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Enhancing Medical Education in Vietnam: Observations and Recommendations

A comprehensive overview of medical education in Vietnam based on visits in 2007, 2010, and 2013. Insightful observations on curriculum, clinical experience, and hospital conditions. Recommendations for improving the learning environment. Language and facilities as key challenges.

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Enhancing Medical Education in Vietnam: Observations and Recommendations

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  1. Vietnam Revisited • Surendra K. Varma, M.D. • Associate Dean For Graduate Medical Education & • Resident Affairs • Ted Hartman Endowed Chair in Medical Education • University Distinguished Professor • and Vice-Chairman of Pediatrics • Professor of Physiology and • Health Organization Management • Residency Program Director Emeritus • Department of Pediatrics

  2. Vietnam Initiative • In 2007 the TTUHSC Delegation went to Vietnam to explore the possibility of establishing exchange program for TTUHSC faculty and students

  3. Delegation • Surendra K. Varma, MD, (SOM), Head • Myrna Armstrong, RN, Ph.D., (SON) • Steve Maxner, Ph.D., Director Vietnam Center • Khanh Le, Associate Director, Vietnam Center • Kamlesh Varma, MD, OB/GYN

  4. Visits • Ho Chi Minh City • Vietnam University School of Medicine • Ho Chi Minh University of Medicine & Pharmacy • Can Tho • Can Tho University of Medicine & Pharmacy

  5. General Observations • Unstructured curriculum • Admission to medical school & nursing school after • Grade XII • Language - students know very little English • - faculty – language has an issue as well • Hospitals - crowded • - patient care – less than ideal

  6. Graduate Medical Education • General Observations • Not a requirement to practice medicine • Can be fully licensed after the completion of undergraduate medical education • GME - 4-5 years of training in a specialty • - Ph.D. is awarded in lieu of certification • - No national standard of examinations

  7. Visit 2010 • Surendra K. Varma, MD • Steve Maxner, PhD • Khanh Le • Visited Vietnam University School of Medicine

  8. Advised them to structure their curriculum • Advised early exposure to clinical medicine • No exchange program established

  9. Vietnam Revisited • January 25 – February 2, 2013

  10. Surendra K. Varma, MD (Associate Dean for GME & Resident Affairs, Vice-Chair of Pediatrics), Head of Delegation • Diane Nguyen, MD (Department of Internal Medicine/Oncology) • Tam Nguyen, MD (Department of Surgery/Otorhinolaryngology) • Bich-Thy Ngo, MD (Department of Internal Medicine/Geriatrics) • Richard Lampe, MD (Chair, Department of Pediatrics) • Kerren Lampe, EdD (Psychologist), Wife of Dr. Lampe • Ed Yeomans, MD (Chair, Department of Obstetrics & Gynecology) • Thuy Yeomans (Nurse), wife of Dr. Yeomans • Kamlesh Varma, MD (Obstetrics & Gynecology), wife of Dr. Varma • Stephen Maxner, PhD (Director, The Vietnam Center and Archive, TTU) • Khanh Le (Associate Director, The Vietnam Center and Archive, TTU)

  11. University of Medicine & Pharmacy • Ho Chi Minh City (UMP-HCMC) • Curriculum - More traditional - Six years after high school • - Clinical experience does not start until the beginning of fourth year • - Rotations at local hospitals

  12. Delegates at UMP-HCMC • Ho Chi Minh City • January 28, 2013

  13. Meeting at UMP-HCMC • Ho Chi Minh City • January 28, 2013

  14. Teaching Hospital • Very crowded with patients waiting in the hall • There may be more than one patient on a bed • Emergency room - not very crowded - not well organized

  15. Patients at UMP-HCMC • (Crowded with more than one person per bed) • Ho Chi Minh City • January 28, 2013

  16. Patients in Waiting Area • UMP-HCMC • Ho Chi Minh City • January 28, 2013

  17. Emergency Room • UMP-HCMC • Ho Chi Minh City • January 28, 2013

  18. Teaching Hospital • Due to the very crowded conditions in the outpatient and hospital, the learning environment may not be very conducive • Language may be a barrier

  19. HCMC Children’s Hospital #2 • (There is HCMC Children’s Hospital #1 also) • Facilities were better than expected • NICU & PICU – fair facilities • Faculty – dedicated • Communication – a big barrier

  20. Children’s Hospital #2 • Ho Chi Minh City • January 29, 2013

  21. Children’s Hospital #2 • Ho Chi Minh City • January 29, 2013

  22. NICU, Children’s Hospital #2 • Ho Chi Minh City • January 29, 2013

  23. NICU, Children’s Hospital #2 • Ho Chi Minh City • January 29, 2013

  24. Children’s Hospital #2 • Ho Chi Minh City • January 29, 2013

  25. Children’s Hospital #2 • Ho Chi Minh City • January 29, 2013

  26. HCMC Cancer Hospital • Ho Chi Minh City • Overcrowded situation • Lack of good facilities • These will not be very conducive for our students/fellows/faculty learning experience

  27. Cancer Hospital • Ho Chi Minh City • January 29, 2013

  28. Patients in Lobby at Cancer Hospital • Ho Chi Minh City • January 29, 2013

  29. Patients at Cancer Hospital • Ho Chi Minh City • January 29, 2013

  30. Patients at Cancer Hospital • Ho Chi Minh City • January 29, 2013

  31. Delegates at Cancer Hospital • Ho Chi Minh City • January 29, 2013

  32. University of Medicine & Pharmacy • Ho Chi Minh City (UMP-HCMC) • Overcrowded situation and the lack of good facilities are not very conducive for our students/residents/fellows/faculty learning experience.

  33. Vietnam University School of Medicine • Ho Chi Minh City (UNU-HCMC SOM)) • I had visited this university in 2010 and I had suggested that they consider incorporating clinical exposure in early years of undergraduate medical education • It seems that they have incorporated some exposure to clinical medicine in early part of undergraduate medical education • The new leadership is not ready to commit any exchange program.

  34. Delegates at VNU-HCMC Medical University • Ho Chi Minh City • January 28, 2013

  35. Can Tho University of Medicine & Pharmacy • Can Tho (CT-UMP) • Banners displaying welcome for TTUHSC • Physicians from UK, Australia, & USA have come here to participate in this University’s International activities • Congenial environment • Communication skills – fair • Over all operation - impressive

  36. Welcome Banner for TTUHSC • CT-UMP • Can Tho • January 30, 2013

  37. Delegates at CT-UMP • (TTUHSC welcome banner is at top) • Can Tho • January 30, 2013

  38. Hospital – Facilities much better than in 2007 • The inpatient service was not busy due to incoming TET (Vietnam Lunar New Year)

  39. Labor and Delivery Wing • Can Tho General Hospital • Can Tho • January 31, 2013

  40. Can Tho General Hospital • Can Tho • Good facilities • Labor & delivery facilities have improved since 2007 • Newborn Nursery – very good • MICU – the physicians appear to master multi-specialties with limited equipment and resources • Interested in developing bone marrow transplant service

  41. Newborn Nursery, Can Tho General Hospital • Can Tho • January 31, 2013

  42. Delegates at Can Tho General Hospital • Can To • January 31, 2013

  43. Longtuyen Rural Clinic • South of Can Tho • Run by midwives • Services - Family planning • - Prenatal care • - delivery • - prevention and early intervention of multiple diseases • - facilities – very clean

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