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JCPSLP

Volume 18, Number 3 2016

Journal of Clinical Practice in Speech-Language Pathology

Language Pathology

,

15

(1), 65–68. doi:10.3109/17549507

.2012.729862

Crowley, C., Baigorri, M., Ntim, C., Bukari, B.,

Oseibagyina, A., Kitcher, E., Paintsil, A., Ampomah, O.

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for people with communication disabilities in Ghana:

Considering the World Report on Disability.

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and capacity building: The next buzz words in health

systems strengthening or a truly new approach

to development?

BMC Public Health

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The opportunity to communicate is a basic

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Lowell, A. (2013). “From your own thinking you can’t

help us”: Intercultural collaboration to address inequities

in services for Indigenous Australians in response to the

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of Persons with Severe Disabilities. (1992). Guidelines for

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& Philip, K. (2015). Building allied health workforce capacity:

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Wylie, K., McAllister, L, Davidson, B., & Marshall, J.

(2013). Changing practice: Implications of the World Report

on Disability for responding to communication disability in

under-served populations.

International Journal of Speech-

Language Pathology

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15

(1), 1–13. doi:10.3109/17549507.

2012.745164

anyone who has access to the Internet can take the

courses. While the DOOHICHE model is free to learners,

there are costs for computer and/or Internet access.

The DOOHICHE model is designed to be sustainable

with a $16-million endowment (which adequately covers

core expenses), slender operating costs, and volunteer

course creators. Though

NextGenU.org

encourages

local communities, policy-makers, organisations, and

governments to eventually take “country-ownership”

(Goldberg & Bryant, 2012) of all aspects of capacity

building, it is unclear how local authorities will receive this

model.

The DOOHICHE training model will train students in

a wide variety of subject areas related to SLP. It is not

dependent on specialised trainer availability and skills, but

addresses many areas in depth, as it is created by experts

in the field, and guided by an advisory committee, using

resources from governments, peer-reviewed journals,

specialty societies, and universities. However, students may

have difficulty allocating time to courses, finding a peer, or

selecting an appropriate mentor to support the didactic

portion of the model.

Future direction

NextGenU’s DOOHICHE model for building capacity in the

global speech-language pathology workforce is in its

infancy, as we are currently piloting our first course with

students in Kenya. We are unclear about the model’s

strengths and limitations in addressing the ability to build

speech-language pathology capacity on a global level. Our

goal is to critically evaluate the DOOHICHE model by

collecting data regarding the quality, accessibility,

sustainability, affordability, and customisation of this model.

The evaluative process for the model and each course will

be ongoing and continually refined based on metrics and

feedback.

Because we strive to make this a viable training program

for future audiences, we welcome comments, feedback,

and suggestions. We call on the SLP community to

engage in a discussion via the

Journal of Clinical Practice

in Speech-Language Pathology

on the feasibility and

acceptability of NextGenU’s DOOHICHE model training

program for future speech-language pathologists

worldwide.

Acknowledgements

The authors wish to thank the University of Nevada, Reno,

the research assistants at the University of Nevada, Reno,

the Advisory Committee, and the Annenberg Physician

Training Program’s endowment for making the DOOHICHE

model possible. Additionally, we would like to thank Verena

Rossa-Roccor as well as the guest editors and editor of

JCPSLP

for their assistance in the preparation of this

manuscript.

References

Ahmad, K., Ibrahim, H., Othman, B. F., & Vong, E. (2013).

Addressing education of speech-language pathologists in

the World Report on Disability: Development of a speech-

language pathology program in Malaysia.

International

Journal of Speech-Language Pathology

,

15

(1), 37–41. doi:

10.3109/17549507.2012.757709

Cheng, L. (2013). Knowledge transfer between minority

and majority world settings and its application to the World

Report on Disability.

International Journal of Speech-

Dr Abbie Olszewski

is assistant professor, academic advisor, and

clinical supervisor in the Department of Speech Pathology and

Audiology, University of Nevada, Reno.

Erica Frank

, MD, MPH, is the

Canada Research Chair in Preventive Medicine and Population

Health; founder, president, and research director of www.NextGenU.

org; and professor in the School of Population and Public Health at

the University of British Columbia.

Correspondence to:

Abbie Olszewski

Department of Speech Pathology and Audiology

University of Nevada School of Medicine

Reno, Nevada

email:

aolszewski@medicine.nevada.edu

phone:

+1 (775) 682 7017