At PCI we develop independent, evidence-based clinical tools and guidelines. We recognise that a one-size-fits-all package won’t work. We work alongside our partners to identify innovative solutions, fully adapted and appropriate to their specific contexts. As practising primary care physicians, we understand the needs of busy clinicians working with limited resources. Our highly-regarded ‘Clinical Guides’ offer adaptable, pragmatic guidance on clinical care in humanitarian, low- and middle-income settings. They are free from pharmaceutical industry influence and are aligned to the WHO Essential Medicines List.
PCI has developed carefully structured cascade training programmes which enable our initial training to be cascaded and embedded much more widely. We train clinicians and managers to be Trainers/Champions. With a package of training materials, clinical guides and toolkits from PCI, they take responsibility for cascading training to other healthcare workers. Following our peer-to-peer learning model, Trainers then become a resource for workforce development into the future.
Health systems strengthening
Realising change is not simply a question of advancing the clinical knowledge of health workers. By looking at the whole ‘system’ – whether at clinic, district or national level – PCI offers adaptable practical tools and advisory services encompassing clinic management, procurement, referral pathways, monitoring, evaluation and quality assurance. By sharing approaches for managing change, we enable communities to test and evolve solutions that ensure sustainable, affordable access to primary healthcare.
Mentoring and leadership
PCI places as much emphasis on developing leaders as it does on clinical training. Local leaders are critical to the success – and sustainability – of any new initiative. Through tailored mentoring and distance support programmes, PCI acts as a critical friend to leaders seeking to manage change within their organisations.
Models of care
Independent trials have demonstrated that there are certain clinical interventions that are effective. Yet such interventions can – and do – still fail if we do not take account of so-called ‘local effect modifiers’. In other words, factors in the wider ecosystem – ranging from stigma, cultural norms, poverty, transport infrastructure, financing and incentives – can limit or even nullify the impact of ‘best practice’ interventions. We listen to our partners and collaborate to create new models of care which recognise these factors. One such model takes micro-finance as an entry point to treatment and retention...
GP Update courses
In addition to our work in low and middle-income countries, we also offer our flagship 5-day GP Update Global Programme in London for Family Medicine doctors working outside the UK, and 1-Day GP Update courses for organisations based in high-resource settings. Drawing on the evidence-based Handbooks of our sister organisation Red Whale, we have delivered GP Update in multiple countries. Content can be customised in consultation with our partners, and is supported by access to a wide range of online resources.