Challenges identified by COECSA partners | Challenges identified by United Kingdom partners |
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Challenges in the context of the collaboration framework -Lack of opportunity for clinical participation in the United Kingdom during visits (only observership) -Delays in obtaining visas for travel to the United Kingdom for LINK visits -Institutional bureaucracy delays changes such as adoption of curricula Challenges due to multiple actors in the collaboration -Harmonization is complex due to the multi-country nature of COECSA -Heterogeneity of training programs impedes a uniform curriculum -“Scramble for opportunities” means countries and institutions have not benefited equally Resource constraints -Inadequate time for LINK work -Funding is unpredictable -Delays in release of funds for scheduled activities Inadequacy of involvement -Ophthalmologists outside cities and teaching hospitals are not actively involved -CPD inaccessible to those working outside the large cities -Inadequate involvement of ECSA countries in agenda setting leading to insufficient ownership | Challenges in the context of the collaboration framework - COECSA has not taken full ownership of LINK activities which creates gaps in running activities -Cultural differences -Leadership gaps in COECSA -Reliance on a few individuals to carry out key roles both in the United Kingdom and COECSA -CPD concept has been difficult to entrench -Inadequate communication of decisions or changes related to LINK activities Resource constraints -Time constraints as United Kingdom partners have to use their personal time for LINK activities -Uncertainty of funding -Lack of appropriate technology in COECSA |