Dr. Grace Igiraneza was in her second year of residency at the University of Rwanda when things started to change. Staffing on the wards increased as doctors from Yale and other American medical schools arrived to take on clinical and teaching duties.
“We had dedicated physicians in Rwanda, but the clinical workload and education activities were conflicting,” Igiraneza said. “When Yale came on board it became easier for residents to learn because we had more physicians. You need a mentor who is there day to day to help train you in clinical reasoning and see how you examine patients.”
In addition to more supervision on the wards, Igiraneza said, improvements included the introduction of journal clubs and evidence-based medicine, as well as mentorship in clinical research.