Doctors Worldwide

DWW successfully finishes first cohort Postgraduate Fellowship (PGF) in Migrant and Refugee Health for local doctors working in Rohingya refugee and migrant camps, Cox’s Bazar

Congratulations to our PGF Participants!

It is with immense excitement that we announce the completion of our first ever Postgraduate Fellowship (PGF) in Migrant and Refugee Health for 24 local Bangladeshi doctors in Cox’s Bazar, Bangladesh. Congratulations to all of the 24 participants who worked exceptionally hard and dedicated their time to improve their skills and knowledge on emergency medicine and refugee healthcare.

The Postgraduate Fellowship (PGF) in Migrant and Refugee Health is centred around the delivery of 7 comprehensive modules. Teaching incorporates a wide range of methodologies including: eLearning, didactic lectures, group discussions, case-based scenarios, simulated exercises with props, and clinical supervision. The topics include:

    • Health in Humanitarian Emergencies (with FutureLearn and the London School of Hygiene and Tropical Medicine included)
    • Triage and Acute Care Management (with ETAT included)
    • Communicable Diseases
    • Non-communicable diseases & palliative care
    • Mental health in humanitarian emergencies (with WHO’s mhGAP included)
    • Sexual and reproductive health, family planning, and gender based violence (with MISP included)
    • Clinical assessment, professional practice and communication skills

The PGF was initiated in December 2017 when DWW identified a severe gap in the professional needs of health practitioners who were working in clinics serving the Rohingya camp population.  Feedback and monitoring/evaluation further evidenced the need for the PGF, for example 71% of our participants did not have prior humanitarian experience since the influx of Rohingya refugees, and 70% of our participants were not aware of SPHERE standards on health in humanitarian crisis.  Overall, from July to October 2018, DWW delivered 108 hours of classroom sessions and 288 hrs of clinical shadowing sessions over a 12 week period.

 

Key facts and impact of the PGF

Who were our participants?

Cohort A consisted of 24 local Bangladeshi doctors working in the clinics of the Rohingya refugee and migrant camps. They represented 11 different government and non-governmental organisations at a local and international level. Due to overcrowded clinics and long wait times, more than half of these doctors had initially reported seeing between 100-150 patients a day with 2-5 minute consultations, giving DWW a reach of 2400-3600 patients per day in the clinics they serve.

 

Who made this happen?

Our staff could not have completed this initiative without our dedicated and hardworking DWW volunteers. More than 40 content developers including NHS doctors, public health practitioners, and clinical fellows with a wide range of experiences assisted to create the 7 modules listed above. In addition, we deployed 7 DWW volunteer medics from the NHS, and recruited 3 local Bangladeshi medical doctors to deliver the training throughout the 12 weeks.

What did the participants achieve?

All participants upon successful completion received the following certificates and records of completion:

  • Doctors Worldwide Postgraduate Fellowship (PGF) in Migrant and Refugee Health Certificate
  • Emergency, Triage, Assessment and Treatment (ETAT) (WHO, online)
  • London School of Hygiene and Tropical Medicine (LSHTM): Health in Humanitarian Crises e-learning course
  • Minimum Initial Service Package (MISP): Inter-Agency Working Group
  • Basic Life Support

 

What is the measured impact of the PGF?

Our participants were asked to complete a comprehensive survey to reflect on their experience with the PGF. From preliminary analysis of our post-PGF evaluation,

 

  • 96% of participants feel they are empowered to be a leader to streamline clinical management of patients and staff
  • 100% of participants feel they are empowered to implement positive public health changes in their clinical practice
  • 100% of participants feel they are able to better identify medical problems in their clinics
  • 100% of participants feel more confident to apply their medical skills for patient assessment
  • 96% or participants since completion of clinical shadowing feel they have improved patient assessment and diagnosis skills
  • 75% state their consultation time with patients has increased
  • 96% state they feel empowered to be a leader and streamline clinical management of patients and staff

Quotes from a few previous participants:

‘Having the knowledge on how humanitarian crisis works has enabled me to access the right information I need to in order to better run the operations of a health post, which will improve the overall impact the health post has.’

I will do triage in a more organised way and I will follow holistic approach while attending a patient.’

‘I am trying to create an environment which facilitates good communication with patients at my facility.’

Major themes identified that encompass the improvement of medical skills and knowledge reported by the participants after completion of the PGF include, but are not limited to:

  • Facilitating a positive clinical environment with staff
  • Improved hygiene maintenance
  • Improved history taking
  • Understanding and using SPHERE standards
  • Understanding and using EWARS
  • Improved mental health management and referral for patients
  • Understanding and applying effective triage systems
  • Improved public health promotion, specifically hygiene practices
  • Improved GBV and clinical management of rape survivors

 

What are the next steps and future plans of the PGF?

A comprehensive evaluation of the Cohort A PGF is currently underway before the launch of Cohort B.

Doctors Worldwide plans to run the Cohort B PGF at the end of November for 12 weeks. We have enrolled a new cohort of 24 local Bangladeshi doctors working in the clinics of the Rohingya refugee and migrant camps and represent 11 different government and non-government organisations

We are also receiving interest from other organisations in various countries serving vulnerable populations to deliver PGF to their local healthcare works, which we hope to take forward in the future.

Get in touch
If you would like to get involved in the PGF, or you would like the PGF to come to your country, please email us using the email address found on our website.

Acknowledgments

Thank you to our dedicated group of volunteers and advocates who made this Fellowship successful, including content developers and deployed medics.

An immense thank you to IOM Bangladesh for their ongoing logistical support for DWW throughout the PGF since July 2018.

Thank you to the Health Coordination Sector, WHO, and the Government of Bangladesh, for promoting our PGF course and enrolling their doctors into the PGF.

Thank you to FutureLearn for their charitable support and assistance for the online learning portion of the PGF.

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