We describe the overall framework and novel aspects of the post-graduate curriculum for the first neurology training program in Zambia.

Given the absence of local neurologists, heavy external support was needed from US and European neurologists, including one based in Zambia and dedicated full-time to the program.  The program consists of 3 years of internal medicine followed by 2 years of neurology training, similar to other subspecialty programs in Zambia.  The curriculum was designed to blend aspects of traditional Zambian and US post-graduate training.  The curriculum is competency-based and assessed using individualized learning plans and personal portfolios.  Post-graduate training in Zambia is considered a Master’s degree with assessments usually weighted heavily on written and oral examinations.  However, we incorporated monthly observed clinical examinations, documentation review, patient presentations and clinical assessments to diversify the assessments.  Finally, we developed a weekly schedule consisting of journal clubs, case conferences, didactic lectures and a research methods seminar.  In the first year, the three neurology trainees cared for ~1600 inpatients and completed >1000 outpatient visits.  High patient volume with limited trainees, reliance on volunteers for clinical teaching and support, and tension between teaching to the setting and teaching what is possible were identified challenges.

We report successful implementation of a novel neurology post-graduate training program in Zambia which included features of traditional Zambian training with newer educational innovations from the US system.