Volunteers and fellows from all around the UK are offered the opportunity to undertake a 3-day residential training scheme in Global EM. This course encompasses an introduction to our projects but also to the broader scope of emergency medicine around the world. Participants learn how to stay safe in unfamiliar and remote environments, considerations for practising medicine safely and ethically in resource limited settings and how to develop a project, provide education and build partnerships in GEM in a safe and sustainable manner. The course incorporates didactic sessions, tabletop exercises and practical sessions and is run by a team of senior clinicians with a wide range of Global EM experience as well as by recent fellows providing their up-to-date insights from the field.

Teams of medical, nursing and allied health volunteers travel regularly to engage in reciprocal learning weeks within Nanyuki hospital and the local communities. Teams engage in sharing knowledge and practice, such that ideas and developments can be improve patient care for both partners. Deployments have involved demonstrations of simulation, discussion groups and skills stations as learning techniques, with recent atopics including basic life support training, ECG use, medical emergencies and first aid. Both partners support formal formal training courses such as EMKF's TECC based on local Emergency Medicine Foundation Kenya guidelines. Dharura recognises that the emergency care system requires engagement with local communities beyond clinical healthcare staff, and our education session often involve non-clinical community members.

We support teams of nursing and allied health staff from Kenya to come to the UK for a week long visit to gain an understanding of how EM and healthcare in general functions in the UK. The aim is to start providing an introduction into how we approach leadership in EM and quality improvement within the health service.