Improving the pipeline for pathologists in Botswana

Abstract

Abstract Introduction/Objective In the United States, there are approximately 39 pathologists per one million people. In contrast, there is only one pathologist per one million people in sub-Saharan Africa. This shortage of the pathologist workforce significantly impacts the quality of pathology and laboratory services that can be provided in Botswana. Methods/Case Report Root cause and SWOT analyses consisting of the major stakeholders including government officials and key leadership figures from the training university and national referral laboratories were conducted to identify areas within the training pipeline that can be improved. The educational structure, core competencies, clinical exposure and hands-on training, as well as retention and additional faculty were some of the areas in the pipeline identified for improvement. Results (if a Case Study enter NA) NA Conclusion The collaborative training program between Botswana and South Africa were strengthened and additional clinical training sites were incorporated into the training program. The core competencies required of residents were reviewed and additional resources were provided to current residents. The collaboration between Botswana and South Africa for residency and fellowship training was strengthened to include active participation of the head of Pathology at the University of Botswana on the educational curriculum committee. These implemented changes led to the successful advancement of four anatomic pathology residents from the didactic phase to the practical phase of their training. Furthermore, two pathologists were hired to support clinical diagnostics and the education of the pathology residents. In conclusion, a structured review of the educational pipeline and resources that included stakeholders that could effect change led to substantial improvement in the training program and workforce of pathologists in Botswana.