Master of Health Professions Education

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1 Master of Health Professions Education The programme that touches the world

2 Editor: Tanja van Zoeren Master of Health Professions Education Maastricht University Maastricht, the Netherlands 2

3 Contents Introduction... 5 Countries... 7 Stories from the MHPE Alumni... 9 Mylene Dandavino... 9 Hanan Alkadri...10 Harumi Gomi...11 Claudia Ehlers...13 René Claassen...14 Melissa Nothnagle...15 Nouf Sulaiman Al Harbi...16 Noof Khalid Al Baz...17 Widyandana...18 Poh-Sun Goh...19 Elsie Kiguli-Malwadde...21 Mora Claramita...23 Rachmadya Nur Hidayah...25 Maria Guadalupe Pina Navarro...26 Tim Dornan...27 Aweke Yilma...28 Maria Rurainsky and Imke Winkelmann...30 Hisham Mirghani...32 Oktarina...33 Franciska Koens...34 Anthony Amalba...35 Stefan Kutzsche...36 Abdul Majeed...37 Dominique Waterval...39 Inge Speth-Lemmens...40 Tips on how to complete the MHPE Programme by a MHPE Alumni...41 Graduates Photographs throughout the Years...43 Contact Information:

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5 Introduction In 2012 we celebrate the 20 th anniversary of the Master of Health Profession Education programme of the Maastricht University s School of Health Professions Education. The staff and the Schools International League of Alumni (SHEILA) have invited the alumni of the MHPE to write about their experiences during and after the programme. The Alumni s responses are gathered in this booklet. Their essays speak for themselves. The responses have made us very proud, and humble. We are aware of the investments that the MHPE participants had to make to complete the programme. The programme requires participants to be involved for at least 2-year half time, often longer. Moreover, it requires that participant collaborate between different areas around the world. Health problems don t stop at nations borders, and international collaboration is strongly called for. Intercultural competence must therefore also be mobilised and enhanced. But the MHPE programme also requires that participants practice with a form of education that is very new to them. A change of attitude, from reproductive learning to adult learning is required, and the format of distance education is not an easy one to achieve this. Graduating as a Master of Science in Health Professions Education is an honour but also a responsibility. The essays in this booklet give evidence that our graduates can handle this responsibility. Jan van Dalen Programme Director June

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7 Countries Since the beginning of the MHPE programme in 1992, participants from all over the world came to Maastricht to take part in the Master of Health Professions Education Programme. A few countries that we had the pleasure to have participants from: Argentina Australia Austria Bahrain Belgium Brazil Canada Colombia Congo Costa Rica Curacao Denmark Ethiopia Germany Ghana India Indonesia Japan Kazakhstan Kenya Kuwait Mexico Malaysia Mozambique Netherlands Nigeria Norway Pakistan Portugal Qatar Romania Saudi Arabia Singapore South Africa Spain Taiwan Tanzania Thailand Trinidad Turkey Uganda United Arab Emirates United States of America Vietnam Zanzibar Of course, all had their own reasons to join the MHPE programme. Here are some of their impressions. 7

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9 Mylene Dandavino My name is Dr. Mylene Dandavino from Montreal, Canada. I am an academic paediatrician and clinical educator at the Montreal Children s Hospital, affiliated with McGill University. I graduated the MHPE programme in June What did you like most of the programme? What I liked most of the programme was the contact time in Maastricht! It allowed me to live for a little while in a beautiful, old European city and discover the surprising Dutch people and their culture; to meet my fellow assignment partners to make the rest of the year easier; and to get to know/get to be known by some of the most renowned medical educators in the world. My job at the academic centre I wanted to work at, the flexibility in my job that I wanted to ensure medical education protected time, but also to take care of my little family, and the credibility I needed vis-à-vis my colleagues. The warmth and openness of the MHPE teachers and staff, allowed us all to feel at ease, no matter whom we were and what our objectives in doing this degree were. Their adaptability when unexpected things happened, such as a bus strike, speaks highly of the commitment of the MHPE team to their program. Chapeau! 9

10 Hanan Alkadri I am Dr. Hanan Al-Kadri, consultant Obstetrics and Gynaecology at King Saud bin Abdulaziz University for Health Sciences, King Abdulaziz Medical City, Riyadh, Saudi Arabia. I joined the MHPE program in 2006 to develop my educational skills. I graduated the MHPE programme in 2008, and I have to say that the MHPE program has changed a lot of my work interests, career plans and preferences! What did you like most of the programme? Our institution has established recently a Health Science University with teaching based on a PBL curriculum. Having been educated in a traditional way, I felt that MHPE was the best guide to PBL curriculum teaching and implementation. The MHPE program was very helpful in establishing the baseline knowledge that is required for further education, curriculum understanding, leadership, assessment, statistics, research and many others. At the beginning, I felt the program is hard and difficult to be achieved. The volume of information and new terminologies were huge, but soon it started to smooth and became enjoyable and interesting. Following graduation from MHPE, I worked on PhD proposal on students assessment and became one of the PhD students in the University of Maastricht. Now I am preparing for my thesis defence in June, The program has brought to me new interests, opportunities and career plans, new qualifications that I am proud of, new communications with both seniors and junior colleagues in the domain of Medical Education and more mature understanding of many educational and cultural issues related to students learning. 10

11 Harumi Gomi I am Harumi Gomi from Japan. Present appointment: Associate Professor, Centre for Clinical Infectious Diseases, Jichi Medical University, Tochigi, Japan Professional Degrees: 1993 MD, Okayama University Medical School, Japan 2000 DTM&H, London School of Hygiene and Tropical Medicine, UK 2003 MPH, Johns Hopkins Bloomberg School of Public Health, USA Expertise: Internal Medicine, Infectious Diseases I graduated the MHPE programme in June What did I like most of the programme? The most impressive strengths of this program include generosity for diversity of students with multi-cultural background. Most of the faculty, classmates, and administrative staff members are truly culture-sensitive, supportive and friendly. Their warm responses to my inquiries encouraged me significantly all the time. During the on-campus units, I had a great time to exchange cultures with students I encountered in my class or other classes. These exchanges were both personal and professional. This networking experience has continued since then, and I maintain this global network with those individuals even when I am in my home country at present. Regarding the program itself, I was very impressed with on-campus units in Maastricht. I enjoyed Dutch culture as well as various cultures from my classmates. In addition, I truly liked the instructional designs, like a pebble-in-the-pond style. I was able to learn little by little with certain confidence. All the instructors were very patient for us to discover new things on our own. In distance learning, I was behind the schedule most of the time. Communications via Skype with my classmates and frequent exchanges with our instructors kept me motivated to complete assignments. I am very proud of myself that I was able to obtain the MHPE degree on time within two years. This could never happen without this supportive learning environment. The MHPE program brought me to a new horizon in my career. I am a clinician in infectious diseases. I have loved teaching and learning for a long time. The expertise in medical education has further encouraged me to continue on research projects that I got involved in at present. I never thought about this when I entered the program. I believe, however, that this instructional design itself worked so well for me that I was motivated to continue more. 11

12 My greatest gratitude to the MHPE program, faculty, staff, and classmates I would like to express my greatest gratitude to the MHPE program faculty, staff, and friends from all over the world. I did experience transformation through this program. This program is truly valuable for all teachers in medical field. I can strongly recommend this to those who are interested in learning medical education. Leading in Learning is my favourite mission of this program. 12

13 Claudia Ehlers I am Claudia Ehlers from Germany. I graduated the MHPE programme in June What did you like most of the programme? Our group of students was excellent and I enjoyed being with students from all over the world. We learned a lot... Having the chance of working, celebrating, learning, communicating and just being together with students of diverse nationalities and backgrounds helped me to value experiences of all varieties. And: I do appraise my studies on my way becoming an expert of Medical Education. Working in Uganda while applying for the MHPE-Programme, my motivation was to build up a Low Vision Training in East-Africa. Unfortunately, due to new priorities within my company the vision stopped. Although... Maybe in future my dream still becomes reality? I am designing how to improve parts of the training. One of the projects is about improving the practical training in the final year of studies with a mentorship programme. It is based on what I have learned within my MHPE-course. It includes a study guide of modern assessment approaches. If you want to learn more about it, come to the AMEE conference in Lyon, I will present a poster! - And: I am happy that most probably Maastricht University is coming to Jena for some initial training sessions for this mentorship programme. So, I came back to my home-country in 2009 and trained students of orthopaedics. I really enjoyed the work itself, teaching students is a nice profession! Sadly, the working climate was unacceptable, so I had to look for a new challenge. The MHPE-Programme with its excellent training offers various kinds of new possibilities. One of the MHPE-Units is a group assignment to improve a fictive medical training programme and our dream team of five students worked hard, had fun and came to superior results. This work inspired me to think about working in a medical faculty improving on the quality of studies. When the medical faculty of Jena was looking for a Medical Educator I applied. One of the real advantages of studying in Maastricht: You are pushed to learn with challenging assignments, they often focus on your current situation and you usually get constructive feedback and: You always can contact them for support. Even, if you have finished. 13

14 René Claassen My name is René Claassen, 40 years old. I am living in the South of the Netherlands. Originally I worked as an intensive care nurse and since 2004 as a teacher in nursing at The Zuyd University of Applied sciences. Besides that I am working as a researcher for the research centre for Technology in Care. I graduated the MHPE programme in June What did you like most of the programme? I was able to apply my new gained knowledge in to teaching practice. The content of the program was very applicable in real life. As an example, the content of the program was very helpful when I worked on new instructional design of the nursing teaching program. The MHPE program stimulated me to be innovative in teaching. The MHPE program made me able to underpin insights about the curriculum. Colleagues appreciated that and they were willing to use my insights. I learned how I could support the organisation of the nursing school on a tactic level. And of course, I met many inspiring teachers in the field of healthcare, from over the whole world. Sometimes it is hard to follow a course like the MHPE, which is a mostly distance-based course. Nevertheless, when having a good peer, and by using the network of the MHPE, you will survive and you will become a good educational scientist. 14

15 Melissa Nothnagle My name is Melissa Nothnagle. I am a U.S. family physician. I graduated the MHPE programme in June What did you like most of the programme? Perhaps the most important fact is that the MHPE ushered me into an incredible community of health professions educators from around the world. Through our struggles and celebrations in the MHPE, my 22 classmates (from 6 continents!) forged lifelong connections that are an ongoing source of support, creativity, friendship and inspiration. The MHPE program supported and prepared me to take on educational leadership roles. I hoped that the experience would support my career development in academic medicine, and in fact it changed my career in ways I could not have anticipated. The program gave me valuable skills in teaching, curriculum design, assessment, program evaluation and educational research. As a faculty member at the Alpert Medical School of Brown University, I was promoted this year to Associate Professor based on my successful record of publications in medical education. In addition I am now Director of the Family Medicine Residency at Brown, a three year postgraduate training program with 39 residents. 15

16 Nouf Sulaiman Al Harbi My name is Nouf Sulaiman Al Harbi. I am from Saudi Arabia and I was awarded a scholarship to pursue a master and a PhD in the field of Health Professions Education. I chose the Maastricht University because of its reputation and because it offers learning opportunities in a practical way. I graduated the MHPE programme in What did you like most of the programme? Studying MHPE was challenging but the support of the working team had made the experience easier. I admired the easy communication easy access strategy adapted nearly by all the faculty members. In addition, I learned a lot from working with different colleagues from different parts of the world. I am now more open to differences and I realize the importance of communicating with every team member and the importance of focusing on our work and not our differences. I have to admit that each personality and each culture had brought something different to the table and that enriched me one a way or another. I am really thankful for that. I ve gained a deeper insight about myself as a learner while studying MHPE. I ve been spoon-fed while studying my whole life and it was really a different eye-opening experience to start learning like an adult. I was lucky enough to spend two wonderful years in Maastricht while studying the master. During which, I enjoyed the kindness and hospitality of the Dutch people. I think Maastricht is a place that can help you skip the world for a while and find your inner peace. You will do so with the company of nice people, lovely weather, and amazing food and breathtaking nature. 16

17 Noof Khalid Al Baz My name is Noof Khalid Al Baz, a 32 years old female from Kingdom of Saudi Arabia. I graduated the MHPE programme in What did you like most of the programme? What I like most of the MHPE program is its comprehensiveness in term of its content. On the other hand, it gave me the opportunity to meet different colleagues from various countries and background. That enriched my experience and adds to me a lot. During my study (two years) at the MHPE program, my experience and knowledge expanded, and it exposed me to the theory and practice of most innovative concepts in Medical Education under close supervision of experts and distinguished faculty in the field. Following graduation, I resumed my work at King Saud bin Abdulaziz University for Health Sciences in the Department for Medical Education. During this period I performed a number of tasks in different units, such as coordinating and participating in workshops under the Faculty Enhancement Unit, and becoming an active member in a task force team that was responsible for developing and implementing a mentorship and portfolios program in the College of Medicine under the Assessment Unit. This program was well received by both mentors and students. Under the same unit I was assigned to develop the educational portfolio for the medical internship program. Moreover, as for the Evaluation Unit I participated in reviewing the policy and procedure of evaluating the medical curriculum. Finally, I would like to thank everyone who made me feel at home during my stay in Maastricht and guided me during my studying years. Especial thanks to my mentor Marjan Govaerts. 17

18 Widyandana My name is Dr. Widyandana, MHPE, PhD. from Indonesia. Staff in the Department of Medical Education and Skills Lab Fac. of Medicine, Gadjah Mada University, Indonesia. Alumni MHPE 2007, and PhD in Medical Education UM I graduated the MHPE programme in June What did you like most of the programme? This is a very unique program, we called picnic program. The students really have to survive in a self directed learning environment, such as; working hard in their institutions, finishing assignments, and submitting the assignments on time. However, we all realize with this system we can really apply what we got from MHPE program, and implement it to our own institution directly. We also realize that, during the course, our peers and supervisors gave constructive feedback that guided us to learn more. And, during direct meetings in SHE UM, Maastricht NL, we were so happy to get to know each other personally, and meet people from all over the world. It s such an international environment that it might be difficult to compare it with other master programs. Furthermore, even though we only met for a short time (a month) we were very close, familiar like a family. Even after graduating we still keep in contact with each other via internet, wow so special...!!! This program is very impressive. It was able to give me a clear picture about medical education, and gave me a very nice experience in joining an international master program. And, I realize that this program was able to give me a strong basis to continue my study into a PhD program, and finish it fast, 3 years and 10 months. It would be nice if the alumni also have opportunity to give feedback on MHPE student s assignments, and helping supervising thesis, etc. I think it will make the program stronger. 18

19 Poh-Sun Goh My name is Poh-Sun Goh from Singapore. I am a clinical radiologist, practicing as a senior consultant in the radiology department, National University Hospital in Singapore. I graduated the MHPE programme in June What did you like most of the programme? I signed up for the MHPE program in Maastricht after becoming convinced of the necessity of formal training as a medical educator, after attending the AMEE meeting in I choose the MHPE program because it is arguably the best, and most highly regarded academic program in this field by reputation. My experience during the MHPE program (2009 to 2012) has been the most intellectually stimulating, and professionally rewarding period of my career. The academic/teaching staffs at Maastricht SHE are enthusiastic, dedicated teachers, educational practitioners, and learning educational researchers. My fellow students are wonderful, culturally diverse group from all over the world. The Maastricht program is characterized by evidence based education, with both a practice / practical skill orientation, and also providing a rigorous academic foundation, which gives graduates of the program good preparation, and the possibility to move on to a PhD. I found that a deep appreciation of the fundamentals of learning, and understanding the principles of best practice in delivering educational programs not only benefits our students, but makes us much better learners ourselves. I have found my clinical radiology skills have improved exponentially over the course of the MHPE program; particularly since I developed a deep interest in the topic of "deliberate practice" in training for mastery and excellence; and in evaluating different strategies for improving the efficiency and effectiveness of teaching and learning radiology. My confidence in applying educational principles in teaching, designing residency programs, speaking on educational topics in symposia and workshops, and starting the journey as an educational scholar have greatly increased. My deep enjoyment of clinical practice and participation in teaching activities has also increased significantly. 19

20 The key contributing factor has been the conscious attempt throughout the MHPE program to integrate the learning activities and MHPE unit assignments very closely with what I am actually doing on a day to day basis as a clinical radiologist. Total engagement with the course material and regular systematic maximum effort on the assignments has brought about great benefits. I constantly share with everyone I meet that the MHPE program is one of the three best things I have ever undertaken in life; and would do it all over again without hesitation. Am looking forward greatly to continuing the journey of discovery while developing a PhD proposal. 20

21 Elsie Kiguli-Malwadde My name is Elsie Kiguli-Malwadde from Kampala, Uganda. I completed my MHPE programme in I am a radiologist; when I completed my Radiology training I was appointed a lecturer in the Department of Radiology, Makerere University. When I started teaching students I taught like I had always been taught. However, I always desired to be a trained teacher and to give my students more than what I had gotten. As time went on I became the Head of Department of Radiology. An opportunity came for me when I was asked to join the curriculum committee at a time when the medical school was contemplating a curriculum change. I was a senior lecturer but I knew very little about education. Joining this committee increased my desire to learn more and also exposed me to a new field. I applied for a fellowship at the Foundation for the Advancement of International Medical Education and Research (FAIMER) in Philadelphia USA. In the mean time I was interfacing a lot with the lecturers from Maastricht University and learning a lot from them. They were working on a project on Curriculum Development at Makerere University. I got inspired and applied to join the MHPE programme. I graduated the MHPE programme in June What did you like most of the programme? This programme was a great eye opener to me, I learnt about how people learn, curriculum development, teaching methods, assessment, medical education research and many other topics. What I liked most about this programme is that it was a distance programme and so gave me flexibility to continue working as I pursued the course and also it was hands on. I was able to integrate what I was learning with my work as a lecturer and I found this very interesting and beneficial. It was also a very well planned programme, in that you knew exactly what was expected of you, it was outcome based. This programme has changed my career around, not only am I a trained medical teacher but I have been able to publish medical research papers. It has given me an opportunity to do work outside just Radiology and I have influenced the way training is done at Makerere University, and Uganda as a whole. It has propelled me to regional and international level. 21

22 Am now working as the Director of the Coordinating Centre for Medical Education Partnership initiative (MEPI) which is a US funded project to 13 medical schools in Sub Saharan Africa aimed at improving medical education in the region, improving locally relevant research and also increasing the numbers of Health workers in the region and retaining them where they are most needed. Through my work I have been to many African Institutions and have met many likeminded people who are interested in developing Medical Education. I believe that every medical teacher needs training, not necessarily to the level of a master but at least some courses so as to train health workers properly. Health professions education is very important if we are to improve health in Africa and globally. I want to thank all my teachers at Maastricht University. It was a great opportunity to be taught by such distinguished men and women. 22

23 Mora Claramita My name is Mora from Indonesia and I joined MHPE Program in I was with a world-wide batch of MHPE program which consist of students from around the world! Nik from Malaysia, Dujeepa from Nepal, Marcellina from Canada, Carol from Kenya, Madan from Guyana (though he just with us for one year), Michael from Denmark, Claudia from Switzerland, Hoa and Ngan from Vietnam, Nenita from The Philippines, Maria from Mexico and Ineke from The Netherlands. I was lucky to find another family. We sat on the sofa in front of the television and discussed things ( including Problem Based Learning); everyday, for six weeks. O yeah, on 2002, part of MHPE program that was held in Maastricht University was still in winter. You can imagine how we chat during a winter evening It was so warm in thick sweaters near a heater (well, a small studenthouse has no fireplace of course). We had been enjoying how white snow fell down from behind our window, from inside, with cups of coffee and tea and traditional sweets on the table...hhmm...right after a wonderful dinner served by one of our friends. So most of those days, we had a very special dinner with all around the world menu! What a life! I graduated the MHPE programme in It should be in 2004 but I was expecting my first baby, and I preferred to submit a manuscript instead of presenting my thesis. Luckily, the manuscript was accepted for publication. Three years afterward, I got an incentive from my university for this paper that had been published in an international journal. So, benefit from MHPE continues. What did you like most of the programme? One of the most fundamental secrets of the MHPE program I think is how it promotes high self directed learning. It gives us a certain task with a certain target and shows us the variation of ways to do it in a certain time. So during the time, we can do as many things as we want to full fill the tasks. What we want will be taken care of by very special comments that make us think further and then promote us to decide by our own wisdom. This secret has made the MHPE a wonderful program, hasn t it? It changes thinking and so it changes people! I wish many more health professionals join this program which is now opens in many centres. This program had indeed helped its fellows to be better health professionals for their students, and finally it helps patients. However, life goes on with good and bad stories. When the certificate of MHPE program was sent to my home in Yogyakarta, Indonesia, in February 2005, I received it; I read the title of the degree: Cum Laude and I cried in happiness and sadness at the same time. Why, because nobody celebrated that moment. My family were still in a mourning 23

24 stage of the lost of my one and only brother and almost at the same time my family in law, in Banda Aceh, were impacted by the Tsunami. My husband was still finishing his PhD program in Japan, so it was a rather hard and lonely moment in my life. Moreover, I had no established working status at my university, because medical education had not yet been recognized. I was working at the Skills Lab and doing secretarial work. My MHPE friends in the same batch knew this story and they kept the spirit for me and made me stronger. Today I am an Associate Professor in Medical Education at Gadjah Mada University, I just finished my PhD and I see many opportunities to contribute for better medical education in the future, Insya-Allah. If I look back to the time I was in the MHPE program, I realize that the skills, knowledge and professionalism I gain every day is so much influenced by the MHPE program. The way teachers invited us for a dinner in their home, had opened my view for studentteacher relationship in which should be of similar equity to doctor-patient relationship; a topic that I had studied for many-many years that resulted from a feedback-session with a simulated patient during the MHPE program. The way teachers provided feedback to our assignments was very detail, and promoted deep reflection to literature as well as experiences. It may sound simple, but I think MHPE assignments are really sharpening our reflection skills and these are foundations for better learning. If somebody asked me what has the program brought you? It brought me better learning a better world! Happy 20th Anniversary MHPE Program Maastricht University! Mora Claramita, MD, MHPE, PhD. 24

25 Rachmadya Nur Hidayah My name is Rachmadya Nur Hidayah, from Indonesia. I graduated the MHPE programme in June What did you like most of the programme? Collaborative and self-directed learning are what I liked most of this programme. The MHPE programme has encouraged me to learn about medical education and brought new perspective on how I could apply it in my institution. The collaborative learning motivated me to work with my colleagues; either from the same country or abroad. It helped me to broaden my view on this field. The distance learning format promoted selfdirected learning; thus I know how it feels as students when we expected to do so. I hope I will be able to strive for better medical education in my institution after finishing my MHPE. The teachers were inspiring, the staffs were helpful, and it was a really great experience learning in MHPE programme. Thank you SHE! 25

26 Maria Guadalupe Pina Navarro My name is Maria Guadalupe Pina Navarro from Mexico, Monterrey NL. I graduated the MHPE programme in A little bit later then I planned! What did you like most of the programme? I love the internationality of the program, share experiences with people from the whole world, learn from each other and being in the most updated program in professional education. Learn a new perspective in education, be open minded about new strategies, open my road in my medical education profession, meet great people like the staff of the MHPE who always supported me when I needed it. Also getting to know a great human being as Jan van Dalen and the rest of the teachers. My MHPE group of students were the first with Jan as a director; we developed a sense of bond, an identity between us. At the end of the second year for the good-bye party we composed a song with the rhythm of La Bamba, where we talked about our experience in Maastricht and with our professors (always respectfully) and that was great!! Still get in touch through our web connection. Thank you Maastricht for such a wonderful time!! A big hug Maria from Mexico! 26

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