background image
RCSI/COSECSA Collaboration
RCSI's collaboration programme with
COSECSA (The College of Surgeons
of East, Central and Southern Africa)
continued to grow its impact and range
of activities, enabling COSECSA to
respond to the dire lack of surgical
manpower across its ten member
countries. A wide variety of RCSI staff
contribute to this collaboration in areas as
diverse as finance, IT, marketing, strategic
planning, examinations and more. The
collaboration is generously funded by
Irish Aid, who have recently agreed an
extension of their support for
the programme until 2017.
COSECSA now has over
250 surgical trainees, a vast
expansion on previous years.
The programme has put in
place administrative tools
and processes to smooth this
expansion, and has facilitated
the recruitment of staff, including
an international standard Chief
Executive Officer, Mr Francis
Kaikumba. Further recruitment
is underway in both Ireland
and Africa, and programme
of "twinning" RCSI and COSECSA staff
holding similar positions has begun.
The programme, with the support of the
RCSI Institute of Leadership, has trained
238 surgical trainers through a series of
courses across all ten countries and has
now trained a cohort of master trainers in
each of Ethiopia, Kenya, Tanzania, Uganda
and Rwanda, who are now taking over the
continued rollout of these courses.
RCSI is donating a mobile surgical skills
unit to the RCSI/COSECSA collaboration.
The Unit has been refurbished and
rebranded in preparation for its one-way
trip to Africa this summer to host training
courses in five countries in East Africa.
The collaboration programme has
also trained junior doctors in basic
surgical techniques in Zimbabwe and is
expanding this programme to Zambia
and Rwanda. In collaboration with the
World Health Organization and other
partners, the programme is producing
an open access e-learning tool, which
will be used to up-skill junior doctors
and clinical officers in basic surgical
procedures across the developing world.
Other courses held by the collaboration
programme include basic sciences
courses and fellowship-level seminars as
well as administration of the mandatory
training courses on the only Africa-
centric surgical e-learning platform.
The programme continues to grow
and support IT labs in surgical training
hospitals across the region.
Health workers ­ research and training
to meet local and global needs
Doctors, once trained, enter a global
market and in the past year, Irish doctors
emigrated in large numbers because
of attractive opportunities overseas.
Foreign trained doctors, in turn, are
taking up posts in Ireland that are unfilled
by Irish doctors. Staff in the Department
of Epidemiology and Public Health
Medicine have continued to publish
papers on foreign doctors in Ireland
and have commenced a new HRB-
funded research project on Irish Doctor
Emigration, in collaboration with national
stakeholders. 800 doctors, many who
are likely to emigrate in the forthcoming
year, agreed to participate in a June
2014 Medical Council survey to
be "tracked" and surveyed by
RCSI researchers in 2015. This will
break new ground in global health
workforce research.
Department staff, led by Professor
Ruairí Brugha, are also working
on projects that aim to retain
and build capacity overseas.
COST-Africa, a five year RCSI-led
EU-funded randomised controlled
trial in Malawi and Zambia, has
been collecting data to evaluate
the impact of training clinical
officers to undertake major
surgery in district hospitals. Professor
Ronán Conroy is leading in developing
teaching material and supporting
colleagues in Penang Medical College,
Malaysia in delivering research methods
training modules. Department staff are
delivering similar modules in Malawi,
using technology enhanced learning,
from which RCSI will gain much useful
information on distance learning.
Professor Kevin Mcguigan's solar water
rcsi is committed to advancing the health and wellbeing of people in the
developing world by sharing knowledge and providing training and expertise in
medicine, research, healthcare and surgery. the strengthening of programmes,
in africa in particular, was seen in 2013/2014. the review and coordination of
these diverse activities is under the auspices of rcsi outrEach, committee for
international cooperation.
COSECSA now has over
250 surgical trainees,
a vast expansion on
previous years.