UGANDA SOCIETY for SONOGRAPHY

(UGASON)

REPORT ON THE UGANDA WFUMB COE FOR 2019

Date: 18th to 21st September, 2019

Venue:

1. ECUREI-Mengo Hospital, Kampala (Preconference) 2. Makerere University, FST conference Hall, Kampala (Main conference)

Introduction

Kampala WFUMB COE was launched in October 2004 with subsequent regular renewals. The aim of the WFUMB COE is to offer refresher courses in ultrasound. These are offered twice a year aimed at refreshing participants’ ultrasound knowledge and skills and at training the trainers. The COE regularly sends reports of its activities to the WFUMB and communicates with other WFUMB COEs.

The COE is under UGASON (Uganda Society for Sonography). ECUREI is the training centre for the COE. ECUREI stands for “Ernest Cook Ultrasound Research and Education Institute”. Ernest Cook was British missionary brought first X-ray machine to Uganda, in year 1910.

Refresher courses are short 1-4 days’ conferences or workshops intended to refresh the knowledge and skills of those who already have formal training in ultrasound. The COE holds up to two refresher courses per year. This year, the COE in conjunction with WFUMB organized a refresher course from 18th September, 2019 to 21st September, 2019.

A REPORT ON THE 25Tth COE REFRESHER ULTRASOUND EDUCATIONAL SESSION WHICH TOOK PLACE ON 18TH TO 21ST SEPTEMBER, 2019.

On 20th and 21th of September 2019, the Centre of Education (COE) Kampala held the 25st refresher ultrasound course at Makerere University, faculty of food science and technology conference hall. This was preceded by a pre-conference which took place from18th and 19th of September 2019 at ECUREI- Mengo Hospital. The educational session was organized under the auspices of the Uganda Society of Sonography (UGASON) in conjunction with the World Federation of Ultrasound in Medicine and Biology (WFUMB).

Sponsors:

WFUMB, Bird ultrasound, ECUREI, General Electronics (GE), Computech Limited, Imaging reports limited, Pacific Diagnostics, Surgimed, and Phillips pharmaceuticals.

The theme: Advanced Ultrasound (Obstetrics and Gynecology, Musculoskeletal system)

The General Objective

To equip health workers with knowledge and skill transfer in advanced obstetrics, gynecology, and musculoskeletal ultrasound as well as infection control.

Objectives:

1. To equip health workers with knowledge and skill transfer of in advanced obstetric ultrasound obstetrics and gynecology ultrasound 2. To equip health workers with knowledge and skill transfer of in musculoskeletal ultrasound 3. To discuss the importance of infection control in diagnostic ultrasound and interventional settings.

Guest speakers

1. Associate Professor, Sue Campbell Westerway from Charles Sturt University, Australia. Sue does research in ultrasound, notably in Gynaecology and Obstetrics ultrasound. She is a past president of the Australian Society of ultrasound (ASUM), and she is currently a member of WFUMB administrative councilors. She has particular interest in ultrasound infection control practices.

2. Mr. Stephen Bird, a general sonographer with over 25 years of clinical experience. He is currently working at Benson Radiology in South Australia. He is a passionate educator, regularly presenting at national and international conferences as well as conducting weekend workshops for diagnostic medical ultrasound professionals.

Preconference i) Participants The pre-conference took place between 18th September 2019 and 19th September 2019 at ECUREI-Mengo hospital. A total of 134 participants attended the pre-conference and these included Radiologists, Radiology residents (students of Masters of medicine in Radiology), Sonologists, Radiographers, Sonographers, Students of Masters of diagnostic ultrasound (MDU), Masters of Medical imaging (MMI) Bachelor of Science in Medical Imaging (BMI), Bachelor of

diagnostic ultrasound (BDU), ordinary diploma in ultrasound (ODU) and Diploma in Medical Radiography.

ii) Activities There were lectures sessions in the morning and hands-on sessions in the afternoons. Each of the lecture topics lasted one hour, and the hands-on sessions lasted for approximately 2 – 3 hours, depending on the number of participants. The focus of the preconference was obstetric ultrasound.

The participants were divided into groups for the hands-on sessions. There were five stations for practical sessions, each with a model for scanning, and a local sonographer to assist Prof Sue. The facilitator, Sue Westerway, moved from station to station, demonstrating the scanning techniques, after which participants were given a chance to scan the patients.

The activities of the pre-conference are summarized in the tables below.

PRE-CONFERENCE DAY 1: 18th SEPTEMBER 2019

Time Activity Responsible person

8.00-8.20am Registration Ms. Harriet Nakibuuka/students

8.20-8.30am Welcome remarks Prof Kawooya Michael

Moderator: Dr. Joyce Nayiga

8.30-9.30am 1st Trimester fetal U/S include Prof. Sue Westerway anomalies, e.g. nuchal translucency,

9.30-11 am 2nd Trimester – normal & abnormal Prof. Sue Westerway anatomy

Including - placenta, cervix, umbilical cord, fetal head & face, chest, heart, abdomen, spine & limbs

11.00-11: 30 am COFFEE BREAK

11:30-12:30 pm 3rd Trimester Scan for fetal growth and Prof. Sue Westerway well being

Including Biophysical profile, IUGR and macrosomia

12:30 – 1:00 pm Q and A session Dr. Okello-Omara Richard

1:00 – 2:00 pm LUNCH

2:00-4:00 pm Hands on session at ECUREI Prof. Sue Westerway

PRE-CONFERENCE DAY 2: 19th SEPTEMBER 2019

Time Activity Responsible person

8.00-8.30am Registration Ms. Harriet Nakibuuka/students

Chairperson: MS. Akello Zubedah

9.00-9:30 am Multiple pregnancy I (chorionicity, Prof. Sue Westerway amnionicity)

9:30-9:40 am Q and A session Prof. Sue Westerway

9:40-10:00 am Multiple pregnancy II (complications) Prof. Sue Westerway

10:00-10:15 am Q & A Vice president UGASON

10:15-11:40 am COFFEE BREAK

Chairperson: Dr. Zeridah Muyinda

11:40-12.15pm Ectopic pregnancy Prof Sue Westerway

12:15-12:30 pm Pregnancies at risk (presentation, lie, Prof. Sue Westerway nuchal cord, etc.)

12:30pm-1:00 pm Q and A session Prof. Sue Westerway

1:00pm – 2:00 pm LUNCH

2:00 – 4:00 pm Hands-on session at ECUREI Prof. Sue Westerway

MAIN CONFERENCE 20-21ST SEPTEMBER 2019

Venue:  Makerere University, Faculty of Food Science and Technology (Lectures)  ECUREI-Mengo hospital, Kampala (Hands-on sessions) i) Participants

The annual UGASON conference took place on the 20th and 21st September. A total of 113 participants attended, and these included Radiologists, Radiology residents, Sonologists, Radiographers, Sonographers, Biomedical technologists, Students of Bachelor of Science in Medical Imaging, Diploma in Medical Radiography, IT Technicians and Medical Equipment Suppliers. See attached conference program for details.

iii) Activities

There were lecture sessions as well as hands-on sessions. Each lecture lasted one hour, and the hands-on sessions lasted for approximately 2 – 3 hours, depending on the number of participants. The hands-on sessions during the main conference were focused on musculoskeletal ultrasound facilitated by Mr. Stephen Bird.

Prof Sue also gave an evidence-based talk on infection control and encouraged all ultrasound practitioners to be vigilant in infection prevention and control in the ultrasound rooms.

The activities of the main conference are summarized in the tables below.

DAY 1: FRIDAY 20TH SEPTEMBER 2019 Time Activity Responsible person

8.00-8.30am Registration Ms. Harriet Nakibuuka/students

8.30-8:40am WELCOME REMARKS Prof Kawooya Michael/Dr. Zeridah Muyinda

Chairperson: Dr. Mbabazi Margaret

8.40-9.00am A simplified approach to Prof. Stephen Bird musculoskeletal ultrasound

9.00-9.30 am Ultrasound of the wrist (normal Prof. Stephen Bird anatomy and common pathologies)

9.30-9.40am Q and A session Prof. Stephen Bird

9.40-10:10 am Ultrasound of the hand (normal anatomy Prof. Stephen Bird

and common pathologies)

10:10-10.30am COFFEE BREAK

Chairperson: Ms. Akello Zubedah

10.30-11.15am OPENING CEREMONY

Introduction of guests ( 5 mins)

Guest of Honor Speech ( 15 mins)

Awarding gifts (10 mins)

Group photo (15 min)

11:00-11.30 am Fetal echocardiography (normal Prof. Sue Westerway anatomy and common pathologies)

11.30-11:40 am Q and A session Prof. Sue Westerway

11:40 am – 11:55 Sponsor's space Imaging reports limited am Chairperson Dr. Kisembo Harriet

11.50-12.20 noon Ultrasound of complex pathologies of Prof. Stephen Bird the shoulder joint

12.20- 12:30 pm Q and A session Prof. Stephen Bird

12.30-1.00 pm SPONSORS SPACE GE

1:00-2:30 pm LUNCH BREAK 2:30- 3:00 pm Ultrasound of the elbow (normal Prof. Stephen Bird anatomy and common pathologies)

3:00-3.10 pm Q and A session Prof. Stephen Bird

3.10-3:40 pm Ultrasound of complex pathologies of Prof. Stephen Bird

the knee joint

3:40-4:10 pm Ultrasound of the pediatric hip Prof. Stephen Bird 4:10-4:20pm Q and A session 4:20- 4:45 pm Hygiene and safety in ultrasound Prof. Sue Westerway 4:45-5:00pm The Kenya Health IT company 5:00-5:10 pm Q and A session Prof. Stephen Bird, Prof. Sue Westerway and representative from the Kenya Health IT company

DAY 2: SATURDAY 21ST SEPTEMBER 2019 Time Activity Responsible person

8.00-8.30am Registration Ms. Harriet Nakibuuka/students

Chairperson: Dr. Kisembo Harriet 8.30-9.00 am Ultrasound of the ankle (normal Prof. Stephen Bird anatomy and common pathologies)

9.00-9.9:10 am Q and A session Prof. Stephen Bird

9:10-9:30am Ultrasound of the foot (normal anatomy Prof. Stephen Bird and common pathologies) 9:30 – 9:50 am Ultrasound of the gluteal region Prof. Stephen Bird

9:50 – 10:00 am Sponsor's space GE 10:00-10:45 COFFEE BREAK

Chairperson: Dr. Akello Betty 10:45-11:05am Gynecological ultrasound – the basics Prof. Sue Westerway (includes assessment of the adnexa

including the ovaries)

11:05-11:10 am Q and A session Prof. Sue Westerway

11:10-11:40 am Common tumors encountered in routine Prof. Sue Westerway gynecological ultrasound

11:40am-11:50am Q and A session Prof. Sue Westerway

11:50-12:10 Presentation of original research Dr. Senai Goitom (SHO III Radiology) 12:10 – 12:30 pm Sponsors space GE

12:30pm-1:00pm Q and A session Dr. Senai Goitom, a representative from GE

1:00 pm-2:00pm LUNCH at FST 2:00-5:00 pm Hands-on sessions at ECUREI

EVALUATION OF THE SCIENTIFIC PROGRAMME

Using evaluation forms, the following indicators were used: Excellent, very good, good, below average and poor. A total of 112 participants responded to the questionnaires. a. Topics presented All the respondents agreed that the topics presented were relevant to their clinical practice (96%) of the respondents found the course content adequate. The quality of the talks was scored as excellent (43%) very good (45%), good (11%) and fair (1%)

b. Conference venue and meals

Sixteen (16%) of the participants found the conference venue excellent, 18% very good, 28% good, 25% average, and 14% poor.

Ten (10%) found the meals excellent, 25% very good, 42% good, 18% average, and 3% poor.

c. Expectations Most of the respondents (97%) achieved their expectations.

d. Conference fees

Seventy-four (74%) of the respondents found the conference fees appropriate, while 26% found them inappropriate.

The following remarks were made by the participants;

• Well organized and extremely informative • Good work and interesting talks; more sessions needed • Get a spacious conference hall for preconference • Different speakers to break the monotony • More time should be allocated for hands-on sessions

Challenges faced by the COE

The main challenge facing the COE is space for training and the low ratio of ultrasound machines to numbers of participants. The machines used for hands-on belong to ECUREI.

Conclusion

The 25th WFUMB Uganda COE refresher ultrasound course that was held from 18th to 21st September 2019 at ECUREI-Mengo hospital and Makerere University was a success. The main

objective was to equip health workers with knowledge and skill transfer in advanced obstetrics, gynecology, and musculoskeletal ultrasound as well as infection control. Most of the participants (97%) achieved their expectations and found the course content adequate. Forty-three (43%) found the quality of the talks excellent.

Dr. Nayiga Joyce

General Secretary UGASON, WFUMB COE-Kampala

Appendix

1. Budgets 2. Photos from the conference. 1. Budget

BUDGET FOR UGASON CONFERENCE SCHEDULED FOR 20TH – 21ST SEPTEMBER 2019

CODE Item Quantity Days Rate Total 1.0 MAIN CONFERENCE

Conference Hall 1 2 600,000 1.1 300,000

Lunch Buffet 200 2 8,000,000 1.2 20,000

Break Tea & Bites 200 2 2,800,000 1.3 7,000

Conference Water (AM) 200 2 800,000 1.4 2,000

Conference Water (PM) 200 2 800,000 1.5 2,000

Evening Tea & Bites 200 2 2,800,000 1.6 7,000 SubTotal 15,800,000 VAT for Conference Package 2,844,000 Conference Package Sub 18,644,000 Total

Certificates 200 1 600,000 1.7 3,000

Stationary (Notebooks & Pens) 200 1 400,000 1.8 2,000 Accomodation for Visiting

Proffessors (120 USDper night 2 5 4,500,000 450,000 1.9 ) Note 1+B6$= 3750 UGX Total 24,144,000

2.0 PRE-CONFERENCE

Tea/ snacks 100 1 1,000,000 2.1 10,000 Models (Feeding & transport 10 1 200,000 2.2 refund) 20,000

Publicity 1 1 500,000 2.3 500,000 Total 1,700,000 GRAND TOTAL 25,844,000 2. Photo gallery

The international visiting professors: Sue Westerway and Stephen Bird from Australia

Prof Sue giving a talk on Fetal echocardiography (normal anatomy and common pathologies)

Participants listening attentively to Prof Sue during the pre-conference

Hands-on training with Prof Sue at ECUREI- Mengo hospital

Stephen bird delivering a talk on hip ultrasound

Some of the participants listening attentively

Stephen bird demonstrating while the participants are watching on the screen

Stephen bird demonstrating the scanning technique of the ankle joint

Prof Sue discussing with the father of radiology in Uganda, the very first radiologist- Prof. Henry Kasozi

Stephen Bird accompanied by his spouse Michelle

Mealtime

Prof Kasozi and Prof MG Kawooya appreciating Prof Sue Westerway on behalf UGASON

From L-R; Prof M.G Kawooya, Mr. Stephen Bird, Prof Sue Westerway and Prof. Kasozi Henry

The organizing committee with the international visiting professors

Some of the participants pose for a group photo with the presenters

PLAN FOR 2020

The next Kampala COE workshop is planned for 18th and 19th September 2020. The theme will be “Clinical Applications of Elastography and Contrast Enhanced Ultrasound”

Prof Michael Kawooya

Director Kampala COE