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Int J Med Educ. 2017 Jul 24;8:276-282. doi: 10.5116/ijme.595b.b38c.

Pilot study of quality of care training and knowledge in Sub-Saharan African medical schools.

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Global Health Policy and Management, Heller School for Social Policy and Management, Brandeis University, USA.
Roche Pharmaceuticals, Egypt.
Heller School for Social Policy and Management, Brandeis University, USA.
Johns Hopkins School of Public Health, University Research Company, LLC, USA.
Harvard T.H. Chan School of Public Health, USA.



To identify the level of knowledge and competencies related to quality of care during medical education in sub-Saharan African medical schools.


A cross-sectional study design was utilized to examine the capacity of medical schools in sub-Saharan African (SSA) countries to teach about the concepts of quality of care and the inclusion of these concepts in their curriculum. A purposeful convenience sampling technique was used to select participants from 25 medical schools in 5 sub-Saharan African countries. Respondents included medical school deans or senior academic personnel.  A survey was developed using the Institute of Medicine's definition of quality of care as the guiding framework.  Sample means and summary statistics were used to present the results of the survey responses.


While 45% of the schools surveyed are teaching on at least one of the six domains of the Institute of Medicine's definition of quality of care, there are some schools who report not teaching about quality at all, or that they "do not know". Despite these low numbers, when asked about topics related to quality of care, many schools are teaching applied management related topics and almost all schools teach about equity and patient-centered care.


The results have important impacts both for incorporating quality of care into medical education and for practitioners.  The tool developed for this study can be used in future qualitative and quantitative studies to further understanding of how to improve the teaching and learning about quality of care in medical schools. Keywords: quality of care, medical schools, sub-Saharan Africa, medical errors, healthcare improvement.


healthcare improvement; medical errors; medical schools; quality of care; sub-saharan africa

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