Gynecologic Oncology Sub-Specialty Training at Komfo Anokye Teaching Hospital (KATH) in Ghana: Overcoming 21st Century Challenges with Global Partnerships. Frontiers in Public Health

Anna Sarah Erem, Adu Appiah-Kubi, Thomas Okpoti Konney, Kwabena Amo-Antwi, Sarah G. Bell, Timothy R. B. Johnson, Carolyn Johnston, Alexander Tawiah Odoi and Emma R. Lawrence

The leading cause of cancer deaths in Ghanaian women is cervical cancer in part due to late presentation. This, in addition to the chronic late presentation of other gynecologic malignancies, demonstrates a crisis surrounding women’s health in Africa. As a collaboration of US and Ghanaian medical professionals, our paper investigates methods of improving health outcomes for women in Ghana. The gynecologic oncology fellowship program we discuss was developed as part of a longitudinal, multi-decade, partnership between the University of Michigan (MM) and the Ghana College of Physicians and Surgeons. The goal is to establish an in-country sustainable training program to address the challenge of “brain drain” while building a culturally relevant capacity for gynecologic oncology education and care. We compare this program to other gynecologic oncology initiatives on the African continent and explore the positive and negative aspects of each. The research includes analysis of feedback from fellows in the program as well as the patients they serve. Our paper will demonstrate that the Ghanaian/ MM model for gynecologic oncology sub-specialty training is the most expedient and effective way to assist Ghanaian women. Our hope is that it can serve as a guide for sub-specialty medical education in other LMIC.

Accepted to publication in an upcoming Special Edition of Frontiers in Public Health on 11/06/20

Research Topic: “Trends and Challenges of Medical Education in the Changing Academic and Public Health Environment of the 21st Century”

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