WFPI Member Organizations: Teaching & Training in Medically Underserved Areas

 


 

 

Ultrasound, Rwanda

 

The French-speaking Society for Pediatric and Antenatal Imaging, SFIPP (click here, scroll down) offers assistance to medically underserved areas as part of its scope of action.

 

The 2nd course of pediatric Ultrasound for general practitioners was held in Rwamagana, Rwanda, organised by Drs Anne Geoffray and Edith Rivoal, pediatric radiologists in France and members of SFIPP (French society for pediatric and prenatal imaging, WFPI member). 25 general practitioners (GPs) coming from all district hospitals or health centres in Rwanda attended this 4 days course run from 3-6 February 2014. The educational aim: provide these primary health centres' GPs with the basics of pediatric ultrasound so as to diagnose their patients and make timely decisions regarding the transfer of patients to another hospital for further surgical treatment or imaging.

There are only 7 radiologists in Rwanda for a population of 10 million people. All of them work in Kigali and have access to CT and MRI.

Photo: students and teachers, 2nd course of pediatric ultrasound for general physicians, February 2014, Rwamagama, Rwanda 

This second course was again both theoretical and practical:  theoretical presentations in the morning (normal anatomy, main pathological anomalies, how to reach a diagnosis, etc.),  practice on patients from local facilities in the afternoon. Every doctor attending the course was able to  conduct practice studies on each day of the four days. The course covered all  pathologies, with a main focus on abdominal, and the teaching included transfontanellar for  neonatal evaluation. All the participants were actively engaged in the course, raising many questions. A short evaluation was undertaken on the last day.

As was the case last year, we plan to stay in contact and monitor this group so to ascertain the realities of their practice and discuss their difficulties with them. We could consider organising a second-level course in the coming years. For us, the teachers, it was again a busy but rewarding time. The students are enthusiastic and willing to learn, the needs are important. We also learned a great deal through our involvement in this educational initiative.

Anne Geoffray, Edith Rivoal
01/04/2014 

 

Pediatric Imaging training, Palestine

Dr. Aadil Ahmed, a SASPI (South African Society of Pediatric Imaging: click here) member, visited Palestine in June 2013. Here is his report.

I was in Gaza from the 15th to the 22nd June 2013. The IMA (Islamic Medical Association of South Africa) put me in contact with PMA (Partners Medical Aid) who arranged the trip with the Palestinian Health Ministry.

Gaza is approximately 41 km long with a maximum width of about 15 km, and is completely enclosed with minimal access via the Rafah border crossing with Egypt (image left). It hosts a population of about 1,8 million people. The 4 largest government-run hospitals are Shifa Hospital (largest, but mainly adult services, with some pediatric surgical service), Nasr Hospital, Rantissi Hospital, and European Gaza hospital. There are a handful of radiologists with various levels of training. A radiology training program has been started, currently with about 8 trainee radiologists. The program is struggling due to poor equipment, lack of supervision, and no structured teaching program and radiology service.

I spent 3 days at the two paediatric hospitals and one day at European Gaza hospital, delivering pediatric radiology lectures to radiologists and some to the paediatric department as well. I also conducted practical paediatric ultrasound  and fluoroscopy training, and went through interesting and difficult MRI and CT paediatric cases.

Nasr Hospital for children: about 150 beds with PICU, neonatal ICU and outpatients. Small, poorly equipped radiology department:- x-ray unit, and poor ultrasound(better ultrasound machine in neonatal ICU for portable studies performed there). One general radiologist, a MO, and some trainees that rotate. Large compliment of paediatricians. Teleconferencing facilities.
Nasr Hospital, reception

Rantissi Specialist Paediatric Hospital: Oncology, renal, neurology, surgery departments. Equipment: digital fluoroscopy unit, conventional x-ray, multi-slice CT(6 slice), ultasound(very poor quality, no Doppler capability). There is one recently qualified radiologist running this department, with some trainee's rotating through. MRI cases are sent to the European Gaza hospital, but there is limited access and no MRI anesthesia service.

CT, Rantissi Hospital

 

European Gaza hospital:
serves the southern part of Gaza. Adult and paediatric hospital  with 250+ beds. Reasonable equipment: 64 slice CT, 1.5T MRI, ultrasound and conventional x-ray. Fluoroscopy unit was down.