 years of the 5
year curriculum assuring on site community experience in population health and individual patient
care. Surveys done by the students become valuable sources of health information. Task Force II
participation has consolidated plans to re-evaluate the curriculum content.
Explore strategies for improving community based program.
Examine means of improving educational proces through tutor training workshop and learning
resources development.
Explore methods for following activities of graduates.
Submission of a proposal to WHO for support for exploring strategies for foster collaboration of the
Medical school and the Ministry of Health for developing reliable health related data base to
facilitate monitoring and planning for improved health education and service.
THAILAND - Chulalongkorn University
Fellow: Dr. Pisonthi Chongtrakul
Dean: Dr. Charas Suwanwela
I
Development of method for priority health problems. Developed list of priority problems to assist
curriculum planning.
Task Force II concepts introduced into Pharmacology education.
Introduction of tutorial process in Pharmacology block.
Use of computer technology and students to generate course materials.
Task Force II association contributed to development of a new third medical school track
CTPB (Community Targeted Problem Based) at Chulalongkorn University.
■w
•g
■
/I
Summary of general achievements
In addition to the specific achievements at each institution listed above, the general achievements of the
1 ask Force itself can be summarized as follows:
1.
It is feasible to analyze existing health data, prioritize it for the purpose of educational planning, and
cnange components of the curricula of medical schools using this approach.
I
16
A prioritization strategy, based on pre determined criteria, and involving a critical appraisal of epide
miologic evidence, has been developed and used in several institutions.
3.
A general "Priority Health Problems" model for designing education and training for health workers, has
evolved; it requires further testing and refinement.
4.
It has been possible to attract adequate funding for this activity, with some possibility of further support.
5.
Our experience with the six participating institutions has made us realize that the original concept of the
Task Force (that is, using health care data to plan undergraduate medical education) was some- what
limited. The possibilities for expanding the basic idea include the following elements:
- The adaptation of the model to other health professional programs (e.g. Nursing, Continuing
Medical Education).
- The need or additional information, including trend analysis, the results of rapid and focussed
epidemiologic surveys, and the systematic obtaining of opinions from community representatives. (At
McMaster University, a special unit has been formed to carry out this function, called a Health
Priority Analysis Unit, HPAU).
- This information analysts and prioritization approach might be applied to other purposes, such as
health research planning in an academic institution, health policy planning and decision making, and
the education of community groups and agencies.
The need for a larger team (a critical mass") to work with the original fellow; in some institutions
this could include colleagues from a clinical epidemiology unit (CEU). This team might develop a
capacity for new activities, such as a more extensive community-based education and research
program, and the opportunity to function as consultants.
In some institutions, the introduction of changes into the undergraduate medical education program,
has led to broader considerations of institutional adaptation to change. This experience has
contributed, m some institutions, to the adoption of a broader mandate, to the concept of a national
or regional Resource and Training Centre.
In the process of considering these possibilities, health sciences educational institutions have
recognized that they can collaborate with other institutions and agencies who share the same goal;
these include government agencies, non-government organizations (NGO); and institutions from
sectors other than health.
Recommendations at the June 1987 invitational conference
Al 1 he Junc
invitational workshop (which included colleagues from other institutions, consultants,
and McMaster students and faculty members not directly involved in the Task Force), the following
recommendations were made:
The Task Force II activity should continue for al least another year, to collectively explore some of
the possibilities listed above.
Some of the anticipated changes are just now beginning to become evident in some of the institutions'
these institutions (and particularly the original Task Force Fellows) require ongoing support.
in the form of assistance with workshops, project development, site visits, and materials.
Where possible, these should be arranged.
A special project involving telecommunication linkage among Task Force institutions, should be
explored.
The Task Force should consider adapting the Priority Health Problems (PHP) approach to education
programs, other than undergraduate medical education.
It is apparent that several other institutions are developing a similar approach to curriculum planningthese schools should be invited to become regularly participating institutions. The institutions
include the University of Sherbrooke (Canada), the University of Medicine & Dentistry of New
ersey^ New Jersey Medical School (USA), and possibly the University of New Mexico (USA)
^onsideration should be given to a more systematic evaluation of the results of the project activity in
participating institution; the results could be presented to a meeting of deans and fellows
sometime in late 1988.
LHh.r015' ?nd imporlanI to wrile UP (hc experience to date in the form of a monograph (including
msututional case students), and publications in the scientific literature.
form^Q1'ly ShLOllld bc considercd of developing a special educational program (perhaps in the
feluha ‘.‘h 0
C0UrS•’ Wi'h adaP,able modules), for new institutions. In addition, some consultants
here was a continuing need for training’ health information system- specialists, to
17
I
work in academic institutions and government agencies; extension of Task Force II activities to cater
to this need was urged.
Plan of action
The following activities are planned or under consideration for the next two years (years 3 and 4 of the
project).
Year 3: (October/87 - Septembcr/88)
5
Workshops
Workshops organized by Task Force II fellows and involving Network colleagues are planned for:
Chulalongkorn - Scptcmbcr/87
Gadjah Mada - Octobcr/87
Ilorin (Nigeria) - February/88
Site-visits
Repeat site-visits arc planned for Tampere (October), and Suez Canal (November) by McMaster faculty
members.
Report writing
This will include:
a) a monograph, including institutional case study reports;
b) scientific publications.
Study blocks
I his is under consideration, for 5-6 weeks in May/June 1988 at McMaster University. The objectives
might include:
a) continued facilitation of institution-specific projects. This may include assisting some institutions to
develop a longer-range program of community-based education and research;
b) designing a prototype Priority Health Problems training program.
If interested, a small number of additional institutions could be invited to send a fellow. The study block
would again include a 3-day Invitational Conference, where the work to date would be presented and
refined.
Review conference
It may be timely, later in 1988 or early 1989, to convene the Dean, fellows and Task Force members, in a
conference which would review 3-years of experience with the project. This event would be helped by a
report from an evaluation team (say 2 people who have not been directly involved in the project), who
would review the work to date, conduct site visits, and present their finding.
Year 4
Plans for this year are not yet formulated and will depend on the decision of whether to proceed with
some of the Year 3 activities listed above.
One possibility would be to design and implement a 3-monlh course on "Health Priority Analysis", for
additional fellows from the original schools, or for colleagues from new institutions.
I he end products" of 4 years of work would then have been:
Six institutions with experience and expertise in Priority Health Problems Analysis and educational
p anmng. This expertise could be accessed and shared with other national or regional institutions
several publications (as noted above).
A Priority Health Problem analytic model which will have been tested in several different
programs and countries around the world.
Possibly, a training program, with educational modules and materials. These materials could be
widely disseminated.
••a
Clcadci-0^ z
Trainino7nr
S.tU<,ents, 'rain’n« Community Health Care Settings
WaS ia.un^hed dunng the 4th General Network Meeting under the title of "Clinical
ommunity Health ( are Settings" which was subsequently changed to the current title.
18
Goals:
1.
The main goal is to develop guidelines for strategies for planning, implementation and evaluation of
program for students’ training in community health care s<•citings within the context of community
based education. Such guidelines will be included in a manual which also describes examples from
the experiences of various institutions.
2.
To provide a forum lor getting together planners and doers of community-based educational programs
who arc actively involved in setting up and implementation of students training in the communitv
m a manner that would facilitate their sharing of informations and learning from each other’s
experiences.
The plan
Two alternative plans were prepared. Plan A is being followed at present and will continue so long no
extra funds are available. Still we hope to adopt elements of Plan B when extra funds become available.
Plan A:
1. Literature survey;
2. Preparation of a survey questionnaire to be directed to all community-oriented educational
mctifllfmnr
__________
institutions for health sciences;
3. Review of the feed-back of the questionnaire;
4. Wider
discussion
of..the questionnaire
in aspecial section of the General Meeting of
c of thei results
----------------------ItkoMt
I. _ X T .
•I ••
.
*
the Network m September m Thailand;
5. Task Force members
decidec on publication during the General Meeting.
- would
-------------Plan B:
Steps 1 and 2 the same as in A;
3. Workshops and working group meetings will be held to address specific aspects of the theme of the
Task Force;
4. Publication of a book, contributors would be the Task Force members.
The Task Force membership
1. Chairman Dr Zohair M. Nooman, Faculty of Medicine, Suez Canal University, Ismailia, Egypt
2. Coordinator, Dr Adel M. Mishnky, Lecturer, Department of Community Medicine. Faculty of
Medicine, Suez Canal University.
3. Members,
a. Faculty of Medicine at Suez Canal University: Members of the Unit of Community-Based
^ucalion Center of Research and Development in Medical Education and Health Services
(partially funded by Kellogg’s International Fellowship Program in Health)
b. Faculty of Medicine, University of Gezira, Wad Medani, Sudan: Dr. M. Awadallah Saleh
(Coordinator).
c. 1
' o,hcr Nctwork Medical Schools: All member institutions of the Network were requested to
nominate a key person or persons to represent the institution
----------- iiin the membership of the Task Force.
Nominated members should:
theIinast"u8tionShar‘n8
aCt‘Ve responsibilities in the community-based educational program in
-
re^nT1th,et.inStitUtiOn i”.corrcsP°nde"CC related to the Task Force activities including the
response to the questionnaire;
SnowlediedilU,iOn meel*T and aclivilics rdalcd “> ‘he Task Force as outlined in the Plan;
oe acknowledged as contributor(s) to any published documents including the book.
By September 30th, 19S7 the following activities have been achieved:
1.
wortl
““P* "!>“ i"d“« Men.ffio.lion of ...pn, I, „
McdicVne h'Isnr"|°afaiyXnddUfr|'n8 V'0^1’0'1 hcld On Number 3-8,1986 in the Faculty of
attended by a five members group from the Faculty of Medicine, Gezira,
19
1
Sudan and the Egyptian group;
The questionnaire was compiled and reviewed by some experts from the Network and WHO;
In its final form the questionnaire consisted of five sections and 113 questions.
2.
7 he questionnaire was mailed to 73 schools including all the Network full and associate members.
A pre-letter proceeded the questionnaire
3.
So far, responses from 20 medical schools have been obtained. We are still encouraging the rest to
respond.
4
Analysis of responses is underway, the preliminary findings will be presented during the workshop
on the theme of the Task Force in Thailand.
I
Subsequent steps
A proposal has been submitted to Kellogg’s International Fellowship Program in Health to support
meetings on specific problem areas in OBE that would come out of the analysis of the questionnaire
and the compilation of all the data gathered in a book. So far the proposal has not been successful,
although not absolutely rejected.
In case no further funding is available, the remaining funds will be just sufficient for the costs of
analysis and review of the results by a regional group followed by publishing the results in a suitable
publication. This will take place within six months from now.
^ Task Force IV: Student Evaluation
(leader Dr. Dan Benor)
The following plan of action has been discussed and decided upon in the first meeting of the Task Force,
which was held in May 28,1987 in Beer-Sheva, Israel. It was understood that each participant intends to
go on working with the group. However, if for some reason any participant would not be able to carry on
this commitment, it is the absolute responsibility of the participant to identify another colleague who is
capable and willing to commit him or herself. It is also the responsibility of the quit- ing member to lake
the necessary steps for approval of the participation of the new member by the Faculty authorities. The
plan of action includes several phases and several meetings as follows:
1
Preliminary phase (May-September 1987)
Each member will submit a brief definition of community-orientation (c.o.) as this term is
perceived by and practiced in his or her institution. For this the member will consult with colleagues
and students, as well as with the school’s authorities.
Each member will submit a detailed list of the evaluation measures which are used in the institution
for assessing c.o. This list should include methods and procedures, but, of course, also the objectives
which are evaluated by the described method.
Each member will provide his or her preliminary thoughts on how the evaluation of c.o. should be
done (principles, strategies, methods). This should not be a comprehensive document, but rather a
preliminary exchange of ideas. The preliminary phase will be summarized in the Thailand meeting.
2. Preparatory phase (October-March? 1988)
Operative definition of c.o. will be finalized in a way which will:
describe specific behaviours (possibly include critical incidents);
include criteria; relate to both process education and outcome.
A descriptive definition which is common to all the institutions will be established.
The operative definition of c.o. will be validated through field studies, using faculty members,
students and practising physicians, both graduates and non-graduates of the school.
3. Creating the instrumcnl(s) (April? 1988-???)
4. Validating the instrument(s) (???-Scptcmber 1989)
20
I
^Task Force V: Change in Existing Schools
(leader Dr. Co (keep)
The Task Force organized, in collaboration with others, two conferences in 1987:
A.
Working Conference "How and Why to Change in Health Professions Education" held in Maastricht
the Netherlands, March 17-19, 1987.
Objectives, dramatic changes in the kind of health problems presenting themselves to physicians and
other health professionalscan be observed, both in the industrial countries and in the developing world
In response to these changes, many schools for health professions education all over the world feel the
urge to bring about changes in their curricula, in order to become more sensitive to the health needs of
the populations they serve and to the educational needs of their students. No doubt, these schools will be
confronted with problems, resistance and even active opposition, both from within the institutions and
from outside. The conference was organized to provide an opportunity for these schools to become
acquainted with the experiences acquired by the Network of Community-Oriented Educational
Institutions for Health Sciences in this respect. The participating schools were asked to formulate a list
of activities ( plan of action’) to bring about the desired changes in their curricula. This plan of action
would then take the form of a contract in which the Network binds itself to support the school’s plan
with its resources. The following questions were asked in order to provide a structure of this conference:
1. The case for change: Why is change of existing medical education so necessary?
2. Which problems can be expected or arc already encountered, that may impede attempts at change ?
3. Which solutions to these problems are known, and more importantly: to what extent are these
solutions applicable to the participants’ problems?
4. To what extent have these solutions already ’proved their mettle’ in Network schools?
5. What can the Network do to support innovations in the participants’ schools?
Participants, participation was upon invitation. Approximately 100 participants worked on their own and
each other’s plans in seven regional groups.
Funding: the funds for travel and lodging were provided by the University of Limburg on the occasion of
its 10th anniversary.
Results, the number of concrete proposals submitted was relatively small in comparision with the pile of
papers containing general considerations, program descriptions, progress reports or reports of visits
submitted by participants.
The requests for help, information or moral support fell into two categories: those staled in general
terms, withou specific reference to workshops, issues to be handled or consultancy visits of a specific
nature, and those who do.
The second group concerned among others plans of a school in Ludhiana, India, the Gadjah Mada
University Medical School of Yogyakarta, Indonesia, Otago Medical School, Dunedin, New Zealand,
Umlorin Faculty of Health Sciences, Ilorin, Nigeria, Baycro University, Kano, Nigeria, and a coope
ration agreement between Montevideo and Maastricht. The University of Limburg decided to support
some of the more promising plans by the establishment of a "Maastricht Fund for International
Cooperation". The execution of other plans is pending additional funding.
B.
A workshop on "Innovative Undergraduate Medical Curricula". This workshop has taken place in
Harare, Zimbabwe in June 1987. It was organized by the local medical faculty’s Prof. Evangelos
Petropoulos and Dr. Peter Runyowa, in collaboration with Prof. Hcnk Schmidt of the Network
Secretariat.
Objectives: the participants were confronted with a number of new ideas in the area of health
professions education that may be of relevance to their own situation. 2. The workshop was intended as
a real workshop. Emphasis was on participants’ active involvement. 3. The community-based program
of the University of Zimbabwe’s Medical Faculty was the focus of much of the discussion. In fact, the
workshop was partly held to support the plans of the Univcsity of Zimbabwe’s Medical Faculty to put
more emphasis on health needs to the population al large in its new curriculum, its plans include
extended rural community postings by students of all levels of expertise. 4. Time was to be spent on a
presentation and discussion of the curricula of the other African schools present.
Participation and funding: international participation was made possible by the WHO Regional
Authorities in
A fr,ca and
i ai_Ihc "Deutsche Stiftung -fur Entwicklungshilfc
. .
A
’*, so that most medical
sch^^[^ J^ regton were present, including representatives from Tanzania, Mala
—
■
c>--i------- —••
Zambia, Kenya
COMMUNITY HEALTH CELL
326. V Main, I Block
Korambngala
Bangatore-560034
India
OISSI
21
(he Sudan, Nigeria and Uganda, in addition to 60 local stall.
Program: the program, consisting of small-group discussions, presentations and demonstrations, made
the participants acquainted with new concepts in medical education, like integration of the basic
sciences into the clinical sciences (introduced by McMaster’s Prof. George Sweeney), problem-based
learning (Prof. Honk Schmidt), community-based education (Prof. Zohair Nooman from Suez Canal
University, Egypt) and student-assessment (by Maastricht’s Dr. Tjaart imbos and Dr. Yvonne van
Lecuwcn). The perspective of the student was represented by a McMaster student” Bill Bradley.
In addition, the Task Force contributed to a meeting held in Albuqucrguc, New Mexico. Subject was
the utility of alternative tracks as a means of changing existing schools. A report can be found elsewhere
in these Proceedings.
Task Force V also assisted with the establishment of a new medical school in the United Arab Emirates,
Taiwan and Nigeria. In Al Ain in the United Arab Emirates, a selected group of experts in the field of
education were gathered in view of the establishment of a new College of Medicine and Health Sciences.
Many aspects were discussed, such as: definition of goals., curriculum planning, graduation
requirements, faculty, equipments and staff recruitement
A meeting with some selected students now cnroled in a science faculty program was a highlight of the
meeting. The young students defended problem-based learning in an elegant way. Extensive discussions
were devoted to the planning of the new curriculum. The final outcome was an innovative, balanced
curriculum with community-orientation combined with a rigorous scientific orientation.
Finally, a series of short workshops were organized by Task Force V, in particular for medical schools in
I hailand (Chulalongkorn University, Sonkhla University), introducing community-oriented,
problem-based education.
► Task Force VII: Program Evaluation
(leader Dr. Arthur Kaufman)
This Task Force was established in May of 1987. Its planners have worked under the following
assumptions:
- that program evaluation needs arc highly varied from school to school;
- that there is an urgent need to share/disseminate a variety of evaluation strategies and instruments;
- that there is far too little cross-comparison of program evaluation between schools;
- that the traditional focus of program evaluation (test scores, attitude scales, etc.) have less impact
on program success than do less quantitative factors such as the personal attributes of the
innovators and the political environment in which change is proposed;
that some of the most important but least evaluated changes in medical education, especially in
te realm of community-based learning, are taking place in developing countries that have scant
resources for program evaluation and
that the role of Task Force VII should be to complement rather than to duplicate the excellent
program evaluation activities already taking place at the different medical schools.
With the support and counsel of the Network Executive Committee Task Force VII decided to focus its
attention, during its first operating year, on three key areas of program evaluation:
1. Evaluation of established health science institutions attempting to createchange by a
community-oriented and/or problem-based innovative track.
2. Evaluation of the effectiveness of a national call for curriculum reform.
The People’s Republic of China would serve as an excellent model for such an evaluation.
3. Establishment of a clearinghouse for program evaluation resources. Il is easier to employ or
adapt existing program evaluation instruments or strategies than to create them de novo.
7 o fulfill the objectives we completed the following activities during the first year:
1.
Innovative Tracks in Established Health Science Institutions.
In October 1986, the University of New Mexico hosted a Network-sponsored and WHO-supported
ntcrnational Conference to evaluate the efficacy of the innovative track strategy for curricular reform
(commumty-oriented and/or problem- based) in established schools. Eight sample medical schools that
ave instituted the track strategy participated in this important meeting - the University of the
u ippincs, Shanghai Second Medical University, the National Autonomous University of Mexico,
Umlalongkorn University, the University of New Mexico, the University of Michigan, Harvard
mversity and Rush Medical School. Many international observers who are experts in medical
22
education attended the conference. The four-day workshop was preceded by considerable preparation
by each school.
Representatives from each program wrote 1) a lengthy document including the political setting for
change, rationale for changing, reasons for selecting an innovative track approach, forces supporting
and resisting change, incluence of the innovation on the established track and future plans, and
2) completion of a detailed questionnaire about each aspect of the innovative program.
The conference was conducted both in small groups and in plenary sessions. Thu goal was to identify
common findings and to make recommendations to other established health science institutions, world
wide, concerning the "track" strategy.
The WHO supported the conference (travel, room and board, staff’support) with a grant of $ 38,0CX).
Drs. Mennin, Kaufman, and Kantrowitz of the University of New Mexico and Drs. Fulop and Guilbert
of WHO subsequently organized and edited the outcomes of the conference into a book:
Kantrowitz, M., Kaufman, A., Mennin,S., Fiilop, T., Guilbert, J J.,
Innovative tracks at Established Institutions for the Education of Health Personnel: An Experimental
Approach to Change Relevant to Health Needs. World Health Organization, Geneva, 1987.
The Network and WHO each contributed $ 4,(XX) to Task Force VII towards the preparation and
publication of this book.
2.
Change in Medical Education in the People’s Republic of China - a model of change al a national level.
Dr. Kaufman and Dr. John Hamilton, Dean of Newcastle (a founding Network school) were invited by
WHO-Western Pacific Office as expert advisors to a conference in Beijing entitled "Medical Education
in China for the 21st Century". Deans and Presidents of most of China’s medical schools were in
attendance. The conference was the culmination of a two year study, on changes in medical education
needed in the world’s most populated nation. Il was supported by the World Bank and the Chinese
Ministry of Public Health. Drs. Kaufman and Hamilton presented the approaches of many Network
schools, then recorded the responses of the participants. The analysis of this conference as a step in a
national change process appears in an upcoming Network Newsletter or Journal.
One of the only models for significant change in medical education in China presented at the Beijing
conference was the new, problem-based, community-oriented program established at the Changhai
Second Medical University. The program was developed with the assistance of the New Mexico
program but has developed a number of innovative variations more relevant to the Chinese context.
A preliminary program evaulation of their first year of planning and implementation appears in the
WHO book on Innovative Tracks, and a further update will be presented at the Pattaya Workshop on
Program Evaluation.
Finally, following the biennial Network meeting in Thailand, a team from Network, Task Force VII will
consult in Xian China. They will be guests of the M inistry of Public Health and Xian Medical University
(one of China’s 13 "key" schools). They will help establish a program evaluation of China’s newest
attempt to address rural health care needs - the establishment of three year medical schools based in
rural communities for rural-bound physicians.
The Ministry plans that the curriculum of these new schools should be community-oriented and
problem-based. This program evaluation effort is therefore just beginning. The Network has been of
assistance in travel support of the Task Force VII team to China.
3.
Program Evaluation Clearinghouse.
In November, 1986, several of the principal Task Force VII members met at the Association of
American Medical Colleges meeting in New Orleans. They sought to determine the format and
organization of a workbook on program evaluation. Their goal was to develop a workbook which could
be more widely available to medical schools seeking methods of evaluating their educational
innovations.
Over many months Network schools all over the world were consulted for their input and sample
instruments they use to evaluate results of their innovative programs were collected and reviewed.
These were edited and organized into nine sections:
1. Institutional self-assessment
2. Students’ and graduates’ knowledge, skills and attitudes
3. Faculty and students perceptions of the program
4. Cost effectiveness of the program
23
5.
6.
7.
8.
9.
Impact of the program on own and other institutions
Impact of the program on community health
Relevance of the program to health manpower needs
Consistency between the goals of the program and clinical education
Consistency between learning experiences in medical education and the needs of the health
service sector.
One hundred copies of the workbook have been produced. Twenty copies were brought to Thailand for
review by Network members. It is intended that this first edition will serve as a stimulus for its
improvement and expansion with newer and better program evaluation materials from different
Network schools.
A portion of the Network budget for Task Force VII supported the clerical help, duplication purchase
of notebooks and assembly of the manual.
5. Proposal for changes in the Network Constitutions
The Executive Committee proposed to the General Meeting to carry out a number of changes in the
constitution. The two main changes were that:
1. no member of the Executive Committee shall serve in the same role form more than two successive
terms of 4 years;
2. the Executive Committee will be expanded with an Associate Secretary General.
The discussion about these proposals raised some further questions regarding needed revisions in other
sections of constitution and by-laws. The amendments were accepted and the Executive Committee was
given mandate to carry out necessary additional changes in the appropriate sections of the constitution
and by-laws.
6. Report of the Nominating Committee
Dr. Cosme Ordonez, chairman of the Nominating Committee, proposed to expand the Executive
Committee in view of the increase of Network membership, workload and regional representation.
The proposed candidates were:
Dr. V. Neufeld (chairman)
McMaster University
Hamilton, Canada
Dr. P. Carlevaro
Slate University of Uruguay
Montevideo, Uruguay
Dr. A. Kaufman
University of New Mexico
Albuquerque, USA
Dr. T. Ogunbode
University of Ilorin
Ilorin, Nigeria
Dr. F. Sturmans
Rijksuniversiteit Limburg
Maastricht, the Netherlands
Dr. C. Suwanwela
Chulalongkorn University
Bangkok, Thailand
As incoming Secretary General (beginning July 1,1988):
Dr. Zohair Nooman
Suez Canal University
Ismailia, Egypt
24
||
1
As Associate Secretary General:
Dr. Henk Schmidt
Rijksuniversiteit Limburg
Maastricht, the Netherlands
Dr. Co Creep will continue as.the Secretary General till June 30, 1988. He will then be succeeded by
Dr. Zohair Nooman on July 1,1988.
The proposal was accepted unanimously.
The chairman expressed his appreciation to the retiring members of the Executive Committee:
Dr. Cosme Ordonez and Dr. Gopal Acharya; and to Dr. Leonard Meiselas for his assistance as
chairman of the Finance Committee. For their many contributions to the work of the Network, the
chairman conveyed words of gratitude to Dr. Tamas Fiilop and Dr. Jean-Jacques Guilbert.
7. The Formation of a Functional African Chapter of the Network
Dr. Toye Ogunbode from the University of Ilorin, Nigeria, proposed the establishment of a Network
African Chapter in order to attain two objectives:
1. to provide mutual support among African Network members who struggle with the same problems;
2. to spread ideas about medical education as exemplified in numerous Network publications in their
region.
The proposal met enthusiastic approval. Several speakers considered the idea proposed as a model for
other regions. However, some voices warned against excessive regionalism and the spilling up of
resources. In their view the Network is and should continue to be a global endeavour.
8. Student Workshop in Thailand
During the 5th General Meeting of the Network in Thailand, September 1987, a student workshop has
been organized. Aim of this workshop was to discuss ways to realize a more structural student invol
vement within the Network and to formulate a two year plan of action for this. Twenty-five students of
the following countries participated: Thailand, Indonesia, India, Canada, Sudan, Israel and The
Netherlands. Besides this we and the other students represented participated in the General Meeting
and the Symposium "Progress and Challenges in Health Sciences Education”. Among other things we
presented a student point of view on dr. Neufeld’s report "The Network in 1987 and beyond".
Also we reacted on the request of the IFMSA concerning their "Village Concept". The village concept is
a project on elective periods in developing countries which enables both students from Network and
traditional schools to gain some experience in community medicine. IFMSA would like to cooperate
with Network schools which already have similar programs running in order to avoid an overlap in
activities. Below we will give a brief summary of the results of the student workshop.
Expectations of students towards their involvement within the Network
- learning about the different concepts of innovative medical education;
- giving feedback on education to faculty members;
- motivating students at home institutions for innovative medical education;
- giving mutual support as an international organization to students at the individual institutions in
their efforts to improve their educational system;
improving the student teacher relationship;
- being exposed to a more critical and academical view on education and health sciences;
- providing exchange possibilities among Network institutions.
Possible activities for students within the Network
- strengthening relationships with students and faculties concerned with education at our own and
other institutions;
participating in the planning, realization and evaluation of Network meetings;
organizing parallel student sessions during Network meetings;
participating in the Network task-forces;
recruiting students for becoming active participants in the Network;
carrying out information on innovative education in the health sciences towards students of
traditional and innovating schools by the organization of, for example, workshops, site visits,
students exchanges, etc.;
promoting student exchange and electives at Network schools;
25
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promoting the "village concept" in cooperation with the 1FMSA;
stimulating, coordinating and publishing of research relevant for students on issues concerning
education and health sciences;
cooperating with the Network in the realization of a computer network.
Communication between Network students
.
.
,
...
One contact person at each member institution will be recruited. This local contact person wil
coordinate all local Network activities and communicate with the regional contact person and the
central Network students secretariat.
A regional contact person will act as an intermediate between local and central levels. There will be one
contact person for each of the following regions:
]. America,
2. Africa and the Middle East,
3. Asia and the West Pacific,
4. Europe.
.
.
All contact persons and the location of the central secretariat will be appointed every two years during
the General Meeting of the Network.
Plan of action for the following two years
A. Central Network students secretariat
For the following two years Maastricht has been chosen as the location of the central Network
secretariat. Il will be concerned with the following activities:
- collecting names and addresses of local and regional contact persons;
sending information on the structure, implementation and (financial) consequences of their
students participating within the Network to the staff of all member institutions,
editing a handbook, which will contain information on names, addresses, educational programs,
electives, student exchange, research, participation in task-forces, etc. of all schools,
assisting as much as possible in the realization of the IFMSA village concept ,
preparing a budget for the next General Meeting;
B. Regional contact persons
Recruiting of local contact persons at their region.
C. Local contact persons
- contacting deans or other responsible staff members involved in Network activities in order to
improve cooperation;
.
promoting Network objectives among students and student organizations involved m planning,
implementation and evaluation of education;
stimulating student participation in the task-force allocated to their institution,
- distributing the Newsletter among students;
taking care of entries for the Newsletter;
- finding a staff member who can act as a major link between Network students and staff and
provide some continuation in the local student activities;
making a half yearly report on all local Network student activities which will be sent to the
secretariat;
.
.
organizing activities in order to inform students at traditional schools on innovative medical
education;
collecting all the necessary data for a Network student handbook.
1
Funding
The secretariat will rely on the resources of the general Network secretariat for their expenses during
the next two years. Local contact persons should be able to rely on the resources of their own institutions
for expenses made mainly by copying, mailing, etc. Al the next General Meeting we will discuss the
possibility of having a budget of our own.
Looking back on our meetings, we think we may conclude that our workshop has been a very successful
and fruitful event. Besides that we had a lot of fun also. We would like to thank all participants for their
enthusiasm and valuable contributions and the Network as a w'hole for making this workshop possible.
Hopefully we will be able to conclude after two years that our plan of action has been succesfully
implemented!
The central Network students secretariat,
Tonny Bouts, Hanneke Hamers, Anne van Lammeren, Harro Spitsbergen.
26
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9. Venue of the 1989 Network General Meeting
I
Seconded by Dr. Evangelos Pctropoulos, University of Zimbabwe, Dr. Toye Ogunbode of the University
of florin proposed Maastricht as the site of the next General Meeting because in 1989 the Network will
celebrate its tenth anniversary. In addition he proposed to organize the 1991 Network Meeting in Ilorin,
Nigeria
10. The Network in 1987... and beyond11: Recommendations:
The recommendations made by the ten discussion groups were summarized by three synthesis reports as
follows:
Synthesizer: E. Alger (group 1,2, 3)
Key Ideas
Network document is excellent, and serves Network needs well
A strength of the Network is in the development of models
Flow of information should be from underdeveloped to industrialized countries
Urban populations should be included in the definition of ’community’
There is need to support greater involvement in postgraduate and continuing education
There is need to promote lifelong learning at all levels of training
There is need to promote teaching skills at all levels of training
There is need to promote:
academic recognition of students’ community-oriented activities
. faculty reward for research in health services and health education
. change in health services delivery
Recommendations
• Strengthen regionalization through:
. demonstration projects
. collaborative studies
. representation on Task Forces
. resource centers
Regionalization should not be overemphasized, however, because of the importance of global
model-building.
- Improve publicity by:
. sending the Newsletter to libraries, faculty and students
. preparing another newsletter on Network activities for local dissemination
(c.g. to medical societies. Ministries of Health)
Actively encourage multiprofessional involvement in the Network - More effectively organize and
develop resources for consultancy and training, both global and regional
Re-examine the role and product of Task Forces. The Network Executive Committee should
mandate each Task Force to present models developed during their activities to the Network, so the
Network can promotc/disseminate these through publications, high-quality consultants, and resource
centers. These models need to be limited to ones that are well-conceptualized and tested, but may
include small yet-to-be-evaluated projects.
Promote more effective student participation in the Network by:
. encouraging inter-institutional student exchange programs
. encouraging all member institutions to send at least one student as an official representative
to the General Meeting
• devoting a session at the General Meeting io a discussion of students’ evaluation of the activities
at their institution.
holding the General Meeting in sites - such as universities - where students can be accommodated
cheaply
encouraging regional meetings prior to the General Meeting so more students’ views could be
represented
devoting part of the Newsletter to students, possibly through a two-page insert.
27
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Synthesizer: O. Alausa (group 4, 5,6)
I mprovc communications within I he Network
present newsletter is not enough for this purpose
the idea of electronic Network is good, but it seems unrealistic in developing countries where
there arc presently a number of emerging Network institutions
there is a need for periodic publication of important Network activities
there is no need yet for an International Journal for the Network
Regular updated list of resources within the Network
distribution of information regarding available expertise, both at the individual and institutional
1
i
levels
distribution of practical teaching modules and distant learning materials
Regular reports from Network Task Force groups
these should be a time limit to individual Task Force activities, so that a final report could be
submitted
the reports should be printed and distributed to member institutions
Seek more financial support for exchange and resources
there is a suggestion for the employment of a finance development oificer at the Secretariat
for the purpose of fund raising for the Network
Improvement in student participation in Network activities
every member institution should work out a program for better studcnls’involvement in the
Network activities, e.g. more student electives and exchange programmes should be worked out
Proper criteria (on national basis/institutional basis) for student recruitment and selection lor CBE
Explore the role of the Network in management of leadership development
Multisectoral approaches to institutional student training
.
-
Synthesizer: M. Roslani (group 7,8, 9,10)
I•J
The strength of the Network is its identity. It provides a sense of belonging and is also to provide support
to members and those interested in its philosophy. Unfortunately, its existence is not known outside the
"family circle". The Groups believe that there are traditional schools wanting to change but do not know
where to look for assistance.
Recommendations
- That the Network make itself known especially to governments. This is readily done through
WHO networks.
The combined resources of Network members arc not being adequately tapped. Even among
members, it is felt that the expertise available and the strong characteristic of the member
institution have not been adequately projected.
That a comprehensive register of its members be made available to all, and in particular
expertise in Staff Development Program. The three priority areas of the Network represents the
spirit of a collective endeavour. In as much as collective effort enhances its role as a change
agent, caution must not be thrown to the wind. This approach may result in the Network being
-
1
1
I
rigid in al their deliberations and actions.
That the Network institute both internal and external evaluate its performance.
That technology that is efficient and cost-effective be utilised for dissemination of information.
That the Network re-emphasises the Health Care Team approach and the utilization of students
as a major agent of change.
Task Forces are established for specific purposes and as such is product-oriented. It is
recognised that, due to financial and geographical constraints, there may be constraints in the product
utilisation subsequently. New areas need to be looked into, while some of the 'old Task Forces
will need to end
That a Task Force is formed with a time frame.
That a Task Force is formed to devise an instrument to measure the effectiveness of graduates.
That continuing and postgraduate education be addressed.
That the financial health ol the Network be stabilised and improved.
HS/IK/PS NO-025-88 January, V>8S
28
Appendix A
1
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Fifth general meeting of the Network of CommunityOriented Educational Institutions for Health Sciences
September 28 and 29t 1987
The meeting lakes place in the
Royal Cliff Beach Hotel
Pattaya Beach Resort Thailand
Tel: 418344, 418513-5, 418612-6
Telex: CLIFFEX 85907 TH
Cable: CLIFFPATTAYA
Fax: 66-038-428511
Objectives of the Meeting
The aims arc to assess the current health of the Network, to explore new opportunities and consider
together what the different distinctive contributions of the Network should be in the next several years.
Sunday, September 27, 19X7
IS.(X) - 2O.(X)
Welcome reception and registration, in the Panorama Room
Monday, September 2S, 19X7
Agenda
09.00 - 12.30
1.
Opening Remarks
Dr. V. Neufeld, Chairman of the Network
Dr. J.M. Creep, Secretary Ceneral of the Network
Dr. T. Fiilop, Director, Division of Health
Manpower Development, World Health Organization,
Geneva, Switzerland
Dr. HJ. Walton, President, World Federation for Medical
Education, Edinburgh, Scotland
NO-314-85
2.
Minutes of the Fourth General Meeting of the
Network, Egypt, September 7-8,1985
3.
Awarding of Honorary Membership
4.
Membership fee
Proposal will be available at the time of the meeting
See also list of member institutions
5.
Reports on Network activities, 1985 - 1987
NO-240-87
5.1. The Sccretariat/Executivc Committee,
by Dr. J.M. Creep and Dr. V. Neufeld
NI-389-87
5.2. Finances
Overview Financial Accounting (report will be
sent to you by separate mail)
Report by the Chairman of the Fundraising Committee,
Dr. L. Meiselas
Appointment of Financial Audit Committee
5.3. Task-forces
I.
Community-Based Education; Dr. C. Ordonez
11. Priorities in Health Problems in Medical Education;
Dr. V. Neufeld
29
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41
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III. Clinical Training in Health Care Settings;
Dr. Zohair Nooman
IV. Student Evaluation; Dr. D. Benor
V. Change in Established Schools for Health Sciences;
Dr. .I.M. Greep/Dr. H.A. Tiddens ,
VII. Program Evaluation; Dr. A. Kaufman
12.30- 14.(X)
Lunch
14.00-16.00
"Thu Network in 1987 ... and beyond."
This afternoon and the next will be spent on small-group
discussions concerning the future of our organization.
You have received the report prepared by Dr. V. Neufeld.
The secretariat will compile the most urgent issues raised.
This paper could be used as an agenda for the small-group
meetings (to be distributed at the lime of the conference)
16.(X) - 17.(X)
This afternoon’s session in review:
reports from the group and synthesis by Dr. V. Neufeld
19.00 - 22.(X)
Dinner Buffet and Poster Session
I
Members are requested to present important issues in the
development of their curriculum in a poster format (see for
information on how to present a poster: the program booklet
of the subsequent conference).
Tuesday, September 29,1987
Agenda
Continuation of the business meeting
09.00- 10.30
NI-388-87
NI-390-87
6.
Proposal for changes in the Network by-laws
Introduced by Dr. Zohair Nooman
7.
Report of the Nominating Committee, chaired by
Dr. C. Ordonez and election of Executive Officers
8.
The formation of a functioning African Chapter
of the Network
9.
Venue of 1989 General Meeting
10. Any other Business
11.00-12.30
Small-group discussions continued
12.30 - 14.00
Lunch
KOO - 15.00
Small-group discussions continued
15.00 - 17.30
Plenary session
Reports from the groups and plan for the next two years.
Synthesis by Dr. V. Neufeld.
17.30
Closing session
19.00
Farewell dinner
30
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N.B.
Coffee and tea will be served every day al 10.30 hrs. and
15.30 hrs. in the Ballroom Lobby.
Lunches will be served al 12.30 hrs. in the Panorama Room.
Conference Secretariat will reside in the Sapphire C-Room
1 3S|
IK/HvW-NO-262-87
September 1,1987
31
COMMUNITY HEALTH
CEU
V Main, I Block
K*0 amapgala
ttan3»iore-560034
India
-iB?.. - -irr II
RON BALKISSOON
Medical Student
McMaster University
1200 Main Street West
Hamilton
Ontario L8N 3Z5
CANADA
Appendix B
Network General Meeting
September 28 and 29, 1987
Pattaya, Thailand
‘ Dr. G. DE BENEDK TUS
Dean, Faculty of Medicine
University of Bari
Piazza Giulio Cesare, 11
70124 Bari
ITALY
||
List of Participants
Dr. G. ACHARYA
Institute of Medicine
Tribhuvan University
Kathmandu
NEPAL
Dr. DAN E. BENOR
Professor and Vice Dean for Education
Ben-Gurion University of the Negev
Faculty of Health Sciences
Ben-Gurion University
Beer Shcva 84105
ISRAEL
Dr. Michael A. ADEDOYIN
Senior Lecturer in Child Health
Dept, of Ilorin
University of Ilorin
PMB 1515
Ilorin
NIGERIA
Dr. M.S. BO1KHAN,
Director
Medico Health Centre
Orangi Town, Sector-4
Karachi-41
PAKISTAN
Dr. O.K. ALAUSA
Head, Dept, of Community Medicine and
Primary Care
Ogun State University Teaching Hospital
P.M.B. 2001
Sagamu, Ogun State
NIGERIA
Miss. TONNY BOUTS
Student Faculty of Medicine
University of Limburg
Lakenwcvcrsstraat 29B15
Maastricht
Dr. Elizabeth A. ALGER
Associate Dean for Education
UMDNJ-New Jersey Medical School
185 South Orange Avenue
Newark, NJ 07103-2757
USA
THE NETHERLANDS
Dr. JOHN BRYANT
Professor and Chairman of Community
Health Science
Aga Khan University
PO Box 3500
Stadium Road Karachi-5
PAKISTAN
Dr. ALI MUDDATHIR ALLAM
Associate Professor
College of Medicine and Medical Sciences
Arabian Gulf University
P.O.Box 22979
Manama
BAHRAIN
Dr.SOMBODHI BUKKAVESA
Dept, of Pediatrics
Faculty of Medicine
Siriraj Hospital
M ah idol University
Bangkok 10700
THAILAND
Dr. E. ALTOMARE
University of Bari
Faculty of Medicine
Piazza Giulio Cesare, 11
70124 Bari
ITALY
Dr. SR1CHITRA BUNNAG
Chulalongkorn University
Bangkok 105(X)
THAILAND
ESTRELLA D. ANONUEVO, RN
Executive Officer
Philippine Youth Health Program
RM 801-A Cardinal Building
# Pedro Gil cor. F. Agoncillo Streets
Ermita, Manilla
THE PHILIPPINES
Dr. JAVIER CABRAL
Facultad de Medicina de la U.A.Z.
Carrctera a la Bufa
CP 98(XX) Zacatecas, Zac
MEXICO
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1
i
■f
s
Mrs. Dr. BUSABONG
CHAMREONDARASAMI
Faculty of Medicine
University of Chieng Mai
110 Inlavaroras Road
Maung, Chieng Mai 5000
THAILAND
Dr. ESMAT EZZAT
Dean
Faculty of Medicine
Suez Canal University
Ismailia
EGYPT
Dr. Mrs. SAIBUA CHICHAREON
1 lead, Dept, of Obstetrics & Gynaecology
Faculty of Medicine
Prince of Songkhla University
Hat Yai, Songkhla 90110
THAILAND
Dr. ABDI AHMED FARAH
Dean
Faculty of Medicine
Somali National University
POB 15
Mogadishu
SOMALI
Dr. PISONTHI CHONGTRAKUL
Dept, of Pharmacology
Faculty of Medicine
Chulalongkorn University
Bangkok 10500
THAILAND
Dr. A. FLETCHER
Wanless Hospital
Miraj Medical Centre
Miraj - 416 410
Miraj
INDIA
Dr. GUIDO COGGI
Professor of Pathology
University of Milan
Via Di Rudini, 8
Milan 20142
ITALY
Dr. T. FULOP
Director
Division of Health Manpower Development
World Health Organization
1211 Geneva 27
SWITZERLAND
Miss. S. DEWIDAR
5th year student Faculty of Medicine
Suez Canal University
Ismailia
EGYPT
Dr. COELI J. GEEFHUYSEN
Dutch Co-manager, Hedera Project
Gadjah Mada University
PPKK/FK-UGN Sekip Utara
Yogyakarta 55281
INDONESIA
Dr. STEWART DUBAN
Ass. Professor of Paediatrics
School of Medicine
University of New Mexico
Albuquerque, New Mexico 87131
USA
Dr. SHIMON GLICK
Dean, Ben-Gurion University of the Negev
Health Sciences Center
Beer Sheva
ISRAEL
Dr. VIC DUBOIS
Chairman Curriculum Committee
Faculty of Health Sciences
University of Limburg
POB 616
62(X) MD Maastricht
THE NETHERLANDS
Dr. RICHARD GODFREY
Clinical Sub-Dean
University of Southampton Medical School
c/o Medical Faculty Office, South Block
Southampton General Hospital
Southampton
UNITED KINGDOM
Dr. IBRAHIM N. EL AKKAD
Professor of Pharmacology
Faculty of Medicine
Assiut University
Assiul
EGYPT
Dr. PAULGRAND’MAISON
Directior of Office of Medical Education
University of Sherbrooke
Medical School
3001,12th Avenue
Fleurimont. Quebec
CANADA
Dr. HOSNY M. EL-RAWADY
Associate Professor Internal Medicine
Suez Canal University
Faculty of Medicine
Port-Said, POB 1001
EGYPT
Dr. J.M GREEP
Secretary General Network
University of Limburg
POB 616
6200 MD Maastricht. THE NETHERLANDS
33
■■■■■
Dr.J.-J.GUILBERT
Chief Medical Officer for
Educational Planning
Division of Health Manpower Development
World Health Organization
1211 Geneva 27
SWITZERLAND
Dr. DAVID HILTON
Associate Director
Christian Medical Commissio
World Council of Churches
P.O. Box W)
1211 Geneva 20
SWITZERLAND
Dr. FAISAL YACOB AL HAMER
Dean, College of Health Sciences
Ministry of Health
P.O. Box 12
Manama
BAHRAIN
Dr. GANOKROS HONGSTONG
Pramongutklao Medical College
THAILAND
Dr. MAURI ISOKOSKI
Dept. Of Public Health
University of Tampere
P.O. Box 607 SF 33101
Tampere 10
FINLAND
Miss. HANNEKE HAMERS
Student Faculty of Medicine
University of Limburg
Ravelijnstraat 21
Maastricht
MARY VITA JACKSON, R.N.
Chairman of the Board
Philippine Youth Health Program
RM 801-A Cardinal Building
# 999 Pedro Gil cor. F. Agoncillo Street
Ermita, Manila
THE PHILIPPINES
THE NETHERLANDS
Dr. JOHN DAVIS HAMILTON
Dean Faculty of Medicine
University of Newcastle
Dean’s Unit, Level 4
David Maddison Clinical Sciences
Building, RNH
Newcastle, New South Wales 23(X)
AUSTRALIA
Dr. UAPONG JATURATAMRONG
Assistant Professor
Faculty of Medicine
Siriraj Hospital
Mahidol University
Bangkok 10700
THAILAND
Dr. ZAKI HASAN
Professor of Ncuro-psychialry
Jinnah Postgraduate Medical Centre
c/o Baqai Hospital
P.O. Box 2407
Karachi-18
PAKISTAN
Dr. MARTIN KANTROW1TZ
Assistant Dean
Community Professional Education
School of Medicine
University of New Mexico
Albuquerque, New Mexico 87131
USA
Dr. Mrs. ZAKI HASAN
Jinnah Postgraduate Medical Centre
c/o Baqai Hospital
P.O. Box 2407 Karachi-18
PAKISTAN
Dr. ARTHUR KAUFMAN
Director Primary Care Curriculum
School of Medicine
University of New Mexico
Albuquerque, New Mexico 87131
USA
Dr. AMR HASSAN
Faculty of Medicine
Suez Canal University
Ismailia
EGYPT
Dr. KERRY KENNEDY
Canadian International Development
Agency (CI DA)
GHA Taman Nakhoda
SINGAPORE 1025
Dr. MOHAMED A. HASSAN
Dean
Faculty of Medicine
University of Khartoum
FOB 102'
Khartoum
SUDAN
Dr. MAGED SAYED KHATTAB
Assistant lecturer
Dept, of Medicine
Suez Canal University
Ismailia
EGYPT
34
"-Wh
•-.'i
Dr. TYMOOR KHATTAB
Suez Canal University
Ismailia
EGYPT
Drs. Mrs. IRMA KOKX
Educationalist
Faculty of Health Sciences
University of Limburg
POB 616
6200 MD Maastricht
n
Li
s
■
h
THE NETHERLANDS
Mr. KAREL MEUW1SSEN
Student Faculty of Medicine
University of Limburg
Bassin 142 F
6211 AL Maastricht
THE NETHERLANDS
Miss. ANNE VAN LAMMEREN
Student Faculty of Medicine
University of Limburg
Lakenwevcrsstraat 29B14
Maastricht
THE NETHERLANDS
Dr. OMER AHMED MIRGHANI
Faculty of Medicine
University of Gezira
POB 20
Wad Mcdani
SUDAN
Miss. INGRID DE LANGE
Student Faculty of Medicine
University of Limburg
Grote Looiersstraat 19A 13
6211 JH Maastricht
THE NETHERLANDS
Dr. ADEEM. MISHRIKY
Lecturer
Faculty of Medicine
Suez Canal University
Ismailia
EGYPT
Dr. Mrs. ANTONELLA LOTTI
Medical Pcdagogist
University of Milan
Department of Pathology
Via Di Rudini, 8
20142 Milan
ITALY
Dr. CLARA MISRACH1
Universidad de Chile
Ebro 2869 Dep. 604
Santiago
CHILE
11
Fl
•
■;
I
f
!
i
I
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f
Dr. PETER MACDONALD
Faculty of Health Sciences
McMaster University
1200 Main Street West
Hamilton
Ontario L8N 3Z5
CANADA
Dr. JACQUES DES MARCHAIS
Associate Dean, Education
University of Sherbrooke
3001, 12th Ave North
Sherbrooke (Quebec) J1H 5N4
CANADA
Dr. ALI M. MATAR
Acting Dean
College of Medicine and Medical Sciences
Arabian Gulf University
FOB 22979
BAHRAIN
Dr. LEONARD E. MEISELAS
Director of Medical Education
Hospital for joint diseases
60 East End Avenue
New York, N.Y. 10028
USA
J
J
Dr. STEWART MENN IN
School of Medicine
University of New Mexico
Albuquerque, New Mexico 87131
USA
Mr. SANOUSI MOHD
Student
Faculty of Medicine
University of Gezira
POB 20
Wad Mcdani
SUDAN
Dr. FERNANDO MORA-CARRASCO
Director, Division of Biological &
Health Sciences
Universidad Autonoma Melropolitana
Xochimilco
Calzada des Hucso 1100 C.P. 04960
Mexico, D.F.
MEXICO
Dr. AWAD ELSID MUSTAFA
Dean
Faculty of Medicine
University of Gezira
POB 20
Wad Medani
SUDAN
Dr.S.H. NAOVI
Practicing Physician
Baqai Hospital
P.O. Box 2407
Karachi-18, PAKISTAN
!
35
fee
■
|!
II
II
i!
f
1
Dr. VIC R. NEUFELD
Faculty of Health Sciences
McMaster University
1200 Main Street West
Hamilton
Ontario L8N 3Z5
CANADA
Dr. COSME ORDONEZ
Representative
Ministry of Public Health
Higher Institute of Medical Sciences
Ermila 248, esq. a San Pedro
Havana
CUBA
Dr. PETER MUCHIRI NGATIA,
Head, Teacher Training Unit
African Medical Research Foundation
POB 30125
Nairobi
KENYA
Dr. RAOUF HAMED OSMAN
Assitanl Lecturer GP Depl.
Faculty of Medicine
Suez Canal University
Ismailia
EGYPT
Dr. ZOHAIR NOOMAN
Faculty of Medicine
Suez CANAL UNIVERSITY
Ismailia
EGYPT
Dr. GIUSEPPE PALASCIANO
Instituto di Clinica Medica 1
Policlinico
Piazza Giulio Cesare, 11
70124 Bari
ITALY
Dr. GEOFFREY R. NORMAN
Faculty of Health Sciences
McMaster University
1200 Main Street West
Hamilton
Ontario L8N 3Z5
CANADA
Dr. VICHARN PANICH
Professor
Faculty of Medicine
Prince ofSongkhla University
Had Yai
Songkhla 90112
THAILAND
Miss DETTI SITI NURDIAT1
Medical Student
Faculty of Medicine
Gadjah Mada University
Sekip
Yogyakarta 55281
INDONESIA
Dr. A. PASTERNAK
Dean
Faculty of Medicine
University of Tampere
POB 608
33101 Tampere 10
FINLAND
Ms. MARY JANE OATES
Project Assistant Task Force II
Faculty of Health Sciences
McMaster University
1200 Main Street West
Hamilton Ontario L8N 3Z5
CANADA
1
Dr. EVANGELOS A. PETROPOULOS
Dept, of Physiology
School of Medicine
University of Zimbabwe
Mount Pleasant, Harare
ZIMBABWE
(address until October 1988:
Dept of Physiology
Giltner Hall Michigan State University
East Lansing, MI 48826-1101 USA)
Dr. ANGELES F. OCANA
Associate Professor
University of the Philippines
Institute of Health Sciences
Palo, Leyte
THE PHILIPPINES
Dr. F.M. PIGEON
Dean Medical School
University of Sherbrooke
3001,12th Avenue
Fleurimont,
Quebec
CANADA
Dr. OLATOYE OGUNBODE
Dean, Faculty of Health Sciences
Dean’s Office, Faculty of Health Sciences
University of Ilorin
llorin
NIGERIA
Dr. ARPORN PRABR1PUTALOONG
Associate Professor
Faculty of Medicine
Khon Kaen University
Khon Kaen
THAILAND
I
36
.’.l-L.:..______......................................................... ...........................
.
1t
1
1
II
11
II
Dr. A. OIRBI
Dean
Faculty of Health Sciences
Sana’a University
POB 1247
Sana’a
YEMENARAO REPUBLIC'
Dr. C.P. SEAGER
Professor of Psychiatry
Department of Psychiatry
The University of Sheffield
Northern General Hospital
Sheffield S5 7AU
UNITED KINGDOM
Dr. BANTERNG RAJATAP1TI
Associate Professor
Chulalongkorn University
Faculty of Medicine
Department of Surgery
Bangkok 10500
THAILAND
Dr. MICHAEL SEEFELDT
Associate Professor
Center for Educational Development
University of Illinois at Chicago
808 S. Wood Street M/C 591
Chicago, Illinois 60680
USA
Dr. Mrs. LULWA MUTLAQ RASHID
Lecturer, Radiography Program
Allied Health Division
College of Health Sciences
POB 12
Manama
STATE OF BAHRAIN
Dr. KAND1L SHAKER
Director Center for Educational
Development for Health Personnel
Amman - University of Jordan
POB 8259
Amman
JORDAN
Dr. AMANY REFAAT
Dept, of Community Medicine
Faculty of Medicine
Suez Canal University
Ismailia
EGYPT
Dr. SOEWITO
Chairman, Medical Educational Unit
Faculty of Medicine
Gadjah Mada University
Sekip
Yogyakarta 55281
INDONESIA
Dr. MOHD. ROSLANI ABDUL MAJID
Ass. Professor/Dean
School of Medical Sciences
University Sains Malaysia
Minden
11800 Penang
MALAYSIA
Mr. HARRO SPITSBERGEN
Student Faculty of Medicine
University of Limburg
Grote Looiersstraat 19 B 15
6211 JH Maastricht
THE NETHERLANDS
Dr. B. SALAFSKY
Director, University of Illinois
College of Mcdicine-Rockford
1601 Parkview Avenue
Rockford, IL 61107
USA
Dr. FERDSTURMANS
Dean, Faculty of Medicine
University of Limburg
POB 616
6200 MD Maastricht
THE NETHERLANDS
Mr. MOHAMED SALEH
Suez Canal University
Ismailia
EGYPT
Dr. VARAVUDH SUMAWONG
Associate Professor in Obst.Gyn.
Ramathibodi Medical School
Mahidol University
Rama VI Road
Bangkok 10400
THAILAND
Dr. P1SIT SANPITAK
Dean, Faculty of Medicine
Khon Kaen University
Khon Kaon 40000
THAILAND
1
Dr. ROSSI SANUSI
Gadjah Mada University
Sekip Utara
Yogyakarta
POB 30ygbs
INDONESIA
Dr.SUNARTO
Vice Dean
Faculty of Medicine
Gadjah Mada University
Sekip
Yogyakarta 55281
INDONESIA
37
Oilh
iwrf fi'i’iiiif tif'irfiiii'
rr'i
Dr. VANCHAI VATANASAPT
Associate Professor
Faculty of Medicine
Khon Kaon University
Khon Kaen 40002
THAILAND
Dr. CHARAS SUWANWELA
Faculty of Medicine
Chulalongkorn University
Bangkok 10500
THAILAND
Dr. TEJATAT TEJASEN
Ass. professor and Dean
Faculty of Medicine
University of Chieng Mai
110 Intavaroras Road
Maung, Chieng Mai 5000
THAILAND
Dr. ATHESIT VEJJAJIVA
Dean, Faculty of Medicine
Ramathibodi Medical School
Mahidol University
Rama VI Road
Bangkok 10400
THAILAND
Dr. THOMAS V. TELDER
Center for Educational Development
(M/C591)
986 College of Medicine East
808 South Wood Street
Chicago, Illinois 60612
USA
Dr. P.M. VENGESA
Chairman Godfrey Huggins School of
Medicine
Department of Physiology
University of Zimbabwe
POBMP167
Mount Pleasant
Harare
ZIMBABWE
Dr. U PE THEIN
Director General
Department of Medical Education
Ministry of Health
Rangoon
BURMA
Dr. PREECHA VICHITBANDHA
Siriraj Hospital
Mahidol University
Bangkok 10700
THAILAND
■
Dr. CHERIAN THOMAS
Director and Professor of Medicine
Wanless Hospital
Miraj Medical Centre
Miraj - 416 410
Miraj
INDIA
Dr. ANTHONY F. VUTURO
Professor and Head
Dept, of Family and Community Medicine
University of Arizona
College of Medicine
1501 North Campbell Ave.
Tucson, Arizona 85724
USA
Dr. HARMEN A. TIDDENS
Oude Tempellaan 56
3769 JH Soesterberg
THE NETHERLANDS
Dr. HENRY J. WALTON
Professor of International Medical
Edcuation
Edinburgh University and World
Federation for Medical Education
The Medical School
Tcviot Place
Edinburgh
SCOTLAND, U.K.
Dr. Chaloem Varavithya
Faculty of Medicine
Chulalongkorn University
Bangkok 10500
THAILAND
4
Mrs. Dr. J. VARGAS
Facultad de Mcdicina de la U.A.Z.
Carretera a la Bufa
CP 98000
Zacatecas, Zac
MEXICO
4
I
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Dr. STEVEN A. WARTMAN
Associate Professor of Medicine
and Community Health
Brown University Program in Medicine
Division of General Internal Medicine
Rhode Island Hospital
Providence, Rhode Island 02903
USA
Dr. MAYUREE VASINANUKORN
Associate Dean for Academic Affairs
Faculty of Medicine
Prince of Songkhla University
Had Yai, Songkhla 90110
THAILAND
38
Dr. ROBERT WATERMAN
Professor of Anatomy
School of Medicine
University of New Mexico
ALbuquerquc, New Mexico 87131
USA
Dr ALEX ZACHARIAH
Principal
Christian Medical College
Ludhiana 141(X)8
Punjab
INDIA
Dr. WANCHAI WATTANASUB
Khon Kaen University
Faculty of Medicine
Khon Kaen 4(XX)
THAILAND
Dr. Mrs. PREMA ZACHARIAH
Department of Social Preventive
Medicine and Community Health
Christian Medical College
Ludhiana 141008
Punjab INDIASRAEL
Mr. CHAIM YOSEFY
Medical Student
Ben-Gurion University of the Negev
Health Sciences Center
Beer Shcva
IDr. ZHANG YOUZHANG
Vice director of basic medical
department - expert in biochemistry
Shanghai Second Medical University
280 South Chongqing Road
Shanghai
Democratic People’s Republic ol CHINA
.■
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Appendix C
Network Member Institutions
Full Members
Full membership can be acquired by educational
institutions for health sciences which arc
implementing community-oriented education and
who are willing to collaborate with other
institutions in the Network in achieving common
goals.
KHAL1D1, Dr. Usama Al
Acting Dean
Arabian (iulf University
College of Medicine and Medical Sciences
Manama
Bahrain
LYTHCOTTE, Dr. D.
Dean
New York Medical School
The City University of New York
Convent Av. 138th St.
New York N.Y. 10031
U.S.A.
ALAUSA, Dr. O.K.
Head, Dept, of Comm. Medicine & Primary Care
College of Health Sciences
Ogun State University
P.M.B. 2002, Ago-Twoyc
Ogun State, Nigeria
MACLEOD, Dr. Stuart M.
Dean
Faculty of Health Sciences
McMaster University
1200 Main Street West
Hamilton, Ontario L8N 3Z5
Canada
EZZAT, Dr. Esmat
Dean
Faculty of Medicine
Suez Canal University
Ismailia
Egypt
I
3
IK.
MARTEY, Dr.J.O.
Dean
School of Medical Sciences
University of Science and Technology
University Post Office, Kumasi
Ghana West Africa
GLICK, Dr. S.
Dean
Faculty of Health Sciences
Ben Gurion University of the Negev
P.O. Box 653, Beersheva
84105 Israel
MORA-CARRASCO, Dr. Fernando
Division Director
Faculty of Health Sciences
Univers. Autonoma Metropolitana Xochimilco
Calz. del Hueso no.1100, Col. Villa Quictud,Del.
Coyoacan
04960 Mexico, D.F.
GREER, Dr. David
Dean
97 Waterman Street, Arnold Lab
Faculty of Medicine, Brown University
Providence, Rhode Island 02912
U.S.A.
MUSTAFA, Dr. Awad Elsid
Dean
School of Medicine
University of Gezira
P.O.B. 20
Wad Mcdani
Democratic Republic of the Sudan
AL-HAMER, Dr. Faisal Y.
Dean
College of Health Sciences
Ministry of Health
P.O. Box 12
Bahrain
Arabian Gulf
OGUNBODE, Dr.O.
Dean
Faculty of Health Sciences
University of Ilorin
PMB 1515
Ilorin
HAMILTON, Dr. John
Dean
Faculty of Medicine
The University of Newcastle
Newcastle N.S W 2308
Australia
J
Nigeria
ORDONEZ, Dr. Cosme
Representative
Ministry of Public Health
Higher Institute of Medical Sciences
Ermita 248,csq. a San Pedro, Havana
Cuba
KAUFMAN, Dr. Arthur
Director Primary Care Curriculum
School of Medicine
University of New Mexico
Albuquerque, New Mexico 87131, U.S.A.
40
•1
.I
1. •
PIGEON, Dr. Gilles
Dean
Faculty of Medicine
University of Sherbrooke
Sherbrooke, Quebec
Canada JI H 5N4
tL
RADJIMAN, Dr.
Dean
School of Medicine
Gadjah Mada'University - Sckip
Yogyakarta
Indonesia
ROMUALDEZ Jr.. Dr. Alberto
Dean
College of Medicine
University of the Philippines
547 Pedro Gil St.
Manila
The Philippines
A.
>
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t
►
Associate Members
Associate membership can be acquired by
institutions, organizations and groups of people
which arc interested in the objectives of the
Network and the activities that flow from them
and who whish to play an active part in them.
ABEL, Dr. Rajaratnam
Head
RUHSA Department
Rural Unit Health & Social Affairs
Ruhsa P.O. 632 209, North Arcot Disl. Tamil
Nadu.
India
ALAM, Dr. S. Mahmood
Baqai Medical Collegc/Baqai Foundation
I1I-B, 1/7, Nazimabad
Super Highway/Toll Tax Plaza
Karachi-18
Pakistan
ROSLAN1, Dr. Mohammed
Dean
School of Medical Sciences
University Sains Malaysia
Penang
Malaysia
ALKAFAJEI, Dr. Ahmed M.B.
College of Medicine
Dept, of Cummunity Medicine
University of Mosul
Mosul
Iraq
SALAFSKY, Dr. B.
Director
The University of Illinois
College of Medicine
1601 Parkview Avenue
Rockford, Illinois 61107-1897, U.S.A.
SANPITAK, Dr. Pisil
Dean
Faculty of-Mcdicine
Khon Kaon University - Friendship Highway
Khon Kaon 40002
Thailand
STURMANS, Dr. F.
Dean
Faculty of Medicine
Rijksunivcrsilcit Limburg
P.O.B. 616
6200 MD Maastricht
The Netherlands
E
k:
L
I
ANAN, Dr. Koichi
Dean
Faculty of Medicine
The University ofTsukuba
Tsukuba, Ideopolis 305
Japan
ANONUEVO, Dr. Estrella D.
Executive Officer
Philippine Youth Health Program
Rm. 801-A Cardinal Bldg.
999 Pedro Gil cor. Agoncillo Streets
Ermita, Metro Manila
The Philippines
SUWANWELA, Dr. Oharas
Dean
Faculty of Medicine
Chulalongkorn University
Bangkok 10500
Thailand
UPADHYAY, Dr. Madan Prasad
Dean
Institute of Medicine
Tribhuvan University
P.O. Box 1524, Kathmandu
Nepal
ALQIRBI, Dr. Abobackr
Faculty of Medicine and Health Sciences
Sana’a University
P.O. Box 1247
Sana’a
Yemenaraq Republic
AR1STIZABAL A., Dr. Gerardo
Dean
Faculty of Medicine, Escucla Colombiana de
Medicina
Calle 134 No. 13-81
Bogota
Colombia, S.A.
s/
41
COMMUNITY HEALTH
CELL
326, V Main, I Slock
Korarnongala
Sangalore-560034
India
BAGGIO, Dr. Adelar Francisco
President
FIDENE
Rua Sao Francisco
501 Caixa Postal 560
98.700 IJUI RS Brasil
BOLANOS, Dr. Oscar
Dean
Medical Faculty
Universidad del Valle
Apartado Aereo 2188
Cali
Colombia
CAMP, Dr. Martha G.
Co-Chairman, Parallel Curriculum
The Bowman Grey School of Medicine
Wake Forest University
300 South Hawthorne Road
Winston Salem, North Carolina
27103 U.S.A.
DONHU1JSEN, Dr. H.W.A.
Assistent Dean I
School of Medicine, Padjadjaran University
Jalan Pasirkaliki 190
Bandung 40161
Indonesia
FARAH, Dr. Abdi Ahmed (Pakistan)
Dean
Faculty of Medicine, National University
P.O. Box 933
Mogadishu
Somalia
AL-FALEH, Dr. Falch Z.
Dean
College of Medicine
King Saud University
P.O. Box 2248 Riyadh
The Kingdom of Saudi Arabia
FLORES-MEDINA, Dr. Octavio A.
Dean, Facultad de Medicina
Universidad Autonoma de Zacatecas
Carrctera a la Bufa s/n
Zacatecas, Zacatecas
Mexico
CARLEVARO, Dr. Pablo V.
Dean
Facultad de Medicina, Universidad de la
Republica
Avda. General Flores 2125
Montevideo
Uruguay
GARCIA-BARBERO, Mrs. Milagros
Head of the Unit of Medical Education
Medical School
University of Alicante
Apdo 99, Alicante
Spain
CHOUDRIE, Dr. A.V.
Director Christian Medical College
Ludhiana
Punjab
India
GEBERT.Dr. Ronald A.
Dean
Facultad De Medicina
Universidad de la Frontera
P.O. Box 54-D
Temuco
Chile
COX, Dr. K.R.
Head of the School
School of Medical Education
University of South Wales
P.O.Box 1
Kensington New South Wales
Australia
GEORGE, Dr. C.F.
Dean
University of Southampton
Centre Block, General Hospital
Tremona Road
Faculty of Medicine
Southampton SO9 4XY
United Kingdom
DAY, Dr. Stacey B.
International Centre for Health Sciences
Mcharry Medical college
1005 D:B Todd Boulevard
Nashville, Tenessee 37208
U.S.A.
GREENBLATT, Dr. Charles L.
School Director
Hadassah Medical School
Hebrew University
P.O. Box 1172
Jerusalem
Israel
DE BENEDICTUS, Dr. Giuseppe
President
University of Bari, Policlinico
Medical School, Dept, of Pathology
Piazza G. Cesare, 11 70124 Bari
Italy
42
GUR-ARYEH, Mr. Ilay
Director SCOME 87/88
IMSF, Sacklcr School of Medicine
University of Tel Aviv
Ramat Aviv 69978, Tel Aviv
Israel
GWAVAVA, Dr. NJ.T.
Dean
University of Zimbabwe
P.O. Box A178
Avondale, Mt. Pleasant
School of Medicine
Harare Zimbabwe
HAMAD, Dr. Bashir
Dean
Faculty of Medicine & Health Sciences
The United Arab Emirates University
P.O. Box 15551
Al Ain
The United Arab Emirates
1 ;
r
I■
*
HASSAN, Dr. Mohamed A.
Dean
Faculty of Medicine
University of Khartoum
P.O.B. 102
Khartoum
Democratic Republic of the Sudan
HILTON, Dr. David
Association Director
World Council of Churches
Christian Medical Commission
150, route de Ferney
1211 Geneva 20
Switzerland
ISACSSON, Dr. Sven-Olof
Faculty of Medicine
Office of Medical Education
Lund University
Box 117
22100 Lund
Sweden
ISLAM, Dr. Nurul
Coordinator
Institute of Applied Health Sciences
University of Chittagong
63 Central Road, Dhanmondi R A.
Dhaka-5
Bangladesh
p
JAIN, Dr. P.S.
Dr. B.C. Roy Foundation
Medical Education Centre
Medical Council of India
Kotla Road. Temple Lane
New Delhi - 11002
India
JEFFERS, Mrs. Wayne S.
Student
International Community Oriented Medical
Students Ass.
c/o The University of New Mexico
Albuquerque, New Mexico 87131
U.S.A.
KELSEY FRY, Dr. I.
Dean
Medical College of St. Bartholomew’s Hospital
University of London
West Smithfield
London ECIA 7BE
United Kingdom
ORRENIUS, Dr. Sten
Dean
College of Medicine
Karolinska Institute
P.O.B.6400
10401 Stockholm
Sweden
OWOR, Dr. Raphael Owor
Dean, Faculty of Medicine
Makcrere University
P.O.B. 7072
Kampala
Uganda
PADONU, Dr. Michael K.O.
Head, Dept, of Community Medicine
College of Medical Sciences
University of Maiduguri
P.M.B. 1069
Maiduguri
Borno State
Nigeria
PARRY, Dr. E.H.O.
Director
The Wellcome Tropical Institute
200 Euston Road
London NW1 2BQ
United Kingdom
PAULI, Dr. Hannes G.
Director
Institute for Research in Education and
Evaluation of
the Faculty of Medicine, University of Bern
Inselspital 14c
3010 Bern
Switzerland
PHILAL1THIS, Dr. A.
Assistant Prof, in Social Medicine
School of Health Sciences, Div. of Medicine
University of Crete
714 09 Irak lion, Crete
Greece
4
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TORRADO, Dr A.
Clinical Director
Medical Faculty
Paediatric Hospital
3tXX) Coimbra
Portugal
RICHARDS, Dr. Ronald W.
Professor and Director
University of Illinois at Chicago
Center for Educational Development, Health
Sciences Center
808 S. Wood Street, Room 986,
Chicago, Illinois 60612
U.S.A.
ULMER, Dr. David D.
Dean
Faculty of Health Sciences
The Aga Khan University
Stadium Road
P.G.B. 3500
Karachi 5
Pakistan
RODRIGUEZ PACAS, Dr. Guilllcrmo
Medical School
Universidad National de El Salvador (UES)
San.Salvador
El Salvador, C.A.
SERAPHIN, Dr. Bararengana
Dean
Faculty of Medicine
National University of Rwanda
B.P.30
Butarc
Rwanda
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VANTASSEL, Dr. Jack L.
President
College of Human Medicine, Michigan Stale
University
Upper Peninsula Health Education Corporation
540 West Kaye Avenue Marquette, Michigan
49855
U.S.A.
SHAKER-SHUBAIR Dr. Kandil
Director
Center for Educational Development for Health
Personnel
University of Jordan
Amman
Jordan
VASINANUKORN, Dr. Mayrec
Faculty of Medicine
Haadyai
Prince of Songkhla University
Songkhla
Thailand 90110
SMALL, Ms Elaine D.
Dean
Faculty of Health Sciences
University of Guyana
Turkeyen Campus, Box 843
Georgetown
Guyana
WIEDERSHEIM, Dr. Robert
Dean
Medical Faculty
University Witten/Herdecke
Bcckweg 4
5804 Herdecke
Federal Republic of Germany
SOYINKA, Dr. Femi
Dean
Faculty of Health Sciences
University of Ife
Ile-Ife
Nigeria
WRAY, Dr. Samuel R.
Dean
Faculty of Medicine
University of the West Indies
Mona, Kingston 7
Jamaica
STENDAHL, Dr. Olle
Dean, Faculty of Medicine
Dept, of Med. Microbiology
Health University
581 85 Linkoping
Sweden
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ZAPETA, Dr.
Dean
Faculty of Medicine
Universidad Nacional Autonoma de Nicaragua
Aptdo Postal 663
Managua J.R.
Nicaragua
TEJASEN, Dr. Tejatat
Ass.Prof. and Dean, Faculty of Medicine
Chiangmai University
110 Intavaroras Road
Maung, Chiangmai 50000
Thailand
ZILHAO, Dr. Aurelio A.
Dean
Faculty of Medicine, Universidade Eduardo
Mondiane
P.O. Box 257
Maputo
Rep. Popular de Mozambique
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MIKHAIL, Mr. Michael Mina
Chairman, The Standing Committee of E.M.S.A.
Egyptian Medical Students Association
c/o Suez Canal University
Ismailia
Egypt
HIDA.IAT, Dr. Achmad
Dean
J.L.M.T. Haryono 171 Malang
Faculty of Medicine, Brawyaya University
East Java
1 ndonesia
WALTON, Dr. Henry J.
President
World Federation for Medical Education
c/o Dcpt.of Psychiatry Un.of Edinburgh
Morningside Park
Edinburgh EH10 5HF
Scotland
KUMPUSALO, Dr. Esko
Dept, of Community Health
P.O. Box 6
University of Kuopio
70211 Kuopio
Finland
Corresponding Members
Corresponding membership can be acquired by
individuals (or groups of people) who arc
interested in the Network objectives.
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MANGLA, Dr. Bhupesh
General Secretary
Azad Medicos’ Association
Gole Market
16/5 Doctor’s Lane
New Delhi 110001
India
ALGER, Dr. Elizabeth A
Associate Dean
UMDNJ-Ncw Jersey Medical School
Office of Education
185 South Orange Avenue
Newark, New Jersey 07103 - 2757
U.S.A.
MOSS, Dr. John
Lecturer
Dept, of Community Medicine
University of Adelaide
Level 5, Administration Block
Royal Adelaide Hospital
Adelaide
South Australia 5(X) 1
BICKNELL, Dr. William J.
Professor of Public Health
Office of Special Projects Health Policy Institute
Boston University
53 Bay State Road
Boston, Mass.
U.S.A.
OSORIO, Dr. Jorge Cardona
Professor
National School of Public Health
Universidad de Antioquia
A.A. (>6425 Medellin
Colombia
BOIKHAN, Dr. M.S.
Director
Plot ST/1
Pakistan Medico International
Sect. no. 4 Orangi Town - Karachi 41
Pakistan
PETIT, Dr. P.L.
Consultant Public Health, Consultant for
Management of
Development Programmes (C.D.P.)
Johannes Worpstraat 5-111
1076 BC Amsterdam
The Netherlands
CLARKE, Dr. W.D.
Director
BMA House, Tavistoch Square
Blat Centre for Health and Medical Education
London WC1H 9JP
United Kingdom
SEAGER, Dr. Charles Philip
Psychiatric Unit
Herries Road
Northern General Hospital
Sheffield S5 7AU
United Kingdom
GRANDE, Nuno Rodrigues
Professor and Chairman
Lg. Prof. Abel Salazar, 2
Institute de Ciencias Biomedicas Abel Salazar
Universidadc do Porto
4000 Porto
Portugal
WHITE, Dr. Donald K.
Senior Lecturer, Health Services Management
Centre
Edgbaston
19, Greville Drive
Birmingham B15 2UU
United Kingdom
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XING, Dr. Chen Zhi
Vice Director of Shanghai Ninth People’s
Hospital
Shanghai Second Medical University
639 Zhi Zao Ju Road
Shanghai
People’s Republic of China
- Media
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