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									                UCSF Global Health Sciences
Final Report of Activities for the Human Resources for Health
                 NIMR-CDC Co-Agreement




                      December 200&
              Prepared by Dr. Stephanie Taché

                    & Ms. Nell Marshall
           UCSF NIMR-CDC CO-AGREEMENT FINAL REPORT

                            List of Abbreviations

AIDS:    Acquired Immune Deficiency Syndrome
AKU:     Aga Khan University
CDC:     Center for Disease Control
FoM:     Faculty of Medicine
GHS:     Global Health Sciences
HIV:     Human Immunodeficiency Virus
HRH:     Human Resources for Health
MUCHS:   Muhimbili University College of Health Sciences
M.Sc:    Masters of Science
NIMR:    National Institute for Medical Research
UCSF:    University of California at San Francisco
UDSM:    University of Dar es Salaam




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                 UCSF NIMR-CDC CO-AGREEMENT FINAL REPORT

Introduction

Tanzanian Human Resources for Health Program
The Tanzanian Human Resources for Health (HRH) Program headed by the National Institute
for Medical Research (NIMR) and funded by the Center for Disease Control (CDC) Program-
Tanzania has focused its efforts on the greater need for trained healthcare personnel in Tanzania
at the research and policy-level, and the training and capacity building level. The University of
California San Francisco (UCSF) was subcontracted to carry out part of the work related to
institutional capacity building for HIV and health services research from September 1 st 2005 to
August 31st 2006.

In this spirit, Global Health Sciences (GHS) partnered with the Muhimbili University Colleges
of Health Sciences (MUCHS) and the Aga Khan University (AKU) Family Medicine Residency
Program to provide institutional capacity building related to HIV pre-service training. The
UCSF-MUCHS collaboration centered on medical education and strategies for teaching large
numbers of students with a limited number of lecturers including use of technology in teaching
and evaluating students. The UCSF-AKU collaboration involves development of context-
specific Tanzanian family medicine curriculum as well as teaching bi-monthly case-based
seminars. The AKU-Family Medicine program is the first to offer specialized training in
primary care in Tanzania. Finally the UCSF-NIMR collaboration centered on health services
research pertaining to the workforce in Tanzania.

This is a final report for GHS activities under the NIMR-CDC Human Resources for Health
Cooperative Agreement Number U62/CCU024211-02 with a no cost extension until December
30th 2006 for the Management Training Fellowship Program. This report follows the outline of
the original scope of work submitted to NIMR and CDC including the agreed upon
deliverables.




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                UCSF NIMR-CDC CO-AGREEMENT FINAL REPORT

Scope of Work with MUCHS

2.1.1: MUCHS School of Medicine HIV/AIDS core multidisciplinary
curriculum planning and faculty development in preparation for September
2006 curriculum roll out.

2.1.1.a: Provide curricular planning/ needs assessment mini-fellowship at
UCSF for selected MUCHS faculty

In September 2005, a 10 day fellowship in medical education related to strengthening HIV/AIDS
teaching was organized for 4 lecturers from the MUCHS School of Medicine. The four MUCHS
faculty members appointed to carry out the visit included:
     Professor Ephata Kaaya - Head of Pathology, Group Leader;
     Professor Eligius Lyamuya -Head, Microbiology/Immunology and Associate Dean (Post
        graduate studies and Research);
     Dr. Jane Sayi – Head of Pharmacology;
     Dr. Naboth Mbembati -Senior Lecturer in Surgery.

From the UCSF side, the Medical Education team included:
    Dr. Helen Loeser- Associate Dean for Curricular Affairs and Professor of Clinical
       Pediatrics, Team Leader;
    Kevin Souza- Assistant Director, Office of Medical Education;
    Dr. Susan Masters- Adjunct Professor of Cellular & Molecular Pharmacology;
    Dr. Pat O’Sullivan- Professor of Medicine and Associate Director of the Office of
       Educational Research
    Jessica Muller – Associate Professor Dept Family and Community Medicine.

The objectives for the MUCHS faculty visit to UCSF were:
1. To obtain information appropriate to solving some of the challenges associated with:
         Teaching and evaluating large volume of students with limited faculty.
         Having limited teaching space and insufficient innovative technologies to facilitate
            clinical skills building.
2. To get exposure to programs that will contribute to the planning for:
         Mainstreaming HIV/AIDS curriculum into the existing teaching programs
         Global health curriculum
         Research collaboration with UCSF
         Staff development programs
         Development of MUCHS into a centre of excellence
3. To develop a plan for short term visiting lecturers from UCSF to MUCHS.

Description of MUCHS Medical Education Team visit to UCSF
In September 2005, the MUCHS Education team visited UCSF, toured the campus and met with
key faculty in HIV education, and research. Specific activities included meetings and
discussions with various USCF staff including the Executive Director of UCSF-GHS, faculty
members in charge of medical education, individual lecturers, medical and nursing students.

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                 UCSF NIMR-CDC CO-AGREEMENT FINAL REPORT

Arrangements were made to enable the team to observe teaching activities both in lecture halls
and in small student groups. The team also attended and observed an anesthetic simulator in
action, surgical clinical skills sessions and a clinical skills laboratory. Extensive meetings and
consultations were held with the medical education team of UCSF as well as prominent
HIV/AIDS faculty including Dr. Paul Volberding at San Francisco General Hospital (SFGH), a
visit of the HIV Clinical Consultation WARM line and Dr. Regis Kelly at the Institute of
Quantitative Biomedical Research (QB3) at the Mission Bay Campus.

Expected Outcome for 2.1.1.a: 32 person days of training
Delivered Outcome for 2.1.1.a: 32 person days of training


2.1.1: MUCHS School of Medicine HIV/AIDS core multidisciplinary
curriculum planning and faculty development in preparation for September
2006 curriculum roll out.

2.1.1. b: Provide follow up planning and curriculum development
consultation

Although this item in the scope of work was not included as part of the final signed contract
between UCSF and NIMR, the verbal understanding on the ground was that UCSF-MUCHS
activities were to include development of an HIV curriculum by September 2006.

During deliberations at UCSF in September, MUCHS medical education leadership agreed to
develop an HIV/AIDS curriculum with UCSF. However, the team determined that there was
not sufficient funding in the CDC budget to carry out the activities required for an HIV
curriculum review at MUCHS. There was joint agreement to look for funds to support this
activity from other sources in addition to the limited CDC funding awarded to UCSF.

In October 2005, a proposal was drafted and submitted to the Ministry of Technology and
Higher Education for consideration in November 2005. Upon receipt and review of the
proposal, the Ministry of Higher Education informed MUCHS that a parallel HIV curriculum
was being created for all the students of University of Dar es Salaam including MUCHS. The
Ministry of Higher Education therefore requested MUCHS to hold off on the HIV curriculum
review until the formal UDSM was released for review. The curriculum was released for review
in March 2006. The UDSM HIV curriculum was found to provide overall information on HIV
with an emphasis on prevention. It was not designed for health sciences students. The MUCHS-
UCSF revisited the proposal for funding an HIV curriculum in May 2006.

A meeting with the class conveners was assembled to identify the existing information and gaps
related to HIV in the existing SOM curriculum. The analysis of these gaps showed that there is
not enough HIV content in HIV; there is no consistent well planned teaching of HIV; during the
semesterization process additional HIV content was lost and or included in a hap-hazardous
fashion. A full proposal has now been developed to fund this activity at MUCHS and is being
submitted to various donors to fund this activity.

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                 UCSF NIMR-CDC CO-AGREEMENT FINAL REPORT


The next steps for carrying out this activity include:
    Identifying and assembling a formal HIV Curriculum committee including NACP
       members, MUCHS department heads, and clinicians providing HIV care and treatment
       at Muhimbili Hospital (proposed ~25 members).
    Refining gaps in HIV scientific content to guide instruction and teaching
    Responding to gaps with HIV teaching modules that can be integrated into the existing
       teaching framework and schedule
    Integrating new teaching methodologies into the HIV curriculum specifically: case based
       learning, peer teaching, use the of computer-based technology


2.1.1: MUCHS School of Medicine HIV/AIDS core multidisciplinary
curriculum planning and faculty development in preparation for September
2006 curriculum roll out.

2.1.1.c: Plan and present in February 2006 or no later than June, 2006, a
faculty development curriculum preparation workshop in Dar es Salaam

Description of UCSF Medical Education Team visit to MUCHS
In March 2006, the UCSF Education team visited MUCHS and ran a faculty development
Conference in Dar es Salaam. The UCSF team toured the MUCHS campus and met with key
leadership in education. In addition to meetings with the team who had come to UCSF in
September, extensive meetings were held with Professor Charles Mkony, Dean for the School of
Medicine, to prioritize medical education and the UCSF-MUCHS collaboration. The UCSF team
met with Principal Pallangyo, who emphasized the critical aspects of grounding durable
collaborations in people-to-people relationships. The team also met with the Director of the
Information and Technology Center (ICT) and the Head of the Library.

A 2-day MUCHS-UCSF conference on Medical Education was organized with the following
jointly agreed upon objectives:
     To assist MUCHS lecturers develop teaching skills for large groups of students using
        technology
     To promote and culture of teaching by exposing faculty to the concept of an Academy of
        medical educators
     To introduce the role of evaluation
     To address the shortage of lecturers by describing how graduate students are involved
        in teaching undergraduate students.

The overall evaluation of the conference, as well as the component workshops, was entirely positive
and is described in the summary evaluation.

Sessions covered during the MUCHS-UCSF Medical Education Workshop:
1. How to create an effective power point presentation and other technological media.
        Strategies to Engage Learners in a Large Group

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                  UCSF NIMR-CDC CO-AGREEMENT FINAL REPORT

         Technology to Support Teaching and Learning
         Tips and Tricks with PowerPoint;
2.   Promoting a culture of teaching: a description of the academy of medical educators at UCSF.
     How could this be developed at MUCHS?
         Development of an “Academy of Medical Educators”
3.   Evaluation: evaluating teachers, evaluating students, role of evaluations in academic
     promotion
         Writing Exam Questions: Best Practices
         Are we Effective?
4.   Addressing the shortage of lecturers and training the next generation: involving
     postgraduate students for undergraduate teaching
      Students to Enhance Teaching and Learning Resources
5.   Use and demonstration of Scanner equipment including training on use of Remark software
      Using Scanning Technology to Streamline Tests and Evaluations
      Learning to Use RemarkTM

Under the 5th subcategory, Using Scanning Technology to Streamline Tests and Evaluations,
Global Health Sciences donated an OMR scanner to MUCHS and the UCSF Medical Education
team trained two lecturers in the Department of Pathology to run it for assessment purposes. A
total number of 2000 exam copies have been graded copies with the scanner since March 2006.
These include 2 exams (183 MD and 33 DDS students sitting for each exam) in pathology; 5
exams (197 students sitting for each exam) in physiology; 2 exams (183 2nd year students sitting
for each exam) in psychiatry. It previously took 4 weeks for marking 1 exam, now the average
marking time is 2.5 hours per exam,– a relative time savings of 157.5 hours*per for lecturers that
had to formerly do this manually. Plans for scaling up the electronic grading to the Schools of
Nursing and Pharmacy are under discussion.

The conference concluded with a session identifying future projects and priorities for
conference participants and for MUCHS. The last working day of the visit was devoted to
developing potential next steps for collaboration. The report of the MUCHS faculty mini-
fellowship visit in 09/05, and the summary of the 3/06 conference outcomes were used as a basis
for discussion.

Expected Outcome for 2.1.1.c:
    30 person days of training

Delivered Outcomes for 2.1.1.c:
    120 person days training of MUCHS, Aga Khan and NIMR lecturers on student
       evaluation, use of technology in teaching and principles of lecturing using HIV/AIDS
       content to illustrate the teaching techniques
    OMR scanner donated for grading exams




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                 UCSF NIMR-CDC CO-AGREEMENT FINAL REPORT

2.1.1: MUCHS School of Medicine HIV/AIDS core multidisciplinary
curriculum planning and faculty development in preparation for September
2006 curriculum roll out.

2.1.1.d: Provide UCSF visiting basic science lecturer(s) to facilitate
curriculum change and model student teaching for MUCHS first and second
year basic science students.

During the September 2005 visit to UCSF, discussions getting UCSF faculty to assist in teaching
basic science courses on a short term basis were held with Dr. Susan Masters. The most pressing
needs identified for MUCHS were in Biochemistry and Anatomy. The UCSF team agreed to
explore recruiting lecturers at the Masters of Science or post-doctoral level to visit MUCHS
during the second half of the first semester. Dr. Masters headed a search and selected two post-
doctoral level candidates, Dr. Selma Omer from Oxford University and Dr. Gilles Hickson from
UCSF, to lecture at MUCHS from the January-March 2006. A UCSF-based team of post-docs
was assembled by Dr. Masters to assist in preparing the lectures. The target population for this
teaching intervention was 320 health students in their basic sciences years.

Objectives of Visiting Lectureship
    To assist with teaching the last 2 months of the Biochemistry 100 semester course
    To participate in examinations, viva vox and possibly limited teaching of graduate
       students in Biochemistry 600.

Summary of Activities
    Fulfilled primary objective of delivering the assigned lectures
    Helped prepare the 3rd CA exam and the UE. Assisted in marking the 3 rd CA and UE,
     and participated in the oral examinations.
    Initiated a “BC100 email list” through which we sent additional material and questions.
    Instated weekly interactive student study sessions. Arranged for one of the sessions to
     be videotaped as a demonstration during the “teaching large groups’ workshop.
    Encouraged the students to organize and circulate 14 Essential Cell Biology (Alberts et al.)
     books during the course period.
    Circulated a course-specific student evaluation form.

Expected Outcome for 2.1.1.d:
    2000 person days of training
Delivered Outcome for 2.1.1.d:
    2400 person days of training for MUCHS first and second year basic science students
       including the biochemistry of HIV infection and replication.
    Book donation program: MD course:7 books, DDS 2 books, B.Pharm 2 books, B.Sc. N
       2 books
    Recommendations of Conducting examinations which have led to a change in exam
       time tables to minimize student cheating




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                 UCSF NIMR-CDC CO-AGREEMENT FINAL REPORT

                   Scope of Work with the Aga Khan University

2.1.2: Strengthen HIV/AIDS teaching for Aga Khan Family Practice
Residency Program

2.1.2.a: Facilitate curriculum development through on-going bi-monthly
learner centered HIV/AIDS resident teaching in an integrated HIV/AIDS
curriculum for the family medicine residents and other medical providers
that includes the fundamentals of clinical epidemiology, research
methodology with emphasis on strong analytic and life-long learning skills.

As a family medicine teacher and researcher, Dr. Taché took on this component of the work
scope during the year. Eight family medicine residents regularly attended the two and half
Wednesday afternoon teaching sessions. They included three 2nd year residents (Dr John C
Rwegasha, Dr. Liwayway Hussein, Dr. Wilfred Kaiserege)and 5 first year residents (Dr.
Ogbuneke Chibere, Dr. Goodluck Elias, Dr. Faida Emil, Dr. Jacob Shabani, Dr. Kamwelu
Almasi). In consultation with the Chair if the Department of Family Medicine Dr. Azim Jiwani,
Dr. Riaz Ratansi, the residency program director and the eight family medicine residents the
HIV/AIDS related teaching needs at the Aga Khan University were identified and included:

1. Develop an integrated HIV/AIDS curriculum for the family medicine residents: an 8 module
curriculum was developed based on the National AIDS Control Program guidelines, Center for
Disease Control, WHO guideline and HIVinSite. The lecture topics include:
     HIV Module 1: Overview and Epidemiology in Tanzania
     HIV Module 2: Laboratory Diagnosis
     HIV Module 3: Approach to the patient
     HIV Module 4: Principles of Therapy
     HIV Module 5: Opportunistic Infections
     HIV Module 6: Clinical Management
     HIV Module 7: and Nutrition
     HIV Module 8: in Pregnancy

2. Develop fundamentals of clinical epidemiology, research methodology course:
    Taught a short course on epidemiology and research methodology modified from the
      Training in Clinical Research course at UCSF
    Provided research mentorship for the second year residents working on masters thesis
      research proposal including discussions on study methodology, sampling, target
      population and how to refine their research hypothesis.

3. Provide on-going teaching support including case-based learning:
     Conducted a bi-monthly case-based learning sessions on broad array of clinical topics:
        renal failure including HIV nephropathy, atrial fibrillation.
     Mentored residents develop strong analytic and life-long learning skills
     Provided guidance and feedback on teaching and giving oral presentation for the
        residents preparing and giving a lecture in patho-physiology to AKU nursing students.

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Expected Outcome for 2.1.2.a:
    50 person days of training
    HIV curriculum developed

Delivered Outcome for 2.1.2.a:
    60 person days of training
    8 Module HIV curriculum for Family Medicine co-developed with AKU faculty and
       residents
    Training in Clinical Research Short Course




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                 UCSF NIMR-CDC CO-AGREEMENT FINAL REPORT

                               Scope of Work with NIMR

Although there was no specific description of joint UCSF NIRM activities in the final signed
contract between the two institutions, the verbal understanding was that Dr. Taché would
participate in NIMR HRH research activities when asked to do so by Dr. Malecela and Dr.
Mwisongo.

Objective 2.2: Through HRH and Zonal Training Center transition planning
support the MOH in developing plans, practices and policies that improve
access to and improve the quality of HIV/AIDS prevention treatment and
care services.

2.2.1.c: Identify and collect information to facilitate planning process
including at least two HRH operational research studies, the topic of which
will be determined through the HRH planning process. Studies to be
initiated no later than February 2006 and completed by August 2006.

      A research synthesis meeting with MOH, NIMR and other HRH stakeholders (WHO,
       MUCHS, Ifakara) was planned and carried out in Bagamoyo to review existing
       information pertaining to HRH in Tanzania.
      A report of this first synthesis meeting was finalized to assist the MOH with its
       upcoming strategic planning process on HRH.

Two studies additional studies were developed jointly by Dr. Mwisongo and Dr. Taché: the
health worker retention study and the health worker productivity and work distribution. Upon
further discussions with the MOH, NIMR identified the priority research area as health worker
workload and work distribution.
1. Retention Study:
     Aims: Assessment of factors promoting retention amongst different health cadres in
       rural and urban districts of Tanzania.
     A mixed methods study with both qualitative and quantitative data collection aiming to
       create a hierarchy of factors that are most closely correlated with increased retention.
     initial draft still in progress to be circulated through NIMR and UCSF for approval prior
       to starting pilot testing.
2. Workload:
     Aims: to provide additional information on the skill mix and work distribution of health
       care workers in the absence of professional cadres at the dispensary or health center
       level.
     Qualitative study that will inform a broader quantitative study.
     Initial draft still in progress also to be circulated through NIMR-UCSF for approval.
     Participated in field visit in Meatu for primary data collection during the qualitative
       phase of the workload study.
     Adapted and refined data collection instruments for the time and motion study.
     Participated in the piloting of the time and motion study in Bagamoyo



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2.4.2: Provide training and technical assistance to facilitate the
development of a strong contract and grant administrative service

2.4.2. a: Provide a three month management fellowship at UCSF for a
NIMR administrative officer

UCSF Global Health Sciences sponsored a four week Sponsored Programs Management
Fellowship training program for three leaders from the National Institute for Medical Research,
Tanzania (NIMR). The training program started in San Francisco at the UCSF campus on
September 25 and ended with the fellows traveling to the Society for Research Administrators,
International Annual Meeting in Quebec, Canada October 14 to the 18 th.

The fellowship was organized to provide the NIMR Fellows an opportunity to observe
sponsored program management “best practices” at the University of California San Francisco
and through the Society for Research Administrators. Upon completion of the program the
Fellows are to return to NIMR to help review and implement strategies to strengthen existing
and create new sponsored program management policies and practices.

The selected fellows from NIMR were Joyce Ikingura, MPH, Senior Research Scientist; Michael
Kapufi, Senior Accountant; and, Sayoki Mfinanga, MD, PhD, Acting Director Muhimbili
Medical Research Center.

A meeting with fourteen NIMR administrators and researchers was held on August 17, 2006 in
Dar es Salaam to help identify areas of interest and potential content to be discussed during the
Fellowship in San Francisco. A full summary of the needs assessment meeting and assessment
tool is provided in Attachment A.

THE TRAINING: Global Health Sciences convened a Fellowship Planning Committee in
August to plan and organize the program content and engage the appropriate UCSF leaders
and administrative officers as trainers and resource persons. Attachment B presents the
membership of the planning committee and the UCSF personnel involved in presenting the
program.

PROGRAM EVALUATION: A simple evaluation asking each fellow to rate the quality
of each session and speaker, and respond to a series of open-ended questions based on
their appraised of the training program was conducted on the last day of the program.
All three fellows completed the evaluation. The following is a summary of the findings.

The fellows found the following (6) sessions to be the most compelling and helpful:

1.   Change management – “I am interested in changing things back home so it is very relevant”
2.   Sponsored program administration basics
3.   Institutional commitment
4.   Animal care and protection
5.   Environmental health
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                  UCSF NIMR-CDC CO-AGREEMENT FINAL REPORT

6. IRB Process and responsibilities

All sessions and speakers received high ratings of either 5 out of 5, or 4 out of 5.

When asked what new information they have learned from doing this fellowship that they feel
they will be able to apply immediately to their work at NIMR, the fellows responded that they
had learned how to:

1.   Improve procurement systems, budgeting programs, and research collaborations
2.   Work with inventory procurement bottleneck solutions
3.   Improve inventory monitoring and costing
4.   Improve overhead cost applicability to research projects
5.   Improve financial reports separation
6.   Improve the ethical review office and supporting staff

When asked what if anything they would you change about the structure of the fellowship
training the response was unanimous in feeling that the program was very full and that more
time for an orientation (how to go around the campuses and to locate the offices for lectures)
and to adjust to the jet lag was needed. Additionally, it one respondent felt time for personal
reflections, banking, healthcare, and other personal needs was lacking.

When asked what if anything they would you change about the content of the fellowship
training the two areas identified for more time and focus were identifying more areas for
research program collaborations, and more time on the section that covered overhead costing.

The program provided fellows with adequate time and opportunity for meaningful
conversations with research administrators at UCSF. The exception being that more time with
Accounts and Finance Managers would have been useful.

Insofar as meeting the various goals of the fellows, they felt they were adequately met
including: Meeting research program collaborators, learning the way the ethical review process
and procedures are run, and learning more about research administration.

The fellows responded that they felt adequately prepared to participate in the training program
and to incorporate what they learned into their area of work at NIMR but also mentioned that
UCSF can best continue to support them in their work at NIMR by following up on creating a
TB research program, and sending people (human resources) from the CHR office to assist in
the capacity building of the ethical review system in Tanzania.

The fellows were unanimous in their willingness to recommend the program to colleagues,
specifically because it could “improve research management at NIMR”, “enhance this work
knowledge”, and “give an opportunity to see the difference between the two institutions and
the way they can perform better by improving the situation back home.”



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                 UCSF NIMR-CDC CO-AGREEMENT FINAL REPORT

Final comments were that the program should facilitate staff exchange to visit both sites, and
that overall they enjoyed the program and their stay in San Francisco and appreciated the
support given by GHS and UCSF colleagues and their commitment to the program despite
running other office cores.


CLOSING OBSERVATIONS AND THOUGHTS FOR FUTURE ACTIVITIES: At the close of the
Fellowship experience, the Fellows met with UCSF leaders planning the program for a review
of the Fellowship and a discussion of the potential for continuing and expanding the program.
The discussion centered on options for: a) improving and continuing the sponsored program
management training; and, b) further development of the UCSF and NIMR management
collaboration.

Improving and Continuing the Sponsored Program Management Training: There was overall
agreement that the training program was useful and a worthwhile experience for the Fellows.
The group discussed ways to enhance and improve the program; suggestions included:

1. The “change management” session was a keystone session in which concepts on how to
   propose and effect change provided a framework that Fellows carried into subsequent
   sessions.
2. Sessions on biological safety and animal welfare should be expanded.
3. In-depth trainings focusing on specific content areas would be a beneficial follow-up to the
   full 3-week program overview of sponsored research management topics
4. Involving in the training participants from other organizations in the region could be good
   and helpful but this must be planned carefully. The mixing of different skill levels and
   organizational interests could create a challenge to providing a meaningful learning
   opportunity for all participants.

The group envisioned the expansion and implementation of the sponsored research
management training program as either stand-alone trainings or as components of a larger
comprehensive sponsored management capacity building program. The larger program would
start with a program comparable to the 3 week fellowship offering broad principles and
concepts. That overview or introductory training would be followed over a period of a year or
so by content specific workshops targeting selected participants and topics. Supplementing the
training would be planned consultations directed to assisting program participants in
implementing change management and problem solving strategies.

Implementing a comprehensive sponsored management capacity building program was
considered to be the strategy that would likely have long term positive consequence and would
also be more efficient in the use of UCSF and participant organization resources. Such a
program would take place over a period of time and would be a hierarchical model of training
starting with broad principles and concepts for senior leaders to be followed with more focused
series of sessions for managers with implementation responsibilities. The last tier of training
would be directed to administrators and investigators with functional responsibilities for
carrying out sponsored program administration.

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                  UCSF NIMR-CDC CO-AGREEMENT FINAL REPORT

Senior level executive training would focus on the “big-picture” vision and broad goals for an
institutional sponsored program management strategy. Senior level training would bring
together with UCSF senior administrators the participant organization’s leaders responsible for
setting the direction and expectations for the management of sponsored programs. Training
for mid level managers and investigators responsible for implementing and managing the
sponsored program management functions would ensue after the leadership training. They
would participate in a Sponsored Programs Management Fellowship modeled after the 3-week
program. The next training series would bring together individuals working in functional areas
such as accounting, human subjects review, purchasing and pre-award development and
would drill down into more detailed mapping and process analysis necessary establishing or
changing systems.

Stand alone on-site training in a discrete area would be another training option that could be
offered by UCSF instructors in conjunction with staff from the in-country program sponsor.
This would be shorter-term training which could include senior level directors and department
managers. The focus could be in-depth at one department to include detailed process mapping,
identifying areas for change, and training on new processes. Priorities would be set by the host
institution and facilitated by UCSF resource persons.

The UCSF and NIMR Management Collaboration: There was unanimous agreement that the
Fellowship had solid potential to be expanded into a larger and ongoing activity serving NIMR
and others in Tanzania. Points central to moving the collaboration ahead were:

1.   To continue a management training program relationship between UCSF and NIMR
     requires that NIMR establish training and management program development priorities.
     These priorities should form the basis for NIMR developed proposals as to how UCSF could
     continue to be of assistance

2.   The Fellows should create an outline of what they can take on as change agents at NIMR
     and through that define how continuing exchanges between UCSF and NIMR would
     support the Fellows’ efforts.




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                                    List of Deliverables

MUCHS
   MUCHS fellowship at UCSF – agenda and final report
   Visiting Scientist Lecturer Program – timeline, number of hours of teaching, final report
   Medical Education Workshop: participant list, agenda, education materials and final
    report

Aga Khan University
    3/8 Modules HIV curriculum for Family Medicine Program (remaining 5/8 forthcoming
      November 2006)
    UCSF/Aga Khan teaching and mentoring sheets
    Modified UCSF TICR course

NIMR- Research
   HRH synthesis power point presentation

NIMR- Management Fellowship
   NIMR administrative stakeholder needs assessment, UCSF based team/mentors 3-week
     training schedule at UCSF.




                                        Page 16
                                     ATTACHMENT A
                              UCSF GLOBAL HEALTH SCIENCES

             UCSF/NIMR SPONSORED PROGRAMS MANAGEMENT FELLOWSHIP
                            NEEDS ASSEMENT MEETING
                                  August 17, 2006

Facilitate by: Ms. Nell Marshall (UCSF program manager) Nell.Marshall@ucsf.edu

In attendance:
1. Dr. Aziza Mwisongo (Research) azizamwisongo@yahoo.com
2. Dr. Beatus Leon (Research) beatusleon@yahoo.com
3. Dr. G.S. Mfinaga (Research) gsmfinanga@yahoo.com            [Fellow]
4. Mr. C. Mdemu (Principal Admin. Officer)
5. Mr. Michael Kapufi (Accounts) mkapufi237@yahoo.com          [Fellow]
6. Ms. T. Mutemi (Accounts) tnmutemi@yahoo.com
7. Mr. D. Komba (Accounts) dkomba@nimr.or.tz; dpkombam@hotmail.com
8. Mr. William Kisinza (Social Science) kisinza@hotmail.com; wkisinza@nimr.or.tz
9. Mr. Prince Mutaremwa (Social Science) pmutalemwa@nimr.or.tz; 9mw@yahoo.com
10. Ms E. Mbulolwe (Social Science) mbutolwe@liverpool.ac.uk
11. Mr. William Kisoka (Social Science) wkisoka@yahoo.com
12. Ms. Joyce Ikingura (Ethics) jikingura@yahoo.com            [Fellow]
13. Ms. Malima (Supplies Officer) hmkubulo@yahoo.com
14. Ms. Sia Malekia (Administrative Assistant) siamalekia2000@yahoo.com
15. Dr. Stephanie Tache (UCSF HRH program officer) stache@globalhealth.ucsf.edu


The goal of the management fellowship program is to provide a structured program of training and learning
opportunities that meet the fellows’ individual and NIMR’s organizational needs for additional skills and
knowledge associated with performing in a leadership role in organizing and managing a NIMR sponsored
research program.

The fellowship will be tailored to reflect the identified needs, as well as the skills and experience that the
fellows brings to the program through a detailed assessment and fellowship plan to be prepared prior to the
start of the fellowship. The following notes reflect the outcome of a meeting with the NIMR fellows and
other staff from the accounting, social sciences, and research departments to openly discuss and explore
areas of interest and need for the management fellowship.

The beginning of the meeting began with a background on NIMR, its basic structure and funding base. The
National Institute for Medical Research is a parastatal organization established in 1979 responsible for all
activities related to health research in Tanzania. There are 6 NIMR centers throughout Tanzania, the
headquarters is in Dar es Salaam, and 5 outposts exist in Mwanza, Tabora, Mbeya, Tanga, and one based at
Muhimbili Hospital. NIMR is government by a council with members appointed by the Ministry of Health.
Further information can be found at www.nimr.or.tz

NIMR receives about 80% of its research funding from outside donors and about 20% from the government.
Historically collaborators have been from the UK, Denmark, Sweden, Norway and more recently in the last
                       UCSF NIMR-CDC CO-AGREEMENT FINAL REPORT

2-3 years, the United States. Activities at NIMR are research driven. Currently there are about 10 projects
with funding under $50,000 and a smaller number of projects over $50,000.

The functional capacity of the NIMR headquarters and the 5 outstations differ considerably, as does the
functional capacity within each outstation. For example, at the highest outstation level, the station defines
its areas of research focus, makes its own research plan, convenes its own scientific committee, and
conducts its own management and financial operations including procuring equipment and materials. Input
as needed is sought from headquarters. If possible, ethical approvals are prepared and reviewed at the
outstation level and then sent to headquarter for the final approval. All contracts, negotiations, final
approvals, salary and hiring procedures, and most procurement is done centrally at headquarters. It is the
goal of NIMR to increase the management capacity of the outstations.

Meeting participants broke into three groups with representatives from accounting, administrative and
research functions, to further discuss and give recommendations for areas of interest and potential need at
NIMR. The attachment “NIMR Self Assessment v2 all groups” is a detailed recording of the input given by
each of the three groups.

A summary of the areas of particular interest that were identified are:

Identifying new funding sources
    1. Identifying and then pursue new funding sources
    2. Building an information and resource base to pursue new funding sources ongoing
    3. Building strong collaborations within NIMR departments and facilitating multidisciplinary
        involvement in research projects
    4. Strengthening the ability to create both individual and joint applications
    5. Strengthening the ability to develop local research priorities
    6. Strengthening the ability to write proposals

Project accounting
   1. Strengthening the ability prepare project budgets
   2. Establish stronger collaborations between research and account departments and strengthening the
        ability involve investigators in developing budgets and ongoing project accounting
   3. Training to increase researchers knowledge and skills on budgeting
   4. Strengthening the ability to create more transparency in the accounting process.
   5. Strengthening the procurement section in procedures and coordination

Project and progress management
   1. Strengthening the ability to involve both administrative and financial functions in the management
        of programs
   2. Training on monitoring and research project management
   3. Strengthening the ability to manage the day to day activities of a research project.
   4. Strengthening the ability of the IRB to be more proactive in monitoring actual project activities?
   5. Training on how to form a data safety and monitoring board
   6. Strengthening the capacity to manage data. Training on how to increase NIMR capacity to build
        data sets as possible income generating activity.




                                          Page 18
                       UCSF NIMR-CDC CO-AGREEMENT FINAL REPORT

The group discussed next steps forward and identified that convening a meeting for the fellows to present
their projects when they return in October would be helpful and interesting and provide a platform for next
steps to moving forward.

My recommendation for next steps forward for UCSF are to target the identified areas of interest and need
outlined by NIMR, and in particular create training and learning opportunities that are practical and
concrete, with clear pathways for translating what they have learned to the NIMR environment.




                                         Page 19
                            SPONSORED PROGRAM TRAINING ASSESSMENT TOOL

                                                             HOW WELL DOES THIS
                                                                                                                                  DO YOU HAVE AN
                                                                  WORK
                                                                                                                                     INTEREST OR
                          WHO (OR, WHAT UNIT) IS             (Rate on a scale of 1 to 5)                                          EXPECT TO LEARN
                      RESPONSIBLE FOR THIS FUNCTION         1: Very Poorly                   WHAT CAN BE IMPROVED IN THE            MORE ABOUT
 NIMR SPONSORED                     GROUP A                 2: Less than adequate             WAY CURRENT FUNCTION IS              THIS FUNCTION
PROGRAM FUNCTION
                                    GROUP B                 3: Works adequately                      MANAGED?                      WHEN AT UCSF?
                                    GROUP C                 4: More than adequate                                                  Provide more info
                                                            5: Extremely well                                                          about your
                                                            No opinion/No experience                                              interest/expectation:


Identifying funding   All researchers are responsible for   Works Adequately               *Have a well equipped library          Yes
sources               finding source of funds for their                                    *We should also be members of
                      research proposals. However, dept.                                   scientific Organizations
                      of Research Coordination and                                         *Familiarization with funding org.
                      Promotion at Headquarters, could                                     *To establish position that will
                      facilitate this activities                                           facility identifying funding sources

                      Individual researcher                 Works Adequately               Establish a collaboration between
                                                                                           research and account departments
                      1)Individual researcher               1) Less than adequate          1)Need more teamwork and
                      2)Joint Researchers                   2) Works Adequately            coordination                           Yes
                      3)Donors call for proposal            3) Works Adequately            2)Need to strength the joint
                                                                                           application process
                                                                                           3)Need to establish local priorities
                                                                                           and ability to facilitate
                                                                                           multidisciplinary involvement
Writing proposals     All Researchers Scientists            Works Adequately               To establish positions that will       Yes
                                                                                           facilitate, support proposal writing
                                                                                           and defending new research ideas
                                                                                           until fully developed research
                                                                                           projects.
                                                                                           *More training in proposal writing
                      Individual researcher                 Works Adequately               Establish a collaboration between
                                                                                           research and account departments
                      Individual and group researchers      More than adequately           Involvement of various disciplines     Yes
                                           UCSF NIMR-CDC CO-AGREEMENT FINAL REPORT
Preparing project        All Researchers                      Works Adequately       *Training to increase researchers        Yes
budgets                                                                              knowledge and skills on budgeting
                                                                                     *Involve Finance and procuring
                                                                                     experts in budgeting
                         Individual researcher                Works Adequately       Establish a collaboration between
                                                                                     research and account departments
                         Scientists                           Less than adequate     Need to involve all key project staff    Yes
                                                                                     on finance and budgeting for a
                                                                                     project
Submitting proposals     Researchers                          Works Adequately       *Training on tips necessary for          Yes
to funders                                                                           submission process.

                         Individual researcher                Works Adequately       Establish a collaboration between
                                                                                     research and account departments
                         Researchers                          More than adequate     NR                                       Yes
Approving proposals to   Dept. of Research Coordination and   Works Adequately       To strengthen/establish positions        Yes
be submitted from        Promotion,                                                  and training to facilitate the process
NIMR                     Center’s scientific Committees
                         Director General                     NR                     There should be a Central Scientific
                                                                                     Committee at Headquarters
                         Ethical Committee                    More than adequate     NR                                       Yes
Receiving award          Principle investigators,             More than Adequately   No comments                              Yes
notices from funders     Dept. of Research Coordination and
                         Promotion,

                         Principle Investigators              Less than adequate     PI and DFA should work together
                         PI                                   Extremely well         NR                                       Yes
Establishing accounts    NIMR Headquarters and Centers        More than Adequately   No comments                              No
for a funded project     Management in collaboration with
                         Principal investigators
                         DFA                                  Very Poorly            The process should be transparent
                                                                                     and the PI should be more fully
                                                                                     involved and informed.
                         Administrative and Finance           Works Adequately       NR                                       Yes



                                           Page 21
                                          UCSF NIMR-CDC CO-AGREEMENT FINAL REPORT
Managing and             Principal Investigators, Centre         Works Adequately       Strengthen training programs for       Yes
monitoring               management and Finance                                         investigators on how to manage and
program/project          Department,                                                    monitor program/project
expenditures                                                                            expenditures
                         PI and DFA                              Less than adequate     The process should be transparent
                                                                                        and the PI should be more fully
                                                                                        involved and informed.
                         PI and Finance Department               Works Adequately       Training on managing donor funded      Yes
                                                                                        projects for PIs
Managing and             Principle investigator, Institute and   Works Adequately       More training, visiting to exchange
monitoring               its center management,                                         experience with other research
program/project          Quarterly reports                                              institutions is needed
progress                 Medical Research Coordination
                         committee
                         PI and DFA                              Works Adequately       A mechanism should be established
                                                                                        to involved Administrative and
                                                                                        Finance Departments.
                         PI, donor, MRCC                                                Training on monitoring and research    Yes
                                                                                        project management
Procuring supplies and   Principle Investigator together with    Less than Adequate     More involvement of procurement        Yes
equipment                Institute supplies department                                  section in procuring procedures and
                                                                                        coordination
                         Finance and Accounts                    Less than Adequate     The process is bureaucratic and does
                                                                                        not involve researchers. The project
                                                                                        owners (PIs) should be involved.
                         Finance and Administration              Works Adequately       Need training                          Yes
Hiring project staff     Principle Investigator and the          More than Adequately   No comments                            No
                         Institute management
                         Administration                          Very poorly            The process is bureaucratic and does
                                                                                        not involve researchers. The project
                                                                                        owners (PIs) should be involved.
                         NIMR Administration                     Works Adequately       NR
Paying project staff     Principle Investigator and the          More than Adequately   No comments                            Yes
                         Institute management
                         Accounts                                Works Adequately       NR
                         NIMR Administration                     Works Adequately       NR
                                            Page 22
                                         UCSF NIMR-CDC CO-AGREEMENT FINAL REPORT
Preparing and           Principle Investigator and research    Works Adequately     More training, visiting to other         Yes
submitting the final    team                                                        research institutions to exchange
report to the sponsor                                                               experience.
                        PI                                     Works Adequately     Scientific committees should be more
                                                                                    involved
                        PI and Finance                         Works Adequately     NR
Managing and            Study physicians and ethical           Works Adequately     Reinforcing knowledge and skills of      Yes
monitoring human        committees or Institutional Research                        responsible individuals by doing
subject protection      Boards                                                      more training and visiting to other
                                                                                    research institutions to exchange
                                                                                    experience.
                        PI                                     Very Poorly          Institutional review committees
                                                                                    should be more proactive.
                        MRCC National Ethics Committee         Less than adequate   Need to improve the monitoring of        Yes
                                                                                    projects
Managing and            Study veterinarians                    Works Adequately     Training of researchers and              Yes
monitoring animal                                                                   establishing boards that will focus on
subject protection                                                                  Managing and monitoring animal
                                                                                    subject protection.
                        PI                                     Very Poorly          Institutional review committees
                                                                                    should be more proactive.
                        NIMR Vet (Few)                         Less than adequate   Need to set up animal subjects
                                                                                    protection
Providing data          PI, co-investigators, study            Works Adequately     More training to strengthen              Yes
management              statisticians                                               knowledge and skills of
                                                                                    researchers/investigators on data
                                                                                    management
                        PI                                     Very Poorly          Data Management Safety Boards
                                                                                    should be established
                        Data management and Statistics         Works Adequately     Need training on data management
                        department
Other:
Hiring equipment and                                           Works Adequately
assets



                                           Page 23
                                       ATTACHMENT B
                                UCSF GLOBAL HEALTH SCIENCES
                    SPONSORED PROGRAM MANAGEMENT TRAINING FELLOWSHIP
                        PLANNING COMMITTEE AND PROGRAM PRESENTERS

                                                    UCSF Planning Committee
Davidson Bidwell Waite                                                 Nell J Marshall
Associate Director, Campus Procurement & Business Contracts            Senior Research Associate, Health Policy (IHPS); Global Health Sciences
                                                                       (GHS)
Marcy A Fraser
Compliance Coordinator, Office of Research                             Zoanne L Nelson
                                                                       Associate Director, New Business Architecture Program Management
Joyce B Freedman                                                       Office (NBA PMO)
Assistant Vice Chancellor, Office of Sponsored Research (OSR)
                                                                       Charles Smukler
Sharon K Friend                                                        Interim Associate Director for Administration, Global Health Sciences
Director, Human Research Protection Program (HRPP)                     (GHS)

Jennifer Knowles                                                       Ara Tahmassian, PhD
Training Manager, Research Administration Project                      Associate Vice Chancellor, Office of Research
Office of Sponsored Research

Georgina Y Lopez
Administrative & Finance Manager, Institute for Global Health (IGH),
Global Health Sciences (GHS)
                                     UCSF NIMR-CDC CO-AGREEMENT FINAL REPORT


                                        Program Presenters and Resource Persons
David Bangsberg, M.D., MPH
                                                              Haile T Debas, M.D.
Assoc Professor In Residence,
                                                              Executive Director, Global Health Sciences (GHS)
Division of Infectious Diseases & SFGH AIDS Division
                                                              Box 0443
Box 1372
                                                              3333 California Street
SFGH Bldg 100, Room: 339
                                                              San Francisco, CA. 94143 - 0443
San Francisco, CA. 94143 - 1372
db@epi-center.ucsf.edu                                        hdebas@globalhealth.ucsf.edu
phone: (415) 206-3462                                         (415) 502-6045
fax: (415) 206-4360                                           (415) 502-6052

Davidson Bidwell Waite                                        Robert L Eaton
Associate Director, Campus Procurement & Business Contracts   Director, Office of Environment Health & Safety (EH & S)
Box 0910                                                      Box 0942
1855 Folsom Street, MCB, Room: 304                            50 Med Center Way
San Francisco, CA. 94143 - 0910                               San Francisco, CA. 94143 - 0942

dbidwell@finance.ucsf.edu                                     robert.eaton@ucsf.edu
(415) 502-3013                                                (415) 502-8653
(415) 502-3031                                                (415) 476-0581
                                                              Dr. Richard Feachem
Linda N Brovarney
                                                              Executive Director, Global Fund to Fight AIDS, Tuberculosis and
Director, Institutional Animal Care & Use Committee (IACUC)
                                                              Malaria
Box 0547
                                                              Box 0886
513 Parnassus MS, Room: S488
                                                              74 New Montgomery Street 508
San Francisco, CA. 94143 - 0547
                                                              San Francisco, CA. 94143 - 0886
linda.brovarney@ucsf.edu                                      rfeachem@psg.ucsf.edu
(415) 476-6311                                                415-597-8200
(415) 476-9604                                                415-597-8299




                                      Page 25
                                      UCSF NIMR-CDC CO-AGREEMENT FINAL REPORT

Louisa T. Burgio                                                    Marcy A Fraser
Associate Controller, School of Medicine Dean's Compliance Office   Compliance Coordinator, Office of Research
Box 1350                                                            Box 0407
1855 Folsom Street, MCB, Room: 506                                  600 16th St, Genentech Hall, Room: S276A
San Francisco, CA. 94143 - 1350                                     San Francisco, CA. 94143 - 0407

burgiol@medsch.ucsf.edu                                             marcy.fraser@ucsf.edu

(415) 514-2571                                                      (415) 476-2719

(415) 502-4020                                                      (415) 476-2721

Harry C Cordon                                                      Joyce B Freedman
Controller / Compliance Officer                                     Assistant Vice Chancellor, Office of Sponsored Research (OSR)
Box 1350                                                            Box 0962
1855 Folsom Street, MCB, Room: 506                                  3333 California St, Laurel Heights
San Francisco, CA. 94143 - 1350                                     San Francisco, CA. 94143 - 0962

cordonh@medsch.ucsf.edu                                             joyce.freedman@ucsf.edu
(415) 476-8642                                                      (415) 476-1404
(415) 502-4020                                                      (415) 514-3995
                                                                    Zoanne L Nelson
Sharon K Friend
                                                                    Associate Director, New Business Architecture Program Management
Director, Human Research Protection Program (HRPP)
                                                                    Office (NBA PMO)
Box 0962
                                                                    Box 0561
3333 California St, Laurel Heights, Room: 315
                                                                    1855 Folsom Street, MCB, Room: 560
San Francisco, CA. 94143 - 0962
                                                                    San Francisco, CA. 94143 - 0561

sharon.friend@ucsf.edu                                              znelson@ucsflink.ucsf.edu

(415) 476-9839                                                      (415) 502-3172

(415) 502-1347                                                      (415) 597-9213




                                       Page 26
                                      UCSF NIMR-CDC CO-AGREEMENT FINAL REPORT


                                                                       Clifford Roberts, DVM
Dr. Frederick Kayanja                                                  Director, Laboratory Animal Resource Center (LARC)
Vice Chancellor of Mbarara (Uganda) University of Sciences and         Box 0564
Technology                                                             513 Parnassus Ave. S386
                                                                       San Francisco, CA. 94143 - 0564

                                                                       clifford.roberts@ucsf.edu
                                                                       415-476-1571
                                                                       415-502-8252

Penny Kniery                                                           Ritu Sehgal
Director of Administration, Department of Biochemistry & Biophysics    Analyst II, Institute for Global Health (IGH)
Box 2140                                                               Box 1224
600 16th Street, Room: S222F                                           50 Beale Street, Room: 1200
San Francisco, CA. 94143 - 2140                                        San Francisco, CA. 94143 - 1224

pkniery@biochem.ucsf.edu                                               rsehgal@psg.ucsf.edu
(415) 476-1179                                                         (415) 597-9175
(415) 514-4151                                                         (415) 597-8299

Georgina Y Lopez                                                       Charles Smukler
Administrative & Finance Manager, Institute for Global Health (IGH),   Interim Associate Director for Administration, Global Health Sciences
Global Health Sciences (GHS)                                           (GHS)
Box 1224                                                               Box 0443
50 Beale Street, Room: 1200                                            3333 California St, Laurel Heights, Room: 285
San Francisco, CA. 94143 - 1224                                        San Francisco, CA. 94143 - 0443

GLopez@psg.ucsf.edu                                                    smuklerc@globalhealth.ucsf.edu
(415) 597-8211                                                         (415) 476-0508
(415) 597-8299                                                         (415) 502-6052




                                       Page 27
                                      UCSF NIMR-CDC CO-AGREEMENT FINAL REPORT

Nell J Marshall
                                                                         Ara Tahmassian, PhD
Senior Research Associate, Health Policy (IHPS) Global Health Sciences
                                                                         Associate Vice Chancellor, Office of Research
(GHS)
                                                                         Box 0407
Box 0936
                                                                         600 16th St., Genentech Hall, Room: S-272
3333 California St, Laurel Heights, Room: 265
                                                                         San Francisco, CA. 94143 - 0407
San Francisco, CA. 94143 - 0936
Nell.Marshall@ucsf.edu                                                   ara.tahmassian@ucsf.edu
(415) 476-1628                                                           (415) 476-5869
(415) 476-0705                                                           (415) 475-2721

Kim Woodhouse                                                            Maris Brenn-White
Data Operations Manager, Center for International Data Evaluation        Data Operations Manager, Center for International Data Evaluation and
and Analysis (CIDEA)                                                     Analysis (CIDEA)
Box 1224                                                                 Box 1224
50 Beale Street 1200                                                     50 Beale Street 1200
San Francisco, CA. 94143 - 1224                                          San Francisco, CA. 94143-1224

kwoodhouse@globalhealth.ucsf.edu                                         MBrennWhite@globalhealth.ucsf.edu
415-597-4983                                                             415-597-9209
415-597-9104                                                             415-597-9300

Chris Orsine
Operations Manager, Information Services Unit (ISU)
Box 0971
3333 California St, Laurel Heights, Room: 109
San Francisco, CA. 94143-0971

orsinec@medsch.ucsf.edu
415-514-1377
415-502-2255




                                        Page 28
                                     ATTACHMENT C
                                   TRAINING CALENDAR
Date     Day                                  EVENT                                           PERSON
24-Sep   Sun                                   Open
25-Sep   Mon   8:00                                                                    R. Sehgal
               Travel to Laurel Heights

               8:30 -10:00:                                                            C. Smukler
               Administrative Welcome and Bank Visit                                   R. Sehgal

               10:00-1:00*
               Opening Retreat
               · Welcome                                                               H.T. Debas
               · Overview of Research Administration at UCSF                           A. Tahmassian
               · Review Training Plan Mentor/Shadowing Opportunities                   C. Smukler
               · Introduction of Fellows and NIMR                                      Planning Committee
                  - NIMR Life Cycle of Extramural Funded Project
                 - Procurement Process                                                 Fellows
                 - Human and Animal Subjects Protection and Conflict of Interest
               Programs.
                                                                                       **
               1:45 – 3:15                                                             D. Bidwell
                Procurement Principles
               3:30 – 5:00                                                             J. Freedman
               Introduction to Office of Sponsored Research
26-Sep   Tue   8:30 – 1:30                                                             Z. Nelson
               Change Management


               3:00 – 5:00 PM (Lecture)                                                R. Feacham
               5:00 – 6:00 PM (Reception)                                              F. Kayanja
               GHS Seminar: Restoring Intellectual Capital in Health and Science in
               African Institutions
27-Sep   Wed   9:00-10:00                                                              UCPD
               ID Card Photos
               10:30 – 11:30                                                           SISS
               Services to International Students and Scholars Orientation

               Noon – 1:30 *                                                           H. Debas
               Discussion of Issues of Intellectual Capital in Health and Science in   F. Kayanja
               East African Institutions                                               D. Bangsberg
               2:30 – 4:30                                                             S. Friend
               IRB Process and Responsibilities
28-Sep   Thu   8:30 – Noon                                                             G. Lopez
               Sponsored Program Administration Basics
                    UCSF NIMR-CDC CO-AGREEMENT FINAL REPORT

               1:00 – 5:00 P.M.                                              Mfinanga
               Meet with Mentor
                                                                             Kapufi
                                                                             Ikingura
29-Sep   Fri   10:30-11:30                                                   Z. Nelson
               Linking the UCSF experience to NIMR                           C. Smukler
                                                                             N. Marshall

               Noon – 1:30*
               Week's Debrief Lunch                                                      **

               2:30 – 3:30                                                   M Fraser
               Mission Bay Campus Tour

 2-Oct   Mon   8:30 -Noon                                                    D. Bidwell
               Procurement Follow-Up
               1:00 – 3:00:                                                  L. Burgio
               Internal Controls and Departmental Self Assessment            H. Cordon
 3-Oct   Tue   8:30-10:00                                                    A. Tahmassian
               Research Administration Board: Effort Reporting

               11:00- 12:00*                                                 A. Tahmassian
               Sponsored Programs: An Institutional Commitment
               1:00 – 2:30                                                   R. Roberts
               Animal Care and Protection                                    L. Brovarney
               3:00 – 4:30                                                   B. Eaton
               Environmental Health and Safety Protections
 4-Oct   Wed   9:00 – Noon                                                   Mfinanga
               Meet with Mentor and/or Shadowing                             Kapufi
                                                                             Ikingura

               1:30 - 3:30:                                                  M. Fraser
               Sponsored Programs Compliance
 5-Oct   Thu   9:00 – 10:00                                                  E. Webber
               Centralized Accounting Services
               12:30 –2:00:*                                                 P. Kniery
               Departmental Administration Tricks, Traps and Challenges of   D. Harris
               Supporting Sponsored Programs: A View from the Trenches.      S. Mead
               2:00 – 5:00                                                   D. Harris
               Departmental Shadowing: Observing The Day to Day Practice.    S. Mead
                                                                             G. Lopez

 6-Oct   Fri   10:30-11:30
               Environmental Health and Safety


               2:30 – 4:30
                                                                                   G. Lopez
               In-Direct Cost Administration



                                      Page 30
                     UCSF NIMR-CDC CO-AGREEMENT FINAL REPORT

 9-Oct   Mon    8:30 – Noon                                              G. Lopez
                Sponsored Program Administration Basics                  J. Kaiser
                                                                         A. Boulter
                1:00 – 3:00                                              Z. Nelson
                Discussion of Post Program Strategy                      C. Smukler
                                                                         N. Marshall
10-Oct   Tue    10:30 – Noon                                             C. Orsine
                Information Technology and Data Management               K. Woodhouse
                                                                         M. Brenn-White
                3:00 – 4:30                                              Z. Nelson
                Discussion of Post Program Strategy                      C. Smukler
                                                                         N. Marshall
11-Oct   Wed    10:30 – Noon                                             Z. Nelson
                Post Program Strategy Recommendations Rehearsal          C. Smukler
                                                                         N. Marshall.

                Open for Self Study and/or Other Experience
                5:30 – 8:30                                              SISS
                SISS International Students Welcome Reception
12-Oct   Thu    Open for Self Study and/or Other Experience

                11:30 – 1:30*
                Closing Retreat                                          Fellows
                   Fellows’ Presentation and Plans for Follow-Up       A. Tahmassian
                   Closing Remarks                                     C. Smukler
                                                                         Planning Committee
                                                                                  **

13-Oct    Fri   Travel to Quebec: Leave SFO 07:00 AM Arrive 7:04 PM
14-Oct   Sat                         SRA International Meeting
15-Oct   Sun                         SRA International Meeting
16-Oct   Mon                         SRA International Meeting
17-Oct   Tues                        SRA International Meeting
18-Oct   Wed                         SRA International Meeting

19-Oct   Thu    Travel to DAR: Leave Quebec 10:20 AM Arrive 9:55 PM Friday Sept 20, 2006




                                       Page 31

								
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