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Title: The urgent need for Health Care Education in Middle East New Models of border crossing Public - Private - Partnerships


1
The urgent need for Health Care Education in
Middle East New Models of border crossing
Public - Private - Partnerships
  • 1st German Arab Health Care Forum Berlin,
  • Wednesday, 13th of December 2006
  • Prof. Dr. Dr.h.c. Fried Oelschlegel
  • Saudi German Hospitals Group

2
Healthcare workforces in Middle East
  • In Middle East 85 90 of Health Care
    Professionals are Expatriates.
  • Majority from underdeveloped countries ( cheap
    unpretentious ).
  • Increasing number of medical staff from 3rd and
    4th development countries as Egypt, India,
    Pakistan, South Africa, Philippines, Albania,
    Moldavia, Ukraine.
  • Insufficient teaching conditions at governmental
    Universities.
  • Lack of international standards Lack of control.
  • Expected annual growth of population is three
    times higher than the growth of studying places.
  • The number of Health Care Professionals per 1000
    population in Middle East to Europe and USA is
    lower 6-7 times and 3 times lower to the world
    average The gap between supply and demand will
    get bigger.
  • The expansion of Health Care Services and
    Education is becoming a top priority for the
    National Health Care Systems in Middle East
    Africa

3
MENA Universities Cash cows ?High fees low
quality
  • Old curricula, uncontrolled and not updated, no
    front teaching , no fare of practice, low social
    acceptance weak reputation of academic staff.
  • No any clinical, experimental or applicable
    medical research.
  • No cooperation with medical pharmaceutical
    industry.
  • No cooperation with leading medical centres of
    the world.
  • No organized scientific life or approaches.
  • Insufficient study conditions for students.
  • Financial hurdles limitations of access by
    increasing study fees.

4
WHO Statistics
5
Health Workers Classification
WHO
6
Global Health Workforce, by density
WHO
5-6 times less than Europe or USA
A quick screening shows that the Middle East
region indicators are 2 to 3 times below the
average than the rest of the world.
7
Distribution of Health Care forces
WHO
25 of all diseases, 2,3 HW per 1000 population
9,2 of all, diseases 4,0 HW per 1000
8
Increasing Critical Shortage
WHO
9
100 more staff is needed
WHO
Middle East needs app. 100 more medical staff
to leave the Level of a critical shortage and
400 more to reach the European Standard.
10
The number of students has to be doubled
WHO
Table 1.4 Numbers of Medical Schools in the
Middle East
Country Number of Medical Schools
Iran 46
Egypt 16
Iraq 10
Kingdom of Saudi Arabia 6
Lebanon 5
Syria 3
United Arab Of Emirates 3
Oman 2
Yemen 2
Bahrain 1
Kuwait 1
TOTAL 95
11
The market players
  • Global demand for international higher education
    is estimated to increase from 1.9 million
    students in 2006 to 5.4 million students by
    2025.
  • 21 billion USD is the current volume of private
    education in Middle East North Africa.

Yousef Al Essa, General Manager, Addax Investment
Bank 02.04.06
  • USA, UK, Australia are the major competitors
    for the private education market.
  • Other players such as New Zealand, Singapore and
    Canada are also becoming more active.
  • Germany is represented on the markets with
    minimized capacities at Egypt, Lebanon, Jordan
    without German Institutions for Medical Education.

12
This day has changed the world....
13
There was also a dramatic decrease in the number
of students from Arab countries
  • The 30,000 Saudi students in 2004/2005 indicated
    again a 14 decrease the year before ( 2003 )
    the number of students decreased 16 to 2002.The
    number of students from the United Arab Emirates
    also decreased again by 7 in 2004/2005 in
    comparison to 30 in 2003/2004, with a total
    number of 1200 students. The number of Kuwaiti
    students decreased by 7 in 2004-2005, in
    comparison to 17 in 2003-2004, when there were
    1720 students. The number of Jordanian students
    decreased by 5 compared to 15 during the
    previous years. As for Egyptian students, the
    number dropped by 14 to 1575 students.
  • There are few indications that the number of Arab
    students will increase again in the United States
    and this depends on security matters. The same,
    however, applies to the American students who
    intend on traveling to the Middle East to learn
    Arabic.

14
To find a lasting answer on the challenges of the
present and future
  • It needs
  • Touchable Capacities
  • the required facilities of education ( KG, high
    schools, secondary
  • schools, universities ) in the required
    volume ( to double the capacities
  • immediately and then annually 3.5 (
    population growth ).
  • Infra Structures
  • Balanced Interfaces between the educational
    institutions.
  • Unrestricted access for students independent
    of gender financial
  • situation of student parents.
  • Implemented and controlled international
    standards of educational quality
  • a new definition of Academics Lectures.
  • International approved and accredited
    curricula.
  • Exchange programs for teacher and students.
  • Cooperation with medical pharmaceutical
    industry.
  • Implementation of Medical Research.

15
difficult topics..
  • Segregation of male and female students depends
    of regional traditions and culture.
  • Sharia compliance academic culture.
  • Implementation of Medical Research ( clinical,
    experimental applicable ).
  • Cooperation with other Universities and Medical
    Centre abroad.
  • The Wilhelm von Humboldt Approach Theoria cum
    Praxi needs the new type of teacher clinicians
    researcher teacher .
  • Considering of Teaching Hospitals as Centre
    of Medical Excellence and host for advanced
    quality ( its an honor to become a teaching
    hospital ).
  • Necessity and personal obligation of continuously
    further education and acceptance of organized
    recertification procedures.
  • A lived ethical value system.
  • To attract servant / assisting professions
    e.g. Nursing for Nationals.

16
UAE - to be aware of the needs
  • ...all our social systems are currently
    undergoing a comprehensive review in terms of
    their philosophy, objectives, laws, and
    methodologies.
  • Regarding the educational system, we have indeed
    started implementing measures to introduce
    structural changes that will modernize and update
    the educational structure, enabling it to respond
    to the requirements of the stage while
    strengthening the role of knowledge and human
    capital in economic and societal development, and
    promoting individual skills and capabilities.
  • The reforms also aim to fortify the relationship
    between the educational process and the
    developmental, security, and demographic needs,
    in order to create the appropriate atmosphere for
    producing a productive human being who is proud
    of his identity and able to give and effectively
    contribute to the making of the future.

The President of the UAE, Sheikh Khalifa Bin
Zayed al Nahyan during an interview with Asharq
Al Awsat's 25th November 2006
17
New model of border crossing
Public - Private Partnership in Medical
Education
18
The BAB Group
  • The Bait Al Batterjee Medical Company (BAB) is
    the largest healthcare company in the Middle
    East, and operates its hospitals under the Saudi
    German Hospitals Group (SGHG) brand name.
  • Presently, it is operating four hospitals in the
    Kingdom of Saudi Arabia (Jeddah, Aseer, Madinah
    and Riyadh), and a fifth hospital in Yemen (
    Sanaa ) as well with all together 1600 hospital
    beds .
  • Further 13 hospitals in Egypt, UAE, Kuwait,
    Nigeria, Ethiopia and Pakistan are under
    construction, or in a final stage of construction
    planning.
  • By the year 2015, the group intends to manage
    over 30 hospitals throughout the Middle East and
    Africa.
  • The Group has employed 5,200 professionals from
    26 countries ( of them are about 500 physicians
    and surgeons, 1,500 nurses and a similar number
    of technologists and other support staff)
  • All hospitals are multidisciplinary structured,
    ISO certificated and on the highest level of IT
    applications ( paper-and film less ).

19
BAB Group Organization Chart
20
Education more than business
The Bait Al Batterjee Group as owner of the brand
SGHG got the approval to establish five private
medical colleges in the Kingdom of Saudi Arabia
each of them with 4000 students. Beside other
activities in medical education as the
established 5 Schools for Nursing and Allied
Health Sciences ( SGNA ) with 800 students at
present, the Batterjee Medical Colleges (BMC)
will fulfill all international standards of
advanced medical education. The first colleges
in Jeddah has started with education eight weeks
before.
21
BMC Mission
To be the regional leader in providing
educational and vocational training opportunities
of the highest quality in medical, nursing and
allied health sciences that are comparable to
international standards. Through the assistance
of highly qualified faculties, the use of
advanced technology and the guidance of community
leaders, our graduates will be able top
professionally compete locally and world wide.
And, be effective contributors towards the
advancement of our societies.
22
Pre-requisites Demands
  • Pre-requisites
  • Excellent outstanding position in clinical
    practice, excellent working conditions for
    teacher and students in for teaching designed /
    adapted hospitals, state of art medical devices
    technologies in diagnostic and treatment,
    implemented system of quality control and
    clinical research, a strong network to worldwide
    Centers of Excellence.
  • Demands
  • The outstanding intention and ability to invest
    in quality (of teachers), in quality (of
    students), in quality of international network
    (benchmarks accreditations), in quality of
    working and living conditions (to attract the
    best) for teacher and students, an independent
    International academic advisory board with strong
    ties to the World Federation for Medical
    Education WHO.

23
Essential aims
  • The BMC is planned to
  • Acquire international appreciation through
    quality in teaching.
  • Educate future leaders in Health Care Health
    Care Sciences.
  • Create interdisciplinary synergy.
  • Be research and clinical practice oriented.
  • Be innovative, creative and supporting medical
    talents.
  • Be rich in its resources and to develop
    International Partnerships.
  • Be successful in improving administrative and
    institutional structures.
  • Provide effective communication and collaboration
    networks with its stakeholders.

24
BMC Structure Faculties
Duration of Program years Degree
6 Bachelor of Medicine and Surgery (MBBS)
5 Bachelor of Dentist Surgery (BDS)
5 Bachelor of Pharmacy
4 Bachelor of Nursing
4 Bachelor of Physiotherapy
4 Bachelor of Medical Imaging Technology (Radiology)
4 Bachelor of Laboratory Technology
4 Bachelor of Health Information
4 Bachelor of Health Administration
Board of President Board
of Trustees
Directors Dean Vice -
Dean Vice - Dean Study
Affairs Academic
9 COLLEGES
25
The five BMC approaches
  • ? Continuously Education
  • Diploma Undergraduate (BSc)
    Postgraduate
  • (Master, PhD) Further
    Education ( Re-Certification ).
  • ? Problem focused Education
  • Implementation Reform / Model Curricula.
  • ? Student centralized support
  • ( Mentors/ Tudors/ Housing/ Free
    INTERNET/ 24h Library ).
  • ? Talents Awards
  • Special programs for the best.
  • ? Study Ship
  • Study without headaches and financial
    burdens.

26
Enrolled Students
In 2007 we will start with 1200 students 800 of
SGNA 400 or more with BMC
Number of students / Years 2007 2008 2009 2010 2011 2012 2013 2014
Medicine 120 246 380 507 631 754 777 788
Dentistry 0 80 164 253 332 422 438 446
Pharmacy 0 0 80 164 253 339 422 438
Nursing 120 246 380 507 532 543 543 543
Physiotherapy 120 246 380 507 532 543 543 543
Radiology 0 40 82 127 170 179 183 183
Laboratory 0 0 40 82 127 170 179 183
Healthcare IT 0 0 0 40 82 127 170 179
Healthcare Administration 40 82 127 170 179 183 183 183
TOTAL 400 940 1,633 2,357 2,845 3,260 3,438 3,486
27
Most important ratios
Recommended Ratios
Courses BMC Ratio Students Teacher
Medicine Surgery Dentistry 12 1 15 1
Internship 12 1 15 1
Pharmacy Nursing Physiotherapy Radiology Laboratory Technology 16 1 20 1
Health Care IT Health Care Administration 24 1 30 1
28
BMC International contractual links to medical
schools
United Kingdom
Germany
France
China
Switzerland
Thailand
South Africa
29
International ties with leading Medical Schools
Eberhard Karls University of Tuebingen, Germany
CHARITE Berlin, Germany
Ludwig Maximilian University Munich Germany
German Heart Centre Berlin, Germany
Otto von Guericke University Magdeburg Germany
University for Applied Studies Zwickau Germany
IB Medical Academy Stuttgart, Germany
Nebraska Wesleyan University
University of South Africa Durban
King Abdulaziz University, Jeddah, KSA
World Federation for Medical Education Copenhagen, Denmark
WHO Geneve Switzerland
30
Cross borders PPP
  • Main emphases of our interests and goals till
    2010 are
  • Implementation of education standards ( approved
    and accredited ).
  • Tailoring of curricula ( problem focused teaching
    ).
  • Development of tests and examinations following
    international standards.
  • Installing of a comprehensive system of Quality
    Success control.
  • Establishment of Teaching licenses including
    re-certification program.
  • Student Teachers Exchange Program.
  • Improving the network to German Universities on
    all academic fields.
  • Participation in multi -centric medical research
    studies.

31
PPP in education a sustainable business ?
WIN for BAB Group WIN for German Universities
offering as Saudi - German Group medical education based on standards made in Germany . selling what Germany has Knowledge, Experience, Skills and academic Traditions.
Offering modern teaching programs focused on medical problems in clinical practice. Selling extending practical experience in adapting and tuning of modern teaching methods and ways.
Participation in international multi-centric medical research programs. Extending research fields- especially in genetic diseases stem cell research.
Academic network and exchange program. Attracting students and young scientists for German Universities.
Higher attractive, better position on the market, more better students, higher income ! Higher attractive, better position on the market, more better students, higher income !
32
Our offer to Germany
For future developments, the Bait Al Batterjee
Group is inviting interested Universities, German
Governmental Organizations for Education and the
German medical pharmaceutical industry to
establish STRATEGIC ALLIANCES AND LONG TERM
PUBLIC PRIVATE PARTNERSHIPs with private
educational institutes, medical schools and
universities in Middle East. The urgent needs
and the synergy effects which could generate is
promising a sustainable win-win-business for all
partners. TO BRING THE STRONG ONES TOGETHER is
the key philosophy of the strategic development
of the Saudi German Hospitals Group.
33
Lets remind us ..
  • Gods is the orient
  • Gods is the occident
  • North and southern terrain
  • Rests in the peace of his hands
  • Foolish that each in his personal case
  • His special opinion hold
  • If ISLAM is called devoted to God
  • In ISLAM live and die all of us !

West Eastern Divan 1819
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