title: Implementation of a phased medical educational approach in a developing country.
abstract: OBJECTIVE
  Healthcare provider education can serve as one method for improving healthcare in developing countries. Working with providers at St Luke Hospital in Haiti, we developed a phased educational approach through partnership development, face-to-face teaching, and virtual educational tools.
  
  
  METHODS
  Our novel approach included three phases: direct patient care, targeted education, and utilization of the train-the-trainer model. Our end goal was an educational system that could be utilized by the local medical staff to continually improve their medical knowledge, even after our educational project was completed. We implemented pre- and post-lecture evaluations during our teaching phase to determine whether the education provided was effective and beneficial. Additionally, we provided medical lectures on a shared file internet platform, Box.com, during the train-the-trainer phase to allow healthcare providers in Haiti to access the educational content electronically.
  
  
  RESULTS
  In total, 47 lectures were given to 150 medical providers, including nurses, physicians, and pharmacists. Pre- and post-lecture evaluations were administered. The mean was 30.63 (14.40) for pre-lecture evaluations and 93.36 (9.80) for post-lecture evaluations indicating improvement out of a total of 100 possible points. Our collaborative Box.com account contains 214 medical education lectures available for viewing as a constant resource to St Luke Hospital staff. Thus far, 20 of the 43 (47%) Haitian medical providers have viewed lectures, with an average of 5.6 lectures viewed per person. Qualitative data suggest that these methods improved communication between healthcare staff, promoted better ways of triaging patients, and improved job satisfaction.
  
  
  CONCLUSIONS
  A phased educational approach can improve healthcare workers' knowledge through partnership in a developing country. Educating local providers is one way of ensuring that in-country healthcare staff will improve their medical knowledge and expertise.
authors.affiliation: Mayo Clinic, Rochester, MN, USA; Holm.michelle@mayo.edu.
authors.forename: Michelle
authors.initials: M
authors.lastname: Holm
authors.affiliation: Mayo Clinic, Rochester, MN, USA.
authors.forename: Holly
authors.initials: H
authors.lastname: Burkhartzmeyer
mesh_terms: D003142:Communication; D003695:Delivery of Health Care; D003906:Developing Countries; D004496:Education, Continuing / Q000379:methods*; D004521:Educational Measurement; D006205:Haiti; D006282:Health Personnel / Q000193:education*; D006801:Humans; D020407:Internet
keywords: Haiti; educating in developing countries; educational initiative; healthcare; medical education; phased educational approach; sustainability