North Coast Medical Training College was approved for training clinical officers by the Clinical Officers Council of Kenya (COC) in February 2012 and the first class took of in September 2012. The training in the college takes 3 years which includes both theoretical and practical training. Assessments include internal examination, external examination, and a final qualifying examination by the COC. It will be followed by an obligatory one year internship under the Ministry of Health. Successful completion of this will allow the graduate to be registered as a clinical officer with the COC of Kenya. This nationally recognized diploma will enable graduates to work in the healthcare sector in Kenya and also in many other countries.
To be eligible for admission a student needs to have scored at least a C-plain as a mean score in the KCSE (Kenya Certificate of Secondary Education) examinations. In addition the student needs to have scored at least a C-plain in English or Kiswahili, a C-plain in Biology or Biological Science, a C-plain and a C-minus in Chemistry and/or Physics and/or Maths. If you sat for another secondary school examination (= e.g. British or American system) please let your documents be certified by the KNEC (Kenya National Examination Council). They will inform you what will be considered the equivalent as per the KCSE. Intakes are only in September. If you want to apply for the next intake, please go to the application form or download and print the pdf “Application Clinical Medicine".
About the Department Of Clinical Medicine at NCMTC
Mission of the department of Clinical Medicine and Surgery
To offer an encouraging and supportive learning environment for the students of the department and train, coach, and guide them to become competent and compassionate health workers, committed to improve the health of individuals and communities.
Vision of the department of Clinical Medicine and Surgery
To be a centre of excellence that is respected for the high quality graduates it produces.
Professional profile and roles of a clinical officer
The professional profile of the clinical officer describes the common core of the profession. The professional profile clarifies what can or cannot be expected of clinical officers. Their abilities and competencies are developed during their training. The required outcome standards of the training are determined by the required competencies of clinical officers as they are outlined in the Law of Kenya. All roles of the clinical officer are given shape within three main domains:
- Organization of healthcare
- The profession
The clinical officer – like all patient care providers - performs the following five different professional roles:
- The role of caregiver – providing effective health education and medical care
- The role of orchestrator – coordinating clinical care and prevention programs
- The role of designer – developing protocols and new intervention programs
- The role of coach – assisting other members of the healthcare team
- The role of professional – demonstrating ethical and professional behavior, participating in continued education and improving the cadre through participation in research
This curriculum is developed to produce a clinical officer who is able to competently fulfill his / her roles and all professional tasks that come with it.
At the end of the course the graduates should be able to implement medical care ethically and professionally. In particular, this includes fulfilling the following eleven core tasks.
Core tasks and competencies
This training program is designed to produce a clinical officer who is able to fulfill his / her core tasks and roles competently. In implementing medical care ethically and professionally, the following eleven core tasks of a clinical officer have been identified within the three main domains:
Within the domain of healthcare
As a care giver:
- The clinical officer provides professional, responsible and humane care and medical management to all individuals under his care and in all stages of life in order to support health and reduce illness and disability.
- The clinical officer provides professional, responsible and humane care within the various levels of the formal health care system in order to reduce the burden of illness, disability, or dying.
- The clinical officer provides primary, secondary, and tertiary prevention to patients and their families, in an organized way, and to both individuals and groups in order to reduce health risks as well as complications of investigation or treatment.
As on orchestrator of healthcare:
- The clinical officer coordinates the care, management and support of patients at outpatient clinics and in the wards in order to implement care as a continuous and complete process that is focused on wellbeing of the patient.
- The clinical officer coordinates programmed activities in order to ensure that the goals of a prevention program are realized.
Within the domain of organization of care
As a designer of healthcare:
- The clinical officer collaborates in the development and confirmation of new health care programs in order to secure clinical officers’ professionalism in an integrated approach to care, treatment and education.
- The clinical officer participates in the creation of patient management plans to ensure efficient, effective and quality care in the inpatient and outpatient departments.
As a coach:
- The clinical officer assists and supports other health workers in carrying out the confirmed tasks and functions in order to realise aims of healthcare and general care programmes through working as a healthcare team.
- The clinical officer advises and assists in order to support interns and colleagues in their professional identity.
Within the domain of the profession
As a professional:
- The clinical officer plays an active role in activities that enhance reflective practice and professional development in order to develop the profession of clinical medicine to a profession that is closely engaged with social and medical developments in the 21st century.
- The clinical officer actively participates in promoting the advancement of the profession in order to maintain the quality of the clinical medicine profession and to ensure it achieves the criteria set by society.
At the end of this course the graduates should be able to implement medical care, specifically primary health care ethically and professionally. In order to fulfill all their roles, they should have acquired the following general competencies:
As a caregiver, the clinical officer should be able to:
- Take history from patients or clients
- Perform physical examination
- Develop a clinical differential diagnosis
- Request for and interpret additional investigations (laboratory / radiology)
- Manage patients through providing counselling, health education, treatment (drug and otherwise), rehabilitation and through adequate referral
As a caregiver and an orchestrator of healthcare, the clinical officer should be able to organize for and provide preventive and health promotion services in the community, like immunization, Mother and Child Health (MCH) and Family Planning (FP), health education for schools and other groups, planning for and implementation of infection prevention and control measures.
As an orchestrator of health care the clinical officer should be able to manage and where applicable lead health services and programs such as:
- Planning, monitoring and evaluation of the use of health service resources
- Managing healthcare finances
- Provision of leadership in healthcare delivery
As a designer of healthcare the clinical officer should be able to develop and improve:
- Healthcare programs on community level
- Individual patient management plans
As a coach, the clinical officer should be able to:
- Train other health workers and students
- Identify needs and opportunities for professional development
As a professional, the clinical officer should be able to participate in policy development in health care by:
- Carrying out community diagnosis
- Carrying out research projects to improve health care provision
The minimum admission requirements for the course are set nationally by the Clinical Officers Council as:
- A Mean grade of at least C at Kenya Certificate of Secondary Education (KCSE) level or its equivalent
- The following subjects are mandatory; mentioned are the minimum requirement in each:
- C (plain) in English OR Kiswahili
- C (plain) in Biology OR Biological Science
- 1 C (plain) and 1 C(minus) in Chemistry AND/OR Physics AND/OR Mathematics
As a community oriented department in the healthcare sector we value the efforts that potential students might already have made in uplifting communities and assisting those suffering from illness and disability. In addition to the obligatory requirements, such proven activities and achievements in these fields will be considered when deciding on an application of a student for entry into the course.