The Ghanaian experience of a visiting Radiologist
Ato Quansah Liz Joekes RCR Global Health Day 2014
LESSONS LEARNT: RADIOLOGY 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 GHANA SUNYANI HOSPITAL TAMALE TEACHING HOSPITAL 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 ACCRA 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 surgery 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 pathologies
• 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