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PLoS One. 2015 Mar 23;10(3):e0119798. doi: 10.1371/journal.pone.0119798. eCollection 2015.

The effect of a bidirectional exchange on faculty and institutional development in a global health collaboration.

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Division of General Internal Medicine and Primary Care at Brigham and Women's Hospital, Boston, Massachusetts, United States of America; Medicine at Harvard Medical School, Boston, Massachusetts, United States of America; District Clinical Advisor with Partners in Health, Butaro, Rwanda.
University of Maryland Medical Center, Baltimore, Maryland, United States of America.
J. Solomon Consulting, LLC, Mountain View, California, United States of America.
Department of Medicine, College of Health Sciences, Makerere University, Kampala, Uganda.
Department of Medicine, Yale School of Medicine, New Haven, Connecticut, United States of America.



The MUYU Collaboration is a partnership between Mulago Hospital-Makerere University College of Health Sciences (M-MakCHS), in Kampala, Uganda, and the Yale University School of Medicine. The program allows Ugandan junior faculty to receive up to 1 year of subspecialty training within the Yale hospital system. The authors performed a qualitative study to assess the effects of this program on participants, as well as on M-MakCHS as an institution.


Data was collected via semi-structured interviews with exchange participants. Eight participants (67% of those eligible as of 4/2012) completed interviews. Study authors performed data analysis using standard qualitative data analysis techniques.


Analysis revealed themes addressing the benefits, difficulties, and opportunities for improvement of the program. Interviewees described the main benefit of the program as its effect on their fund of knowledge. Participants also described positive effects on their clinical practice and on medical education at M-MakCHS. Most respondents cited financial issues as the primary difficulty of participation. Post-participation difficulties included resource limitations and confronting longstanding institutional and cultural habits. Suggestions for programmatic improvement included expansion of the program, ensuring appropriate management of pre-departure expectations, and refinement of program mentoring structures. Participants also voiced interest in expanding post-exchange programming to ensure both the use of and the maintenance of new capacity.


The MUYU Collaboration has benefitted both program participants and M-MakCHS, though these benefits remain difficult to quantify. This study supports the assertion that resource-poor to resource-rich exchanges have the potential to provide significant benefits to the resource-poor partner.

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