McMUSTグローバル学習パートナーシップの評価：医学教育大学院における学習強化のための知識交換に関する居住者の洞察

To critically evaluate a global learning partnership called "McMUST," which was initiated collaboratively between Mbarara University of Science and Technology (MUST) in Uganda and McMaster University in Canada in 2014.

A combination of quantitative and qualitative data collection methods was used. Evaluation forms were used to collect satisfaction and learning experience data from Canadian and Ugandan psychiatry residents during eight of 11 visits to Uganda by Canadian faculty and residents. The visits occurred between 2015 and 2023 and involved Canadian faculty and residents collaborating with local counterparts in psychiatry at MUST. Quantitative data were analyzed using means and standard deviations, while qualitative comments underwent conventional content analysis.

Satisfaction ratings from 56 evaluations out of a total possible of 62 were consistently high across all visits (Range = 3.83-5.00 / 5.00, M = 4.52, SD = 0.41). Qualitative findings revealed five themes: (1) Enriched learning, highlighting the transformative experience for residents in challenging existing perspectives; (2) Effective pedagogy, emphasizing the value of diverse learning strategies; (3) Navigating cross-cultural and professional roles, focusing on Canadian residents' transformative learning journeys; (4) Patient experiences-Humanizing psychiatric education, underscoring a shared focus on humanistic patient care; and (5) Enhancing future visits, addressing challenges and suggesting improvements, such as extending visit durations, supporting ongoing connections between residents, and advocating for bidirectional travel.

The consistently high satisfaction ratings across multiple visits indicate that the global learning partnership between MUST and McMaster University has been successful in providing an enriching learning experience for residents participating in collaborative clinical work and learning of psychiatry in Uganda. Despite many positive findings, our partnership was not immune to some of the equity-related problems that have been documented in the literature. Going forward, advocacy efforts to gather resources that will allow for bidirectional travel for residents will be essential. Our findings also highlight opportunities to evaluate impact longitudinally, especially on participants' clinical practice and patient outcomes.