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 .