The urgent need for
Health Care Education
in Middle East
New Models of border crossing Public - Private - Partnerships
1st German Arab Health Care Forum Berlin,
Wednesday, 13th of December 2006
Prof. Dr. Dr.h.c. Fried Oelschlegel
Saudi German Hospitals Group
F.Oel. GHORFA – 1st. Health Care Forum Berlin 2006
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Healthcare workforces in Middle East
In Middle East; 85 – 90 % of Health Care Professionals are Expatriates.
Majority from underdeveloped countries ( cheap & unpretentious ).
Increasing number of medical staff from 3rd and 4th development
countries as Egypt, India, Pakistan, South Africa, Philippines, Albania,
Moldavia, Ukraine.
Insufficient teaching conditions at governmental Universities.
Lack of international standards; Lack of control.
Expected annual growth of population is three times higher than the
growth of studying places.
The number of Health Care Professionals per 1000 population in
Middle East to Europe and USA is lower 6-7 times and 3 times lower to
the world average; The gap between supply and demand will get bigger.
The expansion of Health Care Services and Education is becoming
a top priority for the National Health Care Systems in Middle East
& Africa
F.Oel. GHORFA – 1st. Health Care Forum Berlin 2006
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MENA Universities – Cash cows ?
High fees – low quality
Old curricula, uncontrolled and not
updated, no front teaching , no fare
of practice, low social acceptance &
weak reputation of academic staff.
No any clinical, experimental or
applicable medical research.
No cooperation with medical &
pharmaceutical industry.
No cooperation with leading medical
centres of the world.
No organized scientific life or
approaches.
Insufficient study conditions for
students.
Financial hurdles & limitations of
access by increasing study fees.
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WHO Statistics
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Health Workers Classification
WHO
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Global Health Workforce,
by density
WHO
5-6
times
less
than
Europe
or USA
A quick screening shows that the Middle East region
indicators are 2 to 3 times below the average than the rest
of the world.
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Distribution of Health Care
forces
WHO
25 % of all diseases,
2,3 HW per 1000
population
9,2 % of all, diseases
4,0 HW per 1000
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Increasing Critical Shortage
WHO
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100 % more staff is needed
WHO
Middle East needs app. 100 % more medical staff to leave
the Level of a critical shortage; and 400% more to reach the
European Standard.
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The number of students has
to be doubled
WHO
Table 1.4 Numbers of Medical Schools in the Middle East:
Country
Number of Medical Schools
Iran
46
Egypt
16
Iraq
10
Kingdom of Saudi Arabia
6
Lebanon
5
Syria
3
United Arab Of Emirates
3
Oman
2
Yemen
2
Bahrain
1
Kuwait
1
TOTAL
95
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The market players
Global demand for international higher
education is estimated to increase from 1.9
million students in 2006 to 5.4 million students
by 2025.
21 billion USD is the current volume of private
education in Middle East & North Africa.
Yousef Al Essa, General Manager, Addax Investment Bank 02.04.06
USA, UK, & Australia are the major competitors for the private
education market.
Other players such as New Zealand, Singapore and Canada are
also becoming more active.
Germany is represented on the markets with minimized
capacities at Egypt, Lebanon, Jordan – without German
Institutions for Medical Education.
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This day has changed the world....
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There was also a dramatic decrease in
the number of students from Arab
countries……
The 30,000 Saudi students in 2004/2005 indicated again a 14%
decrease; the year before ( 2003 ) the number of students decreased 16
% to 2002.The number of students from the United Arab Emirates also
decreased again by 7% in 2004/2005 in comparison to 30% in
2003/2004, with a total number of 1200 students. The number of
Kuwaiti students decreased by 7% in 2004-2005, in comparison to 17%
in 2003-2004, when there were 1720 students. The number of
Jordanian students decreased by 5% compared to 15% during the
previous years. As for Egyptian students, the number dropped by 14%
to 1575 students.
There are few indications that the number of Arab students will
increase again in the United States and this depends on security
matters. The same, however, applies to the American students who
intend on traveling to the Middle East to learn Arabic.
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To find a lasting answer on the
challenges of the present and future
It needs
Touchable Capacities
 the required facilities of education ( KG, high schools, secondary
schools, universities ) in the required volume ( to double the capacities
immediately and then annually + 3.5 % ( population growth ).
Infra Structures
 Balanced Interfaces between the educational institutions.
 Unrestricted access for students; independent of gender & financial
situation of student parents.
Implemented and controlled international standards of educational
quality
 a new definition of Academics & Lectures.
 International approved and accredited curricula.
 Exchange programs for teacher and students.
 Cooperation with medical & pharmaceutical industry.
 Implementation of Medical Research.
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difficult topics…..
Segregation of male and female students depends of regional
traditions and culture.
“Sharia” compliance academic culture.
Implementation of Medical Research ( clinical, experimental &
applicable ).
Cooperation with other Universities and Medical Centre abroad.
Theoria cum Praxi
The Wilhelm von Humboldt Approach
needs
the new type of teacher: “ clinicians + researcher + teacher ”.
Considering of “ Teaching Hospitals “ as Centre of Medical Excellence
and host for advanced quality ( it’s an honor to become a teaching
hospital ).
Necessity and personal obligation of continuously further education
and acceptance of organized recertification procedures.
A “ lived “ ethical value system.
To attract “ servant / assisting “ professions e.g. Nursing for Nationals.
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UAE - to be aware of the needs
...all our social systems are currently undergoing
a comprehensive review in terms of their
philosophy, objectives, laws, and methodologies.
Regarding the educational system, we have
indeed started implementing measures to
introduce structural changes that will
modernize and update the educational
structure, enabling it to respond to the
requirements
of
the
stage
while
strengthening the role of knowledge and
human capital in economic and societal
development, and promoting individual skills
and capabilities.
The reforms also aim to fortify the relationship
between the educational process and the
developmental, security, and demographic
needs, in order to create the appropriate
atmosphere for producing a productive human
being who is proud of his identity and able to
give and effectively contribute to the making of
the future.
F.Oel. GHORFA – 1st. Health Care Forum Berlin 2006
The President of the UAE,
Sheikh Khalifa Bin Zayed al
Nahyan during an interview
with Asharq Al Awsat's 25th
November 2006
16
New model of border crossing
Public - Private – Partnership in Medical Education
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The BAB Group
The Bait Al Batterjee Medical Company (BAB) is the largest
healthcare company in the Middle East, and operates its hospitals
under the Saudi German Hospitals Group (SGHG) brand name.
Presently, it is operating four hospitals in the Kingdom of Saudi
Arabia (Jeddah, Aseer, Madinah and Riyadh), and a fifth hospital in
Yemen ( Sana’a ) as well with all together 1600 hospital beds .
Further 13 hospitals in Egypt, UAE, Kuwait, Nigeria, Ethiopia and
Pakistan are under construction, or in a final stage of construction
planning.
By the year 2015, the group intends to manage over 30 hospitals
throughout the Middle East and Africa.
The Group has employed 5,200 professionals from 26 countries ( of
them are about 500 physicians and surgeons, 1,500 nurses and a
similar number of technologists and other support staff)
All hospitals are multidisciplinary structured, ISO certificated and on
the highest level of IT applications ( paper-and film less ).
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BAB Group: Organization Chart
Bait Al-Batterjee Medical Co.
(BAB Holding)
HOSPITALS
MEDICAL EDUCATION
SGH JEDDAH - KSA
SGH HAIL - KSA
OTHER
ESTABLISHMENTS
NON FOR PROFIT
ORGANIZATIONS
BMC
SEDI
(Batterjee Medical College)
(Saudi Entrepreneurship
Development Institute)
SGNAs
(Saudi German Nursing &
Allied Sciences Institute)
CONSTRUCTION
DIVISION
TRADING DIVISION
HMRTI
(Health Management
Research & Training Institute)
GOLD’S GYM
SGH DUBAI
FBA
(Family Business Academy)
)
SGH EGYPT
Charity Blood Bank
SGH YEMEN
MEAHCO
(Middle East Healthcare Co)
SGH ASEER - KSA
SGH RIYADH - KSA
SGH MADINAH - KSA
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Education –
more than business
The Bait Al Batterjee Group as owner of the brand SGHG got the
approval to establish five private medical colleges in the Kingdom of
Saudi Arabia; each of them with 4000 students.
Beside other activities in medical education as the established 5 Schools
for Nursing and Allied Health Sciences ( SGNA ) with 800 students at
present, the Batterjee Medical Colleges (BMC) will fulfill all international
standards of advanced medical education.
The first colleges in Jeddah has started with education eight weeks
before.
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BMC Mission
To be the regional leader in providing educational and vocational training
opportunities of the highest quality in medical, nursing and allied health
sciences that are comparable to international standards.
Through the assistance of highly qualified faculties, the use of advanced
technology and the guidance of community leaders, our graduates will
be able top professionally compete locally and world wide. And, be
effective contributors towards the advancement of our societies.
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Pre-requisites & Demands
Pre-requisites:
Excellent & outstanding position in clinical practice, excellent working
conditions for teacher and students in for teaching designed / adapted
hospitals, state of art medical devices & technologies in diagnostic and
treatment, implemented system of quality control and clinical research, a
strong network to worldwide Centers of Excellence.
Demands:
The outstanding intention and ability to invest in quality (of teachers), in
quality (of students), in quality of international network (benchmarks &
accreditations), in quality of working and living conditions (to attract the
best) for teacher and students, an independent International academic
advisory board with strong ties to the World Federation for Medical
Education & WHO.
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Essential aims
The BMC is planned to:
Acquire international appreciation through quality in teaching.
Educate future leaders in Health Care & Health Care Sciences.
Create interdisciplinary synergy.
Be research and clinical practice oriented.
Be innovative, creative and supporting medical talents.
Be rich in its resources and to develop International
Partnerships.
Be successful in improving administrative and institutional
structures.
Provide effective communication and collaboration networks with
its stakeholders.
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BMC Structure & Faculties
Duration of
Program
years
Degree
Bachelor of Medicine and Surgery
(MBBS)
6
Bachelor of Dentist Surgery (BDS)
5
Bachelor of Pharmacy
5
Bachelor of Nursing
4
Bachelor of Physiotherapy
4
Bachelor of Medical Imaging
Technology (Radiology)
4
Bachelor of Laboratory Technology
4
Bachelor of Health Information
4
Bachelor of Health Administration
4
Board of
Trustees
President
Board of
Directors
Dean
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Vice - Dean
Study Affairs
Vice - Dean
Academic
9 COLLEGES
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The five BMC approaches
 Continuously Education
Diploma
Undergraduate (BSc)
Postgraduate
(Master, PhD)
Further Education ( Re-Certification ).
 Problem focused Education
Implementation Reform / Model Curricula.
 Student centralized support
( Mentors/ Tudors/ Housing/ Free INTERNET/ 24h Library ).
 Talents & Awards
Special programs for the best.
 Study Ship
Study without headaches and financial burdens.
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Enrolled Students
In 2007 we will start with
1200 students; 800 of
SGNA; 400 or more with
BMC
Number of
students / Years
2007
2008
2009
2010
2011
2012
2013
2014
Medicine
120
246
380
507
631
754
777
788
Dentistry
0
80
164
253
332
422
438
446
Pharmacy
0
0
80
164
253
339
422
438
Nursing
120
246
380
507
532
543
543
543
Physiotherapy
120
246
380
507
532
543
543
543
Radiology
0
40
82
127
170
179
183
183
Laboratory
0
0
40
82
127
170
179
183
Healthcare IT
0
0
0
40
82
127
170
179
40
82
127
170
179
183
183
183
400
940
1,633
2,357
2,845
3,260
3,438
3,486
Healthcare
Administration
TOTAL
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Most important ratios
Recommended
Ratio’s
Courses
BMC Ratio
Students: Teacher
Medicine & Surgery
Dentistry
12 : 1
15 : 1
Internship
12 : 1
15 : 1
16 : 1
20 : 1
24 : 1
30 : 1
Pharmacy
Nursing
Physiotherapy
Radiology
Laboratory Technology
Health Care IT
Health Care
Administration
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BMC – International contractual
links to medical schools
United Kingdom
Germany
France
China
Switzerland
Thailand
South Africa
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International ties with
leading Medical Schools
Eberhard Karls University of Tuebingen, Germany
CHARITE Berlin, Germany
Ludwig Maximilian University Munich; Germany
German Heart Centre Berlin, Germany
Otto von Guericke University Magdeburg; Germany
University for Applied Studies Zwickau; Germany
IB Medical Academy Stuttgart, Germany
Nebraska Wesleyan University
University of South Africa; Durban
King Abdulaziz University, Jeddah, KSA
World Federation for Medical Education;
Copenhagen, Denmark
WHO ; Geneve; Switzerland
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Cross borders PPP
Main emphases of our interests and goals till 2010 are:
Implementation of education standards ( approved and accredited ).
Tailoring of curricula ( problem focused teaching ).
Development of tests and examinations following international
standards.
Installing of a comprehensive system of Quality & Success control.
Establishment of Teaching licenses including re-certification
program.
Student & Teachers Exchange Program.
Improving the network to German Universities on all academic fields.
Participation in multi -centric medical research studies.
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PPP in education –
a sustainable business ?
WIN for BAB Group
WIN for German Universities
offering as Saudi - German – Group “ selling “ what Germany has –
medical education based on
Knowledge, Experience, Skills and
standards “made in Germany “.
academic Traditions.
Offering modern teaching programs Selling & extending practical
“ focused on medical problems “ in
experience in adapting and tuning of
clinical practice.
modern teaching methods and ways.
Extending research fields- especially
Participation in international multiin genetic diseases ; stem cell
centric medical research programs.
research.
Academic network and exchange
Attracting students and young
program.
scientists for German Universities.
Higher attractive, better position on
the market, more & better students,
higher income !
Higher attractive, better position on
the market, more & better students,
higher income !
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Our offer to Germany
For future developments, the Bait Al Batterjee Group is inviting
interested Universities, German Governmental Organizations for
Education and the German medical & pharmaceutical industry to
establish STRATEGIC ALLIANCES AND LONG TERM PUBLIC
PRIVATE PARTNERSHIP’s with private educational institutes,
medical schools and universities in Middle East.
The urgent needs and the synergy effects which could generate is
promising a sustainable win-win-business for all partners.
TO BRING THE STRONG ONES TOGETHER is the key philosophy
of the strategic development of the Saudi German Hospitals Group.
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Let’s remind us …..
God’s is the orient
God’s is the occident
North and southern terrain
Rest’s in the peace of his hand’s
Foolish that each in his personal case
His special opinion hold
If ISLAM is called “ devoted to God “
In ISLAM live and die all of us !
West Eastern Divan ; 1819
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