Figure 1
Practical Strategies for Implementation of Melby Principles from AMPATH Experience.
Table 1
Current AMPATH Member Institutions and Primary Areas of Involvement.
| Member Institution | Primary Areas of Involvement |
|---|---|
| Moi University College of Health Sciences | Host Partner |
| Moi Teaching and Referral Hospital | Host Partner |
| Indiana University | Administrative leadership, Anesthesiology*, Dermatology*, ENT*, Hematology-Oncology*, Infectious Disease*, Informatics*, Internal Medicine*, Nephrology*, Nursing*, Palliative Care*, Pediatrics*, Public Health, Reproductive Health, Surgery* |
| Brown University | Biostatistics*, Dermatology, Family Medicine*, Gynecology-Oncology, Nephrology, Psychiatry*, Pulmonary |
| Purdue University | Agriculture*, Engineering*, Pharmacy* |
| Duke University | Cardiology*, Infectious Disease, Neurology, Nursing, Public Health, Pulmonary/Critical Care |
| University of Toronto | Adolescent Health, Public Health, Reproductive Health* |
| Icahn School of Medicine at Mount Sinai | Adolescent Health*, Palliative Care |
| University of Alberta | ENT, Plastic Surgery |
| University of California San Francisco | Dermatology, Radiology |
| University of Texas at Austin Dell Medical School | Neurology, Nursing, Pediatrics, Lead for AMPATH- Mexico replication site |
| Johns Hopkins University | Public Health, Monitoring and Evaluation |
| Stanford University | Family Medicine |
| New York University | Biostatistics, Cardiovascular Health, Radiology, Lead for AMPATH-Ghana replication site |
[i] All institutions participate across the trifold mission of clinical care, research, and the bilateral educational exchange. Participation and leadership in some fields is dynamic with significant overlap and collaboration.
* Lead anchor institution. Anchoring departments lead efforts in conjunction with Kenyan partners.
Figure 2
Map of Counties with AMPATH Care Programs.
Table 2
Curriculum for North American Trainees in Kenya.
| Curriculum Component | Facilitators | Description |
|---|---|---|
| Integration with Kenyan Trainees of Similar Training Level in Inpatient Clinical Teams at MTRH | Team leaders, MU/MTRH Faculty, Registrars, and Students | Partnering of North American trainees with Kenyan peers on teaching clinical teams to provide patient care |
| Moi University Registrar Morning Reports, Journal clubs, and other Didactics | MU/MTRH Departments | Visiting residents are invited to join weekly morning reports, journal clubs, and protocol reviews as planned for the Moi registrars |
| MUSOM Student Didactics | MU Departments | Visiting students are invited to join didactics as planned for the Moi students |
| AMPATH Morning Reports | Team leaders | Case-based morning reports led by NA trainees with faculty facilitation focused on delivering high quality care |
| Afternoon Global Health Talks | Team leaders, North American and Moi faculty | Talks on clinical topics including maternal and child health, malnutrition, chronic disease management, and infectious and tropical diseases as well as broader global public health topics including counterfeit medications, safe surgery 2020, and designing health systems |
| Fireside Chat | Team Leaders, North American faculty | Discussions around topics from a humanities and social science perspective on how politics, economics, social norms, cultural behaviors, and ethics intersect with health care locally and globally. Examples: death and dying, research ethics, bilateral exchanges, and cultural representations of illness |
| AMPATH Research Talks | AMPATH and Visiting Researchers | Talks on ongoing and past research projects to which visiting students and residents are invited |
| MTRH/AMPATH Sub-specialty Care Experiences | MTRH/AMPATH Sub-specialty Care Staff | Trainees round in the Cardiac Care Unit and rotate through specialty care clinics being driven by AMPATH efforts |
| AMPATH Clinic Visit | North American faculty | North American trainees are invited to spend a day at an AMPATH clinic seeing patients to better understand the outpatient HIV and chronic disease care system |