Tag Archives: Education

Day 4: Tireless efforts for Omani Women

It’s the second to last day of ISUOG Outreach in Oman as Week 2 slowly wraps up. As a returning trainer, Dr. Nimrah Abbasi from Canada shares her insight not just on the week but on the trainees and culture”.

 

“It’s hard to believe week two of the Phase 1 ISUOG Outreach program in Oman is already coming to an end.  Today was another busy day in the Outreach curriculum, covering aspects of common gynecological pathology with review of the International Ovarian Tumour Analysis (IOTA) classification, discussion of the use of Doppler in fetal medicine and high-risk pregnancies, fetal urinary tract abnormalities and finally an overview of critical aspects of documentation in ultrasound reporting. 

 

Hands-on training continues to be the most prized time for trainees, as this provides the opportunity to practice attaining the various 20+2 planes of foetal anatomy introduced at the start of the second week.  Trainees’ improvement in probe movements with smooth transition between planes is more apparent with every session.    In today’s workshop, learners are in awe as they perform Doppler assessment of the umbilical artery for the first time and appreciate the complexity of obtaining an adequate midsagittal plane for visualization of the lumbosacral spine.  This further motivates the trainees to learn to perfect probe motion and orientation. These sessions have also been instrumental in identifying the natural leaders and educators among the trainees, who are quick to recognize the less experienced scanners and provide them with guidance and direction during the practical sessions and online discussion groups.  These individuals represent potential future trainers for phase 2 of the ISUOG outreach program.  Means to further develop and nurture these skills over the upcoming months as well as potential ways for increasing scanning time for less-experienced trainees are outlined in regular discussions with Dr. Mouza, ISUOG’s Local Project Liaison.

 

What is particularly touching is the hospitality and appreciation expressed by the trainees as they continuously thank us for guiding them through the principles of women’s imaging.  We are particularly moved by the patients volunteering their time to provide opportunities for the trainees to scan, and their expression of gratitude to the ISUOG trainers for helping improve ultrasound quality and access for Omani women.

 

Despite the early morning starts and busy days of lectures, workshops and assessments, motivation and enthusiasm remain high among the trainees.  We are amazed by the distances so many of these women have travelled and the time they have taken from their busy family life and clinical practice to develop and improve their ultrasound skills.  As this week concludes, we are continually inspired by Dr. Mouza’s tireless efforts along with the enthusiasm of our trainees and the Ministry of Health to improve the quality of women’s healthcare in Oman, reinforcing our belief in the sustainability of this project long-term. “

Catch our posts this week as Week 2 Phase I of the Omani program comes to a close.

Check ISUOG Website for more information about ISUOG Outreach and to volunteer or donate.

Advertisements

A sweet Omani end to the second day

It’s day two for ISUOG Outreach in Oman and keeping with the Arabian tradition of storytelling, we are inviting our trainers to tell their tales on the field to you all, highlighting the adventure to really make an impact on women’s health in the country. The following blog is from our trainer Pauline Schut from the Netherlands:

0274C6FC-26D2-46A1-817A-4D3227AF4847

Local Project Liaison Dr Mouza Al Salmani delivering a lecture to the Oman Trainees (Image courtesy of P. Schut for ISUOG Outreach)

“Day Two of the program went by very smoothly; the trainees were motivated to start early, the GE Voluson ultrasound machines were ready to use and several volunteer patients had arrived. We very much appreciate the fact that these women are willing to visit the hospital for this teaching purpose and it greatly improves the hands-on training sessions as we only need to concentrate on teaching and not on patient care simultaneously.

6200A0DF-3B76-434E-830B-079BA8FFF3B4

Omani mahalabia (Image courtesy of P. Schut for ISUOG Outreach)

During the morning, we continued repeating the six-step approach to obstetric ultrasound. For the more skilled trainees, who were able to finish these steps quickly, assessment of the fetal brain, face and profile was added. In order to acquire these images, trainees need to understand how to move the probe to obtain the correct coronal and sagittal planes, which made this a challenging and very useful practice. After the lecture about the technical aspects of Doppler on the first day, trainees also got the chance to measure the Doppler of the umbilical artery and see what happened when they changed different settings. We were pleased to see the trainees were engaged and tried to help each other. This also gave us the opportunity to get an impression of their potential to become a trainer.

5FA1F036-0F06-4BF5-A55E-E38156B78B18

Oman Trainees (Image courtesy of P. Schut for ISUOG Outreach)

 

 

 

 

 

 

 

 

 

 

 

 

The afternoon session covered fetal anatomy, including the 20+2 planes, longitudinal plane, assessment of the head and the face. We heard a lot of “ahh’s” and “ohh’s” from the trainees, showing the understood the messages in these lectures.

a2f6028b-f75f-4336-b048-ca1a5f95604f.jpeg

Dr Nimrah Abbasi going over some unique applications of Voluson machines with trainees to customize their experience in scanning (Image courtesy of P. Schut for ISUOG Outreach)

After the debriefing of this satisfactory day, accompanied by our favorite Omani lemon-mint juices, we had a nice dinner to end the day with. Our new team members were introduced to a variety of tasteful Arabic specialties. Just like last time, we were impressed by the portions, especially of the delicious Omani version of Mohalabieh dessert. I have to disappoint the regular followers of this blog who might expect an Umm Ali-like story of its origin (see blog week 1), since the origins of this dessert remain unknown. Inspired by the WHO-quotes on the stairs of the Royal Hospital, trying to convince people to use the stairs, we took the stairs up to our rooms.”

7FCBD3CB-AD0B-4004-8CE0-5F64E91E2C89

The ISUOG Team for Oman Phase I Trip II (Image courtesy of P. Schut for ISUOG Outreach)

Stay tuned for more stories from Oman throughout the week!

Under the Omani Sun – Outreach returns to Muscat

Under the warm Omani sun – as warm as the hospitality of the people of this gracious country, ISUOG Outreach returns to Muscat for Week 2 of Phase I of the program here. With the 28 trainees from all across the Sultanate having returned, it was a wonderful reunion for the ISUOG Outreach trainers to catch up with the trainees whom they’ve been engaging with for the past 6 months remotely as they hone in on their scanning technique.

60969089-9E23-4DCF-85F8-1BE01762374F

Dr Titia Cohen-Overbeek delivering a lecture to the Oman Trainees (Image courtesy of G.A Baez for ISUOG Outreach)

Reflecting on the day with optimism for the rest of the week is the Oman Project Lead, Dr. Titia Cohen-Overbeek who shares her experience on the blog:

“With great pleasure we returned after six months to the Royal Hospital of Sultan Qaboos for our second week of the ISUOG Outreach program for training in obstetric and gynecological ultrasound. In the past half year, the previous four trainers – Dr Nimrah Abbasi from Canada, Dr Valeria Angioni from Estonia, Pauline Schut and myself from the Netherlands – have kept weekly contact with our groups of seven trainees. Images concerning biometry, early pregnancy, twins and a variety of abnormal pregnancies were shared. This medium guaranteed that we were always available for questions and could reply swiftly but even more importantly the trainees kept contact among them selves. As some work in remote areas without easy access to other colleagues the digital connection provides a good opportunity for consulting and sharing knowledge.

FFCE3E32-42A1-4128-BFBC-F279CD1CF89B.jpeg

Oman Outreach (Image courtesy of G.A Baez for ISUOG Outreach)

This time, our team has expanded with new additions joining the team – Dr Divya Singh, radiologist from Chandigarh, India and Flora Mates ISUOG’s Project Development Assistant to both coordinate the data collection from the trainers but also to assist Gesu Antonio Baez, ISUOG’s International Development Coordinator on site. As women run solely obstetric and gynecological medicine in Oman, Flora will be in a more comfortable position to monitor the requirements in our ultrasound rooms. The addition of Divya to our team ensures that our trainee groups are now smaller to facilitate more hands-on teaching time for the trainees. Dr. Theodora Pepera, ISUOG’s Special Representative to Ghana also joined the team to observe the Omani program at first glance and learn from its successes in order to bring back to Ghana, following the end of the Ghana program back in December.

Our first day worked out to be great. First of all, the happy reunion with our trainees and especially with Dr Mousa who runs her department with 10.000 deliveries a year very effectively. Her ability to organise many meetings and courses, run a large department and keep smiling all the time while her phone is buzzing is an example for everybody.

6FBB6B27-1229-4641-9B6F-1A9EAB93E029

Oman Outreach trainees (Image courtesy of G.A Baez for ISUOG Outreach)

The lectures this week will cover a variety of subjects, from Doppler ultrasound to fetal anatomy and gynecological ultrasound. And as always, a pre- and post-theoretical test was administered to assess their retention of last week’s material.

Most particularly during the practical assessment, before we started the hands-on teaching session, we could easily see that those who had had weekly regular scanning time had greatly improved and were incorporating the systematic approach to scanning which was taught in the first week. After a full day starting at six in the morning and finishing with a debrief at seven in the evening, we detected a beach restaurant only 15 minutes away from our Omani base – The Platinum Hotel. The ambience was sublime with 37 C (98 F) in the evening much to the delight of those of us from colder Northern Europe and Canada. Feeling satisfied with the way training went today, we look forward to the next four days.”

D488D084-8F3A-45C7-9AB7-AD14A733B686

Oman Outreach (Image courtesy of G.A Baez for ISUOG Outreach)

Be sure to continue to follow our blog for more updates and stories from the team in Muscat throughout the week! And don’t forget to join ISUOG as it celebrates 10 years of ISUOG Outreach on Twitter with the hashtag #OutreachTurns10.

Outreach returns to Oman!

IMG_2823

Oman Outreach (Image courtesy of G.A Baez for ISUOG Outreach)

The Outreach Team will be returning to Muscat next week to carry out Phase I, Trip II of the Oman Program from 8-12 April 2018. Led once more by Dr. Titia Cohen-Overbeek (Netherlands), the team (Dr. Nimrah Abbasi of Canada, Dr. Valeria Angioni of Estonia, Ms. Pauline Schut of the Netherlands and Dr. Divya Singh of India) will be training 28 trainees from across the country in OB/GYN ultrasound so they can then take on their new roles as local trainers within the Sultanate of Oman. Joining them on the field will be both ISUOG’s International Development Coordinator (Mr. Gesu Antonio Baez) and Project Development Assistant (Ms. Flora Mates).

ISUOG Outreach is looking forward to partner again with the Omani Ministry of Health, Royal Hospital of Muscat, GE Healthcare and Medaphor in efforts to bring this program to life. Stay tuned for more updates from the field!

To learn more about our previous work in Oman, visit our website to read about our work during Phase I, Trip I this past November.

Coming to full circle: Outreach returns to Ghana for its last trip

 

IMG_4533_Cropped

Local Ghana Trainer Osei Bonsu explaining a lecture to the trainees

As the year comes close to an end, so does ISUOG’s Outreach Program in Ghana as the team heads over to Kumasi this weekend for the last of six trips made to the Ashanti region over the years since 2011. Led by Dr. Anthony Johnson (Chair of the Outreach Committee), the trainers (Dr. Theodora Pepera-Hibbert of Ghana/UK and Dr. Janet Horenstein of the United States) will be passing over the baton to the key trainees who have now been identified as local trainers to train a new batch of trainees from all over the Ashanti region. Both ISUOG’s International Development Coordinator, Gesu Antonio Baez, and GE Healthcare’s Tammy Anderson will also be in Ghana to support this last effort in Kumasi in partnership with Kumasi Metro Health Services and local NGO partner Women’s Health to Wealth. Follow our blog all next week as we share more inspiration from the field. To find out more of what we’ve done in Ghana, visit our website.

ISUOG Outreach is off to Oman!

oman

ISUOG Outreach is excited to announce that it will be launching Phase I Trip I of its Outreach Program in Muscat, Oman starting Sunday, 5 November. Led by ISUOG Outreach Committee Member, Dr. Titia Cohen-Overbeek and supported of ISUOG Ambassador to the Middle East, Prof. Hisham Mirghani, the team consists of an international group such as Dr. Nimrah Abbasi of Canada, Dr. Valeria Angioni of Estonia and Ms. Pauline Schut from the Netherlands, with ISUOG’s International Development Coordinator Gesu Antonio Baez joining the team to deliver the program. The team will be teaching a group of 30 trainees from across the country in basic ultrasound in obstetrics and gynecology. With the backing and official partnership of the Omani Ministry of Health and GE Healthcare in supporting machines on loan, the ultimate goal of the program is to train key doctors from vital regions of the country to spread ultrasound knowledge and training in order to foster a sustainable environment in OG/GYN ultrasound education. Stay tuned on our blog for updates on the field as they happen! For more information about our program, visit our website for more details.

Le dernier jour….the last day of Outreach in Haiti

 

After a jam packed week of training in the North Haitian city of Cap-Haitien, the Outreach “Dream” Team finally wrapped it up on Friday, 27 October 2017. In wonderful prose, ISUOG trainer Stephane Michel recounts the excitement of the last day and the passion shared by both trainers and trainees for ultrasound. They truly show how much they “#LoveUltrasound.

2017-10-27-PHOTO-00000005

ISUOG Outreach Trainer Dr. Stephane Michel giving a lecture (Photo by L. Hanson)

“The exhaustion after four loaded days was definitely felt waking up this morning. The tiredness was immediately replaced by the excitement of this last day. The journey to the Hôpital Justinien where the training has been taking place has now become a routine – one that always becomes an opportunity to enjoy the stark contrast of landscape of this city on the cape (hèlas, Cap-Haitien). The city is awoken: children are joyous as the march on to school, the morning rush-hour with motorbikes coming at us in all directions. It’s a lively and beautiful city; the streets, the bars, the music and the food bring back memories from the time I was here for my residency – a time I long thought lost.

I’m so energetic before delivering my last presentation and to guide once more these trainees who are so receptive and perpetually happy. They have the secret of the people of Northern Haiti – the secret to win over guests to their land. It’s such an adventure being here – one that I am so delighted to participate in. This ambitious project will have multiple medical impacts; for the residents and the doctors, this is a further skill. For the hospital, it’s an effort to reduce the maternal mortality rates linked to certain conditions. For the women, it’s the possibility to receive quality care. I just can’t help but say “Vive l’échographie !” (Long live Ultrasound!).

And then there’s jeopardy! That’s how we started the training in the first place. Dr. Hanson (our team lead) asked questions to the two competing teams, formed of the trainees, who didn’t make it easy for themselves. The score was tight but wasn’t predictable. Then the final question: “which heart chamber is closest to the spinal columns?”

We were so renewed by their desire to learn through fun. In the end, everyone won through knowledge and the fun, thanks to ultrasound.

Then came the moment to head to the practical session and into the scanning room. The ultrasound machine that preformed the best with the real quality images that surpassed the rest was without a doubt the Phillips cx30. One of the trainees brought his own ultrasound machine to use for the practical aspect as well and to take the opportunity to master imaging via his own machine. It was a complete pleasure to to help him.

GAIN…..TGC….FOCUS….DEPTH……whoops, not obvious. Doing this was also a way for me to learn about the knobology of his machine because – to be perfectly honest, dear followers – it was really hard to scan with the machine!

But hèlas, it not a farewell my friends! Yes, it was truly the end of an amazing week but the adventure will continue for the good of women and for a world where as we say in French “Où le son (ultrason) continuera à nous réunir la sonde à la main.”

For more information around our work in Haiti, be sure to visit our website. Stay tuned in the coming week as the Outreach team heads to Oman, Sudan and Ghana for more inspiration and education.

Hot weather. Spicy food. Welcome to Outreach in Haiti

IMG_4675

ISUOG Trainer Gail Ghiretti (pictured centre) with fellow ISUOG trainer Dr. Stephane Michel (pictured left in blue) during the practical training session (Photo by L. Hanson)

It’s day three of ISUOG Outreach in Cap-Haitien and the trainees are showing more progress by the day! ISUOG Trainer Gail Ghiretti writes to us from the field in today’s featured blog:

“Hot as in weather and spicy as in food. 

Food is very spicy here and found in the most unusual things …like peanut butter. This is my first visit to Haiti and my first time volunteering with ISUOG. I have worked in various places around the world teaching ultrasound but I must say this group is the most enthusiastic I have seen in awhile. It’s Day 3 and they are still interested in our presentations! And they all participate in hands-on without becoming bored by watching others scan ; they help and encourage each other with a positive attitude.

IMG_4665

ISUOG Trainer Gail Ghitetti delivering a lecture (Photo by L. Hanson)

There’s lots of laughter in my scanning room but unfortunately, I am not sure what they are saying because everyone is speaking French to each other. My high school French teacher would be appalled since – believe it or not – I did get all A’s in class but that was a long time ago. I am learning new words and should be fluent by end of the week.

When someone asks a question, a great response for scanning instructions are responses like such as “gauche” and “droite”. Impressed ? Oui, n’est – ce pas ?

It has been a pleasure working with the trainees and I look forward to working with them in the future. À bientôt !”

Keep following our blog throughout the week for more live updates from Haiti. For more information around our work in Haiti, be sure to visit our website.

 

 

22 trainees and 90 degrees…..Outreach in Haiti continues!

Day Two of the ISUOG Outreach Program in Cap-Haitien continues again today. Reporting straight from the field is Project Led Dr. Lisbet Hanson who recounts the day’s success in today’s blog post:

IMG_4664

The ultrasound dream team (Left to right: Dr. Stephane Michel (Haiti), Dr. Vladimir Lemaire (Haiti), Gail Ghiretti (USA), and Dr. Lisbet Hanson (USA) – Photo by L. Hanson)

“22 Trainees; 4 Trainers; 5 ultrasounds (not always working); 90 degrees Fahrenheit

We hit the ground running early Monday after Opening Ceremonies with the playing of the Haitian National Anthem, a warm welcome from the Hôpital Universitaire Justinien Administrative Director and a benediction by Dr Cyril Leconte, Chef de Service d’OBGYN.

Stéphane, Vladimir and Gail’s excellent lectures have included a variety of basic introduction to ultrasound topics, including ultrasound physics, transducers, knobology, biometry, etc. We are using the standardised ISUOG lecture sets and adding videos and images when we want to emphasise a point. The trainees consist mostly of OBGYN and Family Medicine Residents, but also a few seasoned practitioners. They are not afraid to speak up when they have questions or to debate a point passionately. Some have never touched an ultrasound machine before. Most have had a little exposure in their residency. Dr. Leconte is clearly an impassioned educator. His vision is to develop and incorporate a formal ultrasound-training program into the three-year OBGYN Residency at HUJ.  I am really enjoying the opportunity to finally meet him and get to know the man who applied to ISUOG Outreach for this training opportunity a few years back.  That evening, he gave us a tour of the city and with a little history lesson on the way home; it was very interesting!

IMG_4667

Cap-Haitien (Photo by L. Hanson)

Our lecture hall is above the busy Maternity Ward where 300+ deliveries are performed monthly. The ward consists of six large open rooms with up to ten beds in each. Every single bed is occupied, not only by the patient but the family caring for her and her newborn; there is zero privacy. Those in labour can be seen walking the open halls, sitting on the front steps or crouching in the hallways. From time to time, one hears a labouring woman cry out.  Nurses in starched white uniforms, tights and shoes navigate the crowds to deliver medication, checks IV’s or get a blood pressure.

Our afternoons are spent scanning. Most of the patients have been obstetrical though we have had at least two that insisted they were pregnant but alas, no IUP was discovered.  It is very hard to convince these ladies that they are not pregnant. I am told this happens quite often here in Haiti.  The rooms for scanning are small but the enthusiasm high. The trainees critique each other:

“Slide, don’t rotate.” says one.

“Where is the stomach on the abdominal circumference?” says another.

The patients wait patiently for their scans. Most are more than 24 weeks GA and having their first scan. We practice our 6-Step-Approach and the four transducer moves. By the second day, the trainees are getting really getting good.

IMG_4669

Patients waiting patiently (Image by L. Hanson)

Around 5:30 PM, the ISUOG Team heads back to the hotel for a shower and dinner.  We talk about the day, call home to check on family, review the next day’s lectures and fall into bed.

After all, the rooster will wake us up in just a few hours….. “

Keep following our blog throughout the week for more live updates from Haiti. For more information around our work in Haiti, be sure to visit our website.

 

Wrapping up Ghana – inspire and empower

It’s been an incredible week but as the saying goes “time flies when you’re having fun”! The Outreach Team wrapped up Phase II Trip II of the Ghana project on Friday, 17 March. At this point, many of the strongest trainees felt comfortable enough to actually assist in training the other trainees on scanning techniques. This served particularly useful when the trainees had to undergo the competency checklist under the supervision of their trainers to determine their strength in scanning. After an intense morning of more practical training and scanning, the day finally ended with a closing ceremony presented by the Kumasi Metro Health Services and local representatives of the Ministry of Health.

Image 4

Dr. Janet Horenstein filling out Trainee Scanning Competency form for one of the trainees after evaluation
Image courtsey of G.A Baez for ISUOG Outreach

Image 1

Dr. Alberta Britwum-Nyarko, Director of Kumasi Metro Health Region, addresses the audience during the closing ceremony
Image courtesy of G.A Baez for ISUOG Outreach

Image 3

Outreach Committee Chair, Dr. Anthony Johnson, goes over what will be expected of the trainees in the coming months.
Image courtesy of G.A Baez for ISUOG Outreach

Throughout the week, some trainees really stood out as potential trainers to consider for the next and final trip of Phase II of the Outreach Program in Ghana. These trainees – Jonah Adams Abbekah, Bernice Nsobilla, Prince Owusu, Osei Sarpong, and Albert Adu Poku – in addition to our local trainer in Kumasi, Dr. Buah Hamilton, will take the efforts made by ISUOG in the Kumasi Metro region since 2010 to the next level. ISUOG Outreach is looking forward to working with the Ghanaian Ministry of Health, our on the ground partner Women’s Health to Wealth (WHW) and GE Healthcare to empower local practitioners with ultrasound training and provide the quality scanning and care that all Ghanaian women deserve – stay tuned as we’ve only just begun.

Image 7

It’s only just the beginning! Group picture at end of Phase II Trip II
Image courtesy of G.A Baez for ISUOG Outreach

Image 8

ISUOG’s International Development Coordinator, Mr. Gesu Antonio Baez, takes a selfie with the trainees from Old Tafo Hospital
Image courtesy of G.A Baez for ISUOG Outreach