Evolution of the second medical school in Nepal: a case study

Area of Science:

• Medical Education
• Public Health
• Health Workforce Development

Background:

• Nepal faces a severe doctor shortage with a ratio of 1:30,000.
• B. P. Koirala Institute of Health Sciences (BPKIHS) in Dharan developed academic programs systematically.
• The study addresses the need for improved medical education to meet national health demands.

Purpose of the Study:

• To assess expectations and perceptions of various stakeholders regarding medical education at BPKIHS.
• To gather insights on student selection, curriculum design, teacher qualifications, and graduate attributes.
• To understand public expectations of doctor-patient interactions and attitudes.

Main Methods:

• A systematic approach was used to develop academic programs.
• Data collected on stakeholder expectations and perceptions regarding medical education components.
• Curriculum implementation over 5 years, focusing on early patient contact and community exposure, was reviewed.

Main Results:

• Stakeholder feedback was gathered on student selection, entrance exams, curriculum, and teacher qualifications.
• Perceptions of non-medical individuals on desired doctor attributes and attitudes were documented.
• The integrated, student-centered curriculum with problem-based learning and early patient exposure was implemented.

Conclusions:

• The study provides valuable insights for refining medical education in Nepal.
• The curriculum at BPKIHS incorporates innovative features like early patient contact and community immersion.
• Addressing stakeholder expectations is crucial for producing competent and patient-centered healthcare professionals.