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Medicine Grand Rounds - Human Resources for Health in Rwanda: Collaboration to Build Health Care Capacity

The presenters describe the Rwanda HRH program, an innovative approach to healthcare workforce development on a national scale in a resource limited setting. They review the novel features of the initiative, including a high level of coordination, comprehensive scope, substantial commitment by a consortium of U.S. academic institutions, and a unique funding approach with funds distribution, management, and accountability resting within the Rwandan government. The outcomes and lessons learned are described, and The Geisel School of Medicine’s approach to engagement, faculty recruitment, and continued partnership is presented as a model for success.

Activity Details

Start Date: February 22, 2019
End Date: February 22, 2021

You may claim CME credit for successful completion of this online course. In order to claim credit, you must follow these steps:

  1. Register for the learning activity by creating an account or logging in to your account.
  2. Click Continue to navigate to the Activity Material tab. Click View Presentation to view the recording.
  3. Return to this Activity page.
  4. Click Continue to navigate to the Evaluation tab; then click the Launch button to start the evaluation.
  5. Complete and Submit the evaluation and attestation form.

When the evaluation is submitted, you will be awarded credit. You may access your transcript for verification of participation at any time via Your Account. Need help? Visit the Support Page, send an Email, or call the Center for Learning and Professional Development at (603) 653-1234, Option 1.

  • Steven Bensen, MD
    Associate Professor of Medicine, Geisel School of Medicine
    Visiting Professor of Internal Medicine, University of Rwanda (2014-15)

    Dr. Steven Bensen served as a visiting Professor at the University of Rwanda through the HRH from 2014-15. He co-founded the Rwanda Society of Endoscopy, developed the GI-Hepatology curriculum for the University of Rwanda Internal Medicine residency, and helped create a bilateral exchange program between UR and Dartmouth. He is Co-Director of the annual Rwanda Society of Endoscopy Week, and has led large international teams of medical professionals providing direct patient care and endoscopic training across Rwanda.  He has helped develop and promote a Gastroenterology-Hepatology Fellowship for the University of Rwanda, which is the first subspecialty training program in the country and second GI training program in sub-Saharan Africa.
  • Mary Chamberlin, MD
    Associate Professor of Medicine, Geisel School of Medicine
    Oncology Education Advisor, Partners in Health in Rwanda

    Dr. Mary Chamberlin participated in the Rwanda HRH Program as a visiting faculty member in 2015. She is an Oncology Education Advisor for the NGO Partners In Health in Rwanda, an adult oncology consultant for the Oncology Staff Training and Development Committee at the Butaro Cancer Center, and Director of the DHMC Global Oncology Elective in Rwanda.
  • Kelly Kieffer, MD
    Assistant Professor of Medicine, Geisel School of Medicine
    Vice Chair for Education, Department of Medicine
    Dartmouth-Hitchcock Medical Center

    Dr. Kelly Kieffer spent a year working at the Rwanda Military Hospital as a member of the HRH faculty in 2013-2014, serving as Associate to the Head of the Department of Medicine at the University of Rwanda. In partnership with Dr. Bensen and colleagues from HRH and the University of Rwanda, she developed a visiting elective in general and subspecialty internal medicine at DHMC for University of Rwanda postgraduate students, serves as faculty sponsor for the elective, and facilitates reciprocal clinical elective opportunities in Rwanda for DHMC residents.
Learning Outcome

Participants will be able to describe the purpose and outcomes of the Human Resources for Health (HRH) program in Rwanda, recognize the impact of institutional and individual engagement in health professions education, and appreciate the power of clinical and professional partnership in resource limited settings.


Dartmouth-Hitchcock is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.

Dartmouth-Hitchcock designates this enduring material for a maximum of 1 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Requirements for Successful Completion

In order to receive credit for this Continuing Medical Education (CME) activity, you must:

  • View the entire presentation
  • Complete the online Attestation of Attendance & Evaluation Form (you must register to access).

In accordance with the disclosure policy of Dartmouth-Hitchcock/Geisel School of Medicine at Dartmouth as well as standards set forth by the Accreditation Council on Continuing Medical Education and the Nursing Continuing Education Council standards set forth by the American Nurses Credentialing Center Commission on Accreditation, continuing medical education and nursing education activity director(s), planning committee member(s), speaker(s), author(s) or anyone in a position to control the content have been asked to disclose any financial relationship* they have to a commercial interest (any entity producing, marketing, re-selling, or distributing health care goods or services consumed by, or used on patients). Such disclosure is not intended to suggest or condone bias in any presentation, but is elicited to provide participants with information that might be of potential importance to their evaluation of a given activity.

The following Activity Physician Director(s), planning committee member(s), speaker(s), author(s) or anyone in a position to control the content for Human Resources for Health in Rwanda: Collaboration to Build Health Care Capacity (Medicine Grand Rounds) have reported the following financial interest or relationship* with various companies/organizations. Drs. Bensen and Chamberlin have reported no conflicts of interest. The Activity Director and Planning Committee member roles were resolved by altering the individual’s control over content about the products or services of the commercial interest by the Associate Dean for CME and the Department of Medicine Chair. All potential conflict(s) were resolved.

* Kelly Kieffer, MD ~ her spouse is a consultant for OcculoBio. 

* Richard I. Rothstein, MD ~ has research support from Baranova (research grant to Dartmouth-Hitchcock Medical Center) and has other financial interest from Allurion. 

Other planning committee member(s), speaker(s), activity director(s), author(s) or anyone in a position to control the content for this program report no financial interest or relationship* with any company(ies) or organizations whose product may be germane to the content of their presentations.

*A “financial interest or relationship" refers to an equity position, receipt of royalties, consultantship, funding by a research grant, receiving honoraria for educational services elsewhere, or to any other relationship to a company that provides sufficient reason for disclosure, in keeping with the spirit of the stated policy.

Provider Contact Information

Provider contact information for questions regarding accreditation of the activity:

Center for Learning and Professional Development
Dartmouth-Hitchcock Medical Center

Type:     Internet Activity (Enduring Material)
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