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138 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.
W., & Laing, A. (2013). Collaborations to address barriers
for people with communication disabilities in Ghana:
Considering the World Report on Disability. International
Journal of Speech-Language Pathology, 15(1), 53–57. doi:
10.3109/17549507.2012.743036
Global Campaign for Free Expression. (2003). Article 19
Statement on the Right to Communicate. Retrieved from
to-communicate.pdf
Goldberg, J., & Bryant, M. (2012). Country ownership
and capacity building: The next buzz words in health
systems strengthening or a truly new approach
to development? BMC Public Health, 12, 1–9.
doi:10.1186/1471-2458-12-531
Hopf, S. C. (2014). Services for children with
communication disability in Fiji. Journal of Clinical Practice
in Speech-Language Pathology, 16(2), 81-86.
International Communication Project. (n.d.).
The opportunity to communicate is a basic
human right. Retrieved from http://www.
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
World Report on Disability. International Journal of Speech-
Language Pathology, 15(1), 101–105.
National Joint Committee for the Communicative Needs
of Persons with Severe Disabilities. (1992). Guidelines for
meeting the communication needs of persons with severe
disabilities. Retrieved from:
GL1992-00201/
Somerville, L., Davis, A., Elliiott, A., Terrill, D., Austin, N.,
& Philip, K. (2015). Building allied health workforce capacity:
a strategic approach to workforce innovation. Australian
Health Review, 39, 264–270. 4211
Weddington, G. (2002). Speech-language pathology/
audiology: Service delivery in rural and isolated regions
of South Africa. Folia Phoniatrica et Logopaedica, 54(2),
100–102.
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, 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 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:
phone:+1 (775) 682 7017