Sudan Journal of Medical Sciences

ISSN: 1858-5051

High-impact research on the latest developments in medicine and healthcare across MENA and Africa

The Sudanese Medical Education in the Light of Flexner Report

Published date: Dec 31 2022

Journal Title: Sudan Journal of Medical Sciences

Issue title: Sudan JMS: Volume 17 (2022), Issue No. 4

Pages: 428–443

DOI: 10.18502/sjms.v17i4.12543

Authors:

Ayman Fisal Ahmed Foadaymanfisal@yahoo.comDepartment of Pathology, National University, Sudan

Abstract:

Medical education as a profession is a legitimate offspring of Flexner’s report in 1910. It strived to excel in preparing future doctors and increasing the competency of medical practitioners. We provide a scientific critique of Flexner’s report, displaying its merits and shortcomings and shedding a spotlight on Sudan’s medical education milestones and its current strive for excellence and innovation in curricula designing, accreditation, graduate competencies, staff professional development, and quality improvement. Since the publication of this inspiring study, a global effort has been launched to improve the quality of health system policies and health professions’ competency through education. All stakeholders now seek fundamental reform in medical education in Sudan to improve its quality and trustworthiness. Based on this study, our impost does not necessarily propose following its footsteps but instead evaluates its stimulating role in planning and intervention.

Keywords: Flexner Report, Carnegie Report, Sudan Medical Education Revolution, Competency, Accreditation, Racism,., Female Education, Longitudinal Integrated Clerkship, Professional Development

References:

[1] History of hospitals - Wikipedia [Internet]. [cited 2022 Jan 7]. Available from: https://en.wikipedia.org/wiki/History_of_hospitals

[2] Flexner, A. (1910). Carnegie_Flexner_Report.

[3] Monekosso, G. L. (2014). A brief history of medical education in Sub-Saharan Africa. Academic Medicine (Lippincott Williams and Wilkins), 89(8 Suppl), S11-S115. https://doi.org/10.1097/ACM.0000000000000355

[4] Nemr, E., Meskawi, M., Nemr, R., & Yazigi, A. (2012, Nov). Undergraduate medical education in Lebanon. Medical Teacher, 34(11):879–882. Available from [Internet,cited 2022 Jan 8]: https://www.tandfonline.com/doi/abs/10.3109/0142159X.2012.716184

[5] Abdelaziz, A., Kassab, S. E., Abdelnasser, A., & Hosny, S. (2018, Dec). Medical education in Egypt: Historical background, current status, and challenges. Health Profession Education, 4(4), 236–244. https://doi.org/10.1016/j.hpe.2017.12.007

[6] Ludmerer, K. M., & Ludmerer, M. (2010). Commentary: Understanding the Flexner report. Academic Medicine, 85(2), 193–196. https://doi.org/10.1097/ACM.0b013e3181c8f1e7

[7] Ludmerer, K. (1985). Learning to heal: The development of American Medical Education. Johns Hopkins University Press.

[8] Quintero, G. A., Vergel, J., Arredondo, M., Ariza, M. C., Gómez, P., & Pinzon-Barrios, A. M. (2016, Jan). Integrated medical curriculum: Advantages and disadvantages. Journal of Medical Education and Curricular Development: JMECD, 3, S18920.

[9] Poncelet, A. N., Mazotti, L. A., Blumberg, B., Wamsley, M. A., Grennan, T., & Shore, W. B. (2014, Mar 1). Creating a longitudinal integrated clerkship with mutual benefits for an academic medical center and a community health system. The Permanente Journal, 18(2), 50. Available from [Internet]. [cited 2022 Jun 28]: /pmc/articles/PMC4022558/

[10] Poncelet, A. N., Hauer, K. E., & O’brien, B. (2009). Medical education: The longitudinal integrated clerkship. American Medical Association Journal of Ethics, 11, 864–869. Available from [Internet]. [cited 2022 Jun 28]: www.virtualmentor.org864

[11] Gupta, S., & Howden, S. (2021). Medical students’ experiences of a longitudinal integrated clerkship: A threshold concepts analysis. Education for Primary Care, 32(6), 336–343. https://doi.org/10.1080/14739879.2021.1939796

[12] Desai, R. (2020). Unexpected benefits of a longitudinal integrated clerkship curriculum during the COVID-19 pandemic. MedEdPublish, 9(1). https://doi.org/10.15694/mep.2020.000241.1

[13] Harden, R. M., & Laidlaw, J. M. (2017). Essential skills for a medical teacher. (2nd ed., pp. 41-47). Amsterdam: Elsevier.

[14] Abdullah, A. A. (2020, Mar). National competency frameworks for medical graduates: Is it time for the “SudanMeds”? Sudan Journal of Medical Sciences, 19, 20–34.

[15] El-Nageh, M. M., Kamoun, M., Wilding, P. (1998). Laboratory medicine education in medical schools: Guidelines for courses on the effective use of clinical laboratory tests. WHO.

[16] Datta, R., Upadhyay, K., & Jaideep, C. (2012, Apr). Simulation and its role in medical education. Medical Journal Armed Forces India, 68(2), 167-172. https://doi.org/10.1016/S0377-1237(12)60040-9

[17] Zamir, E. (2021). The renaissance of online medical education. Rural and Remote Health, 21(3), 6187.

[18] Nagandla, K., Sulaiha, S., & Nalliah, S. (2018, Apr). Online formative assessments: Exploring their educational value. Journal of Advances in Medical Education & Professionalism, 6(2), 51–57.

[19] Sandars, J., Kokotailo, P., & Singh, G. (2012). The importance of social and collaborative learning for online continuing medical education (OCME): Directions for future development and research. Medical Teacher, 34(8), 649–652. https://doi.org/10.3109/0142159X.2012.687847

[20] Wadi, M., Abdalla, M. E., Khalafalla, H., & Taha, M. H. (2020, May 1). The assessment clock: A model to prioritize the principles of the utility of assessment formula in emergency situations, such as the COVID-19 pandemic. MedEdPublish, 9, 86. https://doi.org/10.15694/mep.2020.000086.1

[21] WFME. (2004). Accreditation of medical education institutions report of a technical meeting.

[22] Al Mahdi, TAS. (2019, Dec 26). Overview of the course of undergraduate medical education in the Sudan. Sudan Journal of Medical Sciences, 14(4). https://doi.org/10.18502/sjms.v14i4.5899

[23] Ministry of Higher Education & Scientific Research Sudan. Private Institutes Codes for General Application [Internet]. [cited 2021 Dec 23]. Available from: http://daleel.admission.gov.sd/org_code/ahli_org_code.aspx

[24] Sabde, Y., Diwan, V., De Costa, A., & Mahadik, V. K. (2014). Mapping the rapid expansion of India’s medical education sector: Planning for the future. BMC Medical Education, 14(1), 266. https://doi.org/10.1186/s12909-014-0266-1

[25] The expansion of medical student numbers in the United Kingdom Medical Schools Council Position Paper [Internet]. 2021. Available from: www.medschools.ac.uk

[26] Dalen, J. E., & Ryan, K. J. (2016). United States medical school expansion: Impact on primary care. American Journal of Medicine (Elsevier Inc.), 129, 1241–1243.

[27] Fahal, A. H. (2007, Nov). Medical education in the Sudan: Its strengths and weaknesses. Medical Teacher, 29(9), 910–914. https://doi.org/10.1080/01421590701812991

[28] David Gordon. (2018). WFME_Press_Release_SMC_Recognition_June-2018. World Federation of Medical Education.

[29] Ahmed, M. (2017). Standards for accreditation of medical schools. Sudan Medical Council Sector. Type: An Independent Governmental Organization.

[30] Accreditation of Medical Schools - Sudanese Medical Council. Available from [Internet]. [cited 2021 Dec 23]: http://www.sudmc.org/en/accreditation.html

[31] NCAAA. (2018). Standards for program accreditation - V2018-eng.

[32] Walston, S., Al-Harbi, Y., & Al-Omar, B. (2008). The changing face of healthcare in Saudi Arabia. Annals of Saudi Medicine, 28(4), 243–250. https://doi.org/10.5144/0256-4947.2008.243

[33] Wartman, S. A. (2019). The empirical challenge of 21st-Century medical education. Academic Medicine (Lippincott Williams and Wilkins), 94, 1412–1415.

[34] Institute of Medicine (US) Division of Health Sciences Policy. (1983). Financing medical education. Washington (DC): National Academies Press (US). Available from

[cited 2021 Dec 28]: https://www.ncbi.nlm.nih.gov/books/NBK217691/

[35] Laws, T. (2021). History of medicine: Peer-reviewed article how should we respond to racist legacies in health professions education originating in the Flexner Report? AMA Journal of Ethics, 23, E271–275.

[36] AMA Acknowledges Past Med Education Racism, Vows Better Future. Available from [Internet]. [cited 2022 Jan 6]: https://www.medscape.com/viewarticle/953120

[37] No Room for Racism | Premier League. Available from [Internet]. [cited 2022 Jan 8]: https://www.premierleague.com/NoRoomForRacism

[38] Khalida Zahir Obituary | Women in politics | The Guardian. Available from [Internet]. [cited 2022 Jan 9]: https://www.theguardian.com/politics/2015/jun/23/khalida-zahirobituary

[39] Sudan’s First and Youngest Female Doctor- Dr. Zarouhi Sarkissian. Available from [Internet]. [cited 2022 Jan 9]: https://www.yousraabdelmoneim.com/post/sudan-sfirst- and-youngest-female-doctor-zarouhi-sarkissian

[40] Mohammed, I. N. (2012). Sudanese female doctors in paediatrics. Sudanese Journal of Paediatrics, 12. Available from [Internet]: http://www.sudanjp.org36

[41] Home. Available from [Internet]. [cited 2022 Jan 9]: http://www.ahfad.edu.sd/medicine/

[42] Yusufzai, A. (2020). ‘Teaching by non-doctors to impact medical education’ - Newspaper - DAWN.COM [Internet]. DAWN. Available from [cited 2022 Jan 8]: https://www.dawn.com/news/1528790 [43] Loeffler, K. Medical staff development plans | Gallagher USA. Available from [Internet]. [cited 2021 Dec 28]: https://www.ajg.com/us/news-andinsights/ 2018/12/medical-staff-development-plans/

[44] Metcalfe, D. Involving medical students in research. https://doi.org/10.1258/jrsm.2008.070393

[45] Mahomoodally, M. F. (2013). Traditional medicines in Africa: An appraisal of ten potent African medicinal plants. Evidence-Based Complementary and Alternative Medicine, 2013, 617459. https://doi.org/10.1155/2013/617459

[46] Zurn, P., Dal Poz, M., Stilwell, B., & Adams, O. (2002). Imbalances in the health workforce. Briefing Paper Acknowledgements.

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