title: Capacity building in emergency care: An example from Madang, Papua New Guinea.
abstract: BACKGROUND
  Divine Word University (DWU) is an emerging national university of Papua New Guinea (PNG) based in the provincial capital of Madang, providing training for Health Extension Officers (HEOs). HEOs form the backbone of healthcare delivery in PNG as clinicians, public health officers and health centre managers. Both campus-based and clinical teaching at the nearby Modilon Hospital is limited because of significant resource constraints.
  
  
  OBJECTIVE
  This article describes a visiting clinical lecturer programme in which Australasian emergency physicians and emergency registrars deliver teaching to HEO students at DWU and Modilon Hospital.
  
  
  METHODS
  Volunteer doctors are briefed pre-departure and given prepared educational tools. Visits are from 2 weeks to 3 months, and include the possibility of accredited training for emergency registrars through the Australasian College for Emergency Medicine. DWU provides secure accommodation and assistance with travel and visa logistics. Tasks for visiting lecturers include delivering campus-based teaching on emergency medicine (EM) topics, structured and opportunistic bedside tutorials, and clinical teaching and assistance with ED care alongside local EM clinicians.
  
  
  CONCLUSIONS
  Programme evaluation has relied on qualitative feedback, which has been positive from all stakeholders. Visiting lecturers gain teaching skills and insights into the challenges of emergency healthcare delivery in an international, resource-constrained setting. Local staff receive assistance and support as well as learning new teaching skills. Students receive increased interactive learning opportunities.
  
  
  CONCLUSIONS
  This programme provides positive models of both emergency care capacity building in a resource-constrained setting and training in international EM for Australasian clinicians.
authors.affiliation: Emergency Department, St Vincent's Hospital, Melbourne, Victoria, Australia. georgina.phillips@svhm.org.au
authors.forename: Georgina A
authors.initials: GA
authors.lastname: Phillips
authors.forename: Jamie
authors.initials: J
authors.lastname: Hendrie
authors.forename: Vincent
authors.initials: V
authors.lastname: Atua
authors.forename: Clement
authors.initials: C
authors.lastname: Manineng
mesh_terms: D057191:Capacity Building / Q000379:methods / Q000458:organization & administration*; D002983:Clinical Competence; D003479:Curriculum; D004522:Educational Status; D004632:Emergency Medical Services / Q000458:organization & administration*; D030141:Feedback, Psychological; D006801:Humans; D038622:Internationality; D007858:Learning; D009934:Organization and Administration; D010219:Papua New Guinea; D016730:Program Development; D015397:Program Evaluation; D036301:Qualitative Research; D013663:Teaching