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      Implementation of Online Research Training and Mentorship for Sub-Saharan African Family Physicians

      research-article
      , MD, MS 1 , 2 , 3 , , MBBS, FMCFM 4 , , MPH 5 , , MPhil, FWACP(Fam Med) 6 , 7 , 8 , , FWACP(Fam Med) 9 , 10 , , MPH 5 , , MD 1 , 2 , 3 , , DrPH 11
      Annals of Global Health
      Ubiquity Press

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          Abstract

          Background:

          To improve the delivery and reach of primary health care, a robust scientific foundation driven by research is needed. However, few family physicians conduct research, especially in sub-Saharan Africa. Early-career and trainee family physicians are a key part of the primary care research pipeline and have an expressed need for research training and mentorship.

          Objective:

          AfriWon Research Collaborative (ARC) was an online research training and mentorship pilot program whose objective was to increase research activity among participants from AfriWon Renaissance, the family physician young doctors’ movement of sub-Saharan Africa.

          Methods:

          ARC utilized a 10-module online curriculum, supported by peer and faculty e-mentorship, to guide participants through writing a research protocol. The feasibility, acceptability, and scalability of this program was evaluated via a mixed-methods RE-AIM-guided process evaluation using descriptive statistics and inductive/deductive thematic analysis.

          Findings:

          The pilot reached participants from Botswana, Democratic Republic of the Congo, Ghana, Nigeria and Sierra Leone and was adopted by mentors from 11 countries across three continents. Four of the 10 pilot participants completed a full research protocol by the end of the six-month core program. Seven out of the 10 participants, and nine out of the 15 mentors, planned to continue their mentorship relationships beyond the core program. The program helped instill a positive research culture in active participants. Some participants’ and mentors’ engagement with the ARC program was limited by confusion over mentorship structure and role, poor network connectivity, and personal life challenges.

          Conclusions:

          Online research training and mentorship for trainee and early-career family physicians in sub-Saharan Africa is feasible and acceptable to participants and mentors. Similar programs must pay careful attention to mentorship training and provide a flexible yet clearly organized structure for mentee-mentor engagement. Additional work is needed to determine optimal implementation strategies and ability to scale.

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          Most cited references36

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          Using thematic analysis in psychology

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            Contribution of primary care to health systems and health.

            Evidence of the health-promoting influence of primary care has been accumulating ever since researchers have been able to distinguish primary care from other aspects of the health services delivery system. This evidence shows that primary care helps prevent illness and death, regardless of whether the care is characterized by supply of primary care physicians, a relationship with a source of primary care, or the receipt of important features of primary care. The evidence also shows that primary care (in contrast to specialty care) is associated with a more equitable distribution of health in populations, a finding that holds in both cross-national and within-national studies. The means by which primary care improves health have been identified, thus suggesting ways to improve overall health and reduce differences in health across major population subgroups.
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              RE-AIM Planning and Evaluation Framework: Adapting to New Science and Practice With a 20-Year Review

              The RE-AIM planning and evaluation framework was conceptualized two decades ago. As one of the most frequently applied implementation frameworks, RE-AIM has now been cited in over 2,800 publications. This paper describes the application and evolution of RE-AIM as well as lessons learned from its use. RE-AIM has been applied most often in public health and health behavior change research, but increasingly in more diverse content areas and within clinical, community, and corporate settings. We discuss challenges of using RE-AIM while encouraging a more pragmatic use of key dimensions rather than comprehensive applications of all elements. Current foci of RE-AIM include increasing the emphasis on cost and adaptations to programs and expanding the use of qualitative methods to understand “how” and “why” results came about. The framework will continue to evolve to focus on contextual and explanatory factors related to RE-AIM outcomes, package RE-AIM for use by non-researchers, and integrate RE-AIM with other pragmatic and reporting frameworks.
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                Author and article information

                Contributors
                Journal
                Ann Glob Health
                Ann Glob Health
                2214-9996
                Annals of Global Health
                Ubiquity Press
                2214-9996
                03 February 2021
                2021
                : 87
                : 1
                : 13
                Affiliations
                [1 ]Department of Family Medicine, Boston University, Boston, USA
                [2 ]Family Medicine Specialty Training Program, Lesotho-Boston Health Alliance, Leribe, Lesotho
                [3 ]Institute for Health System Innovation and Policy, Boston University, Boston, USA
                [4 ]Family Medicine Department, Federal Medical Centre, Gusau, Nigeria
                [5 ]Boston University School of Public Health, Boston University, Boston, USA
                [6 ]Department of Family Medicine, University of Jos, Jos, Nigeria
                [7 ]Faculty of Medicine, University of New South Wales, Sydney, Australia
                [8 ]The George Institute for Global Health, Sydney, Australia
                [9 ]Department of Family Medicine, Federal Medical Centre, Keffi, Nigeria
                [10 ]Boston University Department of Health Sciences, Boston University, Boston, USA
                [11 ]Boston University School of Public Health, Department of Global Health, Boston University, Boston, MA, USA
                Author notes
                CORRESPONDING AUTHOR: Chelsea M. McGuire, MD, MS Department of Family Medicine, Boston University, Boston, USA; Family Medicine Specialty Training Program, Lesotho-Boston Health Alliance, Leribe, Lesotho; Institute for Health System Innovation and Policy, Boston University, Boston, USA cmcg@ 123456bu.edu
                Author information
                https://orcid.org/0000-0001-8562-790X
                https://orcid.org/0000-0003-4576-5413
                https://orcid.org/0000-0002-0455-3361
                https://orcid.org/0000-0002-5385-0143
                https://orcid.org/0000-0003-2580-1739
                https://orcid.org/0000-0002-9666-4236
                https://orcid.org/0000-0002-6497-2437
                https://orcid.org/0000-0002-4713-4642
                Article
                10.5334/aogh.3171
                7863851
                33598411
                1576019a-7b05-44dd-80f1-ae32863867c4
                Copyright: © 2021 The Author(s)

                This is an open-access article distributed under the terms of the Creative Commons Attribution 4.0 International License (CC-BY 4.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. See http://creativecommons.org/licenses/by/4.0/.

                History
                Funding
                Funded by: Consortium of University for Global Health (CUGH);
                Funded by: CMM’s, doi open-funder-registry10.13039/open_funder_registry10.13039/100008674;
                Award ID: T32HP10028
                Funded by: National Center for Advancing Translational Sciences, doi open-funder-registry10.13039/open_funder_registry10.13039/100006108;
                Funded by: National Institutes of Health (NIH), doi open-funder-registry10.13039/open_funder_registry10.13039/100000002;
                Award ID: 1UL1TR001430
                The pilot program described in this paper was funded by a Consortium of University for Global Health (CUGH) Tom Hall Global Health Education grant. Boston University Undergraduate Research Opportunities Program supported LVW’s contributions as a research assistant. This publication was supported by CMM’s T32HP10028 Family Medicine-General Internal Medicine-General Pediatrics Academic Fellowship Program at Boston University. This publication was additionally supported by the National Center for Advancing Translational Sciences, National Institutes of Health (NIH), through BU-CTSI Grant Number 1UL1TR001430. Its contents are solely the responsibility of the authors and do not represent the official views of any funder.
                Categories
                Original Research

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