title: Peer training and co-learning in global health care.
abstract: BACKGROUND
  The Zambia Anaesthesia Development Project (ZADP) is a an international health care partnership between the UK and Zambia, designed to mutually benefit anaesthetic registrars from both countries in aspects deficient in their native training schemes.
  
  
  BACKGROUND
  The ZADP evolved from an initial plan to support a new anaesthesia training programme in Zambia, with visiting trainees providing continuity that was missing from short-term consultant visits. The primary goal of the project was to improve patient safety and care by delivering teaching, and by developing management, leadership and governance structures. An important reciprocal goal was to provide a unique training experience for a UK registrar in a resource-poor environment, including the resulting clinical and non-clinical challenges. This model adds a useful dimension to the educational support provided, and also embodies the principle of co-development
  
  
  CONCLUSIONS
  The ZADP and the Zambia Master of Medicine (MMed) Anaesthesia programme provides an example of a cross-cultural peer-directed co-learning model that benefits trainees from developed and developing postgraduate training programmes. This synergistic model is one that could be applied to other educational initiatives supported from overseas. This model not only adds a useful dimension to the educational support provided, but also embodies the principle of co-development that is so important to the sustainability of such projects.
authors.affiliation: Department of Anaesthesia, Guys and St Thomas' Hospital, London, UK.
authors.forename: Edwardina
authors.initials: E
authors.lastname: Lillie
authors.affiliation: Department of Anaesthesia, Great Ormond Street Hospital, London, UK.
authors.forename: Lizanne
authors.initials: L
authors.lastname: O'Donohoe
authors.affiliation: Department of Anaesthesia, University Teaching Hospital, Lusaka, Zambia.
authors.forename: Naomi
authors.initials: N
authors.lastname: Shamambo
authors.affiliation: Department of Anaesthesia, Children's Hospital of Eastern Ontario, Ottawa, Ontario, Canada.
authors.forename: Dylan
authors.initials: D
authors.lastname: Bould
authors.affiliation: Department of Anaesthesia, University Teaching Hospital, Lusaka, Zambia.
authors.forename: Feruza
authors.initials: F
authors.lastname: Ismailova
authors.affiliation: Department of Anaesthesia, Anglia Ruskin University, Chelmsford, UK.
authors.forename: John
authors.initials: J
authors.lastname: Kinnear
mesh_terms: D000776:Anesthesiology / Q000193:education*; D003695:Delivery of Health Care / Q000458:organization & administration*; D014943:Global Health; D006801:Humans; D061214:Patient Safety; D010379:Peer Group; D016730:Program Development; D006113:United Kingdom; D015024:Zambia