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Family Medicine Training Program
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The old Soviet health care system proved unsustainable to the newly
independent countries of the former USSR. STLI Family Medicine consultants began working with
the post-graduate training division of the Ministry of Health in the mid-90s to help develop
and carry out a strategic plan to strengthen primary care services throughout the country,
with the goal of improving quality and decreasing costs.
Through a series of intense one-year “training of trainers” (TOT) courses,
71 Kyrgyz doctors graduated as teachers of FM and went on to retrain nearly
all of Kyrgyzstan’s 2700 primary care physicians. The TOT graduates also established
a 2-year family medicine residency program in Kyrgyzstan which has graduated over 250 residents.
In addition, the TOT courses trained over 50 FM teachers from Kazahkstan,
Tajikistan and Uzbekistan.
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In 2001, STLI consultants played a key role in piloting a new system of continuing medical education (CME) for
practicing family physicians and nurses which has now been officially approved by the Ministry of Health for
country-wide implementation in all medical specialties. Also in 2001, STLI helped introduce a system of
clinic-level continuous quality improvement (CQI). These processes, which aim to improve the quality of
services delivered by primary healthcare providers, are now being coordinated by the professional
association of family physicians in more than 350 clinics throughout Kyrgyzstan."
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In addition to their ongoing involvement with CQI, CME, and clinical training of FM residents,
STLI consultants have been integrally involved with implementing computer- and Web-based CME, assisting local
FM trainers to develop courses and a strategy to deliver them. They are also working with a recently established
Evidence-Based Medicine Center, providing “external” reviews of locally-developed clinical practice guidelines.
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Much of the work of STLI FM consultants has been facilitated through a subcontract with Abt Associates, Inc.,
who has managed several USAID-funded, Central Asia-wide health reform projects (Zdrav Reform, ZdravPlus, and ZdravPlus II) and
through collaborative work with a number of other international organizations working in Kyrgyzstan,
including the World Bank, UNICEF, the Swiss Development Corporation/Swiss Red Cross, the
World Health Organization, and others.
Contact us if you'd like to read a detailed
report of the Family Medicine Program.
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Family Medicine|
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Nursing Training |
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