Strengthening Health workforce Capacity through Global Learning in Critical care.

SCALE-Critical care PROJECT


 The SCALE program aims to strengthen mutual health workforce capacity development between the UK and LMICs like Uganda with focus on offering training in clinical subspecialities with critical health workforce need as highlighted by the government strategic health workforce plans.

The Program operates with a two-prong approach including the virtual peer-peer interface that enables the SCALE-Fellows to interact on a regular basis conduct weekly case discussions and share learning on management of conditions common to both clinical settings. The Case discussions are guided by a clinical learning schedule that is developed the fellows with guidance from the SCALE-Mentors. The Peer-Peer SCALE-Fellow interaction is facilitated by a robust IT system and the SCALE App.

 SCALE-Critical Care

Perioperative medicine has greatly grown in Uganda with lots both Physicians and none physician anesthesia and critical care providers being trained. However, there is still to grow the different subspecialty to improve on the quality of service provided.

The locally available clinicians can work hand in hand with Uk partners to train more providers using both sandwiched fellowship training and establishing local fellowship training sites with expatriates from the UK.

Onsite training like have UK specialists coming to help set up or work with us on creating local fellowships like; subspecialty training e.g. obstetric anesthesia, critical care, pain, pediatrics and trauma.


To contribute to the collaborative development of critical human resource to improve Critical care.

Specific Objectives

  1. To develop a distant knowledge exchange and learning program between clinicians in Uganda and the UK on Critical care.
  2. To enable Ugandan doctors benefit from the Medical Training Initiative (MTI) Scheme in Critical care.
  3. To facilitate Global Placement of UK professionals to Uganda in Critical care.

What SCALE Offers to the Health System

  • Robust Government to Government pathway for health workforce capacity development in Critical care for mutual benefit
  • Proper evaluation of the health system’s impact of professional exchange between Uganda and UK
  • Strengthen bilateral placement, training and collaborative clinical research in Critical care.

What SCALE Offers to Individual professionals

  • Learn and build clinical competence from the diverse clinical environments and healthcare systems between Uganda and UK
  • Develop fine skills in team work, leadership, communication to support in Critical care & practice
  • Build robust professional global networks to support Critical care and research
  • Build a career in global Critical care and health systems improvement


Phase one aims to;

  • Fostering the Virtual Global Clinical learning and knowledge sharing between fellows in Uganda and UK in Critical care.
  • Build conduits for bilateral collaborative research in Critical care for quality improvement and health advancement.
  • Share internationally recognized standards of practice in Critical care to improve quality of care.

SCALE Sites;

Identification of suitable institutions in both Uganda and UK to develop an institutional partnership.

SCALE Fellows and ALS

A maximum of the 15 fellows to be recruited in Uganda and 15 from the UK in Critical care under the program and these will form Action Learning Sets.

SCALE Mentors

A mentor from Critical care in both Uganda and UK will be attached to each Action Learning Set.

SCALE Clinical Learning Schedule

A clinical learning schedule developed and agreed to by the ALS will guide the clinical discussions between the fellow.

Phase two aims to;

  • Enable fellows undertake Short, medium and long-term placements in both Uganda and UK under Critical care through the MTI and GLP schemes for hands on experience.
  • Obtaining subspeciality qualifications where possible in Critical care under the SCALE program
  • Participating in Bilateral Clinical Patient Centred Research to inform Critical care quality improvement.