Medically underserved areas: WFPI's involvement in educational initiatives 


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Ethiopia

 

Addis Ababa, Ethiopia: pediatric radiology fellowship

 

The Department of Radiology, Faculty of Medicine, Addis Ababa University/ Radiological Society of Ethiopia (RSE)/The Children’s Hospital of Philadelphia (CHOP), University of Pennsylvania, USA

In collaboration with: the African Society of Pediatric Imaging & the South African Society of Pediatric Imaging

The pediatric radiology fellowship, Addis Ababa

The Department of Radiology, Addis Ababa University and the RSE have been in partnership with CHOP for 4 years in an outreach programme aiming to:
  • Establish a pediatric radiology fellowship,
  • Provide initial training to the country’s first pediatric radiologists,
  • Enhance the pediatric radiology aspects of the residency training, and
  • Provide CME for the general radiologists following the same.

Brochure, upcoming Pediatric Radiology CME, August 2014 

Click here to see brochure in full

2013 course details

The national pediatric radiology one-day course was carried out on Saturday December 14th in Addis Ababa, Ethiopia under the auspices of the WFPI. The course was a joint effort of the Radiological Society of Ethiopia and the CHOP Pediatric Radiology International Outreach Program. It received financial support from the Ethiopian Medical Association, the Department of Radiology of CHOP, the Global Health Center of CHOP and 3 other institutions in the USA through the honorarium Prof. Kassa Darge was able to generate as an invited professor. 

The venue was an excellent downtown hotel and the course was well attended by most of the country's radiologists and some pediatricians and pediatric surgeons. There were over 80 participants. The 3 faculty members included Dr. Janet Reid, Dr. Sabah Servaes and Prof. Kassa Darge. They gave a total of 13 lectures. In addition, one of Prof. Darge's fellows had prepared some pediatric radiology unknown cases. Over half of the attendees submitted their diagnoses to these cases and one won the prize. The best part of the meeting was the very active participation of the audience with many questions and comments after each lecture. The feedback from the participants was overwhelmingly positive and many stated that the topics discussed were highly relevant to their daily practice.

The course will be repeated in August 2014, carried out by 5 faculty members - 4 from the USA (2 institutions) and 1 from Germany. See brochure left.

VISITING PROFESSORS

In addition to their delivery of the 2013 course, the 3 faculty members were visiting professors in the Department of Radiology, Faculty of Medicine, Addis Ababa University over a period of 2 weeks. They gave the morning and lunch lectures for the radiology residents and participated in daily routine activities of the Department - reading out with residents and also carrying hands-on ultrasound teachings. Two of them were also external oral board examiners for the graduating final year radiology residents. Furthermore, in the presence of the 2 selected faculty members for the international pediatric radiology fellowship, the curriculum was finalized with preparations made to start the fellowship this month.

CHOP OUTREACH

In 2013 CHOP conducted a total of 6 weeks of pediatric radiology outreach service in the Dept. of Radiology with the support of 6 faculty members from 4 different institutions in the USA. 

Children's Hospital Philadelphia, USA




Haiti

 

Haiti & WFPI

Projects identified by Mr. Brad Short, ACR, Dorothy Bulas, WFPI, and Rebecca Stein-Wexler, WFPI

 

Eva Rubio MD teaching in Port-au-Prince, March 2013 


 

  (press release)

The ACR has partnered with Grace Children’s Hospital in Port-au-Prince, Haiti, and sponsors annual radiology education days.

Drs. Dorothy Bulas (program co-chair, image left)), Jennifer Nicholas and Kimberly Applegate (SPR) participated in the 3rd ACR/ICC Radiology Education Days Conference on 24-25 March 2014, providing eight outstanding didactic lectures on different aspects of pediatric imaging and a hands-on ultrasound program featuring pediatric patients from nearby University General Hospital and Grace Children’s Hospital. The session was attended by a capacity crowd of 100 Haitian physicians.

The days ran in parallel with the Chicago Haiti Health Consortium/ICC Education Symposium; the pediatric radiology concepts presented at the ACR/ICC conference on Day 1 synthesized with the clinical information presented at the Symposium on the subsequent days. On Day 2, NICU chest radiographs served as radiology cases, dovetailing beautifully with a talk by Dr. Christine Sajous, a neonatologist from Loyola University in Chicago.  On Day 3, pediatric neuroradiology cases (both ultrasound and CT) were presented to  enthusiastic - and accurate - participants. The synergy between the conferences was excellent and suggests great opportunity to combine forces moving forward.(Image R: Dr. Kimberly Applegate demonstrating US techniques)

During her visit, Dr. Jennifer Nicholas (lecturing, image left) met some 150 healthcare providers looking to enrol in her nascent online learning community "Pediatrics Global Health" (WFPI hopes to link in to the content of this site).  The enrolment process provides further opportunities to learn about individual educational interests and needs.

 

When ACR first went to Haiti in 2011, 19 radiologists were serving a population of over 10 million.  Today, we are pleased to report that 10 radiology residents are currently in training at the University General Hospital.  If they matriculate successfully and stay in Haiti, radiologist numbers will have increased by 50%. While in Haiti, ACR met with the leaders of the hospital and signed a Memorandum of Understanding to assist these residents in their training as they prepare for a new hospital with greater diagnostic radiology capability.  

Furthermore, ACR also met with the Medical School of Haiti to assist in the formal development of a four-year radiographer program, echoing WFPI’s own drive to involve and support radiographers in its outreach and education work. They are pivotal to imaging outreach and education initiatives in lower resource settings, and WFPI applauds the inclusion of a 2 day radiographer program in these 3rd Annual Radiology Days.  

All attendees received a jump drive of all translated presentations.  See here for a blog staff developed during the trip.  Video and links to the presentations to follow soon.  

The conference could not have succeeded without the coordinated efforts of representatives from the American Society of Radiologic Technologists, the Society of Diagnostic Medical Sonography, the Society or Radiologists in Ultrasound, Sonosite, GE,  ICC/Grace Children’s Hospital as well as WFPI.  

Our thanks to ACR and Grace Children's Hospital for the flawless planning and roll out of these courses.

   

 

The ACR-WFPI team 2014 included Drs. Dorothy Bulas, Jennifer Nicholas and Kimberly Applegate

ACRF International Outreach newsletter May 2014 



 

The ACR-WFPI 2013 team included Drs. Ron Cohen, Marthe Munden, Jennifer Nicholas, Eva Rubio and Rebecca Stein-Wexler`

March 2013: how it went

Click here for teaching trip reports, March & November 2013

Click here for video, ACR-WFPI Radiology Days, March 2013

Click here for program, ACR-WFPI Radiology Days, March 2013


Rebecca Stein-Wexler during her 2nd teaching trip to Haiti in 2013, undertaken on behalf of UCLA Davis

Mozambique

Mozambique - UCLA - Brazil

Project identified by Prof. Ines Boechat (UCLA), Dr Emily Hartford (Mozambique) and Dr. ALexandra Monteiro (Rio de Janeiro,Brazil) 

 

 

In May 2013, the University of California Los Angeles (UCLA) hosted two residents from the Hospital Central de Maputo, Mozambique, in its Department of Pediatrics and Pediatric Imaging section with great success. The venture rolled out in collaboration with the UCLA's Centre for World Health and WFPI. UCLA's Centre for World Health has taken this partnership a step further through its support for a teaching and training  trip to Maputo in March 2014, undertaken by WFPI's President Prof. Ines Boechat. The visit focused on bedside training during pediatric rounds and lectures and strengthened interactions between pediatric and radiology teams. It will lead to further collaboration between UCLA, WFPI and the colleagues in Maputo.
Dr. Paula Santos (Chief of Pediatrics) and Central Hospital de Maputo's pediatric team have asked for further chest imaging training and one extended rotation for a HCM faculty member is planned at UCLA in June/July 2014.

Rght: Prof. Ines Boechat (WFPI President) teaching in Maputo, Mozambique, March 2014

Left: ER Pediatric entrance, Hospital Central de Maputo, Mozambique 

Linking up with tele-medicine in Brazil

The Brazilian government, via the State University of Rio de Janeiro, has responded to the vastness of the country and health care disparities by developing an online approach. The UERJ Telehealth Centre has adopted the free, open sourced module platform for its distance education program and added on a teleconsulting system offering synchronous (live chat) or asynchronous access. The image below shows the reach of the pediatric radiology platform, RADPED. WFPI aims to facilitate Mozambique’s access to these e-learning platforms.


WFPI is also hoping to extend tele-reading platforms (Brazilian or other) to Maputo to provide tele-reading support for problem pediatric cases, accompanied by on-site training (CXR – pediatric tuberculosis included, US) as offered in other WFPI outreach projects.

South Africa

 

WFPI in South Africa, August 2013 

In August 2013 a team from the United States was invited by Prof. Leon J van Rensburg to give a course on neonatal ultrasound imaging during the SORSA-RSSA (Society of Radiographers of South Africa and the Radiological Society of South Africa) 2013 meeting in Durban, South Africa, August 2013.  Drs. Dorothy Bulas, Kassa Darge and Carol Barnewolt gave over 26 lectures on US topics from head to MSK including fetal for radiologists and sonographers from South Africa as well as other African countries.

L->R: Drs. Carol Barnewolt, Kassa Darge, Leon Van Rensburg (Chair), Dorothy Bulas, SORSA-RSSA Imaging Congress, Durban August 2013

Under the guidance of WFPI outreach leader, Prof. Savvas Andronikou, several  visiting professorships were then arranged to teach, talk about WFPI, and learn about outreach issues.

 

  

Click here for the profile of the South African Society for Paediatric Imaging (SASPI) - the driving force behind this "WFPI Roadshow"