SMP - Catriona Connelly
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Transcript of SMP - Catriona Connelly
Scotland Malawi Anaesthesia
Dr Catriona Connolly, Consultant Anaesthetist Ninewells Hospital, Dundee
Outline of talk
What we have done Challenges Future plans Recommendations
Scotland Malawi Anaesthesia- summary
Refresher courses in anaesthesia and resuscitation Textbooks on each subject donated to every delegate Equipment donations
Total attendees so far:
93 Anaesthetic Clinical Officers (ACOs)
12 midwives, 12 Intensive Care/HDU Nurses
2 paediatric and one surgical Registrar
1 obstetric clinical officer
7 Malawian ACOs trained as trainers
Training in Anaesthesia- UK/Malawi
UK- Anaesthetists are doctors. Approx 8,000 in the UK Post graduate training programme of at least 7 years
Malawi – 4 physician anaesthetists in the country Clinical Officers: 3 year training programme as clinical officers 18 months training in anaesthesia Independent practitioners- max 2/3 in a dept but usually 1-2
NO POST GRADUATE EDUCATION PROGRAMME
Getting Started: July 05- Feb 06
Association of Anaesthetists of GB and Ireland Obstetric Anaesthetists Association World Federation of the Societies of Anaesthesiology
Paul Fenton Cyril Goddia
Request from Malawi: Refresher course obstetric anaesthesia, paediatric anaesthesia, trauma
management Advanced life support courses in UK
Inaugural course: Planning Feb-Oct 2006
Course design and key topics Textbooks and course materials Donated out-of-date disposables/Hardware
All delegates invited by local co-ordinator 16 Clinical Officers from all over Malawi 3 midwives, 2 nurses Pamela Johnston, Jo Thorp, Manchula Navaratnam One week Mixture of lectures, workshops, M&M, scenarios
Reflections on first course:
Lessons learnt: ACOs dedication, resilience, enthusiasm, resourcefulness Local co-ordinator workload Course Accommodation Feedback
Training The Trainers one-day course for developing countries- Royal College of Obstetrics and Gynaecology/ Liverpool School of
Tropical MedicineBritish Association for Immediate Care, Scotland (BASICs Scotland)
Refresher course structured to enable training and supervision of new trainers
Planning for sustainability
Proposal:
3 separate 3-day courses running concurrently-obstetric anaesthesia and trauma -paediatric anaesthesia and trauma -intensive care medicine
Run each set of courses three times
New Malawian instructors will attend one course then teach, under supervision, on two courses in the same subject
Plan for multiple crossover courses
3 day course ( obs/paeds/ICU)
DAY OFF/ Train The Trainers (TOTT)
3 day course (obs/paeds/ICU)
DAY off
3 day course ( obs/paeds/ICU)
Challenges
Books/Equipment Shipment of course materials Accommodation for delivery of the courses Funding Delegate expenses Course Co-ordination Faculty
Feedback
Requests for repeat courses /slides and handouts Specific points about the course content ( ECT, acute pain)
Two weeks is too long Sunday work not popular
Autumn 2008 course
Reorganised and delivered in 6 days
3 ACO instructors from 2007 on faculty
3 new ACO instructors attended TOTT and were supervised teaching on two courses
Key challenges raised by ACOs:
Facilitation of CPD by Malawi Ministry of Health (medical council introduced CPD but await funding from ministry)
David Corner/Jean Kerr- Meeting October 2009 for all interested
Internet access ( lessons from the GP twinning project?)
Intergovernmental collaboration: Support at Malawi Ministry of Health in procuringessential drugs( including oxygen) and equipment (??links with international health partners UK)
Supporting ACOs to run refresher courses themselves Multi-disciplinary courses
Co-ordinate future courses (all specialties)
-Scottish Clinical Advisory Board
-Local Malawian co-ordinator
-Scottish co-ordinator
Future Plans and Challenges
International Effort
NGOs - Unifem / White Ribbon AllianceManagement of maternal and paed emergencies Irish MOET Norwegian Paediatric anaesthesia ALSO Scotland Child Health Advocacy International Emergency Trauma And Triage English Refresher course
Within Scotland All medical specialties Nursing-Bell College Medical school collaborations NHS Tayside
Recommendations
Scottish Clinical Advisory Board (first mooted in 2006/7) Scottish and Malawian Co-ordinators Liaison at government level
Listen to the front line workers
Thank-you for your attention
Acknowledgements
Cyril Goddia Faculty members, their families
and colleagues Eric Borgstein Dept of O&G QEH Logima International, Fife( Donation of 100 sets of theatre
scrubs 2007 and 2008) Avian graphics Dundee( banners and stationery) Synermed Abbott Pharmaceuticals Fresenius Kabi
Scottish Government Humanitarian Health Fund
Scottish Society of Anaesthetists Royal College of Anaesthetists Association of Anaesthetists of
GB and Ireland Scottish Intensive Care Society Obstetric Anaesthetists
Association Advanced Life Support Group,
Manchester Local fundraisers-
runs/cycles/ceilidh/charity ball Forth Valley NHS Trust NHS Tayside
Scottish Faculty
Brian Carlin Paul Currant Colin Donald Hilary Edgcombe Chris Hawkesworth Jacqui Howes Drew Inglis Pamela Johnston Barry Klaassen Richard Price Caroline McQuillan
Rose McRobert Sam Moultrie Vince Price Michaela Salvadore Susan Somerville Steve Stott Jo Thorp Lyn Walton Nigel Webster Wayne Wrathall