World AMTC Network
David Manana, MMEd
Republic of South Sudan
Manana David, MMEd, University of Dundee, Scotland, UK, is a Senior Health Tutor with 28 years’ experience in training different Health professionals including; Clinical Officers, Nurses, Midwives and others in East Africa.
He has extensive experience in enabling learning in classroom and clinical settings in Medicine, Peadiatrics and Child health, Clinical Pharmacology, as well as Anatomy and Physiology. In addition, he has wide experience in conducting and facilitating in workshops and seminars. He has worked with the MOH-Uganda as a Clinical Officer; in roles including Health Tutor and Deputy Principal for Clinical Officer schools including Mbale School,
Fort Portal School, Health Tutor’s College-Mulago and Gulu School in Uganda.
Until December 2020, he was working with Amref Health Africa in South Sudan as a Senior Health Tutor and Head of Clinical Officer Department at Maridi Health Sciences Institute.
Interview from September 2021
What have you learned as a medical educator across countries?
First of all, my vision is to become a great medical educationist in Africa. Consequently, having worked as a medical educator for 28 years in Clinical Officers, Nursing and Midwifery training programmes in Uganda, Kenya, and South Sudan, I have learned a lot of things, and these include;
The need for emphasis on outcome-based medical education (OBME). This is a type of medical education that produces graduates that are `fit for the purpose’ for which they are trained. The training programme implementers should have this goal in mind from the beginning. All domains of learning i.e. the cognitive, psychomotor and affective, should be given equal emphasis. This is because there are a lot of medical graduates with relevant knowledge and skills but lack the right attitude for health professional practice these days.
Secondly, there is a need to implement evidence-based medical education (EBME). This means enabling the learning of the best medical practices that are relevant for today’s and tomorrow’s health care needs of the community. This is important because medical science is dynamic. Experience has shown that what is effective medical treatment today may become absolute tomorrow.
Thirdly, there is a need to consider, eMedicine or eHealth, where medical consultations and prescriptions can be done online. This has become very important especially during the COVID-19 era, whereby a number of consultations, transactions, and meetings are being implemented virtually.
Fourthly, eLearning has taken root in many countries various countries and training programmes to enable learning across the globe. Therefore, as medical educationists, we should identify course units that can be delivered effectively through e-learning mode, while we reserve those that need face to face and hands-on learning experiences for the traditional and conventional teaching and learning approaches.
What inspires you as a professional?
As a medical practitioner, I am profoundly inspired by every successful patient management intervention I offer. As a medical educationist, I derive a lot of inspiration from seeing my learners apply what I teach them appropriately. Thirdly, I get more inspired whenever I see that some of my graduates have progressed with further studies up to Ph.D. level, and they still appreciate what I enabled them to learn. Others have been appointed as ministers, directors, and coordinators in government and different organizations especially in South Sudan.
What is our global impact as accelerated medically trained clinicians?
The global impact of accelerated medically trained clinicians AMTC is tremendous. The reasons for these include; AMTCs are the backbone of medical services in many countries, especially in East Africa. In such countries, the AMTC see more patients compared to Medical Doctors. They also take approximately, half the duration a Medical doctor takes to qualify for medical practice. Thirdly, its is cheaper to train the AMTC than to train a medical Doctor. Fourthly, it is easier to deploy an AMTC in remote and hard-to-reach areas. Economically, it costs less to train and employ AMTC than medical doctors.
Finally, I am appealing to the AMTC network to continue reaching out to all countries where AMTC are trained and deployed, because some of them feel marginalized by the mainstream health care delivery systems headed predominantly by Medical doctors in some countries.
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