Title: The urgent need for Health Care Education in Middle East New Models of border crossing Public - Private - Partnerships
1The 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
3MENA 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.
4WHO Statistics
5Health Workers Classification
WHO
6Global 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.
7Distribution 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
8Increasing Critical Shortage
WHO
9100 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.
10The 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
11The 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.
12This day has changed the world....
13There 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.
14To 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.
15difficult 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.
16UAE - 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
18The 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 ).
19BAB Group Organization Chart
20Education 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.
21BMC 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.
22Pre-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.
23Essential 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.
24BMC 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
25The 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.
26Enrolled 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
27Most 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
28BMC International contractual links to medical
schools
United Kingdom
Germany
France
China
Switzerland
Thailand
South Africa
29International 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
30Cross 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. -
31PPP 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 !
32Our 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.
33Lets 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