Food, gender and climate change

Food is one of life’s constants. Yet, what we eat has major ramifications on global climate. Food production uses up major resources: it accounts for more than 70% of total freshwater use, over one-third of land use, and accounts for just shy of 25% of total greenhouse gas (GHG) emissions, of which 80% is livestock. Yes, that steak you just ate has had a direct impact on the world’s climate! There is something of an oxymoron in the world’s food ecosystems. Overconsumption is linked to major health problems like obesity, cardiovascular disease, diabetes, and certain cancers that together account for up to 71% of global deaths. On the other hand, there are around one billion people in the world who suffer from hunger and underconsumption. All of this is compounded by problems of food loss and waste. This raises important questions related to the ethics of worldwide food production and distribution.

Food production and consumption is determined by many factors: population numbers, incomes, globalisation, sex (biology), and gender (socio-cultural) differences. The combination of a sedentary lifestyle and an unbalanced diet, high in red, processed meat, low in fruits and vegetables, is a common problem in many developed countries. And this impacts not just human health, but also biodiversity and ecosystems.

Supervised by Prof Simone Borg, I chose an exploratory research design with embedded case studies. The aim was to analyse the dietary patterns of men and women. I wanted to critically question the power relations that feed into socio-economic inequities and lead to particular food choices. I used both quantitative and qualitative methods, modelling the life cycle assessment and scenario emission projections for 2050 in Malta, Brazil, Australia, India, and Zambia among males and females aged 16 to 64.

Precious Shola Mwamulima

The four dietary scenarios I took into consideration were present-day consumption patterns (referring to the 2005/7 Food and Agriculture reference scenario), the World Health Organisation (WHO) recommended diet (300g of meat per week and five portions per day of fruit and veg), vegetarian/mediterranean/pescatarian diets, and the vegan diet. From there, I measured ammonia emissions, land use, and water from cradle to farm gate, with a special focus on gender.

The findings were alarming, indicating that none of the five countries are able to meet emissions reductions under current dietary patterns. If we were to adopt the WHO recommended diet, GHGEs would be cut by 31.2%. A better result would be gained from a vegetarian diet, which would slash emissions by 66%, while a vegan diet comes out on top with a projected 74% reduction. 

Some interesting points that arose were that the Global Warming Potential is higher in men in all countries due to higher meat consumption. Zambia and India would benefit the most from the proposed dietary shifts in absolute terms, while Australia, Malta, and Brazil would feel the positive impacts on individual levels in per capita terms, reducing carbon footprints considerably. 

Reduced meat consumption substantially lowers dietary GHG emissions. We need to prospectively consider the interplay of sex and gender, and develop climate change, health, and microeconomic policies for effective intervention and sustainable diets. Adopting a flexitarian diet that is mostly fruits and vegetables, with the occasional consumption of meat, can save lives, the planet, and economies—some food for thought!  

This research was carried out as part of a Master of Science (Research) in Climate Change and Sustainable Development at the Institute of Climate Change and Sustainable Development, University of Malta.

Author: Precious Shola Mwamulima

Can the EU empower women in Afghanistan

The European Union’s success relies on positive relationships—cooperation and good will is key. The EU’s Development and Cooperation Policy exists to support these connections. Its focus is on external relations, establishing partnerships with developing countries and channelling billions of euros to them every year. The European Commission plays a crucial role in this regard, managing and implementing directives on behalf of the EU. But what do we really know about the effectiveness of EU aid in helping citizens in developing countries? And how far is female empowerment part of this agenda? 

In short—we don’t know much! 

Research in this area is scarce, and this is what prompted me to tackle this question myself, under the supervision of Dr Stefano Moncada. My specific focus was on assessing whether the EU is committed to gender equality and female empowerment, taking Afghanistan as a case study. I reviewed all the available aid programming documents from the last financial period, and assessed whether the EU was effectively supporting Afghanistan to achieve the fifth Sustainable Development Goal (SDG) of gender equality. I adopted a mixed-method approach, using content analysis and descriptive statistics. Basically, this meant coming up with a very long list of keywords related to gender, and checking how many times these words appeared in the policy documents. Whoever invented the ‘ctrl + F’ function saved my academic life! 

Rebecca Zammit

The results of my research were pretty surprising. I found that the EU is now focusing much more on gender empowerment on the ground in Afghanistan than it did a few years ago. 

According to my data, and when comparing this to previous studies, it appears that the EU’s commitment to supporting this goal is growing over time. However, I also found that there is substantial room for improvement, as the attention given to such issues is rather conservative, and not equally balanced across all the SDG targets. For example, the need to increase women’s employment is mentioned many more times than the need to support female education or political participation. This is surprising as education is key to many other improvements in wellbeing. Nevertheless, I believe the overall results are encouraging and important, not only to highlight improvements in the effectiveness of the EU’s development and cooperation policy, but also in reply to a growing sentiment that puts into question the EU’s capacity to manage, and lead, in key policy areas. We can only hope that this continues exponentially. 

This research was carried out as part of a Bachelor of European Studies (Honours) at the Institute for European Studies, University of Malta. The dissertation received the ‘2018 Best Dissertation Award’.

Author: Rebecca Zammit

The sky’s role in archaeology

In 1994, Czech poet-president Vaclav Havel wrote an article discussing the role of science in helping people understand the world around them. He also noted that in this advance of knowledge, however, something was left behind. ‘We may know immeasurably more about the universe than our ancestors did, and yet it increasingly seems they knew something more essential about it than we do, something that escapes us.’ Almost all traditional cultures looked to the sky for guidance. Cosmology is what gave our ancestors their fundamental sense of where they came from, who they were, and what their role in life was. While arguably incorrect, these ideas created codes of behaviour and bestowed a sense of identity. The cosmology of European prehistoric societies has been studied independently by archaeologists and archaeoastronomers (an interdisciplinary field between archaeology and astronomy). Despite their shared goal of shedding light on our past lives, thoughts, and ideas, the two fields have often failed to merge, mainly due to different approaches. A clear local case is the question of the Maltese megalithic temples.

Tore Lomsdalen

The Mnajdra South Temple on Malta predates both Stonehenge and the Egyptian pyramids. It is the oldest known site in the world that qualifies as a Neolithic device constructed to cover the path of the rising of the sun throughout a whole year. What is unfortunate is that, so far, archaeologists and archaeoastronomers have studied the site largely in isolation.

Whether the temples were built to visualise the effects of the rising sun as seen today is an open question. But with such specific and repetitive patterning, one cannot deny that the sky was an important element in the builders’ understanding of the world—their cosmology.

With some exceptions, archaeologists have largely ignored, excluded, or underrated the importance of the sky in the cultural interpretation of the material record. When studying ancient communities, chronological dating and economic concerns are often given precedence over the immaterial.

But the fault does not lie solely with disinterested archaeologists. Archaeoastronomy has often been too concerned with collecting astronomical and orientation data, neglecting the wider archaeological record, and ignoring the human element in cosmology.

We need to find a common ground. Both sides need to open themselves up to different professional perspectives and convictions and embrace alternative interpretations and possibilities. Bridging the gap between archaeology and archaeoastronomy will allow us to paint a detailed picture of past societies. And maybe it will shed light on that lost knowledge about the universe and our place in it.


Lomsdalen and Prof. Nicholas Vella are organising an afternoon workshop on Skyscape Archaeology as well as an open symposium on Cosmology in Archaeology. For more information, visit: um.edu.mt/arts/ classics-archaeo/newsandevents

  Author: Tore Lomsdalen

Sustaining mobilisation: what will it take?

You can’t watch Blue Planet and not feel a pang of guilt for the plastic straw in your drink. But what does it truly take to mobilise people and encourage more sustainable behaviour? Kirsty Callan talks to Dr Vincent Caruana.

We’re finally living in a world where environmentalism is a sexy topic. Everywhere you look, it’s vegan-this, plastic-free-that. And it’s wonderful. Public awareness of the impact we are having on our planet is on the rise, and yet, according to Eurostat, Malta still registered the European Union’s highest increase in carbon dioxide emissions from energy use in 2017.Researcher Dr Vincent Caruana (Centre for Environmental Education and Research, University of Malta [UM]), believes the crises we are facing can be summed up in one double challenge: the eradication of poverty and the preservation of the environment. By simplifying the issue, it is turned into a single problem rather than many overwhelming issues, highlighting the interconnectedness of the challenges we face, be they social, economic, or environmental.

Taking Nepal and Bangladesh as examples, both have suffered devastating floods. Some point to large-scale deforestation by logging companies and agricultural businesses, as well as locals using the forests’ resources. Some environmentalists point to the population and blame them, saying that the increasing use of the forest by locals places burdens on the region’s resources, suggesting that their activities are the current major source of environmental problems. But that creates a scenario where the victims of poverty are blamed for trying to alleviate their own poverty. Meanwhile, the reality is that the wealthiest one-fifth of humanity consumes so much more than the rest of the world, leaving the rest hungry.

Dr Vincent Caruana

Who is most to blame for these problems? International institutions such as the United Nations, national governments, transnational corporations, or consumers?

In his classes, Caruana runs his students through a similar thought experiment. Who is most to blame for these problems? International institutions such as the United Nations, national governments, transnational corporations, or consumers? Some argue that it is greedy transnational corporations, out to make a quick buck while ignoring environmental impacts. Some retort, saying that corporations are bound by economy to maximise profits. Others would point their fingers at the consumers who choose to buy from dirty companies instead of the most ethically sourced. ‘Of course, there is no correct answer,’ Caruana states. ‘There is no single solution. We need thousands of solutions working in parallel. Literally. The interconnectedness of it all requires both governments and civil society to commit time and effort.’

  GETTING TO THE CRUX 

Caruana’s doctoral research identifies the influences that lead people to engage in responsible sustainable behaviour and hones in on ways to sensitise and mobilise sustained civic action.

Caruana is quick to note that there are a plethora of barriers—social, economic, and political—which prevent people moving towards sustainability. What surprised him was that more personal barriers, such as frustration, hopelessness, and dealing with disappointments, also pose a problem. ‘This is a significant point, considering that environmental circles are oft en concerned with reaching out towards the unconverted rather than supporting the converted,’ he explains. In other words, we have to continue to motivate those who are already on the right path to ensure they don’t become demoralised.

Looking to understand how people can take control of processes that affect their lives, Caruana conducted four case studies. Among them were an intentional community in Malta and a Fair-Trade network in Egypt. ‘The power of case studies lies in their ability to reframe and critically challenge core beliefs that are now taken for granted, like how a municipality, church organisation, and a trade organisation ought to act,’ he says.

Caruana believes that education on sustainable development (ESD) lies at the heart of it all—and he is not alone. In 2015, representatives from 193 countries gathered in New York to sign off on the 2030 Agenda for Sustainable Development. At the opening ceremony of the summit, Ban Ki-moon referred to the the Agenda outlined as ‘a to-do list for people and planet’. One goal focuses on education, which includes the aim to ‘ensure all learners acquire knowledge and skills needed to promote sustainable development by 2030.’

In Malta, ESD is established as a cross-curricular theme within the National Curriculum Framework. However, ‘in practice, it is still in the process of being concretely translated across schools and within subjects,’ Caruana notes. He also highlights the need for adults to be educated too, so that this cultural shift can truly happen; however, he is quick to follow up the notion with its own weakness. For years, adult ESD has remained ‘locked within ideologies which have caused many of our contemporary environmental problems.’ We need a complete overhaul of our outlook. Increased emphasis on recycling is a positive; however, what would be better is if we could reduce the amount of waste we are creating in the first place. This is but one example. ‘As long as ESD remains stuck within the same thinking that is creating the double challenge, there can be little progress,’ says Caruana.

  CLEARING THE SLATE

Back in 2001, Caruana co-founded Malta’s Fair-Trade movement. ‘Faced with the continuous realisation of an unfair world trade system, and seeing first hand through my voluntary work how such a system creates poverty, my friends and I wanted to be proactive and part of a solution,’ he states. ‘The path forward was not chartered for us. We started off passionately, then with each step, we finally arrived to setting up a fair trade shop and an ongoing educational programme. Rather than complain, we have within us the power to create new solutions.’

This philosophy is at the core of what Caruana is doing now. ‘The current model needs to be challenged, and we do have the power within us to create new ways of thinking. We need a shift from thinking in terms of economic growth to growth in wellbeing,’ he says. Referring to the United Nations Conference on Environment and Development in 1992, Caruana says they had it right. ‘A country’s ability to develop more sustainably depends on the capacity of its people and institutions to understand complex environmental choices.’ We need real leaders, not token ones, who inspire, embrace and support citizens in their actions, and create new spaces for dialogue. ‘Both Civil Society Organisations and local institutions can be a positive force towards sustainable solutions at a local level.’

  GETTING TOUGH

This mission is a beastly mountain. The reality is that there are major hurdles standing in the way of a paradigm shift that would see Malta’s people acting more sustainably. Beyond personal barriers, Caruana’s research reveals the vulnerability of local processes: ‘In Malta, a change in government results in a change in priorities (and support).’ Every five years, the system is shaken by an election that brings with it new agendas and philosophies. ‘Stability in environmental issues and processes is essential,’ he notes. Caruana also points out the fragility of civil societies’ human resources.

The solution, Caruana suggests, is ‘to create stronger links between governments, politicians, organisations, and citizens, both for research and to build a network of adult educators.’ This was highlighted in his Fair Trade case study where success was highly dependent on the level and consistency of engagement at both a local level with producers and with their partners in the west.

It is clear that good leadership is key. To help address this issue, he has created an Erasmus+ project called PEERMENT with the aim of coming up with a new model of mentoring and peer-mentoring for ESD. It involves about 20 education specialists as teacher trainers and senior mentors and about 50 teacher mentees.

‘We have to invest in leadership,’ says Caruana. ‘We need to focus on social learning and empowering institutions and organisations to work together and become innovative co-creators of new ways of thinking. In an ever-changing world, this is a challenge for educators to embrace with passion and urgency.’

Circling back to the double challenge, it is clear that no one project will be able to comprehensively solve the issues we are facing as a global society. But ‘we have to stop waiting for permission,’ says Caruana. ‘The beauty of the emerging paradigm lies in the reality that we don’t need permission to change outmoded mind-sets that no longer serve us.’ And this will be crucial in the road ahead.

  Author: Kirsty Callan

On mindfulness

In this overwhelming world of apps, chats, commercials, and instant everything, we’re fighting for our attention at every turn. We sometimes barely have time to think about our decisions, often regretting what we did or what we bought a short while later.Resurrected from old Buddhist teachings, mindfulness is being touted as the answer to the varying needs and demands of modern society. New-age ‘gurus’ offer courses that claim to change our life in seconds. To me, this has always sounded like a mission impossible.

Daydreaming poses a challenge for me. Ideally, it should give us the space to absorb new information and figure out potential options for future decisions and behaviour. But most of the time, programming takes over. We mentally analyse events and their effects—we worry—failing to be present.

The ability to create a mindful space in our thoughts can be developed through regular mindfulness meditation. The practice involves a lot of deep breathing, slowing down, observing our passing thoughts, and absorbing our surroundings. There are even apps to help boost our levels of mindfulness.

Szofia Borojevity

While this might seem like fluff to some, studies have found clear evidence for the positive effects of such practice. Meditation has been shown to have a positive effect on well-being and emotional regulation. Some research also shines light on its therapeutic benefits for anxiety and depression. Research shows that mindfulness gives us extraordinary insights. Those who practice regularly say that they experience the present reality to a sharper degree, absorbing small details that usually get lost. Imagine, instead of automatically reacting to your surroundings, being able to focus in the moment so that you can actually choose your next step with intention. That is power!

Personally, I found that a month of dedicated practice sharpened my attention. I started noticing small things and gestures that, before, would just pass me by. It drove the amount
of wasted time down significantly. I made better decisions. It wasn’t easy to sit there with all my thoughts, but it definitely trained my mind to overcome challenging tasks.

We can all benefit from regular mindfulness practice. Go on and try it for yourself. Take a deep breath, slow down, and pause. Seize the moment. Be.

Further reading:
Cocoran, K. M., Farb, N., Anderson, A. & Segal, Z. V. (2010). Mindfulness and emotion regulation: Outcomes and possible mediating mechnanisms. In A. M. Keing & D. M. Sloan (Eds.), Emotion regulation and psychophatology: A transdiagnostic approach to etiology and treatment (pp. 339 – 355) New York: Guillford Press.
Hoffman, S. G., Sawyer, A. T., Witt, A. A., & Oh, D. (2010). The effect of mindfulness-based therapy on anxiety and depression: A metaanalytic review. Journal of Consulting and Clinical Psychology, 78, 169 – 183. doi:10.1037/a0018555

  Author: Sofija Borojevic

Cycling to University: motives and barriers

This time last year, I decided to start cycling to my office at the University of Malta. Though much of my work focuses on this kind of behavioural change, I would be lying if I said that I did it for environmental or research reasons. I did it out of sheer despair: I felt like I was wasting my life, stuck in traffic for hours on end. I will also readily admit that when I started, I was not adequately prepared: I was not fit enough for it. Nor did I have the agility and speed to compete with cars while balancing on two narrow wheels. But I somehow hung in there. And somehow, before I knew it, a whole year had gone and I had never used a car to come to university—nor ever wanted to.

One of the forces that made a real difference was ‘others’. While I’d long marveled at my friends and colleagues at universities overseas who cycled to work without much fanfare, it was finding a community of commuting cyclists here in Malta that really made a difference. Gathered as the ‘Bicycle Advocacy Group‘ on Facebook, they are a new cyclist’s best allies. They helped me find bike-friendly (and unfriendly) roads, plot routes ahead of time, and consoled me after bad incidents. They organise group rides. They advocate and educate. Groups on campus such as the Green Travel Plan people were also great. In the world of cycling, unlike that of driving, the more we are, the merrier it is!

The second major step in this journey was to make it increasingly easy for me to choose the bike over car. A car key always looks so easy to pick up. Instead, I prepared my bike, my bag, my helmet, and all my accessories by the door. I left some extra clothes and toiletries at work, ready when needed. I changed my days around to make them cycle friendly, clustering meetings, avoiding heavy loads. I also made it a point to reward myself for cycling by keeping snacks handy for energy. This probably explains why I did not lose any weight despite a whole year of pedaling.

While I’d long marveled at my friends and colleagues at universities overseas who cycled to work without much fanfare, it was finding a community of commuting cyclists here in Malta that really made a difference.

All this said, the main barrier for lots of people (and myself) is the fear of being hurt on the road. I learnt a few practical tricks that made cycling less scary. The first is that lowering risk is entirely possible. Some times are better than others for cycling. In peak traffic, cars are moving very slowly or at a complete standstill, making it somewhat safer for you to cycle! Some roads are also better than others. With time, I found out that it is possible to use country lanes or smaller urban roads for most journeys. Where traffic is unavoidable, I stick to the middle of the lane, especially if a driver cannot safely pass while leaving a meter of space. Traffic will wait behind you (often the speed limit is 30km/hr anyway). This is even more important if there’s a row of cars to your right where anyone can open a door and knock you off the bike. Thirdly, I learnt to signal large so drivers know my intent. I also learnt cycling is a mental and physical work out. You need to be completely focused and watch out for any possible danger. Where needed, I get off my bike and cross roads on foot.

While poor public infrastructure and law enforcement remain a constraint, I gradually bought things that made the cycling life easier. My first purchase was the bicycle. I started with a basic folding bike (€200 or so). I chose a folding bike to give myself a parachute in case I got too tired and needed a lift home. The climb to Gharghur from University was nothing short of exhausting. I walked most of it for the first few weeks. Then a very attractive grant was issued for e-bikes. This changed everything: you may pedal less on an e-bike but you will certainly cycle more frequently. Later, I stuck a rack and a basket to the bike. I bought a trekking backpack (which means I sweat less), a good water bottle (which also comes in handy to wash my hands), and a helmet (even though it’s not a legal obligation to wear one). I got a high visibility vest (free from several campaigns), white and red lights and reflectors (though I’m still rather scared to cycle at night), and a mirror, which helps me see cars coming from the rear without having to turn my head and risk losing my balance. I’m still angling for a good bell, better fenders, and flat tyre-changing supplies. I eventually bought a good lock—a must.

Like other positive habits, the more you do it, the more you love it. I especially love not having to look for parking, getting to places quickly and on time, and discovering new routes. I love smiling at people, feeling younger and fitter. In hindsight, and with a rather limited sample size of one, I can see that what made it work (consciously or not) was quite in line with research: a break in habit, a combination of lower barriers, and stronger motives.

  Author: Dr Marie Briguglio

English for medicine: Bridging worlds

You come to Malta to attend Medical School, and you end up in an English class. Nicola Kirkpatrick talks to Dr Isabel Stabile, Omar N’Shea, and Edward Wilkinson about the often unappreciated value of the University of Malta’s Medical Foundation Programme and its impact on international medical students’ lives.

A sea of blank faces stared him down. Omar N’Shea had asked his students a question, but no reply came. None of them wanted to be there. The University of Malta’s Medical Foundation Programme (MFP) aims to equip high school graduates with less than 13 years of formal education with the skills they need to enter Medical or Dentistry school. But its focus on academic English is what receives the most ire. N’Shea, one of the programme coordinators, understands. ‘They don’t see the value initially. They think to themselves: ‘I didn’t travel thousands of miles away to sit in an English class. No, I want to study medicine.’ The frustration is understandable,’ he nods.

Omar N’Shea

But when so many international students were struggling with the medical course due to language and communication difficulties, something clearly had to be done.

Looking back at the challenges she was facing when the Medical School opened its doors to international students, Director of Studies Professor Isabel Stabile notes the discrepancy in language skills. What was expected was quite distinct from the reality of the situation. ‘What is interesting about our student body is that their spoken level of English is really high,’ says N’Shea, ‘but their written level of English needs work to keep up with the demands of an academic course.’

English Programme Coordinator and tutor Edward Wilkinson agrees, highlighting that ‘resources were lacking. Teaching exercises and materials were sourced online and everyone did the best they could. But a gap quickly emerged as far as Medical English was concerned.’ Stabile further clarifies, ‘Most books available were aimed at teaching doctors and nurses bedside manner and care for patients, but there was little to none out there that focused on academic medical English.’

Prof. Isabel Stabile

With this philosophy in mind, Stabile, N’Shea, and Wilkinson joined forces to develop a series of books called Academic Medical English for Pathway/Foundation Programmes. These books provided a framework for students to deal with the language in which scientific subjects are taught. The material improves their academic literacy in ways important to medical students, equipping them with skills such as reviewing research papers, writing reflective essays, and answering essay questions.

The book was ‘born out of the needs of these students and the medical program,’ says N’Shea. ‘The concept is to present to the students the core skills required by the medicine and surgery degrees, so that students become aware of the differences between using English as a lingua franca and using English within the framework of academic literacy.’ To enable this, the team included topics to reflect those covered in the science classes that students attend throughout the course. ‘So if they’re doing pulmonary topics in science classes,’ N’Shea says, ‘then they’re discussing them in English classes too. We used the science as a framework for our English lessons, and that was essential. Rather than teaching two disciplines with no dialogue, we created a bridge.’

This approach saw immediate shifts in perception. Dr Hussein Alibrahim, now a house officer in Kuwait, says his primary and secondary education was all in Arabic, and the foundation course, where English and science stood side by side, ‘was an advantage and a necessity. Skimming carefully through an article, identifying keywords, summarising, criticising, asking questions, and looking for the right answers are all skills that I learned for the first time in the foundation course and are skills I still use today,’ he added.

Edward Wilkinson

But the programme was not only useful for medical school. Alibrahim noted how it changed his day-to-day life as well. It taught him important lessons on punctuality and work ethic. ‘If you don’t learn [these things in foundation school] then maybe you’re in the wrong place,’ he notes.

With time, the team refined the course. After looking into the discrepancy between spoken and written levels of English, N’Shea and Wilkinson determined that the most probable reason behind it was a lack of reading by the students. Due to this, reading is now a core element of the course and is based on science topics to keep students’ interest piqued.

Now that the coursework has been implemented, positive results can already be seen. Students are so ready and raring to go that ‘sometimes they even want to take over the sessions,’ says N’Shea. ‘A student came up to me in class one time and asked to explain a concept to the others. It was such a dramatic shift.’ This has made it a joy to be in class, he adds, saying that ‘it became an active classroom. Students are totally immersed now.’ He feels that, through this course, the students are empowered ‘because they feel they can bring into the classroom all the things they know from science, but explore them through language.’ This way, ‘English is presented as a skill set to enable them to better achieve their goal in the career path of choice. It makes English less of an extra subject and more of a tool,’ he adds.

N’Shea, Wilkinson, and Stabile all agree that they will continue to perfect the programme. Currently in the works is a coursebook dedicated to developing listening skills. It will concentrate on areas such as note writing and identifying and differentiating words even when people speak with different accents. However, before the ‘listening book’ (as they fondly call it) is released, we will see the ‘reading book’, which will provide scientific passages for the students to read and be assessed on. All editions of this book will have the added bonus of a teacher’s book, meaning that the coursework can be taught by any teacher around the world, even if their knowledge of science is lacking.

With students communicating more, isolation is less of an issue and this is immensely beneficial. ‘We have to remember the dramatic shift that these students are going through,’ Stabile says. ‘They’re moving country, dealing with culture shock, all while fending for themselves for the first time in their lives, an adjustment local students do not need to make.’ This, along with the pressure that comes with a course you only get one chance to pass, is significant.

With students communicating more, isolation is less of an issue and this is immensely beneficial.

The fruit of their hard work is evident. According to research conducted by the team, between 2008 and 2015, 86% of MFP graduates progressed through Medical School. Moreover, the proportion of MFP students who repeat Year 1 of their medical degree is only 8.2% compared with 8.8% for EU (mostly British) students between 2014 and 2017. They also found that MFP students who started in 2010 and graduated medical school in 2015 achieved the same average grade over the whole five years as did local students in that cohort.

That said, all this work is not just about grades. Stabile says the team’s intentions go beyond seeing students pass exams. What they want to do is to ‘place them on a trajectory for success.’ And that is definitely a goal they are achieving, one year at a time.

  Author: Nicola Kirkpatrick