ESPE2023 Poster Category 1 Multisystem Endocrine Disorders (28 abstracts)
Development and implementation of a Pediatric Endocrinology Education Program in Francophone Africa(In French: Programme de formation en Endocrinologie et Diabètologie Pédiatrique pour l’Afrique subsaharienne Francophone [PEDAF])
Babacar Niang 1 , Djibril Boiro 1 , Patricia Bretones 2 , Adèle Chetcha Bodieu 3 , Carine de Beaufort 4 , Asmahane Ladjouze 5 , Juliane Léger 6 , Ritha Mbono Betoko 3 , Steve Vassili Missambou Mandilou 7 , Suzanne Sap Ngo Um 3 , Julia von Oettingen 8 & Jean-Pierre Chanoine 9
1University of Dakar, Dakar, Senegal. 2Hôpital Femme Mère Enfant, Lyon, France. 3University of Yaounde, Yaounde, Cameroon. 4Centre Hospitalier de Luxembourg, Luxembourg, Luxembourg. 5CHU Bab El Oued, Algiers, Algeria. 6Hôpital Universitaire Robert Debré, Paris, France. 7Teaching Hospital of Brazzaville, Brazzaville, Congo. 8McGill University Health Center, Montreal, Canada. 9University of British Columbia, Vancouver, Canada
Introduction: Non-communicable diseases are recognized as a major cause of morbidity in low and middle-income countries (LMICs). There are 21 francophone countries (>100 million speak French) in Sub-Saharan Africa (FSSA). We identified only 19 pediatric endocrinologists in FSSA (37% in Cameroon and Senegal) mostly trained in France or through the successful anglophone “Paediatric Endocrine Training Centers for (West) Africa” (PETC[W]A) offered in Nairobi and Lagos by ASPAE, ISPAD, ESPE, as well as adult endocrinologists and several general practitioners and pediatricians with an interest in diabetes. 11/21 countries had no pediatric endocrinologist.
Objectives: To build capacity in pediatric endocrinology and diabetes in FSSA through a Master program.
Methods: African and International partners were involved in the design of the curriculum. Monthly meetings took place since June 2020 to develop a program recognized by the “Conseil Africain et Malgache pour l’Enseignement Supérieur” (www.lecames.org), which offers international and mutual recognition of a medical specialty. We critically reviewed the PETC[W]A program. Funding proposals were successfully submitted to international foundations (EKFS, WDF) and organizations (LFAC, CDiC).
Results: We first organized a 2-month, introductory, free, virtual, “prerequisite program” for all health professionals, prior to the Master program. The first edition (May-June 2022) was attended by 95 physicians and allied health professionals from 17 countries. For the Master, we decided for a hybrid 50% virtual and 50% in person, 2-year program to increase flexibility, decrease travel/cost while offering appropriate clinical experience. A full curriculum was developed with emphasis of LMICs needs. Two francophone training centres (U Dakar, Senegal and U Yaoundé, Cameroun) were chosen based on safety and political stability and on the presence of a university hospital offering a pediatric clinic in endocrinology and diabetes. Master candidates were selected among pediatricians and adult endocrinologists based on the CV, results of the “prerequisite” test and plans to develop a pediatric diabetes and endocrinology centre at home following Master completion. Eight Master candidates from 8 countries were selected among 22 applications and started the first 6 months (virtual) of the Master program in October 2022. All topics are jointly taught by African and International colleagues. In-kind support for an IT platform was provided by the “Université Numérique Francophone Mondiale” (www.unfm.org).
Conclusions: Regional conceptualization and international collaborations are key to implementing post-graduate training programs in pediatric endocrinology. Outcome evaluation will assess the long-term sustainability and effect on regional and national pediatric endocrine capacity.
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