Transforming medical education in Liberia through an international community of inquiry

PLOS Glob Public Health. 2023 Mar 8;3(3):e0001610. doi: 10.1371/journal.pgph.0001610. eCollection 2023.

Abstract

A critical component of building capacity in Liberia's physician workforce involves strengthening the country's only medical school, A.M. Dogliotti School of Medicine. Beginning in 2015, senior health sector stakeholders in Liberia invited faculty and staff from U.S. academic institutions and non-governmental organizations to partner with them on improving undergraduate medical education in Liberia. Over the subsequent six years, the members of this partnership came together through an iterative, mutual-learning process and created what William Torbert et al describe as a "community of inquiry," in which practitioners and researchers pair action and inquiry toward evidence-informed practice and organizational transformation. Incorporating faculty, practitioners, and students from Liberia and the U.S., the community of inquiry consistently focused on following the vision, goals, and priorities of leadership in Liberia, irrespective of funding source or institutional affiliation. The work of the community of inquiry has incorporated multiple mixed methods assessments, stakeholder discussions, strategic planning, and collaborative self-reflection, resulting in transformation of medical education in Liberia. We suggest that the community of inquiry approach reported here can serve as a model for others seeking to form sustainable global health partnerships focused on organizational transformation.

Grants and funding

Sponsor: Yale Jackson Institute for Global Affairs Specific grant/funding information: Student travel support and faculty effort support provided by Jackson Institute (no grant number available) URL to Sponsor’s website: https://jackson.yale.edu/ Authors funded by this sponsor: SL, JF, DA, MR, KTS Sponsor: PEPFAR/HRSA Specific grant/funding information: Title: “Resilient and Responsive Health Systems in Liberia” (award numbers 4 UH6HA30738-05-12 and 5 UH6HA30728-05-00) URL to Sponsor’s websites: PEPFAR: https://www.state.gov/pepfar/ and HRSA https://www.hrsa.gov/. Authors funded by this sponsor: KTS, NA, AY, CP, OO, RM, AR, LS, ZA, AB, BD Sponsor: World Bank Specific grant/funding information: “Ebola Emergency Response Project: Grant #.D00080 Contract No. PIU/EERP:24/2017.TA” URL to Sponsor’s website: https://www.worldbank.org/en/home. Authors funded by this sponsor: KTS, OI, NA, MMiller, AR, OO Sponsor: USAID/National Academy of Sciences Specific grant/funding information: PEER/Liberia (subaward number 2000009598) URL to Sponsor’s website: https://sites.nationalacademies.org/PGA/PEERLiberia/index.htm. Authors funded by this sponsor: MMartin, OO Sponsor: USAID Specific grant/funding information: Title: “BRIDGE-U: Applying Research for a Healthy Liberia” (award number 7200AA21CA00010) URL to Sponsor’s website: https://www.usaid.gov/. Authors funded by this sponsor: KTS, NA, MMartin, CP, OK, JS, BD None of the funders who supported this work played any role in study design, data collection and analysis, decision to publish, or preparation of the manuscript.