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Objectives 3 and 4

3. Deploy audio-visual solutions that enable remote teaching and other forms of real-time media-rich collaboration.

One video conference room was setup in the main hospital, which is used to teach physiology via distance education to 3 new medical schools in Ethiopia that launched in 2012. Two additional video conference rooms are in progress for SPHMMC to teach remotely for new fellowship programs in radiology and pediatrics.

4. Facilitate professional development opportunities for the technology and library departments to strengthen their technical, management, and leadership skills. Health systems strengthening includes the support staff such as technology and library personnel who help health professionals to deliver care, to conduct research, and to train the next generation of health professionals. Training, documentation, peer coaching, and facilitating professional networking have been essential to empowering the local staff to anticipate and to respond to the institution’s growing technology needs. All objectives are implemented in partnership with the current staff for ownership and knowledge transfer. The SPHMMC staff have participated in leadership and technology innovation workshops with an organization in Addis.

Objective 2

2. Develop a robust network infrastructure to exchange essential digital resources, including without Internet access, within campus, with peer institutions within Ethiopia, and to the worldwide public.

Offline access points the size of a mobile phone use Raspberry Pi hardware and a USB drive to provide wireless access to learning materials to anyone within range, even without Internet access. 12 are deployed.

Outdoor wireless bridges the size of a book are used to extend the Internet access from the main hospital to other nearby buildings within the medical college, such as the library. 1 pair is deployed; 4 are planned.

Developing a Technology Foundation with St. Paul Hospital Millennium Medical College (SPHMMC) to Empower Collaboration and Productivity for Medical Education and Research

Kathleen Omollo;1A Bob Riddle;1B Ted Hanss;1B Chris Goosman;1B Chris Chapman;1B Cary Engleberg;1C Leul Hail;2A Eyerus Girma;2A Hiwot Abebe;2B Meselech Hailemariam;2B

1University of Michigan Medical School, 1ADepartment of Learning Health Sciences, 1BMedical School Information Services, 1CDepartment of Internal Medicine, 2St. Paul Hospital Millennium Medical College, 2AICT Department, 2BLibrary

Background

Technology is an essential part of the foundation for collaboration, productivity, and analysis across education, research, and clinical care. With SPHMMC’s transformation from hospital to medical college in 2007, its subsequent expansion of medical residency programs in 2012, and its emergence as a hub for multiple educational programs with other Ethiopian medical schools, the institutional demands for technology have increased. Ethiopia is ranked #162 in the Technology Development Index by the International Telecommunications Union. Internet access is often unpredictable, unavailable, or expensive. The technology industry is nascent. Workforce demand exceeds supply.

Objective 1 1.  Build capabilities to locate and to author

relevant digital learning materials.

Within the OBGYN department, faculty and residents have created new freely available Open Educational Resources (OER), which were designed specifically for their learners. Ethiopian faculty adapted some of the resources from previous OER from Ghana (such as the caesarean section image above), saving time on development and offering insights into how the same topics are taught in other settings. Additional collections were created to match OER to requested OBGYN topics for residents.

Learning Cycles

Objective 5 5. Assess, develop, and promote software solutions that improve productivity, analysis, or collaboration.

The clinical leadership at SPHMMC reported that hospital bed management using the traditional paper system was becoming a daily challenge. Enterprise electronic health record and facilities management systems are planned for the future but will be a while before fully deployed. In the interim, the SPHMMC leadership requested a simple web application to make it easier for the liaison office to see and to update what beds are occupied or available in the hospital, by department and by room number.

Contact Kathleen, kludewig@umich.edu Bob, bdr@umich.edu Ted, ted@umich.edu