A critical component of building capacity in Liberia’s physician workforce
involves strengthening the country’s only medical school, A.M. Dogliotti
College of Medicine. Beginning in 2015, senior health sector stakeholders
in Liberia invited faculty and staff from U.S. academic institutions and
non-governmental organizations to join a partnership focused on improving
undergraduate medical education in Liberia. Over the subsequent six years,
the members of this partnership came together through an iterative,
mutual-learning process and created what William Torbert et al describe as
a “community of inquiry,” in which practitioners and researchers pair
action and inquiry toward evidence-informed practice and organizational
transformation. This community of inquiry developed around a few key
institutional and interpersonal relationships but expanded over time.
Incorporating faculty, practitioners, and students from Liberia and the
U.S., the community of inquiry consistently focused on following the
vision, goals, and priorities of leadership in Liberia, irrespective of
funding source or institutional affiliation. The work of the community of
inquiry has incorporated multiple mixed methods assessments, stakeholder
discussions, strategic planning, and collaborative self-reflection,
resulting in transformation of M.D. education in Liberia. We suggest that
the community of inquiry approach reported here can serve as a model for
others seeking to form sustainable, international global health
partnerships focused on organizational transformation. To develop a more comprehensive
understanding of financial needs and challenges for students at AMD as
well as factors to consider for long-term financial sustainability for
AMD, the research team developed a 20-question survey exploring basic
personal financial information. The research team included faculty and
students from both the University of Liberia and Yale University. Surveys
were distributed in paper format by a fifth-year medical student who was a
member of the research team, and respondents’ answers were entered into
Microsoft Excel and compiled as summary statistics. The Yale University Institutional Review
Board (IRB) Human Subjects Committee deemed the 2017 study exempt from IRB
review (IRB #2000021882) in October 2017. Despite the exemption
determinations, all members of the research teams completed Human Subjects
Research Protection training prior to the start of data collection. Verbal
or check-box informed consent was obtained prior to each survey.