The second level training trip in Mongolia is now coming to a close after a full 5 days of didactic teaching and hands on scanning. Dr. Philippe Jeanty shares his thoughts on the final days:
“Today we finished the 5th day of the course. Now the students clearly are in the routine mode, and things that were a struggle during the first trip are totally second nature (entering patient, cleaning transducers, biometry, making reports, what to obtain for the various types of examinations…). This makes the training more fun because we can concentrate on more interesting things such as Doppler, and cardiac views.
From 1 to 4:30 pm we scan patients and there are MANY of them. The students are at a level that we don’t need to tell them what to obtain, just nudge a little correction here and there, a few pearls (power Doppler to distinguish cord from fluid in late 3rd trimester) or challenge them to get views, in particular cardiac views.
We had quite a few pathologies over the course of the week, including a DC-DA twin with AEDV, previas, Dandy Walker cyst, Ebstein and more. Today one of my students had trouble getting a good 3-vessel-trachea view, and as guiding her hand did not get us a better view I took over the scan, but still no luck. Ja Young was asked to take a look and found a pulmonary stenosis. This was a great demonstration 1) that if you can’t find a normal section, dig in or ask help, don’t skip; 2) of the thought process: a thin pulmonary artery along side a large aorta, what should you consider and how do you prove it ? (in this case PW showed high velocities in the PA); and 3) how to counsel the patient and explain what is happening.
All of us faculty very often call on each other to help with scans and diagnoses. This teaches the students that there is no shame in not knowing everything and asking for a second opinion is the right thing to do.”
The volunteers are making their way back home now with the aim to return in another 8-12 months to complete the final level of training. ISUOG sends out a very big thank you to the trainers, the trainees, Dr. Bataar and the staff at the NCMCH, and our partners for their time and dedication and making this another successful trip!