The Ghanaian experience of a visiting Radiologist

Ato Quansah Liz Joekes RCR Global Health Day 2014

LESSONS LEARNT: IN LMIC

• Tailor provision to local setting • Far greater diagnostic impact

• Risk of draining of resources, better used elsewhere • Quality assurance and safety challenges

• Greater role of non-radiologist readers/operators

LESSONS LEARNT

• Listen, look and learn, before starting to teach

• Awareness of our impact on local relationships

• Choose collaborations with care and address your understanding of needs together THE EFFECT OF A VISIT DR ATO QUANSAH MAY 2014 AFRICA WEST COAST SUNYANI HOSPITAL TAMALE KORLE-BU TEACHING HOSPITAL KOMFO ANOKYE TEACHING HOSPITAL DISTRIBUTION OF RADIOLOGISTS IN GHANA

REGION NUMBER OF RADIOLOGISTS

UPPER WEST 0

UPPER EAST 0

NORTHERN 2 (NON RESIDENT)

BRONG AHAFO 1

VOLTA 0

WESTERN 1

ASHANTI 6

CENTRAL 1

EASTERN 1

GREATER 23 DR ELIZABETH JOEKES

• DR GENNY SCARISBRICK 2000-2003 • IN K.AT.H JAN 2004 – DEC 2006 NARRATION

• Medical school at KATH 1996-2002 • Housemanship / internship at KATH 2002-2003 • Residency – dept of 2003-2004

• Medical officer– radiology 2004-2007 • Resident/registrar from 2007-2012 TRAINING COLLEGES

• WEST AFRICA COLLEGE OF SURGEONS AND PHYSICIANS

• GHANA COLLEGE OF SURGEONS AND PHYSICIANS

TRAINING INSTITUTIONS

• KORLE BU TEACHING HOSPITAL – 15YRS

• 37 MILITARY HOSPITAL – 8YRS

• KOMFO ANOKYE TEACHING HOSPITAL- 7YRS OUR STATE IN 2004

• ONE RADIOLOGIST

• ONE MEDICAL OFFICER WORK STATIONS IN THE ACCIDENT AND EMERGENCY UNIT2014/2004 CT UNIT OUR CURRENT STATE NEW MRI UNIT

OTHER EFFECTS

• Better recognition to the department of radiology

• More relevance of radiological input into clinical work

• Training to a new generation

• A different approach to training and teaching in radiology

• More medical students and medical officers becoming interested in radiology as a specialty

• Better sense of duty OTHER EFFECTS CONTINUED

• Better technical advice to management

• Better organised department with good work flow

• Collaboration with other departments around the world

• 12 radiologists visited within the three year period with various expertise to share (compared to 5 within the last 7 years)

• Early exposure of medical students to radiology OLD UNIT/ACCIDENT AND EMERGENCY INTERIOR OUR CURRENT STATE

• 5 RADIOLOGISTS

• 9 RESIDENTS

• 3 MEDICAL OFFICERS GET READY THOUGH...

• To see some mind blowing

• To be a “jack of all trade” depending on where you are

• To improvise when the needed logistics are all not available

• To be surprised by the attitude of some indigenes STRANGE PATHOLOGIES GUESS WHAT.. INTERVENTIONS RADIOLOGIST’S RENUMERATION

• ABOUT A £1000 A MONTH

• COMPARE POSSIBLE END RESULT REPLICATE YOURSELF SOMEWHERE IN THE WORLD THANK YOU FOR YOUR ATTENTION