In August and September, I worked at Kijabe Hospital, something I hadn’t done since 2006. Most of the time was spent on the respiratory (COVID-19) ward.

The level of care and the change from a decade and a half ago impressed me. Particularly striking was the clinical competence of a group of physician assistants trained in critical care. Kijabe calls them ECCCOs for “emergency and critical care clinical officers.” And now, even though only Kijabe trains them and there are just 30 graduates, the whole country wants them.

I helped start the ICU back in 2005. (Really, we were doing…

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