The Sandwich fellowship: a subspecialty training model for the developing world.
Faazil Kassam1, Karim F Damji, Dan Kiage
1University of Toronto Faculty of Medicine, Toronto, Ontario, Canada. faazil.kassam@utoronto.ca
Summary
The "Sandwich fellowship" trains specialists in developing nations by combining international and home-country training. This model builds local capacity and fosters global partnerships for improved healthcare.
Area of Science:
- Global Health
- Medical Education
- Health Systems Strengthening
Background:
- Developing countries face challenges in training and retaining specialized clinicians due to evolving healthcare needs.
- Urbanization and changing disease patterns necessitate advanced medical subspecialties in developing nations.
Purpose of the Study:
- To introduce and evaluate the "Sandwich fellowship" as an innovative subspecialty education model for developing countries.
- To enhance institutional capacity and foster long-term partnerships between developed and developing world academic institutions.
Main Methods:
- The "Sandwich fellowship" model involves fellows completing rotations in both developed and home country academic institutions.
- Preceptors from developed institutions provide guidance in both settings, facilitating knowledge transfer.
- Emphasis is placed on teaching, leadership, management, and research skills for fellows.
Main Results:
- Successful pilot programs in ophthalmology and orthopedic surgery demonstrated the feasibility of the model.
- The fellowship facilitated the expansion of institutional capacity in the fellows' home countries.
- Bilateral institutional support and multi-source funding were crucial for program success.
Conclusions:
- The "Sandwich fellowship" is an effective model for subspecialty training in developing countries.
- This model promotes a mutually beneficial exchange of knowledge and skills, improving healthcare for all involved.
- It serves as a gateway for sustainable partnerships between international academic institutions.
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