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Teaching Medicine in Gaza:the Oxford Companionship
MEC Seminar, St. Antony’s College
February 23rd 2018
Richard Guy
Consultant Surgeon
Oxford University Hospitals
Sir Iain Chalmers
UN Relief & Works Agency
Gaza 1969-70
1978-92 Director National
Perinatal Epidemiology Unit
Oxford
1992 Director UK Cochrane
Centre -> Cochrane
Collaboration
Editor James Lind Library (www.jameslindlibrary.org)
“Everything I have done professionally
has its origins in my experience in Gaza in
1969 and 1970”
Professor Colin Green
Royal Navy Officer 1952-56
Veterinary Surgeon
Scientist
Established Palestinian Faculty of Medicine Al Quds University 1994
Foundation for Al Quds Medical School (FQMS) 1996
Founded International Medical Education Trust (IMET 2000)
Awarded Millenium Medal by Yasser Arafat for “services to Palestine” 2004
Sir Terence English FRCS
Pioneer heart transplant
surgeon
Ex-President of the Royal
College of Surgeons
Honorary Patron of
Medical Aid for Palestinians
(MAP)
Palestinian Medical Students
Top 5% of school leavers
Extremely bright
Didactic lectures
Online teaching – static and dynamic
Minimal clinical teaching
Barriers to clinical education
Difficulties getting to clinical environments (barriers/permits)
No dedicated teaching hospital/facilities
Little senior supervision
Textbook knowledge vs applied knowledge
Difficulties leaving the country
Volatile context
Travel to class interrupted (n=50)
0 5 10 15 20 25 30 35 40
More than once per week
Once per week
Once every two weeks
Once per month
Less than once per month
OxPal survey, 2012
%
• 360 sq Km – approx 25 x 7
miles
• population 2 million
• unemployment >40%
• median age 17.4 yrs
• 2.6% > 65 yrs
• fertility rate 5.03 children
• religion 99.3% Sunni Muslim
Clinical Teaching Assistants
Year after Interns – usually top 6
Key to sustainability of our teaching
Year 6 we teach them
Interns already selectedthey attend training day with us
shadow us in teaching
Following year Clinical Teaching Assistants
Training day and week with us
Future Teaching in Gaza
Involve both Universities – IUG & Al-Azhar
Develop the role of the Clinical Teaching Assistants
Increase postgraduate teaching
Mix clinical teaching with seminar-based teaching
Refine the clinical stations
Keep going!