Currently submitted to: JMIR Medical Education
Date Submitted: Nov 28, 2025
Open Peer Review Period: Dec 4, 2025 - Jan 29, 2026
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Health System Sciences Oriented Medical Residency Program implementation. Qualitative exploratory study.
ABSTRACT
Background:
Medical graduates are commonly deficient in Health System Science (HSS) competencies to effectively work through the complex healthcare system. Yekatit 12 Hospital and Medical College reformed its medical residency curricula through integrating and implementing health system-oriented competencies.
Objective:
This study aimed to explore the experiences and challenges of implementing health system science-oriented medical residency curricula in Yekatit 12 Hospital Medical College, Ethiopia.
Methods:
Methods:
A facility-based qualitative study was conducted at Yekatit 12 Hospital Medical College in Addis Ababa, Ethiopia from March to April 2024. The study employed an exploratory case study design among 15 participants purposively selected, academic and health sector leaders, faculty, residents, and graduated physicians with HSS integrated curriculum. Data were collected through in-depth interviews using a semi-structured questionnaire. Data analysis involved coding, thematic grouping, and narrative synthesis of the findings.
Results:
Result: The key informant interviewees reported that learning with HSS integrated curriculum help the graduates to develop comprehensive competences. The participants believed that a health system science integrated curriculum, fostering a comprehensive understanding of the healthcare system, encourages interprofessional collaboration, prioritizing patient-centered care. Implementation of HSS integrated curriculum requires capacity building training, commitment of the faculty and leadership. The major challenges reported to implement system oriented medical education in Yekatit 12 hospital medical college were lack of trained mentors and supervisors, a lack of budget for quality improvement project, lack of practical teaching methods.
Conclusions:
Conclusion: The implementation of the health system science integrated curriculum at Yekatit 12 Hospital Medical College has shown significant improvement in health system science competencies of the graduates. It has provided residents and graduates with a comprehensive understanding of healthcare systems, enhanced problem-solving skills, and a focus on patient-centered care. The implementation of the Health System integrated curriculum should be improved through staff capacity building and the allocation of additional resources.
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